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Communication must be documented, and a copy of the information should be handed out to the parents

Among the mechanisms impaired by environmental stress are the cytokine-receptor interaction pathway, toll-like receptor signaling pathways, and the production of excessive reactive oxygen species (ROS) in response to multiple impaired immune pathways (Hofmann et al ., 2020)

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They cause damage to vessels through by increasing the number of thrombins, causing NOX activation and elevated production of ROS, which leads to DNA and lipid oxidation, concurring to atherosclerosis [57], which has also been confirmed in Jagadeesha et al.s [44] research

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