• 제목/요약/키워드: injection duration

검색결과 479건 처리시간 0.031초

가토의 Quabain-Induced Arrhythmia에 미치는 Carbamzepine의 효과 (Effect of Carbamazepine on the Ouabain-Induced Arrhythmia in Rabbits)

  • 김의홍;하정희;이광윤;김원준
    • Journal of Yeungnam Medical Science
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    • 제3권1호
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    • pp.279-285
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    • 1986
  • 가토의 Ouabain유발 부정맥에 미치는 Carbamazepine의 영향을 검색한 결과 다음과 같은 결론을 얻었다. 1. Ouabain을 지속적으로 정맥 주사하여 64+$8.8{\mu}g/kg$이 투여되었을 때 부정맥이 발생 했으며, 이 양을 부정맥 유발 가능용량으로 정했다. 2. Ouabain $64{\mu}g/kg$을 단회 정맥 주사했을 때 발생한 부정맥은 약 7~9분간 지속된 후 모든 예에서 자연 소실되었고, 정상 심박동으로 회복된 지 20분 후 다시 동량의 Ouabain을 정맥 주사했을 때 모든 예에서 다시 나타났다. 3. 부정맥 유발 용량($64{\mu}g/kg$)의 Ouabain을 단회 정맥 주사한 후 부정맥이 나타난 것을 관찰 즉시 Carbamazepine을 투여한 결과 즉시 정상 신박동으로 환원되었으며 어느 정도 지속된 후 모든 예에서 부정맥이 발생했으나 즉시 동량의 Carbamazepine 투여로 다시 정상 심박동으로 환원되었다. 한편, Carbamazepine의 양이 증가되면서 항 부정백 작용의 기간은 길어졌으나 항 부정맥 작용없이 사망한 예가 많아졌다. 4. Carbamazepine을 단독 투여 해 본 결과 그 양이 증가함에 따라 심한 서맥, A-V block, 심방 세동 등이 나타나면서 심장이 정지함을 볼 수 있었다. 이상의 실험 결과로 미루어 Carbamazepine은 Ouabain의 독작용에 의한 심한 부정맥을 일시적으로 억제할 수 있으며, 보다 대량에서는 그 항 부정맥 작용이 보다 오래 지속할 수 있으나 Carbamazepine 자체의 심장에 대한 부작용이 발현될 위험이 존재한다고 생각된다.

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Laminotomy with Continuous Irrigation in Patients with Pyogenic Spondylitis in Thoracic and Lumbar Spine

  • Kim, Sung-Hyun;Lee, Jung-Kil;Jang, Jae-Won;Seo, Bo-Ra;Kim, Tae-Sun;Kim, Soo-Han
    • Journal of Korean Neurosurgical Society
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    • 제50권4호
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    • pp.332-340
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    • 2011
  • Objective : Pyogenic spondylitis often results in acute neurological deterioration requiring adequate surgical intervention and appropriate antibiotic treatment. The purpose of this study was to conduct an analysis of the clinical effect of continuous irrigation via laminotomy in a series of patients with pyogenic spondylitis in thoracic and lumbar spine. Methods : The authors conducted a retrospective investigation of 31 consecutive patients with pyogenic thoracic and lumbar spondylitis who underwent continuous irrigation through laminotomy from 2004 to 2008. The study included 22 men and 9 women, ranging in age from 38 to 78 years (mean 58.1 years). The average follow-up duration was 13.4 months (range, 8-34 months). We performed debridement and abscess removal after simple laminotomy, and then washed out epidural and disc space using a continuous irrigation system. Broad spectrum antibiotics were administered empirically and changed according to the subsequent culture result. Clinical outcomes were based on the low back outcome scale (LBOS), visual analogue scale (VAS) score, and Frankel grade at the last follow-up. Radiological assessment involved plain radiographs, including functional views. Results : Common predisposing factors included local injection for pain therapy, diabetes mellitus, chronic renal failure, and liver cirrhosis. Causative microorganisms were identified in 22 cases (70.9%) : Staphylococcus aureus and Streptococcus spp. were the main organisms. After surgery, LBOS, VAS score, and Frankel grade showed significant improvement in most patients. Spinal stability was maintained during the follow-up period, making secondary reconstructive surgery unnecessary for all patients, except one. Conclusion : Simple laminotomy with continuous irrigation by insertion of a catheter into intervertebral disc space or epidural space was minimally invasive and effective in the treatment of pyogenic spondylitis. This procedure could be a beneficial treatment option in patients with thoracolumbar spondylitis combined with minimal or moderate destructive change of vertebrae.

급성 화농성 슬관절염에서 관절경적 치료 후 결과 (Clinical Results after Arthroscopic Treatment in Acute Pyogenic Arthritis of the Knee)

  • 이정환;윤경호;배대경;김정원;박수연
    • 대한관절경학회지
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    • 제12권1호
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    • pp.53-57
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    • 2008
  • 목적: 슬관절에 발생한 급성 화농성 관절염의 관절경적 치료 후 결과에 대하여 분석하였다. 대상 및 방법: 2000년 7월에서 2005년 1월까지 16예(15명)의 관절경적 치료를 시행한 급성 화농성 슬관절염 환자를 대상으로 하였다. 환자의 평균 나이는 61.9세였고 평균 추시 기간은 30.5개월이었다. 당뇨병이나 퇴행성 관절염 등의 기존 질환이 있었던 경우가 8예 였으며 과거력상 슬관절에 침을 맞거나 관절내 주사를 시행 받은 경우가 14예였다. 결과: 원인균의 동정이 가능했던 예는 7예(43.8%)였다. 술 후 정맥 내 항생제를 평균 25.5일 사용하였으며 경구 항생제를 평균 22.5일 사용하였다. 슬관절 강직 5예, 이차성 관절염 2예, 슬관절 주위 만성 골수염 1예, 사망 3예 등 총 11예의 합병증이 발생하였다. 수술 후 3주 이상 부목 고정을 시행한 경우 슬관절 강직이 유의하게 많았으나(p=0.032) 증상 발현 후 1 주일을 기준으로 치료까지의 기간에 따른 합병증의 발생 빈도는 차이를 보이지 않았다(p=0.293). 배양 검사 상 원인균이 동정된 경우 더 많은 합병증이 발생하였다(p=0.034). 결론: 화농성 슬관절염의 관절경적 치료 후 관절 강직의 발생 빈도와 고정 기간과 상관 관계가 있었다. 합병증 발생 빈도는 증상 후 치료까지의 기간과는 연관이 없었으나 원인균의 동정된 여부와는 연관이 있었다.

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GnRH antagonist multiple dose protocol with oral contraceptive pill pretreatment in poor responders undergoing IVF/ICSI

  • Kim, Chung-Hoon;You, Rae-Mi;Kang, Hyuk-Jae;Ahn, Jun-Woo;Jeon, Il-kyung;Lee, Ji-Won;Kim, Sung-Hoon;Chae, Hee-Dong;Kang, Byung-Moon
    • Clinical and Experimental Reproductive Medicine
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    • 제38권4호
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    • pp.228-233
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    • 2011
  • Objective: To investigate the effectiveness of GnRH antagonist multiple-dose protocol (MDP) with oral contraceptive pill (OCP) pretreatment in poor responders undergoing IVF/ICSI, compared with GnRH antagonist MDP without OCP pretreatment and GnRH agonist low-dose long protocol (LP). Methods: A total of 120 poor responders were randomized into three groups according to controlled ovarian stimulation (COS) options; GnRH antagonist MDP after OCP pretreatment (group 1), GnRH antagonist MDP without OCP pretreatment (group 2) or GnRH agonist luteal low-dose LP without OCP pretreatment (group 3). Patients allocated in group 1 were pretreated with OCP for 21days in the cycle preceding COS, and ovarian stimulation using recombinant human FSH (rhFSH) was started 5 days after discontinuation of OCP. Results: There were no differences in patients' characteristics among three groups. Total dose and days of rhFSH used for COS were significantly higher in group 3 than in group 1 or 2. The numbers of mature oocytes, fertilized oocytes and grade I, II embryos were significantly lower in group 2 than in group 1 or 3. There were no significant differences in the clinical pregnancy rate and implantation rate among three groups. Conclusion: GnRH antagonist MDP with OCP pretreatment is at least as effective as GnRH agonist low-dose LP in poor responders and can benefit the poor responders by reducing the amount and duration of FSH required for follicular maturation.

족삼리(足三里) 전침(電鍼)이 백서(白鼠)의 슬관절염(膝關節炎) 통증(痛症)에 미치는 영향(影響) (Effects of Acupuncture applied to Food Samli on the Rat Model of Knee Arthritic Pain)

  • 박성익;구성태;황재호;신종근;손인철;김경식
    • Korean Journal of Acupuncture
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    • 제21권1호
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    • pp.113-127
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    • 2004
  • Objectives : The usage of acupuncture has gained popularity as an alternative method of treatment for certain chronic pain conditions. However, the efficacy of acupuncture in various diseases has not been fully established and the underlying mechanism is not clearly understood. In the present study, the effect of electroacupuncture (EA) applied to foot samli$(ST_{36})$ on the carrageenan-induced knee arthritic pain was examined. Methods : A common source of persistent pain in humans is the knee arthritis. Knee arthritis was induced by injection of 2 % carrageenan $50\;{\mu}l$ into the knee joint cavity. When rats developed pain behaviors, EA was applied for 30 min. under enflurane anesthesia with repeated train stimuli at the intensity of 10X of muscle twitch threshold. The weight bearing force of the hind limb was measured for an indicator of pain level after each manipulation. Results : The average weight borne by the hind limb during normal gait was 55% of total body weight, which was reduced to less than 10% after knee arthritis. EA improved the weight bearing of the arthritic hind limb significantly for the duration of 4 hr. EA applied to $ST_{36}$ point produced a significant improvement of stepping force of the arthritic foot lasting for at least 4 h. However, $GB_{31}$ point did not produce any significant increase of weight bearing force. The analgesic effect was specific to the acupuncture point since the analgesic effect on the knee arthritis model could not be mimicked by EA applied to a nearby point, $GB_{31}$. The relations between EA-induced analgesia and endogenous nitric oxide(NO) and inducible NO synthase(iNOS)/neuronal NOS was also examined. Results were turned out that both NO production and nNOS/iNOS protein expression which is increased by arthritis were suppressed by EA stimulation applied to $ST_{36}$ point. Conclusions : The data suggest 1) that EA produces a potent analgesic effect on the rat model of chronic knee arthritis pain in a point specific manner and 2) that EA-induced analgesia modulate endogenous NO through the suppression of nNOS/iNOS protein expression.

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Colistimethate 분무요법 시행 환자에서 투여 전후 신기능의 변화 (Changes in Renal Function by Nebulized Colistimethate Treatment)

  • 안혜진;정유진;김재송;김수현;손은선
    • 한국임상약학회지
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    • 제27권2호
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    • pp.92-98
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    • 2017
  • Background: Nebulized colistimethate is increasingly used, because there are problems such as renal dysfunction and low distribution within the lungs when colistimethate is administered intravenously. This study was designed to compare and analyze the changes in renal function by of nebulized colistimethate treatment for its safe administration. Methods: This study retrospectively reviewed the electronic medical records of adult patients above 19 years old, receiving only the nebulized colistimethate at least 4 days in Yonsei university health system from Nov 2014 to Aug 2015. Acute kidney injury (AKI) was determined by using the RIFLE criteria (Risk, Injury, Failure, Loss and End-stage renal disease) according to serum creatinine (SCr) levels before and after use of nebulized colistimethate. Results: 48 patients were included our study and their SCr increased significantly after nebulized colistimethate treatment ($SCr_0$ vs. $SCr_1$; $0.85{\pm}0.80$ vs. $1.00{\pm}0.82mg/dL$, n=48, p<0.001), but the changes were in normal range according to the standards at Yonsei university health $system^a$. Among 48 patients, 38 patients were in the non-AKI group (79.2%), and 10 patients developed AKI (20.8%). Within the AKI group, 2 patients were in the Injury group (20%) and the other 8 in the Risk group (80%). Conclusion: There was no significant difference in age, dosage and duration of treatment between AKI group and non-AKI group (p>0.05). The study has a significance in that it reviewed the safety of nebulized colistimethate only treatment to national patients, analyzing its nephrotoxicity. It has confirmed that nebulized colistimethate is a safer method than intravenous injection, and requires to establish a guideline for the use of nebulized colistimethate in further studies with broader patient groups. $^a$ : SCr Male 0.68-1.19 mg/dL, Female 0.49-0.91 mg/dL.

대형 디젤 엔진에서 JP-8 과 디젤 적용 시의 배기 배출물 특성에 대한 이해 (Understanding Pollutant Emission in a Heavy-Duty Diesel Engine with JP-8 and Diesel)

  • 이진우;배충식
    • 대한기계학회논문집B
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    • 제35권12호
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    • pp.1375-1381
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    • 2011
  • 커먼레일 분사 시스템이 장착된 대형 단기통 가시화 엔진에서 디젤과 JP-8 의 연소 및 배기 특성을 분석하였다. 두 연료 적용 시, 배기 배출 경향을 분석하기 위해 직접 화염가시화와 이색법을 적용하였다. 연소 과정은 직접 화염 가시화로부터 화염 강도 분석을 통해 이루어 졌다. 이색법 결과는 화염 온도 및 KL 값을 도출하여 분석을 하였다. 직접 화염 가시화 결과, JP-8 연소 시, 점화 지연 기간이 길며, 디젤 연소에 비해 화염이 빠르게 소멸되는 것을 확인하였다. 화염 강도 분석을 통해 디젤 연소의 경우, 연소 전 기간에 걸쳐 높은 화염 강도 수준을 유지하며 화염 지속 기간이 긴 것을 알 수 있었다. 이색법 결과를 통해, JP-8 연소의 경우, 국부적으로 고온의 화염 면이 더 많이 분포하는 것을 확인하였으며, 이는 $NO_x$가 더 많이 배출된 경향을 설명해준다. 또한 KL 치 분석 결과, JP-8 연소 시 낮은 수준의 KL 값이 더 고르게 분포하는 것을 알 수 있었으며, 이는 JP-8 연소 시 스모크 가 덜 배출된 결과를 뒷받침 해준다.

폐포자충증에 대한 이종항혈청 내 1gG 항체의 예방 및 치료효과 (The effect of heterogeneous hyperimmune IgG antibody on prophylaxis and treatment of Pneumocystis carinii infection in rats)

  • 이미정;조상록
    • Parasites, Hosts and Diseases
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    • 제36권2호
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    • pp.127-132
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    • 1998
  • 폐포자충증에 대한 이종항혈청의 예방 및 치료효과를 검증하고자 이 연구를 수행하였다. 횐쥐 (위스타)를 15마리씩 나누어 9개 실험군을 설정하고, 스테로이드 주사로 면역억제시켜 폐포자충의 감염을 유발하였다. 흰쥐 유래의 폐포자충 조항원을 토끼에 투여하여 얻은 면역혈청 중에서 IgG 항체만을 분리하여 실험에 사용하였다. 각 실헙군에 따라 면역억제 시작 2주전부터 억제 후 6주후 사이에 면역항체 주입을 시작하였고, 주 2회씩 7곤주 동안 주입하였다 대부분의 실험군에서는 면역항체를 일회에 0.4 ml (단백질량 0.976 mg)씩 주입하였고, 용량에 따른 예방 및 치료효과를 비교하기 위하여 0.2 ml (단백질량 0.488 mg)와 0.6 ml (단백질량 1.464 mg) 주입 실험군을 설정하였다. 그 결과 실험군별로 실험기간인 7틱주간 살아남고 폐에 세균감염이 없는 흰쥐 2-12마리에서 결과를 얻었다. 폐도말검사 결과 모든 개체에서 폐포자충이 확인되었고, 실험군에 따라 포낭형 수의 평균이 최저 13.5 (3군)에서 최고 52.5 (1군) 사이에 있었다. 통계학적인 검증 결과 기준이 되는 1군에 비하여 유의한 병원체의 감소가 확인된 실험군은 0.4 nU의 항체를 주 2회씩 7주간 주입한 3군, 5주간 주입한 4군, 3주간 주입한 5군과, 0.2 U를 7주간 주입한 8군이었다. 면역항체를 0.4 ml씩 9주간 주입한 2군과 항체를 0.6 ml씩 7주간 주입한 9군은 차이가 유의하지 않았다. 이 항체는 폐포자충의 표면에 있는 주항원 당단백질인 MSG (m3iorsurfaceycoprotein) 중에서 40-55, 92, 116, 200 kDa 분획과 주로 반응하였다. 이들 항원 분획이 숙주의 방어기전과 관련된 항체를 유발하는 항훤이며, 이 항원자극에 의하여 형성된 이종항체가 흰쥐의 폐포자충 감 염초기에 수동면역의 효과가 있어 예방이나 치료에 활용될 수도 있음을 확인하였다.

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Isofourane으로 마취된 개에 medetomidine, medetomidine-buprenorphine, medetomidine-fentanyl의 경막외 투여 시 심혈관계 반응과 진통효과의 비교 (Comparision of cardiovascular and analgesic effects of epidural administration of medetomidine, medetomidine-buprenorphine and medetomidine-fentanyl in dogs anesthetized with isoflurane)

  • 장화석;김혜진;최치봉;이정선;김휘율
    • 대한수의학회지
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    • 제47권1호
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    • pp.103-115
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    • 2007
  • The aim of this study was to compare the reaction of the cardiovascular system, and the anesthetic effect among 3 experimental groups, epidural administration of medetomidine as a single agent, the combination of buprenorphine and medetomidine, and the combination of fentanyl and medetomidine. Twenty one dogs were anesthetized with isoflurane and allowed to breathe spontaneously. Epidural, arterial, and venous catheters were inserted. The tip of epidural catheter was positioned at the level of the space between the sixth and seventh lumbar vertebra. After a stable plane of anesthesia was achieved, these dogs were each administered one of the following treatments epidurally : medetomidine $10{\mu}g/kg$ (Group M), a combination of medetomidine $5{\mu}g/kg$ and buprenorphine $10{\mu}g/kg$ (Group M/B), and a combination of medetomidine $5{\mu}g/kg$ and fentanyl $10{\mu}g/kg$ (Group M/F). Heart rate (HR), Respiratory rate (RR), End-tidal carbon dioxide (EtCO2), and arterial blood pressure were measured before drug administration (base line) and 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, and 60 min postinjection. Blood gas analysis was performed before injection and 5, 15, 25, 35, 45, 60 min postinjection. Isoflurane was discontinued 80 min postinjection and pain/motor function were evaluated up to 260 min postinjection every 15 min. At the early stage of drug introduction (until 5 min), the HR was decreased significantly in all 3 groups compared with base line. In Group M, HR was significantly decreased compared with the other 2 groups. With time (starting 20 min after drug introduction), the HR was decreased significantly in Group M/B in respect to base line. However, no significant difference was seen number-wise in all 3 groups. During 60 min after drug introduction, the systolic, diastolic and mean arterial pressures were highest in Group M and lowest in Group M/F. Among 3 groups, drug action and motor loss duration were longest in Group M/F. Analgesic effect observed in the M/F group was the most prominent and long-lasting, compared to those seen in the other 2 groups. Given the fact that the recovery of motor function takes place in a short period of time after analgesic effects disappeared, additional use of M/F depending on the patient's condition would be a good way to achieve effective pain management. However, proper care should be taken to ensure the function of cardiovascular system in the patient because the administration of M/F under isoflurane anesthesia results in a significant decline in arterial blood pressure ($65{\pm}10mmHg$).

Xylazine-ketamine 병용마취가 토끼의 혈중 ACTH, corticosterone 및 glucose 농도에 미치는 영향 (Effects of xylazine-ketamine combination on serum ACTH, corticosterone and glucose concentrations in rabbits)

  • 박권무;이용화;한성규;류판동
    • 대한수의학회지
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    • 제39권1호
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    • pp.77-84
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    • 1999
  • Anesthetic agents are useful in inducing the anesthesia for surgical operations and various biological experiments, but they can disturb the body homeostasis and cause the stress in animals. Much efforts have been directed on reducing such side effects of anesthesia. In this work, we measured the serum ACTH, corticosterone and glucose concentration in rabbits to compare the degree of stress induced by two commonly-used anesthetics, ketamine, xylazine, and the combination of xylazine and ketamine. 1. The anesthesia was induced in about 10 min in the rabbits treated with xyalzine, ketamine and xylazine-ketamine. The duration of complete loss of righting reflex were 12, 13 and 115 min in the groups treated with xylazine, ketamine and xylazine-ketamine, respectively. 2. Serum ACTH concentrations in all treatment groups were higher than those in control group. At 30 min after the administration of the drugs, serum ACTH levels in ketamine-treated group were significantly higher than those in control, xylazine- and xylazine-ketamine-treated groups. However, at 1, 2, 5 and 9 hours after the drug administration, serum ACTH levels in xylazine-treated-group were higher than those in control. 3. Serum corticosterone levels in xylazine- and xylazine-ketamine-treated groups were lower than those in control or ketamine-treated groups at 0.5 and 1 hour after the administration. However, at 5 and 9 hours after the administration, serum corticosterone levels in xylazine- and xylazine-ketamine-treated groups were significantly higher than those in ketamine-treated group or control. 4. Serum glucose levels transiently increased to 3 times of the pre-injection levels at 0.5 and 1 hours after the administration in xylazine or xylazine-ketamine-treated groin, but were not changed in control and ketamine-treated group. These results indicate that xylazine-induced stress lasts longer than ketamine-induced, suggesting that the difference in stress-related hormone levels during anesthesia could be due to the differences in modes of actions of individual drugs used and the depth of anesthesia.

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