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The following HTML text is provided to enhance online readability. Many aspects of typography translate only awkwardly to HTML. Please use the page image as the authoritative form to ensure accuracy. THE NATIONAL ACADEMIES PRESS NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. Support for this project was provided by the Office of Research Integrity, U.S. Department of Health and Human Services. The views presented in this report are those of the Institute of Medicine and National Research Council Committee on Assessing Integrity in Research Environments and are not necessarily those of the funding agencies. International Standard Book Number: 0-309-08523-3; 0-309-08479-2 (pbk.) Library of Congress Control Number: 20021102-17 Additional copies of this report are available for sale from the For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu. Copyright 2002 by the National Academy of Sciences. All rights reserved. Printed in the United States of America.
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