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Environmental risk assessment Commonly, the Pollution Load Index (PLI) is utilized to comprehensively evaluate the discharge pollution level 37

Both can lead to high blood pressure, which is one of the leading causes of a stroke

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All these evidences are alarming if we consider that the overall CV mortality rate has declined on the global scale as result of the multiple prevention strategies applied to the general population including a better control of blood pressure levels, improved physical activity and a wider use of statins 19,20