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This review synthesizes factors linking COPD to cognitive impairment, including systemic inflammation (via proinflammatory cytokines and blood-brain barrier disruption), hypoxemia/hypercapnia (inducing oxidative stress and neuronal damage), acute exacerbations (exacerbating inflammation and persisting deficits), and comorbidities like obstructive sleep apnoea (OSA), cerebral microbleeds, and depression

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These partisan bills dramatically increase topline spending by 14%, include controversial new Democrat initiatives, strip out critical provisions prohibiting taxpayer-funded abortions, and incentivize further illegal immigration

The consistency and targeting of these efforts have been structured with resultant harm to Black Americans