During the Kamakura period the aristocracy accepted the bitter pill of distant shogunal rule, but the Ashikaga presence in Kyōto placed those who were perceived as boorish upstarts at the helm of cultural arbitration.
Based on the novel of the same name by Pierre Boulle, the film centres on a group of astronauts led by George Taylor (played by Charlton Heston)—who crash-land on a strange, seemingly distant planet ruled by civilized apes.
As social conditions change — for example, the technology and tactics of warfare, and our ability to affect the interests of distant others — rules of conduct that had been accepted in the past must be subject to revision, lest learning cease and people remain mired in dysfunctional habits (E 275 9).
Two smallish islands, Britain and Ireland, ruled distant countries that dwarfed them in size; and as rival European powers began to mount a challenge to them in the era before the first world war, Kipling's brooding poetry pointed up the fragility of Britain's global supremacy.
Before study inclusion, distant metastases are ruled out by contrast-enhanced (ce CT scan of chest and abdomen.
However, since complete resection was achieved, lymph node or distant metastases were ruled out, and the patient refused, no adjuvant therapy was applied.
The variations made on the tube controlled for the distant-based procedural rule by omitting the inverted the trap control condition.
In case of a suspicious lesion, a biopsy should confirm local recurrence and patients should be referred for local salvage prostatectomy when distant metastases are ruled out.
Before SLNB, evidence of macrometastatic disease in regional lymph nodes or distant sites was ruled out by physical examination and individual staging procedures such as ultrasound, chest X-ray and computed tomography.
Locoregional radiologic staging was performed using prostate magnetic resonance imaging (MRI), and distant metastases were ruled out using a pelvic MRI and radioisotope bone scan in any man with a Gleason score ≥7 on any histology, prostate-specific antigen ≥10 ng/ml, or clinical/MRI T stage ≥T3a.
