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Of all the included studies, only seven evaluated the effects of electronic cigarettes in a healthy non-tobacco smoking population, these studies revealed significant effects, including increases in heart rate, mean arterial blood pressure, arterial stiffness, and oxidative stress, as well as respiratory system changes such as alterations in the transcriptomes of the respiratory epithelium and alveolar macrophages, and a sudden increase in airflow resistance suggesting airway obstruction

Even if they have pain, we cannot prescribe painkiller or vitamin, they do not want to take it, because they take a large number of medications. (Outpatient TB physician-3, FGD-3, Yerevan) Perceived challenges of smoking cessation interventions for TB patients TB physicians revealed various challenges that impacted their determination to implement smoking cessation interventions with their patients