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The Petitioners claimed the ALJ erred in failing to offer any rationale or basis for rejecting the expert 's categorization of the Petitioners ' activities as related to a reimbursement function as opposed to a delivery function . Cancer may manifest in the skin as metastasis ( eg , leukemia cutis , cutaneous T-cell lymphoma , Paget disease of the breast ) , nonspecific metabolic effects related to inanition ( eg , wasting , alopecia , xerosis ) , infections related to immunosuppression ( eg , herpes zoster ) , signs resulting from compromise or dysfunction of the affected organ ( eg , jaundice ) , or diverse dermatologic entities called paraneoplastic syndromes , which signal that a remote malignancy is present . Each year since the 1980 's , more Pakistanis and Bangladeshis applied for taxi driver licenses than arrive from Pakistan or Bangladesh . The Department expects that the final rule and the increasing trend toward computerization of large record sets will result over time in de-identification being performed by relatively few firms or associations .