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Carboxyhemoglobin and methemoglobin levels: These levels should be measured in all smoke inhalation victims with respiratory distress, altered mental status, low blood pressure, seizures, fainting, and blood pH changes

Cross-sectional studies may be susceptible to sampling bias variation across years, and self-report data may not provide accurate e-cigarette data from all respondents

The survey, commissioned by the Osaka Prefecture food service industry sanitation association, revealed Namba as the worst offender among six locations nationwide

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