First, every individual enrolled in this study, including the healthy persons in the control group, underwent a complete colonoscopy with full visualization of the colon from cecum to rectum, and colonoscopy is regarded as the most robust reference standard for the presence or absence of polyps
55 It is worth remembering, however, that such environmental histories also echo a deep, powerful cultural narrative that of the original, symbolic opposition between nature and culture, forest and civilisation
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