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"Take Maddie home and make her comfortable for whatever time she has left." Maddie's parents were hearing these words from the doctor after their four-year-old daughter was diagnosed with pulmonary arterial hypertension, an incurable life-threatening disease. It was 1997, when there were very few options other than a lung transplant to treat Maddie's disease. Because her parents were unwilling to accept this fate for their daughter, they ended up at the Children's Hospital in Denver, Colorado. Maddie became one of the early pioneers of pulmonary arterial hypertension in the late 1990s when research was just beginning to develop therapies that were an alternative to lung transplantation; trea...
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Any alteration of the natural processes occurring on a piece of land will have expected as well as unanticipated effects, and those effects have little regard for arbitrary human boundaries. Consequently, it is not enough for land managers to consider only how they might maintain the parcels for which they are responsible; they must also anticipate
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