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5 Department of Community and Occupational Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt Correspondence: Ahmed Kabil, Department of Chest diseases, Faculty of Medicine, Al-Azhar University, Cairo, Egypt, Tel +201006396601, Email [email protected] Background: Cigarette smoking is an important modifiable risk factor in kidney disease progression

Without saliva to naturally clean debris, bacteria accumulate in crypts, leading to tonsil stones that are difficult to remove without proper oral care or rinsing

If smoking persists at the current rate among youth in this country, 5.6 million of today's Americans younger than 18 years of age are projected to die prematurely from a smoking-related illness

Since mods can reach higher temperatures than cig-a-likes and vape pens, there is some concern in the community about their safety