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© BMJ Publishing Group 2003 BMJ Books is an imprint of the BMJ Publishing Group

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording and/or otherwise, without the prior written permission of the publishers.

First published in 2003 by BMJ Books, BMA House, Tavistock Square, London WC1H 9JR

www.bmjbooks.com

British Library Cataloguing in Publication Data

A catalogue record for this book is available from the British Library

ISBN 0 7279 14421

Typeset by SIVA Math Setters, Chennai, India Printed and bound in Malaysia by Times Offset

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