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Conventional laparoendoscopic single-site (C-LESS) pyeloplasty is technically challenging due to instrument clashing, loss of triangulation, and difficulty sewing.
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Steric clashes, loss of electrostatic stabilization between an active-site arginine (Arg305) and the phosphonate analog, and a 180° flip of the hexose moiety account for the differences in the binding orientations of the isosteric phosphonate analog and the physiological substrate.
And I mention it in the book, Unbound, that in 1992 we saw the leaders in the country inciting these micro-nations and causing tribal clashes and loss of life.
"But the clashes, with more loss of life, this is too much and it must end".
In 1993, loggers and hard-core environmentalists clashed over the loss of the island's old-growth pine forests, among the world's last.
Starc watched with interest the West Indies' first two clashes - a loss to India and comprehensive victory over Bangladesh - in the hope of unearthing a secret or two about how to chip away at their T20 crown.
Worthington is concentrating on Windsor Park clash after the loss of the trio.
But in 1995, the firm closed after a clash of egos, a loss of business and an exodus of some top lawyers.
The Salt Lake Tribune reported that Williams and Sloan clashed during Wednesday's loss to the Chicago Bulls, and Sloan, normally quick to meet with reporters after games, spent more than half an hour with Utah management before conducting a postgame interview.
Blues began their Welsh derby clashes with a 19-22 loss at home to Ospreys, then fell to a 16-22 defeat at Rodney Parade.
Mutations have been described at both sites in patients with Gordon's syndrome (E562K and S432N respectively) [ 11, 39] and would probably introduce steric clashes, as well the loss of hydrogen-bond formation.
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