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Amsel criteria is used for clinical diagnosis, and at least 3 of the following 4 characteristics are required to determine BV-positive patients: homogeneous and milklike vaginal fluid ( Figures 1A, B ) , increased vaginal pH, fishy odor, and the observation of clue cells (vaginal epithelial cells covered with bacteria) through microscopy (Amsel et al., 1983)

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"This has been a gateway to addiction for an entire generation of youth." The bill (link ) specifically identifies flavored tobacco as a product which targets children with its advertising

The American Lung Association pointed out that Michigan spends less than 4% of what the CDC suggests it should on tobacco control and prevention programs