home *** CD-ROM | disk | FTP | other *** search
| Unknown | 1992-06-06 | 351.1 KB |
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MacOS 8.1
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Win98
|
DOS
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| Confidence | Program | Detection | Match Type | Support
|
|---|
| 66%
| dexvert
| OS/2 Installation Package (archive/os2InstallPackage)
| ext
| Supported |
| 1%
| dexvert
| BeOS Installation Package (archive/beOSInstallPackage)
| ext
| Unsupported |
| 1%
| dexvert
| Newton Package (archive/newtonPackage)
| ext
| Unsupported |
| 1%
| dexvert
| Independence War 2 mod Package (other/independenceWar2ModPackage)
| ext
| Unsupported |
| 100%
| file
| data
| default
|
|
hex view+--------+-------------------------+-------------------------+--------+--------+
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|00000580| 00 00 00 00 00 00 92 7c | 05 00 00 00 00 00 24 55 |.......||......$U|
|00000590| 6e 69 71 75 65 5f 49 44 | 7b 59 52 42 30 35 32 30 |nique_ID|{YRB0520|
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|000005e0| 69 6e 20 50 61 74 69 65 | 6e 74 73 20 57 69 74 68 |in Patie|nts With|
|000005f0| 20 61 6e 64 20 57 69 74 | 68 6f 75 74 20 4c 69 76 | and Wit|hout Liv|
|00000600| 65 72 20 43 69 72 72 68 | 6f 73 69 73 7d 0d 0a 24 |er Cirrh|osis}..$|
|00000610| 41 75 74 68 6f 72 7b 0d | 0a 4d 6f 72 69 2c 20 48 |Author{.|.Mori, H|
|00000620| 0d 0a 48 61 79 61 73 68 | 69 2c 20 4b 0d 0a 46 75 |..Hayash|i, K..Fu|
|00000630| 6b 75 64 61 2c 20 54 0d | 0a 4d 61 74 73 75 6e 61 |kuda, T.|.Matsuna|
|00000640| 67 61 2c 20 4e 0d 0a 46 | 75 74 61 67 61 77 61 2c |ga, N..F|utagawa,|
|00000650| 20 53 0d 0a 4e 61 67 61 | 73 61 6b 69 2c 20 4d 0d | S..Naga|saki, M.|
|00000660| 0a 4d 75 74 73 75 6b 75 | 72 61 2c 20 4d 7d 0d 0a |.Mutsuku|ra, M}..|
|00000670| 24 41 66 66 69 6c 69 61 | 74 69 6f 6e 7b 4e 61 67 |$Affilia|tion{Nag|
|00000680| 61 73 61 6b 69 20 55 6e | 69 76 2c 20 4e 61 67 61 |asaki Un|iv, Naga|
|00000690| 73 61 6b 69 2c 20 4a 61 | 70 61 6e 3b 20 4d 65 64 |saki, Ja|pan; Med|
|000006a0| 20 43 6f 6c 6c 65 67 65 | 20 6f 66 20 4f 69 74 61 | College| of Oita|
|000006b0| 2c 20 4a 61 70 61 6e 7d | 0d 0a 24 53 75 62 6a 65 |, Japan}|..$Subje|
|000006c0| 63 74 7b 56 65 69 6e 20 | 73 68 75 6e 74 2c 20 69 |ct{Vein |shunt, i|
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|000007b0| 69 6e 2c 20 69 6e 74 72 | 61 68 65 70 61 74 69 63 |in, intr|ahepatic|
|000007c0| 20 70 6f 72 74 6f 73 79 | 73 74 65 6d 69 63 20 76 | portosy|stemic v|
|000007d0| 65 6e 6f 75 73 7d 0d 0a | 24 4a 6f 75 72 6e 61 6c |enous}..|$Journal|
|000007e0| 7b 41 4a 52 7d 0d 0a 24 | 56 6f 6c 75 6d 65 7b 31 |{AJR}..$|Volume{1|
|000007f0| 34 39 7d 0d 0a 24 50 61 | 67 65 7b 37 31 31 2d 37 |49}..$Pa|ge{711-7|
|00000800| 31 34 7d 0d 0a 24 44 61 | 74 65 7b 4f 63 74 6f 62 |14}..$Da|te{Octob|
|00000810| 65 72 20 31 39 38 37 7d | 0d 0a 24 59 42 56 6f 6c |er 1987}|..$YBVol|
|00000820| 7b 31 39 38 39 20 59 65 | 61 72 20 42 6f 6f 6b 20 |{1989 Ye|ar Book |
|00000830| 6f 66 20 44 69 61 67 6e | 6f 73 74 69 63 20 52 61 |of Diagn|ostic Ra|
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|00000850| 65 72 7b 32 2d 31 34 7d | 0d 0a 24 59 42 45 64 69 |er{2-14}|..$YBEdi|
|00000860| 74 6f 72 7b 44 72 73 2e | 20 42 72 61 67 67 2c 20 |tor{Drs.| Bragg, |
|00000870| 48 65 6e 64 65 65 2c 20 | 4b 65 61 74 73 2c 20 4b |Hendee, |Keats, K|
|00000880| 69 72 6b 70 61 74 72 69 | 63 6b 2c 20 4d 69 6c 6c |irkpatri|ck, Mill|
|00000890| 65 72 2c 20 4f 73 62 6f | 75 72 6e 65 2c 20 61 6e |er, Osbo|urne, an|
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|000008b0| 62 6c 65 7b 7d 0d 0a 24 | 43 6f 6d 6d 65 6e 74 61 |ble{}..$|Commenta|
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|00000950| 2d 2d 43 61 72 64 69 6f | 76 61 73 63 75 6c 61 72 |--Cardio|vascular|
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|00000980| 0a 44 69 61 67 6e 6f 73 | 74 69 63 20 49 6d 61 67 |.Diagnos|tic Imag|
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|000009a0| 41 6e 67 69 6f 67 72 61 | 70 68 79 0d 0a 0d 0a 2d |Angiogra|phy....-|
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|000009f0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 0d |--------|-------.|
|00000a00| 0a 49 6e 74 72 61 68 65 | 70 61 74 69 63 20 50 6f |.Intrahe|patic Po|
|00000a10| 72 74 6f 73 79 73 74 65 | 6d 69 63 20 56 65 6e 6f |rtosyste|mic Veno|
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|00000a40| 73 20 57 69 74 68 20 61 | 6e 64 0d 0a 57 69 74 68 |s With a|nd..With|
|00000a50| 6f 75 74 20 4c 69 76 65 | 72 20 43 69 72 72 68 6f |out Live|r Cirrho|
|00000a60| 73 69 73 0d 0a 0d 0a 4d | 6f 72 69 20 48 2c 20 48 |sis....M|ori H, H|
|00000a70| 61 79 61 73 68 69 20 4b | 2c 20 46 75 6b 75 64 61 |ayashi K|, Fukuda|
|00000a80| 20 54 2c 20 4d 61 74 73 | 75 6e 61 67 61 20 4e 2c | T, Mats|unaga N,|
|00000a90| 20 46 75 74 61 67 61 77 | 61 20 53 2c 20 4e 61 67 | Futagaw|a S, Nag|
|00000aa0| 61 73 61 6b 69 20 4d 2c | 20 4d 75 74 73 75 6b 75 |asaki M,| Mutsuku|
|00000ab0| 72 61 20 4d 0d 0a 28 4e | 61 67 61 73 61 6b 69 20 |ra M..(N|agasaki |
|00000ac0| 55 6e 69 76 2c 20 4e 61 | 67 61 73 61 6b 69 2c 20 |Univ, Na|gasaki, |
|00000ad0| 4a 61 70 61 6e 3b 20 4d | 65 64 20 43 6f 6c 6c 65 |Japan; M|ed Colle|
|00000ae0| 67 65 20 6f 66 20 4f 69 | 74 61 2c 20 4a 61 70 61 |ge of Oi|ta, Japa|
|00000af0| 6e 29 0d 0a 41 4a 52 20 | 31 34 39 3a 37 31 31 2d |n)..AJR |149:711-|
|00000b00| 37 31 34 2c 20 4f 63 74 | 6f 62 65 72 20 31 39 38 |714, Oct|ober 198|
|00000b10| 37 0d 0a 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |7..-----|--------|
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|00000b50| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000b60| 2d 2d 2d 0d 0a 0d 0a 41 | 62 73 74 72 61 63 74 0d |---....A|bstract.|
|00000b70| 0a 0d 0a 20 20 20 20 20 | 50 6f 72 74 6f 73 79 73 |... |Portosys|
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|00002080| 0d 0a 0d 0a 50 6f 73 74 | 2d 43 6f 6d 6d 65 6e 74 |....Post|-Comment|
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|00002810| 57 65 20 73 69 6d 70 6c | 79 20 63 61 6e 6e 6f 74 |We simpl|y cannot|
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|00002830| 20 74 6f 20 74 68 65 73 | 65 20 63 6f 6e 74 72 61 | to thes|e contra|
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|00002890| 46 2e 4a 2e 20 4d 69 6c | 6c 65 72 2c 20 4a 72 2e |F.J. Mil|ler, Jr.|
|000028a0| 2c 20 4d 2e 44 2e 0d 0a | 24 55 6e 69 71 75 65 5f |, M.D...|$Unique_|
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|00002d60| 68 20 53 75 72 67 20 31 | 32 32 3a 35 38 37 2d 35 |h Surg 1|22:587-5|
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|00003660| 6d 62 6f 73 69 73 20 6f | 76 65 72 20 6f 74 68 65 |mbosis o|ver othe|
|00003670| 72 20 6e 6f 6e 69 6e 76 | 61 73 69 76 65 20 73 74 |r noninv|asive st|
|00003680| 75 64 69 65 73 20 61 6e | 64 20 77 69 6c 6c 20 62 |udies an|d will b|
|00003690| 65 20 62 65 74 74 65 72 | 20 61 63 63 65 70 74 65 |e better| accepte|
|000036a0| 64 20 62 79 20 70 61 74 | 69 65 6e 74 0d 0a 61 6e |d by pat|ient..an|
|000036b0| 64 20 63 6c 69 6e 69 63 | 69 61 6e 20 61 6c 69 6b |d clinic|ian alik|
|000036c0| 65 2e 20 20 46 6f 72 20 | 70 61 74 69 65 6e 74 73 |e. For |patients|
|000036d0| 20 77 68 6f 20 68 61 76 | 65 20 68 61 64 20 70 72 | who hav|e had pr|
|000036e0| 65 76 69 6f 75 73 20 76 | 65 6e 6f 75 73 20 69 6e |evious v|enous in|
|000036f0| 73 75 6c 74 73 2c 0d 0a | 76 65 6e 6f 67 72 61 70 |sults,..|venograp|
|00003700| 68 79 20 6d 61 79 20 6f | 66 74 65 6e 20 62 65 20 |hy may o|ften be |
|00003710| 6e 65 63 65 73 73 61 72 | 79 2e 20 20 46 6f 72 20 |necessar|y. For |
|00003720| 74 68 65 20 70 61 74 69 | 65 6e 74 20 77 69 74 68 |the pati|ent with|
|00003730| 6f 75 74 20 70 72 65 76 | 69 6f 75 73 20 76 65 6e |out prev|ious ven|
|00003740| 6f 75 73 0d 0a 64 69 73 | 65 61 73 65 2c 20 64 75 |ous..dis|ease, du|
|00003750| 70 6c 65 78 20 69 6d 61 | 67 69 6e 67 20 77 69 6c |plex ima|ging wil|
|00003760| 6c 20 65 76 65 6e 74 75 | 61 6c 6c 79 20 72 65 70 |l eventu|ally rep|
|00003770| 6c 61 63 65 20 76 65 6e | 6f 67 72 61 70 68 79 2e |lace ven|ography.|
|00003780| 2d 2d 46 2e 4a 2e 20 4d | 69 6c 6c 65 72 2c 20 4a |--F.J. M|iller, J|
|00003790| 72 2e 2c 0d 0a 4d 2e 44 | 2e 0d 0a 24 55 6e 69 71 |r.,..M.D|...$Uniq|
|000037a0| 75 65 5f 49 44 7b 59 52 | 42 30 35 32 30 33 7d 0d |ue_ID{YR|B05203}.|
|000037b0| 0a 24 54 69 74 6c 65 7b | 44 69 61 67 6e 6f 73 69 |.$Title{|Diagnosi|
|000037c0| 73 20 6f 66 20 46 65 6d | 6f 72 6f 70 6f 70 6c 69 |s of Fem|oropopli|
|000037d0| 74 65 61 6c 20 56 65 6e | 6f 75 73 20 54 68 72 6f |teal Ven|ous Thro|
|000037e0| 6d 62 6f 73 69 73 3a 20 | 20 43 6f 6d 70 61 72 69 |mbosis: | Compari|
|000037f0| 73 6f 6e 20 6f 66 20 44 | 75 70 6c 65 78 20 53 6f |son of D|uplex So|
|00003800| 6e 6f 67 72 61 70 68 79 | 20 61 6e 64 20 50 6c 65 |nography| and Ple|
|00003810| 74 68 79 73 6d 6f 67 72 | 61 70 68 79 7d 0d 0a 24 |thysmogr|aphy}..$|
|00003820| 41 75 74 68 6f 72 7b 0d | 0a 52 6f 73 6e 65 72 2c |Author{.|.Rosner,|
|00003830| 20 4e 48 0d 0a 44 6f 72 | 69 73 2c 20 50 45 7d 0d | NH..Dor|is, PE}.|
|00003840| 0a 24 41 66 66 69 6c 69 | 61 74 69 6f 6e 7b 53 74 |.$Affili|ation{St|
|00003850| 20 4a 61 6d 65 73 20 48 | 6f 73 70 20 4d 65 64 20 | James H|osp Med |
|00003860| 43 74 72 2c 20 43 68 69 | 63 61 67 6f 20 48 65 69 |Ctr, Chi|cago Hei|
|00003870| 67 68 74 73 2c 20 49 6c | 6c 3b 20 55 6e 69 76 20 |ghts, Il|l; Univ |
|00003880| 6f 66 20 43 68 69 63 61 | 67 6f 20 48 6f 73 70 73 |of Chica|go Hosps|
|00003890| 7d 0d 0a 24 53 75 62 6a | 65 63 74 7b 55 6c 74 72 |}..$Subj|ect{Ultr|
|000038a0| 61 73 6f 75 6e 64 20 64 | 75 70 6c 65 78 20 69 6e |asound d|uplex in|
|000038b0| 20 66 65 6d 6f 72 6f 70 | 6f 70 6c 69 74 65 61 6c | femorop|opliteal|
|000038c0| 20 76 65 6e 6f 75 73 20 | 74 68 72 6f 6d 62 6f 73 | venous |thrombos|
|000038d0| 69 73 2c 20 77 69 74 68 | 0d 0a 70 6c 65 74 68 79 |is, with|..plethy|
|000038e0| 73 6d 6f 67 72 61 70 68 | 79 3b 20 54 68 72 6f 6d |smograph|y; Throm|
|000038f0| 62 6f 73 69 73 2c 20 76 | 65 6e 6f 75 73 66 65 6d |bosis, v|enousfem|
|00003900| 6f 72 6f 70 6f 70 6c 69 | 74 65 61 6c 2c 20 75 6c |oropopli|teal, ul|
|00003910| 74 72 61 73 6f 75 6e 64 | 20 61 6e 64 0d 0a 70 6c |trasound| and..pl|
|00003920| 65 74 68 79 73 6d 6f 67 | 72 61 70 68 79 20 69 6e |ethysmog|raphy in|
|00003930| 3b 20 50 6c 65 74 68 79 | 73 6d 6f 67 72 61 70 68 |; Plethy|smograph|
|00003940| 79 20 69 6e 20 66 65 6d | 6f 72 6f 70 6f 70 6c 69 |y in fem|oropopli|
|00003950| 74 65 61 6c 20 76 65 6e | 6f 75 73 20 74 68 72 6f |teal ven|ous thro|
|00003960| 6d 62 6f 73 69 73 2c 20 | 77 69 74 68 0d 0a 75 6c |mbosis, |with..ul|
|00003970| 74 72 61 73 6f 75 6e 64 | 3b 20 46 65 6d 6f 72 6f |trasound|; Femoro|
|00003980| 70 6f 70 6c 69 74 65 61 | 6c 20 76 65 6e 6f 75 73 |poplitea|l venous|
|00003990| 20 74 68 72 6f 6d 62 6f | 73 69 73 2c 20 75 6c 74 | thrombo|sis, ult|
|000039a0| 72 61 73 6f 75 6e 64 20 | 61 6e 64 20 70 6c 65 74 |rasound |and plet|
|000039b0| 68 79 73 6d 6f 67 72 61 | 70 68 79 0d 0a 69 6e 3b |hysmogra|phy..in;|
|000039c0| 20 44 75 70 6c 65 78 20 | 69 6d 61 67 69 6e 67 20 | Duplex |imaging |
|000039d0| 75 6c 74 72 61 73 6f 75 | 6e 64 20 69 6e 20 66 65 |ultrasou|nd in fe|
|000039e0| 6d 6f 72 6f 70 6f 70 6c | 69 74 65 61 6c 20 76 65 |moropopl|iteal ve|
|000039f0| 6e 6f 75 73 20 74 68 72 | 6f 6d 62 6f 73 69 73 7d |nous thr|ombosis}|
|00003a00| 0d 0a 24 4a 6f 75 72 6e | 61 6c 7b 41 4a 52 7d 0d |..$Journ|al{AJR}.|
|00003a10| 0a 24 56 6f 6c 75 6d 65 | 7b 31 35 30 7d 0d 0a 24 |.$Volume|{150}..$|
|00003a20| 50 61 67 65 7b 36 32 33 | 2d 36 32 37 7d 0d 0a 24 |Page{623|-627}..$|
|00003a30| 44 61 74 65 7b 4d 61 72 | 63 68 20 31 39 38 38 7d |Date{Mar|ch 1988}|
|00003a40| 0d 0a 24 59 42 56 6f 6c | 7b 31 39 38 39 20 59 65 |..$YBVol|{1989 Ye|
|00003a50| 61 72 20 42 6f 6f 6b 20 | 6f 66 20 44 69 61 67 6e |ar Book |of Diagn|
|00003a60| 6f 73 74 69 63 20 52 61 | 64 69 6f 6c 6f 67 79 7d |ostic Ra|diology}|
|00003a70| 0d 0a 24 43 68 61 70 74 | 65 72 7b 32 2d 31 37 7d |..$Chapt|er{2-17}|
|00003a80| 0d 0a 24 59 42 45 64 69 | 74 6f 72 7b 44 72 73 2e |..$YBEdi|tor{Drs.|
|00003a90| 20 42 72 61 67 67 2c 20 | 48 65 6e 64 65 65 2c 20 | Bragg, |Hendee, |
|00003aa0| 4b 65 61 74 73 2c 20 4b | 69 72 6b 70 61 74 72 69 |Keats, K|irkpatri|
|00003ab0| 63 6b 2c 20 4d 69 6c 6c | 65 72 2c 20 4f 73 62 6f |ck, Mill|er, Osbo|
|00003ac0| 75 72 6e 65 2c 20 61 6e | 64 20 54 68 6f 6d 70 73 |urne, an|d Thomps|
|00003ad0| 6f 6e 7d 0d 0a 24 54 61 | 62 6c 65 7b 54 61 62 6c |on}..$Ta|ble{Tabl|
|00003ae0| 65 20 4f 6d 69 74 74 65 | 64 7d 0d 0a 24 43 6f 6d |e Omitte|d}..$Com|
|00003af0| 6d 65 6e 74 61 74 6f 72 | 7b 46 2e 4a 2e 20 4d 69 |mentator|{F.J. Mi|
|00003b00| 6c 6c 65 72 2c 20 4a 72 | 2e 2c 20 4d 2e 44 2e 7d |ller, Jr|., M.D.}|
|00003b10| 0d 0a 0d 0a 43 6f 70 79 | 72 69 67 68 74 20 28 63 |....Copy|right (c|
|00003b20| 29 20 59 65 61 72 20 42 | 6f 6f 6b 20 4d 65 64 69 |) Year B|ook Medi|
|00003b30| 63 61 6c 20 50 75 62 6c | 69 73 68 65 72 73 2c 20 |cal Publ|ishers, |
|00003b40| 49 6e 63 2e 2c 20 31 39 | 38 39 0d 0a 0d 0a 31 39 |Inc., 19|89....19|
|00003b50| 38 39 20 59 65 61 72 20 | 42 6f 6f 6b 20 6f 66 20 |89 Year |Book of |
|00003b60| 44 69 61 67 6e 6f 73 74 | 69 63 20 52 61 64 69 6f |Diagnost|ic Radio|
|00003b70| 6c 6f 67 79 20 28 52 29 | 0d 0a 0d 0a 43 68 61 70 |logy (R)|....Chap|
|00003b80| 74 65 72 20 32 2d 2d 43 | 61 72 64 69 6f 76 61 73 |ter 2--C|ardiovas|
|00003b90| 63 75 6c 61 72 20 61 6e | 64 20 49 6e 74 65 72 76 |cular an|d Interv|
|00003ba0| 65 6e 74 69 6f 6e 61 6c | 20 52 61 64 69 6f 6c 6f |entional| Radiolo|
|00003bb0| 67 79 0d 0a 0d 0a 44 75 | 70 6c 65 78 20 49 6d 61 |gy....Du|plex Ima|
|00003bc0| 67 69 6e 67 20 61 6e 64 | 20 4f 74 68 65 72 20 4e |ging and| Other N|
|00003bd0| 6f 6e 69 6e 76 61 73 69 | 76 65 20 53 74 75 64 69 |oninvasi|ve Studi|
|00003be0| 65 73 0d 0a 0d 0a 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |es....--|--------|
|00003bf0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003c00| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003c10| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003c20| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003c30| 2d 2d 2d 2d 2d 2d 0d 0a | 44 69 61 67 6e 6f 73 69 |------..|Diagnosi|
|00003c40| 73 20 6f 66 20 46 65 6d | 6f 72 6f 70 6f 70 6c 69 |s of Fem|oropopli|
|00003c50| 74 65 61 6c 20 56 65 6e | 6f 75 73 20 54 68 72 6f |teal Ven|ous Thro|
|00003c60| 6d 62 6f 73 69 73 3a 20 | 20 43 6f 6d 70 61 72 69 |mbosis: | Compari|
|00003c70| 73 6f 6e 20 6f 66 20 44 | 75 70 6c 65 78 20 53 6f |son of D|uplex So|
|00003c80| 6e 6f 67 72 61 70 68 79 | 0d 0a 61 6e 64 20 50 6c |nography|..and Pl|
|00003c90| 65 74 68 79 73 6d 6f 67 | 72 61 70 68 79 0d 0a 0d |ethysmog|raphy...|
|00003ca0| 0a 52 6f 73 6e 65 72 20 | 4e 48 2c 20 44 6f 72 69 |.Rosner |NH, Dori|
|00003cb0| 73 20 50 45 0d 0a 28 53 | 74 20 4a 61 6d 65 73 20 |s PE..(S|t James |
|00003cc0| 48 6f 73 70 20 4d 65 64 | 20 43 74 72 2c 20 43 68 |Hosp Med| Ctr, Ch|
|00003cd0| 69 63 61 67 6f 20 48 65 | 69 67 68 74 73 2c 20 49 |icago He|ights, I|
|00003ce0| 6c 6c 3b 20 55 6e 69 76 | 20 6f 66 20 43 68 69 63 |ll; Univ| of Chic|
|00003cf0| 61 67 6f 20 48 6f 73 70 | 73 29 0d 0a 41 4a 52 20 |ago Hosp|s)..AJR |
|00003d00| 31 35 30 3a 36 32 33 2d | 36 32 37 2c 20 4d 61 72 |150:623-|627, Mar|
|00003d10| 63 68 20 31 39 38 38 0d | 0a 2d 2d 2d 2d 2d 2d 2d |ch 1988.|.-------|
|00003d20| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003d30| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003d40| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003d50| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003d60| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 0d 0a 0d 0a 41 62 73 |--------|-....Abs|
|00003d70| 74 72 61 63 74 0d 0a 0d | 0a 20 20 20 20 20 54 68 |tract...|. Th|
|00003d80| 65 20 61 75 74 68 6f 72 | 73 20 63 6f 6d 70 61 72 |e author|s compar|
|00003d90| 65 64 20 72 65 61 6c 2d | 74 69 6d 65 20 64 75 70 |ed real-|time dup|
|00003da0| 6c 65 78 20 73 6f 6e 6f | 67 72 61 70 68 79 20 77 |lex sono|graphy w|
|00003db0| 69 74 68 20 69 6d 70 65 | 64 61 6e 63 65 0d 0a 70 |ith impe|dance..p|
|00003dc0| 6c 65 74 68 79 73 6d 6f | 67 72 61 70 68 79 20 69 |lethysmo|graphy i|
|00003dd0| 6e 20 31 32 33 20 70 61 | 74 69 65 6e 74 73 20 77 |n 123 pa|tients w|
|00003de0| 68 6f 20 77 65 72 65 20 | 73 65 65 6e 20 64 75 72 |ho were |seen dur|
|00003df0| 69 6e 67 20 61 20 31 33 | 2d 6d 6f 6e 74 68 20 70 |ing a 13|-month p|
|00003e00| 65 72 69 6f 64 20 77 69 | 74 68 0d 0a 63 6c 69 6e |eriod wi|th..clin|
|00003e10| 69 63 61 6c 6c 79 20 73 | 75 73 70 65 63 74 65 64 |ically s|uspected|
|00003e20| 20 66 65 6d 6f 72 6f 70 | 6f 70 6c 69 74 65 61 6c | femorop|opliteal|
|00003e30| 20 76 65 6e 6f 75 73 20 | 74 68 72 6f 6d 62 6f 73 | venous |thrombos|
|00003e40| 69 73 2e 20 20 43 6f 6e | 74 72 61 73 74 20 76 65 |is. Con|trast ve|
|00003e50| 6e 6f 67 72 61 70 68 79 | 20 77 61 73 0d 0a 70 65 |nography| was..pe|
|00003e60| 72 66 6f 72 6d 65 64 20 | 69 6e 20 33 32 20 70 61 |rformed |in 32 pa|
|00003e70| 74 69 65 6e 74 73 2c 20 | 61 6e 64 20 32 35 20 70 |tients, |and 25 p|
|00003e80| 61 74 69 65 6e 74 73 20 | 68 61 64 20 61 6c 6c 20 |atients |had all |
|00003e90| 33 20 70 72 6f 63 65 64 | 75 72 65 73 2e 0d 0a 20 |3 proced|ures... |
|00003ea0| 20 20 20 20 44 75 70 6c | 65 78 20 73 6f 6e 6f 67 | Dupl|ex sonog|
|00003eb0| 72 61 70 68 79 20 70 72 | 6f 64 75 63 65 64 20 6e |raphy pr|oduced n|
|00003ec0| 6f 20 66 61 6c 73 65 2d | 70 6f 73 69 74 69 76 65 |o false-|positive|
|00003ed0| 20 72 65 73 75 6c 74 73 | 2e 20 20 49 74 73 20 73 | results|. Its s|
|00003ee0| 65 6e 73 69 74 69 76 69 | 74 79 20 66 6f 72 0d 0a |ensitivi|ty for..|
|00003ef0| 66 65 6d 6f 72 6f 70 6f | 70 6c 69 74 65 61 6c 20 |femoropo|pliteal |
|00003f00| 64 65 65 70 20 76 65 6e | 6f 75 73 20 74 68 72 6f |deep ven|ous thro|
|00003f10| 6d 62 6f 73 69 73 20 77 | 61 73 20 39 30 25 2c 20 |mbosis w|as 90%, |
|00003f20| 61 6e 64 20 69 74 73 20 | 61 63 63 75 72 61 63 79 |and its |accuracy|
|00003f30| 20 77 61 73 20 39 37 25 | 20 69 6e 0d 0a 70 61 74 | was 97%| in..pat|
|00003f40| 69 65 6e 74 73 20 77 68 | 6f 20 61 6c 73 6f 20 68 |ients wh|o also h|
|00003f50| 61 64 20 76 65 6e 6f 67 | 72 61 70 68 79 2e 20 20 |ad venog|raphy. |
|00003f60| 53 65 76 65 72 61 6c 20 | 66 61 6c 73 65 2d 70 6f |Several |false-po|
|00003f70| 73 69 74 69 76 65 20 70 | 6c 65 74 68 79 73 6d 6f |sitive p|lethysmo|
|00003f80| 67 72 61 70 68 69 63 0d | 0a 66 69 6e 64 69 6e 67 |graphic.|.finding|
|00003f90| 73 20 77 65 72 65 20 6f | 62 74 61 69 6e 65 64 2c |s were o|btained,|
|00003fa0| 20 61 6e 64 20 74 68 65 | 20 73 74 75 64 79 20 77 | and the| study w|
|00003fb0| 61 73 20 6f 6e 6c 79 20 | 36 33 25 20 73 70 65 63 |as only |63% spec|
|00003fc0| 69 66 69 63 2e 20 20 57 | 68 65 6e 20 74 68 65 20 |ific. W|hen the |
|00003fd0| 33 0d 0a 6e 6f 6e 69 6e | 76 61 73 69 76 65 20 70 |3..nonin|vasive p|
|00003fe0| 72 6f 63 65 64 75 72 65 | 73 20 64 69 73 61 67 72 |rocedure|s disagr|
|00003ff0| 65 65 64 2c 20 69 74 20 | 77 61 73 20 6d 6f 72 65 |eed, it |was more|
|00004000| 20 6c 69 6b 65 6c 79 20 | 74 68 61 74 20 66 69 6e | likely |that fin|
|00004010| 64 69 6e 67 73 20 6f 66 | 0d 0a 70 6c 65 74 68 79 |dings of|..plethy|
|00004020| 73 6d 6f 67 72 61 70 68 | 79 20 77 6f 75 6c 64 20 |smograph|y would |
|00004030| 62 65 20 61 62 6e 6f 72 | 6d 61 6c 20 61 6e 64 20 |be abnor|mal and |
|00004040| 66 69 6e 64 69 6e 67 73 | 20 61 74 20 73 6f 6e 6f |findings| at sono|
|00004050| 67 72 61 70 68 79 20 77 | 6f 75 6c 64 20 62 65 20 |graphy w|ould be |
|00004060| 6e 6f 72 6d 61 6c 2e 0d | 0a 49 6e 20 73 65 76 65 |normal..|.In seve|
|00004070| 72 61 6c 20 63 61 73 65 | 73 20 70 6c 65 74 68 79 |ral case|s plethy|
|00004080| 73 6d 6f 67 72 61 70 68 | 79 20 77 61 73 20 6e 6f |smograph|y was no|
|00004090| 6e 64 69 61 67 6e 6f 73 | 74 69 63 20 6f 72 20 63 |ndiagnos|tic or c|
|000040a0| 6f 75 6c 64 20 6e 6f 74 | 20 62 65 20 64 6f 6e 65 |ould not| be done|
|000040b0| 20 62 65 63 61 75 73 65 | 0d 0a 6f 66 20 74 65 63 | because|..of tec|
|000040c0| 68 6e 69 63 61 6c 20 6f | 72 20 63 6c 69 6e 69 63 |hnical o|r clinic|
|000040d0| 61 6c 20 70 72 6f 62 6c | 65 6d 73 2e 0d 0a 20 20 |al probl|ems... |
|000040e0| 20 20 20 4e 6f 72 6d 61 | 6c 20 64 75 70 6c 65 78 | Norma|l duplex|
|000040f0| 20 73 6f 6e 6f 67 72 61 | 6d 73 20 77 65 72 65 20 | sonogra|ms were |
|00004100| 63 68 61 72 61 63 74 65 | 72 69 7a 65 64 20 62 79 |characte|rized by|
|00004110| 20 73 70 6f 6e 74 61 6e | 65 6f 75 73 20 70 68 61 | spontan|eous pha|
|00004120| 73 69 63 20 76 65 6e 6f | 75 73 0d 0a 73 69 67 6e |sic veno|us..sign|
|00004130| 61 6c 73 20 69 6e 20 74 | 68 65 20 63 6f 6d 6d 6f |als in t|he commo|
|00004140| 6e 20 66 65 6d 6f 72 61 | 6c 20 76 65 69 6e 20 28 |n femora|l vein (|
|00004150| 46 69 67 20 32 2d 32 32 | 29 2e 20 20 41 20 6e 6f |Fig 2-22|). A no|
|00004160| 72 6d 61 6c 20 70 6f 70 | 6c 69 74 65 61 6c 20 61 |rmal pop|liteal a|
|00004170| 75 67 6d 65 6e 74 61 74 | 69 6f 6e 0d 0a 73 69 67 |ugmentat|ion..sig|
|00004180| 6e 61 6c 20 63 6f 75 6c | 64 20 62 65 20 73 65 65 |nal coul|d be see|
|00004190| 6e 20 61 62 6f 76 65 20 | 74 68 65 20 74 68 72 6f |n above |the thro|
|000041a0| 6d 62 75 73 20 28 46 69 | 67 20 32 2d 32 33 29 2e |mbus (Fi|g 2-23).|
|000041b0| 20 20 56 65 6e 6f 75 73 | 20 72 65 66 6c 75 78 20 | Venous| reflux |
|000041c0| 70 72 6f 64 75 63 65 64 | 0d 0a 61 62 6e 6f 72 6d |produced|..abnorm|
|000041d0| 61 6c 20 72 65 76 65 72 | 73 65 64 20 66 6c 6f 77 |al rever|sed flow|
|000041e0| 20 6f 6e 20 63 6f 6d 70 | 72 65 73 73 69 6f 6e 20 | on comp|ression |
|000041f0| 6f 66 20 74 68 65 20 61 | 62 64 6f 6d 65 6e 20 6f |of the a|bdomen o|
|00004200| 72 20 74 68 69 67 68 20 | 28 46 69 67 20 32 2d 32 |r thigh |(Fig 2-2|
|00004210| 34 29 2e 0d 0a 44 75 70 | 6c 65 78 20 73 6f 6e 6f |4)...Dup|lex sono|
|00004220| 67 72 61 70 68 79 20 69 | 73 20 61 20 64 69 72 65 |graphy i|s a dire|
|00004230| 63 74 20 69 6d 61 67 69 | 6e 67 20 6d 65 74 68 6f |ct imagi|ng metho|
|00004240| 64 20 74 68 61 74 20 69 | 73 20 73 75 70 65 72 69 |d that i|s superi|
|00004250| 6f 72 20 74 6f 20 70 6c | 65 74 68 79 73 6d 6f 67 |or to pl|ethysmog|
|00004260| 72 61 70 68 79 0d 0a 66 | 6f 72 20 65 76 61 6c 75 |raphy..f|or evalu|
|00004270| 61 74 69 6e 67 20 64 65 | 65 70 20 76 65 6e 6f 75 |ating de|ep venou|
|00004280| 73 20 74 68 72 6f 6d 62 | 6f 73 69 73 20 69 6e 20 |s thromb|osis in |
|00004290| 74 68 65 20 66 65 6d 6f | 72 6f 70 6f 70 6c 69 74 |the femo|ropoplit|
|000042a0| 65 61 6c 20 73 79 73 74 | 65 6d 2e 0d 0a 0d 0a 50 |eal syst|em.....P|
|000042b0| 6f 73 74 2d 43 6f 6d 6d | 65 6e 74 0d 0a 0d 0a 20 |ost-Comm|ent.... |
|000042c0| 20 20 20 20 44 75 70 6c | 65 78 20 73 6f 6e 6f 67 | Dupl|ex sonog|
|000042d0| 72 61 70 68 79 20 68 61 | 73 20 70 6c 61 79 65 64 |raphy ha|s played|
|000042e0| 20 61 6e 64 20 77 69 6c | 6c 20 63 6f 6e 74 69 6e | and wil|l contin|
|000042f0| 75 65 20 74 6f 20 70 6c | 61 79 20 61 6e 20 69 6e |ue to pl|ay an in|
|00004300| 63 72 65 61 73 69 6e 67 | 20 72 6f 6c 65 0d 0a 69 |creasing| role..i|
|00004310| 6e 20 74 68 65 20 64 69 | 61 67 6e 6f 73 69 73 20 |n the di|agnosis |
|00004320| 6f 66 20 44 56 54 2e 20 | 20 57 68 65 72 65 61 73 |of DVT. | Whereas|
|00004330| 20 69 74 20 73 65 65 6d | 73 20 74 6f 20 62 65 20 | it seem|s to be |
|00004340| 6d 6f 72 65 20 73 70 65 | 63 69 66 69 63 20 61 6e |more spe|cific an|
|00004350| 64 20 73 65 6e 73 69 74 | 69 76 65 0d 0a 74 68 61 |d sensit|ive..tha|
|00004360| 6e 20 70 6c 65 74 68 79 | 73 6d 6f 67 72 61 70 68 |n plethy|smograph|
|00004370| 79 2c 20 62 6f 74 68 20 | 63 61 6e 20 62 65 20 68 |y, both |can be h|
|00004380| 65 6c 70 66 75 6c 20 69 | 6e 20 64 69 66 66 69 63 |elpful i|n diffic|
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|000049d0| 44 61 74 65 7b 4f 63 74 | 6f 62 65 72 20 31 39 38 |Date{Oct|ober 198|
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|00004a30| 73 2e 20 42 72 61 67 67 | 2c 20 48 65 6e 64 65 65 |s. Bragg|, Hendee|
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|00004a50| 72 69 63 6b 2c 20 4d 69 | 6c 6c 65 72 2c 20 4f 73 |rick, Mi|ller, Os|
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|00004a80| 0a 24 43 6f 6d 6d 65 6e | 74 61 74 6f 72 7b 46 2e |.$Commen|tator{F.|
|00004a90| 4a 2e 20 4d 69 6c 6c 65 | 72 2c 20 4a 72 2e 2c 20 |J. Mille|r, Jr., |
|00004aa0| 4d 2e 44 2e 7d 0d 0a 0d | 0a 43 6f 70 79 72 69 67 |M.D.}...|.Copyrig|
|00004ab0| 68 74 20 28 63 29 20 59 | 65 61 72 20 42 6f 6f 6b |ht (c) Y|ear Book|
|00004ac0| 20 4d 65 64 69 63 61 6c | 20 50 75 62 6c 69 73 68 | Medical| Publish|
|00004ad0| 65 72 73 2c 20 49 6e 63 | 2e 2c 20 31 39 38 39 0d |ers, Inc|., 1989.|
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|00004b70| 53 74 75 64 69 65 73 0d | 0a 0d 0a 2d 2d 2d 2d 2d |Studies.|...-----|
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|00004c90| 37 2d 36 38 32 2c 20 4f | 63 74 6f 62 65 72 20 31 |7-682, O|ctober 1|
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|00004ce0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
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|00005700| 34 2d 31 30 38 30 7d 0d | 0a 24 44 61 74 65 7b 4e |4-1080}.|.$Date{N|
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|00005e90| 74 65 6e 6f 73 69 73 20 | 28 46 69 67 20 32 2d 32 |tenosis |(Fig 2-2|
|00005ea0| 36 29 2e 0d 0a 20 20 20 | 20 20 41 20 74 6f 74 61 |6)... | A tota|
|00005eb0| 6c 20 6f 66 20 33 39 33 | 20 61 72 74 65 72 69 61 |l of 393| arteria|
|00005ec0| 6c 20 73 65 67 6d 65 6e | 74 73 20 77 61 73 20 73 |l segmen|ts was s|
|00005ed0| 74 75 64 69 65 64 2e 20 | 20 41 20 32 2d 77 61 79 |tudied. | A 2-way|
|00005ee0| 20 63 6f 6e 74 69 6e 67 | 65 6e 63 79 20 74 61 62 | conting|ency tab|
|00005ef0| 6c 65 0d 0a 66 6f 72 20 | 63 6c 61 73 73 69 66 69 |le..for |classifi|
|00005f00| 63 61 74 69 6f 6e 20 62 | 79 20 64 75 70 6c 65 78 |cation b|y duplex|
|00005f10| 20 73 63 61 6e 6e 69 6e | 67 20 61 6e 64 20 61 6e | scannin|g and an|
|00005f20| 67 69 6f 67 72 61 70 68 | 79 20 77 61 73 20 63 6f |giograph|y was co|
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|00005f40| 2e 0d 0a 45 78 61 63 74 | 20 61 67 72 65 65 6d 65 |...Exact| agreeme|
|00005f50| 6e 74 20 62 65 74 77 65 | 65 6e 20 74 68 65 20 32 |nt betwe|en the 2|
|00005f60| 20 6d 65 74 68 6f 64 73 | 20 6f 63 63 75 72 72 65 | methods| occurre|
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|00005f80| 72 65 65 6d 65 6e 74 20 | 69 6e 20 31 0d 0a 63 61 |reement |in 1..ca|
|00005f90| 74 65 67 6f 72 79 20 6f | 63 63 75 72 72 65 64 20 |tegory o|ccurred |
|00005fa0| 69 6e 20 38 37 25 2e 20 | 20 46 6f 72 20 63 6f 72 |in 87%. | For cor|
|00005fb0| 72 65 63 74 6c 79 20 69 | 64 65 6e 74 69 66 79 69 |rectly i|dentifyi|
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|00006050| 69 76 69 74 79 20 6f 66 | 20 38 32 25 2c 20 61 20 |ivity of| 82%, a |
|00006060| 73 70 65 63 69 66 69 63 | 69 74 79 20 6f 66 20 39 |specific|ity of 9|
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|00006080| 70 72 65 64 69 63 74 69 | 76 65 20 76 61 6c 75 65 |predicti|ve value|
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|000060a0| 65 67 61 74 69 76 65 20 | 70 72 65 64 69 63 74 69 |egative |predicti|
|000060b0| 76 65 20 76 61 6c 75 65 | 20 6f 66 20 39 33 25 20 |ve value| of 93% |
|000060c0| 28 54 61 62 6c 65 0d 0a | 32 29 2e 20 52 65 73 75 |(Table..|2). Resu|
|000060d0| 6c 74 73 20 6f 66 20 73 | 63 61 6e 73 20 61 6e 64 |lts of s|cans and|
|000060e0| 20 61 6e 67 69 6f 67 72 | 61 6d 73 20 66 6f 72 20 | angiogr|ams for |
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|00006190| 6e 6f 73 69 73 20 77 61 | 73 20 66 6f 75 6e 64 20 |nosis wa|s found |
|000061a0| 74 6f 20 62 65 20 61 73 | 20 67 6f 6f 64 20 61 73 |to be as| good as|
|000061b0| 20 74 68 65 20 61 67 72 | 65 65 6d 65 6e 74 20 62 | the agr|eement b|
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|00006230| 73 68 20 68 69 67 68 2d | 67 72 61 64 65 20 73 74 |sh high-|grade st|
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|000062e0| 66 69 72 73 74 20 70 72 | 61 63 74 69 63 61 6c 20 |first pr|actical |
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|00006330| 61 73 65 2e 0d 0a 0d 0a | 50 6f 73 74 2d 43 6f 6d |ase.....|Post-Com|
|00006340| 6d 65 6e 74 0d 0a 0d 0a | 20 20 20 20 20 43 6f 75 |ment....| Cou|
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|00006370| 72 75 6e 6f 66 66 73 20 | 77 69 74 68 20 63 6f 6e |runoffs |with con|
|00006380| 74 72 61 73 74 3f 20 20 | 42 65 74 77 65 65 6e 20 |trast? |Between |
|00006390| 4d 52 49 20 61 6e 64 0d | 0a 64 75 70 6c 65 78 20 |MRI and.|.duplex |
|000063a0| 69 6d 61 67 69 6e 67 20 | 70 65 72 68 61 70 73 20 |imaging |perhaps |
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|000063c0| 61 73 20 49 20 6d 65 6e | 74 69 6f 6e 65 64 20 6c |as I men|tioned l|
|000063d0| 61 73 74 20 79 65 61 72 | 20 69 6e 20 74 68 65 73 |ast year| in thes|
|000063e0| 65 0d 0a 72 65 70 6f 72 | 74 73 2c 20 62 75 74 20 |e..repor|ts, but |
|000063f0| 6d 75 63 68 20 77 6f 72 | 6b 20 72 65 6d 61 69 6e |much wor|k remain|
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