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Also, the non-hygienic conditions of the hose and water in the hookah apparatus could also increase mycobacteria growth, which can result in spreading/transmission of tuberculosis [100, 101]

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Clinical and experimental data suggest that platelets and the coagulation system also play an important role in atherogenesis and atherothrombosis, and that exposure to cigarette smoke has prothrombotic effects by impairing the functions of endothelial cells, platelets, fibrinolytic factors, and coagulation factors (Oakes et al., 2018)