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Lung Aspiration in Pneumonia-Reply

Darwin L. Palmer, MD; Michael Davidson, MD; Bruce Tempest, MD
JAMA. 1976;235(25):2718. doi:10.1001/jama.1976.03260510012010.
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In Reply.—  We read with interest and concern the letter of Dr Scott commenting on our investigation of the bacteriologic causes of pneumonia in a group of Navajo patients with community-acquired infections. The ethical considerations involved in this investigation were rigorously examined first by us and other physicians involved in the care of the Navajo patients to ensure appropriate safeguards for patients' rights and health. The protocol was then carefully scrutinized, and final approval was given by the Human Research Committee of the University of New Mexico School of Medicine and by the Navajo Area Research Committee (made up of Navajo and Indian Health Service representatives). The latter is the final arbiter for any research done on the Indian reservation.This investigation was an attempt to improve the diagnostic methods used in pneumonia and to clarify and better understand the often confusing bacteriologic data of this disease.1 It was


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