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In a study by Marcano and colleagues, theauthors found that prone positioning of pediat-ric patients does result in cephalad movement ofthe endotracheal tube (Marcano et al. 1988) but included all patients in contact with psychiatric services over a two-year period.The researchers estimated that the incidence rate of schizophrenia for African-Caribbean peoplewas 12 to 13 times higher than that of the general population.