These employees managed to keep up this routine for the first three years at the banks, but starting in the fourth year, some saw their performance decline, particularly when it came to creative thinking.

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These efforts may keep costs down in the short term by keeping folks with routine ailments out of the ER.

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On a typical day at home, Ms. Cook said she tries to keep up a routine by asking Jermarl to practice tracing the alphabet or draw and paint.

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"Not everyone can keep up with oral hydration so it is pretty routine to go to hospital and have a drip and wait for the thing to pass and keep yourself hydrated, " said Dr. Christopher Hawkey of the University of Nottingham's faculty of medicine and health sciences.

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But the Web site also has helped the 71-year-old keep up with other people without changing her routine.

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Thanks for the words of wisdom, of inspiration, running through my mind to keep me on track with my gym routine and away from self-sabotage.

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