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This is thought to be because people are watching more and more television and therefore ending up with the generic American accent heard on most TV shows

The latter use is the subject of this position statement

de la Chica RA, Ribas I, Giraldo J, Egozcue J, Fuster C

Therefore, proinflammatory features of DM itself may have affected the protective effect of smoking behavioral change on pneumonia risk, which also may explain why the benefit of reducing or quitting smoking was not definite in our study

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