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17 Our previous results demonstrated that the efficiency of donor-derived spermatogenesis following testis cell transplantation is critically dependent on recipient 365 preparation. Two conditions that have proven favorable for engraftment of donor germ cells and generation of spermatogenesis in recipients are, 1 ; removal of endogenous germ cells by cytoablative e.g., busulfan or radiation, [30] ; or genetic methods [18, 20, 21] and 2 ; use of preadolescent as opposed to adult recipients [20]. The congenitally infertile W mutant mouse provides an excellent transplantation recipient 370 and, when these animals are transplanted as pups 8 to 12 dpp ; , fertility from donor germ cells is established in a time course ~ 3 months ; similar to that observed in wildtype males [20]. Since infertile genetic models will not be available for most other species, it is necessary to establish alternative strategies. In contrast to the W mouse pup recipient, fertility is rarely restored following transplantation into busulfan-treated 375 adult mice [1], unpublished observations ; even though this treatment effectively removes competing endogenous germ cells [1]. Furthermore, in other species, chemotherapeutic treatment of prepuberal [5], C.L Hausler, Personal Communication ; or adult [5] animals at levels sufficient to completely remove endogenous spermatogenesis is toxic. Treatment of pregnant females i.e., fetal-busulfan treatment ; 380 constitutes an alternative strategy, which in rats, results in the live birth of male progeny that are permanently infertile [33] and could presumably be transplanted as pups. The current results demonstrate that the situation is somewhat more complicated in mice, but we found that fetal-busulfan-treated mouse recipients could be generated, transplanted as pups, supported high levels of donor spermatogenesis, became fertile 385 and transmitted the donor haplotype.
ENDO 2005 will highlight the critical connection between basic endocrine research and clinical drug discovery. THE ENDOCRINE SOCIETY'S 87TH ANNUAL MEETING ABSTRACT DEADLINE: JANUARY 10, 2005.
Hongeng S, Benjaponpitak S, Tardtong P, Varavithya W, Chuansumrit A, Chunharas A, Chaisiripoomkere W, Hathira P. : Successful allogeneic peripheral blood stem cell transplantation in Wiskott-Aldrich Syndrome Patients: first report in Thailand. : Asian Pacific Journal of Allergy and Immunology. 19 3 ; : 191-5, 2001 Sep ; . : Allogeneic, Peripheral blood stem cell transplantation, Thailand, Wiskott-Aldrich syndrome, WAS, PBSCT. : Wiskott-Aldrich syndrome WAS ; , an X-linked recessive disorder, is characterized by primary progressive T cell immunodeficiency, impaired antipolysaccharide antibody production, eczema, and thrombocytopenia. Stem cell transplantation is the only curative therapy. To evaluate the use of allogeneic peripheral stem cell transplantation PBSCT ; in this group of patients, we performed allogeneic PBSCT in two WAS patients 3 and 12 years old ; . The conditioning regimen consisted of busulfan 4 mg kg day for 4 days, and cyclophosphamide 50 mg kg day for 4 days. Graft-versus-host disease prophylaxis was consistent with cyclosporin A and methotrexate. Peripheral blood stem cells were collected from their brother donors 6 and 16 years old ; by continuous flow leukapheresis after mobilization with granulocyte-colony-stimulating factor at a dose of 7.5 microg kg day for 5 days. Both recipients achieved neutrophils engraftment on days 11 and 12. The first patient achieved platelets engraftment on day 30. The second patient did not have platelet count below 20.0 x 10 9 ; during PBSCT procedure. Both did not develop acute or chronic graft-versus-host disease. At present, they are healthy after PBSCT. The follow up time after transplantation is 1, 170 days and 269 days, respectively. Allogeneic PBSCT is economically feasible for WAS. The cost of PBSCT in Thailand is 20 to 30% less than bone marrow and cord blood stem cell transplantation. The cost of the transplant procedure for each patient in Thailand is US $ 12, 000. This study is the first report of a successful stem cell transplantation in WAS patients in Thailand.
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Figure 3: an example of dermacyn used in an open amputation as shown in the figure on the left ; and before the placement of a skin graft, such as the one pictured at right.
An understanding of the number and contribution of individual pluripotent hematopoietic stem cells HSCs ; to the formation of blood lineages has important clinical implications for gene therapy and stem cell transplantation. We have been able to efficiently mark rhesus macaque longterm repopulating stem and progenitor cells with retroviral vectors, and track their in vivo contributions to hematopoiesis using the linear amplification mediatedpolymerase chain reaction LAM-PCR ; technique of insertion site analysis. We assessed the impact of busulfan on contributions of individual retrovirally marked clones to hematopoiesis. There were 2 macaques that received transplants of retrovirally transduced CD34 cells 2 years previously that were then treated with 4 mg kg busulfan. Despite only tran.
FIGURE Interstitial pulmonary fibrosis with cellular d p 2. plasia busulfan effect ; hematoxylin and eosin; x 152 and butorphanol.
The objective of this study was to evaluate the rate and extent of Cu repletion in Holstein heifers using two Cu sources organic and inorganic ; at two levels 15 and 30 ppm ; . An additional repletion treatment included a Cu oxide bolus. Heifers n 50 ; were individually fed a depletion diet fortified with Fe, S, and Mo at 50 ppm, 0.40%, and 15 ppm DM of the total diet, respectively. Following 70 d of depletion, heifers were stratified by liver Cu and randomly allotted to one of five repletion treatments. Four treatments consisted of feed sources of Cu Feed-Cu ; , 1 ; CuSO4 at 15 ppm, 2 ; CuSO4 at 30 ppm, 3 ; Availa-Cu at 15 ppm, and 4 ; Availa-Cu at 30 ppm. A fifth treatment, consisting of an intraruminal bolus Bolus ; , contained 12.5 g of Cu oxide needles. Repletion treatments were delivered in the same total mixed ration without supplemental Fe, S, and Mo. Copper status was assessed in blood and liver samples collected on 14 d intervals for 70 d. Irrespective of treatment, all heifers increased in body weight during the repletion period. Liver Cu increased in each Feed-Cu treatment over time. Bolus heifers reached a peak in liver Cu concentration 165.5 ppm ; on d 28. Heifers receiving CuSO4 at 30 ppm achieved higher liver Cu compared to heifers receiving CuSO4 at 15 ppm, but not those receiving Availa-Cu at 15 or 30 ppm 88.2 and 137.3, and 98.1 and 118.5 ppm for CuSO4 at 15 and 30 ppm and Availa-Cu at 15 and 30 ppm, respectively ; . Mean liver Cu for Bolus heifers 131.1 ppm ; was greater P 0.05 ; than CuSO4 at 15 ppm, but not other Feed-Cu treatments. Plasma ceruloplasmin was higher P 0.001 ; in Bolus heifers versus other treatments. No differences in plasma ceruloplasmin were detected for Feed-Cu source or level. Red blood cell superoxide dismutase activity was higher P 0.05 ; in Bolus heifers compared to heifers receiving Availa-Cu at 15 ppm, but not other Feed-Cu sources 1.03 and 0.79 units of activity for Bolus and Availa-Cu at 15 ppm, respectively ; . These results indicate that all Cu sources evaluated in this study elevated Cu status of depleted heifers, particularly when provided at higher dietary levels. Key Words: Holstein, Repletion, Copper.
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Entry. The needle can be withdrawn and Hassan cannula placement should be done at an alternate abdominal site. Prevention of this problem is essentially assured if one properly goes through the aspiration irrigtion aspiration tests recommended for safe Veress needle placement. Similarly, initial open insertion greatly decreases the chances of this complication. Gas embolism The CO2 insufflant has a favorable solubility in blood as opposed to insufflants of air, helium, or nitrous oxide; however, CO2 still may result in an air embolus. The most common cause of CO2 embolism is puncture of a blood vessel or organ with the Veress needle followed by insufflation; this usually only occurs when the surgeon has ignored the aforedescribed tests for proper entry into the peritoneal cavity. The first sign of intravascular insufflation is acute cardiovascular collapse. Other signs include, dysrythmias, tachycardia, cyanosis and pulmonary edema. The diagnosis is usually made by the anesthesiologist due to an abrupt increase of end-tidal CO2 accompanied by a sudden decline in oxygen saturation and then a marked decrease in end-tidal CO2. Sometimes, a "mill-wheel" precordial murmur can be auscultated. In addition, the anesthesiologist may notice foaming of any blood sample due to the presence of insufflated CO2. The treatment is immediate cessation of insufflation and prompt desufflation of the peritoneal cavity. The patient is turned into a head-down, left lateral decubitus position i.e. right side up ; , in order to minimize right ventricular outflow problems. The patient is hyperventilated with 100% oxygen. Advancement of a central venous line into the right heart with subsequent attempts to aspirate gas may rarely be helpful. The use of hyperbaric oxygen and cardiopulmonary bypass have also been reported. This devastating complication can be precluded by meticulous attention to Veress needle placement and each of the recommended tests for intraperitoneal entry. Insufflation should never be initiated if the surgeon has even the slightest doubt about correct position of the Veress needle; in this situation, the surgeon should withdraw the Veress needle and immediately proceed with open cannula access. Barotrauma Prolonged elevated pressures i.e. 15 mm Hg ; children may result in barotrauma Abdel-Meguid and Gomella, 1996 ; . Prolonged high pressures may be caused by insufficient and infrequent monitoring of CO2 pressures, malfunction of the insufflator, or additional pressures produced by auxiliary devices i.e. argon beam coagulator or CO2-cooled lasers ; . Furthermore, barotrauma may be caused by ventilation techniques using positive endexpiratory pressure resulting in rupture of a pulmonary bleb or bulla. The initial sign of barotrauma may be hypotension due to decreased cardiac output secondary to an acute drop in venous return caused by compression of the vena cava. Also, a pneumothorax or pneumomediastinum and byetta.
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Ton, DC: American Psychiatric Press; 1991: 199 4. Bearber RJ, Rodney WM. Underdiagnosis of hypochondriasis in family practice. Psychosomatics 1984; 25: 3946 Kellner R. Functional somatic symptoms and hypochondriasis. Arch Gen Psychiatry 1985; 42: 821833 Barsky AJ, Wyshak G, Klerman Gl, et al. The prevalence of hypochondriasis in medical outpatients. Soc Psychiatry Psychiatr Epidemiol 1990; 25: 8994 Gerdes TT, Noyes R Jr, Kathol RG, et al. Physician recognition of hypochondriacal patients. Gen Hosp Psychiatry 1996; 18: 106112 Ford CV. The Somatizing Disorders: Illness as a Way of Life. New York, NY: Elsevier; 1983 9. Costa P, McCrea RR. Hypochondriasis, neuroticism, and aging. Psychol 1985; 40: 1928 Damasio AR. Descartes' Error: Emotion, Reason and the Human Brain. New York, NY: GP Putnam's Sons; 1994 11. Ciompi L. Affects as central organising and integrating factors: a new psychosocial biological model of the psyche. Br J Psychiatry 1991; 159: 97105 Varela FJ, Thompson E, Rosch E. The Embodied Mind: Cognitive Science and Human Experience. Cambridge, Mass: MIT Press; 1991 13. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC: American Psychiatric Association; 1994 14. Tyrer P, Fowler-Dixon R, Fergurson B, et al. A plea for the diagnosis of hypochondriacal personality disorder. J Psychosom Res 1990; 34: 637642 Balint M. The Doctor, His Patient and the Illness. New York, NY: International Universities Press; 1957 16. Barsky AJ, Wyshak G, Latham KS, et al. Hypochondriacal patients, their physicians, and their medical care. J Gen Intern Med 1991; 6: 413419 Craig TK, Boardman AP, Mills K, et al. The South London Somatization Study, 1: longitudinal course and the influence of early life experiences. Br J Psychiatry 1993; 163: 579588 Blackwell B, De Morgan NP. The primary care of patients who have bodily concerns. Arch Fam Med 1996; 5: 457463 Blackwell B. Sick-role susceptibility. Psychother Psychosom 1992; 58: 7990 Katon WJ. The development of a randomized trial of consultation-liaison psychiatry trial in distressed high utilizers of primary care. Psychiatr Med 1991; 9: 577591 Walker EA, Gelfand AN, Gelfand MD, et al. Psychiatric diagnoses, sexual and physical victimization, and disability in patients with irritable bowel syndrome or inflammatory bowel disease. Psychol Med 1995; 25: 12591267 Noyes R Jr, Holt CS, Happel RL, et al. A family study of hypochondriasis. J Nerv Ment Dis 1997; 185: 223232 Bhui K, Hotopf M. Somatization disorder. Br J Hosp Med 1997; 58: 145149 Tien AY, Schlapfer TE, Fisch HU. Self-reported somatization symptoms associated with risk for extreme alcohol use. Arch Fam Med 1998; 7: 3337 Stuart S, Noyes R Jr. Attachment and interpersonal communication in somatization. Psychosomatics 1999; 40: 3443 Kanfer FH, Saslow G. Behavioral analysis. Arch Gen Psychiatry 1965; 12: 529538 Noyes R Jr. The relationship of hypochondriasis to anxiety disorders. Gen Hosp Psychiatry 1999; 21: 817 Barsky AJ, Fama JM, Bailey E, et al. A prospective 4- to 5-year study of DSM-III-R hypochondriasis. Arch Gen Psychiatry 1998; 55: 737744 Clark DM, Salkovskis A, Hackmann A, et al. Two psychological treatments for hypochondriasis. Br J Psychiatry 1998; 173: 218225.
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Busulfan is also used in combination with other chemotherapy drugs for a procedure known as bone marrow transplantation and campral!
Incrementing and decrementing are such common operations that Java provides special operators for them. The + operator adds one to the current value of an int or char. -- subtracts one. Neither operator works on doubles, booleans or Strings. Technically, it is legal to increment a variable and use it in an expression at the same time. For example, you might see something like: System.out.println i + Looking at this, it is not clear whether the increment will take effect before or after the value is printed. Because expressions like this tend to be confusing, I would discourage you from using them. In fact, to discourage you even more, I'm not going to tell you what the result is. If you really want to know, you can try it. Using the increment operators, we can rewrite the letter-counter: int index 0; while index length ; index + It is common error to write something like index index + ; WRONG!
| Busulfan ld50Sensitization of mice to ovalbumin Male C57BL 6 mice each weighing 20-25 g; Charles River ; were immunized with chicken egg ovalbumin OVA; 10 g 0.4 mL intraperitoneally ; on days 0 and 7, as previously described.8 Mice were subsequently exposed to aerosolized OVA 10 mg mL ; for 3 repeated 15-minute periods on days 15, 16, and 17 model 104; Faset Aerosol Prisma; particle size 2-5 m ; . Twenty-four hours after the last allergen challenge, mice were studied as outlined in this article. In some studies, blood was taken 24 hours after the start of challenge on day 15, the first day of challenge, for flow cytometric analysis. Local ethics committee approval was obtained from the University of Perugia. Busulfan-induced platelet depletion Busulfan Sigma-Aldrich, Poole, United Kingdom ; , a bone marrow precursor cellspecific depressing agent, was used to deplete platelets, as previously described.8 Busulfan was prepared in polyethylene glycol 400 25 mg mL ; and was heated at 65C to 70C until the mixture went into solution, before dilution 1: 8 ; in warm saline for injection on days 4, 2, and 1 of the immunization protocol 20 mg kg, 0.2 mL administered intraperitoneally ; . Ex vivo manipulation of platelets and restoration of platelet population in thrombocytopenic mice Citrated blood was taken from OVA-immunized mice and centrifuged for 20 seconds using an Eppifuge. The resultant platelet-rich plasma PRP ; was gel filtered with Sepharose 2B in Tyrode buffer. Gel-filtered platelets were diluted to 1 105 platelets per microliter and were stimulated for 4 minutes with 1 U mL bovine thrombin Sigma-Aldrich ; in the presence of RGD peptide 1 mM ; and CaCl2 4 mM ; . The reaction was stopped with hirudin 10 U mL ; Platelet suspension was then fixed for 10 minutes with an equal volume of 2% paraformaldehyde PFA ; and was centrifuged at 1000 g. The pellet was resuspended in phosphate-buffered saline PBS ; supplemented with PGI2 0.02 M ; . These fixed stimulated platelets FSPs ; were then intravenously injected into mice made thrombocytopenic by busulfan treatment. In other experiments, washed platelets were fixed without previous stimulation with thrombin fixed unstimulated platelets [FUSPs] ; . Thrombocytopenic mice received 2 transfusions of platelets, 20 minutes before allergen challenge, on the first 2 days of exposure. In some experiments, platelets were stimulated with thrombin in the presence of 100 g monoclonal antiP-selectin blocking antibody RB40.34; Becton Dickinson, San Diego, CA ; before reinjection. Typically, the injection volume of 0.2 mL contained 1.0 to 1.5 108 platelets, giving a cumulative dose of 2.0 and camptosar.
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8.1.1 ALKYLATING DRUGS Busulfan Busilvex, Myleran ; Carmustine BiCNU, Gliadel ; Chlorambucil Leukeran ; Cyclophosphamide Cyclophosphamide, Endoxana ; Estramustine Phosphate Estracyt ; Ifosfamide Mitoxana ; Lomustine Lomustine ; Melphalan Alkeran ; Mitobronitolm Myelobromol, Durbin ; Thiotepa Thiotepa ; Treosulfan Treosulfan ; 8.1.2 CYTOTOXIC ANTIBIOTICS Bleomycin Bleomycin ; Dactinomycin Cosmegen Lyovac ; Daunorubicin Daunorubicin, DaunoXome ; Doxorubicin Hydrochloride Doxorubicin Rapid Dissolution, Doxorubicin Solution for Injection, Caelyx, Myocet ; Epirubicin Hydrochloride Pharmorubicin Rapid Dissolution, Pharmorubicin Solution for Injection ; Idarubicin Hydrochloride Zavedos ; Mitomycin Mitomycin C Kyowa ; Mitoxantrone Mitoxantrone, Novantrone, Onkotrone ; 8.1.3 ANTIMETABOLITES Capecitabine Xeloda ; Cladribine Leustat ; Cytarabine Cytarabine, DepoCyte ; Fludarabine Phosphate Fludara ; Fluorouracil Fluorouracil, Efudix ; Gemcitabine Gemzar ; Mercaptopurine Puri-Nethol ; Methotrexate Methotrexate ; Pemetrexed Alimta ; Raltitrexed Tomudex ; Tegafur With Uracil Uftoral ; Tioguanine Lanvis ; 8.1.4 VINCA ALKALOIDS AND ETOPOSIDE Etoposide Etoposide, Etopophos, Vepesid.
Regulations This service is subject to the rules and regulations for E911 service, where applicable. The Company will complete calls to a non-listed number. When the Company agrees to keep a num.ber unlisted, it does so without any obligation. Except for cases of gross negligence or wLUful misconduct, the Company is not liable for any damages that might arise from publishing a non-listed number in the directory or disclosing it ti some. If, in error, the telephone number is listed in the directory, the Company's only obligation is to credit or refund any monthly charges the Customer paid for non-listed service. The subscriber indemnifies i.e., promises to reimburse the Company for any amount the Company must pay as a result of ; and save the Company harmless against any and all claims for damages caused or claimed to have been caused, directly or indirectly, by the publication of a non-listed service or the dlisclosing of said number to any person and capecitabine.
| 66 But this form of deregulation, which makes a lot of sense in that historic and geographic context, takes a lot of adjustment to fit within the U.S. policy of private ownership of rail facilities, for example, where similar policies of trackage rights raise questions of property seizure. Finally I think the most vigorously discussed question dealt with the standardization of loading units. In Europe, I think there's considerable sympathy for greater standardization of these. Many individual companies and countries have adopted a wide variety of swap body equipment. Now, everyone understands that there would be great efficiencies for moving toward a more standard set of loading units. In the United States, the private sector has led the development of what loading units have been acceptable. Again, Don Schneider's presentation at lunch pointed out some of the tremendous productivity advantages that have come from that. Many feel that this continued flux in this area is still to be expected. So, although everyone agrees, I believe, that there is tremendous potential for increased productivity through ultimate standardization of loading units, everyone feels that this is a set of decisions that has to be come at differently with each site working on its own territory first, recognizing that eventually these two regimes must come together and, in fact, all the regimes of the globe must eventually come together in a smaller number of more standardized units. So I think this dialogue does represent a device for bringing together leaders to deal with some of the complex sorts of issues that we're dealing with today as well as has been useful in highlighting on a small number of themes on which progress has been possible. Thank you. SESSION MODERATOR SUTTON: I'd like to thank each of our panelists for their contributions here this afternoon.
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Needle biopsies are now performed at the potential sampling error is large. in choosing biopsy sites and assessing correlated with bone marrow biopsies. in adult sites but expansion into humerus blastic MF. In and in been and our the CCL noted marrow, and seven tibia revealed In there of uptake clear. Some focal the is with only of MF of has and in bone Busulfan transformation. experience depression are not to cause Logically, but five patients and capsicum.
We are indebted to Ms. Nicole S. Brown for technical assistance; to Michele S. Smith, R.N., for expert nursing assistance; to the postdoctoral fellows in the Section of Endocrine Neoplasia and Hormonal Disorders for their contributions to the care of the patients; to Drs. Steven Reich, Joseph Truglia, Richard Yocum, and Richard Heyman of Ligand Pharmaceuticals for their assistance; and to Ligand Pharmaceuticals for supporting the clinical trials and busulfan.
Study was approved by the institutional review board of Hannover Medical School and informed consent was obtained from all patients. In our study sample, 25 patients had acute leukemia, 10 had chronic myelogenous leukemia CML ; , and 4 patients had other underlying disorders. There were 28 patients median age 41 years ; who received a conventional conditioning regimen with cyclophosphamide 120 mg kg body weight ; and either total body irradiation with 12 Gy n busulfan 16 mg kg body weight; n 14 ; . There were 11 patients median age 54 years ; who underwent reduced-intensity conditioning with fludarabine 150 mg m2 ; and busulfan 8 mg kg body weight ; or melphalane 120 mg m2 ; . We also studied 22 age-matched healthy controls. Samples of peripheral blood were obtained before and after the conditioning regimen as well as 7, 14, and 21 days after transplantation. We were careful to perform nontraumatic venipuncture.11 Circulating endothelial cells were isolated with Pan-Mouse M-450 Dynabeads Dynal, Oslo, Norway ; coated with anti-CD146 antibody Biocytex, Marseille, France ; as described previously.11 CD146 is expressed by mature endothelial cells, although various tumor cell lines also express the antigen. In addition to immunomagnetic isolation, cells were therefore incubated with Ulex europaeus lectin-1 UEA-1; Linaris, Wertheim, Germany; 2 mg mL ; for 1 hour in darkness. This second step was included in order to augment the specificity of the technique and facilitate enumeration.14 The sample was washed in the magnet and the cells finally suspended in buffer. Cells were counted with fluorescence microscopy and a Nageotte counting chamber. To exclude that our technique also detects endothelial progenitor cells EPCs ; , isolated cells were stained with murine antihuman AC-133 antibody Miltenyi, Bergisch Gladbach, Germany ; and alkaline phosphatase antialkaline phosphatase APAAP ; technique Dako, Hamburg, Germany ; while endothelial progenitor cells donated by Dr F.H. Bahlmann, Hannover, Germany ; were used as positive controls. These stains were uniformly and carbachol.
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In our simulations, we consider the channel in its entire molecular detail and consider channel waters with water caps at either end. To mimic the effects of the lipid membrane and to preserve the global structure of the beta helices, we use a nonelastic time relaxation restraint on the protein. The simulation details are described in the next section. From the simulation, we probe the water structure inside the channel and the mutual influences of the water and protein backbone on each other. We compare our simulations with previous simulations to highlight both the similarities and the differences.
Alkylators useful in the practice of the present invention include but are not limited to busulfan myleran, busulfex ; , chlorambucil leukeran ; , ifosfamide with or without mesna ; , cyclophosphamide cytoxan, neosar ; , glufosfamide, melphalan, l-pam alkeran ; , dacarbazine dtic-dome ; , and temozolamide temodar and carbenicillin.
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