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There are similar local refining partnerships with Exxon, Total of France and Sinopec of China, while Shell has the most substantial joint venture with Aramco outside Saudi in its Motiva Enterprises operation in the US.
In addition, relatively few patients demonstrated substantial joint damage progression.
We also performed elbow synovectomy at advanced stages and this was not followed by substantial joint instability.
Rheumatoid arthritis (RA) is a chronic, inflammatory disease with the potential to cause substantial joint damage and disability.
All patients had established RA according to the 2010 ACR/EULAR classification criteria [ 22] and substantial joint effusions requiring therapeutic aspiration.
It is of uttermost importance to recognize early synovitis, before substantial joint damage occurs and to start early and aggressive therapy in order to improve short- and long-term outcomes [ 5- 7].
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Interred with him are the remains of substantial joints of meat from at least four horses (represented by 424 horse bones) possibly eaten at his funeral, as well as some cow and pig remains.
C/K resulted in substantial knee joint swelling, which was significantly and dose-dependently (P < 0.00001; one-way analysis of variance; n = 4 per group) inhibited by SAM-11 pretreatment (Fig. 1).
No attempt was made to exclude patients with a secondary diagnosis of inflammatory sacroiliitis (eg, ankylosing spondylitis, rheumatoid arthritis) because it has been the clinical experience of the authors that these patients still have substantial SI joint pain.
5 Owing to the detrimental effect of high-impact articular loading, articular cartilage surface restoration should withstand the substantial mechanical joint stresses of up to 20 times body weight generated during high-impact, pivoting sports.
Previous research has contended that during the transition from double leg support to single leg support, the location of the center of mass decreases rapidly and shifts to the supporting leg, showing that elderly people require substantial hip joint and spinal strength to maintain body balance [ 38].
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