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A more correct image of the disease has resulted from a greater frankness between patients and neurologists, so that now it is not only patients who have the disease very severely who know their diagnosis Nowadays, most patients who are suffering from multiple sclerosis know that this is what is wrong with them, and the majority of these patients will be ambulant, working and playing a full role in society The poor image of the disease leads to considerable anxiety in young people who develop any visual or sensory symptoms from whatever cause, especially if they have some medical knowledge Most neurologists will see one or more such patients a week, and will have the pleasure of being able to reassure the patients that their symptoms are not indicative of multiple sclerosis.

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On the other hand, the disease is common, and enough patients have the disease severely to make multiple sclerosis one of the commonest causes of major neurological disability amongst people under the age of 50 years Provision for young patients with major neurological disability is not good in this or many other developed countries There is still plenty that can be done to help patients, and often this is best supervised and coordinated by their doctor 99.

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53, 54, 61, 72, 73, and 81. (The technology exists to test for a speci c HPV type, but is currently expensive, not clinically available, and of no known clinical value.) The combination of Pap smear with HPV testing increases the sensitivity of screening for cervical neoplasia. In a randomized trial by Mayrand and associates, the detection of CIN 2 and CIN 3 by Pap smear alone was 55% and 94.6%,

to be being helped, rather than controlled, by this type of question. So witnesses are liable to let down their guard and not appreciate the signi cance of their sequence of answers. Instead of utilising an open question, such as What did he look like which does not tell the witness where to start, what to cover in, or when to end the answer, a lawyer could begin, How tall was he or What colour of hair did he have This will avoid a witness s tendencies to wander, to be prolix or verbose. A sequence of directed questions ensures that the interaction between lawyer and witness does not lose focus. That may come as a relief to judges and courts anxious that time means money, and to jurors who may lose interest with long unfocused answers. However, competent lawyers will only ask questions which produce answers that colour in the part of the picture they want painted. In that sense a witness is a means to an end; directed questions are a useful tool.

I recommend that you use my eight-step approach to estimate a potential option property s current market value: Step 1: Log on to your county s property appraiser or assessor s web site to obtain the tax-assessed value of the property under consideration for purchase. Step 2: Search your county s property tax rolls for recent sales of three to five properties that are comparable in size, amenities, and features and located within one mile of the property under consideration for purchase. Step 3: Carefully analyze any comparable properties that you find, and make sale price adjustments for differences in amenities, special features, and the property s physical condition. Step 4: Verif y the income and expenses, which are listed on the income and expense statement of the property under consideration. Step 5: Analyze the property s income and expenses for the past 12 months to estimate its net operating income potential. Step 6: Calculate the property s capitalization rate by dividing its potential operating income by the estimated value, which you derived from analyzing recent sales of comparable properties in Step 3. Step 7: Estimate the property s value by multiplying its net operating income by the capitalization rate that you came up with for the property.

LMN weakness may be con ned to the distribution of one spinal root (above) or one individual peripheral nerve (below). In such circumstances, the LMN signs are found only in the muscles supplied by the particular nerve root or peripheral nerve in question. Almost always there is sensory impairment in the area supplied by the nerve or nerve root. Examples of such lesions are an S1 nerve root syndrome caused by a prolapsed intervertebral disc, or a common peroneal nerve palsy caused by pressure in the region of the neck of the bula.

system on by far the largest, distributed Unix solution in Europe. Managing director: Excited, yes. Pleased . Designer, No, I did not involve the central computer organisation [whose job it will be to maintain his system] in the design, because they are too stupid and reactionary .

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