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however, it might be due to underreporting from diagnosing centers to the national cancer registry and the geographical variation reflected by ethnic and racial dissimilarity 4,5

Take this Pilsen Root Beer sign for instance

The invalid from the North, anxious to escape not only from the trying climate which has increased his malady, but also the memories of the busy world to which he has been accustomed, could not do better than to drift up and down this remote and secluded stream, whose sylvan peace and perfect beauty will bring him the needed repose

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