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The stronger association of maternal smoking during childhood found in this study may be explained by the effect of smoking during the breastfeeding period and the fact that preschool-age children spend more time with their mothers and, therefore, are more susceptible to the harmful effects of tobacco smoke

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(c) If you determine that the specimen is invalid and HHS guidelines direct you to contact the MRO, you must contact the MRO and together decide if testing the primary specimen by another HHS-certified laboratory would be useful in being able to report a positive or adulterated test result