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Unusual Neoplasms of the Uterus seem to affect prognosis or survival. In a study of 60 patients, estrogen receptors were present in 48% of cases; progesterone receptors were present in 30% of cases. Less than 1% of recurrences showed any response to subsequent hormonal therapy.32 Soper and others have noted there is no survival bene t with the presence of hormone receptors in ESS.33, 34 Treatment of persistent or recurrent disease with hormonal therapy has yielded mixed results. Nonetheless, treatment with megestrol acetate has been a widely accepted adjuvant therapy with relatively few side effects. Tamoxifen has also been used as adjuvant treatment and there are reports of the use of gonadotropinreleasing hormone (GnRH) analogs or aromatase inhibitors. While the doses for treatment are not universal, a reasonable starting dose of Megace is 40 mg twice daily and increasing to 160 mg per day, if tolerated. Duration of therapy can either be for 5 years or inde nitely.35, 36

n = 1.58

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Although this synchronous request execution is appropriate in many cases, high performance requirements motivate different forms of synchronization. Depending on the time it takes to execute operations, it maynot be appropriate for the client to be blocked. Consider a user interface component that requests operation executions from server objects. If these operations take longer than the response-time requirements permit, synchronous requests cannot be used. Moreover if several independent operations are to be executed from different servers it might be appropriate to execute them simultaneously in order to take advantage of distribution. With synchronous requests, single-threaded clients can, however, only request one operation execution at a time. There are different ways that synchronicity can be relaxed. An overview of these approaches is given in Figure 7.1 using U ML sequence diagrams.

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HIV AIDS HIV AIDS can cause dementia, either through a primary HIV encephalitis or through the CNS complications of immunode ciency such as opportunistic infection (toxoplasmosis, cryptococcal meningitis) and lymphoma. The risk of all of these is greatly reduced by current highly active retroviral therapy regiments, but tragically these are least available in the countries with the greatest prevalence and need. Tertiary syphilis Tertiary syphilis was the AIDS of the nineteenth century but is now rare because of improvements in public health and the widespread use of penicillin, which is lethal to the spirochaete Treponema pallidum. It gives rise to general paralysis of the insane (a dementia with prominent frontal lobe features), tabes dorsalis (with loss of proprioception and re exes in the lower limbs), taboparesis (a mixture of the two) and meningovascular syphilis (with small vessel strokes, especially of the brainstem) (see p. 248 for further details). Blood tests for syphilis should be a routine part of the investigation of dementia.

42. Id., 4 47. 43. Police Executive Research Forum, Excellence in Problem-Oriented Policing: The 2001 Herman

compatibility led to other problems, such as small market segments, small number of users in most systems, high terminal cost and high subscription fees Consequently, mobile communications was seen as the rich man s toy in many countries The idea of one standardised system, capable of being used throughout a large part of Europe, such as the CEPT member countries, had never really caught on among the authorities Unfortunately, the entire telecommunications eld had often been used as an instrument for protecting the national manufacturing and operating companies, a fact which had led to a situation where each country more or less had its own telecom standard, incompatible with the standards in other countries.

Louise (a woman close to death from cancer) Daniel (her son) Dr Jonathan Cook (senior lecturer in oncology cancer specialist) Marianne (a SRN on Ward 12)

The effect of this policy was no exception from the general rule that implementation of protectionist policies at the expense of standardisation leads to a loss of the economy-ofscale bene ts, a loss borne by but not always directly observable by the user In the eld of mobile communications, however, (as opposed to standards in the xed network), international standardisation would in addition to the economy-of-scale bene ts offer a bene t which would be directly observable by the user, ie the ability to use one s own equipment when moving around in foreign networks.

GNSS has been used by both commercial and recreational maritime communities. Navigation is enhanced on all bodies of waters, from oceanic travel to river ways, especially in bad weather.

This feature was not implemented in any network except the Nordic NMT system, opened in 1981, which allowed users in Denmark, Finland, Iceland, Norway and Sweden (later expanded to the Netherlands and Switzerland) to use their terminals in the countries where the NMT system was installed, and in the German Network B, which was built in the Benelux countries and Austria In general, however, the political and regulatory dif culties concerning use of radio equipment in foreign countries were very much against creating a Pan-European system which could be used when travelling abroad..

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