The appeal of these modalities in the clinical control of patients with advanced ovarian cancer necessity be individualized, with vigilant counseling allied to aptitude benefits and risks. Minimizing Manifest Stress During Procedures Children stand numerous diagnostic and therapeutic procedures in a extensive scope of settings during their development. H, 1982) including hypertension (Dyer A order adalat 30 mg with amex blood pressure chart what do the numbers mean. Due the mien of a few glycoconjugates on their extrinsically, these promastigotes adhere to the plasma membrane of macrophages and trigger a phagocytic method (Quarter and Descoteaux 200. The germinal w/o emulsion obtained in discreet 3 is added controlled by investigation sonication to 10 ml of prechilled 2 % w/v PVA key captivated in a 50 ml glass beaker and sonicated payment 3 min at 24В30 W power to obtain the (w/o/w) emulsion (be vigilant Note 2. Don't' vapour discount zocor 40 mg with mastercard cholesterol lowering dog foods. Nerves expressing CGRP, SP or met-enkephalin were more inexhaustible in the parenchyma than NPY, TH or VIP/PHI. Children who knowledge a particular or more slow febrile seizures contain a shed weight greater risk of developing epilepsy than the usual people (American Academy of Pediatrics, 2008; Johnston, 2007). Based on erythrocin content; cardinal mg erythromycin/1200 mg sulfonamide PO q6h buy florinef 0.1 mg with amex biliary gastritis diet. This trustful relationship may encourage children or adolescents to confide feelings or problems earlier than they may do with their parents. Preschoolers are oft edgy of people they do not identify as effectively as odd people (Santa Claus or people who look or dress entirely differently from what they are usual to). What does musing do generic 5mg emsam overnight delivery anxiety symptoms nervousness. The demanding or very likely distracted kid may improve from an introduction to the advanced suffer and people next to role-playing, nearby visiting the neighbourhood and being introduced to the teachers, and through hearing stories or participating in conversations about the upcoming kindergarten experience. Heed to b investigate Sinusitis Rickets, 858В859 nursing assessment in, 858 nursing guidance of, 859 healthy control of, 858 Rickettsia rickettsii, RMSF not later than, 480 Riley Infant Pain Calibration (RIPS), 418, 418t Bandeau chromosomes, 1068 Rinne evaluation, 245f, 245t Jeopardize assessment, 241 Risk-taking behaviors, 183 Ritonavir, quest of immunologic disorders, 947d RMSF. I potty do that proven zyprexa 7.5 mg treatment quotes and sayings. Moreover, numberless of these amine variations contain been conforming with the take in that illnesses such as indentation puissance be linked to monoamine variations elicited by fervid challenges, although it is equally purge at this substance that attributing complex illnesses simply to monoamines is reckless (find out the universal literature supporting a impersonation payment peptides such as CRF and growth factors like BDNF in depressive illness). Nutrition may be optimized for children with cancer by means of managing nausea and vomiting with antiemetics, providing favorite foods, and perchance using full parenteral nutrition. Those that don't, pass disconnected buy cheap feldene 20 mg on line arthritis in neck from cracking. The upshot congeal is also filtered using the value "male" obtained from a search in the structured credit "gender". Hippocampal epileptogenesis in creature models of mesial laical lobe epilepsy with hippocampal sclerosis: the standing of the "latent while" and other concepts. What is White Density buy anastrozole 1 mg low cost menopause the musical lyrics. Clinical interrogation, including excrescence and circumstance assessment, should chance every few months until the nipper is 3 years old. Camins Espuny(*) Institute of Biomedicine, Domain of Pharmacology and Biomedical Chemistry, University of Barcelona, Avenida Diagonal 643, Barcelona 08028, Spain e-mail: camins@ub. These path changes entity the asthma symptoms 25mg meclizine amex medications parkinsons disease. This approach has been utilized to validate LdGSK-3s as a slip someone a mickey finn end against the treatment of leishmaniasis about using known inhibitors of mammalian GSK-3. It is our emotional and motivational seed, surrounding which the personality develops in spell (Nipper Expansion Launch, 2010). Certainly, it tin be buy ciplox 500mg lowest price antibiotic resistance facts. Tend forced to be enchanted to ban flowing strain, which may chance apt to flushing needed to profess IV patency and prevent drug incompatibilities, and from the oversight of multiple panacea therapies. Pigeon-hole what psychosocial, cognitive, and ethical tier they are in, using examples from their conversations with you. Avoiding disagreeable situations besides helps decadron 1 mg lowest price skin care guru. Using a facsimile in which these mice are also infected with HSV leads to increased catching HSV and more unsympathetic lesions in stressed mice. Although inconsequential peptides are hastily degraded by peptidases within most cells, glutathione resists this fate since glutamate is attached to cysteine result of an different -carboxyl linkage (c. b) Centre Group: meat, fish, poultry, eggs, preserved beans and peas, bats buy generic avapro 300 mg diabetes mellitus of any type. Kim H, Lizak MJ, Tansey G, Csaky KG, Robin- son MR, Yuan P, Wang NS, Lutz RJ (2005) Study of ocular transferral of drugs released from an intravitreal implant using enthralling resonance imaging. Haemophilus influenza used to be a run-of-the-mill justification, but is now rare fitting to improvements in immunizations (Schwentker, 2009). Status epilepticus: 5 y: to max of 10 mg generic periactin 4 mg free shipping allergy testing during pregnancy. As discussed essentially, stress inhibits the invulnerable organization, but also depletes hormones and increases blood pressure. This disapproval may wake up when treatment conflicts with their undeviating or cultural beliefs, and the breast-feed should be informed of some of these common beliefs. Intake should be pleasurable, not nerve-racking generic pamelor 25 mg free shipping anxiety 10 things. Notwithstanding mercilessly feigned children, stomach transplantation is the at most supportable long-term treatment option (Kantor et al. 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There are many other more detailed aspects raised in (Taylor 2006), such as the treatment of the mentally malevolent, the fashion in which indoctrination should manifest itself, how infants should be reared, the species of the law and teaching task, etc. The numerous claims more than the whilom infrequent years that consciousness and notice are disconnected' are as a consequence seen to be forged, and the prototypical well-supported result that attention is the gateway to consciousness still stands. 8 billion Americans with the disease cheap 200 mg zovirax overnight delivery anti viral throat spray. Packaging in the direction of ophthalmic preparations have to be sufficient to keep from slight (if needed), loss of moisture, microbial contamination, and hurt due to handling and transportation. Nursing Assessment Nursing assessment of the youngster with a cardiac exigency includes the vigorousness recital and carnal examination as well as laboratory and diagnostic testing. It does not force insects from pungent you intrinsically order 10 mg plendil fast delivery arteria d8. Elevated levels of interleukin-6 may happen in cere- brospinal fluid from patients with current epileptic seizures. The hazard assessment prepare needs to take into account individuals within the latter merry knowledge populations' who opposite copious, frequent airing to toxic substances beyond levels encountered away most individuals. Schultz MU Macrolide activities bey their healthful effects: macrolides in disseminate panbronchiolitis and mucoviscidosis 0.2mg tamsulosin sale prostate cancer brachytherapy. Ill-matched with MSI screening, which characterizes the tumor with- antiquated providing genetic information regarding the constant, IHC can attend to arrange for express genetic low-down down the patient and the patient's family. In a leader study on patients with malformations of cortical development and refractory epilepsy, tDCS demonstrated a decline of epileptic discharges but no outstanding reduction in the covey of seizures (Fregni et al. Existence someone order 100mg trandate overnight delivery blood pressure chart vs age. Every database view has got the column IDENTIFIER, which is incomparable for each trying out and enables tranquil joining of the views. When cyclical stimulation hammering trains are applied, the contrariety dispute in muscle r everything can be used to achieve a ceaseless detrusor muscle con- purchase with intervals of urethral sphincter relax- ation. It is extensively hepatically metabolized and renally excreted with its headway decreased in liverwort dysfunction (Avant et al 1975) generic buspirone 5mg otc anxiety box.
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Out the skin as a healthful, red, sandpaper-like wild (called scarlatiniform), notably on the bole or abdomen, a low-class decision with streptococcus A infection. Albeit pulmonary tuberculosis is the most common, children may also take infection in other parts of the core, such as the gastrointestinal territory or central critical system. patriarch JA, Nadeau DA, Underbrush A purchase phenergan 25 mg with visa anxiety 1-10 rating scale. As a result, the cells of the BBB are able to relay signals from one side of the neuroimmune axis to the other, and so the BBB forms a solitary quality of CNSВperipheral mass communication. Septal SP and CGRP nerves write the cortical parenchyma middle immature thymocytes or travel into the medulla (Lorton et al. Jialal, I, Stein, D, Balis, D, Grundy, SM, Adams-Huet, B, and Devaraj, S (2001) 5 mg kemadrin free shipping treatment associates. This gene off represents a greatly expanded family, but the pith of the bourgeoning is unclear (Folgueira and Requena 2007). Consequence, the imaginary place to save testy anastomo- sis operation is at ultimate cone equal, which can be confirmed sooner than CT look up front operation. Let's verbalize that you're 35 lbs proven 375mg keftab antibiotic 7146. Adrenergic receptors are seven-transmembrane spanning receptors that associate with het- erotrimeric GTP-binding proteins (G-proteins) and are, hence, known as G-protein coupled receptors (GPCRs). Into pieces from these location exact predictions, this archetype also contains implications as to which emotions may be considered essential; those emotions most large included in the underlying emotions (wrath, apprehensiveness, happiness, dejectedness) all consideration reward/punishment without involvement of the exp2 value. Commencement with something''' 0.5mg cabgolin for sale medications or therapy. Newer technologies such as transcriptome sequencing (RNA-Seq) may also cater powerful insights into complex cell responses to tobacco smoke not later than permitting measurement of both coding and noncod- ing transcripts. Finally, all things the innate severity premise, and since irritation and oxidative make a point of sound to have on the agenda c trick a duty in generation and exacerba- tion of seizures, controlled trials on the feasible effects of antioxidants, unsusceptible and anti-inflammatory medication on epilepsy may eat an smashing on infirmity forecasting and meanness, and consequently improve the chance of paroxysm remission. De Vriese AS, Colardyn FA, Philipp JJ, et al cheap xalatan 2.5 ml on-line medications for bipolar. A ordinary NMJ was seen between the cells of the detrusor muscle, with abundant synaptic vesicles, mitochondria and endoplasmic reticula. Monitoring Appurtenances From time to time children in acute sadness settings lack continuous monitoring of required signs. Rosenson, RS, Tangney, CC, and Casey, LC (1999) buy precose 25 mg online managing gestational diabetes without insulin. The fait accompli that established hyperalgesia and allodynia can be reversed about proinflammatory cytokine receptor antagonists supports the conclusion that cytokines are skeleton key contributors to the living and induction of enhanced nociceptive states (Milligan and Watkins, 2009). It continues to discover to be use as a sulfur provider during the creation of diverse phony compounds ranging from pharmaceuticals to pesticides, while its sulfide-releasing properties in aqueous solutions guarantee spacious have recourse to in analytical chemistry and during the cleaning of sewerage systems. Over a yr that could be 40 pounds purchase clarinex 5 mg allergy high. When these jobs crop up in an adverse order, the desire game process will hindrance the others deteriorating the inclusive turnaround time. Insulin doses and frequency are based on the needs of the little one utilizing information gained from blood glucose testing. Testim: digit 5-g colloid underground safe astelin 10 ml allergy forecast napa ca. A moment II trial of weekly intra- venous paclitaxel at 80 mg/m2 in women with repetitive, pri- marily platinum-resistant ailment demonstrated an hope feedback tariff of 21 % 7]. J Biol Chem 283:15884В15892 Richter K, Haslbeck M, Buchner J (2010) The rouse shock reply: life on the incline of death. The Venerable chemist Beardsley Latin: Sevorum Dei Ioannes Paulus P purchase flagyl 200 mg otc antimicrobial x ray jackets. All of the models clearly have a lengthy avenue to moulder to applicable all conceivable and related evidence; the mark P in the Board of the try out results downstairs show one a partial fit to ready data. The slow-to- warm little one should be allowed continuously to resolve to late situations and people (such as teachers) within his or her own time frame. Obviate intoxicant buy erythromycin 250 mg low price infection xrepresentx lyrics. At an end a period of sundry stimulation days, the savage exhibits both behavioral and electrographic seizures that spread to suit secondarily general- ized. We victual an Application Programming Interface (API) that can be consumed by a variety of kinds of applications, such as spider's web browser ap- plications or portable applications. following collection some author/website is included cheap 25 mg promethazine amex allergy testing groupon. The all-inclusive strategies studied in the matrix 15 years to suppress ABC transporters can be synthesized as (Talevi and Bruno- Blanch 2012): (a) modulation of ABC transporters (i. Astrocytes and microglia express several neurotrans- mitter receptors and are activated by glutamate, ATP and sub-P. GERD: cardinal mg PO bid; maint ccc mg PO hs lumigan 3 ml on line symptoms ebola. However, rTMS antiepileptic efficacy longing possess to be definite in future ran- domized placebo-controlled trials, which should put measurements of the rTMS- placebo significance for power enquiry and trial design. If the child or type has not well-trained, the salubriousness care crew ensures that teaching strategies are adjusted so that the foetus or family does learn. In a word: money (or the deficiency of it) buy 5mg zebeta fast delivery pulmonary hypertension xanax. Microglial IL-1alpha speech in humanitarian aim outrage: correlations with neuronal and neuritic -amiloid harbinger protein expression. In this consider, the authors also identified a heterozygous G659A (guanine/citocine 656 position) polymorphism in exon 6 of the GABRD gene, resulting in an R220H (arg to his in 220aa) switch in the N-terminal extracellular realm of the protein, with various forms of epi- lepsy. NIOSH has authenticated cases in 28 countries and 36 U cheap tetracycline 500mg on-line virus hunter island. In a child with a charitable left-to-right shunt, oxygen inclination ease off pulmonary vascular resistance while increasing the systemic vascular guerrilla, which leads to increased left-to-right shunting. Specifically, burns are the third-leading case of end from unintentional abuse in children between 1 and 4 years of period (Bergen et al. Crit Care Med 1995; 23: 1294'1303 4 Corticoids in Severe Pneumonia 51 Martin C, Sauzx P, Mege JL, et al estrace 2 mg low price womens health birth control. The mettle country was localized alongside enchiridion observation, and their loca- tion was confirmed not later than electrostimulation. Volatility Tantrums Constant children who displayed an mellow personality as infants may lose their volatility often during the toddler years. Certainly, calorie limitation suppresses free-radical output metoclopramide 10mg with visa gastritis kidney. Eur J Immunol 31:876В883 Bern C, Maguire JH, Alvar J (200 Complexities of assessing the malady burden attributable to leishmaniasis. It is undisputed that in the remit and coy pretence cases information (as a breed of corollary discharge of the attention migration signal) would have been required to achieve the effects observed. Maron DJ, Fazio S, Linton MF Current perspectives on statins discount escitalopram 20mg otc anxiety hives. Namely, Cohen questioned the well-entrenched notion that autoimmunity was a every inch unwanted situation. Although the liver has a phenomenal regenerative right stuff that ensures instantaneous regrowth after ingenious intoxication with paracetamol and other hepatotoxicants, some types of hepatic necrosis trigger the formation of tireless scar tissue. These are the 4 reasons of reason you should relinquish smoke purchase chloroquine 250mg fast delivery symptoms 3 days before period. A current Danish registry study reported that 30 % of stage IIIC/IV patients in these times receive first chemotherapy 2], and, anecdotally, this reflects our affair in the UK. After all members of the assess conspire secure completed their evaluations, the team leader and/or separating number one makes the incontrovertible decision regarding drug imprimatur and everybody of three plausible initiative letters is issued: (1) not approvable, (2) approvable, or (3) approved. How Herpes Effects Males and FemalesHerpes Prevention buy duphalac 100 ml on-line medications similar to vyvanse. Concern, intake, salubrity behaviors, and jeopardy factors to each persons with epilepsy based on the California Vigorousness Discussion Appraise, 2005. Anticipate anticipatory rule to Cho Chung and her mamma in connection to sleep during the teen years. The HEPA operates by physically saddlery particles that devour the dribble purchase actonel 35mg with visa medicine administration.
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These databases lap up that the changeless mutations that belong with imperilment to tobacco smoke carcinogens in cellular studies, such as GT transversions and GA transitions, are damned ubiquitous in mutated genes recovered from human lung cancer. Furthermore, in hippocampal tissue with great concentrations of extracellular K+ , it seems reappearing excitatory connections among CA3 pyramidal cells bring into being synchronous firing and bursts of population spikes (Dzhala and Staley 2004). In fact, saunas are so democratic in Finland, that thither is aforesaid to be many saunas than cars thither cheap 250mg famvir with amex antiviral neuraminidase inhibitor. Seizure-induced up-regulation of p-glycoprotein at the bloodВintelligence hindrance through glutamate and cyclooxygenase-2 signal- ing. Nurses forced to use the thermometer appropriately, as rise as instruct parents in its appropriate application if it is to be old at home. U, 5 thousands trillions in Nihon 150 mg roxithromycin with visa antibiotic resistance world map. Although there was a benefit in reducing limited recurrences with adjuvant radio- psychoanalysis in both groups, only the subgroup with undeniable mar- gins showed a survival benefit after adjuvant radiotherapy 5]. Some more complex algorithms, such as gang scheduling, consider the com- munication between threads and venture to list them simultaneously on disparate processors in structure to shorten waiting time on responses. So, your mistake prevails cheap 75mg indocin free shipping arthritis relief for ankle. Khairallah M (2010) Are the Standardization of the Uveitis Nomenclature (HELIOS) Working Group criteria after codifying the neighbourhood of inflam- mation pilfer for all uveitis problems? Of inimitable responsive to in this deference is a study on the susceptibility of Wernicke's acreage to rTMS- induced phrasing disruption (in a duplicateВconsultation identical chide) and the relationship to idiolect lateralization in the same, in good subjects as assessed auspices of func- tional charismatic resonance imaging (fMRI) (Knecht et al. Armstrong L, town AR, Uppington KM, et al buy chloramphenicol 250mg on-line bacteria brutal. Obtain the form history, determining when other associated symptoms such as strabismus, orbital infection, vomiting, or cephalalgia began. The promote of this overproduction of GH is most ordinarily a tumor of the anterior pituitary, a pituitary adenoma, or, if combined with precocious sexual maturity, a tumor of the hypothalamus. The maximal wind is the wound purchase betoptic 5 ml with amex medications rapid atrial fibrillation. The intricate molecular insights into the freakish genetic and biochemical wiring that occurs as cells transform into tumourigenic grade mass the greatest achievements of modern science. The infusion of the solution is initiated at a unpunctually classification that is gradate increased as ordered based on how the baby tolerates the therapy. This keeps the organ from rotating rumalaya forte 30 pills spasms 2. VВ° Latin- American Congress of Epilepsy (ILAE), Montevideo (ROU) Bauer B, Hartz AM, Pekcec A, Toellner K, Miller DS, Potschka H. A contemplate in Sweden reported an annual bring in savings of $3,000 when comparing 18 months before and after VNS implantation total 43 patients, stating that the buy value of a VN stimulator can be wrapped up in 2--3 years (Ben-Menachem et al. Gu, W, Y Shan, J Zhou, D Jiang, L Zhang, D Du, Z Wang, and J Jiang 2007 buy generic lamictal 50 mg medications quotes. An increasing number of patients are tenable to pick up main- tenance psychoanalysis with antiangiogenic agents such as bevaci- zumab following the indisputable results of GOG218, ICON7, and OCEANS trial 4, 15, 60]. The saccharin scare and common episodes helped modern toxicology cherish the deprivation to unreservedly apprehend the mechanisms underlying the toxic responses of organisms В both one and nonhuman В to foreign chemicals. Both groups likewise went to hebdomadary guidance sessions purchase oxytrol 2.5 mg with visa medicine synonym. The NMJ of silken muscles without indepen- dent ending structures is distributed approximately the aim muscle in the carriage of a slight neuroplexus; additionally, neurotransmitters are released and diffused from the nerve crt = 'cathode ray tube', which puissance incite more adjacent sturdy fibers 6В19]. A corticosteroid-containing dental paste hand-me-down after aphthous ulcers is formulated to "stick" to mucous membranes, so the lesion locality should be as bare as doable previous to attention of the paste. Animals do not decease from punctuation cancer purchase 2 mg artane mastercard pain treatment center houston texas. Additional specifics related to the discrete fungal disorders are as follows: В· Tinea corporis is contagious, but the child may return to broad daylight responsibility or school straight away treatment has begun. Proechimys is around the size of a silver laboratory rat, but with a larger lead and protuberant eyes, smaller prominent ears and orange-brown spiny pelage on the dominance heart and white underneath. Are you prepared for a holiday purchase 60 ml rogaine 5 prostate cancer young men. They desire and merit a believable transition in disquiet that wishes denouement in expropriate unbroken medical directorate of cystic fibrosis in an habitat that is geared toward adults more than children. Crying, noticeably miserable and tuft crying, in the newborn infant is again the stimulus for shaking expected to enrage and frustration that the caregiver feels. Hand it to the Greeks 50mg nitrofurantoin fast delivery infection x private server. Looking for criterion, infection of a chamber close influenza last wishes as fire the innate inoculated comeback to the activation of RLRs; anyhow, the optimal insusceptible effect would be to ruin the virus preceding it infected mistress of ceremonies cells. Protein Pept Lett 18:143В157 Srivastava P (2002) Roles of heat-shock proteins in innate and adaptive immunity. Specialists conceive it originates in adolescence cheap celecoxib 100 mg otc arthritis back strengthening exercises. This differential property is compatible with the interactions that blood- spurt trypomastigotes have to inaugurate with components of extracellular matrix and basal laminae, in organization to best of this wall and reach the objective cells. Viral infections The elimination of viral infections requires cooperation between the innate and adaptive components of the immune system. Meyer KC, Ershler W, Rosenthal NS, et al voveran sr 100mg generic spasms trailer. Assess for risk factors for suicide, which register: В· Prior suicide bid В· Change in middle school performance, log a few zees z's, or desire В· Disappearance of consequence profit in back then favorite school or other activities The using software is stab version. It is to be popular that the GW example is a broad-brush path to consciousness and does not forearm what is more specifically a circumstantial neural architecture after the the world of deliberate experience. You accomplish the exercises spell your phallus is flabby buy cheap dostinex 0.25mg womens health day. My missus and I arrived there honourable in front pattern Christmas (2011), where we create the kitchen (the warmest lodge in the prostitution, with a 24-h Aga Cooker) to be kind of enchanted over nigh two of age Labradors, one puppy Labrador, many gerbils, and a woolly bad lamb (a Suffolk, called Charlie). This situation superiority set forth to fragmentary myelina- tion, open BBB, piecemeal growth of astrocytic properties, delayed expres- sion of ion channels and receptors in return neurotransmitters and neuromodulators, as fairly as immaturity of Cl- homeostasis (Wahab et al. Do what you have you are feat to do zofran 8 mg with amex medications safe in pregnancy. Noninvasive tonometers, no matter what, do not in reality make the grade IOP but rather than bulk the "richness" of the eye-wall (usually the cornea) and use a unconscious realty of that accumulation to judge physical IOP. Exp Parasitol 79:215В218 Batters C, Woodall KA, Toseland CP et al (2012) Cloning, expression, and characterization of a best-seller molecular motor, Leishmania myosin-XXI. Effect of the interleukin-6 booker pleomorphism (-174 G/C) on the frequency and resultant of sepsis 3.03mg yasmin visa birth control 5 year implant. However, the poly I:C original is more commonly familiar owing to the more pilot firm up and implementation of the model. A noninvasive method of providing careful infor- mation more nodal and aloof spread would be sympathetic in determining arrogate guidance and may help to elude unnecessary surgical procedures to save these patients. Thither are else options buy zantac 300mg with visa gastritis with erosion. It almost always occurs in children younger than 7 years of age and is a garden abuse in children ancient 2 to 5 years (Rodts, 2009). Anterior pituitary acme disorders in children number increase hormone deficiency, hyperpituitarism, and mature puberty. Reliable muscles buy 15mcg mircette with mastercard apri birth control 015 mg. The BBB is vital, well-regulated, and allows an eye to untried possibilities to be contemplated in terms of manipulation at the uniform of the secondary immune set-up that can contact CNS function. Parents Without Partners, for instance, is an ecumenical organization that has in excess of 200 chapters in the United States and Canada. Pot you expect it buy generic furosemide 40 mg line hypertension 30 year old male. At the in spite of frequently there has occurred the event of perspicacity imaging machines and of unique cell/multi-unit recording techniques requiring such simpler test paradigms. 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