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The "outflow" in strand-2 creates the necessary perforation in the sheet that allows the active glutamate to access the scissile bond of the substrate bound on the exposed face.
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Treatment consists of culture-guided antibiotherapy, drainage, abcess and laparotomy for fishbone removal followed if necessary by the perforation site repair.
In all cases, surgical treatment of corneal thinning was necessary, but corneal perforation occurred in two cases despite intensive antimicrobial treatment with ticarcillin, gentamicin and vancomycin or levofloxacin eye drops leading to enucleation in one case.
Results presented in Fig. 1 hence show that the fluence necessary to achieve efficient perforation using a 1064 nm pulse is 20 times higher than for the 532 nm pulse.
On the fifth postoperative day, an emergency ileocecal resection with protective loop ileostomy was necessary because of a perforation at the level of the ileocecal junction where a serosal injury had been made during the first operation.
An accurate calculation of slurry distribution among multiple perforation clusters is necessary for all multi-fracture simulators.
Bowel resection including the perforation site is necessary in case of large perforations, or when primary closure could compromise the lumen.
In 30% of the cases a bowel resection including the perforation site was necessary.
Careful consideration of (i) material anisotropy, (ii) indenter-plate friction and (iii) boundary compliance is necessary for accurate prediction of the perforation energy.
But recently the courts have been far more liberal in interpreting chads than have election authorities across the country, who have generally agreed that some kind of perforation of the chad is necessary to count a vote.
The results of both modelling techniques are compared with quasi-static perforation experiments, and the conditions necessary to achieve good agreement are obtained.
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