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Its no safer, says Russell V

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Toward that end, Medicine for the Greater Good has partnered with the American Lung Association and the Baltimore Breathe Center (also a part of Johns Hopkins Medicine) to create the Lung Health Ambassadors initiative for teens across the state

At the screening examination, blood pressure was recorded, height and weight were measured, enabling body mass index (BMI) to be calculated in kg/m 2 , an electrocardiogram was taken and plasma cholesterol and forced expiratory volume in one second (FEV1) were measured[10]

it also acted as a secret language for drug use and perhaps some more unsavory practices