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Consequently, this cross-sectional survey did not employ a probability sample of NJ secondary schools and county career-technical-vocational school districts, although this purposeful convenience sample achieved statewide respondents, representative of the State of NJ and its 21 counties

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3 Metabolic drivers of macrophage dysfunction in COPD The increase in both total and polarized AMs may drive COPD pathogenesis through multiple mechanisms, including the secretion of proinflammatory cytokines, chemokines, and MMPs, along with impaired phagocytic and bactericidal functions (75)