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Patients undergoing endoscopy at the University of Maryland Medical Center, the Baltimore VA Hospital, and the Mayo Clinic provided written informed consent under a protocol approved by the Institutional Review Boards at each respective institution.
Internal Review Board approval was obtained at each respective institution.
All procedures were approved by the Institutional Animal Care and Use Committees of each respective institution.
Study approval was granted by the Institutional Review Board of each respective institution, in accordance with the US federal regulations and the Declaration of Helsinki Principles.
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Written informed consent was obtained from each patient at the respective institution before the initiation of the study protocol.
Furthermore, each author was linked to her respective institution based on annotated superscript numbers supplied during abstract submission.
Ethics approval was obtained from each respective academic institution ethics review board.
Each patient's case was discussed twice within the respective institution's multidisciplinary tumor board.
Each has taken controversial stands on a variety of issues and challenged the establishment of his or her respective institution.
All questionnaires were thus checked at least once by staff at the respective institution and by staff at the survey center.
The researchers reached participants through their respective institution and department heads.
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