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This study was the first to apply the LWDS-11 to non-Arabic-speaking sample, and it highlights the need for further refinement of measures of dependence in waterpipe tobacco smokers that are generalisable and usable across cultures.90 As noted elsewhere,91 there is a growing need for waterpipe-specific measures of dependence that are validated for use in other populations where WTS is common.92 One article explicitly discussed nicotine/tobacco dependence and WTS without reference to the LWDS-11.32 Here, two instruments commonly used to assess dependence in tobacco cigarette smokers, the Fagerstrm Test for Nicotine Dependence (FTND;93) and the negative affect, addiction and stimulation subscales of the Horn-Waingrow Reasons for Smoking (RFS;94) scale were modified by substituting the word shisha for cigarette as necessary.32 One hundred and fifty-four Egyptian men who were exclusive waterpipe smokers responded to the modified instruments that were administered via interview
To clean the frame and screen, gently wipe it with a microfiber cleaning cloth
With its rich wildlife habitats and diverse terrains, this region is a prime spot for those looking to embark on a memorable hunting adventure

This week, one reader says she's upset that her boyfriend won't marry her until she stops smoking, while another says she can't get over her ex messing around when they were on a break

Key takeaways Cigarette ash is a health hazard Smoking outdoors contributes to air pollution Ash harms soil and plants Children and pets can ingest the ash from indoor smoking Quitting smoking benefits health and the environment Cigarette ash is often overlooked when smoking, usually brushed off as nothing more than a minor inconvenience
