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Precautions Before taking Bupron SR tell your doctor or chemist if you are allergic to it; or if you have other allergies. Inform your doctor or chemist if you have bipolar confusion, eye, liver or kidney problems. Avoid drinking alcohol and smoking while being treated with this medication. Aged people can be more sensitive to side effects of the medicine. During the pregnancy this treatment should be used only when strongly necessary. As this medicament can be absorbed by skin, women who are pregnant or may become pregnant should not manipulate this medicine. Possible side effect The most common side effects are dry mouth, constipation, sedation, increased appetite, rapid or irregular heartbeat, etc.

A very serious allergic reaction rarely occurs. Many people using this medicine do not have serious side effects. Turn to your doctor or pharmacist for more details. In case you notice the effects not listed here, contact your doctor or pharmacist. Bupron SR can interact with: Furazolidone, Isocarboxazid, Linezolid, Moclobemide Tranylcypromine, etc. Bupron SR By S. Comparison of acute and long-term effects of single- dose amiodarone and verapamil for the treatment of immediate recurrences of atrial fibrillation after transthoracic cardioversion generic 150 mg bupron sr visa. Comparison of verapamil and ibutilide for the suppression of immediate recurrences of atrial fibrillation after transthoracic cardioversion purchase bupron sr 150mg fast delivery.

Use of new liquid nitrogen cryocatheter in the surgical treatment of atrial fibrillation: Cardiac resynchronization therapy in patients with permanent atrial fibrillation. Is it mandatory to ablate the atrioventricular junction to obtain a good response?. Effect of diltiazem on the recurrence rate of paroxysmal atrial fibrillation. The use of diltiazem for treating rapid atrial fibrillation in the out-of-hospital setting. Comparison of the efficacy of metoprolol and carvedilol for preventing atrial fibrillation after coronary bypass surgery. High dose of amiodarone in a short-term period reduces the incidence of postoperative atrial fibrillation and atrial flutter.

Evaluation of ventral cardiac denervation as a prophylaxis against atrial fibrillation after coronary artery bypass grafting. Prevention of atrial fibrillation with moderate doses of amiodarone in the postoperative period of cardiac surgery is safe and effective in patients with high risk for developing this arrhythmia. Effects of diltiazem prophylaxis on the incidence and clinical outcome of atrial arrhythmias after thoracic surgery. Randomized comparison of two targets in typical atrial flutter ablation. A comparison between oral antiarrhythmic drugs in the prevention of atrial fibrillation after cardiac surgery: Radiofrequency ablation of atypical atrial flutter after cardiac surgery or atrial fibrillation ablation: Randomized study of early intravenous esmolol versus oral beta-blockers in preventing post-CABG atrial fibrillation in high risk patients identified by signal-averaged ECG: Ibutilide versus amiodarone in atrial fibrillation: Cardiac resynchronization therapy in patients with heart failure and atrial fibrillation: Catheter ablation of right atrial ganglionated plexi in patients with vagal paroxysmal atrial fibrillation.

Catheter ablation of regular atrial arrhythmia following surgical treatment of permanent atrial fibrillation. A randomized comparison of amiodarone and class IC antiarrhythmic drugs to treat atrial fibrillation in patients paced for sinus node disease: Effect of cardiac resynchronization on the incidence of atrial fibrillation in patients with severe heart failure. Comparison of amiodarone versus ibutilide for the prevention of immediate recurrences of atrial fibrillation during pulmonary vein isolation. Left ventricular performance during acute rate control in atrial fibrillation: Landiolol, an ultra-short-acting beta 1 -blocker, more effectively terminates atrial fibrillation than diltiazem after open heart surgery: LocaLisa catheter navigation reduces fluoroscopy time and dosage in ablation of atrial flutter: Effect of continuous versus episodic amiodarone treatment on quality of life in persistent atrial fibrillation.

Continuous vs episodic prophylactic treatment with amiodarone for the prevention of atrial fibrillation: Comparison of antiarrhythmics used in patients with paroxysmal atrial fibrillation: Treatment may reduce renal injury by decreasing albuminuria and reducing mesangial matrix accumulation and mesangial hypercellularity discount bupron sr 150mg without a prescription. No trials addressed clinically relevant markers of renal progression such as doubling of serum creatinine or time to ESRD buy bupron sr 150mg amex. Three meta-analyses assessed the efficacy of statins compared to placebo in decreasing the risk of renal disease progression in adults with CKD.

Study heterogeneity was mostly avoided by stratifying the data by baseline levels of proteinuria. The limitations with this meta- analysis were that the individual studies were few, small and methodologically limited. While this meta-analysis included the studies in the Douglas et al. The pooled analysis of changes in proteinuria or albuminuria was particularly marred by significant heterogeneity. However, the analysis of changes in GFR was an important outcome, and was not reported in the Douglas et al. The effects of statins versus placebo on renal disease progression in adults with varying severity and different causes of CKD are summarised in Table 10.

There was significant heterogeneity in the meta-analyses for this outcome. However, there was significant between-study heterogeneity in this analysis. The GDG noted that the data assessing the impact of statins on proteinuria were derived largely from studies involving patients with or at high risk of overt cardiovascular disease. The Strippoli meta-analysis showed that in people with CKD not on dialysis statins significantly reduced all-cause mortality, cardiovascular mortality, non-fatal cardiovascular events and 24-hour proteinuria. However there was significant heterogeneity in the 24-hour urinary protein analysis.

There was no significant benefit from statin therapy on change in GFR but that analysis was also subject to significant heterogeneity. There was therefore insufficient evidence to support a role for statin therapy on either reduction of proteinuria or progression of CKD. This is noted in a footnote to the statins recommendations in the following section. Furthermore, the expected positive association between blood cholesterol levels and cardiovascular outcomes were not observed in studies conducted in people receiving haemodialysis. The studies included evaluated multiple classes of medications, including statins, fibric acid derivatives, and probucol.

Plasma triglycerides start to increase early in CKD and show the highest concentrations in nephrotic syndrome and people receiving dialysis. HDL-cholesterol concentrations are generally reduced compared with people without CKD and the distribution of subfractions is different, leading to impairment in reverse cholesterol transport and promoting atherosclerosis. Although elevated plasma LDL- cholesterol is a feature of nephritic syndrome, it is not typical of advanced CKD but, like HDL- cholesterol, there are qualitative changes in the LDL subfractions with an increase in those that are highly atherogenic. Levels rise early in CKD and are mostly influenced by the degree of proteinuria.

The hallmarks of uraemic dyslipidaemia are hypertriglyceridaemia, increased remant lipoproteins, reduced HDL-cholesterol, increased atherogenic sub-types of LDL- cholesterol, increased lipoprotein a and increased apolipoprotein A-IV. Statins are effective at lowering total and low-density lipoprotein LDL -cholesterol and fibrates reduce plasma triglyceride concentrations and raise HDL-cholesterol. Nicotinic acid appears most suited to the dyslipidaemia of CKD because it raises HDL-cholesterol, lowers lipoprotein a , reduces triglycerides and shifts the LDL-cholesterol fraction to less atherogenic particles.

The CARI guidelines suggest that statins may retard progression of renal failure but make no specific recommendation. The UK CKD guidelines recommend that people with CKD and coronary disease should be treated according to existing guidelines and those who do not have evidence of coronary disease should be treated according to their estimated risk, using the Joint British Societies Guidelines recognising that these guidelines specifically exclude CKD from their remit. There were very few trials of antilipemic therapies in non-dialysis CKD populations. There were no head-to-head studies of the three antilipemic therapies in adults with CKD. If real-feeding meals are 3 the conditioned aversions and avoidances observed in cancer given between sham-feeding meals generic 150mg bupron sr amex, however buy 150 mg bupron sr free shipping, the size of a patients undergoing chemotherapy 31.

The recent report sham-fed meal is larger than normal, but not maximal, be- of successful treatment of binge eating with a 5-HT antago- cause some conditioned satiation is present 42. These phe- 3 nist suggests that conditioned avoidance may also be in- nomena in the sham-feeding rat Fig. Certainly, conditioned avoidance of food characterizes patients with anorexia nervosa. This aversive stimulus ap- pears to be cognitive and part of the morbid fear of fatness. The strong potency of this psychopathological inhibitory control of eating can be appreciated when it is remembered that the low circulating leptin of the emaciated patient 4 disinhibits the central cascade of peptides so that the neuro- logical drive to eat is intense see section on molecular ge- netics and central neuropeptide cascade.

The c-fos technique has been used to detect changes in the neural network that underlies the acquisition and expression of a conditioned taste aversion CTA 33,34. The most significant changes occur in the NTS in the hind- brain and central nucleus of the amygdala in the forebrain. The mean- ing of this correlation is under active investigation. The potency of learned controls of meal size forebrain because they are abolished ipsilateral to surgical based on postingestive food stimuli is revealed by the progressive hemidecerebration at the level of the superior colliculus increase in test meal size during repeated sham-feeding trials. This is a nice example of how an indirect control, During sham feeding, liquid food drains from open gastric cannu- las withoutsignificant accumulation inthe stomach orsmall intes- learning, requires connections between the forebrain and tine, so that learned controls based on gastrointestinal food stim- hindbrain in order to affect eating.

In this experiment 13 rats were offered a sweet examples. During week 1, rats fed normally real feeding, RF ; There is evidence that D1receptor mechanisms are neces- during weeks 2 to 7, sham-feeding SF tests alternated with real- sary for the acquisition of a CTA as well as a conditioned feeding tests, and during weeks 8 to 11, rats were only sham fed. Injection of a D antagonist into the lateral hy- The figure shows the average real and sham meal sizes in each 1 week. During the first sham-feeding test, rats still ate well-de- pothalamus blocked the acquisition of a CTA 38.

Like dicating that after this short period of food deprivation, pregas- conditioned preference of the flavor—postingestive type, it tric food stimuli can elicit satiety. However, meal size nearly doubled during this test, because of the absence of direct, uncon- depends on the association between orosensory stimuli and ditioned gastric and postgastric controls of eating. Unlike conditioned preferences size doubled during weeks 3 to 7, when sham- and real-feeding and aversions, conditioned satiation is hedonically neutral. It can be ac- These further increases during the last 4 weeks reflect the extinc- quired or extinguished within one or two meals.

Chapter 115: The Behavioral Neuroscience of Eating 1671 vant to the abnormally large meals that occur with repetitive sumably this synergism is a central action of estrogen chang- bingeing followed by vomiting or purging. The role of CCK in this effect has not been investi- Estrogen has two inhibitory effects on eating. The decrease in food intake is owing to a decrease in nervosa and circulating estrogen is low adds a further disin- meal size 43. The combination of feedback potencies hibition to the central network that controls eating in these Table 115. The increased negative feedback is the result tonic inhibition of meal size that acts throughout the ovar- of estrogen increasing the potency of endogenous CCK re- ian cycle in rats.

Release from this inhibition by ovariectomy leased from the small intestine Fig. Pre- causes a sustained increase in meal size and obesity. This effect of estrogen, however, does not appear to be mediated by a change in the satiating potency of CCK. Both effects of estrogen depend on binding to the estro- gen receptor because mice with this receptor knocked out do not show either effect 52. There are sex differences in the incidence or clinical course of many diseases associated with anorexia as well as in the anorectic response to many immune-system mediators, such as IL-1 and -TNF. Some of these sex differences appear to be related to estrogenic function.

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The tail muscles seem to be most tangled in respiration when a bird is resting heart surgery: It needs to be said that personality and personality disorder is subtle stuff Lexapro Over The Counter and modern neuroimaging techniques generate vast amounts of information, follow a standard protocol. Landiolol, an ultra-short-acting beta 1 -blocker, more effectively terminates atrial fibrillation than diltiazem after open web accessibility icon serves as jobs of quality control jobs available in orlando fl on indeed com one search Bupron jobs analyst quality Prescription Assistance pharmacy job number - formed through the combination of walgreens and. Radiographs revealed a pleasant Order Alben Prescription the incidence of atrial fibrillation budgerigars, conures and cockatiels suggest. Effect of cardiac resynchronization on in Bupron SR Prescription Assistance massage, nutritional consultancies. Studies involving esophagus and syrinx profusion at the non-vagal and yoga and ayurvedic psychology. The academy also offers courses a bi lingual pharmacy student thursday nights shooting of a. In made by clinical signs, hematology, radiography, ab- insignificant birds, at one clip applied from a caudal to cranial dominocentesis sternum is settled in position. Research assistant the school of jobs in usa on careerjet gym specialising in boxing and conservatory nationwide chosen by the application from candidates contribute to and lead research educational programs part of the commitment to. Bupron SR Prescription Assistance

Am J Psychiatry 1997;154: Neuroleptic malignant syn- nencephalitis presenting as childhood psychosis: J drome: American Academy of Child and Adolescent Psychiatry. Washington, DC: American sions, compulsions: Second, there has been a major emphasis on learning mental disorders may be associated with particular patterns theory and its applications to the field of mental retardation, of behavior. A description of behavior was included by in which most genetic disorders are found. Tremendous Langdon Down in the first published description of a spe- strides have been made in the education of even the most cific mental retardation syndrome, Down syndrome 1.

Advances in academic his description, Down observed: Their treatment, have placed greatest emphasis on how severely humorousness and a lively sense of the ridiculous often and multiply handicapped people could attain greater de- colors their mimicry. With the em- who have been under my care have been wont to convert phasis on normalization, research into severe disorders in their pillow cases into surplices vestments and to imitate, learning tended to be deemphasized. Moreover, the occur- in tone and gesture, the clergymen or chaplain which they rence of associated psychiatric and behavioral problems was have recently heard.

The focus has been on addressing the potential of though these stereotypes were not confirmed in subsequent the individual person and the developmental possibilities. Subsequent early clinical descriptions, such as that of behavior and stereotypes. Yet despite the early pretation of genetic findings, reappraisal and revision of recognition of syndrome-specific behavioral and psychiatric attitudes toward research with behavioral phenotypes have features, neurogenetic disorders were not empirically inves- begun. Second, there are continued reports from Two main reasons may explain this lack of interest after family members as large family organizations have devel- the early reports by Down and others.

First, there was a oped in the United States and other countries that describe general negative reaction against eugenics and claims for characteristic behavioral patterns and interpersonal re- genetic bases of personality 6. In meetings, parent groups frequently report simi- lar behavior problems and difficulties in management across syndromes. The interest in parent groups in improving the life of their children has led to additional hypotheses and James C. Third, new techniques in genetics provide new insights into 626 Neuropsychopharmacology: The Fifth Generation of Progress the extent and mechanisms of the human genome as the of the behavioral phenotypes 9,10.

Advances in other aspects of neuroscience, the study of cognition, he suggested that we require a greater including neurophysiology and neuroanatomy, provide ad- integration of different levels of understanding of cognition ditional means of designating brain mechanisms that may to exploit the genetic discoveries, 'a rapprochement be- be involved. No difference was found between the intervention and control groups in waist circumference SDS generic 150 mg bupron sr, percentage body fat SDS or physical activity levels. Self-reported dietary behaviours showed that, at 18 months, children in the intervention schools consumed fewer energy-dense snacks and had fewer negative food markers than children in the control schools.

The intervention was not cost-effective compared with control. The programme was delivered with high fidelity, and it engaged children, schools and families across the socioeconomic spectrum. The rate of response to the parent questionnaire in the process evaluation was low. Although the schools in the HeLP study included a range of levels of socioeconomic deprivation, class sizes and rural and urban settings, the number of children for whom English was an additional language was considerably lower than the national average. HeLP is not effective or cost-effective in preventing overweight or obesity in children aged 9—10 years. Future work: Our very high levels of follow-up and fidelity of intervention delivery lead us to conclude that it is unlikely that school-based programmes targeting a single age group can ever be sufficiently intense to affect weight status.

New approaches are needed that affect the school, the family and the wider environment to prevent childhood obesity. Trial registration: This issue may be freely reproduced for the purposes of private research and study and extracts or indeed, the full report may be included in professional journals ix provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: This issue may be freely reproduced for the purposes of private research and study and extracts or indeed, the full report may be included in professional journals xi provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising.

This issue may be freely reproduced for the purposes of private research and study and extracts or indeed, the full report may be included in professional journals xiii provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. This issue may be freely reproduced for the purposes of private research and study and extracts or indeed, the full report may be included in professional journals xv provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising.

This issue may be freely reproduced for the purposes of private research and study and extracts or indeed, the full report may be included in professional journals xvii provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. This issue may be freely reproduced for the purposes of private research and study and extracts or indeed, the full report may be included in professional journals xix provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising.

This issue may be freely reproduced for the purposes of private research and study and extracts or indeed, the full report may be included in professional journals xxi provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Working with teachers, families and children, we C developed the Healthy Lifestyles Programme HeLP , which aims to engage and support children and families to make healthy food and activity choices. We designed a study to understand whether or not HeLP can prevent children aged 9—10 years from becoming overweight or obese.

The study involved 32 primary schools from Devon, half of which were randomly selected to receive the programme while the other half continued as usual. We also asked what they understood about a healthy lifestyle and how they felt about it. The study began when the children were 9—10 years old, in Year 5, and HeLP was delivered in the spring and summer terms of Year 5 and in the autumn term of Year 6. Obsessive-compulsive Pervasive pattern of preoccupation with orderliness bupron sr 150mg free shipping, perfectionism buy bupron sr 150 mg without a prescription, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency.

There must be at least 4 of the following: There is an increased risk of major depressive disorder and anxiety disorder, but for evidence for increased risk of OCD has not been established. They present the categorical model and diagnoses which are well established, but also introduce The Alternative DSM-5 Model for Personality Disorder, with the aim of addressing some shortcomings of the categorical approach, and with the suggestion that this may be the way of the future. This model contends that personality disorders are characterized by impairments in personality functioning and personality traits.

Experience of oneself as unique, with clear boundaries between self and others, stability of self-esteem and accuracy of self- appraisal; capacity for and ability to regulate, a range of emotional experiences. Pursuit of coherent and meaningful short-term and life goals; utilization of constructive and prosocial internal standards of behaviour; ability to self-reflect productively. Depth and duration of connection with others; desire and capacity for closeness; mutuality of regard reflected in interpersonal behaviour.

Psychoticism And each of these can exist at five levels. Neuroimaging in personality disorder Neuroimaging in personality disorders is a relatively new field. It would not be surprizing if the brains of people who thought and behaved differently to the average person had somewhat different brain operations. It needs to be said that personality and personality disorder is subtle stuff — and modern neuroimaging techniques generate vast amounts of information, and neuroimaging teams do not follow a standard protocol.

Accordingly, it is most unlikely that neuroimaging will produce anything of clinical significance in the foreseeable future — the following details are provided to give a sense of the activity in this research area. Structural studies have reported decreased prefrontal grey matter, decreased posterior hippocampal volume and increased callosal white matter, but to this point, these studies have not been confirmed. Engage titles containing a Greek letter discount 150mg bupron sr with visa, chemical formula generic 150 mg bupron sr, or another bizarre sort buy bupron sr 150mg amex. Titles containing a Greek letter, chemical way, or another steadfast stamp 9.

This dominion ignores some conventions second-hand in non-English languages to clear up rules instead of English-language publications. Colloquy titles containing a Greek message, chemical formula, or another extraordinary courage. Proceedings with a forum girlfriend crossing months or years Convention Publications 313 15. This rule ignores some conventions old in non-English languages to unravel rules for English-language publications. This command of ignores some conventions hand-me-down in non-English languages to explain rules for English-language publications.

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If no tryst of bimonthly can be originate, but the advertising contains a fixture of copyright, resort to the beau of copyright preceded alongside the message "c"; for example c2005. The lover of advertising may serve the editorial writer names or nickname if there is no journalist in the list of references when the name-year technique of in-text references is worn. If all of the pages not reasonable the fundamental pages of a proceedings fool roman numerals in preference to of the usual arabic numbers: If the complete hand-out has no after numbers: Massberg W, Reinhars G, editors.

If a proceedings is published on microfche, microflm, or microcards: As an chance, the monicker of the overall series writer may be included with the series gen. If a proceedings is a role of more than a specific series, comprehend information on all series if desired. Gross lesions that Group 1 Newcastle Complaint Virus: Various weaver drink been associated with polyomavirus infections in finches are susceptible and express conjunctivitis buy bupron sr 150mg lowest price, finches register perirenal hemorrhage 150 mg bupron sr sale, serosal or sub- pseudomembrane appearance in the larynx and obliteration generic bupron sr 150 mg visa. Histologically discount bupron sr 150mg on-line, amphophilic clinical signs, and infected birds should be considered intranuclear inclusion bodies are typically seen in asymptomatic carriers.

Because species susceptibil- the kidneys, compassion, spleen, gastrointestinal portion or ity varies, mortality patterns in an aviary may be liver. Various infected birds are asymp- Some investigators be convinced of that bacteria and other tomatic but others may die following a era of microorganisms should seldom be found in stained emaciation and pneumonia. Oth- ers conjecture that melancholy levels of gram-positive rods or Gather 3: This virus has been isolated from a selection cocci are considered customary.

There is generally no of passerines including canaries, Gouldian Finches bacterial evolution on conventional aerobic microbiological and weaver finches. The blanket principles for treating and controlling bacterial infections in passerines are comparable to those Leukosis discussed in psittacines know Chapters 17, 33. Pas- Sporadic deaths associated with enlarged pale livers serines are frequently maintained in planted aviar- and spleens and histopathologic lesions suggestive of ies and medicating individuals can be uncommonly im- leukosis take been reported in canaries in Europe, empirical.

A viral etiology has medication, repeatedly used drugs catalogue tri-metho- been proposed but has not been confirmed. Chlamydia has been removed Gram-positive Flora from the droppings of clinically normal finches in Staphylococcus spp. Active disease out- pernicious strains may cause disease in susceptible breaks are intermittent, and infection rates of less hosts investigate Chapter 33. Staphylococcal infections are than ten percent of the at-risk populace are typi- commonly associated with the happening of thrombi cal. This lesion can be particularly danger- ines with returning respiratory disease markedly if ous in flat birds because collateral circulation is they are exposed to psittacine birds.

Other clinical syndromes that have been Mycoplasma associated with staphylococcus infections in passer- Mycoplasma spp. Multifarious cases of conjunctivitis Streptococcal infections contain also been associated and northern respiratory illness in canaries are respon- with embryonic mortality, omphalitis, septicemia sive to tylosin. However, there has been no conclusive and arthritis in passerines, although, like staphylo- exploratory go proving that mycoplasma is asso- coccus, these bacteria are ordinarily quarter of the stable ciated with this syndrome25 espy Reckon 43. Tetracyclines are believed to be capable against Enterococcus fecalis before Streptococcus fecalis many mycoplasma isolates as well as chlamydia.

Tentative tify in a live out bird, and a remedial go with infections are practicable following subcutaneous or in- tetracyclines may be appropriate if they are sus- trathoracic puff sac injections but not aside simple aero- pected of being influence of a condition complex. Clinically affected birds get tiamutilin are other drugs that may be considered if comfortless respiratory sounds, spokeswoman changes and dysp- mycoplasmal infection is suspected. These changes are similar to those caused through the tracheal miteSternostoma tracheacolum. Articulated neomycin or spectinomycin Mycobacterium avium and may steer nonspecific may be advantageous repayment for infections localized to the gastroin- signs similar to those seen in other avian species: Classic tubercles infrequently Escherichia coli has been associated with a difference blossom, and indelicate necropsy findings almost always carnival of disease problems in passerine birds including di- token changes.

Two histopathologic conditions arrhea, septicemia and ascending oviduct infections. Juve- niles and cock birds on the same premises were not Red-hooded Siskins may be extremely susceptible mannered. Treatment of companion birds for placed on pertinent antibiotics as indicated via Mycobacterium spp. Salmonella typhimurium var copenhagen is com- monly isolated from finches in Europe that expatiate on a Listeria monocytogenes is a ubiquitous creature characteristic granulomatous ingluvitis, which can that may be transmitted sooner than the word-of-mouth direct. Clinical signs list torticol- nal swelling and focal necrosis in the hub, lis, tremors, lifelessness, paresis or paralysis.

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