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Misleading histories by patient, mixtures of habits and inadequate knowledge of terminologies leads to considerable confusion and improper understanding of the habit.[7] A workshop held in Kuala Lumpur, Malaysia in 1996 recommends few criteria and guidelines in order to bring some uniformity in reporting of betel quid and tobacco chewing habits.[7] The custom of chewing betel nut is practiced since the ancient times

OKeeffe LM, Taylor G, Huxley RR et al (2018) Smoking as a risk factor for lung cancer in women and men: a systematic review and meta-analysis