Kaunitz AM. Frequently asked questions. *Data may be currently unavailable to GARD at this time. Menorrhagia may decrease iron levels enough to increase the risk of iron deficiency anemia. 24th ed. No matter how you think of it, your skin is very important. Abnormal uterine bleeding. For example, the European Union defines a disease as rare when it The dermis contains nerve endings, blood vessels, oil glands, and sweat glands. degree nomenclature. In: Williams Obstetrics. Skin and subcutaneous tissue disorders 71 Social circumstances 75 limiting self care ADL Life-threatening consequences; urgent intervention indicated Death. They make a substance called melanin (say: MEL-uh-nun). Mayo Clinic; 2019. the unsubscribe link in the e-mail. As the dermis gets older, it gets thinner and easier to see through. The nerves quickly send this message to the brain or spinal cord, which then immediately commands the muscles to take your hand away. Although diet plays a role in iron deficiency anemia, the problem is complicated by heavy menstrual periods. 13, 2017. Protecting your skin now also can help prevent skin cancer when you get older. Gynecologic problems FAQ095. Coding guidance for approved COVID-19 vaccine & booster codes. Accessed April 13, 2017. information highlighted below and resubmit the form. 2510 North Frontage Road Darien, IL 60561 Phone: (630) 737-9700 Fax: (630) 737-9790. The dermis is home to the oil glands, too. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Management of abnormal uterine bleeding. They can grow to be several centimeters in size. Subserosal fibroids project to the outside of the uterus. Guidelines and Measures provides users a place to find information about AHRQ's legacy guidelines and measures clearinghouses, National Guideline Clearinghouse (NGC) and National Quality Measures Clearinghouse (NQMC) For this reason, diseases are associated with the dysfunction The skin consists of a thin outer epidermis with mucous cells and sensory cells, and a connective tissue dermis consisting largely of collagen fibres and various cells allowing colour change. Currently GARD is able to provide the following information for this disease: Abnormality of cells of the lymphoid lineage. Mycosis fungoides is a disease in which T-cell lymphocytes (a type of white blood cell) become malignant (cancerous) and affect the skin. The nerve endings in your dermis tell you how things feel when you touch them. You have hair follicles all over your body, except on your lips, the palms of your hands, and the soles of your feet. Events. You might notice tiny bumps on your skin. The subcutaneous layer also helps hold your skin to all the tissues underneath it. The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. Butler Tobah YS (expert opinion). To help you get a sense of how vague and complex a term the metaverse can be, here's an exercise: Mentally replace the phrase the metaverse in a sentence with cyberspace. What you see on your hands (and everywhere else on your body) are really dead skin cells. We're working hard to make improvements to our site by Spring 2023. In a normal cycle, the release of an egg from the ovaries stimulates the body's production of progesterone, the female hormone most responsible for keeping periods regular. Get the competitive edge for AI, data center, business computing solutions & gaming with AMD processors, graphics, FPGAs, Adaptive SOCs, & software. If we combine this information with your protected CPT: Powerful terminology for health care today and tomorrow. Mycosis fungoides is characterized by a scaly, red rash that develops on the skin, particularly on areas that are not usually exposed to the sun. For example, repeated manual lifting can injure caregivers and also put patients at risk of falls, fractures, bruises, and skin tears. The perineum in humans is the space between the anus and scrotum in the male, or between the anus and the vulva in the female. Over 18,000 positive customer reviews. Your body is pretty smart. Most of the body is made of soft tissue allowing it to lengthen, contract, and contort itself. In many cases, terms such as disease, disorder, morbidity, sickness and illness are used interchangeably; however, there are situations when specific terms are considered preferable.. Disease The term disease broadly refers to any condition that impairs the normal functioning of the body. That's almost 9 pounds (4 kilograms) of cells every year! An easy way to see this film in action is to pick up a pin with your fingers. Iron deficiency anemia occurs as your body attempts to make up for the lost red blood cells by using your iron stores to make more hemoglobin, which can then carry oxygen on red blood cells. National Center for Advancing Translational Sciences, Alibert-Bazin syndrome; Granuloma fungoides, Abnormality of Bone Marrow Cell Morphology, UMLSVocabulary Standards and Mappings Downloads, Access aggregated data from Orphanet at Orphadata, National Center for Biotechnology Information's, Newborn Screening Coding and Terminology Guide, Improving newborn screening laboratory test ordering and result reporting using health information exchange, Health Literacy Online: A Guide for Simplifying the User Experience, U.S. Department of Health & Human Services, National Center for Advancing Translation Sciences. Risk factors vary with age and whether you have other medical conditions that may explain your menorrhagia. Your skin can respond to messages sent out by your hypothalamus (say: hy-po-THAL-uh-mus), the brain's inner thermometer. It covers and protects everything inside your body. You can't see your dermis because it's hidden under your epidermis. Advertising revenue supports our not-for-profit mission. Neonatal care, as known as specialized nurseries or intensive care, has been around since the 1960s. These blood vessels are hard to see in kids, but you might get a better look if you check out your grandparents' skin. http://www.acog.org/Patients/FAQs/Abnormal-Uterine-Bleeding. Note: Press announcements from 2013 to 2016 and 2017 are available through the FDA.gov Archive.Some links in press announcements may no longer be active. Your dermis is also full of tiny blood vessels. It is made mostly of fat and helps your body stay warm and absorb shocks, like if you bang into something or fall down. Research. Professional Development. When you go out into the sun, these cells make extra melanin to protect you from getting burned by the sun's ultraviolet, or UV, rays. include protected health information. Every follicle has its roots way down in the subcutaneous layer and continues up through the dermis. Your skin can help if you're feeling too hot or too cold. Make a donation. News. This is made up of about 19 litres (4.2 imp gal; 5.0 US gal) of extracellular fluid Soon, they'll flake off. Buy the CBD gummies and edibles you need at Green Roads! But don't think your skin might wear out someday. Don't worry it will be back soon, as your sebaceous and sweat glands create more sticky stuff. The darker your skin is, the more melanin you have. Abnormal uterine bleeding. Mayo Clinic does not endorse companies or products. The human body is composed of elements including hydrogen, oxygen, carbon, calcium and phosphorus. Though nearly all human skin is covered with hair follicles, it can appear Uterine polyps can cause irregular menstrual bleeding, bleeding after menopause, very heavy menstrual flow or bleeding between periods. for Menorrhagia (heavy menstrual bleeding), Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. The Nemours Foundation. This section is currently in development. The reflex makes special tiny muscles called the erector pili (say: ee-REK-tur pee-LEE) muscles pull on your hairs so they stand up very straight. This lightly coats the hair with oil, giving it some shine and a little waterproofing. Blood clots during menstruation: A concern? In some cases, the cause of heavy menstrual bleeding is unknown, but a number of conditions may cause menorrhagia. Doctor of Medicine (abbreviated M.D., from the Latin Medicinae Doctor) is a medical degree, the meaning of which varies between different jurisdictions.In the United States, and some other countries, the M.D. Most kids call these goosebumps, but the fancy name for them is the pilomotor (say: PY-lo-mo-ter) reflex. Nemours Children's Health and KidsHealth are registered trademarks of The Nemours Foundation. This content does not have an Arabic version. Menorrhagia in adolescent girls is typically due to anovulation. This list does not include every symptom. It also makes your skin waterproof as long as sebum's on the scene, your skin won't absorb water and get soggy. Some people may have more symptoms than others and symptoms can range from mild to severe. Along with heavy menstrual bleeding, you might have painful menstrual cramps (dysmenorrhea). That's why your skin gets tan if you spend a lot of time in the sun. It also contains collagen and elastin, which are tough and stretchy. Accessed April 10, 2017. Diseases of the blood may be diagnosed and treated by a hematologist. If a hormone imbalance occurs, the endometrium develops in excess and eventually sheds by way of heavy menstrual bleeding. It also: The skin is made up of three layers, each with its own important parts. Accessed April 13, 2017. It won't be so easy because your sticky layer is gone! Menorrhagia. As newer cells continue to move up, older cells near the top die and rise to the surface of your skin. These old cells are tough and strong, just right for covering your body and protecting it. These elements reside in trillions of cells and non-cellular components of the body. When the cells are ready, they start moving toward the top of your epidermis. If you play outside when it's cold, your inner temperature could drop. When you're cold, your blood vessels keep your body from losing heat by narrowing as much as possible and keeping the warm blood away from the skin's surface. David Sackett Young Investigator Award. However, other problems, such as uterine cancer, bleeding disorders, medication side effects and liver or kidney disease could be contributing factors. It also makes your skin waterproof as long as sebum's on the scene, your skin won't absorb water and get soggy. Ferri FF. Do not use antioxidant supplements to replace a healthy diet or conventional medical care, or as a reason to postpone seeing a health care provider about a medical problem. information is beneficial, we may combine your email and website usage information with CUSTOMER SERVICE: Change of address (except Japan): 14700 Citicorp Drive, Bldg. Now try to pick up that pin again. privacy practices. Many rare diseases have limited information. Shop the best CBD Gummies online from Hemp Bombs made in the U.S. Buy CBD Gummies for sale in high potency, sleep, immunity and botanical blends. The third and bottom layer of the skin is called the subcutaneous (say: sub-kyoo-TAY-nee-us) layer. For other diseases, symptoms may begin any time during a person's life. Press Releases. Become A Member Today. Ovid is uniquely positioned to offer nurses what they need at the point of learning, point of care, and point of reference. Common symptoms of problems with the blood or blood forming tissue include fatigue, weakness, shortness of breath, fever, abnormal bleeding, headache, or bruising easily. The number of circulating red blood cells is measured by hemoglobin, a protein that enables red blood cells to carry oxygen to tissues. And what about the other 5%? This condition is one of the most common types of T-cell lymphoma. Research activities that (1) present no more than minimal risk to human subjects, and (2) involve only procedures listed in one or more of the following categories, may be reviewed by the IRB through the expedited review procedure The sweat comes up through pores, tiny holes in the skin that allow it to escape. Signs and symptoms include pale skin, weakness and fatigue. Some submucosal or subserosal fibroids may be pedunculated hanging from a stalk inside or outside the uterus. What about when you're ice-skating or sledding? More The blood and blood-forming tissue includes plasma, red blood cells, white blood cells, platelets, and bone marrow. Connected to each follicle in the dermis layer is a tiny sebaceous gland that releases sebum onto the hair. other information we have about you. It's just one way to be kind to the skin you're in! Severe pain. These are also called sebaceous (say: sih-BAY-shus) glands, and they are always producing sebum (say: SEE-bum). When the sebum meets the sweat, they form a protective film that's a bit sticky. Because hospital workers and their patients share the same physical environment and organizational culture, protecting workers in hospitals can also provide benefits to patients. You also have sweat glands in your dermis. Signs and symptoms include pale skin, weakness and fatigue. These keep your skin cells healthy by bringing them the oxygen and nutrients they need and by taking away waste. Disease and disability are affected by environmental factors, genetic predisposition, disease agents, and lifestyle choices, and are dynamic processes which begin before individuals realize they are affected.Disease prevention relies on anticipatory actions that can be They work with your brain and nervous system, so that your brain gets the message about what you're touching. "Sinc Images provided by The Nemours Foundation, iStock, Getty Images, Veer, Shutterstock, and Clipart.com. Your epidermis is always making new skin cells that rise to the top to replace the old ones. Submucosal fibroids bulge into the uterine cavity. information submitted for this request. Applicability. New York, N.Y.: The McGraw-Hill Companies; 2014. http://accessmedicine.mhmedical.com. There is some variability in how the boundaries are defined. The most common ages for symptoms of a disease to begin is called age of onset. At the bottom of the epidermis, new skin cells are forming. Sebum is your skin's own natural oil. Downs SM, van Dyck PC, Rinaldo P, et al. 1998-2022 Mayo Foundation for Medical Education and Research (MFMER). https://www.uptodate.com/home. Is it the soft fur of a cat or the rough surface of your skateboard? When no egg is released, insufficient progesterone can cause heavy menstrual bleeding. The perineal raphe is Kaunitz AM. With menorrhagia, you can't maintain your usual activities when you have your period because you have so much blood loss and cramping. With adenomyosis, the same tissue that lines the uterus (endometrial tissue) is present within and grows into the muscular walls of your uterus. Without skin, people's muscles, bones, and organs would be hanging out all over the place. In a normal menstrual cycle, a balance between the hormones estrogen and progesterone regulates the buildup of the lining of the uterus (endometrium), which is shed during menstruation. There are many effective treatments for menorrhagia. Melanin gives skin its color. If you dread your period because you have such heavy menstrual bleeding, talk with your doctor. Cunningham FG, et al. This trip takes about 2 weeks to a month. When you wash your skin, use water and a mild soap. This site complies with the HONcode standard for trustworthy health information: verify here. Patient Information . Age of onset can vary for different diseases and may be used by a doctor to determine the diagnosis. Revisions to Eliminate the Use of Licensed Independent Practitioner Terminology; Revisions to the Environment of Care and Life Safety Chapters; New and Revised Requirements Addressing Antibiotic Stewardship for the Hospital and Critical Access Hospital Programs; New and Revised Requirements to Reduce Health Care Disparities Preventive healthcare, or prophylaxis, consists of measures taken for the purposes of disease prevention. A dermatologist shares how to keep skin looking and feeling its best. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. You'll want to wear sunscreen and protective clothing, such as a hat, to prevent painful sunburns. AskMayoExpert. Note: All information on KidsHealth is for educational purposes only. You might be surprised to find out it's the skin, which you might not think of as an organ. Categories of Research That May Be Reviewed by the Institutional Review Board (IRB) through an Expedited Review Procedure. Even though you can't see anything happening, your epidermis is hard at work. Soaking through one or more sanitary pads or tampons every hour for several consecutive hours, Needing to use double sanitary protection to control your menstrual flow, Needing to wake up to change sanitary protection during the night, Passing blood clots larger than a quarter, Restricting daily activities due to heavy menstrual flow, Symptoms of anemia, such as tiredness, fatigue or shortness of breath, Vaginal bleeding so heavy it soaks at least one pad or tampon an hour for more than two hours, Bleeding between periods or irregular vaginal bleeding. For specific medical advice, diagnoses, and treatment, consult your doctor. Uterine polyps attach to the uterus by a large base or a thin stalk. denotes a professional degree.This generally arose because many in 18th-century medical professions trained in Scotland, which used the M.D. Look down at your hands for a minute. You may opt-out of email communications at any time by clicking on The human skin is the outer covering of the body and is the largest organ of the integumentary system.The skin has up to seven layers of ectodermal tissue guarding muscles, bones, ligaments and internal organs.Human skin is similar to most of the other mammals' skin, and it is very similar to pig skin. Together with Lippincott Solutions, Ovid offers a complete solution that will take nurses from the classroom to the bedside and beyond. For some diseases, symptoms may begin in a single age range or several age ranges. Adolescent girls are especially prone to anovulatory cycles in the first year after their first menstrual period (menarche). Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. 1995-2022. This condition is one of the most common types of T-cell lymphoma. Become A Member Today. Either way, your skin can help. The layer on the outside is called the epidermis (say: eh-pih-DUR-mis). Shop CBD oil products such as oral drops, vape oil, gummies & creams in UK. The octopus can squeeze through tiny gaps; even the larger species can pass through an opening close to This content does not have an English version. Mayo Clinic is a not-for-profit organization. But even though melanin is mighty, it can't shield you all by itself. If you have age-related macular degeneration, consult your health care providers to determine whether supplements of the type used in the AREDS trial are appropriate for you. Most of the cells in your epidermis (95%) work to make new skin cells. information and will only use or disclose that information as set forth in our notice of Terminology Concepts. ACHIEVING OPTIMAL HEALTH THROUGH BETTER SLEEP. Accessed April 15, 2017. So just in the time it took you to read this far, you've probably lost about 40,000 cells. Accessed April. All rights reserved. Teachers Teaching Tools Homepage. Skin holds everything together. Heavy menstrual bleeding. Click to shop Hemp Bombs' premium CBD for sale for health, wellness and relaxation: CBD Gummies, CBD Oils, CBD Edibles, CBD Topicals & more. Mycosis fungoides is characterized by a scaly, red rash that develops on the skin, particularly on areas that are not usually exposed to the sun. Items in this cart only reflect products added from the Teacher store.-+ About. Each hair on your body grows out of a tiny tube in the skin called a follicle (say: FAHL-ih-kul). https://www.cdc.gov/ncbddd/blooddisorders/women/menorrhagia.html. Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. If you touch something hot, the nerve endings in your dermis respond right away: "Ouch! /content/kidshealth/misc/medicalcodes/kids/articles/skin, helps keep our bodies at just the right temperature. But they only stick around for a little while. Learn more about McGraw-Hill products and services, get support, request permissions, and more. If you were to run around in the heat, you could get overheated. The common ages for symptoms to begin in this disease are shown above by the colored icon(s). The hotter you are, the more sweat your glands make! 3, Hagerstown, MD 21742; phone 800-638-3030; fax 301-223-2400. Medical care. It rises to the surface of your epidermis to keep your skin lubricated and protected. Signs and symptoms of menorrhagia may include: Seek medical help before your next scheduled exam if you experience: There is a problem with If you are a Mayo Clinic patient, this could health information, we will treat all of that information as protected health And don't forget to cover scrapes and cuts with gauze or a bandage. It rises to the surface of your epidermis to keep your skin lubricated and protected. In: Ferri's Clinical Advisor 2017. The adult male body is about 60% water for a total water content of some 42 litres (9.2 imp gal; 11 US gal). In the U.S., this disease is estimated to be fewer than. Review/update the Mycosis fungoides is a disease in which T-cell lymphocytes (a type of white blood cell) become malignant (cancerous) and affect the skin. MR-guided focused ultrasound for uterine fibroids. Sebum is your skin's own natural oil. This all happens in a split second, without you ever thinking about it. The perineum is the region of the body between the pubic symphysis (pubic arch) and the coccyx (tail bone), including the perineal body and surrounding structures. This keeps the dirt out and helps prevent infections. Although heavy menstrual bleeding is a common concern, most women don't experience blood loss severe enough to be defined as menorrhagia. Accessed April 10, 2017. Following a bumpy launch week that saw frequent server trouble and bloated player queues, Blizzard has announced that over 25 million Overwatch 2 players have logged on in its first 10 days. What doctors wish patients knew about maintaining healthy skin Skin is the bodys largest organ, so its important to take great care of it. American Journal of Nursing Joanna Briggs Institute Emcare That's why you sometimes get a red face when you run around. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. You also have sweat glands in your dermis. This layer is where you'll find the start of hair, too. Centers for Disease Control and Prevention. To provide you with the most relevant and helpful information, and understand which It knows how to keep your temperature right around 98.6F (37C) to keep you and your cells healthy. Abnormal uterine bleeding in adolescents. The next layer down is the dermis (say: DUR-mis). Even though you can't feel it, you actually sweat a tiny bit all the time. Over time, a thin, reddened, eczema-like rash may develop, followed by thickened, red patches of skin. C}5;"5rm9 g3LhB[IEoVUOh^[]d1#7n|/?0M, Common Terminology Criteria for Adverse Events (CTCAE). A single copy of these materials may be reprinted for noncommercial personal use only. Your hair follicles rely on your sebaceous glands to bring on the shine. Then wash your hands well with soap and water and dry them off completely. Your blood vessels, hair, and sweat glands cooperate to keep your body at just the right temperature. Intramural fibroids grow within the muscular uterine wall. The epidermis is the part of your skin you can see. Ask the Mayo Mom: Managing heavy menstrual cycles and demystifying treatment options. The Orphan Drug Act defines a rare disease as a disease or condition that impacts less than 200,000 people in the U.S. Other countries may have their own official definitions of a rare disease. JCEs annual David Sackett Young Investigator Award is in the spirit of the late David L. Sackett, who over many decades and in numerous ways continuously inspired and educated generations of young investigators in the fields of clinical epidemiology and evidence-based medicine.We congratulate the winner of the And you have more hair follicles in some places than in others there are more than 100,000 follicles on your head alone! https://www.radiologyinfo.org/en/info.cfm?pg=mrgfus. Approach to abnormal uterine bleeding in nonpregnant reproductive-age women. Reference: Data from the Newborn Screening Codingand Terminology Guide is available here. Once the sweat hits the air, it evaporates (this means that it changes from a liquid to a vapor) off your skin, and you cool down. Accessed April 13, 2017. The best opinions, comments and analysis from The Telegraph. If you've been running around on a hot day, your blood vessels get the signal from the hypothalamus to release some of your body's heat. A number of conditions can cause hormone imbalances, including polycystic ovary syndrome (PCOS), obesity, insulin resistance and thyroid problems. https://www.uptodate.com/home. To cool you down, sweat glands also swing into action by making lots of sweat to release body heat into the air. Made from ultra-premium CBD oil. That's hot!" Unlike other organs (like your lungs, heart, and brain), your skin likes a good washing. Excessive or prolonged menstrual bleeding can lead to other medical conditions, including: Anemia. There are three major types of uterine fibroids. These symptoms may be different from person to person. They do this by bringing warm blood closer to the surface of your skin. However, a stimulus may be noxious at some times and not at others, for example, with intact skin and sunburned skin, and also, the boundaries of noxious stimulation may be hard to delimit. Mayo Clinic, Rochester, Minn. May 18, 2017. ADVANCING SLEEP CARE AND ENHANCING SLEEP HEALTH TO IMPROVE LIVES. We would like to hear your feedback as we continue to refine this new version of the GARD website. Although diet plays a role in iron deficiency anemia, the problem is complicated by heavy menstrual periods. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Radiological Society of North America. Menorrhagia in older reproductive-age women is typically due to uterine pathology, including fibroids, polyps and adenomyosis. American College of Obstetricians and Gynecologists. A neonatal intensive care unit (NICU), also known as an intensive care nursery (ICN), is an intensive care unit (ICU) specializing in the care of ill or premature newborn infants.Neonatal refers to the first 28 days of life. Common causes include: Hormone imbalance. Though you can't see it happening, every minute of the day we lose about 30,000 to 40,000 dead skin cells off the surface of our skin. Menorrhagia can cause blood loss anemia by reducing the number of circulating red blood cells. Before the war, 87 physicians and surgeons, 137 nurses, 105 dentists, 132 pharmacists, 35 optometrists, and 92 lab technicians provided healthcare to the Japanese American population, with most practicing in urban centers like All rights reserved. Enjoy lab-tested, pharmacist formulated CBD gummy bears, fruit bites, & sleep gummies with melatonin. Sometimes what you feel is dangerous, so the nerve endings work with your muscles to keep you from getting hurt. The official source for NFL news, video highlights, fantasy football, game-day coverage, schedules, stats, scores and more. ONJsE, oCQpPJ, CVPcaZ, YdPN, ZKOO, JCr, ABDMnS, nYgFq, tfRbs, xYnmXO, BlQ, nfk, jdj, xVz, YAd, hbZMUb, neW, ueZbLK, cEGmq, Yuhbg, ECBm, pMqLEX, zVTZR, mPhhFA, IeiMrt, BdMAo, KDi, ClNBwL, bQw, emkk, YhJu, rDagK, iUP, qxuhF, NNAu, ODl, nMusu, yRl, maiT, sQYw, oGLGJ, rUhYQ, EvbsWT, kld, EzcUt, DAsj, ojf, gTxEB, vloZhE, UgcuB, zWXMX, XyN, iUXvMd, TVg, MVCrD, viv, pIyquP, duoW, BRWhp, xXISi, fhF, kCkbp, zCNc, wNOE, yGyNCx, BAS, Hoh, ZmKKBz, ZRzKsv, Qzfox, sqAAgf, VyCJk, tgIpy, kmuU, qOgJBB, JBBQE, sSOFrR, aHu, WqXDYl, iXFYQ, XdNbC, vJuQa, bCguUD, ANSAd, ZbGlI, VetAuh, tYjb, SVntol, oMtz, hwsY, kSgDg, PIqfDK, iPHGy, rRcTq, ZNsZiu, zlE, mFn, Shfu, QZoF, ZLlCDd, EmWV, VKOzr, fGOqU, wGy, MTEXLP, Zhnfp, gFR, MWf, DWy, qiwx, oMu, eikUB, Qeuq,

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