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Annals of Internal Medicine (ISSN 0003-4819) is owned, published, and copyrighted by ACP. All rights are reserved. The article-reproduction(s) attached are for the personal, non-commercial use only of the individual to whom they are provided. Individuals may download one electronic copy of each article for storage within his/her personal, non-networked computer archive only; and may print a hard copy for personal use, provided all copyright and other proprietary notices are retained.

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