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But big trouble has come to Little Egypt, causing the kind of jitters more often associated with the cigarette habit.
The announcement is causing the kind of excitement among rare-book collectors and scholars that the Super Bowl is generating among sports fans.
Not a single major oil refinery has been built in the United States in nearly a generation, causing the kind of bottlenecks that lead to sudden spikes in the price of gasoline.
"There's not much indication that N.C.L.B. is causing the kind of change we were all hoping for," said G. Gage Kingsbury, a testing expert who is a director at the Northwest Evaluation Association in Portland.
But no one -- least of all government officials, who must juggle competing priorities -- knows exactly how to achieve that goal without causing the kind of economic collapse now seen in Zimbabwe.
"The government of Israel is calibrating a response that will affect the calculations of the Palestinian Authority without causing the kind of international intervention that Arafat seeks," said Dore Gold, an adviser to Mr. Sharon.
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"If men have preventative care and treat problems earlier on it could prevent them from causing the kinds of chronic pain that seems to be a barrier to work for so many people," Krueger said.
That caused the kind of inflation and shortages common in distressed former Soviet economies.
Being Elizabeth Bishop, she apologized, aghast at having almost caused the kind of pain she'd always known.
Assisted suicide, as difficult as it is, doesn't cause the kind of agony I felt discussing disability-based infanticide.
The abnormal protein deposits often cause the kind of devastating diarrhea this patient suffered through for so many months.
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