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Although not diagnostically classified along the externalizing spectrum, BD shares a number of clinical characteristics with these disorders, including inattention, irritability, loss of self-control, and proclivity to drug/alcohol use. In effect, children who were exposed to tobacco smoke in utero may exhibit some symptoms and behaviors that are found in BD

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Additionally, marketing strategies targeting younger demographics, such as flavored products and appealing advertisements, were identified as a significant factor in shaping misconceptions about the relative safety of e-cigarettes