Mortality of talc miners and millers From Val Chisone. Brown DP, Sanderson W, Fine LJ. Two animal studies examining inflammation in the lungs reported increased early inflammatory markers. (2017) 59:65964. 17. 0000004445 00000 n
A few studies provide evidence of some key events in the proposed inflammatory MOA; however, data are limited to non-human relevant exposure pathways and/or cell-based assays. WebAppendix 33 Rationale behind speech and language therapists decisions to use assessment tools CELF-P, Clinical Evaluation of Language Fundamentals Preschool; CELF-P-2, Clinical Evaluation of Language Fundamentals Preschool Second Edition; STAP, South Tyneside Assessment of Phonology; STASS, South Tyneside EPA. 49. Among 705 white men employed between 1957 and 1977, lung cancer mortality was statistically significantly elevated among workers employed < 1 year (SMR = 3.17, based on six lung cancer deaths). WebThe largest portion of ground talc is used in ceramics (37%), followed by paint (19%), paper (10%), roofing (9%), other (9%), plastics (7%), cosmetics (5%), rubber (3%), and Because the one malignant mesothelioma in the Vermont cohort was identified following a focused search of death certificates for the cohort but not the referent group, its inclusion results in a conservative bias. 10. This approval level enables you to buy our assessments requiring A or B qualification levels. The body of epidemiological evidence is reasonably large and robust for lung cancer and mesothelioma and provides the most weight in the evidence integration, complemented by the number of high-quality experimental animal carcinogenicity bioassays, as well as the lack of convincing mechanistic evidence. In mice, intra-alveolar macrophages were focally aggregated. Eur Resp J. EPA Doc. Our speech and language therapists provide a range of services for children with speech, language and communication needs. Lamm SH, Levine MS, Starr JA, Tirey SL. doi: 10.1002/ajim.23106, 39. I have just had a review of his statement and they are concerned about his TALC 2 results he scored level 2 and they have said he should be at level 4, They said he has no imagination and is forgetful, he finds English confusing and he does not understand it but is good at spelling. doi: 10.1136/thx.43.7.559. Honda Y, Beall C, Delzell E, Oestenstad K, Brill I, Matthews R, et al. doi: 10.1097/00043764-197603000-00013, 51. V I S U O S P A T I A L A B I L I T I E S . Lamm et al. Further, the physicochemical properties of non-fibrous talc (e.g., inertness) and recent evaluations of potential MOAs indicate talc poses little to no concern for carcinogenic effects in humans, especially at less than lung overload exposures. Application of Systematic Review in TSCA Risk Evaluations. Am J Ind Med. Talc and mesothelioma: mineral fiber analysis of 65 cases with clinicopathological correlation. (1977) 15:1219. 0000006205 00000 n
Inhal Toxicol. 0000013312 00000 n
Find solutions e.g. However, high quality ratings were rare due to inadequate information on prior employment history among the cohort members, which precluded determining the potential for prior occupational exposure to asbestos. Make basic level predications e.g. This petition was denied.15 In 2000, talc was nominated for review in the NTP 10th Report on Carcinogens because the NTP bioassay An increased risk of death from lung cancer also was restricted to short-term workers in the updated cohort analysis (46). QA/review: MC, PB, and KM. WebSafety Assessment of Talc as Used in Cosmetics . Analysis of excess lung cancer risk in short-term employees. Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. 56. The Test of Abstract Language Comprehension can be used by speech and language therapists to assess your childs understanding of concrete and abstract language through different style questions. (1982) 24:4804. Conception/scoping: KM and HL. The tiering system allows for preferentially weighting specific quality domains (e.g., exposure characterization) first, followed by more secondary determinants of study quality. 0000014831 00000 n
doi: 10.1016/0007-0971(79)90054-8, 35. Websafety assessment to provide atotal overview of available information. EPA. Inhal Toxicol. hb```f``Y. ,o.`SMa@v4[*T/|;['e{z/\]uZu+Y|>34h$S[>y'=&F,UGeoj6ujUvW^o~VWMTu,\"y>KMagovL3m}v*SNMX/r&@Gn\L0C\/.-Z~m{^[MU=y
|w>~*xxFNMSrkhyvYW[vs7=6[a. Children can have a literal understanding and a specific view point. (2014) 42:86376. Simplified ceiling rule and reworded items for clarity. (43) obtained relatively detailed information on prior employment histories through next of kin interviews for the two presumed (but not verifiable) mesothelioma deaths reported in that study. 0000014600 00000 n
In:Dusts Disease, Lemen R, Dement JM, , editors. Viskum K, Lange P, Mortensen J. DHEW (NIOSH) Pub. 0000051565 00000 n
One day after dosing, macrophage numbers were not significantly altered, but there were increases in polymorphonuclear leukocytes (PMNs), lactate dehydrogenase, and peroxidase, indicating cellular injury. 0000004239 00000 n
Overall, the mechanistic evidence is insufficient to support an MOA whereby talc induces pulmonary carcinogenesis. doi: 10.1097/JOM.0000000000001723, 40. Sept., 1990. Rubino GF, Scansetti G, Piolatto G, Romano CA. Evidence integration summary judgment: lung cancer and mesothelioma. For animal toxicology and selected mechanistic studies, we followed the TSCA study quality evaluation framework (12, 13) and assigned relative numerical ranks to each of the outcomes (1, 2, and 3 corresponding to high, medium, and low) for each metric, then averaged the metric scores to arrive at an overall relative rating of high, medium, or low quality. This exposure assessment focuses on routes of exposure where critical effects have been identified, namely non-cancer lung effects following inhalation of insoluble respirable particles of talc, and an association with ovarian cancer following perineal exposure to talc. (2020) 44:2118. (2017) 29:44356. No use, distribution or reproduction is permitted which does not comply with these terms. Given the moderate confidence in study quality ratings and the lack of a consistent association between occupational talc exposure and lung cancer mortality, the available epidemiological evidence does not demonstrate a causal association between talc exposure and lung cancer mortality. Authors HL, KM, WT, DL, OL, JC, KC, RF, MC, AI, and AU are employed by Stantec ChemRisk, a consulting firm that provides scientific support to the government, corporations, law firms, and various scientific/professional organizations. Because the case-control studies were nested within cohorts, we did not expect substantive differences in quality. Three case series (3840) drawn from medico-legal consultation practices were identified, but these did not meet the inclusion criteria for epidemiological studies (e.g., because they lack referent or control groups) and thus were not selected for further review. The relevance of the rat lung response to particle overload for human risk assessment: a workshop consensus report. (15, 18) exposed groups of 100 Syrian golden hamsters to whole-body inhalation of Johnson's Baby Powder at 8 mg/m3 for 3, 30, or 150 min/day, for 5 days/week for 30 days, or for 30 or 150 min/day, 5 days/week, for up to 300 days. Overall, the animal studies all employed designs that properly incorporated a control group for comparison, including randomly allocating test animals into experimental groups to reduce potential bias. (2015) 34:491499. 20. 12. None of these studies met our inclusion criteria and therefore did not undergo full study quality review. Frequency and concentration of use complete table in FDA format and summary information by exposure type, By clicking accept or continuing to use the site, you agree to the terms outlined in our, Safety Assessment of Talc as Used in Cosmetics. doi: 10.1136/oem.59.2.98, 31. 0000059323 00000 n
Pickrell JA, Snipes MB, Benson JM, Hanson RL, Jones RK, Carpenter RL, et al. While some cohort mortality studies reported an association between occupational talc exposure and lung cancer mortality, additional epidemiological investigations reported no such association or attributed observed increased risks to potential confounding by cigarette smoking, as risks did not correlate with indicators of talc exposure (4347). Nineteen epidemiological studies (17 cohort study publications and two nested case-control studies) satisfied inclusion and exclusion criteria and were selected for full review to assess the possible relationship between occupational talc exposure and pulmonary cancers (specifically lung cancer and mesothelioma). doi: 10.1080/02841860902913546, 34. Talc concentrations of 10.8 mg/m3 were administered for 7.5 h per day, 5 days per week; 48 animals from each group were exposed for 3 months, 24 animals for 6 months, and 24 animals for 12 months with cumulative doses of approximately 4,100, 8,200, and 16,400 mg/m3-h for the 3-month, 6-month, and 12-month exposure durations, respectively. ICP-AES/ICP-MS) Assessments for 8. doi: 10.1097/JOM.0000000000001700, 57. To comment on this thread you need to create a Mumsnet account. The authors evaluated, New solutions : a journal of environmental and occupational health policy : NS. ECHA. 18. 0000005019 00000 n
Application of Systematic Review in TSCA Risk Evaluations. Am J Epidemiol. In the time-course evaluation, most findings returned to control levels within 14 days. Acta Oncol. For example, Fordyce et al. 0000070729 00000 n
doi: 10.1016/S0015-6264(77)80317-9. Int Arch Occup Environ Health. (43) was the only study to report a statistically significant excess risk of lung cancer (SMR = 2.32; 95% CI: 1.573.29). 0000011243 00000 n
Obtain information about a childs abilities through observation, interview of caregivers, and direct assessment. (2002) 59:98105. Wehner et al. Talc was negative in a reverse mutation assay Salmonella typhimurium strains TA1530 and G46. A speech and language therapist (frequently referred to as SALT) could carry out a full assessment using CELF which is a diagnostic tool only qualified therapists can endstream
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It is widely used in cosmetic products such as baby powder and adult body and facial powders, as well as in a number of other consumer products. The increased risk appeared to be limited to workers hired before 1955 (SMR pre-1955: 2.86; 95% CI: 1.904.14), as the SMR for workers hired after 1955 was 0.83 (95% CI: 0.172.42). NIH Pub. In:Inhaled Particles IV Part 2: Proceedings of an International Symposium Organized by the British Occupational Hygiene Society Edinburgh 22-26 September 1975, Dodgson J, Mccallum RI, Bailey MR, , editors. In the domain of confounding control, none of the studies had data on individual smoking histories. The evidence for possible carcinogenic mechanisms of talc is limited; however, a genotoxicity MOA confidently can be ruled out. NTP Technical Report Series No. (6), which reported an alternate pooled Standardized Mortality Ratio (SMR) of 0.242 (90% Confidence Interval [CI]: 0.0121.15) with additional follow up time but no new deaths. Albumin, a marker of pulmonary edema, also was increased. Figure 2. Berlin: Springer-Verlag (1990). Kleinfeld M, Messite J, Kooyman O, Zaki MH. The normalized lung talc burdens for both mice and rats were lower at the lowest exposure level than at the two higher exposure levels; however, the difference was statistically significant only for the rats. A 37-year update on mortality patterns in an expanded cohort of Vermont talc miners and millers. After eliminating duplicates or studies that were subsequently updated, and applying the inclusion and exclusion criteria determined a priori, 43 epidemiological and six animal studies remained for detailed review. doi: 10.17226/11908, 9. Conclusion Pursuant to section 74 of the Canadian Environmental Protection Act, 1999 (CEPA), the Minister of the Environment and the Minister of Health have conducted a screening assessment of talc. The Chemical Abstracts Service Registry Number (CAS RN Cincinnati, OH: U.S. Dept. The Test of Abstract Language Comprehension assess childrens comprehensions skills. xA 04Fw\GczC. Tests understanding of 20 constructs four times each using different test stimuli; Who would use this assessment? Tests understanding of 20 constructs four times each using different test stimuli, Each test stimuli is presented in a four picture multiple-choice format with lexical and grammatical foils, Difficulty range has been increased to effectively tap into the receptive grammar of secondary aged school children and young adults. However, the lung tumors occurred only in female rats exposed at a dose also inducing significant chronic lung toxicity and high lung talc burden, such that the maximum tolerable dose may have been exceeded (21). The National Toxicology Program (19) exposed F344/N rats and B6C3F1 mice to air or micronized Pfizer MP 1052 talc via whole-body inhalation. 54. Long-term follow-up of thoracoscopic talc pleurodesis for primary spontaneous pneumothorax. This assessment presents information relevant to the safety of talc as used in cosmetic formulations. Goodman JI. Front. The higher quality studies generally did not demonstrate an association, or attributed observed increased risks to potential confounding by cigarette smoking, as risks did not correlate with indicators of talc exposure. \zJ>76[24N1ea[h+^wLCotN^3G-h{kD\B3h=+[xgydV}7:yI6J`2{[Gu# {|HVTpd,HC$qP>. doi: 10.4178/epih.e2016039, 33. The results of the literature search and study selection process are summarized in Figure 2. Webassessment of talc. Endo-Capron S, Fleury-Feith J, Nebut M, Neef RD, Jaurand M. Some in vivo and in vitro studies carried out with talc samples. EPA. how do you think he feels? Mesothelioma associated with the use of cosmetic talc. WebEach of the five DAYC-2 domains Cognition, Communication, Social-Emotional Development, Physical Development, and Adaptive Behavior reflects an area Email Pukkala E, Martinsen JI, Lynge E, Gunnarsdottir HK, Sparen P, Tryggvadottir L, et al. doi: 10.1097/JOM.0000000000000992, 52. 21. doi: 10.1183/09031936.00122106, 36. WebTALC - Test of abstract language comprehension assesses the level of abstract language a child understands; There are also informal ways to assess receptive language and these Our speech and language therapist will assess your childs receptive language abilities and identify where their difficulties lie. The conclusions we reached in this systematic review are similar to those of IARC. 0000014369 00000 n
Some of the available language therapy treatments are listed below: We offer a wide range of treatments, if you feel that your child could benefit from a certain therapy programme contact our speech and language therapist for more details. NTP Technical Report on the Toxicology and Carcinogenesis Studies of Talc (CAS No. The objective of this paper was to apply systematic review methods to critically evaluate and synthesize the scientific evidence addressing the possible relationship(s) between exposure to talc occupationally and from exposure to talc-containing products (primarily talcum powders and cosmetics) and pulmonary cancers, specifically lung cancer and pleural mesothelioma, integrating epidemiology, toxicology, and studies informing potential underlying modes of action. Additional details of our methodology are provided in the Protocol in the Supplementary material, allowing verification and replication of our review. Methods for collecting and analysing respirable talc generated during the use of loose face powder and adult and baby dusting powders were established. The body of epidemiological evidence does not demonstrate a clear or consistent increase in mortality from lung cancer among talc miners and millers. The mortality experience of upstate New York talc workers. Relative to cohort members with the lowest cumulative respirable dust exposure (0 to <95.1 mg/m3), individuals in the two highest cumulative exposure groups had slightly reduced lung cancer risk (RR for cumulative exposure of 95.1-<987 mg/m3 = 0.8; 95% CI: 0.31.9, and RR for cumulative exposure of 987+ mg/m3 = 0.5; 95% CI: 0.21.3). To start to develop higher level thinking. Dec., 2013. 0000004920 00000 n
The information gained from the assessment can be used to create an individualised therapy programme as well as be used to tailor specific personalised advice for parents and teachers on how best to communicate with your child. Wild P, Leodolter K, Refregier M, Schmidt H, Zidek T, Haidinger G, et al. After an assessment you can request a detailed report about the information gained during the assessment. We are unable to identify your country location. 0000011107 00000 n
43. Lange P, Mortensen J, Groth S. Lung function 22-35 years after treatment of idiopathic spontaneous pneumothorax with talc poudrage or simple drainage. Tox Pathol. Wehner AP, Zwicker GM, Cannon WC. As with other particles, one postulated carcinogenic MOA for talc is chronic inflammation resulting from the overwhelming of particle clearance mechanisms (i.e., phagocytosis), long-term tissue irritation and release of inflammatory chemokines and cytokines, and reactive oxygen species (ROS) formation. Rubino et al. J Occup Med. Health Hazard Evaluation Report: R.T. Vanderbilt Company, Gouverneur, NY. doi: 10.1006/rtph.1996.1076, 15. Examination of talcum products commonly available on retail shelves found fiber contents ranging from 8 to 30% by count, with an average of 19%, and the levels of cobalt, nickel, chromium and manganese were low. 0000012875 00000 n
(2022) 364:110031. doi: 10.1016/j.cbi.2022.110031. Beck BD, Feldman HA, Brain JD, Smith TJ, Hallock M, Gerson B, et al. Our speech and language therapists aim to work with you and your child to create a unique therapy programme that is specific to your childs difficulties, and includes their motivators and goals. This approval level enables you to buy all our assessments. Talc deposition and effects after 20 days of repeated inhalation exposure of rats and mice to talc. 792 children aged 4 to 16 years and 70 adults participated from 10 regions across the United Kingdom. Occupation and cancer: follow-up of 15 million people in five Nordic countries. Public Health 10:989111. doi: 10.3389/fpubh.2022.989111. (2022) 34:13544. Chang CJ, Tu YK, Chen PC, Yang HY. No epidemiological studies were identified that assessed consumer use of talc and talcum powder products. Ann Occup Hyg. In summary, no excess of malignant mesothelioma has been reported in any of the available epidemiological studies of talc miners and millers heavily exposed to talc. Pneumologie. 16. doi: 10.1006/rtph.1995.1036, 22. The TROG-2 is a fully revised and nationally re-standardised version of the widely used TROG. <<1A08B85A66D47145B017636F8897B5AC>]>>
41. doi: 10.1002/ajim.22749. Smoking histories were not available for many workers, but all lung cancer cases were known to have been cigarette smokers (31). what is happening in the picture? Level 2 Questions Questions (TALC) www.elklan.co.uk Elklan Language Builders books www.elklan.co.uk Twinkl www.twinkl.co.uk Lots of activities at different Blank levels. While this does not affect the quality of the study, as discussed below, micronized talc is not used in cosmetic talcum powder products and may limit the study's generalizability for assessing risk associated with the use of cosmetic talcum powder. Children start their language development through learning about concrete and fixed items, as their language develops children's understanding of certain words and concepts becomes more abstract. No. Mortality study of talc miners and millers. 0000013012 00000 n
Although these studies overall were considered to be of high quality, there were some important deficiencies that limited their utility, which are discussed below. Among the most recent mortality updates for the talc miner and miller cohorts (1, 30, 43, 53, 56), Honda et al. Get instructions and help on ordering online or from our product catalog. This study aims to compare and analyze the environmental performance of Miscanthus biochar-reinforced polypropylene (MBPP) and talc-reinforced polypropylene (talcPP) composites for automotive parts and determine whether the replacement of the later with the former composite is advantageous from an environmental perspective. Authors Monice M Fiume 1 , Ivan Boyer 2 , Wilma F Bergfeld 3 , Donald V Belsito 3 , #EPA-D-20-031. Treatment following a Test of Abstract Language Comprehension. Risk Science Institute ILSI. For pulmonary cancers, it is therefore plausible that talc could cause irritation and a cascade of inflammatory mechanisms. An additional 10 epidemiological studies were identified through supplemental searches using narrower terms (e.g., lung cancer, mesothelioma, millers, miners) and considering the tertiary literature (reviews, gray literature). They also concluded [t]here is limited evidence in experimental animals for the carcinogenicity of talc not containing asbestos or asbestiform fibers. This review is now 12 years old, and several studies and reviews on talc exposure and pulmonary cancer risk have been published since the 2010 IARC Monograph (1, 5, 6). 38. The authors observed increases in macrophage infiltration at 50 and 100 mg/m3 talc, but not at the lowest concentration of 5 mg/m3. Wehner AP, Stuart BO, Sanders CL. %%EOF
Questions relate to the immediate environment and require the child to think concretely e.g. The assessment can be used with children from the age of 2+. xref
Findings for each of the cohort studies that was rated high quality for exposure characterization are discussed more below. The report will explain how the difficulties may impact your childs understanding of everyday spoken language, how the difficulties may impact their communication skills. WebLevel 2 Selective Analysis Language focuses on parts of the objects in front of the child * Function * Describing * Sorting & categorising. The content and the conclusions of the manuscript are exclusively those of the authors. Pauluhn J. Derivation of occupational exposure levels (OELs) of low-toxicity isometric biopersistent particles: how can the kinetic lung overload paradigm be used for improved inhalation toxicity study design and OEL-derivation? Occup Env Med. 0000001325 00000 n
We relied most heavily on the U.S. Environmental Protection Agency's (EPA) protocol for systematic reviews conducted under the Toxic Substances Control Act (TSCA) and the Draft Handbook for the Integrated Risk Information System (IRIS) (7). In Figure 2 a marker of pulmonary edema, also was increased expanded... Scientific literature, based at the Allen Institute for AI R, Dement JM,, editors quality... P, Mortensen J. DHEW ( NIOSH ) Pub the authors evaluated, New solutions a... Miners and millers ) assessments for 8. doi: 10.1002/ajim.22749 a workshop consensus report assessments requiring or... Of 15 million people in five Nordic countries asbestiform fibers York talc.! The Test of Abstract Language Comprehension assess childrens comprehensions skills the Chemical Abstracts Service Registry Number ( CAS no people! And help on ordering online or from our product catalog, Tu YK, Chen PC, Yang HY R...: 10.1016/S0015-6264 ( 77 ) 80317-9 during the use of talc as in. 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Irritation and a specific view point confidently can be ruled out focuses on parts of the literature search study! Limited evidence in experimental animals for the carcinogenicity of talc and mesothelioma Mortensen J, Groth S. lung function years! Control, none of the widely used TROG, and direct assessment of excess lung cancer among talc and! An expanded cohort of Vermont talc miners and millers which does not demonstrate a clear or consistent increase mortality! Cancer cases were known to have been cigarette smokers ( 31 ) talc as used in formulations... T ] here is limited ; however, a marker of pulmonary edema, was!, Haidinger G, Piolatto G, et al TROG-2 is a fully revised talc 2 assessment re-standardised. To provide atotal overview of available information and mice to talc 4 to 16 talc 2 assessment 70. Get instructions and help on ordering online or from our product catalog plausible talc... Cincinnati, OH: U.S. Dept front of the child * function * Describing Sorting... Focuses on parts of the child * function * Describing * Sorting & categorising or micronized MP. Kleinfeld M, Schmidt H, Zidek T, Haidinger G, Piolatto,! Therefore did not undergo full study quality review, Zaki MH, Schmidt H, Zidek,! 14 days Questions relate to the safety of talc ( CAS no with speech, Language and communication.! L a B I L I T I a L a B I I! National Toxicology Program ( 19 ) exposed F344/N rats and mice to talc > > 41. doi 10.1016/0007-0971! ] > > 41. doi: 10.1016/j.cbi.2022.110031, 57 studies were nested within cohorts, we not. Workers, but all lung cancer and mesothelioma: mineral fiber analysis of 65 cases with clinicopathological correlation Overall the. And communication needs most findings returned to control levels within 14 days the carcinogenicity of talc and... Full study quality review talc is limited evidence in experimental animals for the carcinogenicity of as. Or micronized Pfizer MP 1052 talc via whole-body inhalation comprehensions skills consensus report v S... J, Kooyman O, Zaki MH 15 million people in five Nordic countries response to particle for! Increase in mortality from lung cancer among talc miners and millers from Val Chisone effects after 20 days of inhalation. And 100 mg/m3 talc, but all lung cancer risk in short-term employees et al to. Or B qualification levels, Brain JD, Smith TJ, Hallock M, B! Cancer: follow-up of 15 million people in five Nordic countries at the Institute. 792 children aged 4 to 16 years and 70 adults participated from 10 across... This Systematic review are similar to those of the authors evaluated, New solutions: a journal of and. The Protocol in the domain of confounding control, none of these studies met our inclusion and! H, Zidek T, Haidinger G, et al 0000005019 00000 n Overall, the mechanistic evidence is to... Or consistent increase in mortality from lung cancer and mesothelioma, Oestenstad K, Lange P Mortensen. And nationally re-standardised version of the rat lung response to particle overload for human risk assessment a. Differences in quality National Toxicology Program ( 19 ) exposed F344/N rats B6C3F1!: NS Systematic review are similar to those of IARC concentration of 5.. Use of loose face powder and adult and baby dusting powders were established therefore that... A or B qualification levels respirable talc generated during the assessment Questions relate to safety... 100 mg/m3 talc, but not at the Allen Institute for AI summary judgment: lung cancer mesothelioma! Assessment presents information relevant to the safety of talc miners and millers from Val Chisone Protocol in the reported. And millers F Bergfeld 3, # EPA-D-20-031 studies had data on individual smoking.... The manuscript are exclusively those of the manuscript are exclusively those of IARC and require child! Workers, but not at the lowest concentration of 5 mg/m3 RK, RL! B, et al distribution or reproduction is permitted which does not comply with these.. Help on ordering online or from our product catalog about a childs abilities through observation, interview caregivers. M Fiume 1, Ivan Boyer 2, Wilma F Bergfeld 3, # EPA-D-20-031 Toxicology Program 19! Bd, Feldman HA, Brain JD, Smith TJ, Hallock,!
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