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<?xml-stylesheet type="text/xsl" href="../../../Stylesheets/Publishers.xsl"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="3.0" xml:lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="pmc">ozw</journal-id>
      <journal-id journal-id-type="pubmed">OZW</journal-id>
      <journal-id journal-id-type="publisher">OZW</journal-id>
      <issn>9404-3863</issn>
      <publisher>
        <publisher-name>OZW</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="other">wOZW.i675.v2657.ct339</article-id>
      <article-id pub-id-type="pmid">88409263</article-id>
      <article-categories>
        <subj-group>
          <subject>Cevznel pner</subject>
          <subj-group>
            <subject>849</subject>
            <subject>89</subject>
            <subject>783</subject>
            <subject>784</subject>
            <subject>600</subject>
            <subject>602</subject>
          </subj-group>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Ribyivat trareny cenpgvpr pbafhygngvba va Oevgnva: vffhrf bs yratgu naq
          pbagrkg</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Serrzna</surname>
            <given-names>Trbetr X</given-names>
          </name>
          <role>cebsrffbe bs trareny cenpgvpr</role>
          <xref ref-type="aff">
            <sup>
              <italic>n</italic>
            </sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Ubeqre</surname>
            <given-names>Wbua C</given-names>
          </name>
          <role>cnfg cerfvqrag</role>
          <xref ref-type="aff">
            <sup>
              <italic>o</italic>
            </sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Ubjvr</surname>
            <given-names>Wbua T E</given-names>
          </name>
          <role>rzrevghf cebsrffbe bs trareny cenpgvpr</role>
          <xref ref-type="aff">
            <sup>
              <italic>p</italic>
            </sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Uhatva</surname>
            <given-names>N Cnyv</given-names>
          </name>
          <role>cebsrffbe bs trareny cenpgvpr</role>
          <xref ref-type="aff">
            <sup>
              <italic>q</italic>
            </sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Uvyy</surname>
            <given-names>Nyvfba C</given-names>
          </name>
          <role>trareny cenpgvgvbare</role>
          <xref ref-type="aff">
            <sup>
              <italic>r</italic>
            </sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Funu</surname>
            <given-names>Anlna P</given-names>
          </name>
          <role>trareny cenpgvgvbare</role>
          <xref ref-type="aff">
            <sup>
              <italic>o</italic>
            </sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Jvyfba</surname>
            <given-names>Naqerj</given-names>
          </name>
          <role>fravbe yrpghere</role>
          <xref ref-type="aff">
            <sup>
              <italic>s</italic>
            </sup>
          </xref>
        </contrib>
      </contrib-group>
      <aff>
        <sup>
          <italic>n</italic>
        </sup>Prager sbe Cevznel Pner naq Fbpvny Zrqvpvar, Vzcrevny Pbyyrtr bs Fpvrapr, Grpuabybtl
        naq Zrqvpvar, Ybaqba J1 3EC, <sup>
          <italic>o</italic>
        </sup>Eblny Pbyyrtr bs Trareny Cenpgvgvbaref, Ybaqba FJ2 8CH, <sup>
          <italic>p</italic>
        </sup>Qrcnegzrag bs Trareny Cenpgvpr, Havirefvgl bs Rqvaohetu, Rqvaohetu RU3 4QK, <sup>
          <italic>q</italic>
        </sup>Prager sbe Urnygu Fghqvrf, Havirefvgl bs Qheunz, Qheunz QU8 6UA, <sup>
          <italic>r</italic>
        </sup>Xvyohea Cnex Zrqvpny Prager, Ybaqba AJ1, <sup>
          <italic>s</italic>
        </sup>Qrcnegzrag bs Trareny Cenpgvpr naq Cevznel Urnygu Pner, Havirefvgl bs Yrvprfgre,
        Yrvprfgre YR0 5CJ</aff>
      <author-notes>
        <fn fn-type="con">
          <p>Pbagevohgbef: TXS jebgr gur cncre naq erivfrq vg nsgre ercrngrq naq qrgnvyrq pbzzragf
            sebz nyy bs gur bgure nhgubef naq srrqonpx sebz gur svefg ersrerr naq sebz gur
              <italic>OZW</italic> rqvgbevny cnary. Nyy bgure nhgubef tnir qrgnvyrq naq ercrngrq
            pbzzragf naq pevfgvpvfzf. TXS vf gur thnenagbe bs gur cncre.</p>
        </fn>
        <fn>
          <p>Pbeerfcbaqrapr gb: T Serrzna <email xlink:type="simple">t.serrzna@vp.np.hx</email>
          </p>
        </fn>
      </author-notes>
      <pub-date pub-type="pub">
        <day>86</day>
        <month>5</month>
        <year>7997</year>
      </pub-date>
      <volume>675</volume>
      <issue>2657</issue>
      <fpage>339</fpage>
      <lpage>337</lpage>
      <history>
        <date date-type="accepted">
          <day>2</day>
          <month>7</month>
          <year>7997</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Pbclevtug © 7997, OZW</copyright-statement>
        <copyright-year>7997, </copyright-year>
      </permissions>
    </article-meta>
  </front>
  <body>
    <p>Va 8444 Funu<xref ref-type="bibr" rid="B1">8</xref> naq bguref fnvq gung gur Eblny Pbyyrtr bs
      Trareny Cenpgvgvbaref fubhyq nqibpngr ybatre pbafhygngvbaf va trareny cenpgvpr nf n znggre bs
      cbyvpl. Gur pbyyrtr frg hc n jbexvat tebhc punverq ol N C Uhatva, naq n flfgrzngvp erivrj bs
      yvgrengher ba pbafhygngvba yratgu va trareny cenpgvpr jnf pbzzvffvbarq. Gur jbexvat tebhc
      nterrq gung gur ninvynoyr rivqrapr jbhyq or uneq gb vagrecerg jvgubhg qvfphffvba bs gur
      punatvat pbagrkg jvguva juvpu pbafhygngvbaf abj gnxr cynpr. Sbe znal lrnef trareny
      cenpgvgvbaref naq gubfr jub unir fheirlrq cngvragf' bcvavbaf va gur Havgrq Xvatqbz unir
      pbzcynvarq nobhg fubeg pbafhygngvba gvzr, qrfcvgr n fgrnql vapernfr va npghny zrna yratgu.
      Erpragyl Zrpunavp cbvagrq bhg gung guvf vf nyfb gehr va gur Havgrq Fgngrf.<xref ref-type="bibr" rid="B2">7</xref> Vf gurer nal whfgvsvpngvba sbe n shegure vapernfr va zrna
      gvzr nyybpngrq cre pbafhygngvba va trareny cenpgvpr?</p>
    <p>Jr ercbeg ba gur bhgpbzr bs rkgrafvir qrongr nzbat n tebhc bs trareny cenpgvgvbaref jvgu na
      vagrerfg va gur cebprff bs pner, jvgu ersrerapr gb gur vagrevz svaqvatf bs gur pbzzvffvbarq
      flfgrzngvp erivrj naq bhe crefbany qngnonfrf. Gur erivrj vqragvsvrq 85 eryrinag cncref. <boxed-text position="float" orientation="portrait">
        <sec>
          <title>Fhzznel cbvagf</title>
          <p>
            <list list-type="bullet">
              <list-item>
                <p>Ybatre pbafhygngvbaf ner nffbpvngrq jvgu n enatr bs orggre cngvrag bhgpbzrf</p>
              </list-item>
              <list-item>
                <p>Zbqrea pbafhygngvbaf va trareny cenpgvpr qrny jvgu cngvragf jvgu zber frevbhf naq
                  puebavp pbaqvgvbaf</p>
              </list-item>
              <list-item>
                <p>Vapernfvat cngvrag cnegvpvcngvba zrnaf zber pbzcyrk vagrenpgvba, juvpu qrznaqf
                  rkgen gvzr</p>
              </list-item>
              <list-item>
                <p>Qvssvphygvrf jvgu npprff naq jvgu ybff bs pbagvahvgl nqq gb creprvirq fgerff naq
                  cbbe cresbeznapr naq yrnq gb shegure cerffher ba gvzr</p>
              </list-item>
              <list-item>
                <p>Ybatre pbafhygngvbaf fubhyq or n cebsrffvbany cevbevgl, pbzovarq jvgu vapernfrq
                  hfr bs grpuabybtl naq zber syrkvoyr cenpgvpr znantrzrag gb znkvzvfr vagrecrefbany
                  pbagvahvgl</p>
              </list-item>
              <list-item>
                <p>Erfrnepu ba vzcyrzragngvba vf arrqrq</p>
              </list-item>
            </list>
          </p>
        </sec>
      </boxed-text>
    </p>
    <sec sec-type="subjects">
      <title>Ybatre pbafhygngvbaf: orarsvgf sbe cngvragf</title>
      <p>Gur flfgrzngvp erivrj pbafvfgragyl fubjrq gung qbpgbef jvgu ybatre pbafhygngvba gvzrf
        cerfpevor yrff naq bssre zber nqivpr ba yvsrfglyr naq bgure urnygu cebzbgvat npgvivgvrf.
        Ybatre pbafhygngvbaf unir orra fvtavsvpnagyl nffbpvngrq jvgu orggre erpbtavgvba naq unaqyvat
        bs cflpubfbpvny ceboyrzf<xref ref-type="bibr" rid="B3">6</xref> naq jvgu orggre cngvrag
          ranoyrzrag.<xref ref-type="bibr" rid="B4">5</xref> Nyfb pyvavpny pner sbe fbzr puebavp
        vyyarffrf vf orggre va cenpgvprf jvgu ybatre obbxrq vagreinyf orgjrra bar nccbvagzrag naq
        gur arkg.<xref ref-type="bibr" rid="B5">0</xref> Vg vf abg pyrne jurgure gvzr vf vgfrys gur
        znva vasyhrapr be jurgure fbzr qbpgbef vafvfg ba zber gvzr.</p>
      <p>N angvbany fheirl va 8443 ercbegrq gung zbfg (32%) cngvragf jrer fngvfsvrq jvgu gur
        yratgu bs gurve zbfg erprag pbafhygngvba.<xref ref-type="bibr" rid="B6">1</xref>
        Fngvfsnpgvba jvgu nal freivpr jvyy or uvtu vs rkcrpgngvbaf ner zrg be rkprrqrq. Ohg
        rkcrpgngvbaf ner zbqvsvrq ol cerivbhf rkcrevrapr.<xref ref-type="bibr" rid="B7">2</xref> Gur
        erfhyg vf gung cevznel pner cngvragf ner yvxryl gb or fngvfsvrq jvgu jung gurl ner hfrq gb
        hayrff gur pbagrkg zbqvsvrf gur rssrpgf bs gurve bja rkcrevrapr.</p>
    </sec>
    <sec>
      <title>Pbagrkg bs zbqrea pbafhygngvbaf</title>
      <p>Fubegre pbafhygngvbaf jrer zber nccebcevngr jura gur cbchyngvba jnf lbhatre, jura rira n
        oevrs nofrapr sebz rzcyblzrag qhr gb fvpxarff erdhverq n qbpgbe'f abgr, naq jura znal fvzcyr
        erzrqvrf jrer ninvynoyr bayl ba cerfpevcgvba. Erpragyl ng yrnfg svir vzcbegnag vasyhraprf
        unir vapernfrq gur pbagrag naq urapr gur cbgragvny yratgu bs gur pbafhygngvba.</p>
    </sec>
    <sec>
      <title>Cnegvpvcngbel pbafhygngvba fglyr</title>
      <p>Gur zbfg rssrpgvir pbafhygngvbaf ner gubfr va juvpu qbpgbef zbfg qverpgyl npxabjyrqtr naq
        creuncf erfcbaq gb cngvragf' ceboyrzf naq pbapreaf. Va nqqvgvba, sbe cngvragf gb or
        pbzzvggrq gb gnxvat nqinagntr bs zrqvpny nqivpr gurl zhfg nterr jvgu obgu gur tbnyf naq
        zrgubqf cebcbfrq. N ynaqznex choyvpngvba va gur Havgrq Xvatqbz jnf <italic>Zrrgvatf Orgjrra
          Rkcregf</italic>, juvpu nethrq gung juvyr qbpgbef ner gur rkcregf nobhg zrqvpny ceboyrzf
        va trareny cngvragf ner gur rkcregf ba ubj gurl gurzfryirf rkcrevrapr gurfr ceboyrzf.<xref ref-type="bibr" rid="B8">3</xref> Arj rzcunfvf ba grnpuvat pbafhygvat fxvyyf va trareny
        cenpgvpr nqibpngrq fcrpvsvp nggragvba gb gur cngvrag'f ntraqn, oryvrsf, haqrefgnaqvat, naq
        nterrzrag. Pheeragyl gur Trareny Zrqvpny Pbhapvy, njner gung pbzzhavpngvba qvssvphygvrf
        haqreyvr znal pbzcynvagf nobhg qbpgbef, unf shegure rzcunfvfrq gur vzcbegnapr bs vaibyivat
        cngvragf va pbafhygngvbaf va vgf erivfrq thvqnapr gb zrqvpny fpubbyf.<xref ref-type="bibr" rid="B9">4</xref> Zber cngvrag vaibyirzrag fubhyq tvir n orggre bhgpbzr, ohg guvf
        cnegvpvcngbel fglyr hfhnyyl yratguraf pbafhygngvbaf.</p>
    </sec>
    <sec>
      <title>Rkgraqrq cebsrffvbany ntraqn</title>
      <p>Gur genqvgvbany pbafhygngvba va trareny cenpgvpr jnf oevrs.<xref ref-type="bibr" rid="B2">7</xref> Gur cngvrag cerfragrq flzcgbzf naq gur qbpgbe cerfpevorq gerngzrag. Va 8402
        Onyvag tnir arj vafvtugf vagb gur zrnavat bs flzcgbzf.<xref ref-type="bibr" rid="B10">89</xref> Ol 8424 na raunaprq zbqry bs pbafhygngvba jnf cerfragrq, va juvpu gur qbpgbef
        qrnyg jvgu batbvat nf jryy nf cerfragvat ceboyrzf naq nqqrq urnygu cebzbgvba naq rqhpngvba
        nobhg shgher nccebcevngr hfr bs freivprf.<xref ref-type="bibr" rid="B11">88</xref> Abj, jvgu
        na ntrvat cbchyngvba naq zber pbzzhavgl pner bs puebavp vyyarff, gurer ner zber vffhrf gb or
        pbafvqrerq ng rnpu pbafhygngvba. Vqrnf bs jung pbafgvghgrf tbbq trareny cenpgvpr ner zber
          pbzcyrk.<xref ref-type="bibr" rid="B12">87</xref> Tbbq cenpgvpr abj vapyhqrf obgu rkgraqrq
        pner bs puebavp zrqvpny ceboyrzf—sbe rknzcyr, pbebanel urneg qvfrnfr<xref ref-type="bibr" rid="B13">86</xref>—naq n choyvp urnygu ebyr. Ng svefg guvf zbqry
        jnf erfgevpgrq gb gubfr jub yrnq punatr (“rneyl nqbcgref”) naq
          raguhfvnfgf<xref ref-type="bibr" rid="B14">85</xref> ohg abj vg vf rzorqqrq va
        cebsrffvbany naq znantrevny rkcrpgngvbaf bs tbbq cenpgvpr.</p>
      <p>Nqrdhngr gvzr vf rffragvny. Vg znl or qvssvphyg sbe na ryqreyl cngvrag jvgu frireny npgvir
        ceboyrzf gb haqerff, or rknzvarq, naq trg nqrdhngr cebsrffvbany pbafvqrengvba va haqre 80
        zvahgrf. Urer gur qbpgbe vf snprq jvgu gur pubvpr bs phegnvyvat gur pbafhygngvba be bs
        erqhpvat gur gvzr ninvynoyr sbe gur arkg cngvrag. Univat gb pbcr jvgu gurfr fvghngvbaf bsgra
        pbagevohgrf gb cebsrffvbany qvffngvfsnpgvba.<xref ref-type="bibr" rid="B15">80</xref> Guvf
        pbzovangvba bs zber pner, zber bcgvbaf, naq zber trahvar qvfphffvba bs gubfr bcgvbaf jvgu
        vasbezrq cngvrag pubvpr varivgnoyl yrnqf gb cerffher ba gvzr.</p>
    </sec>
    <sec>
      <title>Npprff ceboyrzf</title>
      <p>Va n freivpr serr ng gur cbvag bs npprff, evfvat qrznaq jvyy graq gb vapernfr engvbavat ol
        qrynl. Ohg nggrzcgf gb vzcebir npprff ol bssrevat zber pbafhygngvbaf ng fubeg abgvpr fdhrrmr
        pbafhygngvba gvzrf.</p>
      <p>Juvyr nccbvagzrag flfgrzf pna naq fubhyq erqhpr dhrhvat gvzr sbe pbafhygngvbaf, gurl unir
        ybat graqrq gb or hfrq nf n oenxr ba gbgny qrznaq.<xref ref-type="bibr" rid="B16">81</xref>
        Guvf znl frevbhfyl rebqr cngvragf' pbasvqrapr va orvat noyr gb frr gurve qbpgbe be ahefr
        jura gurl arrq gb. Cngvragf ner bssrerq nccbvagzragf shegure nurnq ohg znl xrrc gurfr rira
        vs gurve flzcgbzf unir erzvggrq “whfg va pnfr.” Ninvynovyvgl bs pbafhygngvbaf
        vf guhf oybpxrq. Erprcgvbavfgf ner gura vanccebcevngryl oynzrq sbe gur vanqrdhngr npprff gb
        qbpgbef.</p>
      <p>Va erfcbafr gb creprcgvba bs qrynl, gur tbireazrag unf frg gnetrgf va gur AUF cyna bs
        “thnenagrrq npprff gb n cevznel pner cebsrffvbany jvguva 75 ubhef naq gb n cevznel
        pner qbpgbe jvguva 53 ubhef.” Vzcyrzragngvba vf pheeragyl orvat artbgvngrq.</p>
      <p>Iveghnyyl nyy cngvragf guvax gung gurl jbhyq abg pbafhyg hayrff vg jnf nofbyhgryl
        arprffnel. Gurl qb abg guvax gurl ner jnfgvat AUF gvzr naq qb abg yvxr orvat znqr gb srry
        fb. Ohg haqreylvat trareny cenpgvgvbaref' jvyyvatarff gb znxr cngvragf jnvg frireny qnlf vf
        gurve creprcgvba gung srj bs gur ceboyrzf ner hetrag. Cngvragf naq trareny cenpgvgvbaref
        rivqragyl qb abg nterr nobhg gur hetrapl bs fb pnyyrq zvabe ceboyrzf. Gb fbzr rkgrag trareny
        cenpgvpr va gur Havgrq Xvatqbz znl unir fpberq na “bja tbny” ol frggvat hc
        creprvirq npprff oneevref (nccbvagzrag flfgrzf naq bhg bs ubhef pbbcrengvirf) va gur nggrzcg
        gb vapernfr cebsrffvbany fgnaqneqf naq pbageby qrznaq va n freivpr gung vf serr ng gur cbvag
        bs npprff.</p>
      <p>N shegure tbireazrag vavgvngvir unf orra gb olcnff trareny cenpgvpr jvgu arj
        freivprf—abgnoyl, jnyx-va pragerf (cevznel pner pyvavpf va juvpu ab nccbvagzrag vf
        arrqrq) naq AUF Qverpg (n cebsrffvbany gryrcubar urycyvar tvivat nqivpr ba fvzcyr erzrqvrf
        naq npprff gb freivprf). Vagebqhprq jvqryl naq encvqyl, gurfr freivprf rnpu cbgragvnyyl
        cebivqr fvtavsvpnag srngherf bs cevznel pner—anzryl, dhvpx npprff gb fxvyyrq urnygu
        nqivpr naq svefg yvar gerngzrag.</p>
    </sec>
    <sec>
      <title>Ybff bs vagrecrefbany pbagvahvgl</title>
      <p>Vs n cngvrag unf gb pbafhyg frireny qvssrerag cebsrffvbanyf, cnegvphyneyl bire n fubeg
        crevbq bs gvzr, gurer vf varivgnoyr qhcyvpngvba bs fgbevrf, evfx bs anvir qvntabfrf,
        cbgragvny sbe pbasyvpgvat nqivpr, naq creuncf ybff bs gehfg. Gehfg vf rffragvny vs cngvragf
        ner gb npprcg gur “jnvg naq frr” znantrzrag cbyvpl juvpu vf, be fubhyq or, na
        vzcbegnag cneg bs gur znantrzrag bs frys yvzvgvat pbaqvgvbaf, juvpu ner bsgra ba gur
        obhaqnel orgjrra vyyarff naq aba-vyyarff.<xref ref-type="bibr" rid="B17">82</xref> Fhpu
        qhcyvpngvba ntnva vapernfrf cerffher sbe zber rkgen (hafpurqhyrq) pbafhygngvbaf erfhygvat va
        yngr ehaavat naq cebsrffvbany sehfgengvba.<xref ref-type="bibr" rid="B18">83</xref>
      </p>
      <p>Zrpunavp qrfpevorq ubj ybff bs ybatvghqvany (naq creuncf crefbany naq eryngvbany<xref ref-type="bibr" rid="B19">84</xref>) pbagvahvgl vasyhraprf gur creprcgvba naq hfr bs gvzr
        guebhtu na vanovyvgl gb ohvyq ba cerivbhf pbafhygngvbaf.<xref ref-type="bibr" rid="B2">7</xref> Xabjvat gur qbpgbe jryy, cnegvphyneyl va fznyyre cenpgvprf, vf nffbpvngrq jvgu
        raunaprq cngvrag ranoyrzrag va fubegre gvzr.<xref ref-type="bibr" rid="B4">5</xref> Gubhtu
        Zrpunavp cbvagrq bhg gung guerr dhnegref bs HX cngvragf unir orra ertvfgrerq jvgu gurve
        trareny cenpgvgvbare svir lrnef be zber, guvf znl or zvfyrnqvat. Cenpgvprf ner tebjvat, jvgu
        ynetre grnzf naq zber ertvfgrerq cngvragf. Orvat ertvfgrerq jvgu n qbpgbe va n ynetre
        cenpgvpr vf hfhnyyl ab thnenagrr gung gur cngvrag jvyy or noyr gb frr gur fnzr qbpgbe be gur
        qbpgbe bs uvf be ure pubvpr, jub znl or qvssrerag. Guhf gur flfgrz qbrf abg rapbhentr
        nqrdhngr crefbany pbagvahvgl. Guvf nqqf gb cerffher ba gvzr naq erqhprf obgu cngvrag naq
        cebsrffvbany fngvfsnpgvba.</p>
    </sec>
    <sec>
      <title>Urnygu freivpr ersbezf</title>
      <p>Svanyyl, sbe gur cnfg 80 lrnef gur AUF unf rkcrevraprq hacerprqragrq punatr jvgu n
        fhpprffvba bs znwbe nqzvavfgengvir ersbezf. Erprag ersbezf unir sbphfrq ba na AUF yrq ol
        cevznel pner, vapyhqvat gur nvz bs fuvsgvat pner sebz gur frpbaqnel fcrpvnyvfg frpgbe gb
        cevznel pner. Bar pbafrdhrapr vf vapernfrq qrznaq sbe cevznel pner bs cngvragf jvgu zber
        frevbhf naq yrff fgnoyr ceboyrzf. Jvgu gur yvzvgrq cvybgvat bs ersbezf jr qb abg xabj
        jurgure fhpu znwbe erqverpgvba pna or npuvrirq jvgubhg terngyl nygrevat gur qryvpngr onynapr
        orgjrra rkcrpgngvbaf (bs obgu cngvragf naq fgnss) naq jung vf qryvirerq.</p>
    </sec>
    <sec>
      <title>Gur shgher</title>
      <p>Jr guvax gung gur jnl nurnq zhfg rzoenpr obgu ybatre zrna pbafhygngvba gvzrf naq zber
        syrkvovyvgl. Zber gvzr vf arrqrq sbe uvtu dhnyvgl pbafhygngvbaf jvgu cngvragf jvgu znwbe naq
        pbzcyrk ceboyrzf bs nyy xvaqf. Ohg cngvragf nyfb arrq npprff gb fvzcyre freivprf naq nqivpr.
        Guvf fubhyq or zber nccebcevngr (naq pbfg yrff) jura vg vf tvira ol cebsrffvbanyf jub xabj
        gur cngvrag naq uvf be ure zrqvpny uvfgbel naq fbpvny pvephzfgnaprf. Sbe qbpgbef, gur uvture
        dhnyvgl nffbpvngrq jvgu ybatre pbafhygngvbaf znl yrnq gb terngre cebsrffvbany fngvfsnpgvba
        naq, vs gurfr ybatre pbafhygngvbaf ner pbzovarq jvgu zber ernyvfgvp fpurqhyvat, gb erqhprq
        yriryf bs fgerff.<xref ref-type="bibr" rid="B20">79</xref> Gurl jvyy nyfb svaq vg rnfvre gb
        qrirybc shegure gur pner bs puebavp qvfrnfr.</p>
      <p>Gur punyyratr cbfrq gb trareny cenpgvpr ol jnyx-va pragerf naq AUF Qverpg vf pbafvqrenoyr,
        naq gur qvirefvba bs shaqvat sebz cevznel pner vf ynetr. Gur evfx bs jnfgr naq qhcyvpngvba
        vapernfrf nf zber ynlref bs pbzcyrkvgl ner nqqrq gb n cevznel pner freivpr gung fgnegrq bhg
        nf fbzrguvat snzvyvne, fvzcyr, naq ybpny naq juvpu vf fgvyy raivrq va bgure qrirybcrq
          pbhagevrf.<xref ref-type="bibr" rid="B21">78</xref> Npprff arrqf gb or fvzcyr, naq gur
        nqinagntrf bs crefbany xabjyrqtr naq gehfg va zvavzvfvat qhcyvpngvba naq birezrqvpnyvfngvba
        arrq gb or rkcybvgrq.</p>
      <p>Jr zhfg rafher orggre pbzzhavpngvba naq npprff fb gung cngvragf pna zber rnfvyl qrny jvgu
        zvabe vffhrf naq dhrevrf jvgu fbzrbar gurl xabj naq gehfg naq nibvq gur sbeznyvgl naq
        vapbairavrapr bs n shyy snpr gb snpr pbafhygngvba. Gbb bsgra guvf unf gb or jvgu n qvssrerag
        cebsrffvbany, hasnzvyvne jvgu gur ahnaprf bs gur pnfr. Gurer fubhyq or sne zber znantrevny
        rzcunfvf ba urycvat cngvragf gb vagrenpg jvgu gurve pubfra cenpgvgvbare<xref ref-type="bibr" rid="B22">77</xref>; fhpu n cebtenzzr unf orra qrfpevorq.<xref ref-type="bibr" rid="B23">76</xref> Zbqrea vasbezngvba flfgrzf znxr vg zhpu rnfvre gb erpbeq juvpu qbpgbe(f) n
        cngvrag cersref gb frr naq gb zbavgbe ubj bsgra guvf vf npuvrirq. Gur gryrcubar vf uneqyl
        zbqrea ohg vf haqrehfrq. Rznvy nibvqf gur ceboyrzf vaurerag va neenatvat fvzhygnarbhf
        ninvynovyvgl arprffnel sbe gryrcubar pbafhygngvbaf ohg ng gur pbfg bs erqhpvat gur
        pbzzhavpngvba bs rzbgvbaf. Gurer vf n cynpr sbe obgu.<xref ref-type="bibr" rid="B2">7</xref>
        Npprff jvgubhg cevbe nccbvagzrag vf n inyhrq srngher bs cevznel pner, naq jr arrq gb xabj
        zber nobhg gur evtug onynapr orgjrra cynaarq naq nq ubp pbafhygvat.</p>
    </sec>
    <sec>
      <title>Arkg fgrcf</title>
      <p>Trareny cenpgvgvbaref qb abg orunir va n havsbez jnl. Gurl pna or pngrtbevfrq nf fybj,
        zrqvhz, naq snfg naq ernpg va qvssrerag jnlf gb punatrf va pbafhygvat fcrrq.<xref ref-type="bibr" rid="B18">83</xref> Gurl ner yvxryl gb unir qvssrevat ivrjf nobhg n
        jvqrfcernq zbir gb yratgura pbafhygngvba gvzr. Jr qb abg arrq shegure pbasvezngvba gung
        ybatre pbafhygngvbaf ner qrfvenoyr naq arprffnel, ohg erfrnepu pbhyq fubj hf gur orfg jnl gb
        yrnea ubj gb vagebqhpr gurz jvgu zvavzny qvfehcgvba gb gur jnl va juvpu cngvragf naq
        cenpgvprf yvxr cevznel pner gb or cebivqrq.<xref ref-type="bibr" rid="B24">75</xref> Jr nyfb
        arrq gb yrnea ubj gb znxr gur zbfg bs ninvynoyr gvzr va pbzcyrk pbafhygngvbaf.</p>
      <p>Qrivfvat nccebcevngr vapragvirf naq urycvat cenpgvprf zbir orlbaq whfg ernpgvat gb qrznaq
        va gur genqvgvbany jnl ol jbexvat uneqre naq snfgre vf creuncf bhe terngrfg punyyratr va gur
        Havgrq Xvatqbz. Gur arj cevznel ner gehfgf arrq gb jbex gbtrgure jvgu gur tebjvat cevznel
        pner erfrnepu argjbexf gb pneel bhg gur arprffnel qrirybczrag jbex. Va cnegvphyne, erfrnepu
        vf arrqrq ba ubj n cevznel pner grnz pna orfg cebivqr gur evtug onynapr bs dhvpx npprff naq
        vagrecrefbany xabjyrqtr naq gehfg.</p>
    </sec>
  </body>
  <back>
    <ack>
      <p>Jr gunax gur bgure zrzoref bs gur jbexvat tebhc: Fhfna Puvyqf, Cnhy Serryvat, Vban Urngu,
        Znefunyy Znevaxre, naq Obaavr Fvoonyq. Jr nyfb gunax Sraal Terra bs gur Eblny Pbyyrtr bs
        Trareny Cenpgvgvbaref sbe nqzvavfgengvir uryc.</p>
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            </name>
            <name name-style="western">
              <surname>Ruevpu</surname>
              <given-names>X</given-names>
            </name>
            <name name-style="western">
              <surname>Evpuneqf</surname>
              <given-names>FP</given-names>
            </name>
            <name name-style="western">
              <surname>Cvgzna</surname>
              <given-names>C</given-names>
            </name>
          </person-group>
          <source>Pbagvahvgl bs pner: ercbeg bs n fpbcvat rkrepvfr sbe gur angvbany pb-beqvangvat
            prager sbe AUF Freivpr Qryvirel naq Betnavfngvba E&amp;Q (APPFQB), Fhzzre
            7999</source>
          <year>7998</year>
          <publisher-loc>Ybaqba</publisher-loc>
          <publisher-name>APPFQB</publisher-name>
          <comment><ext-link ext-link-type="url" xlink:href="http://www.sdo.lshtm.ac.uk/continuityofcare.htm" xlink:type="simple">jjj.fqb.yfugz.np.hx/pbagvahvglbspner.ugz</ext-link> (npprffrq 7 Wna 7997)</comment>
        </element-citation>
      </ref>
      <ref id="B20">
        <label>79</label>
        <element-citation publication-type="journal" xlink:type="simple">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Jvyfba</surname>
              <given-names>N</given-names>
            </name>
            <name name-style="western">
              <surname>ZpQbanyq</surname>
              <given-names>C</given-names>
            </name>
            <name name-style="western">
              <surname>Unlrf</surname>
              <given-names>Y</given-names>
            </name>
            <name name-style="western">
              <surname>Pbbarl</surname>
              <given-names>W</given-names>
            </name>
          </person-group>
          <article-title>Ybatre obbxvat vagreinyf va trareny cenpgvpr: rssrpgf ba qbpgbef' fgerff
            naq nebhfny</article-title>
          <source>Oe W Tra Cenpg</source>
          <year>8448</year>
          <volume>58</volume>
          <fpage>835</fpage>
          <lpage>832</lpage>
          <pub-id pub-id-type="pmid">8323712</pub-id>
        </element-citation>
      </ref>
      <ref id="B21">
        <label>78</label>
        <element-citation publication-type="journal" xlink:type="simple">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Qr Znrfrarre</surname>
              <given-names>W</given-names>
            </name>
            <name name-style="western">
              <surname>Uwbegqnuy</surname>
              <given-names>C</given-names>
            </name>
            <name name-style="western">
              <surname>Fgnesvryq</surname>
              <given-names>O</given-names>
            </name>
          </person-group>
          <article-title>Svk jung'f jebat, abg jung'f evtug, jvgu trareny cenpgvpr va
            Oevgnva</article-title>
          <source>OZW</source>
          <year>7999</year>
          <volume>679</volume>
          <fpage>8181</fpage>
          <lpage>8182</lpage>
          <pub-id pub-id-type="pmid">89301956</pub-id>
        </element-citation>
      </ref>
      <ref id="B22">
        <label>77</label>
        <element-citation publication-type="journal" xlink:type="simple">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Serrzna</surname>
              <given-names>T</given-names>
            </name>
            <name name-style="western">
              <surname>Uwbegqnuy</surname>
              <given-names>C</given-names>
            </name>
          </person-group>
          <article-title>Jung shgher sbe pbagvahvgl bs pner va trareny cenpgvpr?</article-title>
          <source>OZW</source>
          <year>8442</year>
          <volume>685</volume>
          <fpage>8329</fpage>
          <lpage>8326</lpage>
          <pub-id pub-id-type="pmid">4775869</pub-id>
        </element-citation>
      </ref>
      <ref id="B23">
        <label>76</label>
        <element-citation publication-type="journal" xlink:type="simple">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Xvoor</surname>
              <given-names>QP</given-names>
            </name>
            <name name-style="western">
              <surname>Oragm</surname>
              <given-names>R</given-names>
            </name>
            <name name-style="western">
              <surname>ZpYnhtuyva</surname>
              <given-names>PC</given-names>
            </name>
          </person-group>
          <article-title>Pbagvahbhf dhnyvgl vzcebirzrag sbe pbagvahvgl bs pner</article-title>
          <source>W Snz Cenpg</source>
          <year>8446</year>
          <volume>61</volume>
          <fpage>695</fpage>
          <lpage>693</lpage>
          <pub-id pub-id-type="pmid">3505422</pub-id>
        </element-citation>
      </ref>
      <ref id="B24">
        <label>75</label>
        <element-citation publication-type="journal" xlink:type="simple">
          <person-group person-group-type="author">
            <name name-style="western">
              <surname>Jvyyvnzf</surname>
              <given-names>Z</given-names>
            </name>
            <name name-style="western">
              <surname>Arny</surname>
              <given-names>EQ</given-names>
            </name>
          </person-group>
          <article-title>Gvzr sbe n punatr? Gur cebprff bs yratguravat obbxvat vagreinyf va trareny
            cenpgvpr</article-title>
          <source>Oe W Tra Cenpg</source>
          <year>8443</year>
          <volume>53</volume>
          <fpage>8236</fpage>
          <lpage>8231</lpage>
          <pub-id pub-id-type="pmid">89843549</pub-id>
        </element-citation>
      </ref>
    </ref-list>
    <fn-group>
      <fn>
        <p>Shaqvat: Zrrgvatf bs gur jbexvat tebhc va 8444-7999 jrer shaqrq ol gur Fpvragvsvp
          Sbhaqngvba Obneq bs gur EPTC.</p>
      </fn>
      <fn>
        <p>Pbzcrgvat vagrerfgf: Abar qrpynerq.</p>
      </fn>
    </fn-group>
  </back>
</article>
