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Description
In response to continued complaints over ineffectiveness of the standard .38 Special 158-grain cartridge in stopping assailants in numerous armed confrontations during the 1950s and 1960s, ammunition manufacturers began to experiment with higher-pressure (18,500 CUP) loadings of the .38 Special cartridge, known as 38 Special +P (+P or +P+ designation indicates that the cartridge is using higher pressures, therefore it is overpressure ammunition)

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The researchers used a regression model to assess whether the number of cigarettes smoked each day related to later development of stroke and coronary heart disease

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