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Epidemiology of asthma: it is necessary to expand our concepts.

J Bras Pneumol · 2018 · PMC6467589 · PMID 30517331

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showed a trendno p-value reported
3 showed a trend toward a decrease in mortality from asthma in large municipalities; however, there was an increase in asthma mortality in small and medium-sized municipalities.

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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.