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So instead of it being a series of questions which can seem culturally inappropriate for some American Indian communities, Ylioja said, The intake has been adapted to have a more conversational flow, asking permission to continue asking questions instead of just sort of hitting them with a barrage of questions right from the beginning. After several conversations with indigenous leaders in Montana, Ylioja says it was clear that American Indians wanted to work with people from their own community who could understand the cultural significance of sacred tobacco in their lives

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The recent surge in e-cigarette use among youth coincides with the growing popularity of JUUL, a brand of e-cigarettes that are shaped like USB flash drives and can be used discreetly in schools or public settings (67)

Azagba S, Kah K, Latham K