General Article

Untimely Start Tied to Upper Chance for ADHD

News Picture: Premature Birth Tied to Higher Risk for ADHD

TUESDAY, Aug. 16, 2022 (HealthDay Information)

Youngsters born just a little early – earlier than 39 weeks of being pregnant – are much more likely to have signs of attention-deficit/hyperactivity dysfunction (ADHD), new analysis suggests.

Whilst beginning earlier than 37 weeks’ gestation has recognized hyperlinks to hyperactivity, impulsivity and inattention, this find out about investigated ADHD signs in kids born at time period, between 37 and 41 weeks’ gestation.

“The findings upload to rising proof supporting present suggestions for delaying optionally available deliveries to a minimum of 39 weeks and counsel that common screenings for ADHD signs are vital for youngsters born at 37 to 38 weeks,” stated find out about writer Nancy Reichman. She is a professor of pediatrics at Rutgers Robert Picket Johnson Scientific College in New Brunswick, N.J.

For the find out about, Reichman and her group analyzed information on about 1,400 9-year-olds who had been a part of a national find out about that randomly sampled births at 75 hospitals in 20 U.S. towns between 1998 and 2000. The youngsters’s moms had been re-interviewed over 9 years.

All the way through that point, the researchers requested the youngsters’ lecturers to guage them the use of a shortened type of the Conners’ Instructor Score Scale. The size contains signs of hyperactivity, ADHD, oppositional habits, and cognitive (“considering”) issues or inattention.

The usage of that information, the brand new find out about discovered that kids born at 37 to 38 weeks scored considerably upper at the instructor ranking scales for hyperactivity, ADHD and cognitive issues or inattention in comparison to kids born at 39 to 41 weeks. Gestational age wasn’t considerably connected to oppositional habits.

Each and every week of gestational age used to be related to 6% decrease hyperactivity ratings and 5% decrease ratings for ADHD, cognitive issues or inattention, in line with the file.

Start at 37 to 38 weeks used to be related to 23% upper ratings for hyperactivity and 17% upper ADHD ratings when put next with beginning at 39 to 41 weeks.

Preterm babies are at greater possibility for ADHD on account of immature mind building, Reichman stated in a school information free up.

“Vital enlargement and building in quite a lot of varieties of mind cells are noticed between 34 and 40 weeks of gestation,” she defined. “Babies born at full-term most likely have the benefit of the extra one to 2 weeks of mind enlargement in utero when put next with the ones born early-term.”

The researchers stated this find out about used to be the primary to incorporate instructor experiences in its information.

“Lecturers’ experiences, together with maternal experiences and doctor critiques, supply precious enter for the prognosis of ADHD,” Reichman stated. “Mom-reported signs in most cases mirror behaviors in the house or in small circle of relatives or social teams, whilst teacher-reported signs mirror behaviors in a structured instructional surroundings through execs who paintings with a lot of kids and apply the variety of behaviors that scholars show off in study rooms.”

The findings had been just lately printed on-line in The Magazine of Pediatrics.

Additional information

CHADD, Youngsters and Adults with Consideration-Deficit/Hyperactivity Dysfunction has sources for fogeys.

SOURCE: Rutgers College – New Brunswick, new free up, Aug. 12, 2022

By means of Cara Murez HealthDay Reporter

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The abbreviated time period ADHD denotes the situation usually referred to as:
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General Article

COVID in Overdue Being pregnant Ups Odds for Preterm Delivery

News Picture: COVID in Late Pregnancy Ups Odds for Preterm Birth

THURSDAY, July 21, 2022 (HealthDay Information)

A COVID-19 an infection may put pregnant ladies liable to untimely delivery, however provided that they are of their final trimester, Israeli researchers file.

“The effects are encouraging and reassuring that COVID-19 an infection throughout being pregnant isn’t related to any form of being pregnant loss,” mentioned Dr. Tal Patalon, head of the Kahn-Sagol-Maccabi Analysis and Innovation Middle in Tel Aviv.

Her group tested 5,400 pregnant ladies from 2020 to 2021– break up calmly between those that had been inflamed throughout being pregnant and the ones with out a reported an infection.

The find out about, revealed July 20 within the magazine PLOS One, discovered that of the ladies who reduced in size COVID, 17.4% were given it throughout their first trimester; 34.2% throughout their 2d, and 48.4% throughout their 3rd trimester.

Whilst ladies who were given COVID throughout their first two trimesters were not at an higher possibility for untimely delivery, those that fell unwell of their 3rd trimester had been 2.76 occasions much more likely to have a preterm delivery.

If a lady was once inflamed after 34 weeks, she had greater than seven occasions the percentages for a preterm delivery than ladies who did not have COVID.

The unwell ladies had been additionally much less prone to have their water smash prior to going into exertions. Regardless of the stark contrasts when it got here to getting into exertions, the chance of a cesarean phase and a lack of the infant had been an identical amongst each teams, researchers famous.

The researchers urge {couples} to social distance extra and use mask persistently after the thirty fourth week of being pregnant to scale back the danger of an infection.

Patalon added a cautionary be aware.

“It must be remembered that the analysis team examined the COVID pre-Delta variants, and does now not discuss with the dominant variant nowadays, which is Omicron,” she mentioned in a magazine information liberate. “We proceed to habits analysis to supply real-world information and data to the general public and decision-makers.”

Additional information

To be informed extra about different COVID-19 well being advisories, talk over with the U.S. Facilities for Illness Keep an eye on and Prevention.

SOURCE: PLOS One, information liberate, July 20, 2022

By way of Ellie Quinlan Houghtaling HealthDay Reporter

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General Article

8 Days After Giving Start, 29-12 months-Previous Had a Stroke

News Picture: AHA News: 8 Days After Giving Birth, 29-Year-Old Had a Stroke

THURSDAY, June 30, 2022 (American Middle Affiliation Information)

Noelia Gutierrez liked her mom touring from New York to Florida to assist with the arriving of her 3rd kid. Someday, Gutierrez made up our minds to have a a laugh lunch: She would introduce her mother to sushi. And her brother, a flight attendant who was once at the street, would witness the instance by means of video chat.

Maintaining her 8-day-old daughter in opposition to her chest, Gutierrez was once consuming at her kitchen counter when a atypical fire-hot sensation bore into her head.

“Mother, I am having a headache and it does not really feel commonplace,” she stated.

Then her proper aspect began to tingle.

Gutierrez, a nurse practitioner, passed the child to her mom and known as 911.

Then Gutierrez began to shake.

Paramedics decided the 29-year-old was once having a stroke. As they transported her from her domestic in Miramar to a medical institution with a stroke remedy heart, the body of workers there ready for her arrival.

On the medical institution, Gutierrez’s well being was once unexpectedly declining. Her legs and arms have been going susceptible.

Docs had to know what form of stroke she was once having and the place it was once situated. Imaging discovered a clot blocking off the arteries supplying blood to her mind stem.

The medical institution was once provided with docs and era able to acting a process to take away the clot. It is known as a mechanical thrombectomy. As was hoping, the removing of the clot opened the blockage, restoring blood float to her mind.

Docs believed the clot – and, thus, the stroke – was once brought about by way of two issues: being pregnant and a prior to now undetected hollow in Gutierrez’s center.

The hormonal adjustments attributable to being pregnant makes ladies extra at risk of clotting. Gutierrez additionally was once discovered to have a patent foramen ovale, a small opening within the wall between the best and left higher chambers of the center. PFOs are a commonplace type of a congenital center defect. She later underwent a process to have it closed.

The stroke happened in March 2017. Gutierrez spent two weeks within the medical institution, then two extra weeks at an in-patient rehabilitation facility adopted by way of two months of outpatient rehab.

Through June, she was once about 80% recovered.

Gutierrez relearned find out how to stroll and consume. A fluent Spanish speaker, she to begin with misplaced her talent to get admission to Spanish phrases. She may just no longer keep up a correspondence together with her mom, who’d been visiting from New York and stayed to assist and handiest speaks Spanish. Her husband, Chris, give up one in all his two jobs to be at domestic extra. He driven her to stay transferring and making improvements to.

“Once I were given domestic, issues in reality were given worse as a result of I was very apprehensive,” Gutierrez stated. “If I had an appointment at 12, I might need to be within the automobile by way of 7. I did not need to be round my child as a result of she was once throwing up. That isn’t like me.”

Gutierrez and docs stated her conduct was once a mixture of post-stroke nervousness and postpartum melancholy.

“It was once an overly darkish time,” she stated.

5 years later, Gutierrez stated her talent to retain knowledge and multitask hasn’t absolutely returned. On account of this, she modified from running immediately with sufferers to nursing by means of telehealth.

However she’s thankful for what she calls the ones reasonably minor problems.

“It is like being fortunate in an unfortunate approach,” she stated.

The luckiest side concerned the timing of her stroke.

Thrombectomies have been reasonably new on the time. The medical institution the place she was once handled had handiest not too long ago established a program for emergency responders to acknowledge stroke indicators and temporarily delivery sufferers to essentially the most suitable stroke remedy heart.

“Had this came about even 3 years previous, she would have most likely been in a comatose situation and nursing home-bound,” stated Dr. Brijesh P. Mehta, her neurosurgeon. “Noelia’s consequence is a pleasant instance of what we will reach thru hospitals running to coach EMS and the neighborhood.”

Moreover, because of the luck of the emergency products and services coaching program, and luck tales like Gutierrez, Mehta and his colleagues went directly to create a coalition that standardized pre-hospital stroke protocols within the space.

Gutierrez has transform an suggest for center well being and spotting stroke signs, particularly amongst Latinos.




SLIDESHOW


What Occurs After a Stroke? Indicators, Signs, Varieties
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“Within the Hispanic neighborhood, it is truly roughly taboo

General Article

Mother-to-Be’s Gum Illness May just Elevate Odds for Untimely Delivery

News Picture: Mom-to-Be's Gum Disease Could Raise Odds for Premature Birth

WEDNESDAY, June 22, 2022 (HealthDay Information) – A small initial learn about means that the well being of an expectant mom’s gums would possibly have an effect on her chance of a preterm start.

The learn about in comparison oral irritation and microbes in 33 girls whose young children had been born prior to 37 weeks of being pregnant, thought to be preterm, with 44 who had full-term deliveries.

“We seen that ladies with untimely births extra continuously had infected gums, with wallet and lack of the supporting tissue round their enamel in comparison to their friends with full-term pregnancies,” mentioned learn about creator Dr. Valentin Bartha of Heidelberg College Clinic in Germany.

“If showed, those effects may have implications for fighting preterm supply, which happens in 10% of births and accounts for as much as 75% of perinatal deaths and greater than 50% of developmental problems in youngsters,” Bartha added.

Gum illness, also known as periodontitis, is induced through a microbial an infection. It’s characterised through gums which might be crimson, bleeding, infected and every now and then swollen — the frame’s reaction to an dangerous build-up of micro organism at the enamel. Such persistent irritation could cause wallet and gaps across the enamel, destruction of the supporting tissues and bone, and sooner or later enamel loss.

For the learn about, the researchers accumulated data on girls’s ages, smoking behavior, well being prerequisites and drugs. They evaluated gum bleeding, the intensity of wallet and lack of attachment at every of a number of enamel.

“Irritation across the enamel reasons the supporting tissues to develop into completely indifferent from the enamel floor,” Bartha mentioned in a information free up from the Ecu Federation of Periodontology. “When a probe can also be inserted greater than 3 millimeters alongside a enamel, this is named a pathological pocket.” (3 millimeters is ready 1/twelfth of an inch.)

The workforce additionally accumulated plaque samples and used gene sequencing to spot bacterial species.

The investigators discovered that ladies with preterm births had considerably higher lack of enamel attachment, extra wallet measuring 4 mm or extra, and other populations of micro organism on and underneath the enamel.

“We discovered that preterm moms had been much more likely to have misplaced supporting tissues across the enamel, have the next share of web sites with deep wallet, and feature dangerous oral micro organism in comparison with full-term moms,” Bartha mentioned.

“Delivery weight used to be considerably decrease for moms with periodontitis in comparison to moms with just right oral well being or simply bleeding gums however with out pathological wallet (gingivitis),” he added.

Better research are wanted to ensure those initial findings. Previous analysis has yielded an identical findings.

The brand new learn about used to be introduced in Copenhagen Friday at a gathering of the Ecu Federation of Periodontology. Findings introduced at clinical conferences must be thought to be initial till printed in a peer-reviewed magazine.

Additional info

The U.S. Nationwide Library of Drugs has extra on dental well being.

SOURCE: Ecu Federation of Periodontology, information free up, June 17, 2022

By way of Cara Murez HealthDay Reporter

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New ‘On-Call for’ Start Keep an eye on Tablet at the Horizon

Newest Ladies’s Well being Information

New 'On-Demand' Birth Control Pill on the HorizonBy way of Denise Mann HealthDay Reporter

Believe a start keep an eye on tablet a lady can take earlier than having intercourse that forestalls being pregnant for the following 3 to 5 days.

This will transform a fact, in keeping with a small, new find out about.

The normal start keep an eye on tablet is taken day-to-day, whilst emergency contraceptive capsules are taken after intercourse to forestall being pregnant from happening, however there is not a super “on-demand” approach to take on the time of intercourse — but.

“Many of us nonetheless have unmet contraceptive wishes,” stated find out about creator Dr. Erica Cahill, an obstetrician-gynecologist at Stanford College. “That is very true for other people in search of a technique that they simply have to make use of when sexually energetic this is simpler and no more intrusive than condoms, diaphragms, withdrawal or spermicide, the one to be had pericoital [used at the time of sex] or on-demand strategies at this second.”

This experimental contraceptive taken via girls combines ulipristal acetate, these days used as “morning-after” medicine, plus the non-steroidal anti inflammatory drug meloxicam to disrupt ovulation when conception possibility is largest.

A girls’s luteal surge happens simply earlier than ovulation, and that is the time when it’s toughest to disrupt ovulation and best possible to transform pregnant, Cahill defined.

Ulipristal acetate disrupts ovulation when the luteal surge starts, whilst meloxicam can disrupt ovulation even after the luteal surge begins, the researchers famous.

For the find out about, 9 girls ages 18 to 35 had been monitored via two menstrual cycles. All through one cycle, they gained a mixed dose of 30 mg of ulipristal acetate and 30 mg of meloxicam across the time in their luteal surge to look if this technique of on-demand start keep an eye on is possible.

The researchers measured key hormones and reviewed ultrasound scans to spot the luteal surge and resolve whether or not ovulation had befell or been disrupted when girls took the drug combo.

Ovulation used to be totally disrupted in six girls, the find out about confirmed.

Remedy cycles had been round 3 days longer when girls took the mixed routine, which may well be essential for monitoring fertility, too.

There’s a want for on-demand birth control, Cahill stated. “Individuals are already the use of emergency contraceptive capsules like pericoital birth control, with out the research appearing efficacy or very best practices,” she stated.

Many of us are curious about strategies that do not contain entering the health facility for injections or implant placement and/or don’t comprise the hormone estrogen.

The brand new routine would tick those essential containers, Cahill stated. Your next step is to guage this mix in a bigger find out about of real-time use.

The findings seem within the April 25 factor of BMJ Sexual & Reproductive Well being.

Dr. Mary Jane Minkin is a scientific professor of obstetrics, gynecology and reproductive sciences at Yale College Faculty of Medication.

“I believe we’re many, a few years clear of popping out with one thing like this for normal utilization, and I’d be involved that ladies would use it frequently each time they’ve intercourse,” stated Minkin, who used to be no longer concerned within the find out about.

The extra contraceptive alternatives available in the market, the easier, she stated. “I frequently talk about morning-after birth control, and I at all times emphasize that even supposing it’s secure to make use of, I strongly inspire girls to talk with their gynecologist or well being care supplier about a technique this is in impact at all times so girls should not have to take into consideration birth control,” Minkin famous.

There are lots of long-acting reversible contraceptives to be had nowadays. “If any individual does not wish to use hormones, we’ve a copper IUD this is excellent for greater than 10 years,” she stated. There may be additionally a hormonal contraceptive ring that the lady inserts and gets rid of on her personal every month that is excellent for a yr.




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Additionally, “we’ve hormonally covered IUDs that remaining for 5 years and will make classes lighter and extra relaxed,” Minkin added.

Additional information

The U.S. Facilities for Illness Keep an eye on and Prevention provides extra on nowadays’s contraceptive choices.

SOURCES: Erica Cahill, MD, obstetrician-gynecologist, and assistant professor, obstetrics and gynecology, Stanford College, Stanford, Calif.; Mary Jane Minkin, MD, scientific professor, obstetrics, gynecology and reproductive sciences, Yale College Faculty of Medication, New Haven, Conn.; BMJ Sexual & Reproductive Well being, April 25, 2022

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Couple Needed to Wait Till After Daughter’s Beginning to Be told Precisely What Was once Improper With Center

News Picture: AHA News: Couple Had to Wait Until After Daughter's Birth to Learn Exactly What Was Wrong With Her Heart

TUESDAY, April 12, 2022 (American Center Affiliation Information)

At their young children’ 20-week ultrasound, Bridget and Jerrid Conway have been desperate to catch any other glimpse in their dual ladies. Within the examination room, the technician moved the wand over Bridget’s abdomen. When she lingered over Dual A, or Sadie as they later named her, the Conways suspected one thing may well be unsuitable.

Their physician mentioned the fitting aspect of her coronary heart appeared better than the left.

He dominated out hypoplastic left coronary heart syndrome, a critical congenital coronary heart defect during which the left aspect of the guts does not broaden accurately. However he could not inform what was once unsuitable. He mentioned they would know extra after the young children have been born.

“The hardest section was once the unknown of the analysis,” Jerrid mentioned.

At round the similar time, Bridget, who was once 34, was once furloughed from her task as a recruitment coordinator on account of the pandemic. It was once each a curse and a blessing, as it was once onerous to concentrate on paintings.

“We have been in concern for the remainder of my being pregnant,” she mentioned. “I used to be making an attempt my toughest to not ruin down and cry, however I had lots of the ones days main as much as their start.”

At house in Greenfield Township, Pennsylvania, Bridget occupied with getting ready the young children’ room, gardening and taking good care of the 4 ducklings Jerrid were given her as a present. Six weeks sooner than her due date, Bridget was once at house getting able for a physician’s appointment when her water broke.

Jerrid was once running a number of hours away. They did not know if he’d make it again in time. Her mom went together with her to the health center and so they waited for Jerrid.

Sadie was once situated head down, able for start. However her sister, Skylar, was once head up. Bridget wanted a cesarean segment. Jerrid arrived in time to enroll in her within the running room.

“Once I heard the cries, I used to be simply elated they have been alive and neatly and in our hands,” Bridget mentioned.

Weighing simply over 3 kilos and four kilos, the sisters have been rushed to the neonatal in depth care unit. Bridget, nonetheless in her health center mattress, was once wheeled into the NICU to carry them. Jerrid spent the night time staring at the ladies of their person incubators.

A pediatric heart specialist tested the young children and did ultrasounds in their hearts. Skylar’s was once wholesome. As feared, Sadie’s was once no longer.

She had an extraordinary coronary heart defect known as double outlet proper ventricle (DORV). That is marked by way of two problems. First, as an alternative of her aorta connecting to the left ventricle, it went into the fitting. 2nd, she had a hollow within the tissue wall isolating the fitting and left ventricles; this is known as a ventricular septal defect. She additionally had a small hollow between the 2 higher chambers of her coronary heart. That day, docs delivered the inside track that Sadie would in the long run want surgical treatment to fix her coronary heart.

Each ladies evolved so neatly that they have been ready to move house 27 days after start. Because the Conways packed their assets, nurses introduced sobering directions for the brand new oldsters. “They instructed me the scariest factor any mother may pay attention: ‘We are sending you house and you’ve got to observe to peer in case your child is going into coronary heart failure.'”

As soon as house, with out the relaxation of pros tracking Sadie, the Conways paid particularly shut consideration to her. They watched the colour of her pores and skin, stored a day by day log of her weight and monitored her feedings and respiring.

4 weeks after leaving the health center, Bridget spotted Sadie’s weight had dropped and she or he appeared torpid. Bridget texted their physician, who FaceTimed her immediately.

“We have been each in our gowns,” Bridget mentioned, “and she or he mentioned, ‘Please put the digicam on Sadie. I need to watch her breathe.'” The 2 watched silently for a complete minute.

The physician instructed the Conways to pack their luggage. Day after today, they took Sadie to the health center two hours away. She had open-heart surgical treatment every week later. On account of the pandemic, Bridget needed to go away Skylar at house together with her mom.

The operation closed the holes in her coronary heart. Docs didn’t cope with the out of place aorta, pronouncing that her coronary heart will serve as nice that method.




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Center Illness: Reasons of

General Article

No Signal That COVID Vaccine in Being pregnant Raises Delivery Defect Possibility

News Picture: No Sign That COVID Vaccine in Pregnancy Raises Birth Defect Risk

TUESDAY, April 5, 2022 (HealthDay Information)

Public well being mavens had been telling pregnant ladies that it’s secure — and really useful — to get a COVID-19 shot as a result of they’re at upper chance for deficient results and loss of life from the virus.

New analysis now solutions a key query concerning the vaccine’s have an effect on on their small children.

The vaccine isn’t related to delivery defects detectable on an ultrasound, the Northwestern College find out about discovered. The ones main delivery defects come with the newborn’s center no longer forming appropriately or the backbone no longer final correctly.

“One of the most causes ladies battle with the vaccine in being pregnant is they are apprehensive about their small children and do not wish to take any dangers,” stated first writer Dr. Rachel Ruderman, a fourth-year resident in obstetrics and gynecology at Northwestern’s Feinberg Faculty of Drugs in Chicago.

“This find out about displays there in point of fact isn’t any greater chance of delivery defects, and it helps different proof that displays the vaccine is secure and really useful for mother and child,” Ruderman stated in a faculty information free up.

About 3% to five% of U.S. small children are suffering from main delivery defects.

On this find out about, the researchers used ultrasounds to search for main fetal structural abnormalities.

“Throughout the early a part of being pregnant when the organs are forming, there may also be abnormalities in how they shape, and they are able to take the type of delivery defects that may have implications for the lifetime of the kid,” stated co-author Dr. Emily Miller, leader of obstetrics at Northwestern Drugs.

“For instance, if the newborn’s center is not forming appropriately, that might result in the newborn wanting main cardiac surgical procedure or long-term medicine,” Miller stated within the free up. “On the other hand, if the ultrasound recognized additional fluid within the fetus’ kidney, that would possibly finally end up solving itself down the street. We appeared for the ones extremes and the whole lot in between.”

Pregnant ladies had been excluded from scientific trials of COVID vaccines, which left an opening in data.

“That is but every other vital piece of information that is helping bridge the chasm that was once left when pregnant folks had been excluded from the ones preliminary vaccine trials,” Miller stated.

The U.S. Facilities for Illness Keep an eye on and Prevention launched an identical findings in September.

The CDC’s find out about used historic knowledge as a comparability, however Northwestern used knowledge from pregnant sufferers who both weren’t vaccinated in any respect or no longer inside of a window of 30 days previous to conception to fourteen weeks’ gestational age.

“I believe the massive energy of this find out about is that we when compared in opposition to different ladies who had been vaccinated, however at other level of their pregnancies,” Miller stated. “Individuals who make a choice vaccination are regularly other from individuals who make a choice to not be vaccinated. Our find out about design is helping account for a few of the ones variations.”

Researchers hope the findings will spice up accept as true with within the vaccines.

“Sufferers say, ‘I don’t believe the information is excellent, and everyone seems to be getting COVID anyway, so why would I divulge my child?'” stated Ruderman, who were given her booster shot all over her twelfth week of being pregnant. “Then I inform other folks, ‘If truth be told, the information is in point of fact excellent,’ and I believe like they are receptive. So, those findings will most effective upload to that.”

The findings had been revealed April 4 in JAMA Pediatrics. A an identical find out about, out of Israel, was once revealed in the similar magazine in February.

Additional information

The U.S. Facilities for Illness Keep an eye on and Prevention has extra on COVID-19 and being pregnant.

SOURCE: Northwestern College, information free up, April 4, 2022

By way of Cara Murez HealthDay Reporter

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