Probably. Electronic cigarette (e-cigarette) use by adolescents is associated with a 2- to 4-fold increase in cigarette smoking over the next year (strength of recommendation: A, meta-analysis and subsequent prospective cohort studies).
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Two months of treatment with doxycycline provided no improvement. A biopsy of the patient's cheek led to a proper diagnosis.
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Use simple practice measures and counsel parents with compelling evidence to help correct the low uptake of this vital vaccine.
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Treatment of obstructive sleep apnea improves daytime sleepiness, but does it improve other outcomes?
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