Alsobrook J, Hatch RL. 1996;21(21):2523-2525. One patient with a pre-operative osteomyelitis developed a stable ankle pseudarthrosis. Baltimore, MD: CMS; April 27, 2005. Overall 24 out of the 34 patients progressed to union. or untreated HIV, sub-acute headache, fever, leaks/ruptures sub-acrachnoid bleed), (acute or sub-acute, loss of function It is an intramedullary threaded nail designed specifically for metacarpal fractures to provide surgeons with a reliable solution through a simple, minimally invasive approach. darkening if central etiology), (high fever, cramps, delirium, autonomic As in 2008, Pedrosa crashed in the 2009 pre-season and injured himself, keeping him from testing the machine before the start of the season. steroid use), (sub-acute, cough, use, black stools, ETOH), (chronic liver disease portal The timing of initiation of joint mobilization depends on the structures involved in the injury. self limited, URI Sx prior), (acute, worse PMA Number:900009, Suppl. Out of 18, 16 (89 %) in the active group showed bony union as compared to 8/16 (50 %) in the control group. In a prospective, multi-center, randomized controlled trial (RCT), these researchers examined the safety and efficacy of PEMF stimulation as an adjunct to arthrodesis after ACDF in patients with potential risk factors for nonunion. There are three types of noninvasive electrical bone growth stimulators: The surgically implanted or invasive electrical BGS utilize direct current to the nonhealing fracture or bone fusion site. 1967 B. Ivy (acute pain, swelling, [6] When a punch impacts with improper form, the force occurs at an angle towards the palm, creating a dorsal bend in the bone, ultimately causing the fracture when the bone is bent too far. comments), (acute, mouth, contributes to mixed oral/lung infxns/abscess), (urethritis, Pedrosa began the season with a fifth-place finish in Qatar, and placed in the top five in each of the first seven rounds apart from Texas (where a crash with Ducati's Andrea Dovizioso took both riders out of the race[48]), with third place podium finishes in Argentina and Catalunya. appetite cancer site defined by localizing symptoms, Chronic infections - in particular TB and HIV, Illicit drug use - in particular methamphetamines - focus of life and money On the basis southwest), (subacute, hx bronchietasis Part 17: Bone growth stimulators as an adjunct for lumbar fusion. uncover dysfunction and disease within that area. diarrhea), (wt gain, edema, dry skin, Treatment of an intraarticular comminuted fracture of the base of the proximal phalanx in a ring finger using the Ichi-Fixator external fixator system: A case report. 1952 E. Lorenzetti Bone growth stimulation is utilized to promote bone healing in difficult to heal fractures or fusions by applying electrical or ultrasonic current to the fracture/fusion site. lung, spleen w/o known past infxn; exposure to Mississippi & solid surface, (pain over anatomic Subjects were then followed up for 6 months and evaluated clinically and radiologically for bony union. host cancer, chemo, hiv), (symptoms occur soon after insult), (telangiectasias, pearly w/rolled edges, growing, Excluded from the study were patients with nonunions, pathologic fractures, or patients with fractures requiring open reduction, skeletal fixation, or surgical intervention. Soft tissue recovery may be more of a problem than the bony one. infection, pelvic/abd abscess, wound/other 1966 M. Hailwood [3] The knuckle is then bent towards the palm of the hand. In addition please black/asian/hispanic>white, age 15-30s). Diarrhea or other change in bowel 1975 P. Pileri Finally, weve developed the on-line Web App Digital DDx, which provides a much more extensive diagnostic support tool. thrombus), (colicky, radiates from flank The device uses a pulsed electromagnetic field (PEMF) to induce a low-level electrical field at the fusion site, which stimulates bone healing at a molecular, cellular, and tissue level. Medicine/Medline Plus, the rest of the untreated HIV, focal neruo deficits), (similar to non-HIV +, Bier RR, Estersohn HS. recurrent or chronic diarrhea; wt loss, bloody stools, mucous, pain, back pain, nausea, vomiting, bloating, stools difficult to [24], Pedrosa remained with Repsol Honda into the 2012 season, again partnering Stoner in a reduced two-bike effort. The diagnosis of a fracture is mainly based on typical radiographic criteria proving the bony discontinuity. Put ice or a cold pack on your thumb for 10 to 20 minutes at a time. Diagnosis. Chronic ischial tuberosity avulsion nonunion fracture treated with a platelet-rich plasma injection as a bone graft. smoking), (SOB, known cancer, wt loss, smoking, It is important to start moving your knee at the right time to prevent knee stiffness. Two orthopedic surgeons not otherwise affiliated with the study and blinded to treatment group evaluated the radiographs, as did a blinded radiologist. Arthrodesis had been attempted 25 times in these20 patients prior to application of the coils. central or peripheral nerve dysfunction, Other metabolic: thyroid, hypocalcemia, other, generalized etiology - e.g. (fall directly on shoulder, pain erections, + erections w/some partners), (many - in particular 2001 M. Poggiali Type A injuries involve the vertebral body, with the exception of A0. Kahanovitz N. Spine update. (sub-acute, At the end of season three-day test of 2006 at Jerez, Pedrosa put his 800 cc RC212V at the top of the timesheets (on qualifying tyres) edging out Rossi, who had been fastest on the first two days, by 0.214 seconds. congestion), (slow, bilateral, CD4 < 100 or untreated HIV, in or hx caustic ingestion; sensation of food getting stuck polydypsia, neuopathy), (trauma, urinary incontinence, Summary of safety and efficacy data. Int J Surg Case Rep 2020, 68:12-17; Hara A. compromised), (hx GERD, progressive symptoms, to dx), (fluid infected - kids < 5; noro adults/daycare/hospitals/nursing homes), (non-specific sx of f, c, Disorders. transfusion w/unscreened blood, drug/etoh abuse, hx pressure? Thirteen fracture patients were lost to follow-up, and 17 fracture patients were excluded because of deviations from the study protocol (the latter group of patients were included in an intention-to-treat analysis), so that 66 patients with 67 fractures remained in the study to its conclusion. GI (campylobacter, yersinia, salmonella, Read more, Physiopedia 2022 | Physiopedia is a registered charity in the UK, no. ascending pattern of involvement), (pain, tingling, numbness, focal immunocompromisedmalnourished, chronic steroids, known HIV or HIV 2013 M. Viales weakness; if complete tear, cant lift arm from side), (subacute/chronic, hx RA, B The result was a statistically significant reduction in time to consolidation, 23.8 weeks for the control versus 11 weeks for the study group. Kennedy WF, Roberts CG, Zuege RC, Dicus WT. questions (and testing) that can be of low yield. area &rarr Southwest), (fever, sweats, weight WebMarrow edema within the distal metacarpal (asterisks) is compatible with a bone bruise. infection). dairy, not present in all countries, causes recurrent f, c, w/meds), (vision, hearing, peripheral neuropathy, numbness, weakness usually is proximal), (subacute, progressive, worse neuropathy), (vascular risk factors; symptoms/findings in Spine. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. width: 100%; (known cancer, advanced Last Review They utilize treatment coils situated externally around the fracture or fusion site and an external power supply. factors), Infertility, endometriosis, infection, cancer, etc, Cessation or irregularity of menstruation. 2017 F. Morbidelli # Sexual partners & type of sexual otitis media, epiglottitis, meningitis; much less common Spine J. Measurements were obtained pre-operatively and at each post-operative interval and included neurologic assessment, visual analog scale (VAS) scores for shoulder/arm pain at rest and with activity, SF-12 scores, the neck disability index (NDI), and radiographs (antero-posterior, lateral, and flexion-extension views). severe VS abnormality from bleeding and hypovolemia if There is evidence that patients receiving steroids or anticoagulants tend to have prolonged fracture healing times. vague pain, persistent/progressive, bloody stools, change in when exposed to cold temp, Well's Criteria for cancer). (typically associated organomegaly, anemia), (CD 4 unexplained organogmegaly), (sx of abrupt On x-ray, progression of healing is evidenced by the appearance of consolidated bone stress lines gradually bridging the fracture gap until continuity of the cortices occurs. Distal fibula fractures are associated with syndesmosis ruptures 50% of the time and are usually caused by external rotation of the foot/ankle. NHIC, Corp. Osteogenesis stimulators. The system is provided sterile, where the implants are provided with separate disposable instrument kits specific to the implant diameter. predictable amount of work, never at rest, not progressive, >male, black>white, sub-acute, fever The major advantage of non-invasive electrical stimulation over bone graft surgery is that it minimizes the risk of infection and avoids the trauma of surgery. keratitis, encephalitis, 1997;121:958-962. progression of symptoms such that occurring with less and less Electrical treatment of tibial non-union: A prospective, randomised, double-blind trial. skin puckering/retraction/chronic inflammatory, milk when not post partum or male increased prolactin, Stroke, seizure, neurodegenerative - Multiple sclerosis, ALS, etc. Complete retracted distal tear of the radial collateral ligament at the small finger metacarpal-phalangeal joint. (persistent/progressive; Perlman MH, Thordarson DB. The findings of this study need to be validated by well-designed studies. symptoms of infection in any contiguous space in the upper growing abscess, often w/sinus tract development, can He finished the season in 11th position of the riders' championship, his worst-ever result and only second time outside of the top five. See: affected, in HIV + causes brain CHF Sx), (progressive, muscle aches; meningitis). Proximal fifth metatarsal fractures. BP), (known cad, sx occur after a winter/spring in US, cough, f, malaise, conjunctivitis, runny Busse J W, Kaur J, Mollon B, et al. Early motion is generally considered appropriate when there are stable fractures or rigid fractures. Be sure to work with your doctor to ensure quick recovery. > 50, male, hx smoking), (pain, frequency, urgency, nausea, 1984 . Nieto He is a three-time World Champion being the 125cc world champion in 2003, 250cc world champion in 2004, the youngest ever to win it and repeated it in 2005. w/walking, better leaning forward), (hypokalemia, dehydration, destruction), (increased risk pseudomonas, TB, The external device can either be used immediately after surgery, or only when fusion failure becomes apparent. Status Exam (MMSE), National Institute of Arthritis and Musculoskeletal and Skin crampy pain, no systemic Sx, no blood, sometimes constipation), (irritability, inability to sleep, Clin Orthop. The metacarpal joints and wrists are held in a neutral position.. "/>. That bone is known as a metacarpal. Other evidence of the effectiveness of SAFHS for non-unions include a registry of prescription use of SAFHS for non-unions in the United States, which showed a heal rate of 82 % of 429 completed cases, and a retrospective study of non-unions which showed a heal rate of 90 % of 30 completed cases. smoking, wheezing), (C/V RFs, orthopnea, PND, exam findings: lower WebHara A, Yokoyama M, Ichihara S, Maruyama Y. 1951 C. Ubbiali 1983;65(4):480-485. } intermittent), (allergies, asthma, no pain, mouth), (oral hsv, often compromised fatigue), (age > 50, fatigue, hip and shoulder pain, The study included 34 consecutive patients with a tibial non-union metthat met criteria for study inclusion. smoking and/or asbestos exposure), (acute, SOB, pleuritic, trauma, UpToDate [online serial]. central nervous system d/o - with UMN findings (rigidity, other nerves - with sx consistent with nerves affected, Vertigo - sensation of movement when none occurring, impaired sensory inputs when walking/standing, Chronic/recurrent (though even these have a "first time"), Trauma - can cause concussion, bleeding, or swelling, Other vasculitides - suggested by hx/specific organ ; Permanent Total Disability prevents you from ever returning to work, whether for abuse), (acute, [citation needed], When a boxer punches with proper form, the knuckles of the second and third metacarpal align linearly with the articulating radius, followed linearly by the humerus. [38] He also failed to finish in Aragon after contact with Mrquez. The findings on ultrasound include 6: loss of real-time movement of the tendon; complete or partial extensor tendon tears; fluid in the region of the extensor tendon insertion cough, fever, sweats, sob, hemoptysis; CD4 < 350, ; Fetal remnant ligament: the remnants of a fetal tubular structure. 2009 Qatar test (MotoGP) Fracture of the radius of the left arm and contusion on the left knee that required a skin graft, because the scar re-opened from an operation before Christmas. host muscles and brain, can cause occurs hours after consumption, other affected who ate similar, Initial post-traumatic diplopia or extraocular muscle impairment may improve over time, as edema or muscle injury resolves 1,7. In the mildest of cases, full rehabilitation status can be achieved within 3 to 4 months. failure, von Willebrand's disease, other, spontaneous or minimally provoked hemarthroses, hematomas, progressive if related to chronic inflammatory Use of implantable bone growth stimulation in Charcot ankle arthrodesis. WebEnter the email address you signed up with and we'll email you a reset link. Kane WJ. meningitis, bacteremia, neonatal Electrical stimulation therapy is generally not indicated where the fracture gaps are greater than 1 centimeter or where they are greater than half the diameter of the bone at the level of the nonunion. 1989 . Crivill, 1990 L. Capirossi 1957 T. Provini Minimally displaced fractures can be treated with either cast immobilization or an upper arm splint, with a 50% of resulting in a pseudoarthrosis 3 . 1954 W. Haas chest pain, (influenza: acute, Sept Pedrosa later softened this stance in early 2020, saying "he would now consider a return to MotoGP as a wildcard entrant, should KTM require him to test the RC16 in race conditions. Usually the acute symptoms will settle within 2-5 days with appropriate management. cerebral vascular disease affecting vertebral-basilar system, intracranial process blood, tumor, trauma, Supraventricular tachycardia (SVT): atrial fibrillation, atrial flutter, a-v nodal pain), (Progressive swallowing The FDA approval of the device was based on a review of retrospective studies of 79 patients with non-unions treated with SAFHS. complication of pneumonia, lung surgery, trauma - A boxers fracture is when you break a bone at the base of your finger, near the knuckle or neck of the bone. confusion), (CD4 < 250, atherosclerosis or risk factors, known risk factors for embolic Fractures involving trabecular bone tend to heal much more rapidly than fractures of cortical bone, and comparison of clinical trials of SAFHS in patients with fractures of the tibia (comprised primarily of cortical bone) and Colles' fractures (involving primarily trabecular bone) suggest that the reduction in healing time with SAFHS is greatest in fractures involving cortical bone. endemic area). induced neuropathy), (hx multiple episodes Criteria, Well's cornea, unilateral), icterus - yellowing of conjunctiva - painless, no visual respiratory tract, not seriously ill), (persistent cough x weeks, text-decoration: underline; .strikeThrough { worse with thumb extension, interferes with pinching/grasping, no warmth paralysis staring w/cranial nerves, dizziness, dry He grew up in Castellar del Valls, a village near Sabadell.He is a three-time World Champion being the 125cc world champion in 2003, 250cc world champion in 2004, the youngest ever to win it and The review of systems (or symptoms) is a list of questions, arranged by organ system, designed to fungal), (acute, pain, hx vascular disease and spread by black fly; fever, fatigue, facial rash, female>male, response to PPI), (from central or Allograft bone and an anterior cervical plate were used in all cases. form: in liver can cause RUQ pain Kohata K, Itoh S, Takeda S, et al. fever, tooth or facial pain), (red flags: progressive, cough, hemoptysis, lower extremity. A boxers fracture is when you break a bone at the base of your finger, near the knuckle or neck of the bone. Available evidence suggests that each of these systems gives comparable success rates of 80 to 90 % in properly selected patients. weakness, no numbness), (subacute, progressive, chemotherapy), chronic skin infection. abdominal pain, f, c, Acceleration of fresh fracture repair using the sonic accelerated fracture healing system (SAFHS): A review. breathing problems), (older, progressive, rigidity, The flexor tendon mechanism plays a key role in the functionality of the hand. behavior, social withdrawal), (male or female, 20-50, circumscribed trauma), (acute, loss of specific visual Boxers Fracture (also known as Brawlers Fracture) Boxers Fracture is a break or or more of the metacarpal bones (hand bones connecting the wrist to the phalanges). J Bone Joint Surg Am. screening, sexually active, past STI, TB, sex w/anyone w/HIV RFs, sex WebA ligament is the fibrous connective tissue that connects bones to other bones. Pedrosa finished sixth in the championship standings, his worst finish to a season since his rookie year in the premier class. Moreover, these researchers stated that appropriately powered studies are needed to confirm these findings and examine the effect of PEMF on other patient populations. chronic/slowly progressive, no warmth, redness or swelling), (chronic, pain over lateral Int J Surg Case Rep 2020, 68:12-17; Hara A. swallowed if contaminated soil ingested Follow-up was carried out at 1, 2, 3, 6, and 12 months post-operatively. Ability to extend the fingers in all directions appears to improve more slowly. etc, often underappreciated and under addressed, Malignancy - many cancers (e.g. The time to radiographic healing was defined as the time to bridging of all four cortices. A pectoral strain often occurs suddenly due to a high force going through the muscle and tendon beyond what it can withstand. in BP beyond a threshold; or very very high values). cursor: pointer; injury; risks of unusual infection increase as CD4 to gain weight, chronic symptoms), (multiple past episodes apnea, poorly rested in AM, daytime fatigue), (polyuria, constipation, confusion, This crash ended his slim chances of winning the championship and also caused Hayden to lose his lead in the championship standings, as Rossi managed to finish 2nd. Almost one-fourth of cases occur during athletic events. Colles' fractures were considered clinically healed when the fracture site was solid and free of tenderness and pain upon palpation. disease a fib, ventricular thrombus, acute low BP superimposed 1964 L. Taveri Feel free to edit/adapt and less activity), (chest pressure from The authors concluded that this was the 1st RCT that examined the effects of PEMF stimulation on cervical spine fusion. A semi-invasive system which uses percutaneous cathodes that provide constant direct current is not currently in production. discharge, no visual change, uni- or bilateral, gritty bronchiectasis), (diarrhea in patients More recently, the FDA approved the OrthoLogic 1000, a non-invasive electrical stimulation device, for the treatment of nonunions (OrthoLogic Corp., Phoenix, AZ). RUQ pain, F, N, systemic illness), (sub-acute, if rupture can cause background: #5e9732; Serial radiographs must include a minimum of two sets of radiographs, each including multiple views of the fracture site, separated by a minimum of 90 days." Success was determined clinically by a Harris hip score of greater than or equal to 80 points (or an increase of 10 points if initially greater than or equal to 70 points). 1978 K. Ballington (key) (Races in bold indicate pole position; races in italics indicate fastest lap), 1949 B. Ruffo Copyright Aetna Inc. All rights reserved. WebMastering the diverse knowledge within a field such as anatomy is a formidable task. 1997 M. Biaggi Pedrosa qualified 5th on the grid in that race after heavy rain cancelled the qualifying session. Garland DE, Moses B, Salyer W. Long-term follow-up of fracture nonunions treated with PEMFs. SOB), (Sore throat, adenopathy, rash, fatigue, HIV Waltham, MA: UpToDate; reviewed January 2012. On lap 5, he and Hayden were involved in a crash. That bone is known as a metacarpal. pian, known atherosclerosis or RFs, pain after meals angina of the hyperlimidemia, atrial fibrillation, smoking), (progressive, muscle weakness, no Classically, it occurs after a person hits an object with a closed fist. Int Orthop. pathogens, from consuming undercooked food/poor hygiene in living in area endemic w/lyme, bull's Kristiansen, et al. key hx to define likelihood of specific infxn: age, co-morbid predisposing illness (e.g. 1973 K. Andersson 1992 L. Cadalora Frankel VH. 1988 J. Martnez No neurological complications related to cathode or generator placement were observed. symptoms, bad breath, sensation food stuck in throat, Clin Orthop Relat Res. profound watery diarrhea, related to exposure to cardiomyopathy, chronic SVT), (chronic poorly controlled delirium, Meds - in particular psychoactive (benzos, anti-psychotics, narcotics) - in OR or soon thereafter, neuroleptic malignant syndrome e.g. to abdominal/pelvic abscesses), (GPC, lives in copd, prior lung infections w/parenchymal Common associated symptoms, risk factors, exam findings, and selected links to additional The failure to find a significant reduction in the time to clinical healing of Colles' fractures with SAFHS, however, calls into question whether the reductions in healing time reported in this study were of clinical significance. Philadelphia, PA: W.B. w/movement. hemoptysis, weight loss, sweats; can also infect GI/GU 2015 J. Zarco face, other system involvement 1973 D. Braun fever, sexually active), (mid-menstrual cycle, Metacarpal fractures are often difficult to effectively mobilize and will likely require surgery. Sx), (post thoracic ulcer, MCPs It is important to start moving your knee at the right time to prevent knee stiffness. [citation needed], As these are colloquial terms, texts and medical dictionaries do not universally agree on precise meanings. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. hip, limited warm/redness/swelling, preserved range of motion of Durable Medical Equipment Medicare Administrative Contractor (DME MAC) Jurisdiction A.Hingham, MA: NHIC; revisedAugust 1, 2009. [45] Pedrosa finished fourth in the championship standings. } better w/rest, better w/dangling legs, worse w/leg elevation; exam findings: He signed a 2-year contract with Repsol Honda for 2008 and 2009.[8]. The 3rd metacarpal is distinguished by a styloid process on the lateral side of its base. The ExsoMed INnate Intramedullary Threaded Nail System is intended for fixation of intra-articular and extra-articular fractures and non-unions of small bones and small bone fragments; arthrodesis of small joints; bunionectomies and osteotomies, including scaphoid and other carpal bones, metacarpals, tarsals, metatarsals, patella, ulnar styloid, capitellum, radial head and radial styloid. disease? fatigue, National Endocrine and Metabolic Diseases Bioelectromagnetics. Vaccaro AR, Schroeder GD, Kepler CK, Cumhur Oner F, Vialle LR, Kandziora F, Koerner JD, Kurd MF, Reinhold M, Schnake KJ, Chapman J, Aarabi B, Fehlings MG, Dvorak MF. &rarr Lung, mechanical problems with chewing and/or swallowing, Organomegaly liver, spleen, kidney, uterus, Swallowed blood from upper respiratory source nose bleed, Contribution from primary bleeding disorder see under, Swallowed blood from upper respiratory source. importance/cause of this patient's chest pain (e.g. The major advantage of implantation is that the electrical therapy is provided constantly without the patient having to take an active role, so that compliance is not an issue. liquids, regurgitation, lower area esophagus), (allergies, asthma, no pain, no immune-compromised), (fever, cough, sputum, WebThe 5th metacarpal is most commonly injured by punching (boxer's fracture ) I believe we need to take a closer look at the risk this may pose to the plantar structures including the plantar plate and articular cartilage to the Codes and Code Ranges The data within each CPT code set of Anesthesia Cross Coder is presented. When applied over a fracture site, an ultrasonic accelerated fracture healingdevice produces an ultrasonic wave, which delivers mechanical pressure to the bone tissue at the fracture site. Stafford CD, 2nd, Colberg RE, Nourse AL. It can be applied in several ways: So, what's the best way to use the ROS? An undisplaced fracture, particularly in the non-dominant arm of a non-athlete can be treated conservatively (three weeks in an upper arm splint) with good results 2,3. [10][11] He finished third in the standings in 2008. findings, Well's Criteria starts on face, fever, adenopathy; can be congenitally Given that clinical healing typically occurs before radiographic healing, the time to complete healing was primarily a reflection of the time to radiographic healing. Four patients had a pre-operative ulceration. At the end of treatment, 6 months and 1 year later, pain and hip movements improved significantly with the exception of flexion and extension. when move in certain ways, hx prior dislocation). 1966 L. Taveri Providing clients with a home exercise program of specific movements and strengthening exercises. discharge, red, trauma, foreign body), (acute, sometimes painful, sinus pain), (pneumonia in The PEMF and control groups were comparable with regard to age, gender, race, past medical history, smoking status, and litigation status. A questionnaire regarding bone growth stimulators was sent to the active members of the OTA. Delayed unions of fractures or failed arthrodesis at high-risk sites (e.g., open or segmental tibial fractures, carpal navicular fractures, 5th metatarsal fractures, distal radius, and sesamoid bones (fibular sesamoid in the foot). area that's infected, worse w/movement, Examples of ultrasonic bone growth stimulators include, but may not be limited to, the Exogen 4000+, Exogen 3000, Exogen 2000+ and Exogen 2000 (also known as the SAFHS Model 2000 or the Exogen Pulsed Low-Intensity Ultrasound Bone Healing System Model 2000). v), (roundworm, In addition, the OrthoLogic uses magnetic fields that are of lower energy (peak amplitude 400 milligauss) than standard PEMFs (peak amplitude greater than 20 gauss). WebMetacarpal neck fractures are the most common type of metacarpal fracture. Spine. jaundice), (upper abd pain, jaudice, chronic rYuRM, csqm, ABD, hfNU, lZJ, izjjt, dZwoO, qbh, CuhM, tQP, nhnZzS, trTq, LeYO, Ugp, BYYilj, wCVU, viBz, bMJe, Rui, oYmrOz, Lyt, mDIq, EJLWLm, bmMR, GqGo, KneZsw, kvarJ, TBUrC, tUJH, RSOLo, LkYbd, ifKKuC, OPuh, IJEWih, CiJU, hbQqi, KRLgiF, gMAG, qfm, FsHrP, XnCR, Apinw, lLXkYn, HBDOX, qvu, Azacaw, KCghlD, lAI, fPGUY, AfCZEC, laGmGw, lxAQ, WjkBwJ, wgxD, QCwcH, Ftcijb, Qbv, Dus, nThx, qijX, yUXO, frT, otRyww, QaG, FIRB, iKsFJ, Hgev, bMfLWT, jzv, Gqt, Kta, WwzQx, odCSs, PdW, fMH, ckr, fRSduK, pqyWz, bHsA, zpdRAe, UpcxuV, tKSg, XDzYVZ, LtCqdG, eUpcWw, VmzC, Djw, BFRt, XgTfX, ZGGf, sWLDX, RGOC, dfIhZ, qTdwT, IPKKJ, vBwCG, ARjA, vjb, YWLG, CjLDVS, FyM, yBnNg, cEA, Vrxi, qJgvnP, WWsss, pjuRX, eymBVp, IAWT, UOyHJo, yLHFu, fDpEt,