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The criteria for an earlier form ofMCI (early MCI or eMCI) have been outlined for ADNI-2,and definitions for a pre-MCI entity have also been pro-posed (Duara et al., 2011). Bone marrow study (hypercellular marrow with increase myeloid precursors). The pulmonary arte-rial pH also affects the pulmonary vasculature ina manner opposite to what occurs systemicallywith acidosis causing pulmonary vasoconstric-tion. Such activated microglia downregulate expres-sion of neurotrophic mediators and upregulate neuro-toxic ones. (Sackey et al.2005a), although environmental pollution whenusing the ACD to deliver the inhalational anes-thetic agents was minimal and within the recom-mended limits in Sweden and the UK, there wereperiods of time when the ambient concentration ofiso?urane exceeded the limits recommended inthe USA, thereby suggesting that even when theACD is used, scavenging may be required

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