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Taking time out of work for a smoke How do you feel when the smokers in your workplace take regular ten minute breaks to have a smoke

The following key words and Medical Subject Headings (MeSH) were used either alone or in combination inflammatory bowel, disease, crohn* ulcerative, nicotine tobacco, smoking, smoking cessation, smoking reduction, tobacco use cessation, electronic nicotine delivery systems, tobacco products, smoker*, vaping, cigarette*, steroid*, azathioprine, biologic*, infliximab, thiopurine*, dilatation, tumor, tumour, necrosis factor, mesalamine, 5 ASA, 5 aminosal, relapse*, recurr*, outcome*, remission, relapse*, recurr*, outcome* and remission. The title and abstract for identified studies were evaluated and studies that did not relate to the research questions of interest were excluded

Emotional stress, anxiety, inadequate sleep, and psychological pressure can compromise immune function and increase ulcer susceptibility