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  1. 3921
    “…With an ever-increasing human population size, increasing human impacts on the natural environment, and a growing scarcity of freshwater resources, the study of freshwater systems has become one of the most critical areas of focus for environmental scientists. Never before has there been such a need for an integrated understanding of lakes, wetlands, and flowing waters. …”
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  2. 3922
    “…Despite several previous articles in the literature, never before have so many studies with regard to anterolateral knee structures been performed. …”
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  3. 3923
    “…However, phototoxic reaction induced by pazopanib has never been reported. We present here the first case of pazopanib-induced phototoxic drug reaction in a patient with renal cell carcinoma.…”
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  4. 3924
    “…Although it has been used to provide analgesia for planned abdominal and thoracic surgery, it has never been used as a rescue technique for abdominal surgery. …”
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  5. 3925
    “…Symptom control is the mainstay of treatment for these patients, with many of the symptoms never fully being relieved. In this case report, we present the case of a 46-year-old man with chronic lower extremity ulcerations unresponsive to wound care therapy. …”
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  6. 3926
    “…This plasmid has been frequently encountered in K. pneumoniae isolates in Europe but has never been described in K. michiganensis.…”
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  7. 3927
    “…The combination of these two lesions, with the synchronous presence of ectopic pancreatic tissue (EPT) of the duodenum, has never been described in literature, to our knowledge. …”
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  8. 3928
  9. 3929
    por Almeida, Marcio R.
    Publicado 2019
    “…Correspondingly, the proper understanding of mini-implants biomechanics allowed to broaden the range of dental movements as never seen before in clinical practice. However, in order to produce better treatments, especially regarding the effects in occlusal plane, it is important to be aware of the numerous possibilities of applying force systems based on skeletal anchorage. …”
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  10. 3930
    “…Upholding human rights does not have to be incompatible with providing a needed service to a patient, which should never include an invasive exam if not medically necessary, but should include education and safety assessments.…”
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  11. 3931
    “…The combination of an aortobronchial fistula and Listeria endograft infection has never been described before. This present case should encourage and show clinicians the importance of an interdisciplinary approach in highly difficult clinical courses.…”
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  12. 3932
    por Smith, Paul C.
    Publicado 1977
    “…Immunization programs never will usurp the central role of sound management practices and good nutrition in the disease prevention program of the commercial dairy operation. …”
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  13. 3933
    por Vinod, B.
    Publicado 2020
    “…With a steep drop in demand and flight cancelations on international routes, airlines have reduced capacity on a scale that we have never seen before. In the current environment, airlines are strapped for cash, and cashflow is a prerequisite for survival. …”
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  14. 3934
    “…However, to the best of our knowledge, combined presence of these signs has never been reported before. Herein, we present a COVID-19 patient with numerous atypical target-shaped, combined halo and reversed halo pulmonary lesions, in the absence of any other underlying disease.…”
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  15. 3935
    por Kotagiri, Rajesh, Saunders, Aaron T
    Publicado 2020
    “…This case highlights significant morbidity and mortality in septic CST where all aggressive treatments did not lead to clinical improvement, and the precipitating cause of the thrombosis was never found. The patient reported herein decompensated despite several investigations and treatment measures due to the lack of proper evidence-based approach.…”
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  16. 3936
    por Khairoun, Chaimae, Barkat, Amina
    Publicado 2020
    “…Our paper reports a case of hepatic angioma revealed by neonatal cholestasis, thing that has never been reported in the literature to our knowledge. …”
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  17. 3937
    “…For over 15-years, proponents of the One Health approach have worked to consistently interweave components that should never have been separated and now more than ever need to be re-connected: the health of humans, non-human animals, and ecosystems. …”
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  18. 3938
    “…The diclidophorid Flexophora ophidii Prost & Euzet, 1962, the type- and only species of the genus Flexophora Prost & Euzet, 1962, has never been redescribed neither reported since its original description. …”
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  19. 3939
    “…The penile agenesis associated with adrenal insufficiency has never been reported in an infant. We report a rare case of a newborn that was diagnosed as a case of aphallia with vesicorectal fistula and vesicoureteral reflux, complicated by adrenal insufficiency with salt-wasting crisis.…”
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  20. 3940
    por Vogel, Wendy H.
    Publicado 2020
    “…However, because of the compliance and regulatory environment, determining fair market value is never simple. In addition, potential variances in compensation reported in national surveys and other factors can affect fair market value. …”
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