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However, the clinicians doing the scoring were not blinded to the womens tobacco use status, creating an obvious potential for biased measurement error, a concern that is further supported by the negative association between the score and cord blood nicotine or cotinine

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However, the region faces challenges such as abrupt regulatory changes, shifts in taxation policies, and inconsistent enforcement, which create uncertainty and hinder stable growth

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There is concern that young people are taking up vaping because they see it as completely risk-free