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Now, we've tried to keep it pragmatic, so a visit to the hospital to have a blood test might only be an hour or two of the patient's time, and that's obviously very different than a 12-hour visit to the emergency room, but at the same time it still is part of a patient's day and their caregiver's day, so, to keep it pragmatic, each of those days will be counted as a healthcare system day, and of course the counterfactual as home days

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5 Conclusion The complex interplay between substance use and mental health among university students from different majors in Lebanon, a country in socioeconomic and political instability, underscores an essential need for targeted mental health interventions, awareness campaigns, and accessible psychological support services