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The blend is intentional

doi:10.1038/s41598-018-35368-6

Specifically, the diagnostic guidelines should review a seizure-vaping specific history, which would include details of the seizure episodes, including (date and time of occurrence, activities before the seizure, including vaping, description of the seizure from the patient, and, if possible, from witnesses, duration of the seizure, frequency of seizures, recovery period, and any postictal symptoms), and investigation of patterns or triggers noticed by the patient, including association with vaping

"In 2020 and 2021, the air quality was relatively better but it later returned to poor quality