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IMPORTANT: Knowledge Management and Library Information Scientists attempt to provide accurate, inclusive, and informative reports based on the specific questions and relevant data provided to them. All information is treated with strict confidentiality, in keeping with Vanderbilt policies. Information Specialists attempt to report all points of view described in the literature, selecting what they consider the most representative examples of each. Summaries are prepared for the convenience of the clinician, and physicians should consult the full-text of the articles before taking action; however, the information provided is no substitute for clinical judgment. It is possible that any given search may omit some relevant information. More extensive bibliographic references for any topic are available upon request.