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The Omaha Tribe reservation is in northeast Nebraska, more than 300 square miles, primarily in Thurston County and parts of neighboring Burt and Cuming Counties

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Smoking enhances platelet activation and aggregation (clumping together), making blood clots more likely to form

We need to understand more about whether it is smoking or other risk factors, such as socio-demographic factors, that cause this association

YAKOBCHUK VIACHELSLAV | Shutterstock Cigarette smoke is a complex, reactive and dynamic mixture containing approximately five thousand chemicals, which arguably makes it the most important source of toxic chemical exposure in humans