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Impaired Gas Exchange related to pulmonary fluid accumulation (e.g., as seen in heart failure or acute respiratory distress syndrome (ARDS), affecting oxygen and carbon dioxide exchange) as evidenced by crackles on auscultation, dyspnea at rest, and hypoxemia on arterial blood gas analysis

It concluded: The overall decline in smoking over the past 6 years in New Zealand youth suggests that e-cigarettes might be displacing smoking

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