Monday, March 29, 2021

Calorie Dense Meals

Candy and chips tend to be high in sugar and fat making them very calorie-dense and easy to overeat. Obviously you can expand these meals to get even more calories.

Want To Cut The Calories Eat More Not Less

How To Include Calorie-Dense Foods In A Regular Meal.

Calorie dense meals. Dairy and milk products including goat milk products are second on the list of the most calorie dense foods. Liver beef and chicken Leafy greens like kale collards spinach watercress dandelion greens and arugula. The bacon and eggs offer high amounts of protein.

Meanwhile the sausages and pudding provide extra calories through fat. Low calorie density recipes weight loss sweet potato black bean chili 19 Ingredients 1 can Diced Tomatoes 28 oz2 cans Black Beans 15 oz each 1 Sweet Potato large 1 Yellow Onion 1 cup frozen corn1 tsp Garlic Powder1 tsp Cumin1 12 tsps Chili Powder1 tsp Liquid Smoke2 12 cups Water Directions Peel and dice the onion into very small pieces. Nuts are some of the most calorie dense foods you will find on your path to putting on pounds.

Potatoes brown rice whole grain pasta whole grains whole grain breads. Calorie-Dense Grains. I chose almonds here because I left them out of the butters above.

Simply multiply the calories in certain foods you add extra. Thus it is important to include a lot of carbs in your backpacking diet and not just. Dairy products such as cheese butter and milk are all loaded in calories.

Gruyere Parmesan and Manchego cheeses are some of the most calorie-denseweighing in at around 120 calories per ounce. Just take foods off the lists above and include more of them in your childs meals. Dried fruits cheese nuts wheat germ avocados olive oil and milk add calories and provide healthy versions of carbohydrates protein and fats.

It is also a fast meal to prepare. Examples of calorie-rich foods include. However our bodies primarily use glycogen which comes from carbs as energy when backpacking.

While no cheese is exactly a diet food certain flavors pack a lot more calories than others into a very small size. Red meats pork chicken with skin on roast or broil dont deep fry for your health salmon or other oily fish beans whole milk eggs cheese full-fat yogurt. Based on the amount of nutrients in proportion to the amount of calories that these foods have here are the most nutrient-dense foods available to us.

Lets get straight into it. Each meal contains over 600 kcal and is relatively small in size which is why these can be considered calorie-dense meals. They also contain nutrients such as calcium vitamin D and protein.

Smoothie made with whole milk banana and peanut butter Frozen waffle toasted with coconut oil and topped with almond butter fruit and. As you can see fats are the most calorie-dense foods available. Meal and snack ideas.

Dilute the calorie density of your meals by filling 12 your plate by visual volume with intact whole grains starchy vegetables andor legumes and the other half with vegetables andor fruit. When planning weight-gain meals opt for foods that have a high calorie and nutrient density. Ad MyZone Offers a Full Range of Training Solutions to Suit Any Budget.

Dont feel limited to almonds though. Dilution is the Solution. Like candy pastries and.

Dilute Out High Calorie Dense FoodsMeals. Dairy products provide nearly 300 calories per cup. Brown or wild rice.

Here are some easy examples for you. The typical recommended serving size for any kind of cheese is the size and shape of four dice. Calorie-Dense Fats and Oils.

This combination of foods offers a high-protein 415g and high-calorie 763 calories meal for bulking up. This is the easy bit. 1oz of cashews peanuts walnuts brazil nuts and pistachios will each net you over 150 calories.

Sunday, March 28, 2021

Peripheral Vascular Disease Diagnosis

Ad MT4 MT5 cTrader Web Trading Mobile trading Android iOS Trading Algoritma. Diagnosis of peripheral vascular disease Diagnosis of peripheral vascular disease may include.

Peripheral Artery Disease Part 1 Clinical Evaluation And Noninvasive Diagnosis Nature Reviews Cardiology

Peripheral vascular disease PVD is a blood circulation disorder that causes the blood vessels outside of your heart and brain to narrow block or spasm.

Peripheral vascular disease diagnosis. The resting ABI should be used to establish the diagnosis of PAD in patients with exertional low-extremity claudication rest pain chronic limb ischemia or nonhealing woundsfoot ulcers. PAD is usually diagnosed through a physical examination by a GP and by comparing the blood pressure in your arm and your ankle. A difference between the 2 may indicate PAD and is called the ankle brachial pressure index ABPI.

The initial step in the identification of peripheral artery disease is to identify whether patients have critical limb ischemia or claudication. Ad MT4 MT5 cTrader Web Trading Mobile trading Android iOS Trading Algoritma. Patients with symptoms of PAD but a normal resting ABI can be further evaluated with exercise ABI testing.

Peripheral vascular disease is a manifestation of systemic atherosclerosis that leads to significant narrowing of arteries distal to the arch of the aorta. Pulse check using a stethoscope to listen for signs of reduced blood flow through a blood vessel. It is primarily caused by the buildup of fatty plaque in the arteries which is called atherosclerosis.

Peripheral artery disease occurs when blood vessels in the limbs get clogged. PAD can happen in any blood vessel but it is more common in the legs than the arms. Causes of peripheral arterial disease.

Current guidelines recommend resting ankle-brachial index ABI testing for patients with history or examination findings suggesting PAD. The term peripheral vascular disease is commonly used to refer to peripheral artery disease or peripheral arterial disease PAD meaning narrowing or occlusion by atherosclerotic plaques of. Peripheral vascular disease is a manifestation of systemic atherosclerosis that leads to significant narrowing of arteries distal to the arch of the aorta.

Read about diagnosing PAD. Risk factor identification and mitigation are the critical first steps in the management of peripheral artery disease. The most common symptom of peripheral.

Ineffective Tissue Perfusion Peripheral related to decreased arterial blood flow secondary to PAD as evidenced by calf pain upon palpation absent or weak pulse on the affected leg leg numbness and weakness. Peripheral Vascular and Cerebrovascular Disease. No date Peripheral Vascular Disease.

Routine ABI screening for those not at increased risk of PAD is not recommended. Peripheral arterial disease PAD in the legs or lower extremities is the narrowing or blockage of the vessels that carry blood from the heart to the legs. Risk Factors and Prevention.

It is an inexpensive and rapid office-based test. The most common symptom of. DEFINITION - Commonly used referring to peripheral artery disease PAD - narrowing or occlusion of arteries outside the heart and brain by atherosclerotic plaque Reference.

Peripheral Vascular Disease Peripheral Arterial Disease PAD Nursing Care Plan. Peripheral Artery Disease Pearls. Get the Facts on Symptoms.

An ABI 09 is diagnostic for the presence of PAD.

Nutrition Food Chart

Top Foods by Calories. Read more about food charts.

Food Table Chart Nutrition Recipes Vegan Nutrition Food Charts

Learn more information about nutrition food chart.

Nutrition food chart. How many calories in vegetables. This Food Nutrition Chart is a work in progress and Im always adding new food items. Another way to spot a healthier choice is by looking near the nutrition.

For ordinary people who want to have a healthy lifestyle can also make the calorie chart of common foods as a guide. The food charts listed below provide list of nutrient breakdown of many common foods. Vegetables Calories Chart - Vegetables Calories Table - Vegetable Calories List - Nutrition Chart and Facts.

Eating a variety of foods from each food group will help you get the nutrients you need. These food charts will give you a very reasonable indication of nutrients. For a more nutritious diet select foods that fall on the right half of the map.

These food charts provide information on what is in the food that you eat. Foods in the nutrition chart that have a high number of calories and few nutrients should be eaten rarely or avoided altogether. This printable nutrition chart makes a perfect addition to any health fair booth cooking demonstration or presentation.

The Nutritional Target Map The Nutritional Target Map allows you to see at a glance how foods line up with your nutritional and weight-management goalsThe closer a food is to the right edge of the map the more essential nutrients per calorie it contains. Those ingredients and food products with low nutritional value are considered as having empty calories. From the calorie chart it will become a guide for professional cooks to provide the nutrients needed by their consumers.

This delicious boiled or grilled maize with a dash of salt contains roughly 80 calories and is healthy and very filling. Please be aware that individual foods may vary in their precise nutrient content for various reasons such as method of storage. After all in order to have a trim fit body you need healthy food packed with good nutrition especially when youre eating fewer food calories.

These food charts provide information on what is in the food that you eat. The following dishes caloric values are based on a single serving size. Please be aware that individual foods may be vary in their precise nutrient content for various reasons such as method of storage.

The calories in each food are different. These posters show nutrition information for the 20 most frequently consumed raw fruits vegetables and fish in the United States. The food charts in this section provide a list of nutrient breakdown of many common foods.

Avocados onions salami bread apples tomatoes 071464017187. Prepared by cooking elbow macaroni and white sauce with some cheese this dish contains approximately 222 calories. These food charts will give you a very reasonable indication of nutrients.

Calories in vegetables such as tomato potato carrot cucumber celery onion corn sweet potato. Breads and Baked Goods Calorie Chart. Corn on the Cob.

The free cheese chart quickly became a fan favorite comparing the calories total fat saturated fat cholesterol sodium protein and calcium content of 13 different cheeses on one handy page. Retail stores are welcome to download the posters print. Get the calories fat carbs protein and more for over 37000 food and drinks.

Food Dishes. Therefore a calorie chart of common food was made by scientists. The Dietary Guidelines describe three USDA Food Patterns each of which includes slight variations in amounts recommended from different food groupsFor example people 50 or older following the Healthy US-Style Eating Pattern choose foods every day from the following.

Also if you find that I have made any errors in this list please also let me know. In this article well discuss nutrition food chart. So eating healthy foods to lose weight only makes good common sense.

Enter a food name or a UPC code to find its nutrition information. This food calorie chart of healthy foods to lose weight will not only help you lose weight it also helps you maintain a healthy weight. If you have some food items that should be added to this list please feel free to share them with me.

For more information about food and nutrition visit the USDA-ARS National Agricultural Librarys Food and Nutrition Information Center or contact them at 10301 Baltimore Ave Room 304 Beltsville MD 20705- 2351 Phone. Then add them to your Daily Totals to see how your calories add up. Cod chip shop food 400 cals 200 cals Med-High Crab fresh 200 cals 110 cals low calorie Duck roast 400 cals 430 cals High.

I really appreciate the many people who have helped me in my research.

Saturday, March 27, 2021

Normal Hearing Audiogram

An audiogram shows the severity degree and the pattern of your hearing loss in the form of a graph. A child is considered to have hearing ability within normal limits if their responses are between 0 to 15 dB across the frequency range.

Audiometry

Normal hearing ranges between 0 to 25 dB.

Normal hearing audiogram. When I have an adult who presents with specific auditoryhearing loss complaints ie difficulty understanding speech in background noise or other difficult situations in which they previously had no difficulty and the audiogram is normal or really close to normal I always do OAEs next. Type of hearing loss Conductive Normal hearing for bone conduction scores and a hearing loss for Air Conduction scores X O. An audiogram is a graph that shows the softest sounds a person can hear at different pitches or frequencies.

Users with this type of hearing loss are primarily affected in terms of sound loudness rather than clarity as their inner ear and nerves are normal. However audiograms usually test frequencies between 250Hz and 8000Hz mainly because human speech falls between 250Hz and 6000Hz. We Improve Your Hearing To Enhance Your Everyday.

Mild hearing loss ranges between 25 to 40 dB. In this circumstance bone conduction result is normal white air conduction result showing there is a hearing. That is only the average 80-year-old man and woman would be considered to have a mild or slight hearing loss using either of these WHO.

What Does a Normal Hearing Persons Audiogram Look Like. The closer the marks are to the top of the graph the softer the sounds that person can hear. If one calculates the WHO hearing-impairment grade using the four-frequency pure-tone average PTA4 assuming the audiograms shown represent the better ear those for men and women 30 40 50 60 and 70 years of age would all be labeled normal.

Often the high frequency OAEs are absent which I. Screening audiometry presents tones across the speech spectrum 500 to 4000 Hz at the upper limits of normal hearing 25 to 30 dB for adults and 15 to 20 dB for children17 Results are. Each line from top to bottom shows the loudness of the sound in decibels with lines at the top of the chart for soft sounds such as a ticking clock and lines at the bottom for loud sounds such as a lawnmower.

Auditory brainstem responses in tinnitus with normal hearing thresholds. How to read an audiogram Volume is measured in decibels and is marked from top to bottom on the chart. Pitch or frequency is measured in hertz and marked from left to right.

Mild hearing loss is indicated by the 20 40 dB range and. An adult is classified as having normal hearing ability if their responses indicate they heard noises between 0 and 25 dB across the frequency range. A Mean audiogram black line and mean tinnitus spectrum dotted line of the tinnitus group n 15 and mean audiogram of the control group gray line n 18.

Its of normal hearing 25 to 30 dB for adults and 15 to 20 dB for children. This allows you to see how well you can hear compared to someone in the normal range. If this is the case all your plot points will be at the top of the graph as youll be able to hear soft sounds at different frequencies.

What is an Audiogram. Ad Life Is Good. An audiologist will use the describe the characteristics of the audiogram in the following ways.

The pictures and letters represent the sounds a hearing person can normally hear at different volume and pitch levels. Ad Life Is Good. In the right ear this person has normal hearing in the lower pitches indicated by a red circle corresponding to 15 dB at 250 Hz and 20 dB at 500 Hz.

What an audiogram of conductive hearing loss looks like. Humans can generally hear between 20 and 20000 Hz. Whats a normal hearing level on an audiogram.

We Improve Your Hearing To Enhance Your Everyday. 17 Results are recorded as pass indi- cating that the patients hearing levels are within normal. In the audiogram below hearing thresholds for the right ear are represented by red circles and thresholds for the left ear are represented by the blue X.

A completely normal audiogram test would mean no hearing difficulties have been picked up by the hearing test. Results from a hearing test are displayed on an audiogram.

Acute Rehab Facilities Near Me

Petersburg Acute Inpatient Rehabilitation. The average length of stay at a sub acute facility is also generally longer than at an acute hospital.

Acute Inpatient Rehabilitation Unit Samaritan Health

Our 30-bed inpatient facility is designed to provide top quality rehabilitative care within a patient- and family-centered environment.

Acute rehab facilities near me. Acute Care Rehab Facility. In general inpatient rehabilitation facilities are focused on treating conditions that typically require intensive rehabilitation and a more sophisticated level of care than is available in other settings outside of a hospital including skilled nursing facilities nursing homes assisted living centers or extended care centers. Find an acute rehab facility today.

Generally patients in a sub acute facility only receive between one and two hours of therapy per day. Amount and intensity of therapy. Mission Hospital Acute Rehabilitation Units highly specialized Brain Injury and Comprehensive programs have been accredited by CARF an independent international organization that promotes the standards of care for rehabilitation programsAccreditation signifies that a hospitals program represents the highest quality value and optimal outcomes for the individuals served.

Acute Inpatient Rehab Center The UNC Health Care Rehabilitation Center located on the 7th floor of UNC Memorial Hospital features 42000 square feet dedicated to inpatient acute rehabilitation. We treat conditions including neurological disorders cardiac conditions and. Birmingham AL - 4 Inpatient Acute Rehab Facilities.

Long Term Acute Care Hospitals LTACH. Find an acute rehab facility today. Comprehensive medical.

Conroe TX - 2 Inpatient Acute Rehab Facilities. Find an acute rehab facility today. Lauderdale a 70-bed transitional care hospital.

In a skilled nursing facility youll receive one or more therapies. Browse our portfolio of Specialty Hospitals Rehabilitation Hospitals Outpatient Clinics and Surgical Hospitals. Read reviews compare quality ratings and view photos of facilities near you.

Our inpatient rehabilitation services are designed for people who have experienced the debilitating effects of an acute injury impairment or illness. 701 6TH ST SOUTH St. Scottsdale AZ - 3 Inpatient Acute Rehab Facilities.

For patients who are not appropriate candidates for acute rehabilitation Burke offers a network of affiliated sub acute facilities that. The national average length of time spent at an acute inpatient rehab hospital is 16 days. Read reviews compare quality ratings and view photos of facilities near you.

Read reviews compare quality ratings and view photos of facilities near you. Acute inpatient rehab hospital. The national average length of time spent at a skilled nursing facility rehab is 28 days.

HOMECARE2GO educates the individuals about the long term care facilities and enables them to search compare and connect the best facility with much ease. Acute inpatient rehabilitation is designed for individuals who need close daily physician monitoring 24-hour registered nurses and intensive physical occupational andor speech therapy to maximize recovery. Find Long Term Acute Care Hospital Near Me.

Our Acute Rehabilitation Unit ARU is located on the second and third floors of Kindred Hospital South Florida Ft. Largo Medical Center Indian Rocks Road Campus. Inpatient Rehabilitation Facilities vs.

Can I Take Ibuprofen While Pregnant

Acetaminophen Tylenol is the pain reliever of choice throughout pregnancy. Hotel Rates Specials Offers.

Is It Ever Safe To Take Ibuprofen When Pregnant Madeformums

Both are common questions during pregnancy.

Can i take ibuprofen while pregnant. Acetaminophen or Tylenol is the only pain reliever you can safely take when pregnant. NRFA connects adoptee families with embryo donors. Ibuprofen and pregnancy.

The short answer is no most healthcare providers arent comfortable with women taking ibuprofen or Motrin while pregnant. I Found One Fast Simple Trick. Its unlikely that one dose will harm your baby but taking ibuprofen Advil and Motrin is generally not recommended when youre pregnant especially during the third trimester.

Taking ibuprofen during your third trimester can cause fetal death. If you have taken frequent doses of ibuprofen after week 28 of your pregnancy seek advice from your GP. Ad Get more information about an alternative to expensive IVF treatments.

As a treatment for mild-to-moderate pain acetaminophen Tylenol is considered the drug of. Ad Emuaid Gave Me My Life Back I Am So Thankful For This Amazing Product. Ibuprofen is a no-no during pregnancy.

Can you take Motrin while pregnant. This means you should avoid it during the last three months of pregnancy. Pregnant women are advised to avoid ibuprofen during pregnancy especially if theyre 30 or more weeks pregnant.

Ad Emuaid Gave Me My Life Back I Am So Thankful For This Amazing Product. I Found One Fast Simple Trick. Taking the medication at 30 weeks and beyond could cause premature closing of.

Ad Get more information about an alternative to expensive IVF treatments. Most medicines taken during pregnancy cross the placenta and reach the baby. Ad Daydream Island Resort.

Emuaid Defeats Severe Nerve Pain. Hotel Rates Specials Offers. Medical professionals dont recommend ibuprofen during pregnancy because of the risks it poses for the fetus.

Emuaid Defeats Severe Nerve Pain. NRFA connects adoptee families with embryo donors. It can be especially dangerous to use ibuprofen products like.

Do NOT take Ibuprofen when pregnant. Why you shouldnt take it. US FDA pregnancy category C.

Even then you should check with your doctor just in case there are other drug interactions or reasons that we here are unaware of that would be contraindicating. Ad Daydream Island Resort. If youve taken ibuprofen occasionally when youre pregnant its unlikely to cause harm to your baby but paracetamol is the recommended painkiller if you really need something.

Best Rates for Daydream Island Resort in 2021. If approved by your doctor ibuprofen may be used in early pregnancy but do not use this medicine during the later part last 3 months or last trimester of pregnancy. The same holds true for any medication that has ibuprofen as an active ingredient.

Best Rates for Daydream Island Resort in 2021. Always talk with your doctor before taking medicines when pregnant. Before taking any medicine when youre pregnant including painkillers check.

Thats because this painkiller like all nonsteroidal anti-inflammatory drugs NSAIDs taken after 32 weeks of pregnancy can cause the opening between the major arteries in your babys heart to close prematurely. Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans but potential benefits may warrant use of the drug in pregnant women despite potential risks. You can call your advice nurse and see if they recomend anything.

Can you take ibuprofen while pregnant. I was very sick at the begining of my pregnancy until about 15 weeks unfortunatly IB profen is a no-no but you can take tylenol up to 650mg which is equivilent to 1 8 hr pill. Ibuprofen Advil Motrin is pregnancy category B for the first two trimesters and D for the third trimester.

It doesnt do much. Book suite rooms more. Several studies have been done on the effects of ibuprofen and other nonsteroidal anti-inflammatory drugs NSAIDs such as aspirin and naproxen during pregnancy.

If youre experiencing any kind of pain or discomfort while pregnant you should never reach for ibuprofen for relief. If you are pregnant you should ONLY take medications under the direction of your doctor. Book suite rooms more.

N95 Mask Fit Testing

However initial fit tests for healthcare personnel with the same model style and size respirator are still required. Symptom Screening Includes Respirator Fit Test We also conduct OSHA-required respirator fit testing for worksites issuing N95 respirators as a means to protect workers.

N 95 Respirator Fit Testing Scheduled For September Unmc

Steps to Fit-Testing an N-95 Respirator.

N95 mask fit testing. An N95 Respirator Fit Testing is to make sure the mask is working properly by experts. Additionally tight-fitting respirators including N95s require a user seal check each time you put one on to help ensure the best fit possible. This temporary enforcement guidance suspends the annual fit testing requirement of N95 filtering facepiece respirators.

A fit factor of at least 100 is required for half-mask respirators and a minimum fit factor of 500 for a full facepiece negative-pressure respirator. Fit test pass rates for the 9210 can be expected to be fairly similar to fit test pass rates for other Aura respirator models - however fit test outcomes for 9210 may not help predict fit test outcomes for other Aura models. The temporary enforcement guidance on OSHAs website.

QNFTs use the same seven exercises as QLFTs plus an additional grimace test where the subject smiles or frowns for 15 seconds. A fit test confirms that a respirator correctly fits the user. Our Respirator Mask Qualitative Fit Test is conducted according to the CSA Z944 standards.

Per CalOSHA standard in situations where respiratory protection is a requirement facial hair is only permitted if it does not cross the sealing surface of the tight-fitting. How to Wear N95 Respirators. Romosons N95 Mask Unboxing.

If your worksite is new to respirator use fit testing is important to ensure that facepieces fit tightly and work properly. Quantitative fit testing using ambient aerosol as the test. SNOHC team can conduct the test on N95 half-face and full-face masks.

No eating drinking except plain water chewing gum or smoking for 15 minutes prior to testing the respirator for proper fit. In this video various N95 and KN95 masks are fit tested using the OSHA Protocols during the COVID-19 PandemicLOOKING FOR A DENTIST. Three participants also tested some fabric masks.

Inform the test subjects. Cup Style 1860 Surgical N95 8210 Standard N95 8210Plus Standard N95. We provide 3M N95 Mask Fit test for individuals and groups.

To test qualitatively with saccharin or Bitrex you need an N or P series filter or filtering facepiece. How often should you conduct N95 Respirator Fit Testing. We ran quantitative fit testing with seven participants who each tested five different types of N95 mask as well as a KN95 mask and a surgical mask.

N95 maską¤ą¤Ø95 ą¤®ą¤øą¤• ą¤• ą¤ ą¤• ą¤¤ą¤°ą¤¹ ą¤•ą¤ø ą¤Ŗą¤¹ą¤Ø ą¤Ŗą¤¹ą¤² ą¤•ą¤¦ą¤® ą¤øą¤¹. All employees required to wear tight-fitting respirators including N95 filtering facepiece respirators elasto merics tight-fitting PAPRs with the blower off Fit testing may be done using a qualitative test using Bitrex or saccharin or a quantitative test using a PortaCount or another appropriate instrument. Quantitative fit testing using a non-hazardous test aerosol such as corn oil polyethylene glycol 400 PEG 400 di-2-ethyl hexyl sebacate DEHS or sodium chloride generated in a test chamber and employing instrumentation to quantify the fit of the respirator.

Fit testing is done to be sure that the respirators facepiece fits the users face and must be assessed at least annually note that Federal OSHA has waived annual fit-testing requirements during the COVID-19 pandemic but initial fit. If you are a healthcare worker a proper N95 Mask Fit Testing program is required when treating patients with diseases like COVID-19 or when you are trying to reduce the risk of exposure to airborne viral transmissions. If an employee is required to use a tight-fitting respirator at work such as a surgical N95 mask then the employee must be fit tested with the mask prior to use.

Impact the fit characteristics. Our trainers are 3M Certified for Respiratory Mask Fit Testing. When you perform an N95 fittest you must use the same model size and make of the tested model.

The following quantitative fit testing procedures have been demonstrated to be acceptable. This memorandum expands temporary enforcement guidance provided in OSHAs March 14 2020 memorandum to Compliance Safety and Health Officers for enforcing annual fit-testing requirements of the Respiratory Protection standard 29 CFR 1910134f2 with regard to supply shortages of N95s or other filtering facepiece respirators FFRs due to the coronavirus disease 2019 COVID-19 pandemic. Individuals must be clean-shaven to be fit tested and also to wear an N95 or any other type of tight-fitting respirators effectively.

Mini Turtle Pet

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