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many clinicians and epidemiologists think that allocation concealment is the same thing as blinding but its not its possible to double-blind a study and not conceal allocation its also possible to have a non non blinded study that does conceal allocation let me give you a great example in the 1990s when clinicians were trying to figure out whether or not artificial surfactant was valuable for premature infants in preventing hyland memory disease a study was done at multiple centers throughout the United States during the study it was possible for the nurses or the clinicians to take the envelopes that told them whether or not the next child was going to be on surfactant or not and hold them up to the light and tell whether or not that particular child was going to be in one study group or the other the study was still published in a major journal as being a randomized double-blind trial the writers of this study also found examples of people who jimmied open filing cabinets and eve