Poor practices were more likely among students in 6th year (OR=5.88
In 1619, John Rolfe reported to Sir Edwin Sandys that a Dutch ship had arrived at Point Comfort, bringing 20 and odd Negroes, which the Governor and Cape Merchant bought for victual at the best and easiest rate they could. Although European indentured servants augmented the workforce, by 1700, the institution of slavery was firmly established in Virginia
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Of note, however, this retrospective study, although including a very large number of patients, is subject to limitations of potential selection bias, non-controlled interventions, etc, which must be considered when interpreting the findings