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These requirements, including formats for bibliographic references, were published in three of the journals early in 1979.The Vancouver group evolved into the International Committee of Medical Journal Editors.At the October 1981 meeting of the committee the requirements were revised slightly and are presented as the main part of this document.Over 150 journals have now agreed to receive manuscripts prepared in accordance with these requirements.It is important to emphasise what these requirements imply and what they do not.Firstly, if authors prepare their manuscripts in the style specified in these requirements, editors will not return manu- scripts for changes in details of style, Even so, manuscripts may be altered by journals to conform with details of their own publication styles.Thus, secondly, the requirements are instructions to authors on how to prepare manuscripts, not to editors on publication style.Thirdly,
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