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Follow up with the family to ensure appointments are made and kept, and problem solve barriers to receiving services

Furthermore, the significant proportion of dual smokers makes it necessary to pay attention to this group because several studies have linked dual smokers to major physical or mental health issues, as well as sleep disruptions 31

49 Paternal smoking, both before conception and during adolescence, contributed to DNA methylation at specific locations in the offspring, which were hypermethylated and competent for gene silencing in the promoter region