Owner: Health Digest Daily URL:http://www.health-digest.info Join Date: Mon, 30 Jul 2007 20:17:38 -0500 Rating:0 Site Description: A wealth of information about everything from health care to common health condition to keep yourself and loved ones well. Site statistics:Click here
Parenting with multiple sclerosis 2007-07-30 06:45:13 Many people, newly diagnosed with multiple sclerosis, wonder how they will be able to raise their family. In fact, until recently many doctors told women with MS not to have children.
But, it is possible to raise even a large family if you have multiple sclerosis. Like everything else, it takes planning and willingness to take an honest look at your health and abilities.
Don't try to do to be 'super mom or dad.' It's important to remember that even parents without MS have trouble keeping up with everything. Parents with MS should learn to budget their time, and more importantly, their energy. Plan a trip to the playground for times you have more energy, read books and do quiet activities with your kids during those times you're likely to feel more tired.
As your child grows, be honest with them about your health. Children are naturally forgiving, and they understand more than most adults give them credit for.
Don't be afraid to tell your child when you nee Read more:Parenting
An Overview of Impotence 2007-07-29 21:00:10 Impotence is a wide-ranging problem that can be caused by both emotional and physical difficulties. On the physical side, impotence can be caused by circulatory problems, nervous system disorders, and diabetes. Cigarette smoking, keeping a poor diet, and emotional stress, may exacerbate problems of sexual impotence. Another cause of impotence that may be at the root of erectile dysfunction disorders is related to prescription medications. Several medications have been linked to problems of sexual impotence, or may interfere with the patient's overall sexual health.
Most people are surprised to learn that roughly half of all erectile dysfunction disorders are caused by non-physical factors. Most cases of impotence are caused by problems related to stress and anxiety. One fairly simple way that doctors determine the root cause of impotence is by taking a simple medical history. If the patient is capable of sustaining an erection while asleep or during masturbation then the problem Read more:Overview
, Impotence
Diabetics Without Long-term Insurance 2007-07-28 16:45:03 In today's world when we are living longer than ever before, there will come a time as we get older when we will not be able to pay for health insurance premiums. However, we are still going to need a way to pay for our care. This is especially true for diabetics. Diabetics
can live a long healthy lifestyle, but when you're 85 years old, you and your spouse may not be in a good position to afford your insurance needs.
Many elderly people use Medicare these days. Unfortunately, Medicare does not offer coverage for long-term expenses. On the other hand, there is Medicaid which does offer coverage on long-term health care but it does not have everything that you will need. This is why it is important to consider purchasing extra long-term insurance. You may not be able to afford it but if you can it will help immensely, and at the time you need it.
This article is not meant to be the bearer of bad news for those of you who are diabetics and do not make enough money to pay
Hepatitis C Treatment Options 2007-07-25 17:30:10 Once a person has had the diagnosis confirmed that they are infected with Hepatitis
C there are treatment options that must be considered. At one time it was believed that if the infection was still in its acute stage, meaning the person had been infected for less then six months, no treatment should be used. Physicians hoped that if left alone it would go away. So they did nothing. Research has changed this analysis. Now they work vigorously through all stages of Hepatitis C to do the best they can to treat the infection. But the kind of treatment they offer depends a lot on what age the patient is more than just the stage of infection that they are in.
A child will be given a treatment of interferon with no accompanying medication. If they are still in the acute stage the success rate is seventy percent. Though researchers are still trying to understand why this treatment works so well in children parents are grateful for the high success rate. There is more confusion in treating c Read more:Treatment
, Options
Acid Reflux Resulting From Digestive Enzime Deficiencies 2007-07-25 15:45:04 Digestive enzimes are essential to a body's digestive system because they break down food particles but the body's supply is limited. Digestive enzimes need to be continually produced by eating the right sorts of foods or by consuming supplements which contain these enzimes. The alternative is digestive enzime deficiency which often results in a multitude of problems such as gas, bloating and weight gain. Another issue that can occur due to a deficiency in digestive enzimes is acid reflux.
Many foods contain natural digestive enzimes when raw but these can be destroyed during the cooking process and as the diets of most adults contain processed or well cooked foods, the production of digestive enzimes does not reach its full potential and leaves our stores of digestive enzimes depleted, leaving us susceptible to problems such as acid reflux. Acid reflux results when stomach acids creep back into the esophagus and throat causing heartburn, uncomfortable pains and burning sensa Read more:Reflux
, Resulting
, Digestive
Surgery for Parkinson's Disease. 2007-07-24 19:15:12 Several years ago, surgery for Parkinson
's disease was the common practice for alleviating the symptoms in sufferers of the condition in the absence of any other particularly effective treatments or medications for those with severe symptoms. However, since the availability of the drug levodopa, surgery has been the reserve of a minority of serious, more advanced cases. Surgery
is today used primarily for patients in the later stages of the condition who lack any apparent responsiveness to the medication and treatment they have undergone, and are faced with extreme symptoms which make their lives unbearable. Nowadays, it is usually only these drastic circumstances which will lead a physician to recommend surgery.
Particularly effective in stopping tremors, the operation, known as a cryothalamotomy involves the insertion of a metal tip which has been cooled to extremely low temperatures, which serves to destroy the area of the brain responsible for causing the tremors in patients
Research into Hair Loss 2007-07-24 03:30:06 Seeing hair loss in patients is demoralising for the medical profession. Feeling relatively helpless with limited treatment options, it is usually simply a case of reassuring patients their symptoms are not serious, and will subside within a few months as hair regrowth takes its course. Having said that, there is a great deal known about the causes of hair loss, allowing for particularly effective diagnosis of the varying degrees and types of the condition, which is opening the doorway to new treatments for patients suffering from these symptoms.
For conditions like folliculitis which cause hair damage and hair loss, there is a great deal of progress being made on the medicinal front, with new treatments under investigation to sooth and curb the scalp irritation and sores which cause the hair loss. Furthermore, research is underway into further underlying causes of the condition, and the impact of personal stress and trauma and a potential link between the two. The same can be said Read more:Research
, Hair Loss
Smoking and Heart Disease 2007-07-23 19:00:08 Cigarette smoking is a major cause of heart diseases, such as heart attack, stroke, and peripheral vascular disease.
Some Heart
Disease Facts Due to Smoking
:
- Tobacco contains more then 4,000 chemicals, many are known to be poisonous.
- Nicotine increases blood pressure, because the carbon monoxide makes the heart beat faster and takes the place of oxygen in the blood.
- Tar in tobacco causes cancer, which can be a fatal disease.
- Smoking for long periods of time will cause artery clogging, which in turn leads to heart attacks from overworking the heart by reducing its oxygen supply. It also makes clots more likely to form in the blood vessels increasing the risk of potentially fatal changes in the heart beat.
- Those who are regular, long-time smokers have a 70% greater risk of death from coronary heart disease than non-smokers.
- 80% of new smokers are children and adolescents who are trying to copy a parent or other hero figure.
Passive smoking can cause heart disease, and those w
What are Vitamins? 2007-07-23 08:00:11 Vitamins are one of the most important things that you feed your body on a daily basis. With only two exceptions, your body is unable to produce vitamins and must rely on getting them through diet alone. Though they provide no calories to you, your body would be rendered useless without them. A lack of vitamins can make you tired, weak, short of breath and in some cases, even colorblind.
Vitamins are what aid your bodily functions such as your metabolism, growth and energy production. For example, you probably know that most milk is fortified with vitamin D, but did you know why? It is an important tool in balancing your bloods calcium and phosphorus levels. Without vitamin D, your body can't absorb and use calcium. For this reason, it is always important if you are taking calcium supplements to make sure it also contains vitamin D to ensure your body has an adequate amount of vitamin D to process the calcium.
Water and Fat Soluble Vitamins
There are two main categories of Read more:Vitamins
Amputation: A Diabetic's Worst Nightmare 2007-07-23 07:15:06 Did you know that many diabetics end up having their feet or legs amputated? This is not a pleasant subject to talk about and the idea of possibly losing one of your limbs is probably not the first thing that you want to consider after being diagnosed with diabetes. However, foot problems are a very common occurrence in people with diabetes that end up in amputation.
"If my foot or leg was amputated, wouldn't it be the doctor's fault for not taking care of my complications?" That is a very legitimate question to ask but unfortunately it is not always the doctor's fault when such severe circumstances come into play. Your doctor sees you as often as is needed for your checkups, tests, and treatment plans, but he cannot monitor you every day, every week, and sometimes months will go by before your next appointment.
Take Responsibility For Your Health!
In other words, you have more of a responsibility and making sure that certain conditions that stem from diabetes Read more:Diabetic
, Nightmare
Managing MS Fatigue 2007-07-23 06:30:09 Fatigue is a very common symptom of Multiple Sclerosis. The type of fatigue associated with MS is very different than simply being tired and worn out. MS fatigue muscle deep and affects both the entire body and brain. Your limbs may feel like way 2000 pounds all of a sudden. It may seem impossible to keep your eyes open and sometimes even hold your head up. Fatigue can have suddenly and without warning. You may feel fine an energetic one minute and completely exhausted the next.
While MS fatigue can't be treated or cured, it can be successfully managed. Most importantly, be sure to get enough sleep. You may find that you cannot stay up as late, or keep the same schedule as you did before multiple sclerosis. Listen to your body and adjust your schedule as necessary. Some people find it necessary to leave room in their schedules for a nap in the early afternoon. Many employers are open to this, as it can be considered a reasonable accommodation under ADA rules. However, to maintain Read more:Fatigue
Who is More Likely to Suffer from a Panic Attack? 2007-07-23 00:30:06 Nearly one-third of Americans, or more than one hundred million people living in the United States, has suffered from a panic attack sometime or other during their life. There are many reasons why this may be so, researchers are still trying to sort out answers to this question, but among people who are chronic sufferers, there appears to be several commonalities.
Most of those who are chronic sufferers have jobs that are either very physically or mentally challenging, leading to a great deal of stress. When stress levels are high, and one does not have the ability to simply pull away from the situation and relax, the body often times goes into overdrive, a condition that, if occurring to often, can lead an individual to overheat, much like a car would do. In an individual, however, this overheating takes its form in a panic attack. The heart will being to race, palms will grow sweaty, and a general feeling of gloom will preside, forcing the individual to step back from whatever Read more:Panic
, Panic Attack
Reach Your Goal Weight in Less Time than you Think 2007-07-22 13:45:04 We all hate the thought of starting a diet, weight seems so much easier and quicker to put on and an eternity to take back off, while losing a large amount of weight rapidly does the body and your health no good, losing say 10lbs in initial rapid loss can give you an incentive to carry on. If you are the type who just cannot wait or who needs that little boost to get you started then there are several points to be aware of to ensure you lose some weight quickly. Losing 10lbs or less quickly isn't that hard but you will need to totally avoid all foods which contain sugar and starch and be very strict with your daily calorie intake, you will need to cut this down to around 1,000 to 1,200 calories a day in order to lose the weight quickly.
The principle behind losing weight
The principle behind losing any amount of weight is simple just remember that the body always uses the energy source first which is the most readily available, this usually happens to be sugar and starch which is Read more:Reach
, Weight
The chronic pain of multiple sclerosis 2007-07-22 13:30:04 Most people with multiple sclerosis experience some sort of chronic pain. Where acute pain is sharp and short lived, chronic pain is with the person most of the time. Sometimes it can vary in intensity and even location, but chronic pain is always with you.
There are many things that can cause chronic pain for a person with multiple sclerosis.
Nerve damage can cause burning, tingling, and the sensation of pins and needles. This phenomenon is called chronic dysesthesias. Typically, this is treated by either the anticonvulsant medication gabapentin (Neurontin) or the antidepressant amitriptyline (Elavil). Both of these medications modify how the central nervous system reacts to pain. Non-medical interventions include wearing a pressure stocking or glove, applying a warm compress to the skin, or using over-the-counter and pain medications such as acetaminophen.
Muscle spasms or muscle cramps or called flexor spasms, these are common types of pain caused by spasticity. This is typically tr
Five Treatment Options for Male Impotence 2007-07-22 06:00:08 Male impotence used to be a little-discussed topic, but the popularity of Viagra and other prescription medications has changed all that. Nowadays there is openness about the problems men encounter, as they grow older, including issues relating to sexual performance and satisfaction. If you suffer from bouts of impotence, it's important to consult your doctor as soon as possible. Sometimes impotence can be a symptom of an underlying systemic disease. It's important to rule out the possibility of potentially serious problems before treating the impotence. Here are five treatment options that may be offered to you depending on your specific circumstances.
Oral Medications: This is usually the first treatment offered to patients. In recent years, the Food and Dairy Association has approved a number of impotence-fighting oral medications. The most famous of these is inarguably Viagra, which works by allowing the blood vessels to expand and increase blood flow during sexual inter Read more:Impotence
, Treatment
, Options
Alternatives to Tummy Tucks 2007-07-21 23:30:11 Tummy tuck is not always the answer. There are a variety of motives behind the tummy tuck procedure, and a variety of treatments and procedures to cater alternatively. Although the tummy tuck is a valuable option, there are now many less severe options open to patients with varying problems.
Patients with excess fat in the lower abdomen should consider liposuction. Liposuction is the removal of localised deposits of fat from within the body. The process, although obviously no substitute for more traditional weight loss, is a comparatively new procedure in mainstream usage for a mere fifteen years. Having said that, thousands of liposuction procedures are carried out each year with great success by qualified surgeons across the world. Ideally, patients opting for liposuction should be those who are of normal weight with small localised areas of stubborn excess fat. Liposuction carries its greatest risk for those with conditions to do with the heart, lung disease or diabetes.
Init Read more:Alternatives
, Tummy
Overview of Mental Health & Mental Illness 2007-07-21 16:00:06 Although a largely "invisible" condition not easily discernible at a glance for most, mental illness is, indeed, a disease every bit as real as cancer or diabetes and if it is severe and/or protracted enough, it requires medical intervention to be cured or managed.
There's an unfortunate stigma that if you suffer from a more "common" illness such as depression or anxiety disorder, especially, you should be ashamed of it and should hide it or should "buck up and just get over it already." Yet, just as you wouldn't think you should simply get over leukemia by yourself and absolutely need medical treatment for your best chances at recovery from it, so, too, do cases of more severe and protracted mental illness such as clinical depression, for example. Even so-called "mild" cases of mental illness, such as acute but temporary depression or a mild case anxiety, if protracted, can benefit from at least temporary intervention, such as a brief Read more:Overview
, Health
, Mental Health
Prostate Cancer Facts 2007-07-19 13:45:04 The prostate consists of a small gland situated under the bladder in men. It has a doughnut shape and fits around a tube, known as the urethra. This tube has the purpose of carrying the urine from the bladder. The prostate's function is to produce fluid that mixes with sperm during male ejaculation.
Prostate
cancer has become the most common male cancer in most western countries. Most prostate tumors grow slowly and often do not require treatment, whereas other tumors grow much quicker and can spread to the bones causing severe pain.
The most common symptoms likely to be noticed when suffering from prostate cancer is an inability to urinate, difficulty in passing urine, especially at night, weak or interrupted flow of urine, traces of blood in urine and pain or discomfort noticed in the lower back, upper thighs and hips.
Although it is always advisable to seek medical advice if these symptoms are noticed, it is important to remember that they may be caused by other conditions wh Read more:Cancer
Who does Parkinson's Disease affect? 2007-07-17 17:30:04 Parkinson's Disease affects thousands upon thousands of patients worldwide, although it is sometimes hard to ensure the count is accurate based on the number of cases which go unreported each year. It is a condition which is not synonymous with poverty, nor malnutrition, nor does it know of any geographic boundaries. The condition can affect anyone, with no known cause or reason, regardless of social status, education or race. Many patients in the early stages of the disease dismiss the symptoms as a natural part of the aging process and consequently do not seek help from their physician. It is highly recommended that if you, or someone you know is experiencing the trademark symptoms such as the tremor and loss of smooth, controlled movement, they consult a physician immediately for testing and information about the condition, its treatment, and how to live with the symptoms. This will help allay any fears or concerns which you may have, as well as begin to help the symptoms Read more:Parkinson
Reduce your Risk of Disease with Vitamins 2007-07-17 16:45:04 There are a large number of vitamins that have been proven to help reduce the risk of a wide variety of diseases. Alzheimer's, prostate cancer, breast cancer, cardiovascular disease, anemia, and osteoporosis are just a few of the diseases that vitamins can help prevent. Aside from the disease preventive qualities of vitamins, the right amounts can also help you feel energized, improve your vision and strengthen your bones. This article will provide you with a few key vitamins that may just help you prevent some of the most common diseases.
Alzheimer's
Alzheimer's is a serious disease where one's memory becomes impaired and the ability to learn new things or make rational decisions is hindered. Vitamin C and E have both been linked to the prevention of Alzheimer's as well as reducing the rate at which the disease progresses once present. Folic acid has also been linked to the prevention of Alzheimer's, but not real evidence has been revealed. Vitamin C Read more:Vitamins
Heart Disease Prevention: Adopting a Healthier Lifestyle 2007-07-17 02:00:06 Heart disease prevention is not difficult. In fact, it can be easy with just a few lifestyle changes to prevent the number one cause of death among women. It is said that over 58 million Americans suffer from some form of heart disease, so it would seem natural that heart disease prevention should be a part of our everyday vocabularies.
The number one key to heart disease prevention is adopting better living habits. Simple changes like eating better, getting more exercise, and being more health conscious in general have shown that they can drastically reduce your chances of acquiring heart disease.
Control Your Eating Habits
For optimal heart disease prevention, it's necessary to improve your eating habits. First, avoid foods high in saturated fat and trans fatty acids. Saturated fats are naturally found in food that comes from animals: meat, eggs, dairy products, as well as some oils. Trans fatty acids are usually found in commercially baked or fried foods. By lowering the amount Read more:Heart
, Adopting
Heart Disease the Silent Killer 2007-07-16 00:45:03 The heart is the center of the body's cardiovascular system. Throughout the body's blood vessels, the heart pumps blood to all of the body's cells. The blood carries oxygen, which the cells need. Heart
disease is a group of medical problems that occur when the heart and blood vessels aren't working the way they should.
No one is immune to this silent and frequently deadly killer. People can be born with a heart defect or disease and have no idea until they have a heart attack, symptoms relating to a stroke or in the worst case scenario, sudden death.
Children are often victims as they may have a heart defect that happens as they are growing in the womb. Often this is well before the mother knows she is pregnant. These heart defects and diseases can be treated efficiently using a multitude of medical miracle breakthroughs involving surgery and other treatment.
Heart disease is a problem that affects any culture, any race at any age. Some people are more likely to dev Read more:Silent
, Killer
Heart Disease Today 2007-07-15 23:45:07 Heart disease is a term that applies to a large number of medical conditions relating to the heart. These medical conditions relate to the abnormal health conditions that directly affect the heart and all its components. Heart disease is a major health problem within some cultures.
A theory for the increased rates in heart disease, today are the enormous changes within cultures and lifestyles. People are often less active and eat diets high in fats. Takeaway food is abundant today and often people will eat it due to the increased availability. Some takeaway outlets are now helping cater to a healthier lifestyle by offering a variety of healthy dishes such as salads. People are becoming more aware of the risk of heart disease and choosing to change their diets.
Exercise is important in order to avoid heart disease. Exercise helps to maintain the heart in peak performance. By utilizing a combination of exercise and a balanced diet, the risk of heart disease is greatly decreased.
The term Read more:Heart
, Today
Nutritional Supplements 2007-07-15 20:45:06 Nutritional supplements are increasingly popular as our aging population strives to slow the clock. What too many don't know is that they are not merely harmless nutrients. High concentrations can cause dangerous imbalances, and some can react harmfully with common prescription drugs. Knowing that such risks exist and informing your doctor about every one you take or are considering taking is crucial to your health.
Many people equate vitamins, minerals, and other nutritional supplements with only positive effects. Because something is sold as a "health food product," however, does not mean it's safe.
When these supplements are taken in amounts greater than the Recommended Dietary Allowances, they no longer serve a nutrient function; they are considered drugs. Taken in excessive doses these supplements can interfere with the intended action of a medication, as well as negatively affect a person's health status.
Some examples of what can happen when a person tak
Diabetes in child 2007-07-15 19:00:05 There are more and more child
ren out there that have been diagnosed with diabetes. They are finding that it is mainly because of the obesity that is starting to show more in the children now days. Some may say that it is because of the game systems that are out now and some will day that it is all because of the different junk food that they are eating all the time.
When it comes to the children's health shouldn't everyone be a little more careful. That is meaning that we all need to watch a little closer to what the child is doing more and what they are doing as far as their activities any more. If you think about diabetes in the child that is a scary thought. You will really want to think about what all they are going to need to do to stay healthy of they are diagnosed with diabetes. Once they find that the child has diabetes they will need to make sure that they are going to take all of their medication that they need so they do not have any complications in the near futur Read more:Diabetes
FAST FOOD NUTRITION 2007-08-02 02:15:08 Summary: A closer look on fast food nutrition.
Is there something more practical and convenient than driving thru a fast food joint for breakfast just before work? Do you agree that fast foods are God's answer to those who don't have the time (and know-how) to prepare home-cooked meals? Don't you just love the fact that your favorite Bacon Mushroom Melt and Coke float is just a call away?
Fast foods have invaded the homes, the offices and even the schools, to replace the home-cooked meals. But are they as healthy as they are convenient? This might get others to think. But for some, fast foods may not really be healthy, but who cares? It's better than skipping meals when you're really loaded on work in the office, or when you're running late for school. Awareness of the fast food nutrition content has taken a backseat because people all agree that it can help them more than it can destroy them.
Fast food nutrition has been in constant focus as one of the po
Nutritional Information 2007-07-31 04:15:11 Nutritional information seems to be everywhere these days. The secret to feeding your family (and yourself) a healthful diet of healthy food is to read the labels. The United States Food & Drug Administration has laid out strict guidelines for nutritional labeling of all food products.
The nutrition label will tell you all you need to know to choose real health foods. But with new FDA guidelines mandating more detailed info on the labels of every product you buy, it could quickly become a case of overload very quickly.
To get you started, here are a few facts (and myths) about some of the more common, "healthy" snack foods you see nearly every day:
Yogurt: This can be either very good or very bad for you, depending on several factors. Real yogurt has two ingredients: milk (whole, skim or low fat) and live yogurt cultures. That's healthy food - calcium, vitamin D, vitamin A, protein.
However, much of the yogurt at the grocery store is loaded with various kinds of hidd
What Exactly Are Minerals? 2007-07-31 01:00:04 Unlike vitamins, minerals are considered "inorganic elements". In other words, they cannot be produced by our bodies. Instead, they come from the earth. You could consider minerals as "leftovers" from decomposed plants, animals, and people. Their composition is that of ash.
Even though our bodies do not make these substances naturally, they are just as important for our survival as vitamins are. They are absolutely essential to take in and once absorbed, are found mostly in our bones and bodily fluids. A large majority of the minerals that we take in through food is used in the form of calcium and phosphorus. These two minerals make up more than 75% of those that our body stores.
Without minerals, our body would not be able to perform the thousands of biological functions that it does day in and day out. Minerals
also work synergistically with hormones, enzymes, and vitamins. They are also a key element in supporting strong healthy bones and teeth.
Equally important
Lowering your blood pressure 2007-08-04 16:00:04 You should have your blood pressure tested at least every 2 years, because high blood pressure can lead to problems such as damaging your blood vessels. High blood pressure can increase your risk of heart disease, heart attack, developing kidney failure and stroke. Having your blood pressure checked takes only a few minutes and should there be a problem your doctor can treat it and recommend changes to your lifestyle that you should follow. Here are some simple tips to making changes in your lifestyle to keep your blood pressure within a normal range.
Stop smoking
If you smoke then you should try to quit, when you inhale the smoke from cigarettes and other tobacco products, your blood vessels become restricted and you will have a faster heartbeat. If your heart beats faster than this causes a temporary rise in your blood pressure, by quitting smoking you not only help to lower your blood pressure but you also reduce the risk of heart disease and heart attack.
Lose weight
Losing weigh
Abnormal Heart Rhythms (arrhythmias) 2007-08-02 13:45:04 Abnormal heart rhythms (arrhythmias) are sequences of heartbeats that are irregular. They are too fast, too slow, or conducted via an abnormal electrical pathway through the heart. Heart
rhythms differ from one person to the other. Health, age and fitness are often key factors.
The heart is a muscular organ with four chambers, designed to work efficiently, reliably, and continuously over a lifetime. The muscular walls of each chamber contract in a regulated sequence, pumping blood as required by the body while expending as little energy as possible during each heartbeat.
Contraction of the muscle fibers within the heart is controlled by electricity. This flows through the heart in a precise manner, along distinct pathways and at a controlled speed. The electrical current that begins each heartbeat, originates in the heart's pacemaker, located in the top of the upper right heart chamber (right atrium). The rate at which the pacemaker discharges the electrical current determines the Read more:Rhythms
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