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Although studies to date are inconclusive as to whether crude measures of obstetric health, such as birth weight, are reduced with e-cigarette use and how this risk compares with conventional cigarette use or dual use, there likely are negative consequences of prenatal exposure to e-cigarette vapor

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Backflow cones, for instance, are designed to create dense smoke for visual effect and are more likely to trigger alarms

Another constraint is the reliance on owner-reported data in many studies, which may introduce recall and reporting bias and inaccuracies in exposure estimation

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