Yanko ignored him and focused on the white vertebrae stretching across the harbor in front of him, sloping up to the massive hipbones and rib cage. Even with the feet anchored in the sand a few feet below the surface, the skeleton rose nearly thirty feet over their heads. Only one of them could run up the bone tail at a time, and he intended to be first. Three women in clan robes stood out on platforms underneath the rib cage, final-year students at Stargrind, Yanko had been told. Each of them had been assigned one of the applicants, with the instructions to make the course difficult. Yanko hoped to get to them quickly, before they could craft too many obstacles to hurl at him.
Yanko took the lead again, wondering if he should have been the one to grab the swords. If they encountered the enemy in the tunnels, he might not have time to summon a magical defense. The passages on this first level had been hollowed out hundreds of years earlier and were wider than the ones below. That should give him more space and more time to react, but it would also allow a number of people to attack them at once. He held the makings of a barrier in his mind as they advanced, following the cart tracks toward the lift and the way out.
The Black Mage First Year Epub 22
Because of the ineffectiveness of medical therapy, surgery has been the approach for treating endometriomas. Complete resection of the cyst wall is preferred to minimize thermal injury to the ovary, have greater assurance of complete removal, and obtain a specimen for pathologic examination. In two retrospective studies, pregnancy rates after laparoscopic treatment of endometriomas in infertility patients were 50% (26 of 52) and 52% (12 of 23).230, 231 In a prospective cohort study comparing endometrioma treatment by laparoscopy or laparotomy, the estimated cumulative pregnancy rate at 3 years was 52% with laparoscopy and 46% with laparotomy.232 The size or number of endometriomas did not affect the pregnancy rates. The recurrence rate of resected endometriomas is less than 10%, with an associated 20% incidence of de novo adhesion formation and approximately 80% incidence of recurring complete or partial dense adhesions.230, 233 The use of sutures on the ovary to achieve hemostasis following cyst resection instead of bipolar coagulation may reduce the rate of postoperative adhesion formation234 and functional ovarian damage.235 After drainage and cystectomy, normal ovarian function appears to be retained.236 However, postcystectomy ovaries may also have reduced follicular response in natural and clomiphene citrate-stimulated cycles.237
Of individuals who reported having had a discussion about douching, 51% reported also having a second discussion between 12 and 27 years of age (m = 19.6, sd = 3.98). These conversations occurred with a friend (56%), girlfriend or spouse (29%), mother (6%), or sister (6%). The content of the second discussion and reasons for recommending douching were similar to the first discussion. Context for the first and second discussions are outlined in Table 3. 2ff7e9595c
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