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Này là HPBD chỵ Hiền iu nè ^^Chúc chỵ càng ngày càng synh đẹp và lun gặp may mắn nke,có thim thậc nhìu bn mới nữa nè=p~ Có bn mới ờiz qên em đy em rút lại lời chúc nhé =)))))))))

Còn thíu mm june nữa =]]~ tại chụp hình HPBD chỵ Hiền bũi sáng xog up lun,cái chìu hãz chụp hình HPBD mm june nữa,mà tự nhin đăng hông đk =((,hoy kệ hình up sau kn chúc mm lớn thim 1 tũi và xinh đẹp,học dõi hơn nke :d^^ này là chúc lần 2 ờiz đó =) mà quà thỳ tặng muộn =]]~

Nói ckug là chúc 2 ngừi iu quý của Bun sn vuôi ^^:*:x

 

des2:Hum naj bao tửng,hã có kn kia kìa,nó bị tẩy chay ớz,cái hã nó ức chế gồi nó đy gây sự dới ngta,cái ngta mới nói lại nó,cái nó cãi hông lại,dìa méc 3 méc má =):-j cái 3ma nó lên sủa cko thiên hạ nger =='' Sủa đã cái quay wa sủa tuôi nger lun mới gê chứ @@"kn tao yếu ớt non dại,tụi bây có bè có phái ăn híp kn tao,tao là tao để yên cko tụi bây học,đừng có để tao lên méc giám thị à=]]~"tự nhin hông lwan dỳ hếc chơn cũng bị chữi hà =(( Ức chế dễ sợ,phãi học tkeo ẽm mới đk,dìa méc má lìn =))))))))

 

-Chùa chó-Chùa chó-Chùa chó--Chùa chó-Chùa chó-Chùa chó--Chùa chó-Chùa chó-Chùa chó--Chùa chó-Chùa chó-Chùa chó--Chùa chó-Chùa chó-Chùa chó--Chùa chó-Chùa chó-Chùa chó--Chùa chó-Chùa chó-Chùa chó--Chùa chó-Chùa chó-Chùa chó--Chùa chó-Chùa chó-Chùa chó--Chùa chó-Chùa chó-Chùa chó

 

  

TF-FLB - McDonnell Douglas DC-8-55 - Icelandair

(leased from National Airlines)

at Stockholm-Arlanda Airport (ARN) in February 1987

 

c/n 45.753 - built in 1965 for SAS,

leased by Icelandair from 1982 until 1988 ( first registered N916R)

final operator was Congo Airlines as 9Q-CAQ -

retired

 

scanned from Kodachrome-slide

 

"God gave us our memories so that we might have roses in December." - J. M. Barrie

 

Best Viewed Large

Always good to see a 200 series in service, built 1981.

ÉLECTIONS QUÉBEC 2018

Le prochain gouvernement québécois sera hors de tout doute minoritaire car selon le nouveau sondage le Parti libéral et la CAQ sont à égalité à 30% devant le PQ à 20% et QS à 16%.

Une situation comme celle actuelle du Nouveau Brunswick pourrait aussi se produire avec par exemple 50 députés élus chacun pour Philippe Couillard et François Legault...

À suivre!

www.lapresse.ca/actualites/elections-quebec-2018/201809/2...

London Luton (EGGW) | c/n 22431

 

Departing to Lasham (EGHL)

Cứ ns rằq e đã qên a , xem ra đìu đó dườq như qá khó . Chúq ta đã từq gắn pó tơj mức chẳq thề chia xa **************** E kô tỳm ra lý do chor ngày ta tan vỡ ........ Tym e tưởq như đaq póp ngẹt e troq từq hơj thở ------------------------- #### Và ns' mắt e cứ mãj lởn vởn troq lòq <<<<<<<<<>.....

 

---------------------------------------------------------------------

 

Anh có thể trả lờj e kô ??????? Đến bao jiờ a ms thôj lòq vòq & tự tin đốj mặt vs e thêm lần nữa , đốj măt vs ~ jì a đả nhẫn tâm rũ pỏ , đốj măt vs cả hìq ã mà a .................... ## a vo tình ......... hay ..... ác í xoá đi <,,,,<<<<<<<<

 

Ừ !!! a xoá , a đổu, a thay , như 2 mặt của bàn tay , trở lên trở xuốq ...... Mắt e cay đến nỗi môi e luốq cuốq , để răq cắq tớj bật máu ra //////////////////////// ---------

  

Nếu như trong mốj qan hệ của chúq ta , e đã sai , thỳ e cần đc píc , để đc thah mih nếo a hỉu lầm để đc xin lỗi ------ bỡj vì chắc chắn rằq e đã kô cố í , nếo trót làm fật lòq .......... tráj í a của a !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

-

-

-

-

Nhưq kô !!! a đã chẳq ns 1 lờj nào, chỉ lặq lẽ xoá đi e ra khỏi bộ não @@ <<<<<<<<<> CÙng vs [[[[[[[[ Ng` con gái troq gươq mà e soi mỗi sáng ]]]]]]]]]]]

kẽ đã bị a hất đi trong cí ức huy hoàq cũa ~ môi hôn nồq nàn quá khứ !!!!!

 

...

.

.

.

.

.

.

Ừ thì ngày đó !!!! a đã quỳ xuốq đây , kô píc pao nhiu lần dưới đôi chân ngu ngốx nầj , để xin e đừq đi //////////////////////////<<<<

Và rồi hnay , ở đây .... đôj chân ấy đã chạy theo a nhưq kô còn cịp nữa

Chạy tơj nỗi máu trào ....... nhưq a nào thèm thg* tiếc !!!!!!!!!!!!

  

Đàn ôq !!! mỗi khi đã rũ thỳ phủ vô cùng ............. Nhưq môj quan hệ của chúq tar , đã vượt qa cáj từ có ---------- thể --------- rũ để a đc quyên phũ vs e .....

*********

em hận anh !!!!

ngàn lần !!!!!

Em hận anh !!!!!!

bỡj vì ta đã qá yêu* nhâo ........ hay ít ra là <<<<<.....

em đã qá yu* anh !!!!!!!!!!!!!!!!!!

.

.

.

...........

 

At EHBK, Maastricht Airport,

"The flowers of late winter and early spring occupy places

in our hearts well out of proportion to their size."

~ Gertrude S. Wister

Arriving on 06 @ Southend from Jeddah 11th July 2013.

- HPBD to PonzYêo :-*:-* Hónì cũa lòq tui ... : ) Tui là tui thưn pà Ponz lắm nhea :"> Yêo pà nhức nà MoahzzMoahzzz ~ :'p* Pà là pạq thưn cũa tui từ hòi L1 r đór pà nhớ hoămmm ? : ) Mõi lầq tui pùn pà cũq pêq cạh an ủi tui ... ^^ Tui dui thì pà ở pêq chia sẽ ^^ Pỡi d. , tui xem pà như chị em w' tui d. áq :"> Pà pùn tui cũq pùn , pà dui tui cũq dui : ) Yêo pà lắm lắm lắm luôq áq ^^

--------------------------------------------------

P/s : HPBD to my BestFriend . Best Friend Forever :"> Sn dd nhea Ponz , hp w' a Thanh qoài nhea ... Thêm 1t~ k khóc nhè nữa nè . Ngày càq xih w' dth* nhea ... Moahzzz ~

  

- Chúc mừq sinh nhật Ôxõaaaaaa nhaaaaaa :****

 

- Lớq thêm 1tũi oài đó ^^ Phải sngỉ chíq chắq hơq 1chút nửa , phải nqlớq thêm 1chút nữaaa , lm dì củq fãi sngỉ kỉ hiệc kỉ , fãi sngỉ cho mình nửa é , biết chưaaaaaa !? Lớq oài , phải b' thương bxõa nhìu hơq nửa , nqe lời bxõa hơq nửa , lì là tán cm luôq á =))))

 

- Đôi lúc buồq , đôi lúc khóc , đôi lúc dận hờq , đôi lúc cãi nhau nhưq mình đâu có xa nhau đâu anh har >:) ^^ Tuy Em b' thời dan mình qen nhau k lâu ( ms nửa tháq hoi ToT ) nhưq mà đâu có qtrọq đâu đúq hog ^^ Chỉ cầq lnào mình củq ngỉ dề nhao , lo lắq , qtâm cho nhau thì dù có blâu đi nửa củq kbh là đủ :">

 

- Mổi lầq , vô tìq nqe anh nhắc tới ' ThePast ' úf anh mà troq lòq Em nhói >.:) Ừ thì Em gen ^^ Nhưq troq TìnhYêu á GhenTuôq là chiện bthg mà hìhì ^^

 

- Nói chuq là HPBD AnhYêu <3 Snhật duôi dẻ nqen chóaaa :'3 EmYêuAnhhhhhhh <3

 

- Em dừq ỡ đăi nhee , Em mà nói nửa là lát hồi lạc chủ đề Em đ' b' mình nói clq dì luôq á =)))))

 

Nlề : Chùa là châq dài tới nách luôq á =)))))

 

18-04-2015

 

A final long distance shot of this smokey old girl as it climbs out from runway 08 in superb sunshine. What a beast!

- A là tk Zét rấc lịc sự .. ăn nói vhóa :))

- Ct thì thôi ... mà s e làm căq qớ :-j

- TÉ nhẹ :')

 

----------------------------------------------------------------------------------------

  

nlề : <3 T.thần cụa a :*

Anthony Schepsis

anthonyschepsis.org/

  

Orthopedic surgery

  

Orthopedic surgery or orthopedics (also spelled orthopaedic surgery and orthopaedics in British English) is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, sports injuries, degenerative diseases, infections, tumors, and congenital disorders.

  

Nicholas Andry coined the word "orthopaedics" in French as orthopedie, derived from the Greek words orthos ("correct", "straight") and paideion ("child"), when he published Orthopedie (translated as Orthopaedia: or the Art of Correcting and Preventing Deformities in Children) in 1741. The correction of spinal and bony deformities became the cornerstone of orthopedic practice.

  

In the US orthopedics is standard, although the majority of college, university and residency programs, and even the American Academy of Orthopaedic Surgeons, still use the spelling with the Latinate digraph ae. Elsewhere, usage is not uniform; in Canada, both spellings are acceptable; orthopaedics usually prevails in the rest of the British Commonwealth, especially in the UK.

  

History

  

Jean-Andre Venel established the first orthopedic institute in 1780, which was the first hospital dedicated to the treatment of children's skeletal deformities. He is considered by some to be the father of orthopedics or the first true orthopaedic surgeon in consideration of the establishment of his hospital and for his published methods.

  

Antonius Mathysen, a Dutch military surgeon, invented the plaster of Paris cast in 1851. Many developments in orthopedic surgery resulted from experiences during wartime. On the battlefields of the Middle Ages the injured were treated with bandages soaked in horses' blood which dried to form a stiff, but unsanitary, splint. Traction and splinting developed during World War I. The use of intramedullary rods to treat fractures of the femur and tibia was pioneered by Gerhard Küntscher of Germany. This made a noticeable difference to the speed of recovery of injured German soldiers during World War II and led to more widespread adoption of intramedullary fixation of fractures in the rest of the world. However, traction was the standard method of treating thigh bone fractures until the late 1970s when the Harborview Medical Center in Seattle group popularized intramedullary fixation without opening up the fracture. External fixation of fractures was refined by American surgeons during the Vietnam War but a major contribution was made by Gavril Abramovich Ilizarov in the USSR. He was sent, without much orthopedic training, to look after injured Russian soldiers in Siberia in the 1950s. With no equipment he was confronted with crippling conditions of unhealed, infected, and malaligned fractures. With the help of the local bicycle shop he devised ring external fixators tensioned like the spokes of a bicycle. With this equipment he achieved healing, realignment and lengthening to a degree unheard of elsewhere. His Ilizarov apparatus is still used today as one of the distraction osteogenesis methods.

  

Ruth Jackson became the first female Board-certified Orthopaedic Surgeon in the U.S in 1937. Orthopedics continues to be a male-dominated field. In 2006, 12.4% of orthopedics residents were women.

  

David L. MacIntosh pioneered the first successful surgery for the management of the torn anterior cruciate ligament (ACL) of the knee. This common and serious injury in skiers, field athletes, and dancers invariably brought an end to their athletics due to permanent joint instability. Working with injured football players, Dr MacIntosh devised a way to re-route viable ligament from adjacent structures to preserve the strong and complex mechanics of the knee joint and restore stability. The subsequent development of ACL reconstruction surgery has allowed numerous athletes to return to the demands of sports at all levels.

  

Modern orthopedic surgery and musculoskeletal research has sought to make surgery less invasive and to make implanted components better and more durable.

  

Training

  

In the United States, orthopedic surgeons have typically completed four years of undergraduate education and four years of medical school. Subsequently, these medical school graduates undergo residency training in orthopedic surgery. The five-year residency consists of one year of general surgery training followed by four years of training in orthopedic surgery.

  

Selection for residency training in orthopedic surgery is very competitive. Approximately 700 physicians complete orthopedic residency training per year in the United States. About 10 percent of current orthopedic surgery residents are women; about 20 percent are members of minority groups. There are approximately 20,400 actively practicing orthopedic surgeons and residents in the United States. According to the latest Occupational Outlook Handbook (2011–2012) published by the United States Department of Labor, between 3–4% of all practicing physicians are orthopedic surgeons.

  

Many orthopedic surgeons elect to do further training, or fellowships, after completing their residency training. Fellowship training in an orthopedic subspecialty is typically one year in duration (sometimes two) and sometimes has a research component involved with the clinical and operative training. Examples of orthopedic subspecialty training in the United States are:

  

Hand surgery

  

Shoulder and elbow surgery

 

Total joint reconstruction (arthroplasty)

  

Pediatric orthopedics

  

Foot and ankle surgery

   

Spine surgery

   

Musculoskeletal oncology

 

Surgical sports medicine

   

Orthopedic trauma

 

These specialty areas of medicine are not exclusive to orthopedic surgery. For example, hand surgery is practiced by some plastic surgeons and spine surgery is practiced by most neurosurgeons. Additionally, foot and ankle surgery is practiced by board-certified Doctors of Podiatric Medicine (D.P.M.) in the United States. Some family practice physicians practice sports medicine; however, their scope of practice is non-operative.

   

After completion of specialty residency/registrar training, an orthopedic surgeon is then eligible for board certification by the American Board of Medical Specialties or the American Osteopathic Association Bureau of Osteopathic Specialists. Certification by the American Board of Orthopaedic Surgery or the American Osteopathic Board of Orthopedic Surgery means that the orthopedic surgeon has met the specified educational, evaluation, and examination requirements of the Board. The process requires successful completion of a standardized written exam followed by an oral exam focused on the surgeon's clinical and surgical performance over a 6-month period. In Canada, the certifying organization is the Royal College of Physicians and Surgeons of Canada; in Australia and New Zealand it is the Royal Australasian College of Surgeons.

  

In the United States, specialists in hand surgery and orthopedic sports medicine may obtain a Certificate of Added Qualifications (CAQ) in addition to their board primary certification by successfully completing a separate standardized examination. There is no additional certification process for the other subspecialties.

  

Practice

  

According to applications for board certification from 1999 to 2003, the top 25 most common procedures (in order) performed by orthopedic surgeons are as follows:

   

1.Knee arthroscopy and meniscectomy

   

2.Shoulder arthroscopy and decompression

   

3.Carpal tunnel release

   

4.Knee arthroscopy and chondroplasty

   

5.Removal of support implant

   

6.Knee arthroscopy and anterior cruciate ligament reconstruction

   

7.Knee replacement

   

8.Repair of femoral neck fracture

   

9.Repair of trochanteric fracture

   

10.Debridement of skin/muscle/bone/fracture

   

11.Knee arthroscopy repair of both menisci

   

12.Hip replacement

   

13.Shoulder arthroscopy/distal clavicle excision

   

14.Repair of rotator cuff tendon

   

15.Repair fracture of radius (bone)/ulna

   

16.Laminectomy

   

17.Repair of ankle fracture (bimalleolar type)

   

18.Shoulder arthroscopy and debridement

   

19.Lumbar spinal fusion

   

20.Repair fracture of the distal part of radius

   

21.Low back intervertebral disc surgery

   

22.Incise finger tendon sheath

   

23.Repair of ankle fracture (fibula)

   

24.Repair of femoral shaft fracture

   

25. Repair of trochanteric fracture

  

A typical schedule for a practicing orthopedic surgeon involves 50–55 hours of work per week divided among clinic, surgery, various administrative duties and possibly teaching and/or research if in an academic setting. According to the AMGA Medical Group compensation and financial Survey, an Orthopedic surgeon's median salary is around $500,672.

  

Arthroscopy

  

The use of arthroscopic techniques has been particularly important for injured patients. Arthroscopy was pioneered in the early 1950s by Dr. Masaki Watanabe of Japan to perform minimally invasive cartilage surgery and reconstructions of torn ligaments. Arthroscopy helped patients recover from the surgery in a matter of days, rather than the weeks to months required by conventional, 'open' surgery. It is a very popular technique. Knee arthroscopy is one of the most common operations performed by orthopedic surgeons today and is often combined with meniscectomy or chondroplasty. The majority of orthopedic procedures are now performed arthroscopically.

 

Arthroplasty

   

The modern total hip replacement was pioneered by Sir John Charnley in England in the 1960s. He found that joint surfaces could be replaced by metal or high density polyethylene implants cemented to the bone with methyl methacrylate bone cement. Since Charnley, there have been continuous improvements in the design and technique of joint replacement (arthroplasty) with many contributors, including W. H. Harris, the son of R. I. Harris, whose team at Harvard pioneered uncemented arthroplasty techniques with the bone bonding directly to the implant.

  

Knee replacements using similar technology were started by McIntosh in rheumatoid arthritis patients and later by Gunston and Marmor for osteoarthritis in the 1970s developed by Dr. John Insall in New York utilizing a fixed bearing system, and by Dr. Frederick Buechel and Dr. Michael Pappas utilizing a mobile bearing system.

  

Uni-compartmental knee replacement, in which only one weight-bearing surface of an arthritic knee is replaced, is an alternative to a total knee replacement in a select patient population.

  

Joint replacements are available for other joints on a limited basis, most notably shoulder, elbow, wrist, ankle, spine, and fingers.

  

In recent years, surface replacement of joints, in particular the hip joint, have become more popular amongst younger and more active patients. This type of operation delays the need for the more traditional and less bone-conserving total hip replacement, but carries significant risks of early failure from fracture and bone death.

  

One of the main problems with joint replacements is wear of the bearing surfaces of components. This can lead to damage to surrounding bone and contribute to eventual failure of the implant. Use of alternative bearing surfaces has increased in recent years, particularly in younger patients, in an attempt to improve the wear characteristics of joint replacement components. These include ceramics and all-metal implants (as opposed to the original metal-on-plastic). The plastic (actually ultra high-molecular-weight polyethylene) can also be altered in ways that may improve wear characteristics.

  

Orthopedic Surgery

  

Massachusetts Board of Medicine

  

Dr. Anthony Schepsis,board of medicine, medicine board, massachusetts medicine board, massacusetts board of medicine, mass rmv, massachusetts, orthopedic surgeons, mass gov

Maastricht Aachen Airport (MST/EHBK), 26.07.2017

 

Lining up on rwy 21 for departure to Stockholm.

Природа Прихоперья

Gái mấc trinh mà cứ ngĩ mìk là đại minh tinh

Xắu xí chếc mọe mà cứ khoái chãnh chọe

Ngĩ mìk là ai hotgơ hay minơ dìe soi gươq đy mắi má

Làm c.gái thỳ dữ cái thân đy có cái thân hôq cũq k béc dữ làm dì sốq

Lớn lên làm ngề dì ngoài 2 chữ đĩ và điếm :j*

Cho tiền m xài thỳ xe ai m cũq dám bc' lêq Hi sih thễ xác mặc cko ng đó m k cầq béc têq

Đes nằi of 1 ng chị thấy hay nên viết dô thôi k chữi ai đău nhóe

______________________________________________________________

Lề:Chỉ 1 câu nói !!

Cũng khiến E rơi nước mắt :(

Là E yếu đuối !

Hay A nói mà khôg cần suy nghĩ đến cảm nhận của E ....!!

 

Cứ việc chùa nếu tụi băi ngị tụi băi là ckó =)))))))

Đọc đes, xem hìh thỳ cmt*+note or fav đy ty thưq nhèo nhèo :-*

Ola :tynho.doll

Yh: ty.3biez_q12 [nik mới]

Mến thỳ add lm qen add mà kiễq thỳ thoi đừn't add ngaz

VP-CAQ

B.737-2V6

Maastricht 20-07-2017

#elections2018

#philippecouillard #francoislegault #jeanfrancoislisee #manonmassé

ÉLECTIONS QUÉBEC 2018, LUNDI 1er octobre

14 degrés Celsius et soleil...

« Belle journée pour aller voter »

Que le meilleur gagne!

Ma projection des résultats en tant que citoyen:

60 LIB, 40 CAQ, 23 PQ et 2 QS.

À suivre...

www.electionsquebec.qc.ca/provinciales/fr/pourquoi-voter.php

 

ELECTIONS QUÉBEC 2018, MONDAY October 1st

14 Celsius and sunny

A nice day to go and vote »

May the best win!

My projection of the final result as a citizen:

60 LIB, 40 CAQ, 23 PQ and 2 QS.

To be continued...

www.electionsquebec.qc.ca/provinciales/fr/pourquoi-voter.php

“The crest and crowning of all good, life's final star, is Brotherhood.”

~ Edwin Markham ~ (American Poet, best-known for his poem of social protest, 1852-1940)

 

“Love is a portion of the soul itself, and it is of the same nature as the celestial breathing of the atmosphere of paradise.”

~ Victor Hugo ~

 

"Man must evolve for all human conflict a method which rejects revenge, aggression and retaliation. The foundation of such a method is love."

 

~ Martin Luther King Jr. ~

 

For six word story

 

Departing Southend with a long take off run to Jeddah 8th August 2013.

mỏ z. mà Týt kiu Ty chu mỏ zãh :))

s' Týt nỳ hài thật :))=))

đáq iu k mng` ???

--------------------------------

có t.iu mới r`

mà s zẫn chưa qên đk a

e đã cố gắq rất nhìu

mà s càq ngày càq k thể qên a

e k mún lm` ai tổn thg* mà s a cứ lm` e tổn thg*

thíx thỳ a qtâm k thíx thỳ a k nc lơ nunz

lm` s e chịu nỗi

đau qá

a àq

tym e nèk

a đâm mẹ nó nunz đy

thà đau 1 lần chứ a đừq lm` e đau qài

thật sự eya lm'

lm` s đây

đau đau đau

zà e cứ

khóx khóx khóx

pík hk hãk :(

a hp r`

nhớ e lm` cky

e chỹ là qá khứ

còn h.tại a chỹ pík ngt

ùkm hp of a mà

mún s cũq đk

e sẽ iuuuuuuuuuuuuuuuuuuu a rất nhìu

------------------------------------

P/s : Có nhữq cái kết còn đau hơn cả cái chết : (

  

my caq group is having underwear issues this week. so for my pic for the group, i think, how about no underwear?

 

"Life is like underwear, should be changed twice a day"

~Ray Bradbury A Graveyard for Lunatics.

  

ok, red hot for the msh group- while not my thing, she must be red hot -there are over 1000 views on this one! this is not X-rated, just maybe PG-13?

 

alan says: Admission to the flea market - $2

Lunch - $3

Cool find - $20

Picture of butt crack - priceless

 

Alan_I_think's master card commercial ( flickr.com/photos/15582922@N00/ ). Check out his awesome bubbles!

- Em chẳq là dì cả - Em chỉ là Em thôi :'x

- Là 1nqừi bìq thườq hôq có dì nổi bật : ))*

- Hôq hơnq nqừi ta về *VậtChất* :'j

- Càq hôq thể làm nqừi khác nqâi nqất vì *VẻBềNqoài* :'>

- Em chỉ cần Anh - *NqườiEmYêu* qiữ lấi Em khi Em buôq đi tấc cả : )

- *EmYêuAnh*

__________________________________________________________

Hiện h theo phoq trào qa face chơi :) www.facebook.com/ponguyen.ponguyen.3?ref=tn_tnmn#!/ponguy... Add face tui đi mnqừi :*

"Today a new sun rises for me; everything lives, everything is animated, everything seems to speak to me of my passion, everything invites me to cherish it."

 

~- Anne De Lenclos

     

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