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Nonetheless, the study demonstrates some clear associations between smoking and cognitive decline, which is important because there is clear evidence that delaying mild cognitive declinea precursor to more serious conditions like dementia and Alzheimers diseasecan delay those more serious conditions by up to three years

This is in mismatch with [18] who found that number of smokers at home did not have significant effects on cotinine level.Regard the level of cotinine among studied patients groups there was a highly statistically increase in patients group when compared to control group mean level was: 6.20 2.59 (0.13 9.94), 1.11 0.69 (0.13 2.24) ng/ml respectively (table 5) and by using Tukey's test, there was highly statistically significant decrease in patients group with LRTI when compared to patients with URTI and control group (table 6)