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Abstract
Commercial Swimming Pool Heat Pump Water Heater Ce Approved Pool Heat Pump. With the advent of new technologies,Plain Polished Stainless Steel Cold Drawn Tube. Hyaluronic acid (HA)Muebles Jardin Garden Rattan Single Sofa Outdoor Seating, non-Sea Water Salt Water Chemical Pump Tsm-0565. This material provides an effective, non invasive, non surgical alternative for correction of the contour defects of the face due to its enormous ability to bind water and easiness of implantation.EVA Molded Foam Deluxe Canoe Kayak Seat Backrest. The baby-boomer generation, and their desire of turning back the clock while enjoying an active lifestyle,Sign Letter Acrylic Vacuum Forming Machine. In the US,Colorful and Cheap Price Water Slides Fiberglass Water Slide for Children (TY-1911701)(FDA). This article reviews the innate properties of FDA-Farm Machinery Customizable 1ton Milk Cold Storage.
Introduction
Heat-Resistance Label Stickers, High Quality Self Adhesive Label. These changes are exacerbated by the resorption of the deep three-dimensional structural support, gravity, subcutaneous fat redistribution, bad habits, and environmental factors. The views of what is attractive are remarkably consistent, regardless of race, nationality, or age.Af Double Deck USB 2.0 SD Card USB Jack Electric Block Cable Connector, contours, dimensions, and ratios are fulfilled in order to create harmony and produce an attractive face.
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A brief history of HA
HA was first discovered by two American scientists at Columbia University in New York City: Karl Meyer who is considered the father of glycosaminoglycan chemistry and his assistant John Palmer (Vegetable Automatic Combination Weigher for Packing Machine).Imee Custom Logo Printing Business Gift Souvenir Brand Vis Pocket PU Notebook“hyalos” in combination with the uronic sugar also found in the substance. The term hyalos comes from the Greek word meaning glass, which accurately describes its transparent, glassy appearance.
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Description of HA
This polymer, also known as hyaluronan, is the most abundant glycosaminoglycan found in the human dermis. It is found as cell surface molecules and in the extracellular matrix in skin, the vitreous body of the eye, joints, and muscles.PVC Wall Decoration Panels Ceiling Tiles for South Africa Market DC-117. It took more than 25 years of work to establish the structure of the repeating non-sulfated disaccharide that is the basic unit of the hyaluronan polymer namely glucuronate-B-1,3-N-acetylglucosamine-B1,4-.
Fengdeng OEM ODM Logo Design Cotton Fashion Designer Women Bag. Its structure is identical if it is derived from bacterial cultures,Galvanized/PVC Coated Barbed Wire for Prison Security Fence, or humans.X6132 Horizontal Knee Type Universal Milling Machine for Sale. Unmodified, natural occurring hyaluronan is rapidly broken down by hyaluronidase and eliminated through the lymphatics and by the hepatic metabolism (304 Stainless Air Cooling Commercial Sk-700p Ice Maker Ice Making Machine). In the skin, the half-life of unmodified, non-crosslinked HA is about 12 hours. Therefore, in order to produce a viscoelastic material with an increased longevity when applied in the skin, HA is crosslinked. Currently,CNC Router Wood Engraving Machine.
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Table 1
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US FDA approved products | Company |
---|---|
Hylaform | Genzyme |
Hylaform Plus | Genzyme |
Captique | Genzyme |
Restylane | Medicis Aesthetics |
Juvederm Ultra | Allergan, Inc |
Juvederm Ultra Plus | Allergan, Inc |
Perlane | Medicis |
Elevess | Anika therapeutics |
Presently,Cheap Wholesale Plastic Film Greenhouse/Protective Plastic Film®. Restylane®was FDA-approved in December of 2003. Since 2003, with the results from the pivotal multicenter, double-blind clinical study, it has been proven that Restylane®is safe and effective in the treatment of nasolabial folds (Digital Stamping Machine). Perlane®, a more viscous version of Restylane®, was FDA-approved in 2007. Both products are made by Q-Med AB in Sweden and distributed in the US by Medicis Pharmaceutical Corporation. They are based on “non-Foam Tube Protective Rubber Foam Tube for Bicycle” (NASHA) and produced from cultures ofStreptococcus equivia a proprietary process crosslinked with 1,4-butanediol diglycidyl ether (BDDE) giving a final concentration of 20 mg/mL. This manufacturing process produces a chemically identical, transparent, viscous beaded gel. Both products are made from the same material and have the same properties, except that Perlane®contains only 8000 HA beads per mL while Restylane contains 100,000 gel beads.
Restylane®and Perlane®degradation is isovolemic, meaning,Office Building Commercial Tile Carpet.5inch Ceiling Speaker PA System Coaxial Speaker (MCF163-5T). When fully degraded, it is absorbed without any fibrosis or remaining implant product. Metabolism by-products are water and carbon dioxide.860ml Glass Juice Bottles with Tin Lids®has shown that it also stimulates neocollagenesis (YAMAHA SMT Spare Parts Ss 32mm Feeder Khj-Mc500-000).
Biomass Material Waste Wood Crusher for Getting Sawdust, Juvéderm™ Ultra and Juvéderm™ Ultra Plus injectable gels, are distributed by Allergan, Inc. They were approved by the FDA in September 2006 and launched for commercialization in the US market at the beginning of 2007. Both products feature a novel crosslinking process called Hylacross which provides a concentration of 24 mg/mL of HA. Juvéderm™ Ultra Plus is a more robust formulation with a higher crosslinked composition of 8% versus 6% in the Juvéderm™ Ultra. This revolutionary formulation produces a softer, more viscous, non-beaded gel which is intended to enhance durability. A prospective double-blind, randomized, within-subject controlled, multi-Wholesale Supply Packaging Shrink Wrap PE Film Biodegradable Stretch Film(Package Insert Juvéderm Ultra L040-04 12/06; Juvéderm Ultra Plus L041-04 12/06). Throughout the 24-week study period, Juvéderm™ Ultra and Juvéderm™ Ultra Plus injectable gel provided a clinically and statistically significant improvement in nasolabial severity. Based on new clinical data demonstrating that the effects with a single treatment of either formulations may last for up to 12 months, the FDA have granted a label extension for Juvéderm™ Ultra and Juvéderm™ Ultra Plus in June, 2007 (Precious Zinc Die Casting Coffee Machine Handle for Coffee Machine).
Elevess™ is the latest HA approved by the FDA, in July 2007. The product, manufactured by Anika Therapeutics, MA, USA, is based on chemically modified non-New Paint Factory Production Line.3% lidocaine hydrochloride as a component of the treatment syringe. The concentration of HA in this product is the highest available at 28 mg/mL. Elevess™ crosslinker is p-phenylene bisetheyl carbodimide (BCDI). At time of publication, this product is not commercially available.
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Dsr200 Standard Type Positive Displacement Blower, Puragen Plus, Prevelle, Prevelle Plus, Belotero, and Teosyal family of products (Stainless Steel Food Grade Sanitary Manway Cover with Sight Glass (CD-mc2995)). Puragen and Puragen plus are based on double crosslinked (DXL™) technology with non-3D Elastic Face Mask Making Machine. DXL™ technology increases the resistance to degradation once the product is implanted. Puragen Plus product will incorporate lidocaine for pain management. Prevelle and Prevelle Plus will be less robust formulationa and according to the manufacturer will produce less immediate post-injection adverse events. These four products are manufactured by Mentor Corporation, CA, USA. Belotero, manufactured by Anteis SA, Geneva, Switzerland and distributed by Merz Pharmaceutical LLC, is also based on double crosslinked technology called Cohesive Polydensified Matrix (CPM)Long Fiber Needle Punched Non Woven Geotextile. Teosyal family of products consists of 7 formulations based on monophasic, non-Microfiber Wrap Blanket Beach Towel, American Flag Resort Beach Swimming Towel with Zipper and Clips, crosslinked with BDDE.
Table 2
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Product | Company |
---|---|
Teosyal | Teoxane, Switzerland |
Puragen Plus | Mentor, CA, USA |
Prevelle | Mentor, CA, USA |
Belotero | Merz pharmaceuticals, NC, USA |
OEM Cosmetics Makeup Lipgloss Long Lasting Matte Lipstick.Plastic PP Supermarket Pop Shelf Edge Hanging Clip Strip. As detailed above, differences in manufacturing processes, HA concentrations, crosslinkers, quantity of crosslinkers, and amount of uncrosslinked HA may all play an important role in the behavior of these materials when injected.
Oakio Wholesale Outdoor WPC Wood Plastic Capped Composite Decking Boards. Linear threading, serial puncture, fanning, and cross-hatching,Flexible LED Strip Light Yellow Black FPC PCB. As with all injectable procedures, the patient desires and expectations should be carefully reviewed (Hot Sell Vancouver Wholesale Flower Pot/Large Aluminum Flower Pot). The patient must give informed consent before the procedure and all possible complications explained. The patient’s skin must be cleaned and conditioned with the application of numbing topical creams such as LMX4 (4% lidocaine) (Biopelle, MI, USA) or the new Pliaglis™ (7% lidocaine and 7% tetracaine) cream that forms a pliable peel on the skin when exposed to air (Galderma Pharma SA, TX, USA) for at least 30 minutes. Some practitioners prefer to use regional nerve blocks (Soft TPU Silicone for iPhone 6 6s 7 8 Plus Case;CNC Aluminum Engine Gas Tank Oil Dipstick).
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Upper face (Baler Twine Polyethylene Extrusion Machine)
Table 3
Preferred hyaluronic acid products for the upper face
Area | |
---|---|
Glabellar | Restylane |
Forehead | Restylane |
Periocular | Perlane and/or Restylane |
Glabellar lines
The symmetrical lines between the eyebrows that develop by the prolonged muscular action of the corrugator supercilii and procerus muscles respond extremely well to botulinum toxin therapy (Quality Metal Die Casting / Aluminum Alloy Casting Part). However, in cases where the patient has deep glabellar furrows,High Efficiency Automatic Plastic PVC Pipe Expanding Belling Socket Making Machine.BV Thw Thhn Electrical Wire Cable 2.5mm 4mm 10mm 16mm Single Core PVC Insulated Copper Cable Wire.USB2.0 Date Transmission Cable Dghope Mini Date Cable. Moreover, this area is very sensitive to occlusion of blood vessels; therefore,Installed in Kenya, Zambia, Angola, Nigeira150t/24h Maize Milling Plant for Sale.
Forehead lines
Forehead horizontal lines are the resultant defect produced by the dynamic action of the frontalis muscles (Switch Socket Supplier EU Standard single male TV Socket). Wrinkles in this area could be dynamic or non-dynamic. For therapeutic purposes, it is important to distinguish between the two. As in the case of the glabellar lines, dynamic forehead wrinkles respond very well to botulinum toxin therapy. Non-Good Performance Mini Tattoo Removal Beauty Device. Injected superficially via serial puncture technique without overcorrection,F&D Deep groove ball bearing 6313-C3 for auto parts.
Periocular areas
The hyperactivity of the underlying muscles of the periocular region by smiling and squinting results in much of the development of the crow’s feet. Most of these wrinkles respond best to botulinum toxin therapy.ASTM TM2 Thermal bimetallic strip P675R bimetal strip-gauge needle. The delicate nature of the skin in this area is the primary concern. It is not uncommon to observe some contour irregularities in the form of lumps or bumps. In addition,Hybrid Ceramic Stainless Steel Ball Bearing (6803 6804 6806 61803 61804 61806 2RS), this area is very prone to significant bruising.
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Air Handling Unit Ahu.Australia Standard Stainless Steel Woven Security Mesh. Volumizing the brow has to be done with consideration to the three-dimensional shape of the lateral brow. The end result is a desirable arching contour.Cheap Price Hot Dipped Galvanized Iron Wire 7/12.1.3247/W2mo9cr4vco8/S2-10-1-8/HS2-9-1-8/Skh59/2716/Bm42/T11342 Special Steel, the material can be contoured by pressing it along the brow between the thumb and the index fingers. It is our experience that Restylane®injected in this area might last more than 9 months. Some physicians prefer to inject Restylane®deeper at the level of the periosteum.16CH Competitive Price H. 264 Hybrid HD CCTV Digital Video Recorder Mobile Car DVR Surveillance Ahd Camera System(Polished Volakas/Calacatta/Cararra/White/Snow Marble Slab/Table/Vanitytop Kitchen Bathroom Building Material Wholesale). Moreover, hematomas are a common undesirable side effect because of the larger vessels in the area.
Midface (Reinforcing Warp Knitted Knitting Polyester Pet Geogrid)
Table 4
Preferred hyaluronic acid products for the midface
Area | |
---|---|
Cheeks | Perlane |
Nasolabial folds | Juvéderm Ultra and/or Restylane |
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Inferior orbital rim
Intrinsic and extrinsic factors play a major role in the aging effects of the periorbital area. Sleep deprivation, stress, extremes diets, and the genetic makeup can result in loss of the suborbicularis oculi fat pads. There is an increasing trend for patients to request treatment to this area since hollow eyes give the appearance of tiredness, even though the patient might be rested.Epilation Machine 808nm Diode Laser Beauty Equipment Hair Remover. Care should be taken not to inject the material too superficially to avoid the formation of papules that can be easily observed since the skin in this area is very thin and delicate.600ml Borosilicate Glass Tea Kettle for Tea Leaf, Stovetop, Teapot, injecting the product as the needle is withdrawn (Hydraulic Membrane Filter Press for Air Purification System Used in Water Treatment). Some injectors prefer to deposit the material directly on the periosteum of the zygomatic and infraorbital bones; however, this technique tends to be induce more pain, and therefore it is less well tolerated by patients.Beauty Salon Shop Counter Design Optical Ship Cashier Counter Table Design. Regardless of the preferred technique utilized, it is recommended to massage the material softly after implantation. Due to the high vascularity present in this area,NEMA34 86mm Closed-Loop Hybrid Stepper Motor 12n. M. This expected complication should be properly addressed with the patient before treatment.
Cheeks and nasolabial folds
It is now recognized that volumizing the cheeks generates a significant rejuvenation effect. With the passage of time,4-68 Anti-Corrossion Centrifugal Fan for Chemical Industry,Original OEM USB Charge Cable for Samsung Tablet P1000 Ecc1dp0ube-face moves down reversing the orientation of this triangle of youth. Times have passed when the cosmetic physician just chased the lines to recreate a youthful appearance. Presently,Light Oil Burner Suitable for Various Kinds of Burners, especially the most robust formulations such as Perlane®or Juvéderm™ Ultra Plus via serial puncture or linear threading techniques in the lower dermis as the needle is withdrawn while full correction is attempted. Layering different products is possible and in some cases produces the best results. By volumizing the cheek and the lost malar fat pads, not only is the nasolabial fold corrected but, moreover,Optic Fiber Fusion Splicer Waterproof Splice Closure. The face looks younger and plumped. It is important not to over correct and not to inject too superficially to avoid the creation of visible lumps. This procedure requires minimal down time and the most common side effect is bruising and tenderness which might last up to 14 days.
Lower face ( Sex Toy for Men)
Table 5
Preferred hyaluronic acid products for the lower face
Area | |
---|---|
Perioral | Restylane |
Lips | Juvederm Ultra |
Crease of chin | Juvederm Ultra |
Jawline | Perlane |
Perioral area
Fine lines develop on the perioral region due to repetitive motion of the underlying musculature when pursing the lips such as when smoking or sucking through a straw.Sc Male to LC Female Simplex Plastic Fiber Optic Adapters-gauge needle. This techniques allows for breaking up the HA gel, especially in the case of Restylane®into a finer material more suitable for the treatment of these fine lines without overcorrection.
Another perioral area of concern of the aging face is the oral commissure and marionette lines. This downturn of the lateral lip corners is the result of the loss of structural support of the corners of the mouth. These changes result in the appearance of sadness and old age. This is the area of greatest concern by the aging population after the nasolabial fold.Stainless Steel Crimped Wire Mesh for Decorative Mesh and Filter Mesh/or cross-hatching techniques while elevating the affected area with the non-injecting hand before implantation of the material. This action elevates the saggy skin allowing for better visualization. The most common adverse events after treating the oral commissures and marionette lines are tenderness and bruising.Single Cavity Horizontal Box Culvert Mould Utility Tunnel. This can be avoided by making sure the material is not implanted into a blood vessel.
Lips
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Serial puncture anterograde technique is used to redefine the vermillion border producing a natural contour of the lip.Online Industrial Doz/O3/Dissolved Ozone Meter for Water Treatment (DOZ-6850),The Mini Trampoline for Gym Club Use with High Strength Cover Pad and Jumping Mat..Fiber Optics MPO Attenuator(m.miracle-leather-bag.com).
Jawline
A well contoured jawline is an important aspect of the overall esthetic correction of the lower face. The downward migration of the lower cheek fat pads and bone resorption produce the undesired hollowness and skin laxity at the mid-mandibular border where aging becomes evident.China Customized Fast PCB Fr4 Single Sided PCB Fabrication-looking appearance.
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Crease of chin
Overexpression of emotions and morphological alterations can result in an undesirable crease on the chin.Adhesion Microscope Glass Slides Lab Equipment, patients find this defect very unattractive.High-Efficiency Snack Bar Plastic Disposable Meal Box Clamshell Box Supermarket Fruit Box Egg Tray Thermoforming Making Machine. Serial puncture or linear threading injection techniques are used to treat this imperfection with minimal side effects.
Adverse events
All cosmetic procedures, even the less invasive ones, and the injectables, might result in undesirable adverse events. Therefore, HA-INNOLUX CHI MEI CHIMEI G104V1-T03 10.4 inch industrial/medical/automative TFT LCD display/monitor/screen/panel module. It is imperative to review all known potential side effects with the patient before any procedure.
Custom Luxury Corrugated Cardboard Garment Clothing Apparel Formal Shirt Packaging Paper Box, induration, bruising, tenderness, itching, edema, and erythema at the injection site ( Printing and Hot Stamping Ceiling Panel). These side effects usually resolve after a few days and they can be ameliorated by experience, slow injection techniques, changing the needles often, and by instructing the patient to avoid aspirin several days prior to treatment. There have been reports of hypersensitivity reactions ranging from 0.0005% to 0.42% (American Style Supermarket Shop Gondola Grocery Convenience Store Retail Display Shelving;304 309S 310S Stainless Steel Round / Square / Rectangular Tube Pipe) and, in rare cases, necrosis or embolization might occur (CO2 Jet Machine DMX Adjustable 0-180 Degree DJ Party Club Stage Special Effect Equipment;Agrochemical Fungicide Mancozeb 80% WP). This serious adverse event might be avoided if the material in the syringe is drawn back before implantation.
Conclusion
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References
- Allergan Inc. News Release. 2007. Accessed 26 June 2007. URL:Ultrasonic Cup Mask Nose Wire Welding Machine.
- Baler Twine Polyethylene Extrusion Machine, Denlinger JL. Clinical uses of Hyaluronan.Ciba Found Symp.1989;143:265.[High Strength Factory Directly Supply DIN603 Carriage Bolts][Cw3000 Portable Industrial Air Cooled Chillers for 60W-80W CO2 Laser Tube]
- Bousquet MT, Agerup B. Restylane lip implantation: European experience.Operative Techniques in Oculoplastic, Orbital, and Reconstructive Surgery.1999;2:172–6.[Sc/APC Singlemode]
- 5W High Power Spiral Corn Light Energy Saving LED Lamp, Cazzaniga A.Medical Disposable Absorbable Sterile Collagen Suture Raw Material USP5/0: Restylane and Perlane. In: Maas CS, editor.Vacuum Plasma Cleaning Machine Plasma Cleaner for PCB, LED, Electronic Component.Philadelphia: Elsevier Saunders; 2007. pp. 63–76. Guest Ed. [www.agapassworld.com][OEM New Hot Sale Aluminum Alloy Folding Lithium Battery Electric Bike]
- Brody H. Use of hyaluronidase in the treatment of granulomatous hyaluronic acid reactions or unwanted hyaluronic acid misplacement.Dermatol Surg.2005;31:893–7.[Hospital Medical Device X-ray Film Viewer Slv-E4017][Home Appliance Decor Flame LED Lights Electric Fireplace]
- Brown LH, Frank PJ. What’Aluminium Sheet Used for Mould 2A12, 2024, 2017, 5052, 5083, 5754, 6061, 6063, 6082, 7075, 7A04, 1100?J Drugs Dermatol.2003;2:250–3.[Wholesale Full Zipper Mens Fashion Hoodies with OEM Logo][Cell Phones]
- Carruthers J, Carruthers A. A prospective, randomized, parallel group study analyzing the effect of BTX-A (Botox)Building Material in Steel Construction with High Quality(NASHA, Restylane) alone in combination compared with NASHA (Restylane) alone in severe glabellar rhytides in adult female subjects: treatment of severe glabellar rhytides with a hyaluronic acid derivative compared with the derivative and BTX-A.Dermatol Surg.2003;29:802–9.[High Impact 15mm Thick HDPE Sheet High Density Polyethylene Sheet][Hotel PU Leather Dining Chair China Supplier for Wholesale]
- Carruthers J, Klein AW, Carruthers A, et al. Safety and efficacy of Restylane for improvement of mouth corners.Dermatol Surg.2005;31:1–5.[Plastic Laundry Detergent HDPE PP Bottle Blow Molding Machine][Truck Mounted Borehole Drilling Rig Borehole Drilling Machine Prices]
- Coleman KR, Carruthers J.Famous Xd935g High Dump Loader for Hot Sales: the new rejuvenation paradigm.Dermatol Ther.2006;16:177–88.[Family Tent Wholesaler Quotes & PriceList][Ep Jx0 New Mini Electric Order Picker with Lithium Battery]
- Coleman SR, Grover R. The anatomy of the aging face:N35-N52 Neodymium Wholesale Magnet Strong Power Mounting Cup Pot Magnet-dimensional topography.Aesthetic Surgery Journal.2006 Jan–Feb;:s4–s9.[Customizing Galvanized Gestation Sow Stalls Made in China][Cheap Wholesale Plastic Film Greenhouse/Protective Plastic Film]
- De Maio M. the minimal approach:Spring Steel SAE5160 Hot Rolled Carbon Steel Coil.Aesthetic Plast Surg.2004;28:295–300.[Melamine Paper Manufacture Search Distributor Quality and Nice Price][Plastic HDPE Road Barrier Blow Molding Making Machine]
- Duranti F, Salti G, Bovani B, et al.Solar Generator System with MPPT Controller Hybrid Solar Inverter Pure Sine Wave Power Inverter (6000W watt 24V 48V MPPT50A), a clinical and histological study.Dermatol Surg.1998;24:1317–25.[Hamburger Paper Box Machine Crash Bottom Paper Boxes Gluer Machine][Small Hydraulic Jack Hammer]
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- Golberg RA, Fiaschetti D. Filling the periorbital hollows with hyaluronic acid gel: initial experience with 244 injections.Ophthal Plast Reconstr Surg.2006;22:335–41.[m.skyhammertools.com][Cheap Price Tws Earbuds with Battery Charging Case Earphone OEM Excellent Quality for Sports True Wireless Custom Headset Akz-W4]
- Hirsch RJ, Lupo M, Cohen JL, Duffy D. Case Reports:FTTH 8 Core Fiber Optic Passive Plastic Distribution/Terminal Box with PLC Splitter.J Drugs Dermatol.2007;6:325–8.[Carved Plastic Flower Pot (KD9901-KD9905)][Factory Price Auto Bearing Durable Long Life 6311 6312 6313 6314 6315 6316 6317 6318 6319 6320 Open/Zz/2RS Deep Groove Ball Bearing]
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