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children born to these patients had any evidence of congenital anomalies.24 Fertility-sparing surgery in malignant GCTs does not compromise survival. In a study by Low and Perrin, 74 patients underwent fertilitysparing surgery for malignant GCTs. The average age in their series was 21 years. Approximately 75% were stage I, 4% were stage II, 15% were stage III, and 5% were stage IV. At a follow-up period of 52 months, survival was 98% for early-stage disease (stage I, II) and 94% for patients with advanced disease. Of those patients who underwent chemotherapy, 62% developed amenorrhea but 92% had a normal return to menstrual function at the conclusion of chemotherapy. There were 14 babies born to this cohort of patients who underwent chemotherapy, with no reported congenital anomalies.25 For those women who undergo chemotherapy, there is a risk of ovarian dysfunction and failure. Fortunately, the majority of young women who are cancer survivors can anticipate normal menstrual ( 80% of women) and reproductive function. Factors such as older age at the initiation of treatment, greater cumulative drug dose, and longer duration of chemotherapy may contribute to the compromise of ovarian function. The only established method for preservation of child-bearing potential in women at risk for ovarian failure is embryo cryopreservation. This technique should be offered to appropriate candidates before the initiation of chemotherapy. Other experimental techniques with unknown ef cacy include cryopreservation of oocytes or ovarian tissue.



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basic possibility assignment coincides with the basic probability assignment, because there is only one possible outcome per context These considerations illustrate in more detail the fact that the degree of possibility of an event can also be seen as an upper bound for the probability of this event, derived from a distinction of cases Obviously, the bound is tighter if the sets of possible values per context are smaller In the limit, for one possible value per context, it reaches the underlying basic probability assignment They also show that degrees of possibility essentially model negative information: our knowledge about the underlying unknown probability gets more precise the more values can be excluded per context, whereas the possible values do not convey any information (indeed: we already know from the domain definition that they are possible).





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intervention For example the decision, as to whether the patient should be detained in or released from hospital, is highlighted as a major occasion for protecting civil liberties But moving from hospital living to community living, especially when clinicians are positioned into opposition to patients in the legal hearings, is a major, very dif cult to manage, jump It is regularly made into a bigger risk of harm than it needs to be We should think of risk-taking as a process, as including decisions for action, inaction and non-decisions Services should not be allowed to avoid the responsibility to take risks, to tackle clients problems, to move them on step by step (Elbogen and Tomkins, 2000) Perhaps the patient cannot, realistically, expect discharge from the maximumsecurity hospital for several years.

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Resources are targeted for high-poverty school districts, and monies are provided to meet the educational needs of children with limited English proficiency; children of migrant workers; Native American children; children who are homeless, neglected, delinquent, or at risk of dropping out; and young children and their parents who are in need of family literacy services Unlike previous amendments of ESEA, the No Child Left Behind Act of 2001 requires statewide reading and mathematics tests each year in grades 3 8, beginning in 2005 2006 Each state must attain academic proficiency for all students within 12 years, and districts must document progress toward that goal each year Districts must make public school choice available to pupils in schools that fail to demonstrate progress for two consecutive years and offer supplemental tutoring after a third year of failure to demonstrate progress.

Therefore, we must strive to exclude as many values as possible in the contexts to make the induced bound on the underlying probability as tight as possible As just argued, the basic possibility assignment coincides with the basic probability assignment if we use a set of contexts that is sufficiently finegrained, so that there is only one possible value per context If we use a coarser set instead, so that several values are possible per context, the resulting basic possibility assignment gets less specific (is only a loose bound on the probability) and the basic probability assignment is clearly to be preferred This is most obvious if we compare Tables 23 and 25, where the ranking of the degrees of possibility actually misleads us.

But that does not justify hospital staff in failing to take a sequence of risk decisions to allow him or her to live with less restriction (and at less cost) albeit within very secure walls It does not justify failing to take a sequence of risk decisions which could ensure that the individual is better able to make a success of eventual discharge Lawyers should not be interested exclusively in risk-taking at the formal legal stages such as detention, compulsory treatment, discharge, guardianship They could do more good for their clients, by advocates in the richer sense of that word, by checking and ensuring that a sequence of risk decisions, appropriate to the client, is taken Risk-taking is normal, not abnormal, behaviour.

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