I don’t know why the New England Journal of Medicine doesn’t publish electronically all the letters it receives, but I can hypothesise. The Bostonian paragon is unashamedly elitist and committed to excellence and virtue, just like their colleagues in the city teased by Henry James in his novel The Bostonians. Presumably the editors of the journal don’t want to overload their readers with what they see as ill informed criticisms, but want to present them with the quintessence of comment, beautifully edited of course.
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own death. This is a simple yardstick to know about the noble sanctity of the messenger.
Fatigue refers to the issues that arise from excessive working time or poorly designed shift patterns. It is generally considered to be a decline in mental and/or physical performance that results from prolonged exertion, sleep loss and/or disruption of the internal clock. It is also related to workload, in that workers are more easily fatigued if their work is machine paced, complex or monotonous.
More recently, the last Soviet leader Mikhail Gorbachev kicked off his perestroika campaign to democratize the Soviet system by freeing the USSR’s most famous dissident, scientist Andrei Sakharov, from internal exile and bringing him to Moscow, where he subsequently became politically active. Some optimists hint that Khodorkovsky, too, might return to the political stage and become a focus for liberal opposition.
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Type I is lowest in density and strength and Type X is highest. would be fine too. XPS has a heavy greenhouse footprint (heavier per inch than closed cell foam) but that too would cut it. If XPS, 2 inches is the absolute max, or it becomes too vapor retardant.”