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If the surgeon wants the patient to acceptan operation because they feel in their heart it is really the best for the patient orbecause it will help him/her gain experience and numbers for research, this is acon?ict of interest which must be recognized so the surgeon can deal with such situ-ations as ethically as possible (Bernstein 2003 ). Biofilm formation by staphylococci on fresh, fresh-frozen and processed human and bovine bone grafts. Severalreports (such as Kaufer et al., 1998) highlighted improve-ments in fluctuating confusion

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