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These included staff shortage, increased workloads, competing priorities on other health targets, lack of standardised locations for recording or displaying data in the PMS or patient dashboard, variation in the ability or expectation of recording detailed smoking information in different PCPs, intermittent patient visits to the PCP, patient movement between PCPs, and lack of staff training on how to record smoking information

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Additional losses from morbidity and health care expenditures related to smoking compound this loss

The higher-pressure .38 Special +P loads at 20,000 psi offer about 20% more muzzle energy than standard-pressure loads, which places them between the .380 ACP and the 9mm Parabellum