What are the physiological effects of smoking to the respiratory and circulatory system

2(4p+1)/5< = (3+12p)/4 its less than or equal solve it for me an with explanation plz

Assessment includes a. interviews, recorded conversations, videos, frequency counts, and time samples. b. formal standardized tests and developmental screening tools. c. various types of documented observations, documentation of child work, checklists, rating scales, and standardized tests. d. anecdotal notes, narratives or daily records, daily health checks, and teacher observation checklists.

Ineed so much with both of these tot