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Volumn 50, Issue 3, 2009, Pages 206-217

Dexmedetomidine and the reduction of postoperative delirium after cardiac surgery

Author keywords

[No Author keywords available]

Indexed keywords

DEXMEDETOMIDINE; MIDAZOLAM; PROPOFOL;

EID: 67650921091     PISSN: 00333182     EISSN: None     Source Type: Journal    
DOI: 10.1176/appi.psy.50.3.206     Document Type: Article
Times cited : (362)

References (74)
  • 1
    • 0002362266 scopus 로고    scopus 로고
    • Basic mechanisms in the pathogenesis of delirium
    • Edited by Stoudemire AFB, Greenberg DB. New York, Oxford Univ. Press
    • Brown T: Basic mechanisms in the pathogenesis of delirium, in The Psychiatric Care of the Medical Patient, 2nd Edition. Edited by Stoudemire AFB, Greenberg DB. New York, Oxford Univ. Press; 2000, pp 571-580
    • (2000) The Psychiatric Care of the Medical Patient, 2nd Edition , pp. 571-580
    • Brown, T.1
  • 2
    • 0001201861 scopus 로고
    • Delirium: A syndrome of cerebral insufficiency
    • Engel GL, Romano J: Delirium: a syndrome of cerebral insufficiency. J Chron Dis 1959; 9:260-277
    • (1959) J Chron Dis , vol.9 , pp. 260-277
    • Engel, G.L.1    Romano, J.2
  • 4
    • 53349172088 scopus 로고    scopus 로고
    • Pathoetiological model of delirium: A comprehensive understanding of the neurobiology of delirium and an evidence-based approach to prevention and treatment
    • Maldonado JR: Pathoetiological model of delirium: a comprehensive understanding of the neurobiology of delirium and an evidence-based approach to prevention and treatment. Crit Care Clin 2008; 24:789-856
    • (2008) Crit Care Clin , vol.24 , pp. 789-856
    • Maldonado, J.R.1
  • 6
    • 0024557123 scopus 로고
    • Postcardiotomy delirium: Conclusions after 25 years?
    • Smith LW, Dimsdale JE: Postcardiotomy delirium: conclusions after 25 years? Am J Psychiatry 1989; 146:452-458
    • (1989) Am J Psychiatry , vol.146 , pp. 452-458
    • Smith, L.W.1    Dimsdale, J.E.2
  • 7
    • 0027981586 scopus 로고
    • The dilemma of delirium: Clinical and research controversies regarding diagnosis and evaluation of delirium in hospitalized elderly medical patients
    • Inouye SK: The dilemma of delirium: clinical and research controversies regarding diagnosis and evaluation of delirium in hospitalized elderly medical patients. Am J Med 1994; 97:278-288
    • (1994) Am J Med , vol.97 , pp. 278-288
    • Inouye, S.K.1
  • 8
    • 0025667229 scopus 로고
    • Clarifying confusion: The Confusion Assessment Method: a new method for detection of delirium
    • Inouye SK, van Dyck CH, Alessi CA, et al: Clarifying confusion: The Confusion Assessment Method: a new method for detection of delirium. Ann Intern Med 1990; 113:941-948
    • (1990) Ann Intern Med , vol.113 , pp. 941-948
    • Inouye, S.K.1    Van Dyck, C.H.2    Alessi, C.A.3
  • 10
    • 0032447083 scopus 로고    scopus 로고
    • Delirium in hospitalized older patients: Recognition and risk factors
    • Discussion: 57-58
    • Inouye SK: Delirium in hospitalized older patients: recognition and risk factors. J Geriatr Psychiatry Neurol 1998; 11:118 -125; Discussion: 57-58
    • (1998) J Geriatr Psychiatry Neurol , vol.11 , pp. 118-125
    • Inouye, S.K.1
  • 11
    • 0026506903 scopus 로고
    • Delirium: The occurrence and persistence of symptoms among elderly hospitalized patients
    • Levkoff SE, Evans DA, Liptzin B, et al: Delirium: the occurrence and persistence of symptoms among elderly hospitalized patients. Arch Intern Med 1992; 152:334-340
    • (1992) Arch Intern Med , vol.152 , pp. 334-340
    • Levkoff, S.E.1    Evans, D.A.2    Liptzin, B.3
  • 14
    • 0035111314 scopus 로고    scopus 로고
    • Early neurobehavioral disorders after cardiac surgery: A comparative analysis of coronary artery bypass graft surgery and valve replacement
    • DOI 10.1053/jcan.2001.20211
    • Ebert AD, Walzer TA, Huth C, et al: Early neurobehavioral disorders after cardiac surgery: a comparative analysis of coronary artery bypass graft surgery and valve replacement. J Cardiothor Vasc Anesth 2001; 15:15-19 (Pubitemid 32172676)
    • (2001) Journal of Cardiothoracic and Vascular Anesthesia , vol.15 , Issue.1 , pp. 15-19
    • Ebert, A.D.1    Walzer, T.A.2    Huth, C.3    Herrmann, M.4
  • 15
    • 0031013242 scopus 로고    scopus 로고
    • The prognostic significance of delirium in older hospital patients
    • O'Keeffe S, Lavan J: The prognostic significance of delirium in older hospital patients. J Am Geriatr Soc 1997; 45:174-178 (Pubitemid 27066526)
    • (1997) Journal of the American Geriatrics Society , vol.45 , Issue.2 , pp. 174-178
    • O'Keeffe, S.1    Lavan, J.2
  • 18
    • 0034201280 scopus 로고    scopus 로고
    • Performance improvement: Increasing recognition and treatment of postoperative delirium
    • Shinn JA, Maldonado JR: Performance improvement: increasing recognition and treatment of postoperative delirium. Prog Cardiovasc Nurs 2000; 15:114-115
    • (2000) Prog Cardiovasc Nurs , vol.15 , pp. 114-115
    • Shinn, J.A.1    Maldonado, J.R.2
  • 20
  • 21
    • 0028904932 scopus 로고
    • Unrecognized delirium in ED geriatric patients
    • Lewis LM, Miller DK, Morley JE, et al: Unrecognized delirium in ED geriatric patients. Am J Emerg Med 1995; 13:142-145
    • (1995) Am J Emerg Med , vol.13 , pp. 142-145
    • Lewis, L.M.1    Miller, D.K.2    Morley, J.E.3
  • 22
    • 0036618078 scopus 로고    scopus 로고
    • Delirium: An important (but often unrecognized) clinical syndrome
    • Rabinowitz T: Delirium: an important (but often unrecognized) clinical syndrome. Curr Psychiatry Rep 2002; 4:202-208
    • (2002) Curr Psychiatry Rep , vol.4 , pp. 202-208
    • Rabinowitz, T.1
  • 23
    • 53249098489 scopus 로고    scopus 로고
    • Delirium in the acute-care setting: Characteristics, diagnosis, and treatment
    • Maldonado JR: Delirium in the acute-care setting: Characteristics, diagnosis, and treatment. Crit Care Clin 2008; 24:657-722
    • (2008) Crit Care Clin , vol.24 , pp. 657-722
    • Maldonado, J.R.1
  • 26
    • 0022580628 scopus 로고
    • Early intellectual dysfunction following coronary bypass surgery
    • Shaw PJ, Bates D, Cartlidge NE, et al: Early intellectual dysfunction following coronary bypass surgery. Q J Med 1986; 58:59-68 (Pubitemid 16101942)
    • (1986) Quarterly Journal of Medicine , vol.58 , Issue.225 , pp. 59-68
    • Shaw, P.J.1    Bates, D.2    Cartlidge, N.E.F.3
  • 28
    • 0016259114 scopus 로고
    • Personality and psychological factors in postcardiotomy delirium
    • Kornfeld DS, Heller SS, Frank KA, et al: Personality and psychological factors in postcardiotomy delirium. Arch Gen Psychiatry 1974; 31:249-253
    • (1974) Arch Gen Psychiatry , vol.31 , pp. 249-253
    • Kornfeld, D.S.1    Heller, S.S.2    Frank, K.A.3
  • 32
    • 7044281135 scopus 로고    scopus 로고
    • American Society of Anesthesiologists: American Society of Anesthesiologists
    • American Society of Anesthesiologists: ASA Physical Status Classification System. American Society of Anesthesiologists, 2009
    • (2009) ASA Physical Status Classification System
  • 34
    • 0015395713 scopus 로고
    • The Brief MAST: A shortened version of the Michigan Alcoholism Screening Test
    • Pokorny AD, Miller BA, Kaplan HB: The Brief MAST: a shortened version of the Michigan Alcoholism Screening Test. Am J Psychiatry 1972; 129:342-345
    • (1972) Am J Psychiatry , vol.129 , pp. 342-345
    • Pokorny, A.D.1    Miller, B.A.2    Kaplan, H.B.3
  • 36
    • 0020962939 scopus 로고
    • Neuropsychological Impairment Scale (NIS): Initial validation study using Trail-Making test (A and B) and WAIS Digit Symbol (scaled score) in a mixed grouping of psychiatric, neurological, and normal patients
    • O'Donnell WE, Reynolds DM, De Soto CB: Neuropsychological Impairment Scale (NIS): initial validation study using Trail-Making test (A and B) and WAIS Digit Symbol (scaled score) in a mixed grouping of psychiatric, neurological, and normal patients. J Clin Psychol 1983; 39:746-748
    • (1983) J Clin Psychol , vol.39 , pp. 746-748
    • O'Donnell, W.E.1    Reynolds, D.M.2    De Soto, C.B.3
  • 37
    • 0016400110 scopus 로고
    • Controlled sedation with alphaxalone-alphadolone
    • Ramsay MA, Savege TM, Simpson BR, et al: Controlled sedation with alphaxalone-alphadolone. BMJ 1974; 2:656-659
    • (1974) BMJ , vol.2 , pp. 656-659
    • Ramsay, Ma.1    Savege, T.M.2    Simpson, B.R.3
  • 38
    • 0026464822 scopus 로고
    • An empirical study of delirium subtypes
    • Liptzin B, Levkoff SE: An empirical study of delirium subtypes. Br J Psychiatry 1992; 161:843-845
    • (1992) Br J Psychiatry , vol.161 , pp. 843-845
    • Liptzin, B.1    Levkoff, S.E.2
  • 41
    • 0026441879 scopus 로고
    • The relationship of anxiety to development of postoperative delirium
    • Bowman AM: The relationship of anxiety to development of postoperative delirium. J Gerontol Nurs 1992; 18:24-30
    • (1992) J Gerontol Nurs , vol.18 , pp. 24-30
    • Bowman, A.M.1
  • 43
    • 13444305210 scopus 로고    scopus 로고
    • Psychiatric and psychosocial outcome of cardiac surgery with cardiopulmonary bypass: A prospective 12-month follow-up study
    • DOI 10.1016/j.genhosppsych.2004.09.001
    • Rothenhäusler HB, Grieser B, Nollert G, et al: Psychiatric and psychosocial outcome of cardiac surgery with cardiopulmonary bypass: a prospective 12-month follow-up study. Gen Hosp Psychiatry 2005; 27:18-28 (Pubitemid 40202894)
    • (2005) General Hospital Psychiatry , vol.27 , Issue.1 , pp. 18-28
    • Rothenhausler, H.-B.1    Grieser, B.2    Nollert, G.3    Reichart, B.4    Schelling, G.5    Kapfhammer, H.-P.6
  • 44
    • 0030909814 scopus 로고    scopus 로고
    • Short-term and long-term neuropsychological consequences of cardiac surgery with extracorporeal circulation
    • DOI 10.1016/S1010-7940(96)01031-7, PII S1010794096010317
    • Vingerhoets G, Van Nooten G, Vermassen F, et al: Short-term and long-term neuropsychological consequences of cardiac surgery with extracorporeal circulation. Eur J Cardiothorac Surg 1997; 11:424-431 (Pubitemid 27146149)
    • (1997) European Journal of Cardio-thoracic Surgery , vol.11 , Issue.3 , pp. 424-431
    • Vingerhoets, G.1    Van Nooten, G.2    Vermassen, F.3    De Soete, G.4    Jannes, C.5
  • 46
    • 0026311355 scopus 로고
    • CNS arousal systems: Possible role in delirium
    • Ross CA: CNS arousal systems: possible role in delirium. Int Psychogeriatr / IPA 1991; 3:353-371
    • (1991) Int Psychogeriatr / IPA , vol.3 , pp. 353-371
    • Ross, C.A.1
  • 47
    • 0034167698 scopus 로고    scopus 로고
    • Is there a final common neural pathway in delirium? focus on acetylcholine and dopamine
    • Trzepacz P: Is there a final common neural pathway in delirium? focus on acetylcholine and dopamine. Semin Clin Neuropsychiatry 2000; 5:132-148
    • (2000) Semin Clin Neuropsychiatry , vol.5 , pp. 132-148
    • Trzepacz, P.1
  • 48
    • 0030739996 scopus 로고    scopus 로고
    • Does plasma free-3-methoxy-4-hydroxyphenyl(ethylene)glycol increase in the delirious state? a comparison of the effects of mianserin and haloperidol on delirium
    • Nakamura J, Uchimura N, Yamada S, et al: Does plasma free- 3-methoxy-4-hydroxyphenyl(ethylene)glycol increase in the delirious state? a comparison of the effects of mianserin and haloperidol on delirium. Int Clin Psychopharmacol 1997; 12: 147-152 (Pubitemid 27283323)
    • (1997) International Clinical Psychopharmacology , vol.12 , Issue.3 , pp. 147-152
    • Nakamura, J.1    Uchimura, N.2    Yamada, S.3    Nakazawa, Y.4
  • 50
    • 29544443512 scopus 로고    scopus 로고
    • Impaired oxidative metabolism precipitates delirium: A study of 101 ICU patients
    • Seaman JS, Schillerstrom J, Carroll D, et al: Impaired oxidative metabolism precipitates delirium: a study of 101 ICU patients Psychosomatics 2006; 47:56-61
    • (2006) Psychosomatics , vol.47 , pp. 56-61
    • Seaman, J.S.1    Schillerstrom, J.2    Carroll, D.3
  • 51
    • 0028274887 scopus 로고
    • Postoperative delirium: Treatment with supplementary oxygen
    • Aakerlund LP, Rosenberg J: Postoperative delirium: treatment with supplementary oxygen. Br J Anaesth 1994; 72:286-290
    • (1994) Br J Anaesth , vol.72 , pp. 286-290
    • Aakerlund, L.P.1    Rosenberg, J.2
  • 52
    • 0032418259 scopus 로고    scopus 로고
    • Are cholinergic pathways involved in the anesthetic response to α2 agonists
    • DOI 10.1016/S0378-4274(98)00160-X, PII S037842749800160X
    • Buttermann AE, Reid K, Maze M: Are cholinergic pathways involved in the anesthetic response to α2 agonists? Toxicol Lett 1998; 100-101; 17-22 (Pubitemid 29069123)
    • (1998) Toxicology Letters , vol.100-101 , pp. 17-22
    • Buttermann, A.E.1    Reid, K.2    Maze, M.3
  • 53
    • 0023203410 scopus 로고
    • Association of elevated plasma anticholinergic activity with delirium in surgical patients
    • Golinger RC, Peet T, Tune LE: Association of elevated plasma anticholinergic activity with delirium in surgical patients. Am J Psychiatry 1987; 144:1218-1220 (Pubitemid 17147532)
    • (1987) American Journal of Psychiatry , vol.144 , Issue.9 , pp. 1218-1220
    • Golinger, R.C.1    Peet, T.2    Tune, L.E.3
  • 54
    • 0019359566 scopus 로고
    • Association of postoperative delirium with raised serum levels of anticholinergic drugs
    • Tune LE, Damlouji NF, Holland A, et al: Association of postoperative delirium with raised serum levels of anticholinergic drugs. Lancet 1981; 2:651-653 (Pubitemid 11003882)
    • (1981) Lancet , vol.2 , Issue.8248 , pp. 651-652
    • Tune, L.E.1    Damlouji, N.F.2    Holland, A.3
  • 56
    • 0025812831 scopus 로고
    • The effect of intravenously administered dexmedetomidine on perioperative hemodynamics and isoflurane requirements in patients undergoing abdominal hysterectomy
    • Aho M, Lehtinen AM, Erkola O, et al: The effect of intravenously administered dexmedetomidine on perioperative hemodynamics and isoflurane requirements in patients undergoing abdominal hysterectomy. Anesthesiology 1991; 74:997-1002
    • (1991) Anesthesiology , vol.74 , pp. 997-1002
    • Aho, M.1    Lehtinen, A.M.2    Erkola, O.3
  • 57
    • 0034776859 scopus 로고    scopus 로고
    • Dextromethorphan and dexmedetomidine: New agents for the control of perioperative pain
    • Weinbroum AA, Ben-Abraham R: Dextromethorphan and dexmedetomidine: new agents for the control of perioperative pain. Eur J Surg 2001; 167:563-569
    • (2001) Eur J Surg , vol.167 , pp. 563-569
    • Weinbroum, A.A.1    Ben-Abraham, R.2
  • 58
    • 0019306488 scopus 로고
    • Fentanyl-associated delirium in man
    • Crawford RD, Baskoff JD: Fentanyl-associated delirium in man. Anesthesiology 1980; 53:168-169
    • (1980) Anesthesiology , vol.53 , pp. 168-169
    • Crawford, R.D.1    Baskoff, J.D.2
  • 59
    • 0030246852 scopus 로고    scopus 로고
    • Attenuation of morphine-induced delirium in palliative care by substitution with infusion of oxycodone
    • DOI 10.1016/0885-3924(96)00050-4
    • Maddocks I, Somogyi A, Abbott F, et al: Attenuation of morphine- induced delirium in palliative care by substitution with infusion of oxycodone. J Pain Symptom Manage 1996; 12:182-189 (Pubitemid 26269244)
    • (1996) Journal of Pain and Symptom Management , vol.12 , Issue.3 , pp. 182-189
    • Maddocks, I.1    Somogyi, A.2    Abbott, F.3    Hayball, P.4    Parker, D.5
  • 60
    • 0037313063 scopus 로고    scopus 로고
    • 2-adrenoceptor agonist dexmedetomidine converges on an endogenous sleep-promoting pathway to exert its sedative effects
    • 2-adrenoceptor agonist dexmedetomidine converges on an endogenous sleep-promoting pathway to exert its sedative effects. Anesthesiology 2003; 98: 428-436
    • (2003) Anesthesiology , vol.98 , pp. 428-436
    • Nelson, L.E.1    Lu, J.2    Guo, T.3
  • 62
    • 0033870604 scopus 로고    scopus 로고
    • 2-adrenoreceptor agonists in anaesthesia: A new paradigm
    • 2-adrenoreceptor agonists in anaesthesia: a new paradigm. Curr Opin Anaesthesiol 2000; 13:437-442
    • (2000) Curr Opin Anaesthesiol , vol.13 , pp. 437-442
    • Scholz, J.1    Tonner, P.H.2
  • 63
    • 0027248053 scopus 로고
    • 2-adrenoreceptor agonist dexmedetomidine in a focal model of cerebral ischemia
    • 2-adrenoreceptor agonist dexmedetomidine in a focal model of cerebral ischemia. Anesthesiology 1993; 79:306-312
    • (1993) Anesthesiology , vol.79 , pp. 306-312
    • Maier, C.1    Steinberg, G.K.2    Sun, G.H.3
  • 64
    • 0038265854 scopus 로고    scopus 로고
    • 2-adrenergic agonists to prevent perioperative cardiovascular complications: A metaanalysis
    • 2-adrenergic agonists to prevent perioperative cardiovascular complications: a metaanalysis. Am J Med 2003; 114:742-752
    • (2003) Am J Med , vol.114 , pp. 742-752
    • Wijeysundera, D.N.1    Naik, J.S.2    Beattie, W.S.3
  • 65
    • 0033822163 scopus 로고    scopus 로고
    • Physostigmine reverses propofol-induced unconsciousness and attenuation of the auditory steady state response and bispectral index in human volunteers
    • Meuret P, Backman SB, Bonhomme V, et al: Physostigmine reverses propofol-induced unconsciousness and attenuation of the auditory steady-state response and bispectral index in human volunteers. Anesthesiology 2000; 93:708-717 (Pubitemid 30703401)
    • (2000) Anesthesiology , vol.93 , Issue.3 , pp. 708-717
    • Meuret, P.1    Backman, S.B.2    Bonhomme, V.3    Plourde, G.4    Fiset, P.5
  • 66
    • 0033652991 scopus 로고    scopus 로고
    • Central cholinergic depletion induced by 192-IgG-saporin alleviates the sedative effects of propofol in rats
    • Pain L, Jeltsch H, Lehmann O, et al: Central cholinergic depletion induced by 192-IgG-saporin alleviates the sedative effects of propofol in rats. Br J Anaesthesia 2000; 85:869-873
    • (2000) Br J Anaesthesia , vol.85 , pp. 869-873
    • Pain, L.1    Jeltsch, H.2    Lehmann, O.3
  • 67
    • 33644851831 scopus 로고    scopus 로고
    • Lorazepam is an independent risk factor for transitioning to delirium in intensive care unit patients
    • Pandharipande P, Shintani A, Peterson J, et al: Lorazepam is an independent risk factor for transitioning to delirium in intensive care unit patients. Anesthesiology 2006; 104:21-26
    • (2006) Anesthesiology , vol.104 , pp. 21-26
    • Pandharipande, P.1    Shintani, A.2    Peterson, J.3
  • 68
    • 0033970611 scopus 로고    scopus 로고
    • Age-related modifications of effects of ketamine and propofol on rat hippocampal acetylcholine release studied by in vivo brain microdialysis
    • DOI 10.1034/j.1399-6576.2000.440120.x
    • Wang Y, Kikuchi T, Sakai M, et al: Age-related modifications of effects of ketamine and propofol on rat hippocampal acetylcholine- release studied by in-vivo brain microdialysis. Acta Anaesthesiol Scand 2000; 44:112-117 (Pubitemid 30016658)
    • (2000) Acta Anaesthesiologica Scandinavica , vol.44 , Issue.1 , pp. 112-117
    • Wang, Y.1    Kikuchi, T.2    Sakai, M.3    Wu, J.L.4    Sato, K.5    Okumura, F.6
  • 69
    • 34548676161 scopus 로고    scopus 로고
    • Anesthetics and brain protection
    • Head BP, Patel P: Anesthetics and brain protection. Curr Opin Anaesthesiol 2007; 20:395-399
    • (2007) Curr Opin Anaesthesiol , vol.20 , pp. 395-399
    • Head, B.P.1    Patel, P.2
  • 70
    • 33749059935 scopus 로고    scopus 로고
    • Effects of ketamine-midazolam anesthesia on the expression of NMDA and AMPA receptor subunit in the peri-infarction of rat brain
    • Zhang YL, Zhang PB, Qiu SD, et al: Effects of ketamine-midazolam anesthesia on the expression of NMDA and AMPA receptor subunit in the peri-infarction of rat brain. Chinese Med J 2006; 119:1555-1562
    • (2006) Chinese Med J , vol.119 , pp. 1555-1562
    • Zhang, Y.L.1    Zhang, P.B.2    Qiu, S.D.3
  • 71
    • 34748887764 scopus 로고    scopus 로고
    • Pellegrini-Giampietro DE: Neuroprotective effects of propofol in acute cerebral injury
    • Adembri C, Venturi L, Pellegrini-Giampietro DE: Neuroprotective effects of propofol in acute cerebral injury. CNS Drug Rev 2007; 13:333-351
    • (2007) CNS Drug Rev , vol.13 , pp. 333-351
    • Adembri, C.1    Venturi, L.2
  • 73
    • 20444506663 scopus 로고    scopus 로고
    • Postoperative sedation and the incidence of ICU delirium in cardiac surgery patients. Presented at the American Society of Anesthesiologists
    • San Francisco, CA, Anesthesiology
    • Maldonado J, van der Starre PJ, Wysong A: Postoperative sedation and the incidence of ICU delirium in cardiac surgery patients. Presented at the American Society of Anesthesiologists, Annual Meeting. San Francisco, CA, Anesthesiology 2003; 99:A465
    • (2003) Annual Meeting , vol.99
    • Maldonado, J.1    Van Der Starre, P.J.2    Wysong, A.3
  • 74
    • 37149040245 scopus 로고    scopus 로고
    • Effect of sedation with dexmedetomidine vs. lorazepam on acute brain dysfunction in mechanically-ventilated patients: The MENDS randomized, controlled trial
    • Pandharipande PP, Pun BT, Herr DL, et al: Effect of sedation with dexmedetomidine vs. lorazepam on acute brain dysfunction in mechanically- ventilated patients: the MENDS randomized, controlled trial. JAMA 2007; 298:2644-2653
    • (2007) JAMA , vol.298 , pp. 2644-2653
    • Pandharipande, P.P.1    Pun, B.T.2    Herr, D.L.3


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