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Often, patients are not aware of the growing tumor until there is a noticeable lump or pain.
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Often and patients
Often they are the first port of call to critically ill or gravely injured patients, and must perform a variety of procedures to stabilize such patients, such as intubation, burr hole, cricothyroidotomy, and emergency laparotomy or thoracotomy to stanch bleeding.
Often, patients experience secondary menstrual irregularities characterized by changes in flow and duration of bleeding ( amenorrhea, hypomenorrhea, or oligomenorrhea ) and become infertile.
Often, patients will present with other types of dermatitis, such as Seborrhoeic dermatitis or atopic eczema.
Often and are
Often, too, the social institutions are housed in these pavilions and palaces and bridges, for these great structures are not simply `` historical monuments '' ; ;
Often it is recognized that all the details of the pattern may not be essential to the outcome but, because the pattern was empirically determined and not developed through theoretical understanding, one is never quite certain which behavior elements are effective, and the whole pattern becomes ritualized.
Often, therefore, there are a number of rules having the same effect, and commonly other sets of rules as well, having the opposite effect.
Often, they consider that morality seems to be binding – obligations are seen to convey more than just a preference, but imply that the obligation will stand, regardless of other factors or interests.
Often these procedures are coupled with legislation or other common law doctrines that establish standards for proper rulemaking.
Often, low-floor trams are fitted with nonpivoting bogies and many tramway enthusiasts see this as a retrograde step, as it leads to more wear of both track and wheels and also significantly reduces the speed at which a tram can round a curve.
Often, these materials are then converted into finished products, and a significant amount of value is added.
Often, cult movies have failed to achieve fame outside small fanbases ; however, there are exceptions that have managed to gain fame among mainstream audiences.
Often, happenings begin innocently enough, until more and more of the workings behind the scenes are revealed.
Often overlooked in Confucian ethics are the virtues to the self: sincerity and the cultivation of knowledge.
Often, methods of promoting development and social justice to are critiqued as being imperialistic, in a cultural sense.
Often versions of the same missile are produced for different launch platforms ; sometimes air-and submarine-launched versions are a little lighter and smaller than land-and ship-launched versions.
Often, ray tracing methods are utilized to approximate the solution to the rendering equation by applying Monte Carlo methods to it.
Often this involves stressing what are now conservative views of free-market economics and belief in individual responsibility, with social liberal views on defence of civil rights, environmentalism and support for a limited welfare state.
Often, poor usability can lead to implementations that are fragmented — isolated initiatives by individual departments to address their own needs.
Often in these stories the limbs, hair, blood, bones or organs of the primeval being are somehow severed or sacrificed to transform into sky, earth, animal or plant life, and other worldly features.
Often, in American legal and business documents that speak of governing bodies ( e. g., a board that governs small businesses in China ) these bodies are described as " creatures of statute " to inform readers of their origins and format although the national governments that created them may not term them as creatures of statute.
Often and aware
Often, roots revivals include an addition of newly-composed songs with socially and politically aware lyrics, as well as a general modernization of the folk sound.
Often, workers would just take souvenirs without permission, aware that their employers did not particularly care.
Often the trainee is not consciously aware of the mechanisms by which such changes are accomplished although people routinely acquire a " felt sense " of these positive changes and often are able to access these states outside the feedback session.
Often the leaders are the first to change loyalties, for they have had access to privileged information and are more aware of the hopelessness of the situation for their former cause.
Often, even though software providers are well aware of bugs in their products, the payoff of fixing them is not worth the reward, because of the overhead.
Often and growing
Often in a post-colonial context, the growing recognition and use of indigenous education methods can be a response to the erosion and loss of indigenous knowledge and language through the processes of colonialism.
Often, the dikaryotic mycelium is more vigorous than the individual monokaryotic mycelia, and proceeds to take over the substrate in which they are growing.
Often leaves or leafy shoots are shown growing from his open mouth and sometimes even from the nose and eyes as well.
Often growing in pairs, the figs are yellow ripening to red in colour, tipped with a small nipple and on a 2 – 5 mm stalk.
Often birds ' droppings contain rowan seeds, and if such droppings land in a fork or hole where old leaves have accumulated on a larger tree, such as an oak or a maple, they may result in a rowan growing as an epiphyte on the larger tree.
Often assumed to be incontrovertible, a growing body of evidence suggests that eyewitness identifications are unreliable.
Often, moral criteria are part of a much broader shift away from commodity markets towards a deeper service economy where all activities, from growing to harvesting to processing to delivery, are considered part of the value chain and for which consumers are " responsible ".
The palms are found growing on a wide variety of soils, Often extend to degraded forest margins in grasslands.
Often they are quite remarkable plants, more often red than green, without much leaf area and not growing very big in any way.
Often growing its best at higher altitudes, the grape yields wines that are ruby in colour, with aromas and flavours of berries, plum, tobacco, vanilla, leather and herb.
Often referred to as ' Cottage Country ', this area's lakes and rivers are dotted with numerous cottages, some of them seasonal, but in recent years there is a growing trend for some of these ' summer cottages ' to be used as year-round residences due to a number of factors, abundance of outdoor recreation, baby-boom retiree population, increased local services and improved wireless communication.
Often they were attached to a larger field for bleaching linen or growing orchards, but today those fields have been long used for city expansion and only the central gardens can still be seen.
Often, these peptides ( adiponectin, leptin, and resistin ) are referred to as adipokines, however they can be more accurately put into the larger, growing list of adipose derived hormones.
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