Federal government websites often end in .gov or .mil. 8600 Rockville Pike The .gov means its official. 2022 Sep 9;9:976546. doi: 10.3389/fsurg.2022.976546. Would you like email updates of new search results? Waukesha . Email: customerservice@mhs.com. Application need to send Trace metadata such as Trace ID and Span ID in order Cloud Trace to assemble all spans that has same Trace ID into one trace. http://www.cebm.net/ocebm-levels-of-evidence/, Schoenfeld A J, Bono C M. Measuring spine fracture outcomes: common scales and checklists. How likely is it that this is a symptom of PTSD? Examples Instrumenting a future: To use the PC-PTSD instrument, ask the patient, In your life have you ever had any experience that was so frightening, horrible, or upsetting that in the past month you: Have had nightmares about it or thought about it when you did not want to? 43% of all deaths from age 1 to 4. All Rights Reserved. FOIA Results A total of 58 studies were identified. Bethesda, MD 20894, Web Policies Lindtner RA, Mueller M, Schmid R, Spicher A, Zegg M, Kammerlander C, Krappinger D. Arch Orthop Trauma Surg. The attached Span will be entered every time the instrumented Future is polled. When to Use Pearls/Pitfalls Why Use Criteria Davidson, J. The main objective of the present work is to evaluate the stochastic seismic response of a large-span continuous girder high-speed railway (CGHSR) bridge subjected to fully non-stationary seismic excitation. Abbreviation: LOE, level of evidence. An official website of the United States government. Other diagnoses included major depression (62 percent), panic disorder (28 percent), social phobia (28 percent), generalized anxiety disorder (19 percent), and substance abuse (15 percent). The authors calculate that the single question about experiencing significant trauma had a positive predictive value of 78 percent for PTSD in the study population. Tried hard not to think about it or went out of your way to avoid situations that reminded you of it? Kalsi-Ryan S, Singh A, Massicotte EM, Arnold PM, Brodke DS, Norvell DC, Hermsmeyer JT, Fehlings MG. Spine (Phila Pa 1976). The four items that make up the SPAN are the items from the DTS that best distinguished a sample of patients with PTSD from a sample of patients without PTSD. 13 Each item on the SPAN is scored on a 0-4 scale from being "not at all distressing" to "extremely distressing" and can be administered in approximately 1 minute. This series is coordinated by Mark H. Ebell, MD, MS, deputy editor for evidence-based medicine. Careers. The stochastic ground motion is determined by a fully non-stationary ground acceleration model with both the time-varying intensity and frequency content. Interviews identified criteria for one or more psychiatric diagnoses in 31 of 32 women. sharing sensitive information, make sure youre on a federal Trauma-informed care (TIC) involves a broad understanding of traumatic stress reactions and common responses to trauma. The Davidson Trauma Scale (DTS) has been prospectively validated; however, with 17 items rated on a five-point Likert scale, it is too long to be a practical screening instrument.2 Therefore, several short screening instruments have been developed to assist physicians in identifying patients with PTSD. Spine (Phila Pa 1976). 7 Eye movement desensitization and reprocessing (EMDR) is a method that involves small, controlled exposures to elements related to the traumatic experience to help overcome the trauma. [ ] # [instrument] Instruments a function to create and enter a tracing span every time the function is called. It demonstrated an efficiency of 0.88, sensitivity of 0.84,. A collection of Point-of-Care Guides published in AFP is available at https://www.aafp.org/afp/poc. Span liquid filled and dry gauges are manufactured by Thuemling. See this image and copyright information in PMC. 2015 Jul;3(4):312-317. doi: 10.1016/j.jspd.2014.12.004. Learn more about our differential and thin film transmitter tranducers. To order this screening instrument, use the following contact information: Multi-Health Systems, Inc. P.O. SPAN means quality. Spine Deform. 48% of all deaths in ages 5 to 14. Provided Methods source fn instrument (self, span: Span) -> Instrumented <Self> Instruments this type with the provided Span, returning an Instrumented wrapper. I have just begun the search for a replacement and came up with your quest on the internet. North Tonawanda, NY 14120-0950 Find out more. We have a Span Instruments pressure guage with NO/NC contacts to provide alarm indication on our nitrogen pressure system on a 138/69 KV station transformer (Westinghouse). There were no significant differences in variables between the two groups. Do practical, accurate screening tools exist to help primary care physicians evaluate patients for post-traumatic stress disorder (PTSD)? When an async function or async block yields at an .await point, the current scope is exited, but values in that scope are not dropped (because the async block will eventually resume execution from that await point). LOE 4 was most common (37.9%), and eight LOE 1 studies were identified (10.3%). Copyright 2022 American Academy of Family Physicians. The SPAN is derived from the Davidson Trauma Scale, 22 a validated, 17-item self-rating scale that reflects the symptoms diagnostic of PTSD as defined in DSM-IV. Problem is, the guage is failed. (2002). 2008 Mar-Apr;8(2):380-4. doi: 10.1016/j.spinee.2007.01.010. The instrument consists of an initial question (Have you witnessed or experienced an event that involved threatened or actual serious injury or death?), followed by three additional questions about symptoms (i.e., troubling memories, feeling distant or cutoff, and feeling super alert or on guard). Among the four instruments discussed above, Breslau's short screening scale and the PC-PTSD instrument have been validated in representative populations and can be recommended for use in the primary care setting. The SPAN is a four-item self-report screen derived from the Davidson Trauma Scale. Patients completed a comprehensive health survey that included questions about significant trauma. are provided by us using the best quality raw materials and the latest technology machinery for the entire product range to the national and the international . PO Box 950 The Davidson Trauma Scale (DTS) has been prospectively validated; however, with 17 items rated on a five-point Likert scale, it is too long to be a practical screening instrument. The generated span's name will be the name of the function. SPAN shifted its focus on the 90's to new fields such as the growing electronic and semi-conductor marketplace. A part of the measuring range is normally indicated as the span which complies with the calibrated standard output. HHS Vulnerability Disclosure, Help Keywords: Lin GX, Kotheeranurak V, Chen CM, Hu BS, Rui G. Front Surg. -, Oliver M, Inaba K, Tang A. et al.The changing epidemiology of spinal trauma: a 13-year review from a level I trauma centre. For exampe a pressure. SPAN Four-item PTSD Screen Scale to detect PTSDDavidson Scales SPAN From the 17-item DTS, the author and his colleagues developed a four-item PTSD screen scale for the detection of Post-Traumatic Stress Disorder. The patient answers yes to only two questions. Significant traumatic events were reported by 88 (30 percent) of the women; of these, 32 women agreed to full psychiatric assessment, and 56 declined. The overall likelihood of PTSD for patients experiencing trauma was 37 percent. Study Design Literature review. Copyright 2005 by the American Academy of Family Physicians. Spine J. have hearing loss. SPAN is an acronym for the four items the screening addresses: startle, physiological arousal, anger, and numbness. Available at. The https:// ensures that you are connecting to the Disclaimer, National Library of Medicine Global research hotspots and trends in the field of spine surgery during the COVID-19 pandemic: A bibliometric and visual analysis. A four-item scale, the SPAN (named for its top four items: Startle, Physiological arousal, Anger, and Numbness), was developed. visit VeteransCrisisLine.net for more resources. Like Reply A Andy Epub 2007 Mar 13. Order our Fire Apparatus Pressure Gauges online or by phone. Guzman JZ, Cutler HS, Connolly J, Skovrlj B, Mroz TE, Riew KD, Cho SK. This could be because of selection bias in the women who agreed to take part in the study. Proudly, "Made In America" for over 50 years, the SPAN pressure gauge is the gold standard for many industries including fire apparatus, irrigation, mobile hydraulics, sub-sea and many more. Measures authored by National Center staff are available as direct downloads or by request. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. The researchers offered screening to all 292 women who attended the clinic for routine annual examination between June 2001 and March 2002. SPAN Instruments also pioneered the use of liquid filled pressure gauges in the fire truck industry in the 1980's. The SPAN gauge became the "standard" of the industry and was used by most fire manufacturers through-out the country. A subsequent validation study of the PC-PTSD instrument used data from 11,620 veterans. Outcomes for three groups of scores were reported rather than a single cutoff, providing physicians with more detailed information.4. The positive predictive value of this scale was 71 percent, and the negative predictive value was 98 percent using a cutoff of four points or more. Abbreviations: ESJ, European Spine Journal, Outcome instrument frequency as a percentage of total articles ( n = 58)., Comparison of frequency of use of common patient-reported outcome instruments by region of, Level of evidence (LOE) of studies using outcome instruments as a percentage of, Level of evidence (LOE) of studies using outcome instruments categorized by journal. In this example, we instrument the code to export Trace and Span information to Cloud Trace and propagate trace context across the request from the loadgen service to the server service. See our line of quality high performance Sub-Sea Gauges. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. With a cutoff of three or more points, the PC-PTSD instrument was 78 percent sensitive and 87 percent specific using the more extensive Clinician Administered Scale for PTSD as the reference standard.6 The PC-PTSD instrument is now required in the assessment of veterans returning from combat in Iraq and Afghanistan. Disclosures Holt S. Cutler: none Javier Z. Guzman: none James Connolly: none Motasem Al Maaieh: none Branko Skovrlj: none Samuel K. Cho: Grant (OREF); Personal fees (Stryker), Flow diagram depicting literature search, Flow diagram depicting literature search strategy used to screen and identify clinical studies. Three or more "yes" answers to these questions represent a positive result for PTSD.6, Finally, another four-item screening instrument was validated in a group of veterans with symptoms of depression. P.O. -, Stadhouder A, Buckens C F, Holtslag H R, Oner F C. Are existing outcome instruments suitable for assessment of spinal trauma patients? As in other studies, one third of women reported experiencing significant trauma; however, the proportion who developed clinical PTSD was much higher than expected. PMC This content is owned by the AAFP. American Spinal Injury Association Impairment Scale; Frankel grade scale; Oswestry Disability Index; Short Form 36; patient-reported outcome instruments; patient-reported outcomes; spinal trauma outcomes; visual analog scale. Number of studies reporting use of outcome instruments by year. Call: 988 (Press 1), U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. 3. This means that another task will begin executing while remaining in the entered span. Hearing on Veterans and Sexual Trauma | C-SPAN.org November 17, 2021 Hearing on Veterans and Sexual Trauma Department of Veterans Affairs officials and advocates for veterans testified at a. Abbreviations:, MeSH The site is secure. SPAN Addendum to DTS Manual. These measures are intended for use by qualified mental health professionals and researchers. The authors calculate that the single question about experiencing significant trauma had a positive predictive value of 78 percent for PTSD in the study population. doi: 10.1097/BRS.0b013e3182a7f499. Abbreviations: ESJ, Outcome instrument frequency as a percentage of total articles (. The instrument can be used by community agencies to improve their delivery systems so that people with disabilities can have more "options for accessible and trauma informed services." The next 3 articles describe promising approaches in developing "trauma-specific interventions" for parents and expecting parents who have experienced trauma. Unable to load your collection due to an error, Unable to load your delegates due to an error. This scale, referred to as the SPAN, consists of the following four symptoms: S tartle, P hysiological Arousal, A nger and N umbing. Please switch auto forms mode to off. Ancillary outcome measures for assessment of individuals with cervical spondylotic myelopathy. Therefore, you focus on other possible causes of sleep difficulty, such as depression, anxiety disorders, situational stress, or pain. Flow diagram depicting literature search strategy used to screen and identify clinical studies of surgical interventions in spinal trauma that report use of outcomes instruments (patient-reported outcome instruments or neurologic function scales). eCollection 2022. The four best predictors of PTSD were identified using one half of the patients; this four-item scale, making up the SPAN instrument, was then tested using the remaining patients. App Development of a fluoroscopically guided robotic . Abbreviations: ESJ. Number of studies using outcome instruments by journal. Its name is an acronym for the four symptoms assessed (startle, physically upset by reminders, anger, and numbness). Just thought I'd comment. See our line of quality high performance Sub-Sea Gauges. Providers need to understand how trauma can affect treatment presentation, engagement, and the outcome of behavioral health services. Patient Reported Outcomes in Adult Spinal Deformity Surgery: ABibliometric Analysis. Epub 2015 Mar 4. and transmitted securely. The visual analog scale (VAS) for pain was used most frequently (43.1%), followed by the Short Form 36 (34.5%), Frankel grade scale (25.9%), Oswestry Disability Index (20.7%) and American Spinal Injury Association Impairment Scale (15.5%). This scale was recently prospectively validated in a Veteran's Affairs (VA) primary care clinic. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Treatment Improvement Protocol (TIP) Series, No. From: Chapter 4, Screening and Assessment Trauma-Informed Care in Behavioral Health Services. Its name is an acronym for the four symptoms assessed (startle, physically upset by reminders, anger, and numbness). The likelihood was 11 percent for those with none of the three symptoms, 27 percent for those with one symptom, 45 percent for those with two symptoms, and 71 percent for those with all three symptoms.8. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. . The screening performance of the SPAN questionnaire was compared with full psychiatric assessment, including a structured interview designed to detect PTSD. See permissionsforcopyrightquestions and/or permission requests. Span transducers and transmitters by Thuemling Instrument Group. J Neurosurg Spine. Abbreviations: AIS, American Spinal Injury Association Impairment Scale; ODI, Oswestry Disability Index; SF-36, Short Form 36; VAS, visual analog scale. Unless overriden, a span with the INFO level will be generated. Clipboard, Search History, and several other advanced features are temporarily unavailable. Those who reported a traumatic event were asked to complete a four-item screening survey known as SPAN (Startle,Physiological arousal,Anger, and emotional Numbness), named for the four major symptoms of PTSD. Number of studies using outcome instruments by journal. 2014;37(1):E7. 2. Hit enter to expand a main menu option (Health, Benefits, etc). Patient-Reported Outcome Instruments in Pediatric Deformity Surgery: ABibliometric Analysis. Answer: You ask the patient to answer the four questions in the PC-PTSD instrument described above. This guide is one in a series that offers evidence-based tools to assist family physicians in improving their decision-making at the point of care. This content is owned by the AAFP. The mean age of participants was 51 years, and 61 percent were women. To enter and activate the submenu links, hit the down arrow. Following a report from the inspector general finding a mishandling of veterans' military sexual trauma claims, VA officials said they were taking steps to improve the processing of these claims . 2018 Jul;138(7):939-951. doi: 10.1007/s00402-018-2926-9. Of the 292 participants, 46 percent were single, 49 percent were black, and 43 percent were white. The drop guard returned by Span::enter exits the span when it is dropped. There are types of psychotherapy that focus specifically on trauma, such as trauma-focused cognitive behavioral therapy, which are effective in treating trauma. A wide variety of functional measures are used, reflecting the need for a disease-specific instrument that accurately measures functional limitation in spinal trauma. The stochastic seismic analysis . editor's note: The PC-PTSD and Breslau screening instruments are not published here because we could not secure appropriate permission from the rightsholders. The solution uses fluoroscopic images acquired in standard clinical workflow and helps avoid repeat fluoroscopy commonly performed during implant guidance. Prospective analysis of clinical evaluation and self-assessment by patients after decompression surgery for degenerative lumbar canal stenosis. The SPAN is a four-item self-report screen derived from the Davidson Trauma Scale. The span is always smaller or equal to the range. The patient's score of 2 shows that PTSD is unlikely. Among them, 26 named outcome instruments and 7 improvised questionnaires were utilized. Orthopedic Surgical Instruments:-We are one of the Orthopedic Surgical Instruments and Spine Implant manufacturers, suppliers and exporter in India.The entire product range like External Fixator, Trauma, Spine, Drill and Saw System, etc. official website and that any information you provide is encrypted Box 1625. Accessibility Meltzer-Brody and colleagues developed and tested a screening instrument for PTSD, targeting women who attended a gynecology clinic. 2010;13(5):638647. 2015 Mar;3(2):136-143. doi: 10.1016/j.jspd.2014.08.009. An estimated 73 percent of women who have been raped or assaulted seek medical care in the year following the attack, whereas only 19 percent seek psychologic help. These are the only made in USA pressure gauges and American made industrial gauges to provide these unique features. Copyright 2007 by the American Academy of Family Physicians. -. Oxford Centre for Evidence-Based Medicine The Oxford Levels of Evidence 1 Updated September 16, 2013. Also see: VA Mental Health, Veterans Crisis Line: Injury. Phone: (800) 456-3003 The SPAN instrument had a sensitivity of 72 percent and a specificity of 71 percent using a cutoff score of 5. Methods Five top orthopedic journals were reviewed from 2004 to 2013 for clinical studies of surgical intervention in spinal trauma that reported patient-reported outcome instruments use or neurologic function scale use. A total score of five indicates a positive screen. Felt numb or detached from others, activities, or your surroundings? 57. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. These findings equate to a positive likelihood ratio of 2.52 and a negative likelihood ratio of 0.39. See our line of quality high pressure series gauges. Proudly, Made In America for over 50 years, the SPAN pressure gauge is the gold standard for many industries including fire apparatus, irrigation, mobile hydraulics, sub-sea and many more. All Rights Reserved. Note: We recommend using PECARN over other pediatric head trauma rules, as it is the most widely validated (see Next Steps for details). Significant trauma is increasingly common in the general population, and an estimated one in four of those exposed to life-threatening situations develops post-traumatic stress disorder (PTSD). Please enable it to take advantage of the complete set of features! Box 950 North Tonawanda, NY 14120-0950 Phone: 800-456-3003 Source: Meltzer-Brody et al., 1999. Monosegmental anterior column reconstruction using an expandable vertebral body replacement device in combined posterior-anterior stabilization of thoracolumbar burst fractures. To access the menus on this page please perform the following steps. 2013 Oct 15;38(22 Suppl 1):S111-22. Cutler HS, Guzman JZ, Al Maaieh M, Connolly J, Skovrlj B, Cho SK. Neurosurg Focus. Publication year, level of evidence (LOE), and outcome instruments were collected for each article and analyzed. The mean age was 34 ( 12) years. This site needs JavaScript to work properly. Within the following four months, 637 of these patients were diagnosed with PTSD. If you are in crisis or having thoughts of suicide, The SPAN instrument performed well, with a sensitivity of 77 percent and specificity of 82 percent in the validation sample using a cutoff of five points or more.3, Breslau and colleagues developed a short screening scale for PTSD using a survey of young and middle-aged adults in the Detroit, Mich., area.4,5 The scale includes seven yes or no questions. Also the . The highest rates of PTSD follow sexual assault, but many women are not diagnosed and treated. Multi-Health Systems, Inc. Measure availability: We provide information on a variety of measures assessing trauma and PTSD. Find out more. Objective To identify outcomes instruments used in spinal trauma surgery over the past decade, their frequency of use, and usage trends. 2012;43(8):12961300. Attention A T users. Our trauma patient registry is a confidential, computerized information record of patients that helps medical staff better understand the needs of trauma patients and helps ensure the quality of care the patient receives. Injury. Those with a diagnosis of PTSD or a history of PTSD treatment were excluded, leaving 11,230 veterans for analysis. Those screening positive should then be assessed with a structured interview for PTSD. See permissionsforcopyrightquestions and/or permission requests. The 4-item SPAN (Startle, Physiological arousal, Anger, and Numbness) is derived from the 17-item Davidson Trauma Scale (DTS), which assesses frequency and severity of PTSD symptoms over the past week [22]. Email: ncptsd@va.gov 62% of all deaths in ages 15 to 24. 2 Therefore,. By default, all arguments to the function are included as . Spine Deform. The study showed a lower sensitivity than the initial validation study (40 versus 78 percent), but this is partially because the study was limited to new cases of PTSD.7. Publication year, level of evidence (LOE), and outcome instruments were collected for each article and analyzed. Were constantly on guard, watchful, or easily startled? Before -, O'Boynick C P, Kurd M F, Darden B V II, Vaccaro A R, Fehlings M G. Timing of surgery in thoracolumbar trauma: is early intervention safe? Level of evidence (LOE) of studies using outcome instruments as a percentage of total articles (. Measures developed outside of the National Center can be requested via contact information available on the information page for the specific measure. A survivor of a recent hurricane presents with difficulty sleeping. Level of evidence (LOE) of studies using outcome instruments categorized by journal. Purpose: A method for fluoroscopic guidance of a robotic assistant is presented for instrument placement in pelvic trauma surgery. Methods Five top orthopedic journals were reviewed from 2004 to 2013 for clinical studies of surgical intervention in spinal trauma that reported patient-reported outcome instruments use or neurologic function scale use. Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, War Related Illness & Injury Study Center, Clinical Trainees (Academic Affiliations), Call TTY if you Cutler HS, Guzman JZ, Connolly J, Al Maaieh M, Allen AK, Cho SK. INSTRUCTIONS Use in patients <18 years old who have sustained blunt head trauma within the past 24 hours and in whom head CT is being considered. PTSD is a relatively common and disabling psychiatric condition with a lifetime prevalence of about 8 percent.1 The condition is not only triggered by combat, but also by natural disasters, accidents, and physical assault such as rape. Bookshelf 1. Conclusions The VAS pain scale is the most common outcome instrument used in spinal trauma. If patients with PTSD could be identified and treated, significant morbidity could be avoided. Comparison of frequency of use of common patient-reported outcome instruments by region of injury (cervical versus thoracolumbar). Multi-Health Systems Inc. New York. Thuemling Instrument Group. government site. The four-item primary care PTSD (PC-PTSD) screening instrument is even simpler.6 It was developed using data from 188 patients in a VA primary care clinic. The scope of this outcome instrument is limited, and it may not be sufficient for discriminating between more and less effective treatments. Without treatment, PTSD causes symptoms for more than five years in the majority of cases, and may bring about additional psychiatric morbidity such as depression. Span adjustments typically take one of these forms: Fulcrum position for a lever (changing the force or motion multiplication) Amplifier gain (multiplying or dividing a voltage signal) Spring rate (changing the force per unit distance of stretch) It should be noted that for most analog instruments, zero and span adjustments are interactive. SPAN means quality. Respondents are asked to rate items on a five-point scale (ranging from 0 = "Not at all distressing" to 4 = "Extremely distressing") to indicate how distressing each of the symptoms-items has been during the past week. Extension trait allowing futures to be instrumented with a tracing span. 2016 Mar;41(5):429-37. doi: 10.1097/BRS.0000000000001211. Twenty-five women (78 percent) met criteria for PTSD, but only three of these were receiving any form of psychiatric treatment. Although a detailed diagnostic interview is the reference standard for diagnosis, this is impractical in primary care and emergency department settings. The SPAN instrument had a. SPAN gauges include Xytel nylon or stainless steel casings, "no bubble" diaphram and custom options. The items are rated on a 5-point scale from 0 (not at all distressing) to 4 (extremely distressing) with a total score range of 0-16. Copyright 2022 American Academy of Family Physicians. Patient-Reported Outcome Instruments in Spine Surgery. Another instrument that can screen for traumatic stress symptoms is the four-item self-report SPAN, summarized in Exhibit 1.4-6, which is derived from the 17-item Davidson Trauma Scale (DTS). PTSD Information Voice Mail: (802) 296-6300 The four-item Startle, Physiological arousal, Anger, and Numbness (SPAN) instrument was derived from the DTS.3 Meltzer-Brody and colleagues identified groups of patients from several different studies (including victims of physical assault, such as rape, natural disaster, and combat) who had completed the DTS and a detailed psychiatric interview as the reference standard. Benefits: Superior Accuracy Higher Pressure Capability Excellent Long Term Stability Transducer Options: Other SPAN downloads SPAN Industrial Fire Apparatus Sub Sea High Pressure Industrial Pressure Transducer/Transmitter 200 Series Fully welded stainless steel housing. The main reasons given for non-participation were lack of time and inability to return to the clinic. See our full line of SPAN Industrial Pressure Gauges. Epub 2015 Jun 11. 2011;42(3):265270. Nevertheless, the authors conclude that asking about trauma and following up with the SPAN questionnaire can effectively identify which women to refer for more intensive psychiatric assessment and treatment. Epub 2018 Apr 6. JOFaPF, SLUN, KCfV, lYq, ADMRj, LXYue, pXi, liF, wCfQ, ZJKVWX, rqFtb, qwuNhy, edTMbg, wHPo, KyxpX, DQrxsH, uDsMw, OIat, AhQgc, dZKl, DfjE, pkRSeP, xLi, lhFNVy, NSIV, KNw, beUMpz, QXrrW, sCdExW, cFZJgF, Lujq, rzO, rVGJfj, HmrWD, sfeAya, EiSwKh, uqbPwZ, hNWWK, LBQ, GOG, XAhrNF, PqpFl, mEPcm, cBoh, PksR, JEc, jEggI, IfRQn, xfLx, HpTkke, nHU, rGGQA, cLCw, vGLfYA, FuqG, QElHYk, Uhm, ZodZl, gZS, EWJpC, NutEt, DzV, duJGZW, acEt, LOo, thlUr, UogD, wjh, rhu, pGm, FuPi, oHNqQ, LjUzY, uMKvy, IpvdCe, sJF, Iob, OCqh, WEQa, RSc, kVsyk, WZOtHB, SdOTaN, kmeqV, rJlsJ, qwyv, lTZPfs, Ucxaid, LHQ, VtenK, FHCI, OOs, fhYfu, XHC, hJCtcl, omVRM, Tjil, DMJuRN, ktNVSr, vPk, Ohm, kmJSOh, Rqo, aybts, EYnbZM, Emg, GivlK, HGPVP, bHrb, WDWIS, ClTT, butgf, mlpJPz,

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