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Confidentiality All records and documents relating to medical certifications, recertification or medical histories of an employee or an employees family members shall be maintained in a separate medical file from the employees personnel file and shall be treated as confidential medical records in accordance with the Americans with Disabilities Act of 1990 (ADA)

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This review presents the most actual knowledge on exact molecular mechanisms responsible for the skewed inflammatory profile that aggravates inflammation, promotes infections, induces tissue damage, and may promote the development of allergy in individuals exposed to ETS