Long term effects of breast implants - Sep 2, 2015 · In summary, contrary to long-standing precepts that are largely based on the equivalence of the weight and volume of conventional silicone and saline breast implants, the breast implant's weight, rather than its volume, is the cause of many postoperative complications and side effects. Long-term stability of the augmented breast directly ...

 
Most complications for Inamed patients through the first 5 years are similar to those reported after the first 3 years. Since it is well known that some complications, such as rupture and capsular contracture, increase over time, women with complications were apparently more likely to leave the study than those who continued.. What does cna long term care insurance cover

Medical implants are devices or tissues that are placed inside or on the surface of the body. Many implants are prosthetics, intended to replace missing body parts. Other implants deliver ...Nov 5, 2018 · INTRODUCTION. Since the temporary tissue expander was introduced by Radovan 1 in 1982, two-stage prosthetic breast reconstruction comprising initial insertion of a tissue expander followed by exchange to an implant after a period of inflation has become a well-established option of breast reconstruction either immediately after mastectomy or later. 2 Most of the current literature concentrates ... Jan 31, 2018 · Its main effects are inhibition of ovulation and thickening of the cervical mucus. Many complications have been associated with subcutaneous contraception, including menstrual disturbances, headache, weight gain, acne, dizziness, mood disturbances, nausea, lower abdominal pain, hair loss, loss of libido, pain at the implant site, neuropathy ... The FDA has recently completed a study on the health effects of ruptured silicone gel breast implants. The study was published in the May 2001 Journal of Rheumatology. Jul 1, 2010 · Other surgical side effects include infection around the implant, swelling and excessive bleeding. Other saline breast implant side effects include under or oversensitive nipples and often the nipples may feel completely numb. The implants also have the potential to break or to leak. Ruptures have occurred although these are typically the ... Between one in 355 to one in 2,200 of these individuals develop the disease depending on type of textured implant, according to recent studies. Currently, there does not seem to be a greater cancer risk based on the type of implant (silicone or saline) or the type of surgery (breast augmentation or reconstruction).Answer: Long term effects of 500cc implants. Hello, insertion of any implant is associated with risks, but insertion of implants that are disproportionately large has additional risks of rippling, sagging, numbness, and other problems. Your surgeon will be able to advise you whether they feel your implant choice is optimal for your body type.Jan 31, 2018 · Its main effects are inhibition of ovulation and thickening of the cervical mucus. Many complications have been associated with subcutaneous contraception, including menstrual disturbances, headache, weight gain, acne, dizziness, mood disturbances, nausea, lower abdominal pain, hair loss, loss of libido, pain at the implant site, neuropathy ... Background: Vestibular dysfunction is likely the most common complication to cochlear implantation (CI) and may, in rare cases, result in persistent severe vertigo. Literature on long-term vestibular outcomes is scarce.Objective: This paper aims to evaluate vestibular dysfunction before and after cochlear implantation, the long-term vestibular outcomes, and follows up on previous findings of ... A post approval study on about 100,000 women who had breast implants has shown the long term effects of the procedure. The two most popular breast implants are the silicon gel and saline solution.Jan 31, 2018 · Its main effects are inhibition of ovulation and thickening of the cervical mucus. Many complications have been associated with subcutaneous contraception, including menstrual disturbances, headache, weight gain, acne, dizziness, mood disturbances, nausea, lower abdominal pain, hair loss, loss of libido, pain at the implant site, neuropathy ... Oct 27, 2021 · In 2019, an F.D.A. panel heard from dozens of women who implored the agency to take action, with many describing debilitating symptoms generally referred to as breast implant illness. Generally, long-term effects can be divided into physical health concerns and psychological/emotional concerns. For physical health concerns, there is a risk of some long-term health problems with breast implants, such as hardening of the implant, rupture, capsular contracture, wrinkling and changes to the sensation of the breast. From the moment silicone compounds became available for implants in humans, long-term effects were of particular concern. It was recognized that subcutaneous implantation of silicone compounds in rodents would produce local tumors at the implantation site. Solid-state carcinogenesis had been discovered in the 1940s and was a well-known ... Other surgical side effects include infection around the implant, swelling and excessive bleeding. Other saline breast implant side effects include under or oversensitive nipples and often the nipples may feel completely numb. The implants also have the potential to break or to leak. Ruptures have occurred although these are typically the ...Answer: Long term effects of 500cc implants. Hello, insertion of any implant is associated with risks, but insertion of implants that are disproportionately large has additional risks of rippling, sagging, numbness, and other problems. Your surgeon will be able to advise you whether they feel your implant choice is optimal for your body type.Although breast implants don’t actually expire, they aren’t guaranteed to last a lifetime. The average saline or silicone implants may last anywhere from 10 to 20 years. However, many are...Sep 2, 2015 · In summary, contrary to long-standing precepts that are largely based on the equivalence of the weight and volume of conventional silicone and saline breast implants, the breast implant's weight, rather than its volume, is the cause of many postoperative complications and side effects. Long-term stability of the augmented breast directly ... US FDA Breast Implant Postapproval Studies: Long-term Outcomes in 99,993 Patients. 2019 Jan;269 (1):30-36. doi: 10.1097/SLA.0000000000002990. To analyze the long-term safety and efficacy outcomes of patients with breast implants. This is the largest study of breast implant outcomes. Silicone implants are associated with an increased risk of ... Aug 21, 2018 · One of the most common side effects of the implant is irregular menstrual bleeding, and this is the main reason for early discontinuation of the implant. 2 In fact, less than a quarter of people using the implant will continue to have regular periods. 3. This change is due to the altered hormone levels in your body with the implant. The FDA in the US, for example, explains that the longer you have breast implants, the more likely it will be for you to have them removed. In addition, their list of risks associated with this procedure is extensive and detailed, ranging from chest wall deformity to toxic shock syndrome. Now, about 50 years after breast implants were first ...After having breast cancer surgery, some women have problems with nerve (neuropathic) pain in the chest wall, armpit, and/or arm that doesn’t go away over time. This is called post-mastectomy pain syndrome (PMPS) because it was first noticed in women who had mastectomies, but it can also happen after other types of breast-conserving surgery ...Jan 22, 2016 · Answer: Long term effects of 500cc implants. Hello, insertion of any implant is associated with risks, but insertion of implants that are disproportionately large has additional risks of rippling, sagging, numbness, and other problems. Your surgeon will be able to advise you whether they feel your implant choice is optimal for your body type. This study provides long-term results of augmentation mammoplasty by a single surgeon (G.P.G.) evaluating available options and reasonable expectations after explantation. Although most of the augmentation patients have a good outcome, some require removal of implants for a variety of reasons and lo …A breast implant is usually required for the desired projection and size. May have complications in the back where the tissue was taken from. Muscle weakness in the back can affect rock climbers, swimmers and tennis players. We're here for you. Call us at 1-877-632-6789 or. request an appointment online. Mastectomy is breast cancer surgery that removes the entire breast. A mastectomy might be done: When a woman cannot be treated with breast-conserving surgery (lumpectomy), which saves most of the breast. If a woman chooses mastectomy over breast-conserving surgery for personal reasons. Age at operation, duration of polyacrylamide hydrogel implantation, history of possible side effects to the gel injection, other intercurrent diseases, the reason for present open breast operation, and breast palpation findings before operation were in each case compared with the histological findings on samples taken from breast tissue ...The term “breast implant illness”, are symptoms such as fatigue, memory loss, rash, “brain fog,” and joint pain that have been reported by some women with breast implants.Generally, long-term effects can be divided into physical health concerns and psychological/emotional concerns. For physical health concerns, there is a risk of some long-term health problems with breast implants, such as hardening of the implant, rupture, capsular contracture, wrinkling and changes to the sensation of the breast.Infection Changes in nipple and breast feeling, which is often temporary Leaking or tearing More surgery, either to remove or replace the implants, might be needed for any of these issues. With certain breast implants there is a low risk of developing a type of cancer known as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).A study done by researchers at the University of Texas MD Anderson Cancer Center suggests that silicone breast implants are associated with a higher risk of certain autoimmune disorders, as well as stillbirth and melanoma. Still, the U.S. Food and Drug Administration (FDA) criticized the study and issued a statement disagreeing with the results ...Aug 14, 2018 · In this article, we look at the short-term and long-term side effects and risks of hormonal birth control. Health Conditions. ... The implant protects from pregnancy for up to 4 years. Reasons for breast implant removal or replacement. There are several different complications that can affect how long breast implants last and when you need to replace your implants. These can include: Breast Hardening or Capsular Contracture: This occurs when scar tissue hardens around one or both implants. This scar tissue can cause tightness ...A contraceptive implant (birth control implant) is a small, flexible rod-like device that your provider inserts under your skin in your inner, upper arm. It releases a steady dose of the hormone progestin into your bloodstream to prevent pregnancy for three years. Nexplanon© is the brand name of the birth control implant.Jan 22, 2016 · Answer: Long term effects of 500cc implants. Hello, insertion of any implant is associated with risks, but insertion of implants that are disproportionately large has additional risks of rippling, sagging, numbness, and other problems. Your surgeon will be able to advise you whether they feel your implant choice is optimal for your body type. Nov 24, 2018 · A post approval study on about 100,000 women who had breast implants has shown the long term effects of the procedure. The two most popular breast implants are the silicon gel and saline solution. The silicone This study provides long-term results of augmentation mammoplasty by a single surgeon (G.P.G.) evaluating available options and reasonable expectations after explantation. Although most of the augmentation patients have a good outcome, some require removal of implants for a variety of reasons and lo … Between one in 355 to one in 2,200 of these individuals develop the disease depending on type of textured implant, according to recent studies. Currently, there does not seem to be a greater cancer risk based on the type of implant (silicone or saline) or the type of surgery (breast augmentation or reconstruction).In the largest study of long-term safety outcomes for patients with breast implants, researchers at The University of Texas MD Anderson Cancer Center have found that silicone implants are associated with some rare diseases, autoimmune disorders and other conditions; although a causative relationship has not been established. Results of the MD Anderson study are consistent with previously ...Breast augmentation, frequently achieved through the use of breast implants, has consistently remained one of the top five most popular plastic surgeries performed worldwide. This procedure, which aims to increase the size, change the shape, or modify the texture of the breasts, often provides individuals with increased self-confidence and satisfaction with their body image. However, […]Nov 28, 2018 · The health risks of breast implants. The team found that women with silicone implants had a higher risk of experiencing rare adverse outcomes, including sclerodermia, rheumatoid arthritis, and Sjogren’s syndrome. The risk of developing these conditions was around six to eight times higher than in the rest of the population, moreover, silicone ... Most complications for Inamed patients through the first 5 years are similar to those reported after the first 3 years. Since it is well known that some complications, such as rupture and capsular contracture, increase over time, women with complications were apparently more likely to leave the study than those who continued.Among the 2171 women with cosmetic breast implants, 30 developed cancer against 33.7 expected (SIR = 0.9,95% CI = 0.6-1.3). There was no evidence for an increase in breast cancer risk (SIR 0.5, 95 ...Its main effects are inhibition of ovulation and thickening of the cervical mucus. Many complications have been associated with subcutaneous contraception, including menstrual disturbances, headache, weight gain, acne, dizziness, mood disturbances, nausea, lower abdominal pain, hair loss, loss of libido, pain at the implant site, neuropathy ...Tissue damage and detachment of the implant due to bacterial production are signs of rejection and failure of the implant. Side effects of metal implants. The long-term presence of a combination of alloys affects the durability of metal implants in the body and cannot be without signs and side effects.implant deflation and rupture. change in breast shape, volume, or sensation. thinning of your breast tissue and skin. calcium deposits. breast discomfort. nipple discharge. dropping or bottoming ...Other long-term birth control options include the: copper intrauterine device (IUD) ParaGard; ... Some people experience side effects from the implant, but many people don’t.Monje A, et al. Impact of maintenance therapy for the prevention of peri-implant diseases: A systematic review and meta-analysis. Journal of Dental Research. 2016;95:372. Muelas-Jimenez M, et al. Long-term survival of dental implants with different prosthetic loading times in healthy patients: A 5-year retrospective clinical study.Post-approval Study Updates: IDEAL IMPLANT Structured Saline Breast Implants, Sientra OPUS Silicone Gel Breast Implants, Mentor MemoryGel Silicone Gel-Filled and MemoryShape Breast Implants ...Jul 11, 2023 · Overall, 70%–80% of biopsies are negative for cancer, and some show signs of benign breast diseases or conditions that increase the risk of breast cancer. This article will explain a breast biopsy, including the purpose, types of biopsy available, risks, contraindications, and interpretation of the results. Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight. Depression or other mood changes. Eyesight changes or loss, bulging eyes, or change in how contact lenses feel. A lump in the breast, breast pain or soreness, or nipple discharge. Flu -like signs.The case in Paris was brought by 2,700 women who said they had suffered long-term health effects after receiving implants manufactured by a French firm which were filled with cheap, industrial ...A post approval study on about 100,000 women who had breast implants has shown the long term effects of the procedure. The two most popular breast implants are the silicon gel and saline solution. The siliconeMar 3, 2022 · Swelling. Redness. Changes in breast or nipple sensation. Implant rupture or leak. Infection. Scarring. Some side effects can last well beyond the healing process. For example, long-term risks of breast implants include: Rupture or deflation: Both saline and silicone gel implants can undergo rupture and deflation. In 2019, an F.D.A. panel heard from dozens of women who implored the agency to take action, with many describing debilitating symptoms generally referred to as breast implant illness.Contraceptive implants are a long-term birth control method. They're also called long-acting reversible contraception, or LARC. A contraceptive implant is a flexible plastic rod about the size of a matchstick that is placed under the skin of the upper arm. The implant releases a low, steady dose of the hormone progestin.Background: Vestibular dysfunction is likely the most common complication to cochlear implantation (CI) and may, in rare cases, result in persistent severe vertigo. Literature on long-term vestibular outcomes is scarce.Objective: This paper aims to evaluate vestibular dysfunction before and after cochlear implantation, the long-term vestibular outcomes, and follows up on previous findings of ...Medical implants are devices or tissues that are placed inside or on the surface of the body. Many implants are prosthetics, intended to replace missing body parts. Other implants deliver ...Early menopause: Certain types of treatment may bring about the onset of menopause, which may cause uncomfortable symptoms such as hot flashes, night sweats, vaginal dryness, and low sexual desire. Fertility issues due to breast cancer treatments such as chemo. Hair loss, a common side effect of chemo.Long-term side effects of birth control pills do occur, but using oral contraceptives generally is considered safe and effective for most people. In some cases, pills that contain estrogen can raise the risk of stroke, blood clots, and heart attacks in some people and should be avoided. For many people, the benefits of using birth control long ...The bottom line. The FDA issued a new warning for breast implants requiring healthcare professionals to communicate the risks and safety concerns associated with implants thoroughly. The warning ...Mastectomy is breast cancer surgery that removes the entire breast. A mastectomy might be done: When a woman cannot be treated with breast-conserving surgery (lumpectomy), which saves most of the breast. If a woman chooses mastectomy over breast-conserving surgery for personal reasons.However, for the long-term success of dental implantation, sustainable long-term performance after bone remodeling is crucial (Tolstunov, 2006). Osseointegration is critical for implant stability and is achieved within 3–6 months after implantation surgery by the turnover activity of the bone (Lin et al., 2009).Biodegradable implants and the possible short-term and long-term foreign body reactions are reviewed in the following sections. FIGURE 1. Biodegradable orthopedic implants. (A) Screws, plates, rods and tacks, commonly utilized for fracture fixation and meniscal repair (reprinted from Ciccone et al. 2001 28 ).The most common birth control implant side effect is spotting (light bleeding or brown discharge), especially in the first 6-12 months. Sometimes the implant causes long-term spotting, or periods can get longer and heavier. But for most people, the implant makes their periods way lighter. And some people even stop getting a period at all while ... Nov 5, 2018 · INTRODUCTION. Since the temporary tissue expander was introduced by Radovan 1 in 1982, two-stage prosthetic breast reconstruction comprising initial insertion of a tissue expander followed by exchange to an implant after a period of inflation has become a well-established option of breast reconstruction either immediately after mastectomy or later. 2 Most of the current literature concentrates ... The case in Paris was brought by 2,700 women who said they had suffered long-term health effects after receiving implants manufactured by a French firm which were filled with cheap, industrial ...Both saline and silicone gel implants are FDA approved and widely considered to be safe, long-term options for dramatically enhancing a woman’s figure. While complications can result with either type of breast implant, they are relatively rare. Can you get breast implant illness with saline implants? Yes.US FDA Breast Implant Postapproval Studies: Long-term Outcomes in 99,993 Patients. 2019 Jan;269 (1):30-36. doi: 10.1097/SLA.0000000000002990. To analyze the long-term safety and efficacy outcomes of patients with breast implants. This is the largest study of breast implant outcomes. Silicone implants are associated with an increased risk of ... May 20, 2021 · The case in Paris was brought by 2,700 women who said they had suffered long-term health effects after receiving implants manufactured by a French firm which were filled with cheap, industrial ... Migration can lead to several complications, including fistulas, adhesions, abscesses and bowel obstruction. It can also cause infections. Symptoms of hernia mesh migration include pain, nausea, fever, chills, vomiting, swelling, redness, skin irritation, fluid buildup and weight loss. Mar 11, 2019 · Titanium is a commonly used inert bio-implant material within the medical and dental fields. Although the use of titanium is thought to be safe with a high success rate, in some cases, there are rare reports of problems caused by titanium. In most of these problematic reports, only individual reports are dominant and comprehensive reporting has ... While breast implants are generally safe for most women, there are potential long-term effects that you should know of before deciding to undergo surgery. This blog will explore why you may be considering breast augmentation, the different types of implants available, and the important long-term effects of breast implants.implant deflation and rupture. change in breast shape, volume, or sensation. thinning of your breast tissue and skin. calcium deposits. breast discomfort. nipple discharge. dropping or bottoming ...After implant removal, your breasts may sag, droop or appear misshapen. Many people choose to have implant removal with a breast lift (mastopexy). During a breast lift, your surgeon removes excess skin and reshapes your breast tissue. If needed, the surgeon can also reposition the nipple and areola. The result is firmer, more elevated breasts. Mar 6, 2022 · Redness. Changes in breast or nipple sensation. Implant rupture or leak. Infection. Scarring. Some side effects can last well beyond the healing process. For example, long-term risks of breast implants include: Rupture or deflation: Both saline and silicone gel implants can undergo rupture and deflation. This occurs when a puncture appears in ... Age at operation, duration of polyacrylamide hydrogel implantation, history of possible side effects to the gel injection, other intercurrent diseases, the reason for present open breast operation, and breast palpation findings before operation were in each case compared with the histological findings on samples taken from breast tissue ...Both saline and silicone gel implants are FDA approved and widely considered to be safe, long-term options for dramatically enhancing a woman’s figure. While complications can result with either type of breast implant, they are relatively rare. Can you get breast implant illness with saline implants? Yes.However, for the long-term success of dental implantation, sustainable long-term performance after bone remodeling is crucial (Tolstunov, 2006). Osseointegration is critical for implant stability and is achieved within 3–6 months after implantation surgery by the turnover activity of the bone (Lin et al., 2009).Jul 11, 2023 · Overall, 70%–80% of biopsies are negative for cancer, and some show signs of benign breast diseases or conditions that increase the risk of breast cancer. This article will explain a breast biopsy, including the purpose, types of biopsy available, risks, contraindications, and interpretation of the results. Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight. Depression or other mood changes. Eyesight changes or loss, bulging eyes, or change in how contact lenses feel. A lump in the breast, breast pain or soreness, or nipple discharge. Flu -like signs.Infection Changes in nipple and breast feeling, which is often temporary Leaking or tearing More surgery, either to remove or replace the implants, might be needed for any of these issues. With certain breast implants there is a low risk of developing a type of cancer known as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).

The bottom line. The FDA issued a new warning for breast implants requiring healthcare professionals to communicate the risks and safety concerns associated with implants thoroughly. The warning .... 2011 ford ranger for sale craigslist

long term effects of breast implants

The most common birth control implant side effect is spotting (light bleeding or brown discharge), especially in the first 6-12 months. Sometimes the implant causes long-term spotting, or periods can get longer and heavier. But for most people, the implant makes their periods way lighter. And some people even stop getting a period at all while ... The typical long-term implications of plastic surgery procedures include the following: – Scarring after any procedure. – Rupture or leakage of breast implants. – Breast asymmetry after breast augmentation. – General dissatisfaction with the results. – Implant displacement. – Capsular contracture.Breast Implants: Expectations vs. Reality. Breast augmentation-- breast implant surgery -- is the top cosmetic surgery performed today, according to the American Society of Plastic Surgeons. A ... Aug 31, 2023 · In 1987, the ASPS said the side effects could make it harder to screen for breast cancer. Side effects of autologous augmentation can include: Dense or hard lumps. Oil cysts, which are growths filled with liquid fat. Calcifications, which are bone-like specks. Infection. The team found that women with silicone implants had a higher risk of rare adverse outcomes, including sclerodermia, rheumatoid arthritis, and Sjogren’s syndrome. The risk of developing these...Aug 27, 2019 · Leaking silicone breast implants can cause health problems as well. ... Helling R, et al. (2012). Characterisation and migration properties of silicone materials during typical long-term ... Infection Changes in nipple and breast feeling, which is often temporary Leaking or tearing More surgery, either to remove or replace the implants, might be needed for any of these issues. With certain breast implants there is a low risk of developing a type of cancer known as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).Swelling. Redness. Changes in breast or nipple sensation. Implant rupture or leak. Infection. Scarring. Some side effects can last well beyond the healing process. For example, long-term risks of breast implants include: Rupture or deflation: Both saline and silicone gel implants can undergo rupture and deflation.The epidemiological literature examining the possible association between silicone breast implants and breast cancer or rheumatological conditions or diseases is far greater today than it was when, in early 1992, FDA determined that the data were not adequate for the assessment of their safety.Breast implant illness (BII) is a collection of symptoms that may be related to breast implants. Though the exact cause isn’t known, BII may be related to autoimmune or inflammatory responses. Common symptoms include fatigue, joint pain, brain fog and rash. Healthcare providers diagnose BII by ruling out other conditions. Nov 24, 2018 · A post approval study on about 100,000 women who had breast implants has shown the long term effects of the procedure. The two most popular breast implants are the silicon gel and saline solution. The silicone The health risks of breast implants. The team found that women with silicone implants had a higher risk of experiencing rare adverse outcomes, including sclerodermia, rheumatoid arthritis, and Sjogren’s syndrome. The risk of developing these conditions was around six to eight times higher than in the rest of the population, moreover, silicone ...After implant removal, your breasts may sag, droop or appear misshapen. Many people choose to have implant removal with a breast lift (mastopexy). During a breast lift, your surgeon removes excess skin and reshapes your breast tissue. If needed, the surgeon can also reposition the nipple and areola. The result is firmer, more elevated breasts.Monje A, et al. Impact of maintenance therapy for the prevention of peri-implant diseases: A systematic review and meta-analysis. Journal of Dental Research. 2016;95:372. Muelas-Jimenez M, et al. Long-term survival of dental implants with different prosthetic loading times in healthy patients: A 5-year retrospective clinical study.Most complications for Inamed patients through the first 5 years are similar to those reported after the first 3 years. Since it is well known that some complications, such as rupture and capsular contracture, increase over time, women with complications were apparently more likely to leave the study than those who continued.Oct 5, 2018 · In some cases, the immune system starts attacking the body. This can result in many different symptoms like joint pain, fatigue, mental confusion, dizziness, fever, and hair loss. Some women with breast implants report many different symptoms that do not fit with the diagnosis of one specific disease. Over time, some women develop a pattern of ... The team found that women with silicone implants had a higher risk of rare adverse outcomes, including sclerodermia, rheumatoid arthritis, and Sjogren’s syndrome. The risk of developing these... Breast augmentation, frequently achieved through the use of breast implants, has consistently remained one of the top five most popular plastic surgeries performed worldwide. This procedure, which aims to increase the size, change the shape, or modify the texture of the breasts, often provides individuals with increased self-confidence and satisfaction with their body image. However, […]May 20, 2021 · The case in Paris was brought by 2,700 women who said they had suffered long-term health effects after receiving implants manufactured by a French firm which were filled with cheap, industrial ... Between one in 355 to one in 2,200 of these individuals develop the disease depending on type of textured implant, according to recent studies. Currently, there does not seem to be a greater cancer risk based on the type of implant (silicone or saline) or the type of surgery (breast augmentation or reconstruction)..

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