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Interhospital transfer of the patient from a spoke to a hub hospital is expedited from class D hospitals if: (A) fibrinolysis is contraindicated; or (B) unsuccessful fibrinolysis is clinically suspected with failed reperfusion (ie, rescue PCI).
Or consider a hidden city ticket: Buy a ticket from a spoke city to another spoke city via the hub, then don't take the connecting flight.
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"We saw our position in the industry starting to shift from being a spoke in the wheel with the label being the hub to us being the hub that was driving out these spokes," says Jason Garner, the recently anointed chief executive of global music for Live Nation.
Wipe each stroke outwards from the center like a spoke on a bicycle wheel.
That is, the model predicts that if gap junctions are nonrectifying, the response of the circuit should be not only enhanced by coincident activation of multiple spokes but also inhibited by an inactive spoke, whereas there should be less or no effect if a spoke is removed from the circuit altogether.
Dowsett turned despair to delight and gloom to gold with every gruelling spin of a spoke, upgrading his silver from four years ago to emerge as Commonwealth champion.
Add straight lines inside the wheels that will serve as a spoke, the rods rotating from the center of the wheel.
This ability of nonrectifying gap junctions to either transmit current into the hub from an active spoke or away from the hub into an inactive spoke could facilitate coincidence detection.
Palpation should be methodical and performed over the entire breast; it is done either in concentric circles or outward from the nipple, using a spokes-of-a-wheel approach.
The rays at the end of the log should appear to be in a spoke-like pattern from the center.
A man believed to be in his 40's was found dead on a West Village street yesterday, his body suspended by a studded leather collar around his neck from the spoke of an iron fence, the police said.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com