Karmsundsposten was started in 1861, as the first newspaper in the middle-sized city.

In the 1950s, Medellín, Antioquia, was a middle-sized city in a fast process of industrialization.

The central administration was often placed in harbour town, but there was not developed any network of small and middle-sized cities (Aase, 2003:3).

South of Schkopau the line runs through Merseburg, the first middle-sized city on the line.

He knows the telephone number of masseurs in nearly every large and middle-sized city in the United States.

The station is depicted as a rundown shack on the edge of an unnamed middle-sized American city.

At a 400- to 500-seat theater near a middle-sized city, like the Eastgate, expenses typically run $3,500 to $4,000 a week.

These problems are sometimes worse in middle-sized and small cities than in large cities, which have more resources to deal with them.

The College's setting is rural, with two middle-sized cities, Altoona and Johnstown, within a very short distance.

The nation's middle-sized cities, ranging from 250,000 to slightly fewer than 2 million people, outpaced growth for the smallest and very largest cities.