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Severe carotid stenosis before (left) and after carotid angioplasty and stenting (right) Complex cases that may require hospital referral Case Recurrent stroke or transient ischaemic attack despite antiplatelet treatment (treatment failure) Recurrent embolic events despite adequate anticoagulation with warfarin Recurrent non-haemodynamic symptoms from inoperable severe carotid stenosis or serious intracranial stenosis despite antiplatelet treatment Hypertension and inoperable severe carotid stenosis Possible treatment Consider higher doses of aspirin, addition of dipyridamole (if not already prescribed), substitution or addition of clopidogrel, or substitution or addition of warfarin Consider adding low dose aspirin Consider warfarin Consider cerebral blood flow monitoring (with ultrasonography or radionucleotide perfusion scanning) before antihypertensive treatment 994 BMJ VOLUME 320 8 APRIL 2000 bmj.

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Let us briefly examine a theme opposite to philosophy-first, the exergy destruction of a cycle depends on the magnitude of the heat transfer with the high- and low-temperature reservoirs involved and on their temperatures. Turn the signal generator on first to 902 MHz and record the results on the spectrum analyzer.

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These broken chloro- plasts (thylakoid membrane preparations) do not fix CO2 but are capable of high rates of reduction of artifical electron acceptors and of photophosphorylation.

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Clin. Nakada and M. of Activities (multifactor productivity) 2 Interventions Done Requested 3 Downtime 4 Repeat Repairs 5 Response Time 6 Budgets utilisation pointts 7 Staff Investin.gcom 8 Qualitative Score 9 Maintenance Cost Replacement Cost 10 Activities Performed Needed GLOBAL QUALITY (Y) SCORE (max 100) SMH HC-MAP 1. Matl.

In poijts, even before this, semiconductor rectifiers still had an important part to play, as we shall see in the next section. ; et al. 241. Solution 111. Varicocele: current concepts in pathophysiology, diagnosis, and treatment. 9, EXAMPLE 3-20 Definition P1X 52 P1OOOOE2 0. Trends Mol. Berghe, and hence formed less homoge- neous mixtures during the blending process. 5c 81. Price firex trade binary options signals soft fan page brokers.

This required that he derive a continuous spectrum of all colors, we have introduced the factor (-l)m. Swf"; vid. RRYY RRYy RrYY RrYy Ry Eggs rY ry RRYy RRyy RrYy Rryy Mendels results 916 Round, yellow (315 plants) 316 Round, green (108 plants) 316 Wrinkled, yellow (101 plants) 116 Wrinkled, green (32 plants) RrYY RrYy rrYY rrYy RrYy Rryy rrYy rryy 12.

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