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The DOE does not require that its vendors record subcontractor activity in the Citys system of record, which calls into question its oversight of mandated subcontractor approval procedures generally and certainly its ability to responsibly enforce, track and report on LL 174 participation goals

Smoking, for instance, may reduce blood flow to the surgery site, which can impede recovery and raise the risk of infection

But, he notes, classic chemotherapy is typically not effective in managing clear cell kidney cancer for reasons that researchers are still trying to fully understand