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These conditions include Congenital adrenal hyperplasia Disorders of the testicles ovaries or adrenal glands Hypothalamic hamartoma McCuneAlbright syndrome Tumors that release a hormone called hCG Symptoms In girls precocious puberty is when any of the following develop before age Armpit or pubic hair Beginning to grow faster Breasts First period menstruation Mature outer genitals Some evidence suggests that it may be normal for these changes to occur as early as age in Caucasian girls and age in AfricanAmerican girls.No further treatment is necessary in these patients.irregularity present at birth PREFIXES C Select from the following terms to match the descriptions below.tranquilizer <a href=>levitra</a> The hereditary transmission of epigenetic changes is still under discussionHe considered that once solved other questions of his life he was considering starting a stable relationship but he did not completely feel comfortable with himself.They are used to prevent symptoms in people with moderate to severe asthma.
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A NATOMY AND P HYSIOLOGY ORAL CAVITY The gastrointestinal tract begins with the oral cavity.treatmentIn the s the heartlung machine enabled longer procedures including heart transplants pioneered by Christiaan Barnard in see pp. <a href=>priligy equivalent</a> If the diagnosis is established initiate a b blocker e.As a result the natural frequency of the artery is sig nificantly decreased often down to a few hundred hertz.
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spinal cordg.The role of ejaculation in the treatment of chronic bacterial prostatitis CBP is unknown.If any doubt exists electrodiagnos tic studies EMG and nerve conduction studies can clarify the source of nerve compression. <a href=>cialis viagra combo pack</a> Answers to Numerical Exercises Answers to numerical exercises that are provided in the text are not listed here.The patient uses short sentences as few words as possible without grammati cal construction.The light that has been multi ply scattered within the tissue has lost its phase correlation with the illuminating laser beam and therefore also with the reference laser beam.The patient had so displeased Him that there was nothing that the physician could have done.You are more likely to receive these medicines if Your liver function is becoming worse quickly You develop symptoms of longterm liver damage You have high levels of the hepatitis B virus in your blood If you develop rapid liver failure you may need a liver transplant.INOCULATION The placement of a vaccine antigenic substance or serum into the body usually for the purposes of immunization.Thus the endocrine function of the pancreas is another example of homeostasis the bodys ability to regulate its inner environment to maintain stability.Gramnegative sepsis Endocarditis with vancomycin Complicated UTIs P. <a href=>Levitra</a> The study was limited in that it was retrospective and relied on patient reports of surgical menopause and HRT use..Thus Garban et al.Cases also had a longer average length of stay <a href=>buy oratane</a> Change the pads every hours to avoid infection.Encephalitis is a diffuse inflammation of the brain parenchyma and is often seen simultaneously with meningitis. <a href=>levitra generique 40 mg</a> Many patients have more than one type.The doctor will look for Diseases that cause similar problems Diseases that often occur with this condition especially inflammatory bowel disease Gallstones Tests that show cholangitis include Abdominal CT scan Abdominal ultrasound Endoscopic retrograde cholangiopancreatography ERCP Liver biopsy Magnetic resonance cholangiopancreatography MRCP Percutaneous transhepatic cholangiogram PTC Blood tests include Liver enzymes liver function tests Treatment Medications that may be used include Cholestyramine Ursodeoxycholic acid ursodiol Fatsoluble vitamins D E A K Antibiotics for infections in the bile ducts Medications that quiet the immune system prednisone azathioprine cyclosporine methotrexate Surgical procedures Inserting a long thin tube with a balloon at the end to open up narrowing endoscopic balloon dilation of strictures Placement of a drain or tube for major narrowing strictures of biliary ducts Proctocolectomy for those who have both ulcerative colitis and sclerosing cholangitis Liver transplant Outlook Prognosis How well patients do varies.General characteristics see also Clinical PearlD.It is an autoinammatory disease that can run in families.This captures a tiny sample or core of bone marrow within the needle. <a href=>priligy australia release date</a> Thompson The BeastSearch Google ScholarIt may take months before the patient recovers.Kidney yang deficiency could bring on back pain and leg cramps so the advised remedy was jingui shen qiwan the kidney qi remedycontaining among other herbs fu zi aconite root mudan pi peony root fu ling China root and sheng dihuang rehmannia or Chinese foxglove.
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This is illustrated by examining the inflatable safety device used in automobiles see Fig.The electronic pacemaker is basically a pulse generator that produces short peri odic pulses that initiate and control the frequency of the heartbeat.uterine serosa Outermost layer surrounding the uterus. [url=]when will dapoxetine be available?[/url] Syphilis which was so often fatal in early times that it was known as the great poxversus the more familiar smallpox can be congenital in the fetus if it is transmitted from the mother during pregnancy.Very thin sharp needles were then inserted through the skin at specific sites known as acupuncture points to stimulate and redirect qi.B from Daffner RH.Prompt and aggressive steroid treatment is primarily given to prevent involvement of the other eye but it may improve the visual outcome in the affected eye as well.Endocrinology consult is indicated before starting treatment b. [url=]online cialis[/url] Using the binomial theorem show that Eq.The stromal tissue of the nervous system consists of the glial neuroglial cells which make up its supportive framework and help it ward off infection.of the general population.One must go further to identify arterial occlusion as an actual cause because arterial occlusion can be overcome with balloon dilatation andor bypass as an effective treatment. [url=]buy accutane 20mg online europe[/url] leiomyoma leiomyosarcoma internal organs Anterior compartment Lateral compartment Line of incision in fascia B Superficial peroneal nerve A FIGURE A Fasciotomy as treatment for compartment syndrome which is the compression of muscle blood vessels and nerves inside a closed space compartment of the body.. [url=]cheap viagra online[/url] A CXR is usually taken at the end of a full deep inspiration.In addition fat molecules are absorbed into lymphatic vessels from the intestine.Modern chiropractic has refined Palmers techniques but its main attention is still on the manipulation of the spine and musculoskeletal system particularly MODERN MEDICINE to relieve lower back and neck pain.d.Sputum smears are more likely to be negative. [url=]cheapest accutane online[/url] et al.Oncogenes are designated by a three letter name such as abl erb jun myc ras and srcDavis advised Donna that nephrostomy meatotomy nephrectomy would be necessary.Some went as far as making hypnosisbased CD courses for
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c.INH Attacks the enzyme that produces the mycolic acids that comprise the myco bacterial cell walls Resistance to INH develops rapidly if it is used alone.Laryngeal damage during intubationWhen cortisol is released it doesnt directly cause arterial dilation or vasoconstriction. [url=]Viagra Online[/url] ELECTRODE POSITION The operator places the anterior electrode just below the patient s right collarbone.About to percent of patients who occupy general hospital beds have alcohol Lecture an apple a DayBehavior and Disease Prevention problems..Some changes are No period after you have had one or more normal ones during puberty secondary amenorrhea Irregular periods that may come and go and may be very light to very heavy PCOS can cause you to develop malelike characteristics.dyn [url=]Buy Priligy[/url] R.Symptoms Airways lungs and chest Cough Chest pain severe Chest tightness Difficulty breathing Wheezing Eyes ears nose mouth and throat Tearing and burning of eyes Temporary blindness Throat pain severe Mouth pain Lip swelling Heart and blood Rapid weak pulse Collapse and shock Nervous system Altered mental state Fever Restlessness Skin Bluishcolored lips and fingernails Severe burns if contact is longer than a few minutes Stomach and gastrointestinal tract Severe stomach pain Vomiting Home Care Do NOT make a person throw up unless told to do so by poison control or a health care professional.No safe size exists however and small AAAs can rupture.g.There have been a number of different behavioral studies looking at each of these different behaviors independently and a few recent studies have looked at multiple behavior changes at the same time.Think of what happens when you have a cold or the u.Cystoscopy with biopsy is the most common diagnostic procedure. [url=]cialis vs viagra[/url] Viscosities of Selected Fluids Fluid Temperature C Viscosity poise WaterThe product of the electric field and the distance over which the field extends is an important parameter which is called potential difference or voltageYou can drink water.Editorial Team David Zieve MD MHA Bethanne Black Stephanie Slon and Nissi Wang.Some laboratories use different measurements or may test different specimens.Culture of HSV is the gold standard of diagnosis. [url=]cialis for sale in usa[/url] Avoid citrus highfat foods fried or greasy foods tomato products caffeine alcohol and carbonated beverages.Situations in which thrombolysis should be considered Patients with massive PE who are hemodynamically unstable persistent hypotension Patients with evidence of right heart failure thrombolysis can reverse thisth ed.The indication for the amniocentesis was a low alphafetoprotein AFP level.vertigo Sensation of irregular or whirling motion either of oneself or of external objects. [url=]generic viagra india[/url] National Library of Medicine History of Medicine Division.Long noncoding RNA expression proles predict clinical phenotypes in glioma.Patients may or may not go on to develop MS.
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Potassium level will be low. [url=]healthy men viagra[/url] Abdominal bloatingEmail this page to a friendShare on facebookShare on twitterBookmark SharePrinterfriendly version Abdominal bloating is a condition in which the belly abdomen feels full and tight.periAnother consequence of surface tension is the tendency of liquid to assume a spherical shape.General characteristicsHydralazine and procainamide inhibit T cell DNA methylation and induce autoreactivity. [url=]cheap cialis canada[/url] Resuscitation is the first step e.Quick Hit key signs of MVP Systolic clicks Midsystolic rumbling mur mur that increases with standing and the Valsalva maneuver and decreases with squatting B.A. [url=]Buy Cialis[/url] It has also been reported that the Kras oncogene is mutated in of large adenomas and CRC the mutated constitutively active form of this pro tein affects signaling pathways controlling cellular differ entiation motility proliferation and apoptosisAchilles tendon Achilles Greek mythological hero Alzheimer disease Alois Alzheimer MD German neurologist Apgar score Virginia Apgar MD American anesthesiologist Asperger syndrome Hans Asperger Austrian psychiatrist Barrett esophagus Norman Barrett English physician Bell palsy Charles Bell Scottish surgeon Burkitt lymphoma Denis Burkitt English surgeon in Africa CheyneStokes respiration John Cheyne Scottish physician William Stokes Irish physician Colles fracture Abraham Colles Irish surgeon Crohn disease Burrill B.In primary hypogonadism the ovaries or testes themselves do not function properly.The urinary bladder a hollow muscular sac is a temporary reservoir for urine.Activity Rest as needed. [url=]accutane cost no prescription[/url] She is lying on her side on the examination table holding her back she cannot lie supine because of severe back pain.The results of this study were limited because those evaluating clinical outcomes were not blinded to the drug and the followup rate was only percent.treatmentThe leaves seeds and especially the root bark were infused boiled roasted or fermented to make treatments for a wide range of problems from skin rashes to coughs and backache. [url=]priligy spanien[/url] Questions to Consider
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In addition histone acetylation recruits chromatin remodeling activities that contain subunits with bromodo mains that bind preferentially to acetylated nucleosomes [url=]Cialis[/url] Blood sugar below mgdL is considered low.xero dry xerophthalmia SENSE ORGANS THE EYE AND THE EAR SUFFIXES SUFFIX MEANING TERMINOLOGY MEANING opia vision hyperopia Hypermetropia farsightedness.hemorrhage hypersensitivity syncope pre cipitated by wearing a tight collar or turning the head mechanical reduction of venous return agent mildly hypnotic that relaxes and calms nervousnessANXIETY DISORDERS Anxiety disorders are characterized by the experience of unpleasant tension distress troubled feelings and avoidance behavior. [url=]generic 5mg cialis best price[/url] Therefore index of suspicion should be high and diagnostic para centesis be done European authorities use oral vaccination via food left for foxes to control high numbers of rabid animals.Both ducts carry the lymph into large veins in the neck where the lymph then enters the bloodstream.PubMed PadmaNathan H Stecher VJ Sweeney M Orazem J Tseng LJ Deriesthal H.Druginduced lupus d.macrocephaly [url=]viagra 100mg price[/url] CrossRefMedlineWeb of ScienceThey manufacture an important male hormone testosterone.Regular breathing was also regarded as necessary for life and when either breathing or heart activity ceased the individual was declared dead. [url=]viagra 100 mg best price[/url] rd ed.a.In Robert Koch received the Nobel Prize in Physiology or Medicine for his investigations and discoveries in relation to tuberculosis. [url=]Cialis[/url] This is called constructive interference see Fig.regardless of kidney function.The repair of retinal detachments and retinal tears is one such applica tion.Body mass index BMI and oxygen saturation SaO measured from the finger were recorded.
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The disorientation disinformation and contradictory societal rules in general and psychological in particular may foment the confusion of the individual and complicate allosterically increasing the affinity for GTP and increasing the maximal enzyme activity leading to increased cGMP levels in smooth muscle cells Mulsch et al. [url=]cialis for sale in usa[/url] Chest discomfort and shortness of breath may be present.Mesotheliomas are derived from mesothelium which forms the lining of the pleural surface.B Patient undergoing total knee replacement TKR.How the Test Will Feel When the needle is inserted to draw blood you may feel moderate pain though most people feel only a prick or a stinging sensation. [url=]Buy Accutane[/url] e.In the s the heartlung machine enabled longer procedures including heart transplants pioneered by Christiaan Barnard in see pp.A variant of CABABC adds D for defib or defibrillation administering carefully controlled electric shocks through the chest and heart in an attempt to jolt the hearts electrical control system back into action see pp.Haemophilus influenzae c.Analyzing the data from a randomized controlled trial of antidepressant medications Toups et al. [url=]discount cialis[/url] But chloroform had dangeroussometimes fatalside effects so by the early th century it was replaced.A large electronic device that produces highenergy xray or photon beams for treatment of deepseated tumors is aanRelapse occurs when disease symptoms and signs reappear necessitating further treatment.The medicine man or woman could choose whom to treat how and when.Image of an object a real b virtual.Is it possible to permanently lower the set point for sympathetic arousal in an anxious person If not how can the person compensate Simmering SoupThe Neuroendocrine System Lecture n this lecture youre going to learn about the neuroendocrine system the second half of the stressresponse system. [url=]viagra from usa pharmacy[/url] The analysis was based mainly on the outcomes of clinical series.contraindicationIn general negative feedback keeps the system response at a relatively constant level.Engineering Principles in Physi ology Vols. [url=]Cialis[/url] Diseases of the Pulmonary System DISEaSES Of ThE PUlMONary SySTEM l b.If a person with an iodine allergy is given this type of contrast nausea or vomitingsneezing itchingor hives may occur.The changes in the spine can cause a loss of as much as to inches in height.
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The surgeon makes a cut into the abdomen and examines the abdominal organs.The refractive power of the cornea is greatly reduced when it is in contact with water see Exercise [url=]antabuse[/url] To the fullest extent of the law neither the Publisher nor the authors contributors or editors assume any liability for any injury andor damage to persons or property as a matter of products liability negligence or otherwise or from any use or operation of any methods products instructions or ideas contained in the material herein.Philadelphia SaundersgynecologyIf PPD test is positive a chest xray is needed to rule out active disease.Quick Hit RPR or VDRL may be falsely positive in patients with SLE. [url=]viagra online[/url] This helps your body get rid of extra water and salt.Force SI unit kg m s name of unit newton N Conversions N dynes dynPatient is insulin dependent at this point.Reducing the risk of cirrhosis and liver cancer which can result from longterm HCV infection.The lens here is embedded in a medium that has a different index of refraction n and n on each side of the lens. [url=]isotretinoin 5mg[/url] I worked with Jeff each day including Saturday and Sunday.In Bradley WG Daroff RB Fenichel GM Jankovic J eds.Contact angle on hydrophilic and hydrophobic surface.Bruce spent weeks hiking and vacationing on Nantucket Island.Vessels involved severityextent of ischemia Left main coronary arterypoor prognosis because it covers approximately twothirds of the heart Two or threevessel CADworse prognosis B. [url=]cialis 20 mg[/url] Mini abdominoplasty is performed when there are areas of fat pockets love handles.choledochotomyPhiladelphia Pa Mosby Elsevier chap [url=]cheapest generic levitra[/url] Provide information about any appearance changes or other possible side effects that may result from the test.
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Attraction that crosses the parentchild boundaries may lead to inappropriately intimate behavior with the adolescent which is known as incest.Digestive enzymes break down complex foods to simpler substances. [url=]Accutane[/url] However failure to respond may be due to one or more potentially modifiable factors such as hormonal abnormalities food or drug interactions timing and frequency of dosing lack of adequate sexual stimulation heavy alcohol use and the patients relationship with his partner.clinical features remember the six Ps TableThe arterial blood pressure which is on the average torr can support a column of blood cm high see Eq.This technology has certainly played an important role in our understanding of living systems as it has provided the major tools for the study of life processes.Apply NPPV e.B. [url=]viagra from canada[/url] The heart is a pump consisting of four chambers two upper chambers called atria singular atrium and two lower chambers called ventricles.The need for the service is evident the demand for rehabilitation is substantial while the capacity to supply rehabilitation services is poor.Also reviewed by David Zieve MD MHA Medical Director A.Dugdale III MD Professor of Medicine Division of General Medicine Department of Medicine University of Washington School of Medicine and YiBin Chen MD LeukemiaBone Marrow Transplant Program Massachusetts General Hospital.They also noted that surgical menopause in this new study included women who had a preserved ovary.Pseudomembranous Colitis a.F.Is conned to the prostate gland c. [url=]pfizer viagra 100mg price[/url] EPIDIDYMISReview provided by VeriMed Healthcare Network.In Krimpen aan den IJssel a municipality near Rotterdam all men aged years without cancer of the prostate or the bladder and without a history of radical prostatectomy or neurogenic bladder disease were invited to participate in JuneCausesCorticosteroids taken by mouth are sometimes prescribed to children to keep them walking for as long as possible. [url=]tadalista vs cialis[/url] HRT O Circle the term in parentheses that best completes the meaning of each sentence.Fever usually responds to antipyretics.akinesis or dyskinesis not present at rest.g.g..An example of a staging system is the tumornode metastasis TNM International Staging System. [url=]Accutane[/url] pertaining to the common bile duct chole
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To reduce the energy expenditure the body seeks adjustments to minimize the upanddown movement of the center of mass see SectionThese are used primarily in the management of chronic urticaria rather than acute urticaria.a. [url=]retin a gel 0.1 without prescription[/url] Other therapies such as thrice weekly prostate massage have been proposed although the supportive data are limited.This means that each day you should arrive minutes early so that you can check in they make a little plastic credit card for you to swipe when you come into to the main room and then go into the waiting area.blood glucose to minutes after meals enables the patient to control postprandial hyperglycemia and should be strongly encouraged.So why were they eaten One possibility is that the plants were used as natural medications.Sacral S Five bones S to S are fused to form one bone the sacrum. [url=]Buy Accutane Online[/url] Rebound tenderness guarding diminished bowel sounds c.How the Test Will Feel There is no discomfort.These tubules contain cells that manufacture spermatozoa.Because atoms al.Peak flow measurements help let you know when medicine or other action needs to be taken. [url=]cialis vs viagra[/url] G.Epigenetics Horvath S.antibodies Lyme diseaseI managed to call my surgeon and arrange for semiemergent surgery the next morning. [url=]cialis 20mg for sale[/url] Excision osteochondroma R calcaneusIn Kliegman RM Stanton BF St.Scoliosis is the most common spinal deformity in adolescent girls FigureIf positive treat empirically for H.The aim of this study is to investigate the incidence of erectile dysfunction ED and the factors affecting its frequency in COPD patients.Infection viruses most common viral gastroenteritis followed by bacteria then parasites b. [url=]Priligy[/url] mmolL High Burn injury Renal failure Diabetic ketoacidosis Low Cushing syndrome Loss of body uids Sodium Na mEqL mmolL High Inadequate water intake Water loss in excess of sodium Low Adrenal insufciency Inadequate sodium intake Excessive sodium loss Thyroxine T gdL nmolL High Graves disease hyperthyroidism Low Hypothyroidism Uric acid Females Males
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Test results can help your doctor choose treatment that is best for you.Chronic hypoxia is the underlying cause in most cases.If you have viral pneumonia you will not receive antibiotics. [url=]buy viagra[/url] Abnormal sexuality and sexual dysfunctions.The woman thinking she AGNODICE REVEALED Agnodice shows herself to be a woman after years pretending to be a man in order to practice medicine.glucocorticoid Hormone from the adrenal cortex that raises blood sugar and reduces inammation.The accelerated atherosclerosis in diabetics is the reason the target BP is lower in diabetics than in general population and the reason the target LDL is lower in diabetics is less than mg dL.Sacroiliitisdoes not parallel bowel disease activity Thromboembolichypercoagulable statecan lead to deep venous thrombosis DVT pulmonary embolism PE or a cardiovascular accident CVA Idiopathic thrombocytopenic purpura Osteoporosis Gallstones in Crohns disease ileal involvement Sclerosing cholangitis in UC Quick Hit Epidemiology of iBD More common in Caucasians than other racial groups Particularly common in Jewish populations Mean age of onset is to years.and in less decline in episodic memory semantic memory and visuospatial ability. [url=]propecia meilleur prix[/url] Many providers believe that diabetic patients are at increased risk to develop local infection following penile implant surgery.COLUMN I COLUMN IIThe risk of forming adhesions is high after bowel or female organ surgeries. [url=]Buy Viagra Online[/url] More recently pharmacotherapies such as SSRIs and antidepressants have been used.atrial septal defect repairIf the patient has a history of angina ask how this episode differs from previous ones more severe longer duration. [url=]alimentation levitra[/url] p.If any patient has acute asymmetric arthritis that progresses sequentially from one joint to another reactive arthritis should be in the differential diagnosis.Int J Radiat Oncol Biol Phys.Other areas of the body such as the eye oral mucosa rectum and joints may be affected as well.Hypospadias spadias means the condition of tearing or cutting occurs in in every live male births and can be corrected surgically Figure A.The difference has to do with cognitiona special kind of cognition called attribution and specifically attributional style. [url=]Buy Levitra Online[/url] The id represents the unconscious instincts and psychic energy present from birth.
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On Thursday, 14. April 2016 by anonymous at 11:11
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On Saturday, 07. May 2016 by anonymous at 07:07
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On Monday, 09. May 2016 by anonymous at 00:12
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On Tuesday, 07. June 2016 by anonymous at 09:09
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On Monday, 27. June 2016 by anonymous at 11:11
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On Monday, 04. July 2016 by anonymous at 09:09
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On Friday, 15. July 2016 by anonymous at 21:09
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On Sunday, 17. July 2016 by anonymous at 13:01
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On Tuesday, 23. August 2016 by anonymous at 22:10
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On Saturday, 03. September 2016 by anonymous at 16:04
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On Monday, 05. September 2016 by anonymous at 10:10
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On Friday, 16. September 2016 by anonymous at 02:02
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On Monday, 19. September 2016 by anonymous at 23:11
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On Saturday, 08. October 2016 by anonymous at 14:02
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On Thursday, 27. October 2016 by anonymous at 04:04
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On Saturday, 29. October 2016 by anonymous at 13:01
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On Sunday, 06. November 2016 by anonymous at 18:06
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On Monday, 21. November 2016 by anonymous at 21:09
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On Tuesday, 29. November 2016 by anonymous at 07:07
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On Tuesday, 27. December 2016 by anonymous at 05:05
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