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Traverse the small bridge over the Yvette Creek and enter the campus . " Or to make his point that Microsoft innovates by buying up competitors : " R & D and M & A are the same thing over there . Health care providers must be sensitive to the limitations of an advance directive for a particular individual over time , the need for ongoing exploration of the desires and needs of dying people and their loved ones , and the likelihood that such directives may be in conflict with some people 's values and traditions . ACKERMAN : Some of those sound like they would be creating something of a regulatory network over the elevators in terms of registration or reporting or tracking of types of transactions or controlling types of transactions . Granted , officers see the same thing over and over . Asia 's need to maintain strong levels of growth is renewing the old debate over securing access to key resources . That is the hardest thing for me to get used to in Primary - - reading the same thing over and over . It is needed to enhance perception and to allow for appreciation of the same thing over time . It 's just the same thing over and over .