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-133-<br />
the r.Mrac~risrio of tne in0ivWnels .rtw refumd to parti='pate . but<br />
it is the luPreessicn of the field rt'swrch ausisear .eS that the reasans<br />
for refusal rere erre of a sedleal neore - i .e . Cie oase ws taa<br />
i11 ro Parric<br />
.pete - aathsr then eesodated with aey Pu'ticvlar<br />
sxiodemqrmnrc cha=ae'2riseica .<br />
Corect clessitiwtim of tb stedy aubjeots atxozdi^4 to their<br />
snkiag Aisemy is encial in sntliu m Pa+siw .roki+y. Inclmion<br />
of os.zant lalars .wEd epaiowly i'ievase the ci+k for the study<br />
dseaee . wen a,ckiny status of the rapated ^-axes ..a aeoertairod<br />
as paet ot dexeminin9 alegibillty for ParticiFatien in our study,<br />
aelv r8ase repoat.et in clr .dical raesda as formr smkers, rover<br />
adrrrs at of aYec .n snakle9 sntus nere oontactad by teleptea+e to<br />
!=ther ca,lirs ttar .mkinq hfstoties . In addition to this . the<br />
resesrEh assistant vaild at the tler of the int .rvlar further quesrioe<br />
G+iesa aobjects in this raqaA<br />
. Vr nad to emfia the smkLq<br />
hlsrnry sruted in eslinl remrda is 6at illost :ar+d by Cwrtinksl's<br />
fLdinqs (301 . In that study close to 40% of rhe wron with U.g<br />
cantar elassified as narsmlaa (or mkU9 atatw rot stated) an the<br />
la ;spiul noorde, had peen snirrs at a .ae tLer. In our study no<br />
a:-aept .as aade to confira the aoklno history of tlc.e reported as<br />
sokars . or even to establish tsn'act with thus. !t seero tese<br />
likaly . haraer, wt a foner or a neuer .roker wuld reporr<br />
tdaAhverself as a rorzent sokar . rhu aeaPlnl incluaioo into the<br />
ec av .<br />
lta clcoe swtiny of oir eues and cartrols regaidi+g ehei .-<br />
http://legacy.library.ucsf.edu/tid/dsk94c00/pdf<br />
i<br />
-13t+<br />
udkug luararief stroqiy fn'imres that misclassiftcat :m wes nct a<br />
Lilxly av .nt . Pravious fadin have beea µestlard ia this regard .<br />
aie ralatiw:y high lael rnwr eomality aee .q mramokLy .a.n ae<br />
wpnd to mockitg .a.e in tllraynr's sbcy t251 . a+ .+11 as the<br />
hiqh rintility for other G*attvr+lated diraw . hve nq9esud that<br />
sos w#inq ymen say Irw reparted T1rMlvet to ralonq to the nvr<br />
emckirp qso.p . This would not be eurpriaing in a traditla+al society<br />
suoh as Sapeo. The aoesaqsaas of euot. Wiaclassifiestinn vnuld be to<br />
ouetMCiate the sffat dir to pWivs aecking .<br />
Sfn Oreek stvdt (]7) on al .n Lr crit/eird on the saee qtoaxla .<br />
120 cla1L that arta tha 731 140 odt of !11 of lag osnoer ouea ..re<br />
diagnosed aecrg nor W akbg WOOrl is incasisant with the propecttee<br />
reporred in the liteature . It is mnfdurd that only atoK 10% a[<br />
all lag rarcer in woi m onuts in narma da_-a , (tee aa[rapuding<br />
tiqure for e .n is 2 .0l1/ . It is tfrtrfor" litely that this study<br />
wntoaded the afGte of puetw sdNnq with elr effect An to direct<br />
ci9srette .nkiig . at leat to a ontaLn degree .<br />
8efors oa study. only tiarfiNUl aM caak.rs (30) Atl carried<br />
out an indepe .t .nt review of the histologic diagnoses of vaes . In<br />
snst other retorss the auC'ors wd relied oe the dischergs dta9no .aa<br />
reoorded in the patient's ndicsl nooeds . The deyree to .hith rlow<br />
diaqrous wwre hased oe woskrtim of pathology epecisms is wrid .<br />
In Tridrpcuicuf' stvdy only 351 Ird an histnloqic diaqrrsie (271 .<br />
'11e casespondinq tiqen for nkiba's stuily . is S71 (321 . Pelayo Csree<br />
relnrt. 9'71 (29) . Oorh Nirayaw 1 work aM 6arf itdn6l "a f irst study
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