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doi: 10.1016/0003-9861(91)90295-t

In most Asian countries, chronic hepatitis B infection predominates as the main cause of cirrhosis, while in European and American nations, hepatitis C, alcoholic, or non-alcoholic fatty liver diseases are primary contributors

But there are exceptions to this rule: skin with folds elbows and knees as well as eyes, nostrils, belly button, and genitals are all prone to losing pigment

In 1931, during the Great Depression, Texas and other states created a movement that sought to "reform the administrative machinery, and to reduce the high cost of state government." [4] The Texas Legislature enrolled Griffenhagen and Associates, "specialists in public administration and finance who had worked on similar projects throughout the United States and Canada, to make a survey and act as consultants." [4] The firm concluded that Texas' exceptional geographic size caused the Rangers and the License and Weight Division to struggle in providing adequate enforcement across the entire state

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