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if you are an industrious and fastidious doctor looking for the perfect opportunity then this practice is just waiting for you . In general , this practice is strongly discouraged for IMS meta-data instances ; however , IMS has assigned a value of " x-none " to the " xml : lang " attribute when used to list vocabulary items using the subelements <source> and <value> . This practice is even more common among the youth , as they have to face so many barriers when accessing health service , especially for health problems related to a STD or RTI . This practice was especially common during the fall semester for the low and middle reading groups . And particularly Acts , xx , 7 , " And on the first day of the week , when we were assembled to break bread " , where this practice is closely associated with the observance of Sunday . However , this practice is strongly discouraged , except in the case of the automatic variables ( see section Automatic Variables ) .