NewsFlashes
Cover Stories
Dennis Woggon, DC, B.Sc.
clear-scoliosis-case-studyCLEAR Scoliosis: Case Study by Dennis Woggon, DC, B.Sc.   THE PATIENT PRESENTED in 2008 with a 48 degree right thoracic Cobb angle. It was initially diagnosed in 2005 at 25 degrees. The patient had a history of birth trauma. The scoliosis previously was treated with traditional Chiropractic Care. The standard CLEAR Scoliosis examination was performed. Her X-rays revealed...
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Maurice A. Pisciottano, D.C.
the-piezoelectric-sensor-the-heart-of-the-proadjuster-patient-care-system Technique + Business = Results. Within this simple equation is the formula to business success. If you see your practice as a business and implement the most innovative, forward-thinking techniques, you will undoubtedly achieve the results you’re after. In this lesson, I would like to discuss the methodologies of the ProAdjuster patient care system. The business principles we teach our...
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TAC Staff
adjusting-table-shopping-guideWe contacted all of the major adjusting table manufacturers in the chiropractic profession for information and prices on their best selling tables.  We ended up with over a dozen of the best tables you can get at prices that vary from the top of the line to the most cost-effective.  All of the tables and companies featured here offer a...
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John L. Stump D.C., Ph.D., Ed.D.
how-to-build-a-sports-health-care-practice Preface In business, “toke wa karinary” is the Japanese term for “time is money.” The Japanese feel that maximizing these two factors is the key to the success of any endeavor,1 especially the sports health care practice. Many doctors, when they get out of...
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TAC Staff
products-a-software-to-help-you-work-with-insurance-to-get-paid Oftentimes, the tools used will determine the possibility for success in accomplishing any task. Making the right decision with regard to the documentation software, record keeping and other products you use will have a tremendous impact on the heights that your clinic may be able to reach. Use this market review to get to know some of your options.     Acom Product...
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TAC Staff
five-college-presidents-set-the-record-straight"Chiropractic is a remarkable profession with a legacy of dedicated men and women working diligently to make chiropractic universally available. As our profession grew and matured, so did chiropractic colleges.  They set the standard for what we can expect from our future doctors of chiropractic.  Our responsibility is to provide the best chiropractic education possible to the men and...
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Interviews
George Michalopoulos, D.C.
million-dollar-chiropractic-features-dr-george-michalopoulosEach article in the MILLION DOLLAR CHIROPRACTIC series () focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. George Michalopoulos an extremely successful chiropractor who has practiced in Illinois,...
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Steve Thaxton, D.C.
treating-everything-from-anger-to-zygomycosisDr. Steve Thaxton is a graduate of Abilene Christian University (ACU) and Parker College of Chiropractic, a Board Certified Acupuncturist and Rehabilitation Specialist, and Brimhall certified. Dr. Thaxton served as the personal chiropractor and fitness consultant for the rock band Guns N’ Roses for their 2-1/2 year world tour, and has also been Jon Bon Jovi’s personal chiropractor and personal fitness...
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Dr. Deane Mink
million-dollar-chiropractor-interview-with-dr-deane-mink  Dr. Deane Mink's M$C Profile PERSONAL Married to wife, Sue, for 15 years; 7 children:  Mark, 43; Debbie, 41; Mike, 39; Matt, 36; Mitch, 29; Cheri, 32; and Christie, 25; 10 grandchildren. Recreation and Leisure:  Fishing and/or netting shrimp almost every week; boating; weekends at Florida waterfront properties; season ticket holder for Univ. of Florida football team. "GO GATORS!" Professional...
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TAC Staff
interview-with-leander-eckard-dc Dr. Leander Eckard attended his first year of chiropractic college at Palmer College of Chiropractic in Davenport, Iowa, in 1959 and 1960. He transferred to Cleveland College in Kansas City and graduated from there in 1964. Upon returning to his home in Spokane, Washington, he opened his first practice in late 1964. He practiced in the state of Washington...
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Thomas G. E. DePuydt, M.D.
finding-common-grounds-and-goalsThomas DePuydt is an M.D. who specializes in Sports Medicine, and recognizes the importance of taking an integrated approach to treating musculoskeletal injuries. In an interview with The American Chiropractor (TAC), Dr. DePuydt discusses the “paradigm change” which he sees taking place in modern day medicine. TAC: Give our readers some background information about yourself. DePuydt: I grew up in Northern Michigan wanting to...
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Ken Murkowski, DC
dr-dick-versendaal-a-pioneer-of-modern-chiropractic-wellnessDr. Dick Versendaal is one of the last living doctors of chiropractic who studied under Dr. B.J. Palmer. Today, he still practices with the “big idea” in mind.    In a Q & A session with Dr. Ken Murkowski, Dr. Versendaal talks about his past and present.  Also revealed are some of the interesting beginnings of Contact Reflex Analysis® (CRA), as well...
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Nutrition
Barry Sears, Ph.D.
why-it-hurts-pain-and-inflammationPain is often the hallmark of disease. Chronic pain, itself, is not a defined medical condition, but rather a symptom in the body that something has gone awry. Pain usually stems from inflammation of the body’s tissues. Although there is no blood test for pain, the patient is acutely aware of its existence. Throughout the centuries, one of the most pressing...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
battling-the-bulge-is-a-war-against-inflammationIn the Beginning… As a youth, I was one of the many who could not gain weight if he tried. My goal was to gain lean mass; however, I couldn’t even gain body fat back in the high school days. I was very skinny, and being so light was not helpful for my efforts to play baseball and basketball in high...
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Frank J. King Jr., N.D., D.C.
enhancing-the-benefits-of-nutritionIn our culture, we are finding that most patients are open to new ideas and desire to explore alternative therapies to answer their healthcare needs.  Such progressivism is great, but that openness has spawned an enormous and sometimes  unwieldy explosion in alternative healthcare products, procedures, and professions in the market today. In the vast ocean of health products, from...
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Robert G. Silverman DC, DACBN, MS, CNS, CCN, CSCS, CIISN, CKTP, CES, DCBCN, HKC
the-natural-approach-to-treatment-of-high-cholesterol-profilesIt is in the news on a near-daily basis. Research studies address various aspects of it. Many people ask what their doctor can do about it.“It” is cholesterol.The evidence overwhelmingly demonstrates that elevated cholesterol levels greatly increase the risk of death due to cardiovascular diseases (CVD), such as heart attack and stroke. These diseases claimed 927,448 lives in the U.S....
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
what-about-the-recent-glucosamine-studyThe February 23rd, 2006, issue of the New England Journal of Medicine published an article on the treatment of osteoarthritis (OA) of the knee with glucosamine hydrochloride and chondroitin sulfate. Some of the news reports suggested this study demonstrated that glucosamine was ineffective in the treatment of arthritis. A closer look at the article suggests the opposite conclusion may be...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
the-supplements-i-take-and-whyNutritional supplements have been around for a long time. For example, the two oldest companies that currently service our profession are Anabolic Laboratories and Standard Process. Each was family owned some 80 years ago and they remain that way today. As a child, some 35 years ago, I walked into a health food store for the first time. Supplements and various...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
plantar-fascitis-and-orthotic-supportThe classic presentation of plantar fascitis is “a sharp heel pain that radiates along the bottom of the inside of the foot.  The pain is often worse when getting out of bed in the morning.”1  This can occur in runners or other athletes who repetitively land on the foot.  Another susceptible group is middle-aged persons who have spent much time...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
a-non-surgical-approach-to-chronic-knee-painHistory and Presenting Symptoms The patient is a 41-year-old male, who describes persistent pain and occasional stiffness in his left knee, which is not associated with any specific activity.  He reports several years of recurring episodes of medial knee pain that just comes and goes, with no swelling or inflammation.  Previous evaluations, including a knee MRI, have resulted in a diagnosis...
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Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
how-to-get-paid-with-insurance You treat Mrs. Jones today, complete your fee slip, and your insurance staff has every document necessary to bill the claim. They have the application for benefits and/or proper claim forms from the patient, along with the correct policy numbers. The staff also has all of the completed notes/letters of necessity/results required ready as attachments to send with the claims,...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
tight-band-sidelines-fitness-walkerTight Band Sidelines Fitness Walker by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   History and Presenting Symptoms A 34-year-old female reports persistent pain at her right knee with walking. She localizes this pain to the lateral aspect, and says that it becomes worse as she continues her regular fitness walking program. She has been trying to walk three miles daily...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
asymmetrical-pronation-linked-to-juvenile-injury History and Presenting Symptoms A 28-year-old male presents with recurring episodes of moderate low-back pain which always respond well to chiropractic adjustments, but eventually return. He recalls no specific back injuries, and cannot identify any triggering activities. On a Visual Analog Scale, he rates his low back pain currently at about 50mm. He has been able to avoid...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
adult-flatfeet-and-orthotic-support Flatfoot (the absence of a medial longitudinal foot arch) is normally found during early human growth and development.  During childhood, we all start out with little or no arch.  Some people, however, never develop normal feet arches.  This situation differs from the collapse of normal arches due to excessive loading and eventual plastic deformation.  Are “normally” flattened feet a clinical...
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Practice Management
Mark Sanna, D.C.
tipsQ: What effects have the increase in patients seeking alternative healthcare had on the chiropractic profession? A:  The chiropractic profession is situated at the pinnacle of the Mount Olympus of the multi-billion dollar complementary and alternative medicine (CAM) marketplace.  More and more patients are seeking the trusted advice of their doctor of chiropractic in matters of nutritional supplementation and alternative healthcare. ...
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TAC Staff
qaa-advice-from-the-expertsExpanding on Dr. Mark Sanna’s regularly featured Practice Management Tips, this issue we’re adding some bonus tips in celebration of our annual Practice Management issue! That’s right; we’ve asked twelve of the biggest names in chiropractic practice management to share some of their most frequently asked questions and their advice and insights for achieving success in practice and in life!...
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Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
double-your-practice-without-leaving-your-front-doorDouble Your Practice Without Leaving Your Front Door by Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP   Over the years as a practice consultant, I always get the same question: "How can I get more new patients?" This seems to the mantra of the masses! This seems to be the only or best way to build a practice for most. There...
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Tom Owen III, and Todd Osborne, D.C.
dont-confuse-motion-with-progress Over the years, we’ve listened to the stories of hundreds of chiropractors who have asked us to help them make a living doing what they love to do, which is change lives through the healing art of chiropractic. These doctors come to us with a myriad of situations. Some of them seek us out because they are opening their doors...
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Dr. Miles Bodzin, D.C.
design-your-own-drip-education-system I always say it is better to keep a patient for lifetime than it is to keep getting new ones. This is one of the techniques I have used for nearly fifteen years, to build a practice full of 300+visit patients. After all, if you are really seeing people for lifetime wellness care, you should have tons of people with...
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Dr. Richard E. Busch, III, D.C.
how-to-systematize-your-staff Whether you are a seasoned veteran doctor or just setting up shop, one thing is certain: you didn’t spend all those years in school to do administrative and office work. That is why you have a support team. You should be the doctor—free to practice and not tied up in the details. Where do you start, what do you...
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Radiology
Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
idiopathic-wrist-pain History This young adult male patient complains of wrist pain after physical activity. Plain film radiographs showed no abnormalities of any of the bones of the wrist, nor was there any joint disease in the carpal bones. Because of persistent pain, an MRI scan was performed. Diagnosis: Kienbock's Disease  Osteonecrosis may occur at any carpal bone as a result of traumatic...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
osteoarthritis-of-the-handDegenerative Joint Disease (DJD) General considerations: • Non-inflammatory degeneration of joint cartilage with secondary effects on adjacent bone. • The most common form of arthritis. • Synonyms include osteoarthritis. Clinical Features: • Pain, stiffness, crepitus, deformity and swelling, with normal laboratory studies. • Three types identified:  Primary, secondary and erosive. Primary: Unknown cause, 5th-6th decade, females 10-1, weight-bearing joints. Secondary: Known cause, 2nd-6th decade, equal sex distribution, any joint. Erosive osteoarthritis (EOA):...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
partial-agenesis-of-the-c-1-posterior-archEmbryology—Ossification of the first cervical vertebra begins about the seventh fetal week at the lateral masses and proceeds perichondrally in a dorsal direction, creating the posterior arch of the atlas.  In the second year of life, a secondary growth center for the posterior tubercle develops between these neural arches.  Complete fusion of the posterior arch should be noted between the...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R. Alicia M. Yochum, D.C., R.N., B.S.N.
anomalies-of-the-c-1-posterior-arch[Case History] This young adult was in a car accident and has suboccipital pain. Do you see a fracture? Agenesis of the Atlas Posterior Arch Synonyms. Aplasia or congenital absence of the posterior arch. Description. Lack of ossification of the posterior arch of the atlas may be complete and bilateral, may be purely unilateral, or may manifest as small clefts (i.e., spina...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R. Alicia M. Yochum, D.C., R.N., B.S.N. 
fractures-of-the-pubis-and-ischium[Case History] This patient presents following severe trauma to the pelvic region after a motorcycle accident.   Diagnosis:  This patient has bilateral fractures of the superior and inferior pubic rami which has been referred to as a STRADDLE FRACTURE. Fortunately, this patient had no injury to the bladder, as bladder trauma is often present with fractures such as this. Of incidental notation is...
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Terry R. Yochum, D.C., D.A.C.B.R.
spondylolysis-andor-spondylolisthesis-lets-get-it-right-and-stir-things-up The topic of spondylolysis and/or spondylolisthesis has been clouded with confusion for many years. To understand the true etiology as a stress fracture rather than an inherited congenital anomaly or predisposition has been a lifelong quest for me. The normally developing pars interarticulares is a fully ossified structure at birth and without a local synchondrosis to undergo nonunion. There has...
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Rehabilition
Dr. Mark R. Payne, D.C.
dueling-paradigms-why-every-chiropractor-should-embrace-postural-rehabilitation-concepts The seventies and eighties brought huge changes to chiropractic. In the early years, chiropractic was founded around a paradigm of restoring normal spinal alignment (structure), thereby allowing the patient to return to a more optimum state of health (function). Many more traditional chiropractors continue to view patient care strictly within this "structural" paradigm. Consider this from the International Chiropractors...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
child-development-and-structural-supportThe most common questions parents ask us involve concerns over proper development of their children. These developmental questions can spur from anxiety about height, weight, muscle and skeletal development. One area I am asked about quite frequently is a child’s walking or gait pattern. These questions often focus around concerns of not walking by a certain age, concerns about the...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
are-we-checking-for-adlsSeems like today everything is described by initials–in part due to email and texting shortcuts–including how children with special needs can be labeled, ADD (Attention Deficit Disorder), and DD (Developmental Delay) to just name a few. Even many anatomy parts or common chiropractic phrases are better known for their initial description than listing the whole word, such as ACL for...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
evaluating-the-gait-cycle-as-part-of-your-chiropractic-treatment-plan As a doctor of chiropractic, how you perform your initial evaluation and management on a patient may vary greatly from your peers. Many doctors’ examinations include numerous neurological and orthopedic procedures. Do you rely heavily on visual and palpatory findings, range of motion studies, or maybe totally on radiographic findings? For most of us, it is probably a combination...
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Dr. Mark R. Payne, D.C.
managing-fhp-in-the-elderlyI recently got some great questions from a doctor in south Florida who frequently encounters aging patients with large forward head translations, yet have pronounced, sometimes even hyperlordotic, cervical curves. We've all observed this posture, common among elderly patients, but many doctors aren't aware it needs to be managed differently than the typical case of FHP associated with cervical hypolordosis. Typically,...
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Dr. Kirk A. Lee, D.C.
importance-of-foot-function-in-the-gait-cycleImportance of Foot Function in the Gait Cycle by Dr. Kirk A. Lee, D.C.   An essential part of our chiropractic examination should include evaluation of the gaitcycle, with special consideration toward the patientwho has chronic musculoskeletal-related pain. In previous articles we have discussed several components of the gait cycle. Our most recent article talked about how abnormal patterns...
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Techniques
Arlan Fuhr, DC
where-when-and-when-not-to-adjustToday, with more and more studies concluding that the standard methods of chiropractic analysis are unreliable and not reproducible, many doctors of chiropractic are looking for a way to analyze the spine and extremities that can give them assurance.  Activator Methods Chiropractic Technique (AMCT) utilizes a protocol incorporating leg length analysis, pre- and post-adjustment, to determine exactly where, when and...
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Jeanne Ohm, D.C.
the-webster-technique-in-pregnancy-for-safer-easier-birthsChiropractic care is essential for the pregnant mother. Her systems and organs are now providing for two, and their optimal function is critical for the baby’s healthy development. The mother’s spine and pelvis undergo many changes and adaptations to compensate for the growing baby, and the risk of interference to her nerve system is substantially increased. Specific chiropractic care throughout...
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Allan Oolo Austin, DC, DO, NMD, CCRD, CCSP, DAc, FIAMA, CFIS, PhD (Hon)
how-to-prevent-sports-injuries-using-qfunctional-muscle-neurologyqrWithout question the main cause of elite athletes not attaining their goals is injuries.  Debilitating injury to muscles or tendons being the culprit. Much has been discovered in recent years relating to the imbalance mechanisms of aberrant and imbalanced pull pattern muscule function. (Janda, Lewit, Leibenson, et al, etc.) Creating an afferent barrage for a neurosummation effect using the Trigenics...
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Tedd Koren, D.C.
fix-allergies-with-chiropracticYour immune system works to keep you 100% natural, organic, unadulterated, you! It recognizes and destroys bacteria, viri, pollutants, dust, pollen, drugs, tumors, debris and artificial substances (metal and plastic, however, don’t trigger an immune reaction). Many things influence how well your immune system functions: your nervous system, endocrine system, diet, genes and emotions.1-3 Allergens...
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Warren Hammer, D.C.
the-benefits-of-instrument-assisted-soft-tissue-mobilizationExperts agree that a crucial component of healing is soft-tissue treatment. Indeed, since the works of British orthopedist James Cyriax, clinicians have routinely employed cross-friction massage as a means of breaking up the web of adhesions and restrictions that normally form after injury. However, it is my contention that our profession is insufficiently informed about the advantages of soft-tissue methods...
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Ronald J. Grisanti, D.C.
the-most-effective-non-surgical-treatment-for-sports-related-injuriesTransverse friction massage is a powerful, yet underutilized, treatment for tennis elbow, rotator cuff, ankle sprains and many common injuries to the muscles, tendons and ligaments. Cross-friction massage, as it is commonly called, is a technique popularized by the late British orthopedic physician, James Cyriax, one of the foremost specialists in the diagnosis and treatment of musculoskeletal injury and pain...
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