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It is difficult to judge at present which volatile and intravenous anesthetics are most appropriate for the general anesthesia of patients with BSS, but it might be reasonable to avoid a volatile anesthetic in children with BSS who have experienced convulsions in the past.
When indirect calorimetry is unavailable, systematic lowering of standard energy prescriptions from 140%to100%0% of estimated BMR would be reasonable to avoid excessive delivery of energy.
Due to lack of sufficient data and because of increased platelet inhibition with prasugrel and ticagrelor with increased risk of bleeding, it may be reasonable to avoid prasugrel and ticagrelor with DOACs due to increased risk of bleeding.
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Adding such an offset is reasonable to avoid delaying the construction just because of small shortfalls.
It is reasonable to avoid excessive hemodilution with restrictive fluid resuscitation.
With that vote in hand, it would be reasonable to enact temporary measures to avoid the fiscal cliff while Congress negotiates the details of a comprehensive agreement.
Precisely because it is reasonable to jump to avoid the gruelling business of dying, a good death would soon be seen as unreasonable – and services and budgets adjusted accordingly.
However, since a clinical impact of higher degrees of alkalosis cannot be excluded on the basis of this study, and higher amounts of bicarbonate provided will also increase the costs of treatment it is still reasonable to avoid severe overdosing, as it would have occurred without the attempt to lift the calves e.g. in calves that stood securely after lifting.
Moving towards sustainability, it is not reasonable to avoid an improvement in both rehabilitation efficiency through technological evolution and service levels, or at least to maintain the current levels.
It may not be critical for animals to maintain a steady trajectory from stride to stride in uneven terrain, but it is reasonable to assume that they avoid falls.
Because of the relationships observed in this study, as well as in others, it is reasonable to conclude that any efforts to avoid or postpone obesity, development of complications, hypertension, hyperlipidaemia and other non-diabetic comorbid conditions will enhance HRQOL and thereby improve healthy life expectancy.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com