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These findings should be interpreted with caution because this was a very short-term investigation (only 6 weeks), and the authors of that research had connections with nicotine pouch manufacturers [53]

Accordingly, the smoking status investigated at the first health check-up was considered as the status before the disease diagnosis, and the smoking status at the third health check-up was regarded as the status after the disease diagnosis

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This study is the first in North Carolina, and among the first nationally, to assess school staffs awareness of students e-cigarette use, responses, and resources needed by schools to address use