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Treatment of Portal Hypertension
When we talk of high blood pressure or hypertension, we generally refer to the arteries and veins and rarely does the mention of the pulmonary system surface. Pulmonary hypertension is a different field of study, and diagnosis and treatment refers to the pulmonary circulatory system. Portal hypertension is primarily high blood pressure in the portal system.
Veins are blood vessels that carry blood from the abdominal organs to the heart. A small vein known as the portal vein carries blood from the liver. The portal circulatory system also has blood vessels that branch out into smaller vessels that spread out through the liver. Any obstruction in the portal venous system causes portal hypertension, which forces the blood to find alternate routes to flow to the heart. The search for an alternate route can make the blood travel through the esophagus, the skin of the abdomen and even the veins of the rectum. This unusual transmission can cause any of the following complications
- Ascites - an accumulation of serous fluid in peritoneal cavity
- Hepatic encephalopathy - enlargement of the spleen
- Esophageal varices - a condition of extremely dilated sub-mucosal veins in the esophagus.
Varices may also form in the stomach, duodenum and rectum. There is also an increased risk of bacterial peritonitis, problems associated with the liver and kidneys with esophageal varices that pose a major and continuous risk of hemorrhages that can be fatal at times.
The treatment for portal hypertension depends mostly on the cause and the severity of the condition. Mostly medication, semi-surgical and surgical procedures are used depending upon the efficiency levels of the liver. Beta blockers which are used as high blood pressure medication are often the first line of treatment for portal hypertension. If esophageal variceal bleeding is suspected then a nitrate is added to propanolol, the first beta blocker or nadolol, a beta-adrenergic blocking agent. This combination therapy is often more effective than using beta blockers alone.
In instances of severe conditions of bleeding, analogues of growth hormones and anti-diuretic hormones are injected intravenously to decrease portal pressure. If variceal bleeding has been diagnosed and medications do not work, endoscopic banding may be resorted to, which is blocking off the blood vessel using rubber bands.
There are other procedures through which a passage is created to divert blood from one channel to another to relieve pressure. Transjugular intrahepatic portosystemic shunt (TIPS) is a procedure that involves placing of a tubular device called a stent in the middle of the liver to connect the hepatic vein with the portal vein. Distal splenorenal shunt (DSRS) is another procedure that connects the vein from the left kidney to the vein from the spleen.
Paracentesis is another semi-surgical procedure that involves puncturing with a hollow needle in order to draw out fluid that accumulates in the peritoneal cavity. Liver transplantation is indicated only when portal hypertension is accompanied by disorders of the liver and in situations where the liver is unable to produce proteins.
Natural remedies for high blood pressure like dietary and lifestyle changes play an important role in managing symptoms of portal hypertension, which is usually caused by cirrhosis of the liver. Avoid alcohol and recreational drugs. Do not consume more than 2 grams of sodium (salt) per day and reduce protein intake if there are signs of confusion. Better still, consult a dietician for a diet plan and stick to it religiously.
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You're leaving Wedding Paper Divas to see the Deal of the Day at our parent site, Tiny Prints.
You won't be able to dismiss this by usual means (escape or click button), but you can close it programatically based on user choices or actions.
"We are very happy with the quality of these invitations for the price. We wanted something that fit our outdoorsy style and this was perfect. We are set to get married in the White Mountains and the invitation suits our decor perfectly. Thank you Wedding Paper Divas!!"
"We ordered these for our January wedding, and decided to upgrade to the shimmering paper. Great decision! The paper and the pine trees give the illusion of snow falling on a forest. Just beautiful! We opted to add text in knock-out (white) text on the back and it looked very chic with the ombre effect. Absolutely perfect for a modern winter wedding, especially if you're not into the whole icy blue winter color palette. We decided to go with jewel tones for our color scheme and this is the only green we found that really fit our colors."
"I ordered these for my wedding in the blue color and love them. We didn't want to be too traditional and the forest design and color choices were perfect for us. Quality of paper is higher than I expected and printing looked perfect."
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"I was looking for something unique for our small intimate mountain wedding next year. These "save the dates " are perfect !!! I was able to chat on line with a Wedding Paper Divas rep and got some good advice before ordering. The paper quality is nice and the shades of blue are just what I was looking for. Can't wait to place my order for the invitations !"

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Studies show that those who keep journals are more successful in any pursuit. Here you can download your own Zone Labs' Food Journal to keep track of your life-long pursuit of wellness. Studies also reveal that those who document their food and beverage intake may lose more weight than those who don't.
Filling out this journal is quick and easy; it will help you review where you did well and where you may need to make changes to help you reduce cellular inflammation.


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At # 26 with $ 27.1 MIL. Maria has acomplished something incredible after she was written off two years ago by the tennis media. Hyped up Ugly Serena is way down $16..3 MIL, even Li Na with $18.4 is in front of her. (Forbes Magazine Sep 10 2012 edition)
Maria is third in earnings among all tennis players, only Federer $54 MIL and Nadal 32.4 MIL are in front of her. With Nadal out of the picture and Maria's Sugarpova line, she will most likely be number two next year.
Vamos Maria take Tokyo!!!!!!


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Diabetes support diet
Stay in control & feel empowered
What is the Diabetes Support diet plan?
There is no specific "diabetes diet", instead, those with diabetes can manage their condition by enjoying a healthy, well balanced diet that's high in fibre, low in sugar, low in fat and heart healthy. However, we understand that you sometimes may want a little more guidance when making your food choices and that's why we have created the Diabetes Support Plan which encompasses all the principals of eating well for diabetes. The daily meal plans are editable and because every meal and food item on your plan will have the protein, carb and fat content displayed you can easily see the impact of any changes you make, particularly useful for those who count their carbs. There are no restrictions in this plan, instead it gives you all the know-how to manage your blood glucose levels and stay in control.
Is the Diabetes Support diet plan for you?
If you want to follow a healthy eating pattern that will help you achieve and maintain good blood glucose levels choose our Diabetes Support Plan. This plan can fit easily into your lifestyle while providing you with the tools to manage or prevent conditions where the body cannot maintain normal blood glucose levels. Alternatively, you can view our full range of diet plans which may also be suitable for you. You can further discuss your options with your healthcare team or our nutrition team by emailing email@example.com. Diabetic foods: We do not include any products that are specifically made for people with diabetes (diabetic foods) on our plans as we feel they offer no special benefit to those with diabetes.
How will the Diabetes Support diet plan work for you?
- 1Provide a balanced diet that's fibre rich and heart healthy
- 2Help control sugar cravings
- 3Help improve blood glucose levels
- 4Reduce risk of developing diabetes complications, including heart disease
- 5Reduce risk of developing diabetes if at pre-diabetes stage


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Teaching Kits for Instructors
MathWorks and McGraw-Hill have developed a complete set of lecture slides and MATLAB code to accompany Steven Chapra's Applied Numerical Methods with MATLAB text.
Enhance your course with these free curriculum materials:
This downloadable package includes 24 sets of lecture slides (one for each chapter of the book) and more than 20 MATLAB homework exercises, many of which are drawn from engineering and scientific disciplines.
By Steven C. Chapra
Written for a one-semester course in numerical methods, this book provides comprehensive coverage of numerical problem solving. The text focuses on the practical application of numerical methods to engineering problems. Topics include mathematical modeling, programming in MATLAB, roots, optimization, and Gauss elimination. The revised third edition contains new chapters on eigenvalues and Fourier analysis, new sections on animation and Brent's method for root location, and many revised homework problems.


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Addressing big data challenges
We authored a commentary to describe how survey research organizations must adapt to address big data challenges.
Researching e-cigarette advertising expenditures
We found that e-cigarette ad expenditures tripled in the United States from 2011 to 2012.
Distributing bed nets to reduce malaria transmission in Guinea
We led a mass distribution of more than two million long-lasting insecticide-treated nets in Guinea.
Evaluating employers' views toward MOOCs
We found employers generally viewed massive open online courses, called MOOCs, positively for recruiting, hiring and training employees.
Expanding mobile phone technology to help victims of domestic violence
We partnered to help standardize health care services to women experiencing domestic violence in India.
Finding cost-effectiveness of Coronary Artery Calcium Screening
We created a cost-effectiveness model to predict whether or not it made sense to do a CAC test.


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Greg Jennings unable to stay healthy: NFL Week 4 injury updates
The players landing on injury reports need look no further than Minnesota RB Adrian Peterson for a little motivation.
Peterson, you may remember, blew out his knee late in 2011, yet somehow found his way back onto the field for the start of 2012. Sunday, Peterson carried the ball 21 times for 102 yards in a Vikings win over the Lions.
This Sunday brought another rash of mishaps for talented players around the league. SI.com injury expert Will Carroll helps break down the key Week 4 injuries …
• Greg Jennings, WR, Packers (groin): Jennings has been dealing with a nagging groin injury and did not return to Sunday's game with the Saints after halftime.
SI.com injury expert Will Carroll: Jennings just can't keep his groin healthy. This recurrence is showing that the Packers medical staff just isn't able to get in front of things on a week-to-week basis. He's likely to need to miss some time and, given the depth the Packers have at WR, they could do it. Missing a week should clear this up as long as this is a re-strain. Often, instead of just going back to square one, things go further, scar builds on scar, and the issue is complicated with every setback. Jennings is too important to risk that happening at this point in the season.
Who takes his spot?: James Jones had a pair of touchdown grabs Sunday, and everyone essentially would bump up a spot in the WR rotation.
• Cliff Avril, DE, Lions (back): At first glance, it appeared that Detroit's franchise-tagged defender had injured his knee — Avril was tracking Minnesota QB Christian Ponder when he fell without any contact. The Lions later revealed he actually had tweaked his back.
SI.com injury expert Will Carroll: Avril left with a lower back strain. Those have a broad range, but there's a lot of stress on the back of a DE due to the positional demands. Just go through some of the motions there in your office or home that a DE would and feel how your back responds to those. Add in that Avril is doing it with big men blocking him, creating an extension or even hyperextension; that he takes hits that compress the spine, and absorbs more forces than you can imagine on ordinary plays. It's a wonder everyone doesn't have this kind of issue. Avril's time lost will be determined by his response to treatment and likely his pain tolerance.
Who takes his spot?: Detroit has some options at DE, including Willie Young, who's performed well when given the chance.
• Nnamdi Asomugha, CB, Eagles (eye): Asomugha was poked in the eye while covering on a pass play. He immediately grabbed for his right eye after it happened, then left the game for an extended period.
SI.com injury expert Will Carroll: Ever hear that phrase "better than a poke in the eye?" Most things are, as Asomugha found out on Sunday night. The worry, once you get past the initial pain and shock, is swelling, damage to structures like the cornea and vision changes. Asomugha was able to return, which tells us the traumatic stuff is past and that the longer-term looked good in tests. He should be fine and will likely be having the equipment manager check on those visors.
Who takes his spot?: Brandon Hughes filled Asomugha's spot during his absence Sunday, with Brandon Boykin seeing more time as well.
• Laurent Robinson, WR, Jaguars (head): Robinson was on the injury report all week after suffering a concussion. He caught one pass Sunday but a defender landed on his head during the tackle, and Robinson immediately left the game.
SI.com injury expert Will Carroll: Another one? The hit to Robinson's head looked eerily similar to last week's concussion. Robinson was cleared to play, which assumes that his brain had healed, but having two this close together is a major issue. Concussions in close succession can be cumulative, so the Jags are going to have to be very careful with this one. Robinson's progress will be monitored closely and he will not return until cleared under the NFL's concussion protocol. (Again.)
Who takes his spot?: The Jaguars' options include Cecil Shorts and Mike Thomas, with the former being the more intriguing possibility.
• Jake Locker, QB, Titans (shoulder): Locker took a huge shot from Houston's Glover Quin and the Titans announced that he had reinjured his left shoulder. His arm was in a sling as he stood on the sideline in the second half.
SI.com injury expert Will Carroll: Locker appears to have an ongoing issue with his left shoulder. He first injured it while making a tackle a couple weeks back and now a hit that didn't appear out of the ordinary caused another separation. The issue is the pain and associated changes to his mechanics, even if it is the off hand. If this continues to be an issue, Locker may need to wear some sort of bracing and consider surgery. Normally, this could be maintained and Locker could have something done in the offseason. Because QBs get hit so much, it's tough to truly protect it.
Who takes his spot?: Matt Hasselbeck reclaimed his QB spot in Locker's absence, and he will be the guy going forward.
• Brandon Meriweather, S, Redskins (knee): Meriweather appeared to injure his knee during a bizarre pregame collision with teammate Aldrick Robinson. Meriweather's leg his Robinson in the helmet, an accidental hit that also knocked Robinson from the game.
SI.com injury expert Will Carroll: Since he was already a GTD for Sunday, it's unclear whether this collision caused more issues, whether it just highlighted that he wasn't ready to play, or whether it created an unrelated issue. Meriweather will have a week to heal up, again, but knowing more about what happened should help us decide whether he'll be able to go this time next week.
Who takes his spot?: Reed Doughty started for Meriweather, so it's safe to assume that will be the play in the future.
• J.D. Walton, C, Broncos (ankle): How tough is Walton? He walked off the field Sunday only to learn later that he had broken his ankle. Oakland's Jack Crawford rolled up on Walton's leg while he was blocking.
SI.com injury expert Will Carroll: Peyton Manning isn't happy about this. The ankle is made up of many structures, so the term "broken ankle" doesn't actually tell us much. If it's merely a fractured fibula, Walton could be back in six to eight weeks, just in time for a playoff push. If there's more or if there's associated soft tissue damage, the "done for season" timeline makes more sense. This is the kind of traumatic injury that can change a team's fortune and is a bigger challenge for the Broncos than most due to Manning's reliance on his center.
Who takes his spot?: Former Patriot Dan Koppen will inherit Walton's spot. Things could be worse for Denver — Koppen is a proven veteran with loads of experience.
• Santonio Holmes, WR, Jets (foot): In one of the more bizarre plays you'll see, Holmes caught a pass, then crumpled to the turf in pain and tossed the ball — before he was touched down — into the arms of San Francisco's Carlos Rogers, who returned it for a defensive touchdown. Holmes was in a walking boot after the game.
SI.com injury expert Will Carroll: I've never seen a player react the way Santonio Holmes did to his injury. Let's assume he reacted due to pain and leave that part there. Tests showed no fracture, but again, ankle injuries can involve many different structures. If Holmes has a severe sprain or strain, it could elicit the same reaction and could keep him out as long or longer than a simple fracture. Holmes is headed for more scans early this week that will help the Jets figure out exactly what's going on and how long he'll be out.
Who takes his spot?: Jeremy Kerley has had a strong start to 2012, so he may see even more targets. Chaz Schilens may see his reps increase too.


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February 05, 2014 – Brand New Summer U.S. Tour With a whole cancelled tour due to "insurmountable personal differences," a scrapped album, and Jesse Lacey funneling all his energy into producing for Kevin Devine … read more →
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Past Tour Dates for Dashboard Confessional
Dashboard Confessional Tour Dates 2013
date city state venue 05/03/2013 Tampa FL Florida State Fairgrounds Expo Hall 03/10/2013 Sao Paulo Sao Paulo Carioca Clube 03/09/2013 Sao Paulo Sao Paulo Carioca Clube 03/08/2013 Curitiba PR John Bull Music Hall 01/11/2013 Fort Lauderdale FL Bienes Center for the Arts
Dashboard Confessional Tour Dates 2012
date city state venue 08/19/2012 West Chester PA The Note 08/18/2012 Brooklyn NY Music Hall of Williamsburg 08/17/2012 Pawtucket RI The Met 07/29/2012 Fort Collins CO Aggie Theatre 07/28/2012 Aspen CO Belly Up Aspen 07/26/2012 Anaheim CA House of Blues Anaheim 06/23/2012 Washington DC U Street Music Hall 06/22/2012 Philadelphia PA Trocadero 05/06/2012 Saint Petersburg FL Vinoy Park 01/22/2012 Pomona CA Glass House 01/21/2012 West Hollywood CA House of Blues Sunset Strip 01/20/2012 San Diego CA House of Blues San Diego 01/19/2012 San Francisco CA Slim's
Dashboard Confessional Tour Dates 2011
date city state venue 12/04/2011 Philadelphia PA Theatre of Living Arts 12/03/2011 Towson MD Recher Theatre 12/02/2011 Lancaster PA Chameleon Club 12/01/2011 New York NY Irving Plaza 11/22/2011 San Diego CA House of Blues San Diego 11/20/2011 Boston MA Paradise Rock Club 11/19/2011 Millvale PA Mr Smalls Theater 11/18/2011 Pontiac MI The Crofoot Ballroom 11/17/2011 Chicago IL Bottom Lounge 11/17/2011 Chicago IL Bottom Lounge 04/03/2011 Atlanta GA Masquerade 04/01/2011 Charlotte NC Amos' Southend 03/31/2011 Nashville TN Cannery Ballroom 03/30/2011 Cincinnati OH Bogarts 03/29/2011 Columbus OH Newport Music Hall 03/27/2011 Dallas TX South Side Ballroom 03/26/2011 Austin TX Emo's East 03/24/2011 Tempe AZ Marquee Theatre 01/22/2011 San Diego CA House of Blues San Diego 01/21/2011 West Hollywood CA Troubadour 01/20/2011 West Hollywood CA Troubadour 01/19/2011 West Hollywood CA Troubadour 01/16/2011 Anaheim CA House of Blues Anaheim 01/15/2011 San Francisco CA The Regency Ballroom 01/14/2011 Portland OR Wonder Ballroom 01/13/2011 Seattle WA Neumos 01/11/2011 Salt Lake City UT In The Venue 01/10/2011 Denver CO Summit Music Hall
Dashboard Confessional Tour Dates 2010
date city state venue 12/19/2010 Chicago IL Bottom Lounge 12/18/2010 Chicago IL Lincoln Hall 12/17/2010 Pontiac MI The Crofoot Ballroom 12/15/2010 Rochester NY Water Street Music Hall 12/14/2010 West Chester PA The Note West Chester 12/12/2010 Portland ME State Theatre 12/11/2010 Boston MA Paradise Rock Club 12/10/2010 New Haven CT Toad's Place 12/08/2010 Asbury Park NJ Stone Pony 12/05/2010 Allentown PA Crocodile Rock 12/04/2010 Atlantic City NJ House of Blues Atlantic City 12/03/2010 Towson MD Recher Theatre 12/01/2010 Richmond VA The National 11/30/2010 Carrboro NC Cat's Cradle 11/28/2010 Orlando FL The Social 11/27/2010 Fort Lauderdale FL Revolution Live 07/26/2010 Pittsburgh PA Diesel Club Lounge 04/22/2010 Charlotte NC Time Warner Cable Arena 04/21/2010 Nashville TN Sommet Center 04/18/2010 Sunrise FL BB&T Center 04/17/2010 Tampa FL Tampa Bay Times Forum 04/16/2010 Orlando FL House of Blues Orlando 04/10/2010 Clifton Park NY Upstate Concert Hall 04/08/2010 Boston MA House of Blues Boston 04/06/2010 Chicago IL House of Blues 03/28/2010 Hartford CT Webster Theater 03/27/2010 Sayreville NJ Starland Ballroom 03/26/2010 New York NY Marriott Marquis 03/22/2010 Providence RI Lupo's Heartbreak Hotel 03/18/2010 Toronto ON Kool Haus 03/12/2010 Des Moines IA Peoples Bar and Grill 02/25/2010 San Diego CA House of Blues San Diego 02/20/2010 Seattle WA Key Arena 02/19/2010 Seattle WA Key Arena 02/18/2010 Portland OR Wonder Ballroom
Dashboard Confessional Tour Dates 2009
date city state venue 12/18/2009 Atlanta GA The Tabernacle 12/17/2009 Charlotte NC The Fillmore Charlotte 12/14/2009 Toronto ON Kool Haus 12/13/2009 Toronto ON Kool Haus 12/12/2009 Detroit MI The Fillmore Detroit 12/11/2009 Chicago IL Aragon Ballroom 12/05/2009 Belle Vernon PA Ice Garden Arena 12/04/2009 Camden NJ Susquehanna Bank Center 11/29/2009 Orlando FL House of Blues Orlando 11/28/2009 Orlando FL House of Blues Orlando 11/27/2009 Pompano Beach FL Pompano Beach Amphitheatre 11/22/2009 Dallas TX South Side Ballroom 11/15/2009 Los Angeles CA Hollywood Palladium 11/11/2009 Orem UT UCCU Center 11/08/2009 Kansas City MO Uptown Theater 11/03/2009 Denver CO Fillmore Auditorium


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Set of 4 Soup Cereal Bowls
Yorktowne, a classic stoneware pattern, has a deep blue, hand-applied floral motif that adds dimension to the smooth glaze that is reminiscent of early salt-glaze techniques. From cereal in the morning to soup at lunch and ice cream for dessert, this bowl is a "must-have". Microwave and dishwasher safe. Set of 4 soup/cereal bowls, each measures 6 inch diameter and holds 12 ounce.
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Rated 4 out of 5 by 2 reviewers.
Rated 5 out of 5 by PeggyLou Perfect size for our morning oatmeal! We love the size and I love returning to the very first Pfaltzgraff pattern that I once bought for my mom years ago in 1979. The color blue fits well into my kitchen decor. The dishes wash well and stack neatly in my cabinet. June 12, 2013
Rated 3 out of 5 by Thetreebird Rock and a hard spot Needed to replace cereal bows from a much older set. New ones are different. Bowls @ 1/4 inch less diameter, also @ 1/8 shorter and edge of Bowl is different shape not as thick. But, I did complete my set with acceptable pieces. March 8, 2013
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130 Years Ago
Hank Monk: Some time ago "Buffalo Bill" telegraphed Hank Monk about an important letter that was to come. The letter was received by the after he had passed away and contained a splendid inducement for him to go East and take part in "Buffalo Bill's" dramas.
120 Years Ago
A scoundrel's work: Some conscienceless scoundrels have defaced the tombstone of the cemetery by taking a sledge hammer to some of the most expensive tombstones. ... Half a dozen have been thus injured, and there is no clew [sic] as to the perpetrators. ... The Wright estate offers …


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Once again the open call for exhibition have received a floodgate of entries. Ongoing now, the curators of 4th SIPF are making their final selections. The result will release in early May.
In this 4th edition, SIPF collaborate with Noorderlicht International Photofestival (The Netherlands) with a theme open call titled "An Ocean of Possibilities". The selection of this showcase at both festivals will be made by Wim Melis, the curator of Noorderlicht and Gwen Lee the director of SIPF. The showcase will open simultaneously in both festivals in September and October 2014. This submission will end on 27th April 2014. To register, please visit http://register.sipf.sg/
The SIPF website is undergoing revamp for upcoming festival opening in October. We appreciate your patience before the unveil of the new website.
For more information pertaining festival, please email Dawn Yeong at email@example.com. For open call exhibition, please email firstname.lastname@example.com.


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Editor's Note
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Like many of our readers, The Asian Lawyer will be taking a bit of a break over the holidays. Starting Monday, Dec. 23, we will be suspending publication of our twice-weekly e-newsletters for two weeks.
During that time, we will continue to update our website with daily stories as needed. We will resume our normal publication schedule Jan. 6, 2014.
We wish you the happiest of holiday seasons and look forward to again bringing you the very best coverage of the Asian legal industry and profession in the new year.
Email: firstname.lastname@example.com.
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