1,136,322 results match your criteria Surgical Complications

Surgical outcomes in dogs with tracheal collapse treated with a novel cross-and-hook braided endoluminal stent.

J Vet Sci 2022 May;23(3):e46

Department of Veterinary Surgery, Faculty of Veterinary Medicine, Tokyo University of Agriculture and Technology, Tokyo 183-8509, Japan.

Background: Stenting is an effective treatment option for tracheal collapse in dogs. Cross-braided tracheal stents are currently the norm in veterinary medicine, but cross-and-hook braided stents have recently been adopted in human medicine. We examined whether stents manufactured using this novel braiding technique provided additional advantages for the treatment of tracheal collapse in dogs. Read More

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Trans-inguinal pelvic lymphadenectomy in vulvar cancer patients: TRIPLE pilot study.

Int J Gynecol Cancer 2022 May 26. Epub 2022 May 26.

Dipartimento Universitario Scienze della Vita e Sanità Pubblica - Sezione di Ginecologia ed Ostetricia - Università Cattolica del Sacro Cuore, Rome, Italy.

Objective: The goal of this study was to assess the feasibility and safety of a retrograde extraperitoneal trans-inguinal novel approach to pelvic lymphadenectomy in vulvar cancer patients. The secondary objectives were to assess complications (early and late) and oncological outcomes.

Methods: In this pilot study, all patients referred to our institution from November 2019 to May 2021 were evaluated. Read More

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Association between thoracic epidural block and major complications after pleurectomy/decortication for malignant pleural mesothelioma under general anesthesia.

Reg Anesth Pain Med 2022 May 20. Epub 2022 May 20.

Department of Anesthesiology and Pain Medicine, Hyogo Medical University, School of Medicine, Nishinomiya, Hyogo, Japan

Introduction: A curative-intent surgical procedure, pleurectomy/decortication, for malignant pleural mesothelioma is accompanied by a high incidence of major postoperative complications. Although epidural block, which suppresses nociception during and after surgery, reportedly has both benefits and disadvantages in terms of outcomes after thoracic surgery for other diseases, the effects of epidural block on major complications after pleurectomy/decortication have not been evaluated. The aim of this study was to evaluate the association between epidural block and major postoperative complications following pleurectomy/decortication. Read More

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Microvascular reactivity as a predictor of major adverse events in patients with on-pump cardiac surgery.

Korean J Anesthesiol 2022 May 27. Epub 2022 May 27.

Department of Anesthesia and Pain Medicine, Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.

Background: Microcirculatory disturbance occurs most seriously during cardiopulmonary bypass (CPB) in cardiac surgery. If microvascular reactivity compensates for microcirculatory disturbance during CPB, tissue hypoxemia may be minimized. The primary aim of this study was to assess whether microvascular reactivity during CPB can predict major adverse events (MAE) after cardiac surgery. Read More

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Access Site Complications Are Uncommon with Vascular Closure Devices or Manual Compression after Lower Extremity Revascularization.

J Vasc Surg 2022 May 23. Epub 2022 May 23.

Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University School of Medicine, Boston, MA. Electronic address:

Objective: Vascular closure devices (VCD) and manual compression (MC) are used to achieve hemostasis following peripheral vascular interventions (PVI). We sought to compare perioperative outcomes between MC and four VCDs following PVI in a multicenter setting.

Methods: The Vascular Quality Initiative was queried for all lower extremity (LE) PVIs with common femoral artery access performed from 2010-2020. Read More

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Osteo-odonto-keratoprosthesis according to Strampelli original technique: A retrospective study with up to 30 years of follow-up.

Am J Ophthalmol 2022 May 23. Epub 2022 May 23.

Department of Odontostomatologic and Maxillofacial Sciences, Head and Neck Department, Sapienza University of Rome, Italy.

Purpose: To describe clinical, anatomical, and visual outcomes obtained from a long-term follow-up of 59 patients who underwent osteo-odonto-keratoprosthesis (OOKP) using the original Strampelli technique.

Design: retrospective clinical cohort study.

Methods: 82 eyes of 59 patients who underwent OOKP surgery between 1969 and 2011 were included. Read More

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Development and Implementation of an Ultrasound-Guided Peripheral Intravenous Catheter Education Program for Critical Care Nurses.

Kimberly Bagley

Dimens Crit Care Nurs 2022 Jul-Aug 01;41(4):182-189

Kimberly Bagley, DNP, RN, AGPCNP-BC, AGACNP-BC, CCRN, has worked in critical care first as a critical care nurse in both specialized (cardiothoracic) and nonspecialized (medical-surgical) intensive care units and currently as a critical care nurse practitioner in the medical-surgical intensive care unit at Duke Raleigh Hospital. She obtained her master of science in nursing from the University of North Carolina at Chapel Hill, her postgraduate certificate in acute care from Duke University, and her doctor of nursing practice from Duke University.

Background: Ultrasound-guided (US-guided) peripheral intravenous (PIV) insertion is a skill used by specially trained nurses for patients with difficult vascular access. It can result in potential complications such as occlusive thrombus, phlebitis, infiltration, and pain. Complications can be prevented or minimized with clinical training to achieve competency. Read More

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An overview of esophageal atresia and tracheoesophageal fistula.

JAAPA 2022 Jun;35(6):34-37

At the time this article was written, Nathan A. McGowan was a student in the PA program at Marietta (Ohio) College. He now practices at Ascension Texas Spine and Scoliosis in Austin, Tex. John Grosel is a radiologist at Lucid Health Riverside Radiology and Interventional Associates, Inc., based in Columbus, Ohio, and the McCoy associate professor in the PA program at Marietta College. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Abstract: Esophageal atresia and tracheoesophageal fistula are often-concomitant pathologies that primarily afflict neonates. The complications of these anomalies may lead to increased morbidity and mortality, and clinicians should be familiar with the diagnosis and management of these pathologies. Clinicians can improve patient outcomes by having a thorough understanding of the signs and symptoms, classification systems, diagnostic workup, and surgical intervention options for these patients. Read More

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Prognostic Factors for Respiratory Dysfunction for Cervical Spinal Cord Injury and/or Cervical Fractures in Elderly Patients: A Multicenter Survey.

Global Spine J 2022 May 26:21925682221095470. Epub 2022 May 26.

Department of Orthopedic Surgery, Graduate School of Medical Sciences, 38305Kyushu University, Fukuoka, Japan.

Study Design: Retrospective Cohort Study.

Objective: The purpose of this study was to investigate the prognosis of respiratory function in elderly patients with cervical spinal cord injury (SCI) and to identify predictive factors.

Methods: We included 1353 cases of elderly cervical SCI patients collected from 78 institutions in Japan. Read More

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Placenta Accreta Spectrum - a single-center retrospective observational cohort study of multidisciplinary management over time.

Int J Gynaecol Obstet 2022 May 26. Epub 2022 May 26.

University of Gothenburg, Institute of Clinical Sciences, Sahlgrenska Academy, Department of Obstetrics and Gynecology, Gothenburg, Sweden.

Objective: A prior study has shown a decrease in blood loss and transfusions with a multidisciplinary approach including a fixed team when delivering women diagnosed with placenta accreta spectrum at Sahlgrenska University Hospital. Our primary aim was to evaluate if these results were kept low throughout time, secondary, to investigate hospital stay and maternal and neonatal complications during a time period with varying team structure compared to previous periods.

Methods: A retrospective observational cohort study with data from medical records including three cohorts of women diagnosed with placenta accreta spectrum between October 2003 - December 2020 were compared. Read More

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Revascularization of Left Subclavian to Common Carotid Artery Prepares for Covered Stent Implantation in Patients With Complex Aortic Coarctation.

Innovations (Phila) 2022 May 26:15569845221099298. Epub 2022 May 26.

Center for Congenital Heart Disease/Pediatric Cardiology, Heart and Diabetes Center NRW, University Clinic of Ruhr University Bochum, Bad Oeynhausen, Germany.

Seven adult patients underwent a two-stage treatment of complex coarctation (CoA), including surgical revascularization of the left subclavian artery (LSA) to left common carotid artery (LCCA), followed by transcatheter covered stent implantation. The majority of patients (5 of 7, 71%) received 1 covered stent (covered Cheatham Platinum stent: 8 zig/45 mm [ = 2], 10 zig/60 mm [ = 1], 10 zig/65 mm [ = 1]; BeGraft: 24/48 mm [ = 2]). In 1 patient (14%), the implantation of 2 covered stents (BeGraft 20/48 mm) was necessary. Read More

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Subxiphoid single-port thymectomy without CO insufflation: Experience of a single center.

Asian Cardiovasc Thorac Ann 2022 May 26:2184923221104676. Epub 2022 May 26.

Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, 222187Inje University College of Medicine, Busan, Korea.

Background: The subxiphoid single-port approach for thymectomy has advantages compared with conventional lateral transthoracic approaches. Most of centers use CO insufflation to secure an appropriate surgical field during subxiphoid thymectomy, which causes fighting between surgical instruments and restrictions on the types of surgical instruments. The objective of this study is to introduce an effective method to establish the subxiphoid approach without CO insufflation using a retractor and steel wire. Read More

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Does Oocyte Retrieval Performance in Mono-follicular Cycles Differ by Physician Experience?

Reprod Sci 2022 May 26. Epub 2022 May 26.

Centre for Reproductive Endocrinology and Infertility, American Hospital, Tesvikiye mahallesi, Guzelbahce sokak No:20, 34365, Sisli, Istanbul, Turkey.

Oocyte pick-up (OPU) is considered as a minor surgical procedure and complications are very rare when performed by trained physicians. However, data on training standards are limited and assessment of proficiency is challenging. The aim of this study was to show the impact of physician experience on OPU performance in mono-follicular in vitro fertilization (IVF) cycles, using two measurable outcome parameters: successful oocyte retrieval and operative time. Read More

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Implementation of functional imaging using C-methionine PET-CT co-registered with MRI for advanced surgical planning and decision making in prolactinoma surgery.

Pituitary 2022 May 26. Epub 2022 May 26.

Section of Nuclear Medicine, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.

Purpose: To report the first experience of our multidisciplinary team with functional imaging using C-methionine positron emission tomography-computed tomography (C-methionine PET-CT) co-registered with MRI (Met-PET/MRI) in clinical decision making and surgical planning of patients with difficult to treat prolactinoma.

Methods: In eighteen patients with prolactinoma, referred to our tertiary referral centre because of intolerance or resistance for dopamine agonists (DA), Met-PET/MRI was used to aid decision-making regarding therapy.

Results: Met-PET/MRI was positive in 94% of the patients. Read More

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Clinical features and visual outcomes of ocular sarcoidosis at a tertiary referral center in Tokyo.

Graefes Arch Clin Exp Ophthalmol 2022 May 26. Epub 2022 May 26.

Department of Ophthalmology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo, 181-8611, Japan.

Background: To analyze clinical features, treatment, complications, and visual outcomes of ocular sarcoidosis at a tertiary center in Tokyo.

Methods: Clinical records of 53 patients with ocular sarcoidosis ("definite" or "presumed") presenting between 2013 and 2018 to the Kyorin Eye Center were retrospectively reviewed. Diagnosis was based on the revised criteria of the International Workshop on Ocular Sarcoidosis. Read More

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A Novel Thunderbolt Z-Epicanthoplasty for Asians.

Aesthetic Plast Surg 2022 May 26. Epub 2022 May 26.

Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu City, 61000, Sichuan Province, People's Republic of China.

Background: Although many epicanthoplasty techniques have been proposed, prominent hypertrophic scarring in the medial canthal region remains a problem. The aim of this study was to develop a novel design that has a less prominent scar with minimal tension.

Methods: A total of 489 patients underwent thunderbolt Z-epicanthoplasty from July 2015 to April 2019, with or without blepharoplasty. Read More

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Posterior cruciate ligament reconstruction with independent internal brace reinforcement: surgical technique and clinical outcomes with a minimum two year follow-up.

Int Orthop 2022 May 26. Epub 2022 May 26.

Department of Orthopedics, Joint Surgery and Sports Medicine, First Affiliated Hospital of China Medical University, 155 Nanjing North StreetLiaoning Province, Shenyang, 110001, People's Republic of China.

Purpose: We developed an augmentation technique for PCL reconstruction with independent internal brace reinforcement and evaluated the functional outcome after PCL reconstruction employing autologous hamstrings augmented with an internal brace system for patients with isolated or combined grade 3 posterior instability who were treated with this technique.

Methods: From January 2016 to January 2018, patients with isolated or combined grade 3 PCL tears who underwent single-bundle PCL reconstruction using autologous hamstrings augmented with independent internal braces were studied. The function of the operated knee was evaluated according to the International Knee Documentation Committee (IKDC) score, Lysholm score, and Tegner activity score. Read More

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Elective cricothyrotomy in a dog with transient laryngeal paralysis secondary to Australian paralysis tick (Ixodes holocyclus) envenomation.

Aust Vet J 2022 May 26. Epub 2022 May 26.

UQ VETS, School of Veterinary Science, The University of Queensland, Gatton, Queensland.

The tube cricothyrotomy (CTT) has recently been introduced to small animal medicine as a viable surgical airway access procedure; however, there are no reports documenting its clinical use. The author's objective is to describe the clinical application, complications, and management of an elective CTT in a dog. Furthermore, the characteristics of CTT that may be clinically advantageous over temporary tube tracheostomy (TT) will be discussed. Read More

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Spatial rhBMP2 delivery from hydroxyapatite scaffolds sustains bone regeneration in rabbit radius.

Tissue Eng Part C Methods 2022 May 26. Epub 2022 May 26.

University of Texas at San Antonio, 12346, Biomedical Engineering and Chemical Engineering, San Antonio, Texas, United States;

Regenerating large bone defects requires a multi-faceted approach combining optimal scaffold designs with appropriate growth factor delivery. Supraphysiological doses of recombinant human bone morphogenetic protein 2(rhBMP2); typically used for the regeneration of large bone defects clinically in conjunction with an acellular collagen sponge (ACS), have resulted in many complications. In the current study, we develop a hydroxyapatite/collagen I (HA/Col) scaffold to improve the mechanical properties of the HA scaffolds while maintaining open connected porosity. Read More

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[Retropharyngeal lymph node dissection in head and neck cancers treated with transoral robotic surgery].

Zhonghua Zhong Liu Za Zhi 2022 May;44(5):446-449

Department of Head and Neck Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China.

To evaluate the indications, safety, feasibility, and surgical technique for patients with head and neck cancers undergoing transoral robotic retropharyngeal lymph node (RPLN) dissection. The current study enrolled 12 consecutive head and neck cancer patients (seven males and four females) who underwent transoral robotic RPLN dissection with the da Vinci surgical robotic system at the Sun Yat-sen University Cancer Center from May 2019 to July 2020. Seven patients were diagnosed as nasopharyngeal carcinoma with RPLN metastasis after initial treatments, 4 patients were diagnosed as thyroid carcinoma with RPLN metastasis after initial treatments, and one patient was diagnosed as oropharyngeal carcinoma with RPLN metastasis before initial treatments. Read More

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[Safety and feasibility of overlapped delta-shaped anastomosis technique for digestive tract reconstruction during complete laparoscopic right hemicolectomy].

Zhonghua Zhong Liu Za Zhi 2022 May;44(5):436-441

Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100021, China.

To explore the clinical safety and feasibility of overlapped delta-shaped anastomosis (ODA) in totally laparoscopic right hemicolectomy (TLRHC). From May 2017 to October 2019, of the 219 patients who underwent TLRHC at the Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, 104 cases underwent ODA (ODA group) and 115 cases underwent conventional extracorporeal anastomosis (control group) were compared the surgical outcomes, postoperative recovery, pathological outcomes and perioperative complications. The length of the skin incision in the ODA group was significantly shorter than that in the control group [(5. Read More

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Challenges of total knee arthroplasty in osteogenesis imperfecta: case report and literature review.

J Int Med Res 2022 May;50(5):3000605221097369

Department of Orthopaedic Surgery, University Hospital in Hradec Kralove, Charles University, Faculty of Medicine in Hradec Kralove, Hradec Kralove, Czech Republic.

The majority of adults with mild osteogenesis imperfecta report significant functional impairment due to musculoskeletal concerns. Knee osteoarthritis is common in these patients. Although total knee arthroplasty has become a highly efficient surgical technique for osteoarthritis, this procedure remains uncommon in patients with osteogenesis imperfecta. Read More

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Partial Fibular Head Osteotomy is an Alternative Option in Treatment of Posterolateral Tibial Plateau Fractures: A Retrospective Analysis.

Front Surg 2022 9;9:915814. Epub 2022 May 9.

Department of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.

Objective: This study aimed to evaluate the short-term effects of partial fibular head osteotomy for treating posterolateral tibial plateau fractures.

Methods: A retrospective analysis was performed on 25 patients with posterolateral tibial plateau fractures who were treated using a partial fibular head osteotomy approach. Computed tomography was performed for fracture typing and evaluation. Read More

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Endoscopic Management of Large Leakages After Upper Gastrointestinal Surgery.

Front Surg 2022 9;9:885244. Epub 2022 May 9.

Department of General, Visceral, Transplant, Vascular and Pediatric Surgery, University Hospital of Würzburg, Würzburg, Germany.

Background: Endoscopic vacuum therapy (EVT) is an evidence-based option to treat anastomotic leakages of the upper gastrointestinal (GI) tract, but the technical challenges and clinical outcomes of patients with large defects remain poorly described.

Methods: All patients with leakages of the upper GI tract that were treated with endoscopic negative pressure therapy at our institution from 2012-2021 were analyzed. Patients with large defects (>30 mm) as an indicator of complex treatment were compared to patients with smaller defects (control group). Read More

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Combination of Preoperative Multimodal Image Fusion and Intraoperative Dyna CT in Percutaneous Balloon Compression of Trigeminal Ganglion for Primary Trigeminal Neuralgia: Experience in 24 Patients.

Front Surg 2022 9;9:895394. Epub 2022 May 9.

Department of Neurosurgery, Zhuhai People's Hospital (Zhuhai Hospital Affifiliated With Jinan University, China), Zhuhai, China.

Objective: We retrospectively assessed the surgical results of PBC with preoperative multimodal image fusion and intraoperative Dyna Computed Tomography (CT) in 24 patients with primary trigeminal neuralgia (PTN) to explore a valuable aid for Percutaneous balloon compression (PBC).

Methods: We studied the data of 24 patients with PTN. All patients underwent PBC and were assessed with preoperative multimodal image fusion [computed tomography (CT) and magnetic resonance imaging (MRI)] and intraoperative Dyna CT in the Department of Neurosurgery of Zhuhai People's Hospital between October 2020 and September 2021. Read More

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Sentinel Node Biopsy for Endometrial Cancer by Retroperitoneal Transvaginal Natural Orifice Transluminal Endoscopic Surgery: A Preliminary Study.

Front Surg 2022 9;9:907548. Epub 2022 May 9.

Department of Gynecology and Obstetrics, Valais Hospital, Sion, Switzerland.

Objective: The primary objective was to determine the intraoperative and postoperative surgical complications of sentinel lymph node biopsy (SLNB) by retroperitoneal transvaginal natural orifice transluminal endoscopic surgery (vNOTES). The secondary objective was to assess the feasibility of this surgical technique.

Methods: This was a descriptive study realized in a non-university hospital in Switzerland. Read More

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Risk Factors Associated with Surgical Site Infection following Cesarean Section in Tertiary Care Hospital, Nepal.

Int J Reprod Med 2022 16;2022:4442453. Epub 2022 May 16.

Department of Obstetrics and Gynecology, TUTH, IOM, Nepal.

Background: Cesarean section (CS) is one of the most performed surgeries in obstetrics. Surgical site infection is the major cause of morbidity and mortality causing an increase in the duration of hospitalization as well as the cost of admission for the patient.

Objective: To determine incidence of surgical site infection following cesarean section, classify them according to CDC criteria, and identify the different risk factors. Read More

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Efficacy of Oral Nutritional Supplements in Patients Undergoing Surgical Intervention for Hip Fracture.

Geriatr Orthop Surg Rehabil 2022 20;13:21514593221102252. Epub 2022 May 20.

Division of Orthopedics, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Malnutrition is considered a risk factor among geriatric individuals with hip fracture, affecting functional healing and recovery, increasing healthcare spending, and associated with high mortality. In this study, we sought to evaluate the clinical efficacy of oral nutritional supplements in geriatric patients undergoing surgery for hip fracture. We retrospectively analyzed data of 1625 consecutive patients who underwent fixation or arthroplasty for hip fracture in a tertiary medical center between 2017 and 2020. Read More

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Mortality and Causes of Death After Liver Transplantation: Analysis of Sex Differences in a Large Nationwide Cohort.

Transpl Int 2022 9;35:10263. Epub 2022 May 9.

Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas Ciberehd, Madrid, Spain.

In the last few years, several studies have analyzed sex and gender differences in liver transplantation (LT), but none have performed a disaggregated analysis of both mortality and causes of death. Data from 15,998 patients, 11,914 (74.5%) males and 4,069 (25. Read More

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