12 results on '"Houinato, Dismand"'
Search Results
2. The prevalence and demographic associations of headache in the adult population of Benin: a cross-sectional population-based study
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Adoukonou, Thierry, Agbetou, Mendinatou, Dettin, Eric, Kossi, Oyene, Husøy, Andreas, Thomas, Hallie, Houinato, Dismand, and Steiner, Timothy J
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- 2024
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3. Prevalence and associated factors with peripheral neuropathies in the general population in the rural area of Adjohoun in Benin.
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donné Gnonlonfoun, Dieu, Sowanou, Arlos, Gnigone, Pupchen, Gbessemehlan, Antoine, Nyangui Mapaga, Jennifer, Aballo, Wilson, Choki, Blaise, Magne, Julien, Boumediene, Farid, Preux, Pierre-Marie, and Houinato, Dismand
- Abstract
• Data on Peripheral neuropathies (PN) in sub-Saharan African region are scarce. • Population-based study was performed to explore factors associated with PN. • The overall prevalence of PN was high (6.9%). • Polyneuropathy was the most common PN (4.8%). • Older age, diabetes, and hypertension were independently associated with PN. Peripheral neuropathies (PN) are a group of neurological conditions related to damage to the peripheral nervous system. Due to their wide diversity, few studies in sub-Saharan Africa have explored their epidemiology in general population. Our objective was to study the prevalence and associated factors with PN in general population in Adjohoun in Benin. A cross-sectional study has been conducted from February to March 2019 and included people aged ≥ 18 years old living in Adjohoun, Benin. Following a screening phase for PN (using World Health Organization questionnaire for major neurological diseases), a neurologist made a diagnosis after in-depth clinical examinations completed in some cases by electroneuromyography. The EFNS (European Federation of Neurological Societies) 2010 criteria was used for chronic inflammatory demyelinating polyneuropathy diagnosis. Data such as age, occupation, consanguinity, alcohol consumption, diabetes, hypertension were collected. Association between independent variables and PN were investigated using multivariable logistic regression models. In total, 1 655 participants were included, mean age 41.4 ± 16.7 years; 64.8 % are female. The overall prevalence of PN was 6.9 % (95 %CI: 5.7 %-8.2 %). The main types of PN were: polyneuropathies 4.8 % (95 %CI: 3.8 %-5.9 %); polyradiculoneuropathies 1.6 % (95 %CI: 1.0 %-2.2 %). Factors independently associated with PN were age ≥ 40 years (adjusted Odds Ratio aOR = 19.6; 95 %CI: 8.2–46.3), diabetes (aOR = 1.8; 95 %CI: 1.08–2.99) and hypertension (aOR = 1.6; 95 %CI: 1.02–2.5). The prevalence of PN was high in the rural commune of Adjohoun in Benin. Actions on its modifiable associated factors such as diabetes and hypertension could help reduce the proportion of PN and their potential harmful consequences. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Neurological Disorders among the Outpatients Living with Human Immuno Deficiency Virus (HIV) Following at the Parakou Hospital in 2014 ()
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Agballa Gottfried, Agbétou Mendinatou, Ahanhanzo Rhonel, Dovonou Albert, Adoukonou Thierry, Dassi Gbénou Jolianelle, Kpangon Arsene, Kossi Oyéné, Houinato Dismand, Neuroépidémiologie Tropicale (NET), CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), Université de Parakou (UP), Laboratory of Chronic and Neurological Diseases Epidemiology (LEMACEN), University of Abomey Calavi (UAC), and Grelier, Elisabeth
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Pediatrics ,medicine.medical_specialty ,Epidemiology ,Physical examination ,Neurological disorder ,Neurological Disorders ,03 medical and health sciences ,0302 clinical medicine ,Acquired immunodeficiency syndrome (AIDS) ,medicine ,Dementia ,030212 general & internal medicine ,Stroke ,Peripheral Neuropathy ,Past medical history ,medicine.diagnostic_test ,business.industry ,HIV ,medicine.disease ,3. Good health ,AIDS ,Peripheral neuropathy ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,business ,030217 neurology & neurosurgery - Abstract
International audience; Objective: To study the frequency of neurological disorders associated to HIV infection. Methods: This cross-sectional study was carried out from 16th June to 16th September 2014 and included all 289 HIV-outpatients admitted to the Parakou University hospital. All data were recorded, physical examination was performed and the medical sheet of each patient was assessed. The diagnosis of neurological disorder (central and peripheral) was based on clinical features, past medical history, biological test and CT-scan data after multidisciplinary staff. Epi-data and Epi-Info 6.04C were used to perform analysis. Results: They were 73 (25.3%) male with a mean age of 38.0 years +/− 10.1 years. The mean duration of disease was 48.5 months +/− 37.1 months. 150 (51.9%) of them were at Stage 3 of the disease. All patients (99.7%) were infected by HIV1, 188 (76.1%) had CD4 cells at the onset of the follow-up less than 350 cells/mm3 and 260 (90.0%) were on ART. Among the 289 patients, 110 had at least one neurological disorder, the frequency of neurological disorders was 38.1%. The main neurological disorders were peripheral neuropathy (34.3%), isolated headache (5.2%), stroke (0.7%), cerebral toxoplasmosis (0.7%) and one case of dementia (0.7%). The main associated factors were the age of patient and exposure on neurotoxic drug, especially ART. Conclusion: The neurological disorders were more frequent among HIV patients with a high frequency of peripheral neuropathy probably due to ART.
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- 2019
5. Feasibility of a population-based cardiovascular cohort in Sub-Saharan Africa: experience of TAHES study
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Amidou, Salmane, Houehanou, Yessito Corine, Preux, Pierre-Marie, Houinato, Dismand Stephan, Lacroix, Philippe, Neuroépidémiologie Tropicale (NET), CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), Laboratory of Chronic and Neurological Diseases Epidemiology (LEMACEN), University of Abomey Calavi (UAC), Service de l'Information Médicale et de l'Évaluation [CHU Limoges] (SIME), CHU Limoges, Laboratoire de Biostatistique et d'Informatique Médicale, Université de Limoges (UNILIM), and Service de Chirurgie Thoracique et Vasculaire - Médecine vasculaire [CHU Limoges]
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Epidemiology ,preventive cardiology ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Risk Factors and Prevention - Abstract
International audience; Background: Sub-Saharan Africa (SSA) is facing a growing burden of cardiovascular diseases (CVD) due to increasing urbanization and changing lifestyle. Available tools for prediction of CVD are adapted from western regions data. So, there is a need for building appropriate tools from SSA population-based cohorts.Purpose: The aim of the pilot phase of TAHES was to explore the feasibility of CVD cohort study in a rural setting in SSA.Methods: TAHES is a prospective cohort ongoing since February 2015 among all people aged 25 years or above living in a village. Risk factors data were collected using a standardized questionnaire adapted from the WHO STEPS instrument through a baseline door-to-door survey, followed by annuals visits. A daily medical network surveillance was implemented for recording events of interest: lower extremity artery disease (LEAD), myocardial infraction, stroke, congestive heart failure and deaths. To offset the low coverage and limited use of modern health services, a community-based surveillance through household and traditional healers weekly visit was added. Community agent notified events and administrated a verbal autopsy in case of death. Lack of street-address and civil registration were fixed by collecting geographic data for each household and identifying each subject using a composite 8 digit ID number, including specifics numbers for area (1 digit), house number (3 digits), household number (2 digits) and individual number (2 digits).Results: During 3 years, 1793 participants were enrolled, equaling to 4068.7 persons years of follow-up. Women represented 61.1% and the mean age was 42.7±16.5 years. Baseline prevalence was 2.3% (95% CI: 1.7%-3.2%) for smoking, 9.15% (95% CI: 7.9%-10.6%) for harmful use of alcohol, 9.3% (95% CI: 8.0%-10.8%) for obesity, 32.1% (95% CI: 29.9%-34.3%) for hypertension, and 3.5% (95% CI: 2.7%-4.5%) for diabetes.Surveillance recorded 9 non-fatal events and 55 deaths. Non-fatal events were stroke (6) and congestive heart failure (3). Causes of death were stroke (14.5%), congestive health failure (9.0%), sudden death (3.6%), LEAD (1.8%), infectious diseases (25.4%), others noncommunicable diseases (25.4%) and undetermined causes (20,0%). The mean age at death occurrence was 71.4±25.2 years. Overall incidence of CVD events was 25 cases equaling to 6.1 cases per 1000 person-year. The CVD mortality rate was 48,0%.Conclusion: A CVD is possible in rural SSA but need adaptation to face local specific challenges. The burden of CVD was high and associated with a high mortality rate.
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- 2018
6. Cardiovascular Health and Near Visual Impairment Among Older Adults in the Republic of Congo: A Population-Based Study.
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Gbessemehlan, Antoine, Helmer, Catherine, Delcourt, Cécile, Boumediene, Farid, Ndamba-Bandzouzi, Bébène, Mbelesso, Pascal, Samba, Harielle, Kehoua, Gilles, Désormais, Ileana, Lacroix, Philippe, Aboyans, Victor, Dartigues, Jean-François, Houinato, Dismand, Preux, Pierre-Marie, and Guerchet, Maëlenn
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Background: Visual impairment (VI) and determinants of poor cardiovascular health are very common in Sub-Saharan Africa. However, we do not know whether these determinants are associated with VI among older adults in this region. This study aimed at investigating the association between the determinants of poor cardiovascular health and near VI among older adults living in Congo. Methods: Participants were Congolese adults aged 65 or older included in Epidemiology of Dementia in Central Africa—Follow-up population-based cohort. Near VI was defined as visual acuity less than 20/40 measured at 30 cm. Associations between determinants of poor cardiovascular health collected at baseline and near visual acuity measured at first follow-up were investigated using multivariable logistic regression models. Results: Among the 549 participants included, 378 (68.8%; 95% confidence interval [CI]: 64.9%–72.7%]) had near VI. Of the determinants of poor cardiovascular health explored, we found that having high body mass index of at least 25 kg/m
2 (odds ratio [OR] = 2.15; 95% CI: 1.25–3.68), diabetes (OR = 2.12; 95% CI: 1.06–4.25) and hypertension (OR = 1.65; 95% CI: 1.02–2.64) were independently associated with near VI. Conclusions: Several determinants of poor cardiovascular health were associated with near VI in this population. This study suggests that promoting good cardiovascular health could represent a target for VI prevention among older adults. [ABSTRACT FROM AUTHOR]- Published
- 2021
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7. Migraine and Obesity in Parakou in 2017: Case-Control Study
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Houinato Dismand, Agbétou Mendinatou, Adoukonou Thierry, Gahou Aude, Sossou Charles Bohr, Neuroépidémiologie Tropicale (NET), CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), Université de Parakou (UP), Laboratory of Chronic and Neurological Diseases Epidemiology (LEMACEN), University of Abomey Calavi (UAC), Grelier, Elisabeth, Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-CHU Limoges-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), and Université d’Abomey-Calavi = University of Abomey Calavi (UAC)
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medicine.medical_specialty ,Epidemiology ,Overweight ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Obesity ,Migraine ,030304 developmental biology ,2. Zero hunger ,0303 health sciences ,business.industry ,Case-control study ,Case-Control study ,Odds ratio ,medicine.disease ,Confidence interval ,3. Good health ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,medicine.symptom ,business ,Body mass index ,030217 neurology & neurosurgery - Abstract
International audience; Objective: We aim to study the relationship between migraine and obesity at Titirou in Parakou in 2017. Method: It was a case-control study which included 66 migrainers according to International Headache Society (IHS) criteria 2013 (case) matched to 132 controls by age, sex and residence. Size and weight have been measured in each subject. Body mass index has been calculated. Migraine history and sociodemographic information have been collected from 1st May to 31st August 2017 and analyzed by using Epi Info 7 software. The association between migraine and obesity was estimated by odds ratio and their confidence interval. Results: There has been no difference among those suffering from migraine and controls according to sociodemographic characteritics. Obesity has significantly been associated with migraine with OR 4.24 (1.93 - 9.25). The weight more than 70 Kg has been associated with the migraine with OR: 2.02 (1.06 - 3.90). The overweight and obesity have been associated with migraine OR with respectively 1.9 (1.1 - 3.9) and 4.4 (2.0 - 9.5). No difference has been found between migraine and the clinical characteristics of migraine (type, severity, intensity). Conclusion: Obesity has been associated with migraine and has to be taken into account in migraine management.
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- 2018
8. Factors Associated with Dementia Among Elderly People Living in Two Cities in Central Africa: The EDAC Multicenter Study.
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Guerchet, Maëlenn, Mouanga, Alain M., M'belesso, Pascal, Tabo, André, Bandzouzi, Bébène, Paraïso, Moussiliou N., Houinato, Dismand S., Cowppli-Bony, Pascale, Nubukpo, Philippe, Aboyans, Victor, Clément, Jean-Pierre, Dartigues, Jean-François, and Preux, Pierre-Marie
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DEMENTIA risk factors ,HEALTH of older people ,CITIES & towns - Abstract
Risk factors for dementia in American and European countries have been well investigated. However, little research has been carried out in sub-Saharan Africa, where life events as well as environmental, socio-economic, and modifiable risk factors (i.e., cardiovascular risk factors) may differ. Two cross-sectional surveys were conducted in representative samples of the older general population living in Bangui (Central African Republic) and Brazzaville (Congo). Dementia was defined according to the DSM-IV criteria. Multivariate regression analyses were performed in order to identify independent factors associated with dementia. Among the 977 elderly Africans included in this analysis, 75 (7.6%) were diagnosed as having dementia. Increasing age, female gender, hypertension, a body mass index <18.5 kg/m
2 , depressive symptoms, and the lack of a primary education were significantly associated with dementia. Among life events, the death of one parent during childhood and recently having moved house were also associated with dementia. Beyond the usual risk factors for dementia, this study highlights the role of stressful events in low-income countries. Factors associated with dementia in African countries seem different from established factors in high-income countries and require further investigation. [ABSTRACT FROM AUTHOR]- Published
- 2012
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9. Understanding the differences in prevalence of epilepsy in tropical regions.
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Yemadje, Luce-Perrine, Houinato, Dismand, Quet, Fabrice, Druet-Cabanac, Michel, and Preux, Pierre-Marie
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DISEASE prevalence , *REGIONAL disparities , *EPILEPSY , *NEUROCYSTICERCOSIS , *VISCERAL larva migrans , *MENINGITIS , *HIV-positive persons , *DIAGNOSIS - Abstract
Summary Epilepsy is a frequent chronic neurologic disorder that affects nearly 70 million people worldwide. The majority of people with epilepsy live in developing countries, where epilepsy remains a major public health problem. Wide prevalence differences exist among various populations across sub-Saharan Africa, Latin America, and Asia. In particular, prevalence is lower in Southeast Asia than in sub-Saharan Africa and Latin America. Methodologic problems alone do not seem to explain these differences shown in recent review papers. The distribution of numerous risk or etiologic factors such as infectious diseases with neurologic sequel, head injuries, or genetic factors could explain these differences. Stigmatization of people with epilepsy could lead to underestimating the prevalence of epilepsy, even in well-conducted studies. It is important to standardize the process of epidemiologic monitoring of epilepsy in order to improve the reliability in data comparison. Understanding the reasons for these differences is a crucial issue for eventually raising new hypotheses or prevention strategies. [ABSTRACT FROM AUTHOR]
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- 2011
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10. Prevalence of Dementia among Elderly People Living in Cotonou, an Urban Area of Benin (West Africa).
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Paraïso, Moussiliou N., Guerchet, Maëlenn, Saizonou, Jacques, Cowppli-Bony, Pascale, Mouanga, Alain M., Nubukpo, Philippe, Preux, Pierre-Marie, and Houinato, Dismand S.
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Background/Aims: The population of Benin is, like those of most developing countries, aging; dementia is therefore a major concern. Our goal was to estimate the prevalence of dementia in an elderly population living in urban Benin. Methods: In a cross-sectional community-based study, people aged 65 years and above were screened using the Community Screening Interview for Dementia and the Five-Word Test. Results: The prevalence of dementia was 3.7% (95% CI 2.6-4.8) overall. The figure increased with age and was higher among women than men. Conclusion: Dementia was slightly more prevalent than previously reported in a rural area of Benin, but the rate was similar to that recorded in other cities in developing countries. Copyright © 2011 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
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- 2011
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11. Prevalence of Dementia in Elderly Living in Two Cities of Central Africa: The EDAC Survey.
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Guerchet, Maëlenn, M'belesso, Pascal, Mouanga, Alain M., Bandzouzi, Bébène, Tabo, André, Houinato, Dismand S., Paraïso, Moussiliou N., Cowppli-Bony, Pascale, Nubukpo, Philippe, Aboyans, Victor, Clément, Jean-Pierre, Dartigues, Jean-François, and Preux, Pierre-Marie
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ANALYSIS of variance ,CHI-squared test ,DEMENTIA ,FISHER exact test ,INTERVIEWING ,QUESTIONNAIRES ,RESEARCH funding ,SURVEYS ,T-test (Statistics) ,CROSS-sectional method ,EPIDEMIOLOGY - Abstract
Background: Data on dementia from low- and middle-income countries are still necessary to quantify the burden of this condition. This multicenter cross-sectional study aimed at estimating the prevalence of dementia in 2 large cities of Central Africa. Methods: General population door-to-door surveys were conducted in the districts of Bangui (Republic of Central Africa) and Brazzaville (Congo) in elderly aged ≥65 years. The subjects were screened with the Community Screening Interview for Dementia and the Five-Words Test. Diagnosis of dementia was made according to the DSM-IV criteria and to the clinical criteria proposed by the NINCDS-ADRDA for Alzheimer's disease. Results: We enrolled 496 subjects in Bangui and 520 in Brazzaville. The prevalence of dementia was estimated at 8.1% (95% CI = 5.8-10.8) in Bangui and 6.7% (95% CI = 4.7-9.2) in Brazzaville. Conclusion: The prevalence of dementia in urban areas of Central Africa is close to those observed in high-income countries. Copyright © 2010 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
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- 2010
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12. Migraine Among University Students in Cotonou (Benin).
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Adoukonou, Thierry, Houinato, Dismand, Kankouan, Judith, Makoutode, Michel, Paraiso, Moussiliou, Tehindrazanarivelo, Alain, Viader, Fausto, and Preux, Pierre-Marie
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EPIDEMIOLOGICAL research , *DISEASE prevalence , *MIGRAINE , *HEALTH of college students , *HEADACHE - Abstract
Background.— Few data are available on migraine among students in Africa. The aim of this study was to estimate the prevalence of migraine and describe its clinical features and associated conditions among students of the Faculty of Health Sciences of Abomey-Calavi University, in Cotonou, Benin. Methods.— A cross-sectional study was prospectively conducted during the academic year 2002-2003 and included 336 students selected using systematic random sampling. Migraine was defined according International Headache Society criteria 1988. Results.— The lifetime prevalence of migraine was 11.3% (95% CI: 8.2-15.3%). The prevalence was significantly higher in females (18.3%) than males (6.8%), in married-widowed (30.4%) than single (9.9%). The mean age at onset of the disease was 15.0 years ± 2.5. Migraine without aura was the more frequent form (57.9%). The mean attack frequency per month was 3.8 (±3.4) and the peak attack duration was between 4 and 6 hours. Psychological tiredness was the most frequent triggering factors (92.1%). The factors associated with migraine in multivariate analysis were female sex (OR = 2.6 [95% CI: 1.2-5.3]), single marital status (OR = 3.7 [95% CI: 1.2-11.9]) and presence of a family history of headache (OR = 2.9 [95% CI: 1.0-8.1]) Conclusion.— Migraine was frequent in students in Cotonou (Benin) compared with other studies in Africa. [ABSTRACT FROM AUTHOR]
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- 2009
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