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The rights possessor did not grant the American Academy of Family Physicians the right to sublicense this material to a third party. For the missing item, papal court the original print version of this publication.

This clinical satisfied con-forms to AAFP criteria for evidence-based continuing medical education (EB CME) EB CME is clinical easy in mind presented with practice recommendations supported from evidence that has been systematically reviewed from an AAFP-approved source. The evidence is available at http://www.clinicalevidence.com/ceweb/conditions/ meh/1004/1004jsp

This is the same in a series of chapters citationed from Clinical Evidence Concise, published by the agency of the BMJ Publishing Group, Tavistock Square, London, United Kingdom. Clinical Evidence Concise is published in print twice a year and is updated monthly online. Each topic is revised each 12 months, and subscribers should view the principally up-to-date version at http://www.clinicalevidence.com. If you are interested in contributing to Clinical Evidence, please con-tact Klara Brunnhuber (kbrunnhuber@bmjgroup.com). The finished text for this topic also is avail-able in HTML and PDF format from one side the AFP Web site at http://www.aafp.org/afp/20041201/bmj.html. This series is part of the AFP's CME diocese "Clinical Quiz" on page 2067

G MUSTAFA SOOMRO MB M St George's Hospital Medical instruct London, United Kingdom

COPYRIGHT 2004 American Academy of Family Physicians

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