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One reason for the radical procedure, the researchers say, may be that a partial nephrectomy is a technically more difficult operation.
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Today there are 23 fistula surgeons in Uganda, but only four of them are able to carry out the more difficult operations.
In geometry and in the other branches of mathematics, one starts with what is easier and then one slowly advances to the more difficult operations.
That may require more difficult military operations against the Taliban in their southern stronghold, where the United States lacks a combined Afghan force like the Northern Alliance.
The foreign secretary earlier spoke of British plans to provide counter-terrorism expertise to the Iraqi government, though he declined to go into details amid fears that could make operations more difficult to operate.
He said the results from Gloucestershire highlighted the need to make it more difficult for culling operations to be sabotaged by protesters.
This is one way subsidised theatres can earn extra income - but that is more difficult for smaller operations and those outside London.
That's just as well, because the credit crunch has made it more difficult for smaller operators to fund operations.
The problem is getting evidence to show it before putting more patients through a difficult operation.
Bleeding from scar tissue left from that made his implant operation more difficult.
The Pataki administration could also make Indian Point's operation more difficult -- perhaps even impossible -- by changing its environmental permits to limit its water use.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com