Alternatively, certain patients can choose to have a wide local excision, also known as a lumpectomy, an operation in which a small volume of breast tissue containing the tumor and some surrounding healthy tissue is removed to conserve the breast.

Alternatively, rehabilitation robotics can be used to provide high volumes of passive or assisted movement, depending on the individual's requirements ; this form of therapy can be useful if therapists are at a premium, and has been found effective at reducing spasticity in patients suffering from stroke.

Alternatively, a more rapid detection of fibrinolytic activity, especially hyperfibrinolysis, is possible with thromboelastometry ( TEM ) in whole blood, even in patients on heparin.

Alternatively, a more involved diagnostic test can be used directly at the first antenatal visit in high-risk patients ( for example in those with polycystic ovarian syndrome or acanthosis nigricans ).

Alternatively, Assistive Technology may attempt to improve the ergonomics of the devices themselves such as Dvorak and other alternative layouts, which offer more ergonomic layouts of the keys.

Alternatively, ocean eddies, the oceanic equivalent of atmospheric storms, or the large-scale meanders of the Circumpolar Current may directly transport momentum downwards in the water column.

Alternatively, civilian vehicles may be modified into improvised armored cars in ad-hoc fashion.

Alternatively, a unique position on the board on which a game piece may be located while in play.

Alternatively, a binary function may be interpreted as simply a function from X × Y to Z.

Alternatively, a coin may be tossed, with the winners choosing whether to serve or receive first, or choosing which end of the court to occupy, and their opponents making the leftover the remaining choice.

Alternatively, if the boards are pre-dealt, " curtain cards " may be supplied which have each hand printed on them, so that each player can check at the beginning of the deal that he has the right cards.

Alternatively, since they may have felt the need to force some kind of victory — they could hardly remain at Marathon indefinitely.

Alternatively, the game may be played with ring-shaped pieces with a central hole.

Alternatively, conspiracy theories may arise when evidence available in the public record does not correspond with the common or official version of events.

Alternatively, computer programs may be executed with the aid of an interpreter, or may be embedded directly into hardware.

Alternatively, there may further be requirements for maximum terms that a government can keep power before holding an election.

Alternatively, the supernova may have resulted from the merger of two white dwarfs, so that the limit was only violated momentarily.

Alternatively, a file may contain an arbitrary binary image ( a BLOB ) or it may contain an executable.

Alternatively, elapsed time may represent the gradual process of healing of old hatreds.

Alternatively, if Bishop Cellach was appointed by Giric, it may be that the gathering was intended to heal a rift between king and church.

Alternatively, if using more than one or two techniques for every experiment is infeasible, some of the benefits of consilience may still be obtained if it is well-established that these techniques usually give the same result.

Alternatively, DMs may develop their own fictional worlds to use as campaign settings.

Alternatively, a single hostname may correspond to many IP addresses: this can facilitate fault tolerance and load distribution, and also allows a site to move physical locations seamlessly.

Alternatively, each computer may have its own user with individual needs, and the purpose of the distributed system is to coordinate the use of shared resources or provide communication services to the users.

Alternatively, IPv6 hosts may use stateless address autoconfiguration.

Alternatively, the home country may prosecute the individual.

Alternatively, they may be joined as clusters to form क ् नय knaya, कन ् य kanya, or क ् न ् य knya.

Alternatively they can be organized by whether the raw stock is of natural, or synthetic origin, or by their starting physical phase.

Alternatively, some units allow or require each member to wear one laced into their boot in lieu of the second around the neck.

Alternatively, the GM may build their own world and script their own adventures.

Alternatively, print media use a physical object as a means of sending their information, such as a newspaper, magazines, comics, books, brochures, newsletters, leaflets, and pamphlets.

Alternatively, where ADSL is available, users can have connections through Telecom Niue's Internet Services located at Alofi through their island wide distributed wireline.

Alternatively, they may have used stored yolk products for nourishment during their first few days of life, as in modern reptiles, rather than depend on parents for food.

Alternatively the maker of the hard-to-believe statement may add no shit to reinforce the sincerity or truthfulness of their statement, particularly in response to someone expressing disbelief at their statement.

Alternatively, sedimentary rocks can be subdivided into compositional groups based on their mineralogy:

Alternatively, other authors hold that leaf kites existed far before that time in what is now Indonesia, based on their interpretation of cave paintings on Muna Island off Sulawesi.

Alternatively, Æthelred has been seen as one of the key forces in the promotion of Edward's cult and that of their sister Eadgifu ( Edith of Wilton ).

Alternatively, potentially insolvent banks with toxic assets will seek out very risky speculative loans to shift risk onto their depositors and other creditors.

Alternatively, separated former midshipmen can reimburse the government for their educational expenses, though the sum is often in excess of $ 150, 000.

Alternatively it has been proposed to abolish the roles of the Governor-General and the monarchy and have their functions exercised by other constitutional officers such as the Speaker.

Alternatively, a person may simply wear reading glasses over their distance contact lenses.

Alternatively, stems are used to indicate voicing or parts ; all stems for the upper voice's notes ( or " part ") are drawn facing up, regardless of their position on the staff.

Alternatively, gamers may design their own scenarios or build new campaigns from premade scenarios.

Alternatively, some scholars identify Ptolemy Neos Philopator with Ptolemy Memphites, a son of Ptolemy VIII and Cleopatra II who was murdered by his father about 132 / 131 BC after his mother had tried to depose Physcon and proclaim their son king ; yet others point to a number of minor co-regents – all of whom were named Ptolemy as was the tradition in the dynasty.

" Alternatively, he argues, it might come from the stem agdlak, " striped, streaked ," thus " the striped ones ," in reference to American Indians who lived to the west and painted their faces.

Alternatively, a multiplying DAC takes a variable input voltage for their conversion.

Alternatively, Soma's twenty-seven wives were the star goddesses, the Nakshatras-daughters of the cosmic progenitor Daksha-who told their father that he paid too much attention to just one of them, Rohini.

Alternatively, the first philosopher can modify their claim so that the counterexample no longer applies ; this is analogous to when a mathematician modifies a conjecture because of a counterexample.