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If the conditions of the Agreed Framework continue to be upheld, KEDO oil deliveries continue to be made, work on the PWRs proceeds as planned, and peace talks between the DPRK, ROK, and other parties are productive, circumstances should be conducive to engaging the DPRK in bilateral and multilateral cooperation activities on a number of fronts. A few possibilities arejj: Cooperation on Technology Transfer for Manufacturing of Efficient Electricity-Sector Equipment and Renewable Technologies Sustained economic recovery in the DPRK will likely require that a large portion of the electricity-sector infrastructure--including electricity supply and demand equipment--will have to be substantially refurbished or completely replaced. Cooperation to assist the DPRK in manufacturing these types of devices, for the domestic use and potentially to export to other countries, will help toward recovery. Cooperation to establish such manufacturing capability would also ultimately reduce pollution within the countries of the Northeast Asia, and would reduce trans-boundary transport of pollution to the rest of the region. Upgrading the electricity-sector infrastructure in the DPRK would help to make their electricity systems more technically suitable for participation in a regional power grid. Cooperation on production of renewable energy technologies is also an attractive possibility from an economic and environmental perspective. Wind turbine-generators are another intriguing possibility, given the apparent success of such ventures in former East-bloc nations32 and the historical emphasis on machinery manufacture in North Korea. Promotion of domestic production of energy-efficient products is another potential cooperation strategy. This approach could involve ventures such as establishment of foreign-owned factories for making appliances, lighting products, and other types of energy-efficiency equipment, as well as joint ventures between foreign companies and concerns in North Korea, China, and other countries in which foreign technology is licensed for production in the region. Examples of foreign-owned factories and licensing of technologies abound in the developing world, including a number of ventures in Eastern Europe and the Former Soviet Union and in China. It is likely that the earliest examples of such technology transfer to the DPRK in particular ; will come in the context of ventures in the Rajin Sonbong Free-Trade Zone. In addition to assistance in manufacturing new energy-sector devices, and perhaps of more immediate concern, the DPRK will likely need help in retrofitting key power plants and T&D infrastructure. 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Case No.: M2-06-1432-01 Page Three was injected with a combination of Lidocaine, Marcaine, and Decadrone. The employee was to continue with independent exercises and return in two months. 02 24 97 James Bean, M.D. The employee returned stating she was experiencing pain in her left knee. The physical examination revealed full knee range of motion. 06 26 98 James Bean, M.D. The employee returned for a follow-up and indicated she had seen Dr. Smith for a second opinion. The treatment plan was a continuation of working on her shoulder and knee exercises. Anti-inflammatories were to be continued on an as-needed basis. 03 12 99 The employee returned for an evaluation and stated she was recovering from her spine surgery. The physical examination revealed no effusion and good range of motion. The employee was to return in three months for her knee and was to be referred to Dr. Penninck for follow-up. 04 23 99 Michael Mrochek, M.D. The employee was referred to Dr. Misenhimer, who noted that the injured employee was 64 years old with a complicated medical history that included orthopedic problems and connected surgeries in both the upper extremities and the back. She stated she was injured on and suffered a left rotator cuff tear and a low back injury. She had a laminectomy at L4-L5 in March, 1997 and also underwent a second surgery in June, 1997. The recommendations at that time were aquatic exercises and undergo an EMG. 05 18 99 Michael Mrochek, M.D. Medications at that time were Synthroid, Hydrochlorothiazide, Voltaren, Cozaar, Pepcid, Verapamil, Premarin, calcium. Upon physical examination, the impression on that date was evidence of a bilateral lumbosacral radiculopathy involving the left side at least L5 and S1 and on the right side probably to L5. The findings were more mild on the right side. In the face of these studies, one could not rule out the possibility of a left sciatic neuropathy more severe affected peroneal component. Dr. Mrochek noted that a comparison with the study by Dr. Sandberg in August, 1998, the right sided changes appeared to be improved. 10 15 99 James Bean, M.D. Dr. Bean offered Cortisone injections; however, the employee did not desire them. 10 18 99 James Bean, M.D. There were x-rays taken of the knee which showed the implant within the position, and there was no loosening. X-rays of the back revealed implants were not displaced. There was no disconnection of the screw and rod complex, and the three lumbar cages appeared to be in place.
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