11/26/2023 0 Comments Normal retina exam feathre![]() ![]() Note any opacity that seems to interfere. Direct the light to the pupil and look for an orange-red glow. Position the ophthalmoscope about 15° lateral to the patient's line of vision.As you peer through the aperture, keep both eyes opened, press the ophthalmoscope firmly against your bony orbit, and hold the handle at a slight angle away from the patient's face.Position yourself about a foot from the patient at eye level, and ask the patient to stare at a spot on the wall just over your shoulder.This avoids bumping noses with the patient. To examine the patient's right eye, hold the ophthalmoscope in your right hand and look through the aperture with your right eye to exam the patient's left eye, hold the ophthalmoscope in your left hand and look through the aperture with your left eye.Keep your index finger on the lens disc during the exam, so the diopters can be adjusted as necessary to focus in on the retinal structures.Turn the lens disc until the largest white circle of light can be seen, and the diopter indicator reads 0, meaning the ophthalmoscope lens is neither converging nor dispersing the light.After darkening the room, turn on the ophthalmoscope and shine the light on your hand or on the wall.Unless the patient's refractive errors make it difficult to focus on the retina, it is usually best to remove your own eyeglasses for the exam.Be familiar with these features before attempting to examine the patient. Since mydriatic eye drops are typically not used in general practice, the view of the fundus is limited to only a section of the posterior retina. A photograph showing an ophthalmoscopic view on the normal retina. A diagram showing a sagittal view of the human eye with the structures labeled.įigure 2: Normal retina. A blind spot approximately 15° temporal to the line of gaze results from a lack of photoreceptor cells at the optic disc.įigure 1. Just lateral and slightly inferior is the fovea, a darkened circular area that demarcates the point of central vision. The disc usually contains a central whitish physiologic cup where the vessels enter it normally occupies less than half the diameter of the entire disc. The first landmark observed during the funduscopic exam is the optic disc, which is where the optic nerve and retinal vessels enter the back of the eye ( Figure 2). Light is refracted as it passes sequentially through the cornea, the lens, and the vitreous body. The spherical eyeball collects and focuses light on the neurosensory cells of the retina. The ophthalmoscope is primarily used to examine the fundus, or the inner wall of the posterior eye, which consists of the choroid, retina, fovea, macula, optic disc, and retinal vessels ( Figure 1). The simplest ophthalmoscopes consist of an aperture to look through, a diopter indicator, and a disc for selecting lenses. Source: Richard Glickman-Simon, MD, Assistant Professor, Department of Public Health and Community Medicine, Tufts University School of Medicine, MA ![]()
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11/26/2023 0 Comments Trapezoid image![]() ![]() A puck cannot be played behind the goal line unless it is within the trapezoid of the goal line, according to the NHL’s rules. In the NHL, the puck is kept in the corners of the defensive zone by using a goalie trapezoid, which prevents the puck from being played in the corners of the defensive zone. What Is The Point Of The Trapezoid In Hockey? Because he is a fantastic puck-handling goaltender, Brodeur was a key contributor to the NHL’s decision to introduce the rule to reduce the number of shots on goal that leave the crease to prevent dump-ins in the corners. The trapezoid rule, also known as Rule 1.8 in the NHL rulebook, was implemented during the 2004-05 labor dispute. Martin Brodeur, for example, played so well in the net that the puck was easy to come by. Since then, the average goal per game has increased to 6.2, and the team has scored more than 5.5 goals every year. The trapezoid was introduced as a result of the 2004 NHL Lockout. Martin Brodeur was the NHL’s best puck-handling goaltender at the time. In the past, the New Jersey Devils were regarded as one of the best trap teams. The trapezoid is the area of ice where the puck cannot be hit by a player who is in the offensive zone. During the 2004 NHL Lockout, it was discussed how to avoid the trap system of play in meetings. In the trapezoid area and behind the goal line, the puck should not be played outside the area. When the puck was left in the net for the goaltender to play, it used to be common for him to choose the spot on the ice. The trapezoid has been a controversial rule, with some goaltenders and coaches arguing that it limits their ability to play the puck and defend the net. Prior to the rule change, goaltenders were allowed to play the puck anywhere behind the goal line. The trapezoid was introduced in 2005 as part of a rule change that was designed to limit the goaltender’s ability to play the puck. ![]() In ice hockey, the trapezoid is the area behind the goal line where the goaltender can play the puck. A trapezoid is a geometric shape with four sides, two of which are parallel to each other. ![]() 11/26/2023 0 Comments Usb traffic sniffer![]() Paid version also supports USB data recording (USB data logger function), sending packets to USB HID devices in response to triggered events and allows you to automate workflow with scripts (written in JavaScript or TypeScript). ![]() It includes browsing, searching for specific data patterns and exporting features. The free version provides all the basic tools for convenient tracing and exploring captured USB data. Paid version also supports filtering by parsed protocol fields and provides you with a lot of custom filtering options. Free version supports filtering by USB endpoints and requests. It allows efficient USB protocol analysis for High Speed USB 2.0, SuperSpeed USB 3.0 and SuperSpeed+ USB 3.x communications.įor the best user experience, our product supports data filtering. It runs smoothly, processes monitored packets in real-time even on high data rates (up to 20 Gbit/s). This Freeware USB data snooping utility requires no additional hardware or cables to operate. ![]() ![]() Our USB monitoring program may be an excellent alternative to hardware analyzers because it intercepts all Windows API function calls which are transferred between USB applications and device drivers, parses transmitted packets and shows all captured data in a several convenient forms, which is virtually impossible for hardware solutions due to their low level view. All Windows desktop/server 32-bit and 64-bit platforms starting from Windows Vista are supported. This software-based USB protocol analyzer allows you to monitor the data transferred between USB applications and devices connected to your computer via USB interfaces. Free USB Analyzer is a non-intrusive software USB sniffer and protocol analyzer for Windows. ![]() 11/26/2023 0 Comments Sequential headlights f150![]() Due to the heavier quality and larger volume of vland products, the buyer shall bear the freight for return due to non-product quality problems.Please provide your phone number and email address when placing an order.“Free Shipping” requires shipping to U.S.A, Australia, Canada, Japan, European Union, United Kingdom if you are in other countries, please contact us for details before order, thank you.Vehicles from North America, most of the Europe and other countries except Australia, United Kingdom, Ireland, New Zealand, Singapore and Japan are usually the right driver side models. When you are facing the same way as the car is facing, the steering wheel is on the left/right side, that means your car is the left/right hand drive. ![]() This warranty covers defects arising under normal use and does not cover malfunctions or failures resulting from misuse, abuse, neglect, improper installation, or incorrect maintenance.ĭuring the warranty period, Vland will replace or repair, at no charge, a product that is defective in materials or workmanship. The warranty period begins on the date the product is delivered. Vland warrants its products to be free from defects in materials or workmanship for a period of 1 year. This tracking information may take up to 24 hours to become available. You will receive an e-mail containing your tracking number as soon as the shipping label is printed.You can track your package here. If you need invoice information, please contact online customer service. Other areas are charged according to local tax standards. Tax-free countries: United States, Canada all items will be tracked for your peace of mind. We use reputable couriers like UPS, and DHL, THPHR, EMS. (Extra shipping fees may apply based on countries ship from China Factory). UK Stock: 2-4 business days for delivery.ĭE Stock: 4-6 business days for delivery.įR Stock: 2-4 business days for delivery.ĬN stock: 9-15 business days for delivery. US Stock: 3-5 business days for delivery.ĪU Stock: 3-5 business days for delivery.ĬA Stock: 3-5 business days for delivery. Some of them will send from our Chinese Warehouse direcly if the stock is insufficient supply. ![]() Most standard shipments are sent through local warehouse: United States, Canada, Australia, United Kindom, Germany, France, etc. Processing Time:Īll items are ready to be dispatched within 1-2 business days after the payment is completed. For specific shipping costs, please consult online customer service or send an email, and we will inform you after calculating the actual weight and volume. In addition to the above countries, we are happy to supply products to customers in other regions, but shipping may incur additional costs and delivery days, which need to be borne by the customer. In order to coordinate with the body color, VLAND lens is available in a variety of colors to make your car more beautiful.įree shipping countries include: United States, Canada, Australia, United Kingdom, EU member states (Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden). A variety of Lens colors is available to meet your individual needs.Choose VLAND to give your car a new lease of life. Upgrade lighting, experience new feelingsĬompared with the same shape of the original car lights, VLAND can change the appearance and configuration of the car lights through old reform services, independent design, and upgrades, allowing you to experience the new feelings at a minimal cost.We promise that VLAND can be refunded and replaced if the lights are not artificially modified within one year. 1 year of after-sale service makes you feel cost-effective.As for production capacity, our factory has IATF 16949 auto parts production management system and ISO 9001 quality management system certification standards. In terms of appearance, we have the appearance and design patents of our car lights. Our factory has American DOT, European E-Mark and Chinese CCC certification to assure product quality. ![]()
11/26/2023 0 Comments Tao of pooh author![]() ![]() In 2006, he denounced the publishing industry and announced his resignation from book-writing. The author of The Tao of Pooh is an American Taoist who uses Winnie the Pooh to illustrate the central concepts and principles in Taoism (like Tao, P’u, and Wu Wei). Pooh may be a Bear of Very Little Brain but there are lessons to be learned from his approach to life. He is best known as the author of The Tao of Pooh (1982) and The Te of Piglet (1992). (Alan Alexander), 1882-1956 - Characters - Winnie the Pooh, Milne, A. stating how Lao-tse (the author of the oldest existing book of Taoism) perceived the. The Tao of Pooh by Hoff, Benjamin, 1946- author Publication date 1982 Topics Milne, A. ![]() He introduces it as part of the Three Teachings of China, and goes on by. Benjamin Hoff’s explanations of Taoism and Te through Pooh and Piglet show that this is not an ancient and remote philosophy but something that you can use, here and now.Īn utterly unique book which makes complex concepts accessible with a little help from Pooh and his friends from the Hundred Acre Wood. Benjamin Hoff starts off the Tao of Pooh by giving a thorough explanation of. And as for Piglet, he embodies the very important principle of Te, meaning Virtue of the Small. Winnie-the-Pooh has a certain way about him, a way of doing things that has made him the world’s most beloved bear, and Pooh’s Way, as Benjamin Hoff brilliantly demonstrates, seems strangely close to the ancient Chinese principles of Taoism. Rabbit, who had begun to write very busily, looked up and said: “It is because you are a very small animal that you will be useful in the adventure before us.” Benjamin Hoff, Simon Vance (Narrator) 4. The authors explanation of Taoism through Pooh, and Pooh through Taoism, shows that this is not simply an ancient and remote philosophy but something you can. ![]() “It’s hard to be brave,’ said Piglet, sniffing slightly, “when you’re only a Very Small Animal.” ![]() 11/26/2023 0 Comments A real scatter gun![]() ![]() Early firearms are seen as antiques, and advanced firearms are widespread. Early firearms and their ammunition cost 25% of the amounts listed in this book, but advanced firearms and their ammunition are still rare and cost the full price to purchase or craft. Instead of requiring the Exotic Weapon Proficiency feat, all firearms are martial weapons. Advanced firearms may exist, but only as rare and wondrous items-the stuff of high-level treasure troves.Ĭommonplace Guns: While still expensive and tricky to wield, early firearms are readily available. Adventurers who want to use guns must take the Gunsmithing feat just to make them feasible weapons. Early firearms are available, but are relatively rare. The baseline gunslinger rules and the prices for ammunition given in this chapter are for this type of campaign. They are mass-produced by small guilds, lone gunsmiths, dwarven clans, or maybe even a nation or two-the secret is slipping out, and the occasional rare adventurer uses guns. Only NPCs can take the Gunsmithing feat.Įmerging Guns: Firearms become more common. ![]() Few know the strange secrets of firearm creation. Firearms are treated more like magic items-things of wonder and mystery-rather than like things that are mass-produced. Very Rare Guns: Early firearms are rare advanced firearms, the gunslinger class, the Amateur Gunslinger feat, and archetypes that use the firearm rules do not exist in this type of campaign. The Pathfinder Roleplaying Game plays perfectly well without them. No Guns: If you do not want guns in your campaign, simply don’t allow the rules that follow. Pathfinder’s campaign setting uses the rules for emerging guns, which is also the default category of gun rarity. The following are broad categories of firearm rarity and the rules that govern them. Firearms in Your Campaignįirearms and gunslingers are not for every campaign, and even if you are excited about introducing firearms into your campaign, you should still make a decision about how commonplace they are. If you like your fantasy to be of the more traditional variety, stand clear. If you are interested in letting such weapons in your game, do so with the following warning: Advanced guns can substantially change the assumptions of your game world, in the same way that they changed the face of warfare in the real world. More advanced firearms are also presented for those brave enough to mix their fantasy with a technology much closer to that of the Old West than the slow and unstable weapons that gave musketeers their name. Most of them are single-shot muzzle-loaders with highly inefficient triggering mechanisms-traditional sword and sorcery firearms. This section presents an anachronistic collection of hand-held black powder weapons. Still, a firearm remains an ominous and terrible weapon in the hands of a skilled gunman. Such weapons could cause hero or villain to falter or triumph, changing the action within the tale in a flash or a fizzle. This made firearms excellent storytelling devices. These authors likely included guns because they are exciting, but also because the guns they chose were primitive ones-relatively unpredictable weapons, prone to misfire and malfunction. Heroes like Burroughs’s John Carter or Howard’s Solomon Kane carried pistols alongside their swords, and it’s hard to imagine a pirate ship without cannons blazing. The earliest authors of fantasy and weird fiction often included guns in their stories. Figurine of Wondrous Power (Slate Spider).Firearm Ammunition and Adventuring Gear. ![]() 11/26/2023 0 Comments Ratropolis torrent![]() ![]() ![]() Lidera o teu pequeno posto de ratos para a segurança e defende os teus cidadãos rato de predadores e creaturas monstruosas. Download Ratropolis torrent download for PC 3 months ago Description of the game Screenshots Trailer and gameplay for the game Description of the game Ratropolis is a tactical side-view strategy game with a roguelike, RPG, and tower defense elements. On this page you can download Ratropolis for free on PC via torrent. Ratropolis combina roguelike, construção de baralho e defesa de torre com jogabilidade estratégica em tempo real. Your strategy is your path to victory, and how you build it will be the final. ![]() The battles will take place very rapidly, because all the actions here take place in real time. Expanding the area for you to put military units that will be able at any moment to repulse the offender. Ratropolis Wiki 266 articles 192 files 936 edits ABOUT THE WIKI This is a wiki for the game Ratropolis, by Cassel Games. Ratropolis Free Download PC Game Cracked in Direct Link and Torrent. To do this, you need to rebuild defensive towers from all sides, and also strengthen your army in every possible way in order to increase our chances of victory. You have a central base and in no case should you allow the enemy to get to it. User will then re-draw used cards from the. User will be given 8 basic cards at the start. In the game, a player can choose 80 cards consisting of resources, armed units, construction, and combat support to activate strategic command. Make your rats talk about it for a thousand years. The combat system is aimed at card interaction, but almost everything will depend specifically on the composition of your deck, as well as on how deftly you will be able to dispose of the card. User’s main goal is to build the largest ‘Ratropolis’. Your main task is to protect the possessions from attack from the enemy forces, while trying to develop and improve. Ratropolis is a Real-time card game that uses cards to defend a rat’s city against enemies.You must defend your upcoming enemies with quick judgment and swiftness.Build your OWN Ratropolis with various cards that you can get from playing the game. Here you will take on the role of commander in chief, who takes control of a small settlement of rats. Ratropolis is a colorful in its own execution and rather lively 2D game that successfully classifies itself as a strategy game. ![]() 11/25/2023 0 Comments Allison raskin weight![]() ![]() The next step is figuring out what type of exercise makes you feel cared for instead of tortured or triggered. I think approaching exercise as something we do because we care for ourselves is helpful and healing. This definition blows out the concept beyond bubble baths and pedicures to encompass everyday tasks like brushing our teeth and taking a shower. What if exercise became a way that we showed ourselves love instead of using it to imply that we aren’t physically good enough? What would that look like? One of my favorite definitions of self-care is defining it as any action that shows we hold value and deserve to be cared for. ![]() Instead of viewing exercise as something we are doing for our bodies, we start to view it as something we are doing for our minds. What I’m proposing is that we break the connection between exercise and physical change. And feeling like you have to look a certain way in order to be happy or have value isn’t ideal for one’s mental health (or life). It’s not about feeling good, it’s about looking a certain way. Or, conversely, you start to get obsessed with the changes you are seeing and your drive to exercise can become compulsive. If you don’t see noticeable changes both in the mirror and on the scale, you end up feeling like a failure. So if you view exercise solely as a method to get you closer to that body type, exercise becomes part of the problem. We already live in a world that is obsessed with an “ideal” body type. Framing exercise this way can be triggering and harmful, resulting in many people (understandably) avoiding it altogether. The result is that we often approach exercise in an unhealthy way because we singularly see it as an opportunity to change our bodies. The biggest one, in my opinion, is that our society almost exclusively links the main value of exercise to weight loss. There are a lot of barriers when it comes to working out routinely. But even for those who can exercise, it’s often not as simple as deciding to exercise. That’s where all the other resources we can give ourselves come in, including therapy, mindfulness and good sleep hygiene. For starters, I need to acknowledge that promoting exercise is inherently ableist and isn’t an option for everyone. So, if you want to care for your mental health and are physically able, incorporating exercise into your daily/weekly routine is a great addition to your life.Įasy, right? Not so much. Despite passing my psychopharmacology class, I’m still not super comfortable explaining the science of it all, but this much I know: exercising is a huge resource when it comes to improving your mental health and brain plasticity. ![]() There is even research suggesting it has similar effects as antidepressants. One topic that has been covered in pretty much every class, however briefly, is the overwhelming evidence that exercise helps our mental health. I actually enjoy relearning certain things because it helps drive home their importance and makes the information more memorable. While each class has unique subject matter, there is a fair amount of overlap. I’ve been getting a master’s in psychology since January 2020. ![]() 11/25/2023 0 Comments Vanilla pudding recipe ideas![]() ![]() The delicious layers of angel cake soak up the cherry pie filling and creamy vanilla pudding. Muffins ideas in 2023 breakfast cake, food, recipes Breakfast Cakes and. The hardest part of the recipe is waiting for it to chill. Cover with plastic wrap and refrigerate until set, about 2 hours. Then you combine a block of cream cheese with the instant vanilla pudding mix. They’re not only fun to make with my grandchildren, but they’re delicious, too. They get their sweet-tart flavor from lemon gelatin, sherbet and pudding mix. Add in 1/2 cup of the cold milk and blend until combined. A few handy convenience items hurry along the prep for these creamy bars with a vanilla wafer crust. ![]() Remove from the heat and whisk in 1 tablespoon each vanilla and unsalted butter until smooth. Blend the very soft cream cheese with a hand or stand mixer on high speed until it’s creamy and smooth. Return to medium-low heat and simmer, whisking, until thick and creamy, 5 to 7 minutes. Recipes Vanilla Pudding, 6 Ways Inspired by a comforting childhood favorite creamy vanilla pudding Food Network Kitchen created an easy base recipe and five ideas for tasty mix-ins. Remove from the heat and whisk in the sugar mixture. Gradually stir at least half of the hot mixture into egg yolks, then. Meanwhile, bring another 1 cup milk to a boil in a medium saucepan over medium heat. In 2-quart saucepan, mix sugar, cornstarch and salt. Whether you’re after an indulgent sweet hit or a healthier choice, we’ve got the recipe for you. Some people have allergies to peanuts, and if serving to guests, please make them aware of the inclusion of this peanut product.Combine 1/2 cup sugar, 2 tablespoons cornstarch and teaspoon salt in a medium bowl slowly whisk in 1 cup milk, then whisk in 1 large egg. Scrumptious puds, super-cool sorbets and cracking cakes, our selection of pudding and dessert recipes are sure to hit the spot. Peanut Butter* and Jelly (See Cook's Note): Fold in 1 cup quartered red grapes and 1/3 cup each chopped roasted peanuts and peanut butter chips. I sometimes substitute other fruits, such as raspberries, blueberries or peaches. The bright cherry sauce gives them a delightful flavor. Rocky Road: Fold in 1 cup each mini marshmallows and toasted chopped walnuts and 1/2 cup of mini chocolate chips. These elegant blintzes can be served as an attractive dessert or a brunch entree. Fold in 24 crushed vanilla wafer cookies and top with more sliced bananas. ![]() Vanilla-Banana: Fold in 3 sliced bananas. Place a piece of plastic wrap directly on top of the pudding and refrigerate until completely cooled and thickened, about 4 hours.īefore serving, whisk the pudding vigorously until smooth and creamy.Ĭookies and Cream: Crush 20 chocolate wafer cookies, stir some into the pudding and top with the rest.įresh Berries and Gingersnaps: Fold in 2 cups of fresh, mixed berries and top with about 12 finely crushed gingersnaps. A Farmgirl's Dabbles/The Pioneer Woman Layered Chocolate Pudding Dessert with Salted Pecan Crust Layers of chocolate pudding, cream cheese, and Cool Whip make for an indulgent summer dessert, great for serving at a backyard party. Remove from the heat and stir in the vanilla.Ĭool slightly, stirring a few times to prevent a skin from forming. Remove mixture from the heat and evenly divide the hot pudding. Combine reserved chips together in a small bowl, mix and set aside. Continue to cook, whisking constantly, until it has thickened to a puddinglike consistency, 3 to 4 minutes. In 3 medium bowls place white, dark and milk chocolate chips. Cook over medium heat, whisking constantly, until the mixture boils. Whisk half of the hot milk into the egg mixture until smooth, then gradually whisk the egg-milk mixture into the saucepan. Whisk in the egg yolks and the remaining 1/2 cup milk. Whisk the sugar, cornstarch and 1/2 teaspoon salt in a large bowl. Add milk and whisk until sugar is dissolved. Sift mixture into 3-quart saucepan to remove any fibrous remnants from the scraped vanilla pod. Heat 4 cups of the milk in a large saucepan over medium heat until steaming. In a small bowl, combine sugar and scraped vanilla seeds (reserve remaining vanilla pods for another use), and rub sugar between fingertips to disperse vanilla seeds. ![]() 11/25/2023 0 Comments Sleep study cost near me![]() ![]() This type of study involves using a polysomnography to diagnose sleep apnea for the first half of the night followed by a CPAP titration during the second half of the night (study). Some sleep specialists also use a split-night sleep study for treating sleep apnea patients. This ensures you achieve healthy levels of oxygen and consistent airflow during the night to prevent snoring, improve breathing, and facilitate sleep.Įven if you’ve already had an initial sleep study to diagnose your sleep apnea, if the doctor determines you could benefit from a CPAP machine, you may need this second study. If your doctor has already determined that you suffer from sleep apnea, a CPAP titration test is used to determine how much pressure you need from the CPAP machine. CPAP TitrationĪ CPAP (continuous positive airway pressure) machine is commonly used to treat patients suffering from sleep apnea. Multiple sleep latency tests are primarily used to diagnose excessive daytime drowsiness, which in many cases is linked to narcolepsy and other unknown causes. It also determines how long it takes you to enter REM sleep when taking a daytime nap. This test is used to measure how quickly you fall asleep or your sleep latency. You and your doctor will also discuss a treatment plan moving forward. At this time, you can ask any questions you have. ![]() Oftentimes, your doctor will request an in-person meeting to discuss the results. While there’s no standard timeline for getting the results of your sleep study, most patients can expect to receive a diagnosis within 2 weeks. After the technician gathers the data from your test, they will send the results to a professional who will then evaluate them and make a determination about your condition. Most sleep studies and sleep centers are run by technicians and overseen by doctors and sleep specialists. All of these behaviors can help sleep specialists determine what’s causing your sleep troubles so they can ultimately diagnose your sleep disorder. Sleep studies also measure things like your blood oxygen levels, your eye movements, your heart rate, your breathing rate, if you snore, and all other body movements. Doctors take note of any potential sleep disruptions or disturbances in your sleep patterns. The computer or EEG (electroencephalography) monitors brain activity as you move through each stage of sleep, including REM and nonREM sleep cycles. The wires give you enough slack so that you can freely move around while you sleep. Wires that extend from these sensors are attached to a nearby computer. These are attached using a mild adhesive. When you first arrive for your sleep study, the technician will place small sensors on your head and body. These studies are conducted at either a hospital, doctor’s office, or sleep center. Most sleep studies require you to stay overnight at a sleep lab. ![]() |
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