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Emergence of pediatric rare diseases: Review of present policies and opportunities for improvement.

Rare Dis · 2013 · PMC3932940 · PMID 25002987

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a possible trendno p-value reported
Increased recognition of rare diseases by other nations such as Japan, Australia, Russia and Canada is an encouraging sign of a possible trend in addressing rare diseases.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.