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As such, the recording of these features at physical examination might reinforce the suspect of systemic disorder, but their low specificity does not attend for confirmatory genetic testing

These policies include much harsher punishments for students, which can include long suspensions, mandatory drug tests, and having a violation for possession of drug paraphernalia marked on their school record

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Furthermore, all the studies included in this meta-analysis were conducted in the United States, South Korea, and China, which would restrict the findings generalizability to other areas with different e-cigarette usage patterns and healthcare systems 58

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