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It's never changed in a quarter of a century, so I don't think we'll do anything different now".
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It is noteworthy that the classification of a patient in a given PH subtype may change in a quarter of cases, especially when the diagnosis is probable, even in expert centers [40].
However, Gatwick airport said the committee's statement that the arguments over airport expansion had changed little in a quarter of a century was "astonishing", saying that it ignored "significant change within the aviation industry following the breakup of the BAA monopoly in 2009, and the worsening of air quality in the UK which has repeatedly halted Heathrow's plans in the past".
The changes mean that in a quarter of Britain a family paying a typical rent on a three-bedroom home would need to find an extra £100 a month or more as soon as they became unemployed, or risk getting into arrears and losing their home.
He said President Barack Obama is now starting the fourth quarter of his presidency - and added a lot can change in the fourth quarter of a game.
45 seats have changed hands in by-elections since 1979, in a quarter of the 165 by-elections which took place.
Prior to Governor Scott's changes, nearly a quarter of those disenfranchised in Florida were African-American.
The oil giant Shell issued a stark warning of the catastrophic risks of climate change more than a quarter of century ago in a prescient 1991 film that has been rediscovered.
The incidence of pesticide poisoning can change in different quarters of the year due to the season-specific agricultural activities, which have a direct relationship with pesticide availability [ 6, 12, 28].
The science on climate change has been in for a quarter of a century.
It was unclear in over a quarter of guidelines whether changes in practice in response to review recommendations were audited or monitored; such auditing should be mandatory.
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