APR 25

http://www.primaryhealthcare.annualcongress.com/

PRIMARYHEALTHCARE2016   

Conference CFP

  

 

When:

  25 Apr 2016 through 27 Apr 2016

CFP Deadline:

  25 Apr 2016

Where:

  Dubai, UAE, United Arab Emirates, United Arab Emirates

Website URL:

  http://www.primaryhealthcare.annualcongress.com/

Categories:

  Medicine & Health > Nursing

Cloud tags:

Event description:

OMICS Group Organises 300+ Conferences Every Year across USA, Europe & Asia with support from 1000 more scientific societies and Publishes 500+ Open access journals which contains over 50000 eminent personalities, reputed scientists as editorial board members. OMICS International is pleased to invite you to participate in the Annual Congress and Medicare Expo on Primary Healthcare, April 25-27, 2016 at Dubai, UAE with a theme Consolidating Knowledge Exchange to Improve Primary Healthcare Outcomes. OMICS Publishing Group through its Open Access Initiative is committed to make genuine and reliable contributions to the scientific community. Primary Healthcare-2016 brings together individuals who have an interest in different fields of Healthcare like psychiatric, cancer, cardiac, critical care, adult & women health, legal, paediatric and emergency nursing, midwifery, public health, healthcare and medicine from practice, research, administration, policy and education. It is a forum to explore issues of mutual concern as well as exchange knowledge, share evidence and ideas, and generate solutions. Primary Healthcare-2016 aims to discover advances in health practice, management and education in relation to health disparities as well as a breadth of other topics. According to the reports, the healthcare services market in the GCC is expected to grow from AED 66 billion (US $18 billion) in 2008 to AED 175-202 billion (US $47-55 billion) by 2020. The demand for hospital beds across the GCC is expected to rise, with the UAE registering the highest projected growth in demand for hospital beds at 160% by 2025.By 2050, the GCC will require a total of 138,965 hospital beds, 140,334 physicians, and 227,079 nurses to maintain current care levels. This means that by 2020, the GCC may require in excess of 25,000 additional beds. With two physicians per 1,000 population, the GCC countries remain above the global average ratio of 1.3, but below the US and Europe, which are at 2.6 and 3.2 respectively. For more details: 1) Primary Health Care-Challenges & Opportunities Total Worldwide health spending was expected to elevate by 2.6 percent in 2013 afore expediting to an average of 5.3 percent a year over the next four years (2014-2017). The ecumenical mobile health revenue is expected to reach about US$ 23 billion across all stakeholders – mobile operators, contrivance vendors, healthcare providers and content/application players - by 2017. Driven by population magnification and aging, the total number of office visits to primary care medicos is projected to increment from 462 million in 2008 to 565 million in 2025. Primary Healthcare is the "essential health care" that is predicated on scientifically sound and universally acceptable methods and technology, which make health care accessible to individuals and families in a community, Improving Quality in Health care by Health Promoting Environments & Enhancing Patient Safety in Health Care. Health promotion practitioners are now facing a more dubious future under a centre-right regime whose priorities are considered by many to be at odds with health promotion principles. The present challenges for the health promotion workforce within primary care are Retaining health promotion principles and ideals and the vision of ‘seeking health for all’, Identifying the threats and challenges to the principles of health promotion, whilst withal identifying and fixating on the pending opportunities that will present into the immediate future through rigorous Health Care-Law, Policy & Regulation, Maintaining fixate on the medium to longer term strategic vision for the development of the Health Status & Care Systems and keep the ‘longer game’ soundly established in the minds of the vocation and developing Research skills for Health care Leadership. 2) Essential Drugs & PHC The normal number of medications endorsed per experience from all the PHC offices contemplated was discovered to be 2.29 (SD 1.12). 57% of the aggregate patients got no less than one anti-microbial in their solution and just 3% of patients got no less than one infusion in their remedy. The aggregate rate of medications recommended in nonexclusive was discovered to be 59.02% and rate medication endorsed from EDL was 85.19%. To asses normal counsel and administering time a sum of 109 records were taken. The normal discussion and apportioning time was discovered to be 2.02 (SD 1.02) minutes and 42.52 (SD 25.53) seconds separately. Just 30% of patients have sufficient information of medication. Essential drugs are those that fulfill the human services needs of most of the populace; the Essential medicinal supplies should thusly be accessible at all times in satisfactory sums and in the appropriate dosage forms keeping up Efficacy and Safety of Drug dose. The determination of medications for essential human services must be resolved broadly since the preparation and obligations of the faculty charged to manage this consideration differ significantly. Very trained specialists have the capacity to utilize an extensive variety of medications, while labourers with restricted preparing ought to utilize just those medications suitable to their demonstrative aptitudes, learning and experience. Hence, a shorter, adjusted rundown of fundamental medications is regularly satisfactory for essential health awareness. The work of customary healers, for instance, ought to be adjusted and supplemented to guarantee that innovation is effectively coordinated into existing systems of Medicine. The kind of primary health care service that a nation requires is subordinate upon the closeness and nature of the first referral offices i.e. through National Health Infrastructure. Medicinal drug promotional also, advertising activities can unequivocally impact prescribing practices. Strategies for assessing new medications in view of their relative security, viability, accessibility and expense ought to frame a piece of the training of primary health care workers. 3) Health Education and Policies. Gross domestic product increase in total health expenditure in all income groups in both the static and element model. In the static model, the salary versatility was under 1 for low-center and upper-middle income nations, while it was around 1 in low and high income nations. Similarly as with the other dependent variables, the flexibility's in the dynamic model were extensively lower. Health education is a profession of educating individuals about health. Public Health concepts incorporate natural wellbeing, physical health, social health, emotional health, intellectual health, and spiritual health. Health care technology is any blend of arranged learning encounters in view of sound speculations that give people, gatherings, and groups the chance to get data and Therapeutic Communication skills with Patient, Families & Healthcare team expected to settle on quality wellbeing choices. Public health alludes to the science and craft of preventing disease, prolonging life and advancing health through composed endeavors and educated decisions of society, associations, open and private, groups and people. Primary Healthcare and community is concerned with dangers to health in view of populace health analysis. The populace being referred to can be as little as a modest bunch of individuals, or as substantial as all the inhabitants of several continents. The dimensions of healthcare economics can incorporate "a condition of complete physical, mental and social prosperity and not merely absence of infection or sickness". 4) Family Medicine and Primary Healthcare Respondents with a primary care physician, rather than a specialist, as a personal physician were more likely to be women, white, live in rural areas, report less therapeutic determinations and higher health perceptions and have lower annual healthcare expenditures (mean: $2029 vs $3100) and lower mortality (hazard ratio = 0.76, 95% confidence interval [CI], 0.64-0.90). After adjustment for demographics, health insurance status, reported diagnoses, health perceptions, and smoking status, respondents reporting using a primary care physician compared with those using a specialist had 33% lower annual adjusted health care expenditures and lower adjusted mortality (hazard ratio = 0.81; 95% CI, 0.66-0.98). Family medicine is a therapeutic forte committed to extensive social insurance for individuals of all ages; the specialist is named a family doctor, family specialist, or once in the past family professional. It is a division of primary healthcare that gives proceeding with and thorough medicinal services for the individual and family over all ages, genders, Migrant Health Infectious diseases, and parts of the body. It is in knowledge of the patient in the connection of the family and the group, emphasizing disease prevention and wellbeing advancement. As indicated by the World Organization of Family Doctors, the point of family medication is to give individual, comprehensive, and proceeding with look after the person in the connection of the family and the community. The issues of qualities underlying this practice are normally known as primary care ethics. Of the primary care specialties (family pharmaceutical, general inside medication, and pediatrics), family doctors give the most care, overseeing about one-fourth of all primary care visits including Cancer Healthcare, Cardiac Healthcare, Dental Healthcare, Diabetes and Obesity, Skin Healthcare, Hiv-AIDS Healthcare. Given the scope of family medicine, this comes as no surprise. At the center of the process element is the patient-physician relationship with the patient viewed in the connection of the family. It is the degree to which this relationship is esteemed, created, supported, and kept up that recognizes family prescription from every single other specialties. Family physicians coordinate the natural, clinical, and behavioural sciences to give proceeding with and comprehensive health care. Unlike paediatricians, who just give consideration to kids, and internists, who just give consideration to grown-ups, family medication incorporates all ages, genders, every organ framework, and every disease entity. Family doctors likewise give careful consideration to their patients' within the context of family and the group. While there are similarities between family prescriptions and the other primary care specialties, family doctors have an uncommon chance to have an effect on the well-being of an individual patient over that individual's entire lifetime. 5) Food and Nutrition Since 2008 food spending fails to keep pace with rising nourishment costs and nourishing nature of calories falls/ Long term decrease in calorie purchases in spite of expansion in calories from eating out, snacks and soft drinks. Food costs ascended by 33% somewhere around 2007 and 2013, official figures show. Margarine, meat and organic product costs all expanded by more than normal while prepared food ascended by 28%. Individuals in Uzbekistan, India, Nigeria, Kenya, Vietnam, Pakistan, Bolivia, China and Cameroon spend on food from 10 to 5 times less US dollars per capita compared with USA. Nutrition is the science that translates the interaction of nutrients and other substances in food in relation to maintenance, development, reproduction, health and disease of an organism. Nutritional Metabolism includes food intake, absorption, assimilation, biosynthesis, catabolism and excretion. The eating routine of an organic entity is the thing that it eats, which is generally controlled by the accessibility, handling and satisfactoriness of nourishments.Public Health Nutrition incorporates arrangement of food and stockpiling systems that save supplements from oxidation, heat or draining, and that lessen danger of food-borne illnesses. Nutritional science i.e. Healthy Diet and Proper Nutrition Tips investigates the metabolic and physiological responses of the body to diet and Nutritional Deficiencies & Disorders. With advances in the fields of molecular biology, biochemistry, nutritional immunology, molecular medicine and genetics, the investigation of nourishment is progressively concerned with digestion system and metabolic pathways: the successions of biochemical steps through which substances in living things change starting with one structure then onto the next. Nutrients-Classification & Bioavailability are of two types: macro-nutrients which are needed in relatively large amounts, and micronutrients which are needed in smaller quantities. A type of carbohydrate, dietary fibre, i.e. non-digestible material such as cellulose, is required, for both mechanical and biochemical reasons, although the exact reasons remain unclear. Other micronutrients include antioxidants and phytochemicals, which are said to influence somebody systems. Their need is not too settled as on account of, for example, vitamins. Most food contains a blend of some or the majority of the supplement sorts, together with different substances, for example, poisons of different sorts. Some nutrients can be stored internally (e.g., the fat soluble vitamins), while others are required more or less continuously. Poor health can be caused by a lack of required nutrients or, in extreme cases, too much of a required nutrient. Functional foods are the next big thing in biotechnology and genetically modified foods.The purpose of functional foods would be to add ingredients that would in some way help tackle a wellbeing related issue. So, you could have your favourite chocolate modified to contain some vitamins, or even a vaccine of some sort. Medical foods are nourishments that are uncommonly formed and proposed for the dietary administration of an infection that has unmistakable nourishing needs that can't be met by normal diet alone. 6) Pregnancy and Child Health Consistently 9.2 million kids on the planet die before their fifth birthday, as do more than half a million pregnant women. The circumstance is especially intense in Asia and the Pacific, whose share of the worldwide aggregate is about 41% of the under-fives, more than 44% of the mothers and 56% of the new-conceived infants.Most of these deaths could be counteracted through through proven, cost-effective medications. Furthermore, of all the people in the world who require family planning services, however don't have admittance to them, 55% live in Asia and the Pacific. In fact, investment in maternal, new-conceived and kid wellbeing along the continuum of consideration from pre-pregnancy to adolescence and beyomd will reinforce a country's health framework Pregnancy, also known as gestation, is the time during which one or more offspring develops inside a woman. A balanced, nutritious diet is an important aspect of a healthy pregnancy. Eating a healthy diet with balancing carbohydrates, fat, and proteins, and consuming a variety of fruits and vegetables, usually ensures proper nutrition. People whose diets are affected by health issues, religious requirements, or ethical beliefs may choose to consult a health professional for specific advice. Maternal HIV rates vary around the globe, ranging from 1% to 40%, with African and Asian countries having the highest rates. HIV/AIDS can be transmitted to the new-born during the prenatal period, childbirth, or breastfeeding. If a mother is infected with the HIV/AIDS virus, there is a 25% chance that she will pass on the virus to her baby if she does not receive good treatment during pregnancy. Prenatal care is an important part of basic maternal health care. It is recommended expectant mothers receive at least four antenatal visits, in which a health worker can check for signs of ill health – such as underweight, anaemia or infection – and monitor the health of the foetus. During these visits, women are counselled on nutrition and hygiene to improve their health prior to, and following, delivery. Women can also develop a birth plan laying out how to reach care and what to do in case of an emergency. Environmental effects of pregnancy are problems that are caused by pregnancy. There is no clear difference between complications of pregnancy and discomforts of pregnancy. However, the latter do not significantly interfere with activities of daily living or pose any significant threat to the health of the mother or baby. Foetal problems include Ectopic pregnancy, Placental abruption and vertically transmitted infection. 7) Vaccination and Immunization Developing countries will have more vaccines and more lives are being saved. First time in documented history the number of children dying annually has fallen below 10 million – the result of improved access to clean water and sanitation, increased immunization coverage, and the integrated delivery of essential health interventions. WHO has estimated that if all the vaccines now available against childhood diseases were widely adopted, and if other countries could raise vaccine coverage to a global average of 90%, by 2015 an additional two million deaths a year could be prevented among children under five years old. This would have a noteworthy effect on meeting the worldwide objective to decrease youngster deaths by 66% between 1990 and 2015. Vaccination is the administration of antigenic material (an antibody) to empower an individual's immune system to create versatile invulnerability to a pathogen to increase antimicrobial resistance. Vaccines can prevent morbidity from infection. The effectiveness of vaccination has been widely studied for example, the influenza vaccine and the chicken pox vaccine. Vaccination is the best strategy for forestalling infectious diseases; widespread immunity due to vaccination is largely responsible for the worldwide eradication of smallpox and the restriction of diseases such as polio, measles, and tetanus from much of the world. The World Health Organization (WHO) reports that licensed vaccines are currently available to prevent and control of twenty-five infections. Toxoids are produced for immunization against toxin-based diseases, such as the modification of tetanospasmin toxin of tetanus to remove its toxic effect but retain its immunogenic effect. Generically, the process of artificial induction of immunity, in an effort to protect against infectious disease, works by 'priming' the immune system with an 'immunogen'. Stimulating immune responses with an infectious agent is known as immunization. Vaccination includes various ways of administering immunogens. 8) Paediatrics Major causes of childhood mortality have occurred in many low middle income class (LMICs), including 106 countries with accelerated declines in childhood mortality from 1990 to 2011; 80% of this decline was due to reductions in death from infectious causes. A large, and growing, proportion of global childhood mortality is therefore due to non-communicable disease. Indeed, 6.0% and 18.6% of deaths among children ages 5 to 14 years in lower- and upper-middle-income countries (MICs), respectively, are due to cancer. As is already the case in high-income countries (HICs), cancer represents the leading cause of non-accidental death among children in a growing number of MICs. In absolute terms, of the 175,000 children diagnosed with cancer annually, an estimated 150,000 live in LMICs. Paediatrics deals with the medical care of infants, children, and adolescents, and the age limit usually ranges from birth up to 18 years of age. A medical specialist who practices in this area is known as a paediatrician. The word paediatrics mean "healer of children"; they derive from two Greek words. Paediatricians work both in hospitals, particularly those working in its specialized subfields such as neonatology, and as primary care physicians who specialize in children. In medical contexts, new-born refers to an infant in the first 28 days after birth; the term applies to premature infants, post mature infants, and full term infants. Before birth, the term foetus is used. Breastfeeding is the recommended method of feeding by all major infant health organizations. Paediatric genetic disorders result in Turner Syndrome, Prader-Willi Syndrome, Angelman Syndrome. Neonatology is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn infant. The principal patients of neonatologists are newborn infants who are ill or requiring special medical care (Pediatric Mental Health Assessment) due to prematurity, low birth weight, intrauterine growth retardation, congenital malformations, sepsis, and pulmonary hyperplasia or birth asphyxias. Pregnant women are advised to pay attention to the foods they eat during pregnancy, such as soft cheese and certain fish, in order to reduce the risk of exposure to substances or bacteria that may be harmful to the developing foetus. This can include food pathogens and toxic food components, alcohol, and dietary supplements such as vitamin A and potentially harmful pathogens such as listeria, toxoplasmosis, and salmonella. Dietary vitamin A is obtained in two forms which contain the preformed vitamin (retinol), that can be found in some animal products such as liver and fish liver oils, and as a vitamin A precursor in the form of carotene, which can be found in many fruits and vegetables. Intake of large amounts or, conversely, a nutritional deficiency, of retinol has been linked to birth defects and abnormalities. 9) Epidemiology and Infectious diseases Developing countries represent 84 percent of global population, 90 percent of the global disease burden, and 20 percent of worldwide GDP, but only 12 percent of global health. Health financing policies designed to ameliorate these disparities are subject to numerous and ever-changing conditions, as populations change, disease burdens shift, new infectious diseases emerge, and societies cope with civil and economic unrest. The on-going health transition in many developing countries—which encompasses demographic changes, such as lower fertility and longer life expectancy, as well as epidemiological changes, such as the shifting burden of illness toward noncommunicable diseases and injuries —will have profound effects on the quantity and type of health services needed. These trends will increase cost pressures on health care systems in most developing countries. The aim of the Infectious Disease track is to build upon the core epidemiology curriculum to develop the requisite knowledge of the epidemiology, analytical and laboratory methodology, immunology and pathogen biology necessary to understand the interactions of infectious agents and their hosts, vectors, and environment. Our understanding of infectious-disease epidemiology and control has been greatly increased recently through mathematical modelling. Emerging Infectious Diseases are a continuing danger everyone. Some diseases have been effectively controlled with the help of modern technology. Yet new diseases—such as SARS and West Nile virus infection—are constantly appearing. Others, such as malaria, tuberculosis, and bacterial pneumonias, are now appearing in forms that are resistant to drug treatments. Age-related physiological impairment and disease are known to be subject to environmental influences, and there is increasing evidence that they have a significant genetic component. The genetics of ageing has seen extraordinary progress over the last few decades, with animal models suggesting key roles for a limited number of metabolic pathways. This attention on the natural and social determinants of wellbeing has gone with a fast change in rates of urban populaces over the world. The fast urbanization of the 20th century reflects changes in worldwide political, monetary, and social powers. Thus, the health of urban populations has changed as cities have evolved. As more people worldwide live in cities, it is imperative to understand how urban living affects population health. Does urban living negatively affect health? Can urban living enhance population health and well-being? This article first examines determinants of heath in urban versus rural contexts and then outlines several emerging problems caused by rapid urbanization. 10) Biotechnology in Healthcare Biotechnology companies reported $32 billion in revenue and amassed $441 billion in stock market capitalization. But biotechnology is also creating significant challenges to public policy, further complicating the Byzantine structure of the health care system. R&D spending is on the rise as biotechs look to leverage cash reserves and capitalize on accelerated timelines and increased approvals from the FDA. Healthcare biotechnology refers to a medicinal or diagnostic product or a vaccine that consists of, or has been produced in, living organisms and may be manufactured via recombinant technology. R-DNA technology has a huge impact on meeting the needs of patients and their families as it not only encompasses medicines and diagnostics that are manufactured using a biotechnological process, but also gene and cell therapies and tissue engineered products. Today, the majority of Novel drug Development, whether manufactured using biotechnology or via a chemical synthesis like a traditional small molecule medicine, as well as many diagnostic products, are made available by applying modern biotechnology in their development and/or manufacturing processes. First time in the history of human healthcare, biotechnology is enabling the development and manufacturing of therapies for a number of rare diseases with a genetic origin. Although individually rare, collectively these diseases affect some 20-30 million individuals and their families with 70-80% having a genetic component requiring biotechnology as part of the solution. 11) Lifestyle disorders in Dubai As per UAE government, total expenditures on health care from 1996 to 2003 were US$436 million. According to the World Health Organization, in 2004 total expenditures on health care constituted 2.9 percent of gross domestic product (GDP), and the per capita expenditure for health care was US$497. Health care currently is free only for UAE citizens. The UAE now has 40 public hospitals, compared with only seven in 1970. 10 Billion AED was spent on healthcare in 2012, 8.5 Billion AED in Dubai, 1.5 Billion AED outside. Arab countries such as Saudi Arabia, Kuwait and the United Arab Emirates (UAE) – the economic growth and development of the past three decades have been dramatic. This socio-economic progress has brought benefits to many people in the region, such as improved access to health care, education, and safe drinking water. However, economic development has set the scene for the transformation of lifestyles, eating habits, and traditional societal and family structures in the region. These changes are not all for the better. In fact, lifestyle-related non-communicable health conditions are having an increasingly negative impact on the health of many adults and children. Lifestyle diseases appear to increase in frequency as countries become more industrialized and people live longer. They can include Alzheimer's disease, Arthritis, atherosclerosis, asthma, some kinds of cancer, chronic liver disease or cirrhosis, chronic obstructive pulmonary disease, Type 2 diabetes, heart disease, metabolic syndrome, chronic renal failure, osteoporosis, stroke, depression and obesity. The incidence of lifestyle diseases like hypertension, diabetes mellitus, dyslipidemia, and overweight/obesity associated with cardiovascular diseases is high on the rise. Cardio vascular issue keep on being the significant reason for mortality speaking to around 30% of all passings around the world. One study by the Seattle-based examination gathering Institute for Health Metrics and Evaluation (IHME) reported an evaluation of 79 million large individuals living in the locale today, and a considerably more prominent number — 180 million — overweight individuals live in the Mena region. 12) Emergency and Trauma Treatment at a trauma center versus a nontrauma center was associated with an increase of 70 additional life-years per 100 patients, according to a large, multistate cohort analysis of patients. Trauma is the leading cause of death for people aged 1 through 44, more than stroke and AIDS combined. Getting severely injured patients to a Level I trauma centre without delay lowers mortality by 25%. There is a growing and alarming shortage of subspecialists to take trauma call and not enough trauma related physicians in the pipeline to meet the growing demand. According to the American Hospital Association, from 1991 to 2010, emergency department visits soared from 88.5 million to 127.2 million. That's an increase of nearly 44 percent. But during this same period, emergency departments closed at a rate of almost 11 percent. There is a substantial difference between the care a patient receives at Emergency Departments and Trauma Centres. Most hospitals have an Emergency Department; this is where patients come with emergency illnesses and injuries, some of which may be life-threatening. Examples might include sudden severe stomach pains, shortness of breath, or severe or persistent vomiting or diarrhoea. A Trauma Center can handle all injuries that are seen in an Emergency Department plus provide multi-disciplinary, comprehensive emergency medical services to patients who have traumatic injuries. Cases of traumatic wounds incorporate those supported in auto collisions, shot injuries, or the train crash. To give these patients the best trusts in survival, these sorts of wounds oftentimes oblige a very specific restorative group that incorporates injury specialists, other therapeutic strengths, exceedingly prepared staff, and the most recent in modern medicinal gear. Intensive care medicine or critical care medicine is concerned with the diagnosis and management of life-threatening conditions requiring sophisticated organ support and continuous monitoring. 13) Healthcare in IT and communication US included a formula of both incentives (up to $44,000 per physician under Medicare or up to $65,000 over six years, under Medicaid) and penalties (i.e. decreased Medicare and Medicaid reimbursements for covered patients to doctors who fail to use EMRs by 2015) for EMR/EHR adoption versus continued use of paper records as part of the Health Information Technology for Economic and Clinical Health. The publication of Personalised Health and Care 2020 by the Department of Health elaborated a new attempt to integrate patient records. Its stated ambition is that every citizen will be able securely to access their health records online by 2018 and make real time data available to paramedics, doctors and nurses. A real time record across health and social care is seen as the key to the provision of integrated care. Health information technology is applied to health care. It provides the framework to describe the comprehensive management of health information across computerized systems and its secure exchange between consumers, providers, government and quality entities, and insurers. Health information technology is in general increasingly viewed as the most promising tool for improving the overall quality, safety and efficiency of the health delivery system. Research evidence indicates that there are strong positive relationships between a healthcare team member’s communication skills and a patient’s capacity to follow through with medical recommendations, self-manage a chronic medical condition, and adopt preventive health behaviours. Studies conducted during the past three decades show that the clinician’s ability to explain, listen and empathize can have a profound effect on biological and functional health outcomes as well as patient satisfaction and experience of care. E-Care systems help Physicians by helping them diminish their operational and managerial expenses, without bargaining on income streams. Backed by extensive domain expertise, most recent innovation and hearty consistence standards. - See more at: http://www.primaryhealthcare.annualcongress.com/#sthash.TdAUsdux.dpuf

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12 June 2015
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