Pocket Obstetrics and Gynecology

ABBREVIATIONS

17-OHP

17-hydroxyprogesterone

AA

African American

AAP

American Academy of Pediatrics

Ab(s)

antibody(ies)

ABG

arterial blood gas

AC

abdominal circumference

ACEI

angiotensin-converting enzyme inhibitor

ACh

acetylcholine

aCL

anticardiolipin antibody

ACOG

American Congress /College of OB/GYN

ACS

acute coronary syndrome/American Cancer Society

ACTH

adrenocorticotropic hormone

ADH

antidiuretic hormone

AE

adverse effects

AED

antiepileptic drug

AEDF

absent end diastolic flow

AF

amniotic fluid

AFC

antral follicle count

AFE

amniotic fluid embolism

AFI

amniotic fluid index

AFLP

acute fatty liver of pregnancy

AFP

alpha-fetoprotein

AFV

amniotic fluid volume

AG

anion gap

Ag

antigen

AI

active ingredient

AIDS

acquired immunodeficiency syndrome

AIHA

autoimmune hemolytic anemia

AIN

anal intraepithelial neoplasia

AIS

adenocarcinoma in situ/androgen insensitivity syndrome

AKI

acute kidney injury

AMA

advanced maternal age

AMH

anti-Müllerian hormone

AML

acute myeloid leukemia

Amp

amplitude/ampicillin

AMS

altered mental status

Amy

amylase

ANA

antinuclear antibody

AP

angina pectoris/anteroposterior

aPa/APLA

antiphospholipid antibodies

APRN

advanced practice registered nurse

APS

APLA syndrome

aPTT

activated partial thromboplastin time

AR

absolute risk

ARB

angiotensin receptor blocker

ARDS

acute respiratory distress syndrome

ARF

acute renal failure

ARR

AR reduction

ART

antiretroviral therapy/assisted reproductive technology

AS

aortic stenosis

ASA

American Society of Anesthesiologists/aspirin

ASCAs

antisaccharomyces cerevisiae antibodies

ASCCP

American Society for Colposcopy and Cervical Pathology

ASD

atrial septal defect

ASIS

anterior-superior iliac spine

ASRM

American Society for Reproductive Medicine

AT-III

antithrombin III

ATD

antithyroid drug

ATFP

arcus tendineus fasciae pelvis

ATN

acute tubular necrosis

AUB

abnormal uterine bleeding

AVA

aortic valve area

AVF

arteriovenous fistula

AVM

arteriovenous malformation

AVSDs

atrioventricular septal defects

Azithro

azithromycin

AZT

zidovudine

   

BASE

brief abuse screen for the elderly

BB

beta blocker

BBT

basal body temperature

BC

bulbus cordis

BCC

basal cell carcinoma

BE

base excess

bhCG

beta-hCG

BiAsp

biphasic insulin aspart

BMD

bone mineral density

BPD

biparietal diameter

BPH

benign prostatic hyperplasia

BPP

biophysical profile

BSA

body surface area

BSO

bilateral salpingo-oophorectomy

BV

bacterial vaginosis

   

C

Caucasian

Ca

calcium

CAD

coronary artery disease

CAH

congenital adrenal hyperplasia

CAIS

complete androgen insensitivity

CAP

community-acquired pneumonia

CARPREG

Cardiac Disease in Pregnancy Score

c/b

complicated by

CCAM

congenital cystic adenomatoid malformation

CCB

calcium channel blocker

CD

cesarean delivery/Crohn’s disease

CDC

Centers for Disease Control and Prevention

CDH

congenital diaphragmatic hernia

CEE

conjugated equine estrogen

CF

cystic fibrosis

CFU

colony-forming units

CGH

comparative genomic hybridization

CHD

congenital heart disease

CHF

congestive heart failure

chorio

chorioamnionitis

CHTN

chronic hypertension

CI

confidence interval/contraindication

CIC

clean intermittent self-catheterization

CIN

cervical intraepithelial neoplasia

CIS

carcinoma in situ

CKC

Cold Knife Conization

CKD

chronic kidney disease

CKI

creatine kinase inhibitor

CK-MB

creatine kinase-MB

CL

cervical length

CM

Certified Midwife

CMV

cytomegalovirus

CNM

Certified Nurse-Midwives

CO

cardiac output

COC

combined oral contraceptive

COH

Controlled ovarian hyperstimulation

Const Del

constitutional delay

COP

colloid osmotic pressure

COPD

chronic obstructive pulmonary disease

Cort

corticosteroid

COX

cyclooxygenase

CP

cerebral palsy

CPCs

choroid plexus cysts

CPD

cephalopelvic disproportion

CPM

Certified Professional Midwives

CPP

chronic pelvic pain

CR

cervical ripening

CrCl

creatinine clearance

CRF

chronic renal failure

CRH

corticotropin-releasing hormone

CRL

crown-rump length

CRP

c-reactive protein

crypto

cryptosporidiosis

CS

cesarean section

CSII

continuous subcutaneous insulin infusion

C&S

culture & sensitivity

CSE

combined spinal–epidural

CSF

cerebrospinal fluid

CT

computed tomography

CTA

CT angiography

CTCAE

common terminology criteria for adverse events

CTD

connective tissue disease

CTS

carpal tunnel syndrome/conflict tactics scale

CTV

CT venography

CTX

chest x-ray/contractions

CUS

compression ultrasonography

CVA

cerebrovascular accident

CVC

central venous catheter

CVD

cardiovascular disease

CVP

central venous pressure

CVS

Chorionic villus sampling

CVT

cerebral venous thrombosis

CVVS

continuous venovenous hemofiltration

c/w

consistent with

   

DBP

diastolic blood pressure

D&C

dilatation and curettage

DCM

dilated cardiomyopathy

DDx

differential diagnosis

D&E

dilation & evacuation

DEM

Direct Entry Midwives

DES

diethylstilbestrol

DEXA

dual-energy x-ray absorptiometry

DHEA-S

dehydroepiandrosterone sulfate

DHT

dihydrotestosterone

DIC

disseminated intravascular coagulation

dig

digoxin

DKA

diabetic ketoacidosis

DMPA

depot medroxyprogesterone acetate

DMSO

dimethyl sulfoxide

DMT

disease-modifying treatments

DPG

diphosphoglycerate

dsDNA

double-stranded DNA

DV

domestic violence

   

EAS

external anal sphincter

EBL

estimated blood loss

EBRT

external beam radiation therapy

EC

emergency contraception/endometrial carcinoma

ECC

endocervical curettage

ECG

electrocardiogram

EDD

estimated date of delivery

EE

ethinyl estradiol

EF

ejection fraction

EFW

estimated fetal weight

EGA

estimated gestational age

EH

endometrial hyperplasia

EIC

endometrial intraepithelial carcinoma

EIF

echogenic intracardiac focus

ELISA

enzyme-linked immunosorbent assay

EMACO

etoposide, methotrexate, actinomycin D, cytoxan, oncovin

EMBx

endometrial biopsy

EMS

emergency medical service/endometrial stripe

EOC

epithelial ovarian cancer

EPDS

Edinburgh postnatal depression scale

EPT

expedited partner therapy

ER

emergency department/room

ERCD

elective repeat cesarean delivery

ERCP

endoscopic retrograde cholangiopancreatography

ERV

expiratory reserve volume

Erythro

erythromycin

ES

elastic stockings

ESR

erythrocyte sedimentation rate

ESRD

end-stage renal disease

ET

endometrial thickness/estrogen therapy

EUA

examination under anesthesia

exp

expiratory

   

FAST

focused assessment sonography for trauma

FDA

food drug administration

FDG

fluorodeoxyglucose

FENa

fractional excretion of sodium

FEurea

fractional excretion of urea

FEV

forced expiratory volume

ffDNA

free fetal DNA

fFN

fetal fibronectin

FFP

fresh frozen plasma

FH

fundal height

FHH

familial hypocalciuric hypercalcemia

FHM

fetal heart motion

FHR

fetal heart rate

FHRT

FHR tracing

FHT

fetal heart tones

FIGO

Federation of Gynecology and Obstetrics

FISH

fluorescence in situ hybridization

FL

femur length

FLM

fetal lung maturity

FM

fetal movement

FMH

fetomaternal hemorrhage

FMP

final menstrual period

FNA

fine-needle aspiration

FRC

functional residual capacity

FSH

follicle-stimulating hormone

FTA-ABS

fluorescent treponemal antibody absorption

FTT

failure to thrive

FVIII

factor VIII

FVL

factor V Leiden

FU

fluorouracil

FVC

forced vital capacity

fx

fracture or function

   

GA

general anesthesia

G20210A

prothrombin G20210A

GABA

gamma-aminobutyric acid

GAD

glutamic acid decarboxylase

GBS

group B Streptococcus

GC/CT

Neisseria gonorrhoeae/Chlamydia trachomatis

G-CSF

granulocyte colony-stimulating factor

GCT

granulosa cell tumor

GDM

gestational diabetes mellitus

GDPP

gonadotropin-dependent (central) precocious puberty

GERD

gastroesophageal reflux disease

GFR

glomerular filtration rate

GGT

γ-glutamyl transpeptidase

GH

growth hormone

GHTN

gestational hypertension

GLT

glucose loading test

GnRH

gonadotropin-releasing hormone

G6PD

glucose-6-phosphate dehydrogenase

GS

gestational sac

GTN

gestational trophoblastic neoplasia

GTT

glucose tolerance test

GVHD

graft versus host disease

   

H

Hispanic

HA

headache/hemolytic anemia

HAART

highly-active antiretroviral therapy

HAP

hospital-acquired pneumonia

HAV

hepatitis A virus

HbA

hemoglobin A

HbA1c

hemoglobin A1c

HBcAg

hepatitis B core antigen

HbEP

hemoglobin electrophoresis

HbF

hemoglobin F

HbS

hemoglobin S

HBV

hepatitis B virus

HC

head circumference

HCAP

healthcare-associated pneumonia

hCG

human chorionic gonadotropin

HCV

hepatitis C virus

HDL

high-density lipoprotein

HDR

high-dose rate

HDV

hepatitis D virus

HEAA

hydroxyethoxyacetic acid

HEG

hyperemesis gravidarum

HELLP

Hemolysis, Elevated Liver enzymes, Low Platelets

HepBIg

hepatitis B immune globulin

HEV

hepatitis E virus

H/H

hemoglobin and hematocrit

HIDA

hepatobiliary iminodiacetic acid

HIT

heparin-induced thrombocytopenia

HIV

human immunodeficiency virus

HK

hypokinesis

HL

humerus length

HLA

human leukocyte antigen

HLHS

hypoplastic left heart syndrome

hMG

human menopausal gonadotropin

HNPCC

hereditary nonpolyposis colorectal cancer

HoNa

hyponatremia

HoTN

hypotension

HPA

hypothalamic–pituitary–adrenal

hPL

human placental lactogen

HPO

hypothalamic–pituitary–ovarian

HPV

human papilloma virus

HQOL

health-related QOL

HRT

hormone replacement therapy

HSDD

hypoactive sexual desire disorder

HSG

hysterosalpingogram

HSV

herpes simplex virus

HT

hormone therapy

HTLV

human T-cell lymphotropic virus

HUS

hemolytic uremic syndrome

hyperaldo

hyperaldosteronism

hyperK

hyperkalemia

HyperNa

hypernatremia

hyperphos

hyperphosphatemia

HypoCa

hypocalcemia

hypoK

hypokalemia

hypophos

hypophosphatemia

   

IAS

internal anal sphincter

IBD

inflammatory bowel disease

IC

inspiratory capacity/interstitial cystitis

ICP

intrahepatic cholestasis of pregnancy

ICSI

intracytoplasmic sperm injection

ICU

intensive care unit

I&D

incision & drainage

IEA

inferior epigastric artery

IFN

interferon

IGF

insulin-like growth factor

IMRT

intensity-modulated radiation therapy

INH

isoniazid

innomin

innominate

INR

international normalized ratio

intravag

intravaginal

I&O

input/output

IOL

induction of labor

IP

infundibulopelvic/intraperitoneal

IPCD

intermittent pneumatic compression devices

IPV

intimate partner violence

IR

immediate release

IRV

inspiratory reserve volume

ISD

intrinsic sphincteric deficiency

ITP

immune thrombocytopenia purpura

IUD

intrauterine device

IUFD

intrauterine fetal demise

IUGR

intrauterine growth restriction

IUI

intrauterine insemination

IUP

intrauterine pregnancy

IV

intravenous

IVC

inferior vena cava

IVDU

intravenous drug use

IVF

in vitro fertilization

IVH

intraventricular hemorrhage

IVIG

intravenous immunoglobulin

IVP

intravenous pyelogram

   

JVD

jugular venous distension

JVP

jugular venous pressure

   

K-B

Kleihauer–Betke

KUB

kidneys, ureters, bladder

   

LA

left atrium/lupus anticoagulant

LAD

lymphadenopathy

LAIV

live attenuated influenza vaccine

LBP

low back pain

LBW

lean body weight/low birth weight

LCIS

lobular carcinoma in situ

L&D

labor and delivery

LDH

lactate dehydrogenase

LDL

low-density lipoprotein

LDR

low-dose rate

LDUH

low-dose UFH

LE

lower extremity

LEEP

loop electrosurgical excision procedure

Levo

levofloxacin

LFT

liver function tests

LH

luteinizing hormone

LMP

last menstrual period

LMWH

low molecular weight heparin

LND

lymph node dissection

LNG IUD

levonorgestrel-releasing intrauterine device

LNG-IUS

levonorgestrel intrauterine system

LOF

leakage of fluid

LP

low pressure/lumbar puncture

LPP

leak point pressure

LPS

lipopolysaccharides

LPV

localized provoked vulvodynia

L/S

lecithin/sphingomyelin

LUNA

laparoscopic uterosacral nerve ablation

LVEF

left ventricular ejection fraction

LVSI

lymphovascular space involvement

   

MAC

methotrexate, actinomycin D, cytoxan

MAOI

monoamine oxidase inhibitor

MAP

mean arterial pressure

MCA

middle cerebral artery

MCV

mean corpuscular volume

MDCT

multidetector CT

MDD

major depressive disorder

MDI

metered dose inhaler/multiple daily injection

MDPA

medroxyprogesterone acetate

MDR

multidrug resistant

MDS

myelodysplastic syndrome

MEN

multiple endocrine neoplasia

MESA

microsurgical epididymal sperm aspiration

MI

myocardial infarction

MIBG

metaiodobenzylguanidine

MIS

Müllerian inhibiting substance

Mitoc

mitochondrial

MIVF

maintenance intravenous fluid

MMK

Marshall–Marchetti–Krantz

MMP

matrix metalloproteinase

MMR

measles, mumps, rubella

MOA

mechanism of action

MoM

multiple of the median

MR

mental retardation/mitral regurgitation

MRA

magnetic resonance angiography

MRAT

melanoma risk assessment tool

MRKH

Mayer–Rokitansky–Kuster–Hauser

MRSA

methicillin-resistant Staph aureus

MS

mitral stenosis

MSAFP

maternal serum AFP

MSD

mean sac diameter

MSH

melanocyte-stimulating hormone

MSK

musculoskeletal

MSM

male sex with men

MSSA

methicillin-sensitive staphylococcus aureus

MTC

medullary thyroid cancer

MTX

methotrexate

MUCP

maximal urethral closure pressure

MUGA

multigated acquisition

MUI

mixed urinary incontinence

MV

mitral valve

MVI

multivitamin

MVP

maximum vertical pocket

MVU

Montevideo Units

   

NAAT

nucleic acid amplification test

NAIT

neonatal alloimmune thrombocytopenia

NB

nasal bone

NCAH

nonclassical congenital adrenal hyperplasia

NCI

National Cancer Institute

NE

norepinephrine

NEC

necrotizing enterocolitis

NETA

Norethindrone acetate

NGT

nasogastric tube

NICHD

National Institute of Child Health and Human Development

NICU

neonatal intensive care unit

NIH

National Institute of Health

NIHF

nonimmune hydrops fetalis

NNRTI

nonnucleoside reverse transcriptase inhibitor

NNT

number needed to treat

NPH

neutral protamine Hagedorn

NRFHT

nonreassuring fetal heart tracing

NS

normal saline

NST

nonstress test

NSTEMI

non-ST segment elevation MI

NT

neural tube

NT

nuchal translucency

NTD

neural tube defect

NVP

nausea and vomiting of pregnancy

NYHA

New York Heart Association

   

OAB

overactive bladder

OC

obstetric conjugate

OCP

oral contraceptive pill

OGTT

oral glucose tolerance test

OHSS

ovarian hyperstimulation syndrome

OHVIRA

obstructed hemivagina and ipsilateral renal anomaly

OI

opportunistic infection

O&P

ova and parasite

OR

odds ratio/operating room

OSA

obstructive sleep apnea

OTC

over-the-counter

   

PA

posterior–anterior/pulmonary artery

PA

primitive atrium

PAC

pulmonary artery catheter

PAIS

partial/incomplete AIS

pANCAs

perinuclear antineutrophil cytoplasmic antibodies

PAP

pulmonary artery pressure

PAPP-A

pregnancy-associated plasma protein A

PCA

patient-controlled analgesia

PCEA

patient-controlled epidural analgesia

PCI

percutaneous coronary intervention

PCN

penicillin

PCOS

polycystic ovary syndrome

PCP

primary care physician

PCr

plasma creatinine

PCR

polymerase chain reaction

PCWP

pulmonary capillary wedge pressure

PD

primary dysmenorrhea

PDA

patent ductus arteriosus

PDPH

postdural puncture headache

PE

pulmonary embolism

PEC

preeclampsia

PEFR

peak expiratory flow rate

PET

positron emission tomography

PFT

pulmonary function test

PG

phosphatidylglycerol/prostaglandins

PGD

preimplantation genetic diagnosis

pheo

pheochromocytoma

pHTN

pulmonary hypertension

PHV

peak height velocity

PI

protease inhibitor

PID

pelvic inflammatory disease

PIERS

Preeclampsia Integrated Estimate of Risk

PJP

Pneumocystis jirovecii pneumonia

PLAP

placental alkaline phosphatase

PMDD

premenstrual dysphoric disorder

PMH

past medical history

PMI

point of maximal impulse

PMNC

polymorphonuclear cell

PMP

postmenopausal

PMS

premenstrual syndrome

PNa

plasma sodium

PNA

pneumonia

POC

products of conception

POI

premature ovarian insufficiency

POP

progestin-only pill/pelvic organ prolapse

POP-Q

pelvic organ prolapse quantification

PORTEC

postoperative radiation therapy in endometrial cancer

PP

postpartum

PPD

purified protein derivative

PPE

palmar plantar erythrodysesthesia

PPH

postpartum hemorrhage

PPI

proton pump inhibitor

PPROM

preterm premature rupture of membranes

PPV

positive predictive value

ppx

prophylaxis

PR

per rectum/pulmonary regurgitation

PRAMS

Pregnancy Risk Assessment Monitoring System

PRES

posterior reversible encephalopathy syndrome

PRL

prolactin

progest

progestin

PROM

premature rupture of membranes

PSI

pneumonia severity index

PSV

peak systolic velocity

PT

prothrombin time

ptb

preterm birth

PTD

preterm delivery

PTH

parathyroid hormone

PTHrP

parathyroid hormone-related protein

PTL

preterm labor

PTU

propylthiouracil

PTX

pneumothorax

PUBS

periumbilical blood sampling

PUPPP

Pruritic Urticarial Papules and Plaques of Pregnancy

PUVA

psoralen and ultraviolet A

PV

per vagina/primitive ventricle

PVA

polyvinyl alcohol

PVD

peripheral vascular disease

PVR

postvoid residual/pulmonary vascular resistance

pyelo

pyelonephritis

   

QOL

quality of life

   

RA

right atrium

RAI

radioactive iodine

RAIR

rectoanal inhibitory reflex

RAIU

radioactive iodine uptake

Rb

retinoblastoma

RBBB

right bundle branch block

RBC

red blood cell

RCRI

revised cardiac risk index

RCT

randomized control trial

RDS

respiratory distress syndrome

RDW

red cell distribution width

REDF

reversed end diastolic flow

retic

reticulocyte

RF(s)

risk factor(s)

RhD

Rhesus D

RI

reticulocyte index

RIBA

recombinant immunoblot assay

RN

registered nurse

RNA

ribonucleic acid

ROA

right occiput anterior

ROM

rupture of membranes

RPL

recurrent pregnancy loss/retroperitoneal lymphadenectomy

RPR

rapid plasma reagin

RR

relative risk

RRMS

relapsing remitting multiple sclerosis

RRT

renal replacement therapy

RSV

respiratory syncytial virus

RT

radiation therapy

RUSB

right upper sternal border

RV

residual volume/right ventricle

   

SAB

spontaneous abortion

SAH

subarachnoid hemorrhage

SARS

severe acute respiratory syndrome

SBE

subacute bacterial endocarditis

SBO

small bowel obstruction

SBP

systolic blood pressure

SCC

squamous cell carcinoma

SCD

sequential compression device

SCID

severe combined immunodeficiency disease

SD

secondary dysmenorrhea

S/D

systolic/diastolic

SDP

single deepest pocket

SE profile

side-effect profile

SERM

selective estrogen receptor modulators

SGA

small for gestational age

SIDS

sudden infant death syndrome

SIRS

systemic inflammatory response syndrome

SIS

saline infusion sonography sonohysterography

SLE

systemic lupus erythematosus

SMX

sulfamethoxazole

SNRIs

serotonin and norepinephrine reuptake inhibitors

SOB

shortness of breath

sPEC

severe preeclampsia

SPEP

serum protein electrophoresis

SQ

subcutaneous

SS

sliding scale

SSI

surgical site infection

SSRI

selective serotonin reuptake inhibitor

STEMI

ST segment elevation MI

STI

sexually transmitted infection/disease

SUI

stress urinary incontinence

SV

stroke volume

SVD

spontaneous vaginal delivery

SVR

systemic vascular resistance

SVT

supraventricular tachycardia

   

T

testosterone

TA

transabdominal

TAH

total abdominal hysterectomy

TBG

thyroxine-binding globulin

TC

transcervical

T&C

type and crossmatch

TCA

tricyclic antidepressant

TDaP

tetanus, diphtheria, acellular pertussis

T2DM

Type II Diabetes Mellitus

TE

tracheoesophageal

TENS

Transcutaneous electrical nerve stimulation

TESE

testicular sperm extraction

TG

triglycerides

thal

thalassemia

TIA

transient ischemic attack

TIBC

total iron-binding capacity

TLC

total lung capacity

TLH

total laparoscopic hysterectomy

TMJ

temporomandibular joint

TMP

trimethoprim

TNF

tumor necrosis factor

TNM

tumor, node, metastasis

TOA

tuboovarian abscess

TOLAC

trial of labor after prior cesarean

TOT

transobturator tape

tPA

tissue plasminogen activator

TPN

total parenteral nutrition

TPO

thyroid peroxidase

TR

tricuspid regurgitation

TRAb

TSH receptor antibody

TRALI

transfusion-related lung injury

T&S

type and screen

TSH-R

TSH receptor

TSI

TSH-stimulating immunoglobulin

TST

tuberculin skin test

TTE

transthoracic echocardiography

TTP–HUS

thrombotic thrombocytopenic purpura–hemolytic uremic syndrome

TTTS

twin-to-twin transfusion syndrome

TVL

total vaginal length

TVT

tension-free vaginal tape

TVUS

transvaginal ultrasound

   

UA

urinary albumin

UAE

uterine artery embolization

UC

ulcerative colitis

UCr

urine creatinine

uE3

unconjugated estriol

UFH

unfractionated heparin

UNa

urine sodium

uncirc

uncircumcised

UOP

urine output

UPEP

urine protein electrophoresis

UPSC

uterine papillary serous carcinoma

URI

upper respiratory infection

Uro

urology

US

ultrasound/ultrasonography

USPSTF

U.S. Preventive Services Task Force

UTI

urinary tract infection

UUI

urge urinary incontinence

   

VAIN

vaginal intraepithelial neoplasia

Vanco

vancomycin

VAP

ventilation-associated pneumonia

VB

vaginal birth/vaginal bleeding

VBAC

vaginal birth after cesarean

VBP

vinblastine, bleomycin, carboplatin

VCAM

vascular cell adhesion molecule

VDRL

venereal disease research laboratory

VEGF

vascular endothelial growth factor

VIN

vulvar epithelial neoplasia/vulvar intraepithelial neoplasia

VSx

vasomotor symptoms

VSD

ventriculoseptal defect

VT

tidal volume

VTE

venous thromboembolism

VVF

vesicovaginal fistula

vWD

von Willebrand disease

vWF

von Willebrand factor

Vz/vac

vaccine

VZV

varicella zoster virus

   

WHI

Women’s health initiative

WHO

World Health Organization

wnl

within normal limits

WWE

women with epilepsy

   

XR

extended release/x-ray

XRT

radiation therapy/radiotherapy


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