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As it turned out, her lagging energy and ballooning weight were due to a punctured appendix.
Davy Russell, who missed the ride on Sir Des Champs in the Gold Cup at Cheltenham last Friday due to a punctured lung, will return to race at Cork on Thursday afternoon, a week after suffering the injury.
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The Manxman was caught by a counter-attack featuring Bauer, Thwaites and Thomas, who had earlier required a wheel change due to a puncture, with 49km to go and, perhaps inevitably, slipped back as soon as he was caught.
With the track coming to the Audi R18 on fresher rubber, they had enough extra pace in the last 30 minutes to pass the leading No7 Toyota of Alex Wurz and Nicolas Lapierre, who had lost time due to a puncture, and claim victory by just under 16 seconds after 190 laps.
The point is amply made by looking at the overall standings after Monday's time trial: Jalabert had a disastrous day, losing time and concentration due to a puncture and slow wheel change, but he is still the only Frenchman in the top 40.
Degenkolb's chances for the stage ended with around 2 km remaining due to a puncture.
The Williams team then pitted Piquet to change tyres as a safety precaution, while Prost had already pitted earlier due to a puncture and did not need to change his tyres again.
Because damage to the shunt due to a needle puncture was a concern, the patient was referred to the neurosurgery department of our hospital; however, there was no problem with the shunt.
It is difficult to identify a causal link between the disease and the vaccination, as the source of positive CSF JEV IgM antibodies might be natural JEV infection or possibly due to a traumatic lumbar puncture.
This is usually due to accidentally puncturing a capillary bed or small vein when giving the injection.
The patient was treated with support therapy followed by blood patch on the basis of the hypothesis that the IH was related to a CSF leak due to an inadvertent dural puncture.
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