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Oncology nursing expertise combined with an additional subspecialty expertise in lymphedema care positioned me at the highest potential level of care for this patient population . The probe consists of a radioactive source combined with a Boron trifluoride detector . Overall , the service added nearly as many users in the past six months as it did in its first three years combined . The August 1949 detonation of a Soviet atomic bomb , the fall of China to communism , and the outbreak of the Korean War in mid-1950 combined to signal to the nation that the rivalry with the Soviet Union was serious and that Soviet technical capability was significant . He held us close to his brave body as unfamiliar nurses introduced the phenomenon of needles and a seven-year-old boy and John quickly had more shots in one afternoon than he had ever had in the previous seven years combined . Lung cancer now kills more Americans each year than breast , prostate and colorectal cancers combined .