Without diagnosis and treatment, the infection can be fatal in one to six days ; mortality in untreated cases is approximately 100 %.

Without treatment, an acute attack of gout usually resolves in five to seven days.

Without treatment, episodes of acute gout may develop into chronic gout with destruction of joint surfaces, joint deformity, and painless tophi.

Without timely treatment, these new blood vessels can bleed, cloud vision, and destroy the retina.

Without special treatment after circulation is restarted, full recovery of the brain after more than 3 minutes of clinical death at normal body temperature is rare.

Without treatment, the disease is invariably fatal, with progressive mental deterioration leading to coma and death.

Without treatment, about 12-13 % of patients will spontaneously improve over time, 40-50 % will get worse and the rest will be relatively stable.

Without treatment, symptoms may worsen, leading ( in extreme cases ) to suicide attempts.

Without renouncing its " Third-worldism " position, it extended the treatment of its subjects, concentrating on international economic and monetary problems, strategic relations, the Middle-East conflict, etc.

Without effective water treatment, a cooling water system can suffer from scale formation, corrosion and fouling and may become a breeding ground for harmful bacteria such as those that cause Legionnaires ' Disease.

Without treatment, the individual with schizoaffective disorder may further worsen in their abnormal emotions and delusional thought processes.

Without urgent treatment these result in sudden death.

Without necessarily receiving great remuneration ( pay differentials under Zhivkov were within the 5: 1 range, with the overwhelming majority of salaries being within the 3: 1 range ), Party members and DS informers received very significant perquisites which involved access to accommodation, luxury imported goods, hard currency, the ability to travel abroad, superior medical and dental treatment and unhindered entry to higher education for their children.

Without insight into what the problem is, it is much harder for behavioral therapy to be the key to the successful treatment of compulsive hoarders.

Without treatment, mortality in infants with galactosemia is about 75 %.

Through its breakthrough price offers to developing country governments and leading NGOs such as Doctors Without Borders ( MSF ) and Oxfam, along with its keen participation in PEPFAR, the Global Fund, the Clinton Foundation's HIV / AIDS Initiative and other major donor programs fighting HIV / AIDS in Africa and elsewhere in the resource-poor world, Cipla has played an unparalleled leadership role in ensuring access to antiretroviral treatment ( ART ) rose from under 10, 000 on the entire African continent at the time of its $ 350 per patient per year offer in 2001, to over 8 million in the developing world by 2012.

Without treatment, children often die in the first decade of life.

Without much exchange with the ocean outside the Island, the Lake water quality is threatened by runoff from human activities in the surrounding watershed, especially from sewage treatment plants and septic tanks, ocean going ships and small craft plying the lake system.

Without treatment, the disease is often fatal.

Without treatment death usually occurs due to heart failure and respiratory weakness.

Without treatment the disease is particularly lethal in infants and young children.

Without treatment, mortality may approach 1 %, usually within six weeks of onset.

Without treatment, kidney damage occurs and death in the more severe cases.

* Sea Without Shore: A Manual of the Sufi Path, an extensive treatment of the science of tasawwuf.

Without a regular army and police force ( which in England was not established until 1829 ), it had been the duty of certain men to keep watch and ward at night and to confront and capture suspicious persons.

Currently the political party Partido de Acceso Sin Exclusión ( Access Without Exclusion Party ) fights for the rights of disabled persons, and one congressman, Oscar López, is blind.

Especially important is the development of The OWLS Sports Club ( Opportunities Without Limits ), which will coordinate the development of a range of different sporting opportunities for persons with physical and / or learning eisabilities, and in many cases their siblings.

* 20 August 2003-A missing persons bulletin featuring Vivian Solon is shown after the TV program Without a Trace.

Without warning, the right wing of the glider broke off, along with the towing cable, and the glider plummeted from an altitude of 1, 500 feet, killing all ten persons on board.

" It was a form of rhetorical exercise “ in which the legitimate methods of the encomium are applied to persons or objects in themselves obviously unworthy of praise, as being trivial, ugly, useless, ridiculous, dangerous or vicious ” — see Arthur S. Pease, ‘ Things Without Honor ’, Classical Philology Vol.

Without a precise knowledge of Germanic philology, however, it is debatable whether their use was not more often a source of confusion and error than anything else.

Without a writing system, the Ainu were masters of narration, with the Yukar and other forms of narration such as the Uepeker ( Uwepeker ) tales, being committed to memory and related at gatherings, often lasting many hours or even days.

Without social context, users are often helpless to know the intentions of their counterparts.

Without this capacity, which is often the case in practice, to produce a representation with lower resolution or lower fidelity than a given one, one needs to start with the original source signal and encode, or start with a compressed representation and then decompress and re-encode it ( transcoding ), though the latter tends to cause digital generation loss.

: Without hoping to know whether each separate hypothesis is true or false, we may search for rules to govern our behaviour with regard to them, in following which we insure that, in the long run of experience, we shall not be too often wrong.

" The pre-empted shows were parodies of current TV shows ( e. g. The A-Team Makes One Cup of Coffee Last Five Hours, " Hanging Out " or " Malls ", 1984 ), movies ( e. g. Top Gun Gets Put on Latrine-Cleaning Duty, " Discipline ", 1986 ), or other pop culture icons ( e. g. Boy George Without Make-up, " Halloween ", 1984 ), and were often relevant to the theme of the current episode ( e. g. the pre-empted show for " Safety " ( 1981 ) was Hit and Run on Sesame Street ).

Without the line-item veto, Presidents have often felt compelled to sign controversial riders into law even if they did not support them.

Without any living children of his own, Maigret nevertheless demonstrates fondness for children, treating them with kindness and patience, and often indulging them.

Without any clearly developed foreign policy principles beyond a commitment to arms control, he often changed his mind, depending on the advice he was receiving at the time.

Without such amenities as Chien-Tan campus, students at Ocean Campus often had no choice but to use their greater opportunities and free time at Ocean campus to communicate and bond.

Without a heating mechanism, the funnel often becomes clogged during a frozen precipitation event, and thus no precipitation can be measured.

Without evacuation, the wounded were often injured again and some posts changed hands between the British and Germans several times as the perimeter was fought over.

Although her relationship with Murry became increasingly distant after 1918 and the two often lived apart, this intervention of his spurred her on, and she wrote The Man Without a Temperament, the story of an ill wife and her long-suffering husband.

Their style altered little from Without You I'm Nothing to Black Market Music, based around fairly straightforward guitar playing, often influenced by the style of 1970s British and American rock, and Molko's high-pitched vocals.

In his original version of his book Sex Without Guilt, Ellis expressed the opinion that religious restrictions on sexual expression are often needless and harmful to emotional health.

Without a poetic tradition in modern Hindi, poets often modeled their forms on Braj, and later on Sanskrit, Urdu, Bengali and English forms, often ill-suited to Hindi.

Without a corset, a man's waistcoat often had whalebone stiffeners and were laced in the back, with reinforced buttons up the front, so that one could pull the lacings in tight to mould the waist into the fashionable silhouette.

Without guidance from Dora, the viewer, or another character, Boots is quick to take his own, often dangerous or dead-ended, route.

Without it, 100 percent durum wheat breads are often heavy, with very close grain, and will split easily when risen for baking.

The ward straddles the ( now former ) line of the Wall and the old gate and is often ( even today ) divided into " Within " and " Without " parts, with a Deputy ( Alderman ) appointed for each part.

The ward straddles the ( now former ) line of the Wall and the old gate and is often ( even today ) divided into " Within " and " Without " parts, with a Beadle and a Deputy ( Alderman ) appointed for each part.

Without denying the entertainment or moral value in the stories, Shah emphasised that there is in such tales an often hidden dimension of instruction.

#: The last movement is very difficult to conduct because of its cadenza writing for voice and solo instruments, which often flows over the barlines, " Ohne Rücksicht auf das Tempo " ( Without regard for the tempo ) according to Mahler's own direction.

Ham is often credited as being one of the earliest purveyors of the power pop genre, but his most widespread effect in popular music is the ballad " Without You ," written with Badfinger bandmate Tom Evans ( who also committed suicide by hanging himself eight years later ).