A 59-year-old caucasian female presented with increasingly severe and intractable disease over a 15-year period.
If symptoms become intractable to medical management for a prolonged period of time despite adequate adjustment of medication, medical management is considered to have failed.
This approach provides a technique which assesses the fit of different models rather than attempting to solve the intractable problem of identification inherent in age, period and cohort analysis.
T. J. Jackson Lears, a cultural historian who edits the quarterly review Raritan, said, "The tendency to this sort of lamentation is perennial in American history," adding that in periods "when political problems seem intractable or somehow frozen, there is a turn toward cultural issues".
It began, "The United States should now be prepared for one of the deepest and most intractable recessions of the post-World War Two period".
Playing the notoriously intractable valveless trumpet (and, for that matter, many another period instrument) is inevitably an inexact art, but the strangled sounds here went beyond the mere inexactitude of, for instance, some of the string and woodwind intonation.
Given that noir is, glaringly, the only mode of fiction that's appropriate to or capable of navigating intractable moral black spots like the Belfast of that period, this serious investigative usage might be looked on as almost an obligation of the genre, though it's rarely put to such a purpose.
These committees recommend that patients who experience sustained periods of suboptimal oral intake, severe mucositis, intractable vomiting or 'malnourished patients' be considered PN candidates.
Can the shock of Israel's assault succeed where the reasoned steps of the Oslo peace process failed?The immediate measures, intractable enough in themselves, are a ceasefire, followed by a confidence-building period.
Indication for surgery was cervical pain associated with intractable radioculopathy that did not respond to nonoperative (conservative) treatment for a period of at least six weeks, or demonstrating progressive neurologic deficit during a period of observation.
