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Previous research has linked smoking to an increased risk of Crohns disease and its complications but has also suggested that smokers are at lower risk for ulcerative colitis, Ducharme-Benard and colleagues note in the Journal of Clinical Gastroenterology

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Deborah Arnott, chief executive of Action on Smoking and Health, said: "Allowing staff to smoke during working hours and when in uniform and providing smokers with specially designed shelters in hospital grounds sends entirely the wrong message and encourages rather than discourages smoking." Under Nice's plans, all patients will have their smoking status recorded and be offered every possible help to give up, including nicotine replacement therapy products such as patches, an inhaler or gum) and drugs if necessary

Sample size This is a longitudinal observation study, and we use the sample size formula: n=[ 2 p(1-p)]/ 2 to calculate the sample size