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X Relevance buy cheap methotrexate 2,5 mg on line, either to the work of the funding body or to the student’s course. HOW TO PREPARE A RESEARCH PROPOSAL / 61 X The research is unique, or offers new insight or devel- opment. X Comprehensive and thorough background research and literature review has been undertaken. X There is a good match between the issues to be ad- dressed and the approach being adopted. X The researcher demonstrates relevant background knowledge and/or experience. X Timetable, resources and budget have all been worked out thoroughly, with most eventualities covered. REASONS WHY RESEARCH PROPOSALS FAIL X Aims and objectives are unclear or vague. X There is a mismatch between the approach being adopted and the issues to be addressed. X The overall plan is too ambitious and difficult to achieve in the timescale. X The researcher does not seem to have conducted en- ough in-depth background research. X Information about the data analysis method is insuffi- ciently detailed. X This topic has been done too many times before – in- dicates a lack in background research. SUMMARY X Most research projects will require the production of a research proposal which sets out clearly and succinctly your proposed project. X Before you write your proposal, check whether you need to produce it in a specific format.

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You make an appointment with your primary care physician and tell her your symptoms purchase methotrexate 2,5 mg overnight delivery. She peers in your throat and ears, feels your glands, and listens to your chest. After asking some additional questions, she decides on a treatment plan based on an established protocol. She may prescribe a course of antibiotics, rest, and plenty of fluids, and she might advise you to avoid milk products that can cause mucus. Unfortunately, you don’t get better—and so your mystery mal- ady begins. The following scenario is not atypical for many mystery malady sufferers. You call your physician again; she is somewhat perplexed but suggests a different antibiotic and perhaps an expectorant. Out of concern and in an abundance of caution, she refers you to a specialist, perhaps a pulmonolo- gist, an allergist, or both, and you make the rounds. These physicians, in turn, may send you for x-rays, blood tests, and other medical tests. The end result is a laundry list of possible diagnoses, a fistful of medical bills, and a medicine cabinet full of prescriptions that offer you no relief. Perhaps you’re now among the 65 percent of people who take prescribed allergy medica- tions but don’t actually have allergies. At this point, you’re confused, worried, and even slightly depressed because you’re still coughing and you can’t seem to get well. Now you may be thinking the real reason behind your medical problem must be “stress” or, depending on how fearful you’ve become, some undetected form of lung cancer. Soon your upbeat and generally good-natured physicians and their staff start to sound annoyed when you call yet again because they’ve been unable to help you.

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There should be a 3- to 4-mm posterior wall between the tunnel and the PCL Tibial Tunnel 129 Figure 7 discount methotrexate 2,5 mg visa. The oblique position of the tibial tunnel allows the drilling of the femoral tunnel at the 11 or 1 o’clock position. Femoral Tunnel Patellar Tendon The Bullseye femoral aiming guide is inserted through the tibial tunnel and hooked over the top of the femur (Fig. The over-the-top Bullseye guide, from the Linvatec GrafFix (Linvatec, Largo, FL) system, is used to position the K-wire for the drill (Fig. The Bullseye guide is removed and the 10-mm C-reamer is manually advanced to drill the femur (Fig. A footprint is drilled deep enough to be sure the posterior cortex is not drilled out. When Femoral Tunnel Patellar Tendon 131 you have determined that the posterior cortex is intact, advance the bit to a depth of 30mm (Fig. The knee is flexed to 120°,the notcher inserted into the anteromedial portal,and the supero- lateral aspect of the tunnel is notched (Fig. The notching should only be at the entrance of the tunnel rather than run the whole length. The tunnel is notched to start the BioScrew; avoid breaking the screw in young patients with hard bone. The eccentric guide is put into the tibial tunnel, through the joint, and again into the tibial tunnel. Once the pin has penetrated the far cortex, a kocher should be placed against the lateral thigh to stop the pin from skiving up the thigh. The guide wire for the screw insertion is put through the anteromedial portal and placed into the channel in the two-pin passer.


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