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Atpram (Escitalopram)

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Atpram is widely prescribed to treat depression and other mental health conditions like anxiety, panic disorder, and obsessive-compulsive disorder. It is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI).

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Also known as: Escitalopram


{name} (escitalopram) is an antidepressant belonging to a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Escitalopram affects the levels of certain chemicals in the brain that may be altered in people suffering from depression or anxiety.

{name} is used to treat major depressive disorder in adults and adolescents at least 12 years old.

{name} is also used to treat anxiety in adults.


Take Generic Atpram tablets and liquid form orally with or without food. Do not crush or chew it, shake the liquid form of Generic Atpram. Generic Atpram can be used by 18 year-old patients or over. The treatment can be resulting after 4 weeks. Take Generic Atpram once a day at the same time every day with water. If you want to achieve most effective results do not stop taking Generic Atpram suddenly.


If you overdose Generic Atpram and you don't feel good you should visit your doctor or health care provider immediately. Symptoms of Generic Atpram overdosage: rapid heartbeat, vomiting, confusion, tremor, sweating, convulsions, loss of memory, dyspepsia, coma, feeling drowsy, nausea, lightheadedness.


Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture and heat. Throw away any unused medicine after the expiration date. Keep out of reach of children.

Side effects

The most common side effects associated with Atpram are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Do not take Generic Atpram if you are allergic to Generic Atpram components. Do not take Generic Atpram if you are pregnant, planning to become pregnant, or are breast-feeding. Do not take Generic Atpram if you take MAOI (monoamine oxidase inhibitor) (phenelzine (such as Nardil), isocarboxazid (such as Marplan), selegiline (such as Emsam, Eldepryl), tranylcypromine (such as Parnate), rasagiline (such as Azilect), sleeping drugs. Do not take it if you are under 18. For elderly patient there is a special dosage. Be careful with Generic Atpram if you suffer from or have a history of liver, thyroid or kidney disease, heart attack, bipolar disorder (manic depression), epilepsy, suicidal thoughts, drug dependence, seizures. Be careful with Generic Atpram if you take naratriptan (such as Amerge), almotriptan (such as Axert), zolmitriptan (such as Zomig), rizatriptan (such as Maxalt), frovatriptan (such as Frova), sumatriptan (such as Imitrex); carbamazepine (such as Tegretol); other antidepressants such as imipramine (such as Tofranil), fluoxetine (such as Sarafem, Prozac), amitriptyline (such as Elavil), escitalopram (such as Atpram), paroxetine (such as Paxil), sertraline (such as Zoloft), fluvoxamine (such as Luvox), nortriptyline (such as Pamelor); cimetidine (such as Tagamet), lithium (such as Eskalith, Lithobid); blood thinner (warfarin (such as Coumadin)). Be careful! While taking Generic Atpram you can become suicidal. Avoid alcohol. Be careful when you are driving or operating machinery. Be careful with Generic Atpram if you are going to have a surgery, It can be dangerous to stop Generic Atpram taking suddenly.

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An in-capillary, solid-phase extraction (SPE)-capillary electrophoresis (CE) method, with not only high preconcentration factor but also no adsorption on the inner capillary wall of absorbing species in real complex samples, has been developed with a hole-opened capillary. Serological prevalence of leptospirosis in cattle slaughtered in the Zango abattoir in Zaria, Kaduna State, Nigeria. We tried to estimate the frequency of surgery for posthysterectomy vault prolapse. There have been few comprehensive studies examining prevalence and risk factors for obstructive sleep apnea (OSA) in the multiracial Singaporean bariatric surgery population. pendula: isolation of active principles from the leaves and the berries. A new study shows that a clinically approved drug might selectively target cancer stem cells for differentiation. Eventual Endothelial Failure After Initial Corneal Clearing After a Detached Endothelial Graft in Fuchs Dystrophy. Among the many methods employed for AC assignment that we review, special attention is paid to electronic circular dichroism (CD) and to the modern tools available for quantum-mechanics CD predictions, including TDDFT. The lower thresholds and increased excitability of dorsal horn neurons in the neonatal rat suggest that inhibitory processing is less efficient in the immature spinal cord. However, activation of hTERT alone appears to be insufficient for immortalization of PrEC cells because methylation of p16(INK4a) promoter has been found to be involved in the immortalization process.

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Out of the ground: two coexisting fossorial toad species differ in their emergence and movement patterns. A total of 82 out-patients meeting DSM-III-R criteria for schizophrenia were evaluated with a comprehensive neuropsychological battery and semi-automated quantitatively analysed cerebral MRI. Side Streams of Plant Food Processing As a Source of Valuable Compounds: Selected Examples. The aim of the present study was to determine the cytokine profile in plasma of patients with severe sepsis by using a multiplex system for simultaneous detection of 17 cytokines. Essential background information pertaining to RNA editing in general and RNA editing in plant organelles in particular is provided in this overview. However, given that this result lost its statistical significance after multivariate analysis, more data are needed to draw firm conclusions. The reaction of a potentially tetradentate bis(pyridyl-thiazole) ligand with acetone is allosterically activated upon complexation with Cd(II) but deactivated by reaction with Cu(I), demonstrating metal-specific allosteric controlled reactivity.

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So when considering intervention strategies in endemic settings, it is important to take account of the characteristics of the different serotypes in different ecological systems. The DSB repair defect during S-phase significantly contributes to the radiosensitivity of AT cells. In addition to features of standard coalescent simulators, the program allows for recombination rates to vary along the genome and for flexible population histories. Conversion to PSIs and subsequent minimization or withdrawal of CNIs was analysed in 19 renal transplant recipients with PTLD and remission was observed in 15 patients. The impact of GMOs on poor countries: a threat to the achievement of the Millennium Development Goals?. Hexacyclinic acid, a Polyketide from Streptomyces with a Novel Carbon Skeleton We express our thanks to Hoechst AG (Frankfurt) for providing us with Streptomyces cellulosae (strain S 1013) and Mr.

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Mutation of tyrosine 188 also results in diminished activation of NF-kappaB, suggesting that CD28-mediated localization of PKCtheta to the cSMAC is important for efficient signal transduction. One hundred forty-eight patients with a rhegmatogenous retinal detachment. Continual flow along the substrate towards the jellyfish is reproduced by numerical simulations that model the oral arms as a porous Brinkman layer of finite thickness. In conclusion, organic components of bone are needed for marrow-directed osteogenesis. On gross inspection, no apparent adverse tissue reactions or disruptions were observed. Recent studies demonstrated an altered P3 component and prolonged reaction time during the visual discrimination tasks in multiple system atrophy (MSA). Production of 6Li during such an era of nonthermal nucleosynthesis may also be regarded as a possible explanation for the relatively high 6Li/H ratios observed in metal-poor halo stars. Physicians need to reduce the burden of cardiovascular disease by advocating EPA and DHA to all patients likely to benefit. The combination of BRAF or MEK inhibitors with immunotherapy has been shown to hold considerable promise, with several combinations being evaluated in clinical trials.

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Regional pharmacokinetics of doxorubicin following hepatic arterial and portal venous administration: evaluation with hepatic venous isolation and charcoal hemoperfusion. Four regenerated silk fibroin (SF) samples were prepared under different dissolution conditions and their molecular weight (MW) distributions and solution properties in water and formic acid were examined. Moreover, aurora kinase inhibition by ZM447439 potently induced apoptosis, which was accompanied by DNA fragmentation and caspase 3 and 7 activation. Intra-procedural atriography by CBCT may replace pre-procedural MSCT as the imaging source for image integration. Youth responded to questions regarding weight control behaviors during the past year, physical activity, sedentary activity, and dietary intake. The children wore goggles and their heads were restrained using a chin and forehead rest, while binocularly fixating a stationary target for 20 s.

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Detection of the Klebsiella pneumoniae carbapenemase type 2 Carbapenem-hydrolyzing enzyme in clinical isolates of Citrobacter freundii and K. In this study, we evaluate a minimally invasive management consisting of flexible endoscopy, balloon dilatation and intralesional steroid injection in children, with a history of caustic ingestion. The most commonly used intervention strategy was individual-oriented HIV-related knowledge education and behavioral skill training. These data suggest apoptosis occurs during chondrogenesis by MSCs by cell death intrinsic pathway activation and this process may be modulated by culture conditions. However, there is no convincing evidence that enteral/parenteral nutrition or the use of anabolic steroids is of any benefit in patients with cachexia. In view of the excellent side-effect profile and the potential for gemcitabine to inhibit DNA repair after exposure to DNA-damaging agents, further developments of gemcitabine will include its use in combination chemotherapy and combined modality schedules.

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The focus of management is on maintaining health by preventing nutritional and respiratory complications. The software is freely available from Healthcare facilities internationally have grown outpatient parenteral antibiotic administration services for the last few decades. The care of patients, suffering from acute, chronic, or malignant pain, requires systematic and interprofessional collaboration between all team members to ensure a holistic approach to pain management. Dural defects and CSF leaks are common neurosurgical problems and the search for a suitable sealant continues. Enhanced expression of the human excision repair enzyme ERCC-1 is associated with cellular and clinical resistance to cisplatin in human ovarian cancer. Post-partum thyroiditis in South Brazil presenting as thyrotoxicosis: prevalence and risk factors.

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However mean satisfactory score in the etoricoxib group was higher with statistically significant difference. These findings, considered with similar published studies, begin to confirm the prevalence and types of sensory processing impairments in autism. Children have become engaged in a wider variety of activities as the success of solid organ transplantation has improved. Fourteen patients with bilateral shoulder pain and active MTrPs in bilateral infraspinatus muscles were involved. Semen samples from 126 male partners of couples undergoing infertility investigations were analyzed for leukocytospermia using standard optical microscopy and flow cytometry. The SRK/T was comparable with the Holladay I and Haigis formulas, but still differed in the high keratometry values. A randomized, placebo-controlled study of memantine as adjunctive treatment in patients with schizophrenia. Specialised constructs are provided to enable a designer to express various aspects of a learning rule, such as the number and connectivity of neural nodes, the interconnection strategies, and information flows required by the learning algorithm.

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In primates, the area of primary visual cortex representing a fixed area of visual space decreases with increasing eccentricity. Furthermore, we demonstrated that activation of protein tyrosine kinases (TyrK) and caspases were necessary to mediate the Eo apoptosis induced by the ESP, and that carbohydrate components present in these antigens were involved in this effect. Association of apo B lipoproteins with arterial proteoglycans: pathological significance and molecular basis. Residents were assessed in the operating room on multiple occasions during a 6-month study period using a 9-item GRS. Finally, we demonstrate that CF secretions are capable of generating PGP from collagen ex vivo and that this generation is significantly attenuated by the use of inhibitors directed toward matrix metalloprotease 8, matrix metalloprotease 9, or prolyl endopeptidase. Although facial motor neurons are known to develop within hindbrain rhombomere 4 (r4) and r5, the precise origins of branchiomotor and visceral motor neuron subpopulations are unclear. Adherence to guidelines for treating acute myocardial infarction, including aspirin, Beta blockers, and reperfusion via thrombolytics or PTCA. Until greater insight is achieved by means of additional research, increased attentiveness for these patients seems to be called for and extra care should be employed. Natural visual images are typically composed of multiple objects, which need to be segregated from each other and from the background. An analytical procedure based on these expressions is then formulated for obtaining global estimates of equilibrium constants and the corresponding reference thermodynamic activities of the free reactants in each of several sedimentation equilibrium experiments.

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These preliminary findings should be confirmed by larger randomized clinical trials. This new IFN-gamma property, to mobilize intracellular pools of class II MHC antigens in trophoblast cells independent of de novo protein synthesis and induce their release to the extracellular matrix, is a mechanism that appears to be involved in the fetal rejection process, facilitating priming of the maternal organism against the fetal allograft. Non-codingRNA sequence variations in human chronic lymphocytic leukemia and colorectal cancer. To explore the effects of glaucoma and aging on low-spatial-frequency contrast sensitivity by using tests designed to assess performance of either the magnocellular (M) or parvocellular (P) visual pathways. The time-averaged dipole interaction between induced dipoles can be characterized by a uniaxial external precession angle and a biaxial eccentricity characterizing the anisotropy of the external field modulation. Recent trends in the development and evaluation of assistive robotic manipulation devices. Clinicians and scientists should seize the momentum of progress to push forward to improve the therapeutic outcome for the patients. However, for these methods to produce accurate results, an appropriate set of atomic radii or volumes is needed. Improvement in social competence in patients with schizophrenia: a pilot study using a performance-based measure using virtual reality. Cell viability, DNA fragmentation, mitochondrial membrane depolarization and intracellular reactive oxygen species (ROS) levels were measured by flow cytometry.

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Indications, methodology, and interpretation of combined esophageal impedance-pH monitoring in children: ESPGHAN EURO-PIG standard protocol. Acute myeloid leukemia cells with an internal tandem duplication mutation of FLT3 (FLT3-ITD) have effective DNA repair mechanisms on exposure to drugs. Dehydroepiandrosterone replacement therapy in older adults improves indices of arterial stiffness. A new paradigm for increasing use of open-access screening colonoscopy. A convenience sample of 61 nurses from a part-time Bachelor of Science degree programme in nursing in Hong Kong, more than half of whom reported their religious affiliations, completed a newly developed, 27-item five-point Likert scale questionnaire. A review of the literature included the identification of methodology that is available from domains outside of healthcare and suggested a selection of available methods.

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Bulk and surface magnetoinductive breathers in binary metamaterials. It is demonstrated that an efficient way of increasing metabolic stability and selectivity of this series is to decrease compound lipophilicity by engineering nondesolvation related attractive interactions with CCR8, as rationalized by three-dimensional receptor models. Only by having these crucial conversations among all disciplines will we be able to develop new strategies to expand nutrition education in the training of phenergan codeine dose future medical practitioners. The occurrence of a hot spot for host cell proteases and a limited proteolysis experiment suggest that the N-terminal region of Nogo-A up to residue 373 is structurally disordered. Fractures of the fifth metatarsal can occur at a number of locations. The result of fragment identification is then fed to a region information based active contour model to extract the fragment contour.

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These results indicate that vascular EpoR system also plays an important role in angiogenesis in response to hindlimb ischemia through upregulation of VEGF/VEGF receptor system, both directly by enhancing neovascularization and indirectly by recruiting endothelial progenitor cells and BM bactrim dosing pjp treatment -derived proangiogenic cells. We conclude that decreasing the particle size of an inhalation product may alter the TI both in a positive as well as a negative sense. Effect of AB serum on human terminal erythroid differentiation ex vivo. The effect of anastomotic technique and surgeon experience on anastomotic complications, leak, and stricture were analyzed. SPOT--towards temporal data mining in medicine and bioinformatics. Nonpolar nitrous oxide dimer: fundamentals of the mixed 14N2O-15N2O dimer and new combination bands of (14N2O)2 and (15N2O)2 involving the Bu, intermolecular bend.

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Impact of diabetes on long-term outcome in STEMI patients undergoing primary angioplasty with glycoprotein IIb-IIIa inhibitors and BMS or DES. This paper discloses the details of the total synthesis with special reference to significant influences on the neighboring functional groups found in the installation of guanidine. A new regime of laser-matter interactions in which the quiver motion of plasma electrons is fully relativistic, with energies extending well above the threshold for nuclear processes, is studied using a petawatt laser system. Finally, technological advances that will help make virtual screening tools more accessible to a wider audience in computer aided drug design are discussed. The long-lived phosphorescence of a series of AuI arylethynyl complexes with tunable emission energies in aerated dimethyl sulfoxide (DMSO) solutions can be completely and repeatedly switched on by controlled photoirradiation. The only promoter of HLA-B alleles studied in the past was that of HLA-B7, and always at only a single fixed timepoint of culture. In addition, this study sheds light on the maturation of heme proteins in vivo by interacting with DNA/RNA enzymes. Silencing of six hydrophobins in Cladosporium fulvum: complexities of simultaneously targeting multiple genes. The activities of antioxidant enzymes in red kidney bean roots increased in the presence of 100 mM is lipitor a blood pressure medication NaCl or sodium nitroprusside (SNP), an NO donor.

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This suggests a novel CagA-induced host cell response that is independent of CagA tyrosine phosphorylation. We demonstrate that the ground state of this model is intrinsically unstable towards the appearance of a superstructure. The association between serum uric acid (SUA) and mortality has been conflicting among studies using hemodialysis (HD) patients. Because CRET electrothermal treatment has been reported to be more effective than other thermal therapies, it has been proposed that the electric stimulus could induce responses in exposed tissues that are cooperative or synergic with the thermal effects of the treatment. In vitro sensitivity of Plasmodium falciparum from China-Myanmar border area to major ACT drugs and polymorphisms in potential target genes. Additionally, hospitals can decide, before making actual capital expenditure decisions, if the system of interest is superior to the conventional strategy and therefore worth the investment. Although numerous improvements and greater use of screening measures have occurred in the setting of renal cell carcinoma (RCC), screening for this disease is usually only carried out for patients who have been identified as having one of the known genetic lineages linked with specific RCC subtypes. While changes in gene expression mediated by these classical hormone pathways are paramount in governing both sexual differentiation and the neural control of reproduction, it is also clear that steroids impart critical control of neuroendocrine functions through non-genomic mechanisms.

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It is then applied to the case of a temperature study of the NMR spectrum of the Lipid Transfer Protein (LTP). Induction of donor-specific T-cell hyporesponsiveness using dexamethasone-treated dendritic cells in two fully mismatched rat kidney transplantation models. All six kits evaluated effectively removed PCR inhibitors from each of the four specimen types and produced consistently positive results down to a spiked concentration of 200 PFU of whole CMV per ml. 300 microm diameter) were indistinguishable, even though smaller spheroids had twice the surface area and greater numbers of contacts between units. By using the present methodology it was possible to incorporate increasing amounts of Sr in the apatite layers. The aim of this study was to investigate the cytologic regression in women with atypical squamous cells of unknown significance and negative high-risk human papillomavirus test. Genetic variation in wild and hatchery population of Catla catla (Hamilton, 1822) analyzed through mtDNA cytochrome b region. Upon blue light irradiation, dCRY undergoes a reversible absorption change, which is assigned to the conversion of FAD(ox) to the red anionic FAD(.) radical. To understand the potential mechanism underlying the differential expression of AFP, we have examined the sequence of the AFP promoter in HCC.

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A 34-year-old man with a history of type 1 diabetes mellitus, diagnosed as pharyngeal abscess and subsequent DNM affecting the anterior mediastinum and paratracheal space, was referred to our institute. In this patient, UAE returned to the normal range (21 mg/day) when doses of dDAVP were tapered (20 microg/day). Chloroacetaldehyde-induced mutagenesis in Escherichia coli: the role of AlkB protein in repair of 3,N(4)-ethenocytosine and 3,N(4)-alpha-hydroxyethanocytosine. This study was undertaken to investigate the ability of PF IgGs to activate signaling as well as the contribution of this signaling pathway to blister induction in an in vivo model of PF. On surgical exploration, a linear nondisplaced orbital floor fracture was confirmed, and the entrapped inferior rectus muscle was released. Comparison of the distinctive pathological features of and p16 and c-Kitexpression levels in benign and malignant endometrial polyps.

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Comparing the oscillations from Experiments 1 and 2 suggested that the alternation of reconditioning and re-extinction increases the reliability and earlier onset of the oscillations. CYP21A2 gene mutations generally correlate well with impaired P450c21 enzymatic activity and the clinical findings in 21OHD, but occasional discrepancies between genotype and phenotype suggest the effects of modifier genes. The precise anatomical location of pathology associated with inflammatory back pain (IBP) in early spondyloarthropathy (SpA) remains unclear. The VPTD is a unique bioinformatics resource that compiles information about phytochemicals from vegetables and their mechanism. Pulsed-field gel electrophoresis suggested that the outbreak was caused by a buy mometasone furoate cream online single strain. The patient was operated, the mass was carefully liberated from its synechiae and it was totally excised with its capsule. Haplotype-assisted characterization of germline mutations at short tandem repeat loci.

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It can provide a powerful phenotypic analytical toolset that has the capacity to change many current approaches to HT screening. A study of risk factors of stroke in patients admitted in Manipal Teaching Hospital, Pokhara. Estradiol has been shown to act in the central nervous system to promote neuronal growth, differentiation, and synaptic plasticity. If this is true, local populations consisting of large groups are likely to exhibit the most genetic structure, because over time similar genotypes will tend to be confined to limited areas if juveniles are predominantly philopatric. The chukar (Alectoris chukar, Galliformes) is albenza 400 mg online mexico pharmacy one of the most important game birds as it is widely distributed and hunted over the whole of its range. Glucocorticoids exert their regulatory effects on the hypothalamic-pituitary-adrenocortical axis via two types of corticosteroid receptors: the glucocorticoid receptor and the mineralocorticoid receptor. The nature of free, uncomplexed prostate-specific antigen (PSA) in the circulation is still unknown. It shows that there are several Eremophila species possessing interesting antibacterial activity besides those that have published traditional use. Conversely, loss of the clock decreases resistance to oxidative stress, and may reduce lifespan and speed up brain aging and neurodegeneration.

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Capecitabine is an oral fluoropyrimidine designed to mimic a continuous infusion of 5-FU, and its use can prevent the need for cumbersome intravenous catheters and hospitalization of patients. Few data are available on the effect of advice from medical professionals on medication safety. Epidemiological studies suggest that consumption of whole grain cereals and whole grain cereal products have many benefical health effects, including reducing risk of diabetes, obesity, coronary heart diseases, stroke and even some cancers. Both types of blast colonies offer remarkable opportunities to analyze multilineage commitment at a clonal level in vitro. In the last few years, many conflicting findings reporting low correlation with the serum counterparts have hampered the clinical application of salivary androgen testing. The function of the heteropolysaccharide, which consists of galactose and N-acetylgalactosamine, is unknown. If the primary tumors were resected at 3 weeks, in several cases, metastatic lesions were identified over the course of 9 months. Additionally, the increased GH response rates to GHRH-arginine stimulation in the majority of FM patients with low serum IGF-I levels further supports the hypothesis of a dysregulated GH/IGF-I axis in the pathophysiology of FM. We present a case of a preterm neonate with a preexisting umbilical venous catheter (UVC), who then developed a supraventricular tachycardia (SVT). Can teaching methods based on pattern recognition skill development optimise triage in mass-casualty incidents?.

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