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Patients who have the highest MELD score -- a ranking, based on laboratory tests, that predicts their risk of death -- move up the waiting list. But it's not a single national list. The 11 transplant regions are subdivided into local areas that form individual waiting lists, and there are wide variations in organ availability within regions as well as between them. Generally livers first are offered to the sickest patients locally and then regionally.
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The U.K. is compelling utilities to install more than 53million power and gas meters by 2020 in a 12-billion poundprogram to help consumers monitor and cut energy use. Todayâscontracts signal progress for a program that ministers in Maydelayed by a year, citing the âtechnical challengeâ involved.
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