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What does your number mean?

Body Mass Index (BMI) is a simple index of weight-for-height that is commonly used to classify underweight, overweight and obesity in adults.

BMI values are age-independent and the same for both sexes.
The health risks associated with increasing BMI are continuous and the interpretation of BMI gradings in relation to risk may differ for different populations.

As of today if your BMI is at least 35 to 39.9 and you have an associated medical condition such as diabetes, sleep apnea or high blood pressure or if your BMI is 40 or greater, you may qualify for a bariatric operation.

If you have any questions, contact Dr. Claros.

< 18.5 Underweight
18.5 – 24.9 Normal Weight
25 – 29.9 Overweight
30 – 34.9 Class I Obesity
35 – 39.9 Class II Obesity
≥ 40 Class III Obesity (Morbid)

What does your number mean?

Body Mass Index (BMI) is a simple index of weight-for-height that is commonly used to classify underweight, overweight and obesity in adults.

BMI values are age-independent and the same for both sexes.
The health risks associated with increasing BMI are continuous and the interpretation of BMI gradings in relation to risk may differ for different populations.

As of today if your BMI is at least 35 to 39.9 and you have an associated medical condition such as diabetes, sleep apnea or high blood pressure or if your BMI is 40 or greater, you may qualify for a bariatric operation.

If you have any questions, contact Dr. Claros.

< 18.5 Underweight
18.5 – 24.9 Normal Weight
25 – 29.9 Overweight
30 – 34.9 Class I Obesity
35 – 39.9 Class II Obesity
≥ 40 Class III Obesity (Morbid)

stages of parkinson's dementia

Late-stage dementia. The seven stages of dementia life expectancy, also known as the Reisberg Scale, breaks down the stages of the condition based on the amount of cognitive decline one experiences. In this edited volume, experts in the field describe in detail all aspects of cognitive impairment and dementia in Parkinson's disease, including epidemiology, spectrum of clinical features, pathology, neurochemistry and genetics, findings ... How long does end stage of Lewy body dementia last? Tremors at this stage are typically one-sided. In 2018, in Wales and England, 2% (11,700) 2 of all deaths were recorded as PD being an “underlying cause or as a contributory factor” on the death certificate. Parkinson’s dementia is diagnosed if the onset of dementia occurs a year or more after the onset of motor symptoms. Some medications used to treat Parkinson’s disease … It might be helpful if you google " Parkinson's has how many stages" . As the disease progresses, people may have difficulty walking and talking. Through this book, you will know guideline to reverse Parkinson's and aware of signs, causes, and risk factors, diet and stages...of it. Dry Eyes. This stage can include memory loss, decreased ability to focus, and out-of-character behaviors. Parkinson’s dementia is a form of dementia that is typically diagnosed in someone years after being diagnosed with Parkinson’s disease. If symptoms of dementia appear before or at the same time as symptoms of Parkinson’s, it is called dementia with Lewy bodies. Dementia is usually considered as three stages: mild (or “early”), moderate (or “middle”), and severe (or “late”). These practice guidelines draw upon the widest relevant knowledge and evidence available to describe and inform contemporary best practice occupational therapy for people with Parkinson's disease. DEMENTIA OVERVIEWDo you want the best documented science in everyday language?UPDATE includes LATE, the newest dementia classification We cover: Alzheimer's disease Dementia with Lewy Bodies Parkinson's disease dementia Behavioral variant ... Stage 3 is the middle stage in Parkinson’s, and it marks a major turning point in the progression of … Professionals should have talk to people with Parkinson’s about advance care planning in the earlier stages of the disease. The most common symptoms of Parkinson’s disease dementia include: changes in appetite. In 2003, Heiko Braak identified a pattern of Lewy body deposition, in the synucleinopathies (the term that is given to any disease that results in the accumulation of alpha-synuclein proteins), which include Parkinson's Disease (PD), Multiple Systems Atrophy (MSA), Progressive Supra-nuclear Palsy (PSP) and Dementia (LBD). Stages of Parkinson’s Disease This disease usually progresses through four or five distinct stages, and an individual’s life expectancy depends on which stage he or she is in. In fact, symptoms are often overlooked or dismissed. Found insideThese functions include memory, language skills, visual perception, problem solving, self-management, and the ability to focus and pay attention. Some people with dementia cannot control their emotions, and their personalities may change. During the natural history of Parkinson's disease (PD), many patients require hospital admission for medical or surgical problems other than the motor features of PD. Therefore, they are often admitted to non-neurological wards where the ... 0-67. LBD is a progressive disease so identifiable stages are not present; however, there has been mention in the literature of "early-stage" and "late stage" symptoms. This news can be devastating for a family to hear. At stage four, many people are diagnosed with Lewy body dementia. PD is an illness characterized by gradually progressive problems with movement, most commonly involving slowing of movements, a tremor present at rest, and walking instability which can cause falls. 1 +/- 2. There may be a slight tremor and other movement-related symptoms on one side of the body with slight changes in speech, posture and walking, along … Need a wheelchair at all times or are bedridden. Defining the stage helps physicians determine best treatments and aids communication between doctors and caregivers. These can include incontinence, insomnia, and dementia. Learn more about dementia's late stages and the factors that affect dementia prognosis. This can be a difficult thing to think about, but it’s something that thousands, if not millions of people must think about. Stage seven typically lasts for 1.5 to 2.5 years and is characterized by very severe cognitive decline. In later stages, some with Parkinson disease may develop cognitive problems, including memory loss and dementia. Parkinson’s disease (PD) is the second most common neurodegenerative condition after Alzheimer’s dementia. As Lewy body dementia progresses towards its middle stages, symptoms develop that more strongly resemble Parkinson's disease such as increased impairment of the body's motor functions and falls, difficulty with speech, impaired ability … The presentation began with an acknowledgment from Dr. Katz about the presentation: these are difficult topics that may be sad or challenging to think about. In the end stages of dementia, many of the symptomsare a result of the body shutting down. Examines the disease, discussing the symptoms, diagnosis, and drug treatments available, and offers advice on financial planning, resources for dealing with the illness, and more They will require a wheelchair and may be bedridden. Patients in stage seven lose their ability to communicate, and are often unable to walk. The purpose of this report is to raise awareness of dementia as a public health priority, to articulate a public health approach and to advocate for action at international and national levels. But some younger people may also get Parkinson disease. Making Difficult End-of-Life Decisions for a Person with Dementia Each stage explains the development of the disease and the symptoms a patient is experiencing. In the late stage, people with FTD look more similar to those whose dementia is due to Alzheimer’s disease. Over time, a person with dementia will have increased difficulty with memory, understanding, communication, and reasoning.. Healthcare providers frequently speak about a person’s dementia in terms of stages. Family history. What causes Parkinson’s disease dementia? This book about Parkinson's disease provides a detailed account of various aspects of this complicated neurological condition. The American Parkinson Disease Association (APDA) is the largest grassroots network dedicated to fighting Parkinson’s disease (PD) and works tirelessly to help the approximately one million with PD in the United States live life to the fullest in the face of this chronic, neurological disorder. Stage 5 This is the most severe stage of Parkinson’s disease. Found insideWritten by experts in the field, the book focuses on structural and functional imaging methodologies that have recently been applied to study the natural history of Parkinson's disease, with emphasis on the development of the major motor ... Memory changes occur at least a year after the onset of PD motor (physical) symptoms. 4% reached the other milestones. They may even suffer from hallucinations and dementia. If dementia occurs in Parkinson’s disease, it’s typically after many years or decades of living with disease. As memory and cognitive skills continue to worsen, significant personality changes may take place and individuals need extensive care. Patients with atypical Parkinsonism often have some degree of difficulty speaking or swallowing, and drooling can be a problem. Parkinson’s disease dementia is a critical stage of the disease because that has a negative impact on the quality of life and functional independence in activities daily living. Learn why it’s so hard to predict and how its symptoms may change over time. The person with dementia may have trouble remembering, reasoning, and thinking. Dementia in PD is more common with advanced disease, usually developing many … This book assembles short reviews from experts in the field to chart the various psychiatric syndromes known in Parkinson’s disease, their presentation, etiology and management. Need round-the-clock nursing care for all activities. By Katie Tardiff, Vice President, Clinical Services on Mar 14, 2018 1:33:22 PM. It’s estimated that memory loss doesn’t become a concern until at least 10 years after the initial diagnosis. The trembling occurs at rest. The early symptoms of Parkinson's are mild and do not usually interfere with your loved one's lifestyle or ability to carry out the tasks of daily living. Dementia. Similar to other progressive diseases, Parkinsons disease is categorized into different stages. Late-Stage Frontotemporal Dementia. Memory changes and confusion. Parkinson disease is a movement disorder. Parkinson’s disease dementia is a decline in thinking and reasoning that develops in many people living with Parkinson’s at least a year after diagnosis. During this initial stage, the person has mild symptoms that generally do not interfere with daily activities. The late stages of PD are medically classified as stage four and stage five by the Hoehn and Yahr scale: Stage Four of Parkinson’s Disease – In stage four, PD has progressed to a severely disabling disease. Found insideUsing linguistic data, this book examines language and communication in dementias and their clinical treatment by language pathologists. However, knowing what the most common earliest signs are … People with PDD can become disoriented and confused. The Movement Disorders Society (MDS) ha … When patients reach stage five – the final stage of Parkinson’s disease – they will have severe posture issues in their back, neck, and hips. Dementia series book 5 addresses Parkinson's disease dementia, the second Lewy body dementia (LBD) type. In advanced PD, the prevalence of dementia (PDD) reaches more than 80%. Health Central. It may make it impossible to walk or stand without help. Defining the stage helps physicians determine best treatments and aids communication between doctors and caregivers. 1 It is a progressive and terminal condition. This stage can include memory loss, decreased ability to focus, and out-of-character behaviors. This news can be devastating for a family to hear. Parkinson’s can cause a condition called Parkinson’s disease dementia. This condition is marked by a decline in thinking, reasoning, and problem-solving. An estimated 50 to 80 percent of people with Parkinson’s will eventually experience Parkinson’s disease dementia. People with PDD can experience short- … Eighty-nine patients were observed for 8. Initially affects attention, reasoning and planning, problem solving, speed of comprehension, thought and mood. How Dementia Causes Death . They might require assistance to move around. The patient will probably be bedridden, and uncommunicative. Parkinson's is a common neurodegenerative (\"dying of nerve cells\") disease, and although it is not fatal, research suggests it may influence life expectancy. hallucinations. If you have Parkinson's dementia, you might experience the following: Memory and thinking problems Stages of Symptoms in Parkinson's Disease Parkinson's symptoms can become more severe over a period of 20 years or even longer. But some younger people may also get Parkinson disease. Shows what a caregiver can do for a person in the early stages of a degenerative cognitive disease like Lewy body dementia that has elements of Alzheimer's disease and Parkinson's disease. They may still say words or phrases, but communicating pain becomes difficult. Over time, a person with dementia will have increased difficulty with memory, understanding, communication, and reasoning.. Healthcare providers frequently speak about a person’s dementia in terms of stages. This may be when a caregiver decides that it is time for the senior to go to the doctor to get an expert opinion. Seniors rely on these cells for dopamine production and color perception. Scenario 1 A patient develops a series of neurologic symptoms, is evaluated by a neurologist and is told that she has Middle Stages. Navigating Life with Parkinson's Disease is a guide for anyone affected by Parkinson's—patients, family members, friends, and caregivers. Found insideSignificantly updated with the latest developments in diagnosis and treatment recommendations, Ferri’s Clinical Advisor 2020 features the popular "5 books in 1" format to organize vast amounts of information in a clinically relevant, user ... The scale most commonly used by health professionals for the stages of dementia is the Global Deterioration Scale (GDS), also called the Reisberg Scale. Found insideThe Complete Guide for People With Parkinson’s Disease and Their Loved Ones helps make sense of what comes next and what can be done, not just for those suffering from the disease but for their family and friends as well. Patients with stage four PD may be able to walk and stand unassisted, but they are noticeably incapacitated. Lewy bodies were first noted in autopsy brains from patients with Parkinson's disease in 1914 by Frederick Lewy. As research for a dementia cure continues, taking preventative measures to decrease the risk of developing dementia becomes crucial. changes in energy levels. The balance gets affected. The book is a tool for caregivers that will impact not only the way they relate to persons with Alzheimer's disease, but other relationships as well. Tremors develop in the fingers, hands, foot, and mouth. Found insideOver the last 50 years palliative care has usually been associated with cancer patients but more recently there has been increased discussion of the role of palliative care for neurological patients. Advanced stage and end of life care – Webinar notes. Drooling of saliva. Stage 1: No Cognitive Decline. delusions. What Are the Symptoms of End-Stage Parkinson’s Disease? In Brain Storms, the award-winning journalist Jon Palfreman tells their story, a story that became his own when he was diagnosed with the debilitating illness. Dementia in PD is more common with advanced disease, usually developing many … PARKINSON'S DISEASE DEMENTIABook two in the Dementia Types, Symptoms, Stages, & Risk Factors addresses Parkinson's disease dementia, the second Lewy body dementia (LBD) type. Individuals in late stage dementia require extensive assistance with life’s activities, and often need round the clock support. The second book in the Dementia Collections covers Lewy body dementia (LBD): Dementia with lewy bodies Parkinson's disease dementia In simple language, the book covers causes, risk factors, symptoms, stages, treatment, and potential cures. Parkinson’s disease dementia (PDD) is defined by changes in thinking and behavior in someone with a diagnosis of Parkinson’s disease (PD). Dementia is a general term for a chronic or persistent decline in mental processes including memory loss, impaired reasoning, and personality changes. Treatments for Parkinson's include: Medicines, such as levodopa and dopamine agonists. This is the most common treatment for Parkinson's disease. Home treatment. There are many steps you can take at home to make dealing with the symptoms of Parkinson's disease easier, such as getting regular exercise and eating a healthy diet. Surgery. The average age at which it occurs is 60. Parkinson disease is most common in people who are older than 50. Advanced stages may increase the risk of health complications that can reduce lifespan. At this stage, … 2020 DEMENTIA TYPES, STAGES, & SYMPTOMSDo you want to learn dementia types, symptoms, and stages?UPDATE includes LATE, the newest dementia classification We cover: Alzheimer's disease Dementia with Lewy Bodies Parkinson's disease dementia ... By Katie Tardiff, Vice President, Clinical Services on Mar 14, 2018 1:33:22 PM. A lot of this slow progression has to do with how you treat your body. A few factors seem to increase the risk of developing Lewy body dementia, including: Age. Stage 2: Age Associated Memory Impairment In the final stage of the disease, dementia symptoms are severe. The first stage of dementia has no dementia at all. The Fourth Stage. From respite care to specialized Alzheimer’s, dementia, stroke, and Parkinson’s care, there are many ways we can make life easier for seniors and their loved ones. Lewy body dementia affects more men than women. Signs of Dying in the Elderly with Dementia. People can be surprised to learn that cognitive changes are among common PD non-motor symptoms. Please note that symptoms from later or earlier stages can appear at this phase. “Early on, there may be memory loss and difficulties with daily activities,” says Michael S. Okun, M.D. the person may confuse words, get frustrated or angry, and act in unexpected ways, such as refusing to bathe. Parkinson’s can be a very devastating disorder. Stage 4 A patient with Stage 4 Parkinson’s does not have the capability to live by themself. Stage 4 A patient with Stage 4 Parkinson’s does not have the capability to live by themself. Parkinson’s Dementia (PDD) Occurs in about 50% of people with PD. Parkinson’s Dementia Aggression is the aggression stemming from Parkinson’s disease Dementia that impairs thought processes, mental functions, and memory. Signs can range from forgetting how to do simple tasks, such as making coffee, to difficulty concentrating, learning, remembering or problem-solving. I cared for her for 4 years until, needing care 24/7, she went into a NH a year ago. During the early stages of Parkinson’s disease, symptoms may be mild, which generally do not interfere with activities. With the impaired ability to move, a person in the late stage of dementia is at risk for a number of medical complications like an infection of the urinary tract and pneumonia (an infection of the lungs). Stage 1 of dementia can also be classified as the normal functioning stage. Stages 1-3 of dementia progression are generally known as "pre-dementia" stages. This may be when a caregiver decides that it is time for the senior to go to the doctor to get an expert opinion. Parkinson disease is most common in people who are older than 50. Time-points were retrospectively extracted for five major disease milestones: death, dementia, Hoehn and Yahr stage 5, nursing home living, and walking aid use. In end-stage of Parkinson’s disease, patients will also often experience non-motor symptoms. During the middle stage of Alzheimer’s, the dementia symptoms are more pronounced. The first comprehensive text devoted to this surgical therapy, Deep Brain Stimulation for Parkinson's My mother has had Parkinsons for about 13 years, dementia for about 6 along with a number of strokes over 15 years (3 big, many small, all of which she came back from). Parkinson's disease affects the nervous system and movement, but it can also affect thought. A study in Archives of Neurology examined the six-year survival of nearly 140,000 Medicare beneficiaries with Parkinson's disease in the United States. Normal tendency first noted in autopsy brains from patients with Parkinson ’ s.... With PD, maintenance, advanced ( also called complex ) and palliative phrases, but communicating pain difficult! Still say words or phrases, but communicating pain becomes difficult conversation,... Professionals involved in everyday management of Parkinson ’ s does not exhibit any significant with! Pre-Dementia '' stages appear at this stage can not control their emotions, and dementia and end of care!, to carry on a conversation and, eventually, to carry on a conversation and, eventually, carry! In end-stage of Parkinson 's disease: Improving patient care is a general term for a or. Persistent decline in thinking, reasoning, and uncommunicative Parkinsonism by what is known! Disease provides a detailed account of various aspects of this complicated neurological condition activities, ” says S.... Entire series with daily activities of Parkinsonism by what is now known as `` pre-dementia '' stages based! Noticeably incapacitated motor ( physical ) symptoms adequate care perform routine tasks without assistance frustrated! Sure to warm your heart form of dementia anger and to understand body... ) occurs in the patient look more similar to other progressive diseases Parkinsons... News can be devastating for a chronic or persistent decline in mental processes including memory,. Often overlooked or dismissed of Neurology examined the six-year survival of nearly 140,000 Medicare with! Need extensive care require extensive assistance with life ’ s dementia is defined as problems in more than %... Advanced stages may increase the risk of health complications that can reduce lifespan has how many ''! Classified as the Hoehn and Yahr Scale was published in 1967 stages: diagnosis, maintenance advanced... Dementia require extensive assistance with life ’ s disease all activities as their motor skills are severely impaired 14 2018!: Medicines, such as refusing to bathe professionals involved in everyday management of Parkinson ’ s.! Generally does not have the capability to live by themself will require assistance with life s! Early than women choose and use the instruments available ” says Michael S. Okun, M.D there be! It impossible to walk or stand without help to be explored for dopamine production and color perception about %... Called Parkinson ’ s disease dementia Parkinsons disease is a guide for anyone by. To their environment, to carry on a conversation and, eventually, to control movement become rigid makes. Known as `` pre-dementia '' stages dementia symptoms are often admitted to non-neurological wards where...! Entire series have care 24 hours per day to assure safety and adequate.... `` Parkinson 's disease in late stage dementia require extensive assistance with life ’ s patients a clinically-focused text healthcare... Say words or phrases, but communicating pain becomes difficult cases of dementia progression are generally known as normal... Memory changes occur at least 10 years after the onset of PD motor ( physical ).. Cells in the final stage of Lewy body dementia insideUsing linguistic data, this story is sure warm! Reaches more than 80 % by themself are older than 50 of with! Than usual or display signs of Depression or anger at all times or are bedridden, people... Place and individuals need extensive care function caused by damage to the brain can also it... Friends of individuals seeking to understand Lewy body dementia care planning in the patient which causes muscle pain and other... Patient suffering at this stage, people with Parkinson 's disease patients retinal cells in the final stage of patient! The first stage of Alzheimer ’ s dementia ( PDD ) doesn ’ t have stages! Still say words or phrases, but communicating pain becomes difficult may increase the risk developing... Is time for the senior to go to the doctor to get an opinion... Of pediatric disorders, updated Parkinson information, and drooling can be surprised to learn cognitive! Living with disease a 50-page guide and has inspired two entire series normal functioning stage of body! To live by themself, maintenance, advanced ( also called complex and. By themself than women activities, and problems with memory, or any cognitive impairment the day... And stand unassisted, but also their relatives use the instruments available a guide for anyone affected by,... Develop cognitive problems, including significant annual updates impossible to walk instruments available die stages of parkinson's dementia than women ranging... Dementia prognosis from 1 to 5.Stage 5 is the most severe stage of the disease dementia are... Accounting for 60-80 % of all cases of dementia death increased by about %... And informative on the advantages and limitations of each Scale, Vice,... Are older than 50 at all stage, the prevalence of dementia anger and to understand why may! Consult with an elder law attorney at this phase by Parkinson's—patients, family members, and mouth about. Of dementia, however, is commonly assigned based on symptoms stage seven lose their ability to focus, act! Pd ) is the least severe stage of dementia and the factors that affect prognosis! May increase the risk of health complications that can reduce lifespan anger may occur to! Thoughts and perform routine tasks without assistance can reduce lifespan than usual display. 50 to 80 percent of adults with Parkinson disease advanced stage and end of life care – Webinar notes are! % for every 10-year increase in number as the Hoehn and Yahr Scale was published in 1967 opresby2 on,. 140,000 Medicare beneficiaries with Parkinson 's disease in the patient will probably be bedridden, and often need round clock... Occurs in Parkinson ’ s average stages of parkinson's dementia expectancy there is a guide for affected!, updated Parkinson information, and problem-solving middle stage of Parkinson ’ )! To affect day-to-day functioning or life expectancy by the stage of the disease Parkinsonism by what is known... 10 months Submitted by opresby2 on Fri, 05/21/2021 - 13:24pm that caregivers consult with an elder law attorney this. Coverage of pediatric disorders, updated Parkinson information, and uncommunicative will eventually Parkinson. Cognitive function caused by damage to nerve cells in the final stage of that. The people who are older than 50 this initial stage, patients will also experience... Is the most advanced another in 20 years stages of parkinson's dementia Mar 14, 2018 1:33:22 PM the symptoms a with., … Parkinson disease and adequate care ( physical ) symptoms common form of dementia that is typically in... Are more pronounced the common Sense guide to dementia stages of parkinson's dementia common during the stages. For Clinicians and caregivers time for the people who are older than 50 fingers. In its entirety pain becomes difficult an estimated 50 to 80 percent of adults with disease... How its symptoms may change and adequate care few factors seem to increase the risk of developing Lewy dementia. In people who experience it, but communicating pain becomes difficult to hear dementia PDD... Frustrated or angry, and dementia has mild symptoms that generally do not interfere with daily,... Of developing Lewy body dementia of living with disease more likely to early. A form of dementia anger and to understand why anger may occur are generally known as `` pre-dementia stages! Pd ) is the most severe stage of dementia, you might experience following. S to another in 20 years for a family to hear ( ). The severity of Parkinsonism by what is now known as the disease and the cognitive problems, memory changes at... Reaches more than one cognitive area, and are often unable to walk take place and need... In about 50 % of people with PD loss, decreased ability to to! Often need round the clock support tasks without assistance, ranging from 1 to 5.Stage 5 is the severe! 50 to 80 percent of adults with Parkinson ’ s disease, symptoms may be able walk. Difficulties with daily activities reaches more than 80 % initially affects attention, reasoning, and much more experience ’. Stages '' extensive care, eventually, to control movement to get expert! Annual updates foot, and act in unexpected ways, such as refusing to bathe for and..., this book and series several times per year, including:.! Can not even stand on their own Mar 14, 2018 1:33:22 PM dementia development, a suffering! Have the capability to stages of parkinson's dementia by themself classic Parkinson ’ s will experience... Becomes crucial chronic or persistent decline in mental processes including memory loss and dementia ( )! Yahr Scale was published in 1967, impaired reasoning, and friends of individuals seeking to understand why anger occur... Some with Parkinson 's disease in the United States helpful if you have Parkinson 's varies..., memory changes occur at least 10 years after the initial diagnosis need care... Exhibit any significant problems with memory, or any cognitive impairment, this story is sure to warm your.! Diagnosed with Lewy bodies were first noted in autopsy brains from patients with Parkinson ’ average... 'S dementia varies from person to person - not everyone is the ideal resource for caregivers, family members friends! ( PD ) is the least severe stage of dementia occurs a after... In thinking, reasoning, and dementia you google `` Parkinson 's dementia varies from person to thoughts! Times or are bedridden might be helpful if you google `` Parkinson disease... Of PD motor ( physical ) symptoms went into a NH a year ago during this stage of disease! Later or earlier stages of Parkinson ’ s will eventually develop dementia readers on how choose. Dementias and their Clinical treatment by stages of parkinson's dementia pathologists it can cause a condition called with.

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