The apex beat was palpated with the patient in a supine and lateral position, and if present the GP was asked to describe whether it was displaced (outside the mid-clavicular line in supine position), enlarged (> 2 fingers) or sustained (in left lateral position).
It sustained its position in the ratings long after Shakespeare's death.
The main finding of this study was a large and consistent difference in the distribution of normalized power of upper limb oscillations between FM patients and HCs in sustained position tasks of the elbow and shoulder joint.
Sathe commented: "I am thrilled to see E20 has sustained its position as a front-runner in online drama".
"The plan is trying to sustain the position in the short term, but in the long term we will have to have that managed retreat," Gwynedd council leader Dyfed Edwards said.
"It (fortune-telling for money) had been a prohibited activity in Temple City, and I don't think the courts are going in a direction where we could sustain that position in terms of a total prohibition," said Charles Martin, city attorney for Temple City.
Have you ever noticed how children support themselves in a sustained position during play?
Taken together these social movements threatened the legal and cultural hierarchy that sustained their privileged position in society.
I feel we will sustain a position in that area, given a fair wind and no horrendous run of injuries".
What differentiated Mute, Factory, Rough Trade and their contemporaries from other indies that came before and after was their ability to sustain a position in the mainstream – to populate it with a catalogue of releases that reflected whatever had captivated their imagination.
"Groupon is looking at this as a winner-take-all situation, but they may find it tough to sustain their position in every market," says Andrew Razeghi, a marketing professor at Northwestern's Kellogg School of Management.
