Example sentences of "in [pron] [adj] [noun] " in BNC.
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| 1 | Surgical treatment for bile duct stones is now restricted to those patients who are not obstructed and require a cholecystectomy , and in any patient in whom endoscopic treatment fails to achieve bile duct clearance . |
| 2 | Those who chronically seek help from subspecialists are a small but costly subgroup in whom psychosocial factors may be more disabling than the gut symptoms themselves . |
| 3 | There were several technical innovations but the spirit of the time made it likely that the man of the moment would be someone in whom technical boldness and artistic pretension would be sustained by the need to preach . |
| 4 | The suggestion that there might be a ‘ precoeliac ’ state was first made by Weinstein who described two patients with dermatitis herpetiformis and normal jejunal biopsies in whom typical coeliac like enteropathy developed some weeks after 20 g gluten was added to their already gluten containing diet . |
| 5 | The lack of evidence of greater efficacy and acceptability of serotonin reuptake inhibitors means that their adoption as the drugs of choice in major depression may be premature , although they may have a role in subgroups of patients in whom other treatments are contraindicated or have failed . |
| 6 | Secondly , under-reporting can be further suspected because no cases of endometriosis were reported in the 14% of the population in whom female sterilisation was the method of contraception . |
| 7 | Thus , the molecular genetic approach has the potential to contribute to our understanding of the underlying biochemical mechanisms of alcoholic liver disease and may ultimately enable ‘ high risk ’ individuals to be identified in whom preventive measures such as counselling can be undertaken . |
| 8 | We are creatures in whom good desires compete with evil desires , altruism struggles with selfishness . |
| 9 | There is , however , a minority of people coming to the notice of the police or courts in whom mental disorder has played a direct causal role in the offence . |
| 10 | Such a well-administered camp , so little difficulty springing from it , a Commandant in whom great confidence was justly placed . |
| 11 | For the purpose of this investigation , we studied those patients with a biopsy proven adenocarcinoma of the distal tubular oesophagus , in whom columnar epithelium of the oesophagus above the carcinoma was visible macroscopically at endoscopy , meeting the above definition of Barrett 's oesophagus . |
| 12 | The aim of the present study was to review a group of patients in whom sclerosing cholangitis was present . |
| 13 | Since more than 90% of vaccines produce anti-HBs , routine post-vaccination screening is appropriate only for those few persons in whom suboptimal response is likely and whose medical management or employment duties hinge upon knowledge of their immune status . |
| 14 | We therefore agree that the use of diagnostic dilatation and curettage in young women should be limited to those in whom important disease is suspected and that the procedure is necessary it should be accompanied by hysteroscopy . |
| 15 | These findings suggest that systemic chemotherapy may be equally successful in treating isolated primary oesophageal lymphoma , thus offering an alternative for those patients in whom local treatment is contraindicated . |
| 16 | Seventeen of these had died — 15 with alcoholic liver disease ( 14 not abstinent , one abstinent patient in whom coexistent disease excluded transplantation ) , and two patients aged 73 and 86 years with cryptogenic cirrhosis were not fit for transplantation . |
| 17 | Cardioselective β-blocking drugs appear the drugs of choice in the hypertensive diabetic in whom dietary therapy has failed or who has more severe hypertension , although there may be an important role for the calcium antagonists . |
| 18 | However , it is difficult to be completely sure of the absence of vascular disease on clinical grounds alone and , for this reason , some groups have studied platelet function in diabetic children and adolescents in whom vascular disease would be unlikely . |
| 19 | 662 patients in whom inflammatory bowel disease had been diagnosed before 1979 , of whom 637 ( 96% ) provided adequate information . |
| 20 | Biopsy samples were also taken from a control group of 15 patients with irritable bowel syndrome or haemorrhoids and in whom inflammatory bowel disease had been excluded . |
| 21 | In addition , all parameters remained abnormal in patients not adhering to their gluten free diet , or in whom villous atrophy had not resolved . |
| 22 | Those with near-normal left ventricular function and advanced obstructive coronary artery disease in whom reversible ischaemia is believed to be responsible for cardiac arrest can be treated with revascularisation alone . |
| 23 | This treatment is worth considering for other patients in a similar situation with life-threatening neutropenia or thrombocytopenia in whom conventional treatment has failed . |
| 24 | We conclude that this treatment should be offered to patients with an acute exacerbation of COAD who are acidotic and hypercapnic , compliant , with no nasal abnormality and in whom conventional therapy does not produce a prompt response . |
| 25 | A few British officials , however , in whom northern habits died hard , preferred to go to one of the clubs and have a drink and lunch there . |
| 26 | It was for this reason that the procedure was undertaken at this regional neurology centre , to investigate the young woman , who had headache and bilateral papillo-oedema and in whom cranial imaging showed no abnormality and the opening pressure on lumbar puncture was normal on two occasions . |
| 27 | In the process , though this biography is refreshingly free of anti-male bias , it offers a portrait of men in whom high notions of liberty and truth were riddled with feckless egoism . |
| 28 | Of these , 113 underwent the procedure including 10 in whom extracorporeal shockwave lithotripsy or methyl tert-butyl ether therapy . |
| 29 | Microscopic examination in haematoxylin and eosin stained sections revealed only minor alterations except in one concordant and clinical slightly affected Crohn 's disease twin pair in whom overt signs of inflammation were present in both twins . |
| 30 | Patients who give a histoiry of previous anal fistula or abscess represent another subgroup in whom objective measurement of anal sphincteric function before operation is essential . |