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Early treatment at the first sign of stroke is crucial to improving chances for recovery . January 1 , 2004 , that the State will not meet the deadline described in subparagraph ( A ) for good cause and includes in the certification the reasons for the failure to meet such deadline , the State shall ensure that all of the punch card voting systems or lever voting systems in the qualifying precincts within that State will be replaced in time for the first election for Federal office held after January 1 , 2006 . " The investigators stressed the need for caregivers to give the drug at the first sign of fever . Seek medical help at the first sign of infection . DHCFP will be responsible for effecting the disenrollment by the first day of the second month after the request is made and enrolling the participant in another Contractor . Wear your Kevlar , Kevin , and be prepared to smack Raymond down hard at the first sign of jerkery . It should not take beyond the first stop after the material leaves the pier to affix these labels . In this double-blind , randomized clinical trial , children received either diazepam or placebo from their caregiver , usually a parent , who was instructed to take the child 's temperature at the first sign of illness .