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In addition these competency tools need to be part of a dynamic, ongoingeducational process (5).

A standard Orban knifeis reduced in size by approximately one third of its width (Figure 7.9). This was used to compress the fracture for 3 weeks followedby gradual distraction of 1mm per day for 10 days to stimulate bone union. The limitations of this modeare the issues created during spontaneous breath-ing (Branson and MacIntyre 1996). Van Hove JL, Yang HW, Wu JY, Brady RO, Chen YT (1996) High-level production of recom-binant human lysosomal acid alpha-glucosidase in Chinese hamster ovary cells which targetsto heart muscle and corrects glycogen accumulation in ?broblasts from patients with Pompedisease. The folliclecells are now identified as granulosa cells. In other words, as we have exploredelsewhere in the book, not all social groups are represented evenly throughout the spectrum ofpsychiatry.

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