Related by context. All words. (Click for frequent words.) 72 AV fistula 65 arteriovenous fistula 62 superficial femoral 61 arteriovenous fistula AVF 61 coronary bypass grafts 61 angioplasty stent 60 repair TEVAR 60 descending thoracic 60 liver resection 60 thymectomy 60 arteriovenous access 59 angioplasty stenting 59 transurethral 59 pulmonary artery banding 59 functional mitral regurgitation 59 balloon valvuloplasty 59 carotid artery stent 59 transcranial Doppler ultrasound 58 valvular 58 lumen diameter 58 anterior lumbar interbody fusion 58 ascending aortic 58 abdominal aortic 58 aortic root replacement 57 saphenous vein grafts 57 intracavitary 57 endovascular abdominal aortic 57 trans urethral resection 57 intraluminal 57 AV fistulas 57 transesophageal echocardiography 57 percutaneous catheter 57 balloon dilation 57 neointimal 56 pacemaker implantation 56 TAXUS Liberté stent 56 Carotid artery 56 tricuspid valves 56 percutaneous transluminal coronary angioplasty 56 Coronary artery bypass 56 radiofrequency RF ablation 56 endobronchial 56 MGuard ™ 56 carotid endarterectomy CEA 56 arterial venous 56 balloon dilatation 56 biliary tract 56 Microvascular 56 interstitial brachytherapy 56 Heartmate 55 embolic protection device 55 transarterial 55 myocardial revascularization 55 intimal hyperplasia 55 endoscopic retrograde cholangiopancreatography ERCGrant Parpan 55 RAS mutations 55 Biventricular 55 Pericardial 55 hepatic arterial 55 urothelial carcinoma 55 percutaneous aortic valve 55 Artificial Disc 55 Transcatheter 55 Carotid 55 beta 1a 55 Coronary Artery Bypass Graft 55 papillary thyroid carcinoma 55 intraperitoneally 55 sacrocolpopexy 55 ostial 55 percutaneous vertebroplasty 54 central retinal vein 54 Percutaneous vertebroplasty 54 fibrin deposition 54 surgical aortic valve 54 transabdominal 54 intra arterial 54 Inguinal 54 anastomotic devices 54 Adenomas 54 cell adhesion molecule 54 paracentesis 54 thoracolumbar spine 54 trabeculectomy 54 atrial septal 54 endoluminal 54 Pelvic Organ Prolapse 54 descending thoracic aorta 54 meningeal 54 transesophageal 54 atrial septal defects 54 Intra operative 54 computed tomography angiography 54 keratoplasty 54 femoral popliteal 54 percutaneous transluminal 54 angioplasties stents 54 gastroduodenal 54 CALGB # [002] 54 tracheobronchial 54 transvenous 54 Fontan procedure 54 V3D Colon 54 thrombosed 54 transapical aortic valve 54 arterio venous 54 retransplantation 54 intracardiac 54 homograft 54 popliteal artery 54 septal 53 Evalve MitraClip R 53 coil embolization 53 esophageal resection 53 coarctation 53 septal defect 53 Breast Brachytherapy 53 transoral 53 receptor antagonism 53 Vitrectomy 53 Bronchoscopy 53 hepatic veins 53 endoprosthesis 53 benign neoplasms 53 coronary artery bypass grafts 53 ATS Simulus R 53 NOTES Natural Orifice 53 Thoracoscopic 53 epicardial 53 Coronary artery bypass graft 53 angiography angioplasty 53 Carotid endarterectomy 53 extra articular 53 abdominal aneurysms 53 Coronary artery bypass grafting 53 crossclamp 53 biliary 53 pathologic correlation 53 transapical 53 AMPLATZER R 53 thoracic endovascular aortic 53 grade squamous intraepithelial 53 vertebrobasilar 53 craniomaxillofacial 53 bioprosthesis 52 septoplasty 52 Implantable Cardioverter Defibrillator ICD 52 carotid artery blockage 52 atherosclerosis plaque buildup 52 cardiac perfusion 52 Endovenous 52 functional endoscopic sinus 52 bioprosthetic 52 left ventricular dysfunction 52 Vertebral 52 Edwards SAPIEN 52 transfemoral 52 anastomotic 52 Tracheostomy 52 CorMatrix ECM 52 aortic valve stenosis 52 Mitral valve repair 52 antireflux 52 sutureless 52 caval 52 Actinic Keratosis 52 arteriovenous AV 52 orthotopic 52 aurora kinase 52 Coherex FlatStent 52 cerebral angiogram 52 epithelial sodium 52 Aortic Valve 52 endovenous 52 outflow tract 52 Dural Sealant 52 anterior capsulotomy 52 Spectranetics laser 52 transrectal ultrasound guided 52 thoracoscopy 52 bronchoscopic procedure 52 OsseoSpeed 52 Cardiac catheterization 52 Intra articular 52 lumbar spine fusion 52 RVOT 52 PICCs 52 internal thoracic artery 52 Embolic Protection 52 endothelial keratoplasty 52 treat brain aneurysms 52 valve implantation 52 aortic coarctation 52 Angiographic 52 fracture fixation 52 Gall bladder 52 dissolving blood clots 51 upregulating 51 coronary vasculature 51 MR Angiography 51 rectovaginal 51 NexStent 51 ureteral 51 thrombin receptor 51 microvascular decompression 51 Ultrasound Guided 51 squamous cell carcinoma SCC 51 orthotopic liver transplantation 51 GP IIb IIIa 51 monocytes macrophages 51 MEL# 51 tricuspid valve repair 51 Y Gastric Bypass 51 mineralocorticoid receptor 51 iliac crest bone 51 peritoneal carcinomatosis 51 reinterventions 51 cardiac revascularization 51 beta1 51 posterior cervical 51 Troxatyl 51 EP4 51 Nonsurgical 51 Angiogram 51 scleral buckling 51 Coronary angioplasty 51 Ebstein anomaly 51 AFRS TM 51 Accelerated Partial Breast Irradiation 51 RARP 51 Ectopic 51 REMINDER ORLive Presents 51 ureteric 51 LAD artery 51 femoral neck fracture 51 internal mammary artery 51 Distal Radius 51 leukocyte adhesion 51 Fine Needle Aspiration 51 CryoValve SG 51 superior vena cava 51 colon resection 51 reoperations 51 IVUS imaging 51 Left Ventricular Assist Device 51 thoracoscopic 51 laparascopic 51 ventricular septum 51 Percutaneous Tibial Nerve Stimulation 51 nephrectomies 51 mediated inhibition 51 pDC 51 cannulated 51 periprosthetic fractures 51 Occluder 51 deformity correction 51 Macrophage 51 extranodal 51 Diamondback #deg 51 joint effusion 51 median sternotomy 51 Allograft 50 biventricular pacemaker 50 involves threading 50 hematopoietic progenitor cells 50 Endurant stent graft 50 arteriotomy 50 cytoreductive nephrectomy 50 noncoronary 50 docetaxel cisplatin 50 Sirolimus eluting 50 percutaneously 50 peritoneal 50 Peritoneal 50 Carotid artery stenting 50 Severe VOD 50 meniscectomy 50 transvaginal sonography 50 percutaneous mitral valve 50 TIMP 50 dysplastic 50 inserting stent 50 beta3 50 thymidine kinase 50 Neoadjuvant 50 patent ductus arteriosus 50 Cutaneous Melanoma 50 thoracic aortic aneurysms 50 ovarian malignancy 50 Resection 50 Enzastaurin 50 TIMP 1 50 hepatic vein 50 Amplatzer 50 implanted subcutaneously 50 intraperitoneal 50 antitrypsin 50 fibrin glue 50 atrioventricular node 50 receptor monoclonal antibody 50 inserted percutaneously 50 Transvaginal 50 Percutaneous 50 Intravenous Infusion 50 directed thrombolysis 50 intramedullary 50 sonographically guided 50 J Shoulder Elbow 50 cervical spine fusion 50 transforaminal 50 thoracic surgical 50 embolisation 50 lung bronchus 50 balloon angioplasties 50 mitomycin C 50 TURBT 50 Tumor Necrosis Factor 50 peripheral vasculature 50 Microsurgical 50 endoscopic retrograde 50 Strattice ™ 50 preventing restenosis 50 minimally invasive endovascular 50 osteogenic 50 Endoluminal 50 Aortic 50 RhuDex TM 50 keratectomy 50 Burch colposuspension 50 gynecologic procedures 50 Emphasys 49 extracorporeal 49 cervical degenerative disc 49 VATS lobectomy 49 Cystoscopy 49 percutaneous nephrolithotomy 49 posterolateral fusion 49 stent graft placement 49 intraventricular 49 arterial grafts 49 urography 49 digital subtraction angiography 49 Balloon Kyphoplasty 49 irregular quivering 49 Single Incision 49 Coronary bypass 49 autologous tissue 49 transthoracic echocardiography 49 Cribier Edwards 49 wedge resection 49 minimally invasive percutaneous 49 seminal vesicle invasion 49 abdominal aorta 49 ileal 49 bifurcated lesions 49 NK1 49 subconjunctival injection 49 Echocardiogram 49 ACUSON X# 49 interventional neuroradiologists 49 receptor blocker 49 TM Everolimus Eluting 49 cataract extraction 49 synthetic grafts 49 allogeneic stem cell 49 submandibular gland 49 Balloon angioplasty 49 full thickness plication 49 coronary arterial 49 developmental dysplasia 49 protein tyrosine phosphatase 49 less invasive laparoscopic 49 endoscopic ultrasonography 49 presbyopia correcting 49 Hernia Repair 49 incisionless surgery 49 INFUSE Bone Graft 49 superficial venous 49 urological procedures 49 surgical resection cavity 49 plasminogen activator inhibitor 49 vein grafts 49 dialysis catheters 49 Qutenza TM 49 Autogenous 49 diagnostic catheterization 49 laparoscopic colon 49 myringotomy 49 OPCAB 49 percutaneous valve 49 Patient Relationship Management 49 J Foot Ankle 49 IL6 49 Peritoneal dialysis 49 5 hydroxytryptamine 49 endovenous laser ablation 49 lumbar spinal fusion 49 venous catheter 49 Radiographic 49 mucosal inflammation 49 Abdominal Wall 49 Antithrombin 49 catheter sheath introducer 49 VisuMax 49 Arthrosurface 49 fluorescein angiography 49 laparoscopic nephrectomy 49 Nerve Stimulation 49 Chronic Total Occlusions 49 Fixation System 49 gauge vitrectomy 49 Spinal cord 49 DSCT 49 transseptal 49 device LVAD 49 right ventricular outflow 49 Macular edema 49 Scoring Balloon Catheter 49 revealed multivessel coronary 49 arteriovenous 49 Emboli Capture Guidewire 49 tricuspid 49 bowel resections 49 limbal stem cell 49 histologic findings 48 IL 1ß 48 PARP1 48 endovascular aneurysm repair 48 transmural 48 minimally invasive mitral valve 48 invasive angiography 48 Contrast Enhanced 48 Pharmacokinetic studies 48 Endoscopic ultrasound 48 esophagectomy 48 carotid stent 48 HDACi 48 Thrombus 48 uterus fallopian tubes 48 Uterine fibroid embolization 48 IGF 1R inhibitor 48 noninvasive painless 48 lysophosphatidic acid 48 Catheter Ablation 48 ERalpha 48 CCL2 48 LRAT 48 ePREOP 48 inducible nitric oxide synthase 48 Mitral Valve 48 Stabilimax NZ 48 occluded artery 48 pancreatic resection 48 pulmonic valve 48 ERK1 2 48 distraction osteogenesis 48 antiangiogenic agent 48 Mucosal 48 elastase 48 fibrogenesis 48 ZYBRESTAT TM 48 TGF alpha 48 Doppler Ultrasound 48 laproscopic 48 TNM staging 48 arterial aneurysms 48 thoraco lumbar 48 distal radius fractures 48 minimally invasively 48 septal defects 48 ForSite# 48 fenestrated 48 Clinical Relevance 48 interspinous process 48 pamidronate 48 ACC NCDR 48 Preoperative 48 defibrillator implantation 48 atrial ablation 48 Matrix metalloproteinase 48 TNF α 48 Functional Endoscopic Sinus Surgery 48 Flexivue 48 proximal tubule 48 Bone marrow transplantation 48 Scintigraphy 48 ventricular myocardium 48 TGZ 48 stent grafting 48 aminolevulinic acid 48 lumbar disc replacement 48 Ultrasonography 48 bypass grafting 48 Mitral 48 retinal vein 48 Spinal Disc 48 Sentinel node biopsy 48 chemokine receptor 48 HALO# [002] 48 iliac artery 48 urologic gynecologic 48 Electronic Brachytherapy eBx 48 TRUS 48 performed laparoscopically 48 CT pulmonary angiography 48 segmentectomy 48 false lumen 48 orthopedic spinal 48 Color Doppler 48 inferior vena cava 48 induce regression 48 ISOCOUNTRY3 48 ACUSON 48 cyclo oxygenase 48 TKAs 48 induced apoptosis 48 electrically stimulates 48 CCL# 48 MMP2 48 Ala Ala 48 antegrade 48 percutaneous coronary 48 metalloproteinase 48 Sentinel Lymph Node Biopsy 48 ACCULINK 48 bone morphogenic protein 48 bypass grafts 47 Pedicle Screw 47 atrial fibrillation ablation 47 Pulmonary embolism PE 47 GVAX Pancreas Vaccine 47 laparoscopic hernia 47 Computer Aided Detection 47 annuloplasty rings 47 distal femoral 47 axillary artery 47 thoracic surgeries 47 Coronary CTA 47 ASCT 47 Axillary 47 percutaneous intervention 47 embolic coils 47 laser trabeculoplasty 47 Interference Screw 47 Tie2 47 transcatheter aortic valve 47 KYPHON Balloon Kyphoplasty 47 occluded arteries 47 underwent quintuple heart 47 colon rectal 47 Fine needle aspiration 47 self expanding nitinol 47 osteoinductive 47 iDuo 47 anterior resection 47 phosphorylates 47 renal transplants 47 selective agonists 47 percutaneous aortic 47 Holter Monitor 47 Balloon kyphoplasty 47 Palmaz stent 47 kidney ureter bladder 47 terminal ileum 47 sternotomy 47 obturator 47 ClosureFAST catheter 47 GreenLight PVP 47 GORE TAG ® 47 IIIA NSCLC 47 manual lymph 47 Stretta 47 Endoscopic 47 revascularized 47 azacytidine 47 iliac artery disease 47 Procedure Documentation 47 Ureteral 47 undergoing cardiac catheterization 47 Ultrasound imaging 47 rhBMP 2 47 Unicompartmental 47 Lumbar Interbody Fusion 47 subthalamic nucleus STN 47 PCNL 47 J Cataract Refract 47 angioplasty stents 47 distal radius 47 laparoscopic surgical 47 subclavian artery 47 M1 muscarinic 47 total knee arthroplasty 47 osteocalcin protein 47 Xanafide 47 laparoscopic partial nephrectomy 47 Edwards SAPIEN XT 47 infarcted myocardium 47 dorsalis pedis 47 mitral valve replacement 47 ORIF 47 Central Venous Catheter 47 Autograft 47 Radio Frequency Ablation 47 Total Knee Replacement 47 Conductive Keratoplasty 47 GPIIb IIIa 47 LDL apheresis 47 neoplastic 47 single incision laparoscopic 47 Hematopoietic 47 urodynamics 47 Aldara Cream 47 seminal vesicle 47 TNFalpha 47 gallbladder removals 47 engineered bladders 47 nasogastric 47 transrectal 47 nonsurgical procedure 47 excisional 47 Meniscal 47 anterior spinal 47 dose melphalan 47 PTI COR 47 cefotaxime 47 valvuloplasty 47 replace diseased aortic 47 balloon expandable stent 47 laparoscopic radical nephrectomy 47 arthroscopic rotator cuff 47 endoscopic surgical 47 FGFR3 47 potently inhibits 47 Fetal Monitoring 47 conventional coronary angiography 47 Intramedullary 47 Puls Biznesu pp. 47 Image Guided Surgery 47 Computer Assisted Surgery 47 bone morphogenetic protein 47 Stromal 47 antifibrotic 47 matrix metalloproteinases 47 thyroidectomy 47 intraarticular 47 GSTP1 47 tenodesis 47 colon resections 47 CardioWest TAH t 47 HER2 overexpression 47 Intraoperative 47 stenotic 46 untreated multiple myeloma 46 ® Collagen Matrix 46 Trovax 46 BrainSUITE 46 vascular stenting 46 acellular 46 interventional cardiac catheterization 46 urodynamic testing 46 intra articular 46 Ablation System 46 VQuad ™ 46 TNFa 46 atrial natriuretic peptide 46 Absorbable 46 tibial plateau fractures 46 StemEx 46 intercellular adhesion molecule 46 minimally invasive endoscopic 46 recanalization 46 Cholecystectomy 46 unicompartmental 46 #F ML 46 neovascularization 46 plication 46 emboli 46 CCR9 46 occlusions 46 Surgical excision 46 Arthroscopic 46 atrioventricular septal defect 46 Toshiba Aquilion ONE 46 Western blotting 46 Intraperitoneal 46 neobladder 46 cyclooxygenase COX 46 jejunum 46 Monocyte 46 Patent Foramen Ovale 46 minimally invasive aortic valve 46 CCR1 46 deoxyglucose 46 factor VIIa 46 DGAT1 46 Valve Replacement 46 GLP1 agonist 46 Ablation 46 UPLYSO 46 suture anchor 46 transection 46 Humeral 46 ASR XL 46 fibulin 46 unicondylar 46 monocyte chemotactic protein 46 stent grafts 46 mitral regurgitation MR 46 coronary bypass grafting 46 Spinal System 46 coronary angiogram 46 HepG2 cells 46 Partial Nephrectomy 46 Kyphoplasty 46 receptor inhibitor 46 intradiscal 46 total knee arthroplasties 46 diseased aortic valve 46 Vertebral Augmentation 46 piperacillin tazobactam 46 Phaco 46 delivered percutaneously 46 stereotactic radiosurgery SRS 46 selectively inhibiting 46 disc arthroplasty 46 anterior cervical discectomy 46 urethral strictures 46 splenocytes 46 nephrostomy 46 IDET procedure 46 mitral valve surgery 46 tumor excision 46 devices femtosecond lasers 46 retroperitoneal 46 minimally invasive interventional radiology 46 TAVI procedure 46 lumbar discectomy 45 ,#,# [002] 45 TEVAR 45 intramedullary nailing 45 implant stents 45 Coronary Artery Bypass Surgery 45 mitral valves 45 Synuclein 45 Robot Assisted 45 lumbar stenosis 45 glycosaminoglycan 45 Keratoplasty 45 cerebral oximetry 45 Balloon Sinuplasty TM 45 VEGFR1 45 interventional neuroradiology 45 Patellofemoral 45 defibrotide 45 Microcatheter 45 Mammosite 45 hip resurfacing arthroplasty 45 laparoscopic minimally invasive 45 vascular ultrasound 45 coronary artery stents 45 nitric oxide synthase NOS 45 Randomized controlled 45 Pedicle Screw System 45 involves threading catheter 45 aortoiliac 45 PDGF BB 45 small incision cataract 45 calcaneal fractures 45 TNF IL 45 mid urethral sling 45 glenohumeral joint 45 percutaneous valve replacement 45 anterior abdominal 45 thyroid hormone receptor 45 Fibroblast Growth Factor Receptor 45 Endobronchial 45 thoracotomy 45 aortic arch 45 lipoxygenase 45 epidural catheter 45 P selectin 45 mice overexpressing 45 foramen ovale 45 matrix metalloproteinase MMP 45 Neupogen ® 45 androgen receptor AR 45 IDET 45 radical retropubic prostatectomy 45 Synthase 45 TRAM flap 45 FDG PET scan 45 lesion localization 45 Virtual Colonoscopy 45 Derived Factor 45 hip arthroplasty 45 renal arteries 45 bone morphogenetic proteins 45 hepatoma 45 osteotomies 45 tricalcium phosphate 45 lung biopsies 45 urothelium 45 orthopedics pediatrics 45 Zimmer NexGen 45 Acquired Cardiovascular Disease 45 pertussis toxin 45 Immunosuppressive drugs 45 SOCS3 45 Berlin Heart EXCOR 45 PI3K/Akt 45 Bonati Procedures 45 lobectomy 45 integrin expression 45 postmastectomy 45 osteoarthritic 45 small keyhole incisions 45 subclavian 45 papillary RCC 45 Reverse Cholesterol Transport 45 minimally invasive orthopedic 45 lumbar fusion 45 Annexin V 45 FilterWire 45 OrthoGlide 45 polycystin 45 cyclin dependent kinase 45 Figure 1A 45 LapBand 45 embryonal carcinoma 45 OZG 45 1α 45 Supplemental Figure 45 TAXUS Liberté 45 meniscal repair 45 Tg mice 45 kinase pathway 45 minimally invasive transcervical tubal 45 IFN α 45 osteoblast differentiation 45 abnormal neuronal 45 narrowed carotid arteries 45 labral 45 patent foramen ovale 45 interrupted aortic arch 45 minimally invasive gynecologic 45 Nodule 45 Mandibular 45 unicompartmental knee replacement 45 TNFR 45 antiproliferative activity 45 pro angiogenic 45 Capsule Endoscopy 45 PET Scanner 45 Anterior Cervical 45 Nephrectomy 45 cardiography 44 cathlab 44 COL#A# 44 Vycor 44 Minimally invasive surgery 44 adrenergic receptor 44 gene polymorphisms 44 rotary VAD 44 Cardio Vascular 44 oncolytic vaccine 44 mitochondrial enzymes 44 intra ocular lenses 44 Stereotactic radiosurgery 44 involves implanting 44 hysteroscopic sterilization 44 ophthalmology orthopedics 44 glucokinase 44 assisted laparoscopic prostatectomy 44 underwent balloon angioplasty 44 bone marrow aspiration 44 Curon Control 44 osteobiologic 44 knee arthroscopies prostate biopsies 44 NOD2 44 inflatable penile prosthesis 44 T1 weighted images 44 lobectomies 44 1alpha 44 unblock clogged arteries 44 blocked carotid arteries 44 myofibroblasts 44 Junovan TM 44 ankle arthrodesis 44 reopen clogged arteries 44 phaco emulsification 44 oral maxillofacial 44 biceps tenodesis 44 1beta 44 subcutaneous tissues 44 laparoscopic fundoplication 44 Potent Inhibitor 44 Gazeta Wyborcza pp. 44 Medullary 44 Sleeve Gastrectomy 44 metallic stent 44 MVA MUC1 IL2 44 Prolonged Exposure 44 RESTORIS 44 excisional biopsy 44 Hepcidin 44 undiagnosed urinary 44 LB# [003] 44 endoscopy suites 44 nitinol stents 44 indocyanine green 44 mitral valve repair 44 stem cell transplantation SCT 44 IRC backdoor 44 Magnetom 44 Transferrin 44 HouseCalls 44 Dystrophin 44 assisted laparoscopic 44 arthroscopies 44 adjustable gastric banding 44 Bone Morphogenetic Protein 44 tumor antigen 44 rhizotomy 44 Allegretto Wave 44 cartilage lesions 44 robotically assisted 44 circumflex artery 44 Multi Modality 44 NM# [003] 44 DigiView 44 anterior cerebral 44 laparoscopic hysterectomy 44 transient receptor 44 β2 44 ovulation fertilization 44 Cerebral Ischemia 44 stereotactic radiation 44 stent wire mesh 44 AV node 44 transradial approach 44 Smad4 44 bypass graft 44 Angiogenic 44 robotic radical prostatectomy 44 atrio ventricular 44 HTTP SSL 44 balloon sinuplasty 44 Fistulas 44 Vertebral Fractures 44 occipital nerve stimulation 44 prucalopride 44 arteriotomy site 44 multivisceral transplant 44 OptiFlex SS 44 Kidney transplantation 44 μg ml 44 vena cava 44 Impulse Monitoring 44 Reductase 44 ACE inhibitors dilate 44 interleukin IL 44 knee arthroscopies 44 proximal anastomosis 44 multimodality therapy 44 Preclinical studies indicate 44 Uterine artery embolization 44 Femoral 44 percutaneous 44 luminal surface 44 sinus node disease 44 ComfortScan 44 aortic stenosis narrowing 44 endothelial nitric oxide synthase 44 multiplanar 44 endovascular interventions 44 unclog arteries 44 Artelon ® 44 SYGNIS 44 minimally invasive laparoscopic 44 DIEP Flap 44 ORLive 44 isomerase 44 suction catheter 44 Venous Disease 44 undergo catheterization 44 endonasal 44 esophageal manometry 44 poloxamer 43 Leksell 43 thoracic duct 43 CKD Stage 43 hepatic artery 43 Grafts 43 percutaneous tracheostomy 43 medicated stent 43 Disc Replacement 43 ECG gated 43 stenting procedures 43 Harry Palmin President