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No competing interests declared.

Received January 25, 1999; Revised June 6, 1999; Accepted June 14, 1999.

From the Division of Trauma and Critical Care, Department of Surgery, Harbor-UCLA Medical Center, UCLA School of Medicine, Torrance, CA, USA.

Correspondence address: Frederic S Bongard, MD, FACS, Harbor-UCLA Medical Center, 1000 West Carson St (MS-423), Torrance, CA 90509.

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