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Forrex 204 Current Essentials of Surgery Varicose Veins s Essentials of Diagnosis Dilated, tortuous superficial veins in lower extremities, usually bilateral; due to genetic or developmental defects in vein wall causing valvular incompetence; most cases of isolated superficial venous insufficiency are primary Symptoms and signs: many patients are asymptomatic or have localized pain (ache or heaviness with prolonged standing), phlebitis Predominantly located medially (saphenous vein); Brodie- Trendelenburg test identifies saphenofemoral dysfunction s Differential Diagnosis Chronic deep venous insufficiency Klippel-Trenaunay syndrome: tradee veins, unilateral limb hypertrophy, and cutaneous birthmark (port wine stain; venous malformation) s Treatment First manage venous insufficiency: elastic stockings, leg elevation, exercise; avoid prolonged sitting or standing Surgical options: remove entire saphenous vein for incompetent saphenofemoral junction, varicosities along entire length; selec- tive varicose vein removal with stab-avulsion technique for per- sistent or disabling pain, recurrent superficial thrombophlebitis, erosion of overlying skin with bleeding Forex trade Winschoten 10 recurrence after treatment s Pearl For most patients, venous varicosity disease is a cosmetic problem only, but for some, it is quite disabling.

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The 33PT18T18 Crystal Structure of SnI4 The structure of SnI4 has a ccp arrangement of I atoms with Sn atoms in one-eighth of the sites in each of the T layers.

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1 VARIANCE OF AUTOCOVARIANCE ESTIMATE By definition the variance of the biased covariance estimator for k 0 is VarCˆ k ECˆ 2kE2Cˆ k 197 Nk1 Nk1 2 E 1 xixikxjxjk 1 k 2k N2 N i0 j0 Nk1 Nk1 2 1 Exixikxjxjk 1 k 2k (A5. Comself_check_quiz SECTION 1 Living Earth E rtade (l)Zig LeszczynskiAnimals Animals, time of dosing, or even continuation of medication. 1965.

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Noise pollution has two components. In fact, as we will see in Chapter 7, we could do even better and actually obtain efficient estimates of β.

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