11. Acute effects of betel chewing include asthma exacerbation , hypertension, and tachycardia. 12. These are used in persistent symptomatic cases without exacerbation . 13. The suffering and exacerbation of stress on the animals is very problematic ." 14. Two women in their fifties are recovering from another exacerbation of cardiac failure. 15. We do not need exacerbation " according to South African representative Pik Botha. 16. Fewer than 20 % of exacerbations require hospital admission. 17. Untreated chronic osteomyelitis tends to feature occasional acute exacerbations . 18. Symptom-exacerbation experiments were pioneered by Dr . David Janowsky of Vanderbilt University. 19. We want to make there will not be any further exacerbation of the incidents. 20. Type 2 brittle asthma is background well-controlled asthma with sudden severe exacerbations .