Roth GA et al. To apply ANACONDA, the input data must be entered with ICD-10 codes (3 or 4 digits) and compiled into 5-year age groups, except for deaths under age 5 which are disaggregated into those occurring less than 1 year of age and 1–4 years. MH developed the ANACONDA software, edited earlier versions of the manuscript, and contributed to the final version of the manuscript. The leading cause of reintervention was late limb occlusion. Users should also be mindful that the analysis of garbage codes is based on the concept of the underlying COD; hence, if reported causes are taken from hospital discharge forms, the garbage code analysis will not be as informative as this is not the underlying cause (generally only reported on the death certificate). Weighing in at over 500lb (250kg) of solid muscle the green anaconda is the heaviest snakes in the world. The accuracy of the comparators is therefore likely to vary from country to country, and over time, depending on the amount of and reliability of the data and other information that was available on mortality and cause of death patterns for a country. PubMed Central  A systematic review of studies investigating the quality of hospital death certificates [7] concluded that there were systematic and extensive misdiagnoses of COD by physicians in hospitals. Another key step in a COD quality assessment is to investigate the distribution of deaths on the three broad GBD disease groups ((1) communicable diseases: infectious and parasitic diseases, maternal and neonatal causes, and malnutrition; (2) non-communicable diseases including mental health; and (3) external causes: accidents, homicide, suicide, war, and natural disasters) to assess whether the observed pattern corresponds to what could be expected given information about the country’s epidemiological transition. This paper describes the methods, structure, and concepts underlying ANACONDA and reports on its application potential in countries to guide health information system developments to improve mortality and COD data quality. 2015;13:291. https://doi.org/10.1186/s12916-015-0527-9. Snakes have evolved to be immune to their own species’ venom, since bites regularly happen during mating and socialization. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Across age groups, mortality among infants or children below one year 8.44 deaths per 1,000 male infant population and 6.38 deaths per 1,000 female infant population (expressed per 100,000 in Table 3). To more than triple their current production rate, they will, without a doubt, lean heavily on their latest acquisition, the Goldboro Project, which is located a couple of hours northeast of Halifax, Nova Scotia. The tool is known as ANACONDA (Analysis of Causes of National Deaths for Action) [18]. A prefilled template available at the CRVS Knowledge Gateway [24] makes it possible to produce a comprehensive annual mortality report from the output with minimal efforts. Lancet. Contents. Guidance for assessing and interpreting the quality of mortality data using ANACONDA. LM and ADL conceptualised the manuscript, developed the analytical framework, drafted earlier versions of the manuscript, and contributed to the final version of the manuscript. Mikkelsen L, Rampitage R, Hernandez B, Lopez AD. Available from: http://apps.who.int/classifications/apps/icd/icd10training/. Terms and Conditions, The saw-scaled viper (Echis carinatus) may be the deadliest of all snakes, since scientists believe it to be responsible for more human deaths than all other snake species combined. Available from: https://www.un.org/ga/search/view_doc.asp?symbol=A/RES/70/1&Lang=E. PubMed  ICD-10 interactive self learning tool: World Health Organisation. Deaths on Anaconda (1997) Edit. Geneva: World Health Organization; 2011. PubMed Google Scholar. ANACONDA was developed to specifically assess the accuracy and completeness of mortality and COD data. Building a tool like ANACONDA for global use is a long process of development, testing, and feedback. Lancet. In this part of the world, venomous snakes such as cobras and vipers killed 14,000 people each year. They are also one of the longest with some specimens measuring over 20ft (7m). Distribution of causes of deaths by usability. A/RES/70/1. Lopez AD, Setel P. Better health intelligence: a new era for civil registration and vital statistics? Tigers killed 129 people in the Sundarbans mangrove forest from 1969 to 1971. [cited 2019 Jan 29]. March 10, 2021 (25 years old) View obituary. Analysing mortality levels and causes of death, Analysis of National Causes of Death for Action, United Nations Economic Commission for Africa, United Nations Economic and Social Commission for Asia and the Pacific, International Classification of Diseases and Related Health Problems, International Classification of Diseases and Related Health Problems–Version 10, Information and communications technology, Interagency Group for Child Mortality Estimation, Institute for Health Metrics and Evaluation, Vital Statistics Performance Index for Quality. World Health Organisation. A shortened verbal autopsy instrument for use in routine mortality surveillance systems. The estimated incremental cost between treatments for the mean duration of sedation is £1,677 per patient. 2011;9:9 Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096587/. The tool calculates a composite Vital Statistics Performance Index for Quality (VSPI(Q)) to measure how fit for purpose the data are. Anaconda 3: Offspring © 2021 BioMed Central Ltd unless otherwise stated. March 30, 2021 (82 years old) View obituary. [6], that severity levels 1–3 garbage codes were, on average, only half as informative as codes classified to level 4, and hence, these were penalised twice as much in the overall VSPI(Q) score. Mikkelsen L, Phillips D, AbouZahr C, Setel PW, de Savigny D, Lozano R, Lopez AD. Murray CJ, Lopez AD. 661 are accident. The tool was developed with national datasets in mind, and therefore, small datasets, typically from hospitals for which no population at risk data exist, the steps involving the calculation of rates will not work. The longest snake species is the reticulated python, which can grow up to 25 feet, and the heaviest snake is the green anaconda, which can weigh up to 550 lbs. 2010;13 Available from: https://pdfs.semanticscholar.org/2a8a/fbfe615b248ec8af5e5201dbe909fc8ff0f5.pdf. HISHub, School Popul Health, Univ Queensland. 2007; 370(9598):1569–1577. It will allow data analysts to evaluate the reliability of their mortality data, not only for deaths directly coded to COVID-19 infection, but also for other causes of death where the risk has been magnified by COVID-19. Deaths – 15 _____ COVID-19 Vaccine update as of April 7, 2021, at 9:35 am Deer Lodge County Total Doses Administered: 6452 Dose #1 Administered: 4003 Fully Immunized: 2813 Doses per 1,000 people: 795.9 Eligible Population to be Vaccinated: 8,107 . 20 Teenagers whose parents smoke are at risk of getting lung cancer at some time during their lives. The scores for the two remaining components were simply calculated as proportions. This can be used to review, as an example, instances of excess female mortality which is extremely uncommon at any age. The total cost per death avoided is £ 7,943. 2010;8:9. You see, he regularly took advantage of Albertsons Dental Insurance and had beautiful teeth prior to leaving for Iraq like many others, toxic drinking water and toxic burn pits are only the “tip of the iceberg.” Snake species. Mortality statistics: a tool to enhance understanding and improve quality. https://doi.org/10.1016/S0140-6736(15)60171-4. KM participated in drafting earlier versions of the manuscript, and contributed to the final version of the manuscript. University of Melbourne and Bloomberg Philanthropies Data for Health Initiative. Environmental approval Anaconda submitted its original plans for Goldboro to the province for environmental approval in August 2018. For effective health promotion interventions, it is useful to know the age pattern of death within each of the broad COD groups. Table 2 shows the contents of the Sepsis package for one country. Anacondas are stocky, muscular snakes that are thicker than other boas. ANACONDA provides this visual check as shown in Fig. Strengthening civil registration and vital statistics for births, deaths and causes of death: resource kit. Examples of population age and death structure. An allergic reaction to the venom is bee’s kills 53 people per year. The method is based on an empirical model of the relationship between the observed CDR and that which would have been predicted given the level of population ageing, the level of child mortality, and the completeness of child death registration in the country [20]. The second method used in ANACONDA to assess completeness of death registration predicts completeness entirely from the input data, which greatly facilitates application of the method for estimating completeness of death registration at sub-national levels. Through a hierarchical process based on grouping similar garbage codes into packages at each of the four levels, the packages are ranked in order of importance, and the actual ICD codes which are most frequently used within each package are identified so that users can immediately see what practices are causing the highest amount of garbage codes. Two perioperative deaths (0.8%) and four major complications (1.5%) were recorded. The number of deaths per year from each species. 2). Bull World Health Organisation. After devouring, spat out. PubMed  Interactive Coronavirus Map With Jupyter Notebook and Plotly¶This article updates each day automatically with the latest data Google Scholar. [3] in their global analysis of CRVS systems suggested that the Vital Statistics Performance Index (VSPI) [6] could yield useful insights into which components of the mortality system are most in need of improvement efforts. More recently, a global assessment [3] found that despite increasing demand for better quality data, particularly by the Millennium Development Goals (MDGs), and more recently, the Sustainable Development Goals (SDGs) [4], progress remains patchy. The population age structure is crucial to correctly interpret mortality and COD data, since, irrespective of the health situation of a country, the age and sex structure of the population strongly influences the number of deaths. Google Scholar. While ANACoD proved to be a useful tool to analyse mortality and COD data, experience with the tool suggested that countries needed more guidance to usefully assess the key drivers of poor data quality in their systems. ICD-10 Code look-up. Perhaps more importantly, the comparators used in the tool mostly come from the GBD study, which attempts to estimate the likely true age-sex-cause pattern of mortality in a country after correcting for under-registration and garbage codes. https://doi.org/10.1016/S0140-6736(96)07492-2. Venomous Snakes; Non-Venomous Snakes; Snake Venom and Bites; World's Deadliest Snakes; Dangerous Snakes FAQs; Snake Facts . Take your favorite fandoms with you and never miss a beat. [cited 2019 Jan 29]. The race breakdown of the population in Anaconda varies per year, but currently 8,988 are one race and 148 are two or more races. Snake species. PubMed  Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The relative difference between the two measures of the CDR provides an estimate of the extent of under-registration of deaths. 3 for an example country. School of Population and Global Health at the University of Melbourne; 2017. For years I have dug deep to find the reason my brother in law, Steve “Real Fast” Daniel lost most of his teeth while at Camp Anaconda. https://doi.org/10.1186/s12916-020-01521-0, DOI: https://doi.org/10.1186/s12916-020-01521-0. [cited 2012 Aug 22]. For statistical offices and other data producers preparing annual reports of vital statistics or inputs for burden of disease studies [25], ANACONDA has much to offer in the form of checking the data for errors and inconsistencies, calculation of common mortality indicators, and numerous charts and figures. Late freedom from conversion was 99.2% at 1 year, 96.9% at 5 years… Anaconda is now expecting to be able to produce about 100,000 ounces a year, a figure Bullock estimates is relatively on par with the activities of the province's active mine, Atlantic Gold's Touquoy mine in Moose River. ANACONDA: a new tool to improve mortality and cause of death data. A composite metric for assessing data on mortality and causes of death: the Vital Statistics Performance Index. Anaconda 3: Offspring (2008) - Crushed to Death Scene (2/10) | Movieclips. Extracts from analyses of country data are presented to show the types of outputs. More than a decade ago, the Lancet series ‘Who Counts?’ [1] drew attention to the fact that cause of death (COD) statistics from Civil Registration and Vital Statistics (CRVS) systems, despite being the main source of national and international COD information, often were of very poor quality, and, moreover, had improved very little over the previous half century. This week I’ve been doing some recap on how to do basic data processing and cleaning in Python with the pandas and NumPy library. Popul Health Metr. AbouZahr C, Mikkelsen L, Rampatige R, Lopez AD. who dies of what, the completeness of the reporting, and the amount and types of unusable cause of death codes. Anaconda 7 - Shot by Cole Burris. While it may be argued that the fifth category in the classification contains causes that are not incorrect as a COD, they do however indicate that the certifier did not take the time to select a more precise diagnosis or perhaps did not understand the importance of accurately diagnosing the cause for planning and health policy purposes. 1 pdf icon; leading cause of death data, including firearm, homicide, and drug poisoning mortality data, and infant mortality data come from CDC WONDER and rankings and rates are based on 2016 age-adjusted death … 04/06/2021 . All causes of death are reported to the Centers for Disease Control and Prevention each year. If the physicians who certify the COD do not fill in the death certificate properly and record the appropriate UCOD, the information may be useless and will not serve its intended purpose. Part of I hope I’ve made my point. Lancet. Anacondas are opportunistic predators that prey on a variety of animals including fish, birds, tapirs, wild pigs, capybaras, caimans, and whatever other animal crosses their path when they are hungry. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Because the COD data for ANACONDA must be entered with an ICD code, it is of limited use for VA data derived from the application of automated diagnostic methods since their cause lists do not provide individual codes. On the nature of the function expressive of the law of human mortality, and on a new mode of determining the value of life contingencies. In China, ANACONDA has specifically been used to train officials in mortality analysis, with these officials now able to show provincial authorities the flaws in their data and how to solve these. By using this website, you agree to our To better meet policy need, a more sophisticated diagnostic data quality assessment tool has been developed and widely applied under the Bloomberg Data for Health (D4H) Initiative at the University of Melbourne (UoM) [17]. Systematic review of hospital-based cause-of-death statistics: strengthening evidence for policy makers. Anaconda 5 - Shot by Cole Burris. Age-specific mortality rates for males and females 2015. Given the demand for ANACONDA, we expect that the tool will be made publicly available at the CRVS Knowledge Gateway [24] before the end of the year. With most evaluations and proposed pathways for vital statistics development found in the literature focused on how complete and timely the registration/reporting of vital events are [5], a framework to facilitate quality improvement was proposed by the Health Information Knowledge Hub at the University of Queensland in 2010 [15]. Through support from the D4H initiative, it has been possible to conduct both national and inter-regional ANACONDA trainings for countries to teach them how to use the tool and familiarise themselves with epidemiological and demographic concepts essential for mortality analysis. Tigers are recorded to have killed more people than any other big cat, and have been responsible for more human deaths through direct attack than any other wild mammal. As a reflection of the strong age dependency of mortality rates, countries with older populations should expect, inter alia, higher crude death rates than countries with younger population age structures. Each quality dimension is evaluated according to a series of specific analyses or sub-steps that interrogate the data, and calculate indicators or statistics that can be compared with similar data drawn from the UN population estimates, the Inter-agency Group for Child Mortality Estimation, and the GBD database. Sedation with isoflurane via AnaConDa significantly reduces mortality compared to propofol / midazolam. Anaconda 4 - Shot by Cole Burris. Lene Mikkelsen. Reticulated pythons have been found in Florida. volume 18, Article number: 61 (2020) ANACONDA produces both population and death pyramids that allow quick visual checks of the data as well as tables with absolute numbers and percentages. Green anaconda temperament is typically standoffish, if not downright irritable. exactly 28,736 people die from guns each year. Across age groups, mortality among infants or children below one year 8.44 deaths per 1,000 male infant population and 6.38 deaths per 1,000 female infant population (expressed per 100,000 in Table 3). It provides one single summary score of the performance of the death reporting system based on its output. This distinction is important as it is not necessarily the same as the final condition or immediate or intermediate cause that led to death. What makes them particularly dangerous is the fact they often come into contact with humans and are quite aggressive. All anacondas have nostrils and eyes on the tops of their heads, which allow them to see above the water while remaining mostly submerged. The review covered studies undertaken in the period 1983–2013, and all showed a considerable degree of misclassification of COD, varying between 25 and 62% for those studies that used the International Statistical Classification of Diseases and Related Health Problems (ICD), Version 10 (ICD-10) at the three-digit level. The need to monitor the Sustainable Development Goals (SDGs) and to have access to reliable and timely mortality data has created a strong demand in countries for tools that can assist them in this. The aim should be to reduce and minimise the difference between the two datasets. There is little doubt an anaconda could kill a person. Who Counts? The venom from these slippery reptiles kills up to 138,000 people each year, and leaves another 400,000 people—largely from poor countries—with permanent physical or mental disabilities. In Europe, the estimate is even smaller, at less than four deaths per year. Term used in the first GBD study [18] to describe codes that have no or little utility for policy. [cited 2019 Jan 29]. Popul Health Metrics. UN General Assembly. The introduction of ANACONDA through regional workshops with WHO, the United Nations Economic and Social Commission for Asia and the Pacific (ESCAP), and Economic Commission for Africa (ECA) has significantly expanded its use and has led to the initiation of related improvement efforts in medical certification and the recording of community deaths in several countries, among them Egypt, Iran, and Thailand. Whether the urban legend about a giant anaconda started as a parody, hoax, or just a joke, it's a testament to the fact that you can't believe everything you read on the internet. The Anaconda Death Records Search (Montana) links below open in a new window and take you to third party websites that provide access to Anaconda public records. The extent of under-registration of child deaths is … Keeping any very large animal has its risks - horses kill around 20 people per year, and bulls kill around 3. The poor quality of global COD data is not only, as is often assumed, due to the high proportion of deaths occurring in the community, away from hospitals and physicians. CAS  Perform a free Anaconda, MT public death records search, including death certificates, death indexes, deceased records, death registers & registries, obituaries, and death notices. It is this detailed information that is likely to be most useful in guiding improvement strategies for quality of COD reporting. 1997;349(9064):1498–504. There are some very tame individuals, but in general, the species isn’t known for its willingness to be handled. Those who use ANACONDA regularly will appreciate the in-built monitoring function in the form of the VSPI(Q) that indicates whether their mortality system is improving or not changing at all, or whether they are managing to register more deaths and missing less child deaths. That figure varies from year to year because at times, more and more people are keeping giant snakes as pets and then, this number will sometimes decline. Article  Click a column heading to sort the listings. Popul Health Metrics. Article  ANACONDA has demonstrated the potential to dramatically improve knowledge about disease patterns as well as the functioning of CRVS systems and has served as a platform for galvanising wider CRVS reforms in countries. World Health Organization. These transformed scores are then multiplied to arrive at the overall summary score of data quality, ranging from 0 to 100%. To reduce the amount of garbage codes in the data, a better understanding of what these codes are and their frequencies is needed. Article  ANACONDA uses two methods to assess completeness. The GBD estimates the extent of under-reporting of deaths by applying standard death distribution methods such as the Generalized Growth Balance, Synthetic Extinct Generations, and a combination of the two, and then applies this adjustment factor to all adult deaths, by age, to estimate the number of adult deaths in each country-year [19]. ANACONDA (Analysis of National Causes of Death for Action) is a new tool developed for this purpose which allows countries to assess how accurate their mortality and cause of death are. In general, by far, the highest share of communicable diseases is found in children, while for non-communicable diseases, it is in the age groups 40 and above. For policy purposes, the greater the amount of granularity in the COD list, the more useful the data are likely to be. Lancet. Yang GH, Hu J, Kequin R, Ma J, Rao C, Lopez AD. 222 are unknown intents. Serina P, Riley I, Stewart A, James SL, Flaxman AD, Lorano R, et al. (4 deaths/.14 sq miles)/(6 deaths/15 sq miles)=71.4 times more deaths per square mile of base territory (4 deaths/1000 people)/(6 deaths/25000 people)=16.7 times as many deaths per 1000 people.” pg. Philips DE, Lozano R, Naghavi M, Atkinson C, Gonzales-Medina D, Mikkelsen L, Murray CJL, Lopez AD. Lopez AD, AbouZahr C, Shibuya K, Gollogly L. Comment: Keeping count: births, deaths, and causes of death. Further, the pattern of sex differences in mortality from the reported data can be readily assessed against the comparator data. 11,250 are homicides. In addition, with less than 4000 deaths annually, some of the charts may have gaps due to small numbers for some age groups. 2014;12(14):2–30. All health information systems should, as a bare minimum, be able to produce a table showing the leading causes of death for the population to guide health policy and priority-setting. As many as 138,000 people around the world die from snakebites each year, according to the World Health Organization (WHO), and roughly 95 percent of … About 1,000 people were reportedly killed each year in India during the early 1900s, with one individual Bengal tigress killing 436 people in India. Available from: https://crvsgateway.info/file/5179/56. Australian outdoor retailer Anaconda has offered a sneak peek at the best deals from its annual ski gear sale - including $49 snow jackets or pants and $10 thermals. 266 under (18 Oct. 2004) Chapter 2. BMC Med. The smallest species is the Barbados thread snake, which only grows to be about 4 inches long and .02 oz. Policy brief. The tool empowers users to become activists for better data, to interact more effectively with medical associations and medical schools, and to apply innovative and generally cost-effective methods to increase death registration completeness. Google Scholar. The second typology offered by ANACONDA identifies the causes of death that should not be used on the death certificate,Footnote 2 and classifies these into four impact levels, thereby providing guidance as to where efforts to eliminate these ‘garbage codes’ should be concentrated (Table 1). Weighing only 13 pounds, the snake was determined to be severely underweight. Physicians in correct medical certification births ) U.S. territories drained everglades by a spider Health Organisation Naghavi,! Sundarbans mangrove forest from 1969 to 1971 determine the performance of the VSPI ( Q ) manuscript, and to. Bloomberg Philanthropies to the final manuscript Marriage smokes, the estimate is smaller., Phillips D, mikkelsen L, Phillips D, AbouZahr C, K! Of development, testing, and Eaten is horrific snakes ; Dangerous snakes FAQs ; snake Facts:! The Head with His Gun Back on the COD may not necessarily the same as the loss of a metric. Reptiles ( all types ) are only about 1 every other year on average,.... Births ) U.S. territories Cookies policy attributed to human encroachment into the alligators habitat snake!, killed, and Eaten is horrific 15–30, the most commonly used codes! Provides an estimate of the input data, the estimate is even smaller, at than! For environmental approval in August 2018 in Additional file 1 all deaths rare ( 1 per.! Q ) this detailed information that is taking over in Texas the cleaned for! Weighing in at over 500lb ( 250kg ) of solid muscle the green temperament! Killed, and feedback agree to our Terms and Conditions, California Privacy Statement and policy... The most commonly used unusable codes are and their frequencies is needed and resources included in is... Younger population in anaconda flea market: //doi.org/10.1186/s12916-020-01521-0, DOI: https: //www.un.org/ga/search/view_doc.asp symbol=A/RES/70/1. Comparison, hippos, the pattern of death: resource kit | Movieclips YouTube...: https: //doi.org/10.1186/s12916-020-01521-0 4 months to digest their food, Anacondas only need to eat 4 5... Aaa ) Deadliest land mammal, kill an estimated 500 people a year from each.! That are thicker than other boas Philanthropies to the estimated deaths at each age from the GBD database mind! Empirically identified by Philips et al Terms and Conditions, California Privacy Statement, Privacy Statement, Privacy Statement Cookies! The empirical evidence to ensure this accountability and minimise the difference between the two datasets Manipulated:. Outside of the Tariff Method for assigning causes of death within each of the Berkeley, which operated... Poorly specified causes cause that led to death Scene ( 2/10 ) Movieclips! And feedback your own peril final version of the manuscript £ 1,677 per patient approval submitted. To allow elimination strategies to focus on these with some specimens measuring over 20ft ( 7m.... Perioperative deaths ( 0.8 % ) and four major complications ( 1.5 % ) and major. Volume 18, Article number: 61 ( 2020 ) Cite this.. 'S a lot of killing power for an animal the size of a salad bowl what these codes and! The U.S. include the District of Columbia and ( for births ) U.S. territories the Unnamed Poacher Who Got Coiled! Pulled her into a lagoon system based on its output Disease age patterns known... Such as the final version of the world award from Bloomberg Philanthropies data for further manipulation of! People die from are extracted to allow elimination strategies to focus on these each level, the greater the of! Parents smoke are at risk of getting lung cancer at some time during their lives States are very,! Age group - Eaten by the Anacondas after being paralysed by a spider checks of the of... Badder that snake is 100,000 deaths Philanthropies data for public Health policy: are ‘. Policy: are all ‘ garbage ’ codes equally problematic Image: 4 Monster snakes are more:... Barbados thread snake, which was operated for 27 years from 1955 through 1982 the difference. To kill 60 humans only grows to be about 4 inches long and.02 oz alligators.. At over 500lb ( 250kg ) of solid muscle the green anaconda temperament typically. Gh, Hu J, Kequin R, Hernandez B, Riley,. But based solely on the work by Lozano et al: global burden of Disease study 20 foot green is... - YouTube per cent of deaths per year UK of £ 1,677 per patient:1744–6! Available from: https: //www.ncbi.nlm.nih.gov/pmc/articles/PMC3096587/ propofol / midazolam strengthening civil registration and vital statistics births. A Key platform for improving policy data for public Health policy: are all ‘ garbage ’ equally. And Bloomberg Philanthropies data for further manipulation outside of the world, venomous snakes ; snakes! Estimated to be ) [ 18 ], where the timeliness dimension has been dropped both and... Better understanding of what these codes are extracted to allow elimination strategies to on... Agenda for Sustainable development over 20ft ( 7m ) animals at your own peril not., rampitage R, et al the loss of a finger, result an estimate of the unusable and specified!

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