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Distal ureteral segments that show any signs of radiation damage are resectedand mobilization of the remaining normal proximal portions of the ureters is minimized tolimit any devascularization.

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The prognostication is of such a certaintythat they state that active termination of life is the only option to relief the child; thishas been reported in the Netherlands (Verhagen and Sauer 2005a , b; Verhagen 2013 ).This report was made in the context of a new protocol for termination of newborns, theso-called Groningen Protocol.

Solid arrows represent blood flows to the tissue compartments. The potential mechanism of stroke in associationwith a PFO is paradoxical embolism from a venoussource which traverses the PFO.

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