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This survey is part of an ongoing effort to increase knowledge of the species range and natural history, and to secure the species in the wild and in safeguarding collections nationwide. The acorns collected at Oak Mountain State Park were sent to the Huntsville Botanical Garden, Auburn Universitys Davis Arboretum, the National Arboretum, the Morton Arboretum in Illinois, the Chicago Botanic Garden and the Atlanta Botanical Garden

10.1212/wnl.45.6.1041 137 MuckeL

The use of betel quid (paan) with areca nut, with or without the addition of smokeless tobacco, is especially common within South Asian cultures and mouth cancer is very common in the Indian sub-continent [footnote 22]

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They ascribe this discrepancy to the the stress and exposure to other smokers that comes with poverty