Disparities in Headache and Migraine Care: Access Concerns, Alliance for Patient Access Headache and Migraine Workgroup Meeting, November 2020, Virtual, Candid Conversation: Why Research Matters? Dr. Albers has authored more than 400 articles on topics related to cerebrovascular disease in peer-reviewed journals. Dr. Giffard works to develop novel treatments to reduce brain vulnerability to stroke. She has been on faculty since 2007. He then completed his internship in internal medicine at St. John Hospital and Medical Center in Detroit, Michigan and neurology residency at Baylor College of Medicine in Houston, Texas. Irina Eyngorn joined the Stanford Stroke Center in 2001. Stanford University has provided a pay range representing its good faith estimate of what the university reasonably expects to pay for the position. Our graduate medical educational programs offer outstanding, comprehensive, high-volume residency training in adultand child neurology, and post-residency clinical and research fellowship training in most neurological subspecialties. Headache. Currently, Dr. Cheng is President & CEO of Global Science & Technology (gst.com), which focuses on satelliteremote sensing for NASA and NOAA, as well as a consulting practice dedicated to helping medical device companies holistically evaluate and improve biomechanical compatibility of cardiovascular implants. Fax: 650-320-9443. Dr. Rivera Lara graduated medical school cum laude from the University of San Luis Potosi, Mexico, in 2006. With over 60,000 annual outpatient visits and thus one of the largest neurology volumes in the U.S., Stanford Neurology provides care for a large and highly diverse patient population and supports excellence in clinical care, education, and research. Marron and Mary Elizabeth Kendrick Professor in Pediatrics, Emerita, Pamela Matson, PhD In the outpatient clinic, she sees patients with head injury, stroke and other neurovascular diseases in addition to patients who have been discharged from the neurological intensive care unit. She has been with the Stroke Center since 2019. Virtual Human Interaction Lab, Jonathan Berger, DMA Dr. Karen G. Hirsch joined the Stanford Stroke Center in 2012 as an Assistant Professor after completing neurology residency at the Johns Hopkins University and fellowship in neurocritical care at the University of California, San Francisco. American Neurological Association 2021 Meeting (Accepted). 2021 Sep 23. doi: 10.1111/head.14209. Dr. Kirsten Fisher is a Vascular Neurology Fellow at Stanford. His work has received numerous society and publication awards, including the American Academy of PM&Rs 2014 Presidents Citation Award, the PM&R Journal and Foundation for PM&Rs 2015 Best Original Research Award, the 2016 ISSLS Prize, and The Spine Journals Outstanding Paper Award in 2013, 2016 & 2017. Dr.Sayedearned his MD degree from the University of Mumbai, India and his PhD degree from the University of Medicine and Dentistry of New Jersey (Rutgers New Jersey Medical School) in 2008. J Neurol Sci. 2018-21, Adjunct Faculty, Thomas Jefferson University, Philadelphia, PA, 2020-present, Professor of Neurology, Michigan State University College of Human Medicine, East Lansing, MI, 2021-present, Director, Headache Medicine and Facial Pain, Internship, Internal Medicine, St. John Hospital and Medical Center, Detroit, MI, 2005-2006, Residency, Neurology, Baylor College of Medicine, Houston, TX, 2006-2009, Fellowship, Headache and Facial Pain, Jefferson Headache Center, Philadelphia, PA, 2009-10, Member, Clinical Neurological Society of America, 2021-present, Member, National Medical Society, 2020-present, Member, American Academy of Neurology (AAN), 2018-present, Member, University of Michigan's Institute for Healthcare Policy and Innovation, 2016-present, Member, American Neurological Association, 2015-present, Member, International Headache Society, 2013-present, Member, National Headache Foundation, 2012-present, Member, American Headache Society, 2011-present, American Board of Psychiatry and Neurology, Adult Neurology, United Council of Neurological Subspecialties, Headache Medicine, Advance Headache Diagnosis and Management Intensive Sessions: Live Case-Based Simulations, Procedures, Neuromodulation, and Mentoring. She received her medical degree from the University of Chicagos Pritzker School of Medicine and was elected to the Alpha Omega Alpha Honor Society in 2004. Lipton RB, Charleston L 4th, Tassorelli C, Brevig T, Hirman J, Cady R.: Patients with Migraine Who Achieved a 75% Reduction in Monthly Migraine Days with Eptinezumab Treatment: Subgroup Analysis of PROMISE-1 and PROMISE-2, 2021 AHS Annual Scientific Meeting, 2021. Dr. Sterns clinical and academic interests are in the treatment of aortic disease. Dr. Kasi graduated from Madras Medical College & Government Hospital 1991. Functional Imaging in Neuropsychiatric Disorders Lab (FIND), Gerald Popelka, PhD : Equity of African-American Men in Headache in the United States: a perspective from African American Headache Medicine Specialists. Seattle, WA. Dr. Dalman's research interests include the basic underlying mechanisms responsible for abdominal aortic aneurysm (AAA) disease, as well as novel drug, device and exercise therapies to limit progression of small AAAs. Dr. Sorial graduated from the University of Minya, Faculty of Medicine in Egypt 1994. Dr. Heit is developing novel imaging techniques for the evaluation of patients with ischemic cerebrovascular disease, including stroke, vasospasm, and Moyamoya disease. She completed her M.D. Dr. Larry Charleston, IV, graduated in Medicine from the Wayne State University School of Medicine in Detroit, Michigan. Her laboratory is dedicated to understanding the basic mechanisms by which neurons die in stroke and in neurodegenerative diseases, including Alzheimers disease, Parkinsons disease, and amyotrophic lateral sclerosis (ALS). The primary focus of his research hasbeen theuse ofmodern imaging techniques for the evaluation of acute stroke. She leads the Stanford Global Health Neurology program, through which she started the first stroke unit in Zimbabwe and gained experience in HIV neurology and other neuro-infectious diseases. Buse DC, Winner PK, Charleston L 4th, Hirman J, Cady R, Brevig T.: Early Response to Eptinezumab Indicates High Likelihood of Continued Response with Treatment in Patients with Chronic Migraine, 2021 AHS Annual Scientific Meeting, 2021. FEMMES Duke University. degree in Biomedical Engineering and Electrical Engineering from Duke University in 1998. Dr. Sgroi completed his medical degree at Michigan State University College of Human Medicine in 2010. He received his MS degree in Health and Health Care Research from the National Clinical Scholars Program at the University of Michigan in Ann Arbor, Michigan in 2017. Stanford also welcomes applications from others who would bring additional dimensions to the Universitys research, teaching and clinical missions. . Her research interests include how best to teach and evaluate palliative care skills in neurology trainees, and how to evaluate and reduce moral distress in neurointensive care physicians. Contact Us. In 2010, She started her nursing career by working with underserved patient populations in an intermediate ICU in the East Bay. PMID: 35350937. She is specifically interested in the use of neuroimaging to better individualize and optimize acute stroke care. April 4, 2022. His research uses advanced imaging modalities like functional magnetic resonance imaging (fMRI) to better understand disorders of consciousness. His lab employs the human induced pluripotent stem cell (iPSC) technology to generate patient-specific vascular cells (endothelial and vascular smooth muscle cells) as an alternative to animal models providing a human tissue surrogate for research that is scalable and sustainable. Learn how we are fueling innovation . Dr. Chandra's research interests include womens vascular health, radiation safety, technology development and treatment optimization for complex open and endovascular treatment of peripheral vascular and aneurysmal disease. Ten Eleven things to facilitate participation of underrepresented groups in headache medicine research. Minen MT, Ehrlick A, Khanns D, Guiracocha JS, Khan F, Ali A, Birlea M, Singh N, Peretz A, Charleston L 4th: What Role do Urgent Care Centers Play in Headache Management? 2022 Jan;62(1):36-56. doi: 10.1111/head.14249. Using molecular biology techniques, his laboratory is studying innovative methods of improving neurologic function after stroke or degenerative disease, including enhanced neurogenesis with growth factors and transplantation of different neuronal stem cells. He holds CNRN and SCRN certifications through the American Board of Neuroscience Nursing. She also cares for patients in the outpatient stroke clinic and resident continuity clinic. Our skilled clinicians provide comprehensive care to a diverse mix of patients and emphasize monitoring and promotion of clinical quality and optimal outcomes, the use of multidisciplinary rounds for challenging cases, and deep collaborations across other medical specialties. He subsequently completed his vascular surgery fellowship at Cleveland Clinic Foundation in 2000. Visit our department website at: https://med.stanford.edu/neurology.html. Epub ahead of print. The successful applicant should have an MD or DO degree, board certification in child neurology, residency training in child neurology, and fellowship training in pediatric neuro-oncology with ample experience managing immunotherapy for CNS tumors. Dr. Jaffes research interests include the development and characterization of electrophysiologic monitoring techniques for the early detection of intraoperative cerebral ischemia. Dr. Lopez completed his residency in Neurology and fellowship in Clinical Neurophysiology and Neuromuscular Diseases at Stanford University Medical Center. She also holds a Master of Public Health degree from the University of California, Los Angeles. Co-moderator and Program Development Committee. BMC Health Serv Res 22, 162 (2022). PMID: 34553770. Davis-Brack Professor in the Behavioral Sciences Her lab focuses on how inflammatory responses after brain injury affect neurological recovery. Additional program strengths include our formal resident research curriculum, well-funded resident research tracks with an institutional R25 and mentored models designed to optimize transition from residency to fellowship and on to junior faculty positions, a post-residency fellowship/Instructor pathway with mentorship focused on obtaining assistant professor positions in the national context, a formal neurology-specific trainee wellness and mentoring program, formal coaches assigned to each resident to enhance their communication skills, and rigorous clinical training afforded by the high volume of diverse patients seen at our multiple sites. Clinical Associate Professor and Vice Chair of Diversity and Inclusion, Department of Neurology & Neurological Sciences PMID: 35347652. Questions about a job or your application? Residents have been first author on publications of improvement projects related tophysician-patient communication,safe transitions of care, andexpanding access to MRI. Professor (Research), Medicine, Stanford Prevention Research Center; Professor (Research), Obstetrics and Gynecology She earned her Masters in Public Health in 2017 at the Johns Hopkins Bloomberg School of Public Health. Part 2 Headache: The Journal of Head & Face Pain 0: 1-9, 2020. His research interests include new therapeutic strategies and outcomes for the management of vascular trauma, cerebrovascular diseases, dialysis access, aortic dissection, and aneurysms. She studies cerebral autoregulation and brain multimodality monitoring to prevent secondary injury which might improve outcome of patients with acute brain injury. He has served as Deputy Editor of The Spine Journal, and Co-Editor of the Orthopedics Knowledge Update in Spine, 4th edition. Dr. Nick Telischak is a neurointerventional surgeon (neurointerventional radiologist) who specializes in the diagnosis and treatment of stroke, brain aneurysms, brain arteriovenous malformations, brain and spinal dural arteriovenous fistulae, carotid artery stenosis, vertebral body compression fractures, spinal metastases, axial back pain, and congenital vascular malformations. Lironn Kraler, MD is a General Neurologist with subspecialty training in Vascular Neurology. He served as section chief of vascular surgery at VA Palo Alto from 1991 to 2005. Stanford is an equal employment opportunity and affirmative action employer. Dr. Sorial is board certified in both Vascular Surgery and General Surgery. Dr.Sayedjoined Stanford vascular faculty in 2021 and is currently an Assistant Professor in the Division of Vascular Surgery, Department of Surgery and The Stanford Cardiovascular Institute. Dr. Stern is board certified in both general surgery and vascular surgery. Having cared for family members with neurologic disease, she is passionate about connecting with patients and listening to their experiences navigating neurologic disease. Dr. Dalman has been a Stanford vascular faculty member since 1992. Education. In addition, Dr Kraler is the Associate Program Director for the Vascular Neurology Fellowship at Stanford. Interested candidates should submit a CV, a brief candidate statement, and the names & contact info for three references. PM32535945, M.D., Wayne State University School of Medicine, 2001-2005, MS, Health and Health Care Research, National Clinical Scholars Program, University of Michigan, 2015-2017, Diversity in Headache Advisory Council (DiHAC) Grant: Identifying and strengthening headache literacy knowledge domain of migraine diagnosis and disparities in underrepresented in medicine medical students and communities; Diversity in Headache Advisory Council (DiHAC) Grant, 2/2021-07/2022. Virtual issue: Diversity, equity, and inclusion. In addition to the three traditional missions of clinical care, teaching and research, a high-priority for the Stanford Department of Neurology and Neurological Sciences is the fostering and development of a fully diverse community of faculty and trainees both within our department and within the fields of neurology and medicine in general. She has provided numerous lectures on stroke and ICU care at professional conferences. Stanford Institute for Creativity and the Arts (SiCA), William Damon, PhD She is board certified in Diagnostic Radiology and holds a Certificate of Added Qualification in Neuroradiology. Academics: Academic Office: (517) 432-9277 He is also the Medical Director of Neurology at Stanford Healthcare ValleyCare hospital where he is involved in building and expanding the Neurology program and also cares for hospitalized patients with acute strokes and other neurological diseases. He serves as an investigator for several early phase clinical trials for patients with PAD, including studies of stem cell therapy for subjects with arterial insufficiency. She also serves as lead APP in the department of neurosurgery. Safety and Efficacy of Fremanezumab in Different Racial and Ethnic Subgroups of Patients With Migraine: A Pooled Analysis of Phase 3 Studies. She oversees the administrative and research staff as well as all clinical trials performed at the Stroke Center. The department is currently ranked among the top 5 neurology departments in NIH funding and has NIH and other formally designated Centers of Excellence in multiple areas. Dr. Kasi previously was a Professor of Surgery at Emory University Hospital and most recently was the Chief of Surgery of Barstow Community Hospital. Dr.Sayeds research has focused on the development of novel technologies that drive innovation in regenerative medicine, disease modeling, and drug testing in vascular biology. She has been with the Stroke Center since 1998. Responsibilities include attending on NIO service, caring for patients in outpatient and inpatient settings, providing clinical care for children and young adults with CNS cancers receiving CAR T cell therapy and children with non-CNS cancers who have neurological complications of CAR T cell therapy; participating in clinical research endeavors focused on immunotherapy for CNS tumors; and educating clinical fellows and residents in the management of patients receiving immunotherapy for CNS cancers. He is also a staff surgeon at the VA Palo Alto Health Care System (VAPAHCS). He completed his general surgery residency at the University of California, San Francisco-East Bay in 2005. Headache Cooperative of New England 32nd Stowe Headache Symposium. We are proud that many of the Departments trainees and faculty alumni serve as department chairs, division chiefs, and leaders in American neurology. He is currently Clinical Associate Professor of Surgery in the Division of Vascular Surgery. The School of Medicine offers nationally renowned formal training for faculty and house staff through theStanford Faculty Development Center for Medical Teachersthat allows them to develop their own teaching and mentoring skills. She joined the Stroke Center in 1993 and has extensive experience in regulatory management and FDA guidelines. The ongoing population growth in Northern California, and the Bay Area in particular, along with the technology and economic leadership of Silicon Valley continue to support the robust development of our health care systems and have assured our status as one of the highest volume clinical neurology programs in the country. Applications will be reviewed beginning immediately and accepted until the position is filled. He has been an investigator on dozens of stroke trials. She also holds a Masters degree in Clinical Trials from LSHTM, University of London and is a board certified neurosonologist. Currently, she is involved in studies predicting outcome in comatose survivors after cardiac arrest, using MRI and biomarkers, and assessing the utility of diffusion- and perfusion-weighted MRI and Xenon CT perfusion for the evaluation of acute stroke patients. None of the faculty members responded to interview requests on Tuesday. In addition, she sees patients with stroke and other neurovascular diseases in her stroke clinic and patients discharged from the neurological ICU, in the "Outcomes clinic" for long term follow up. Valerie Berland is the program coordinator for the Stroke Centers Vascular Neurology and Neurocritical Care Fellowship Programs. She has been overseeing fellowship, residency, and postdoctoral scholar programs for Stanford University since 2010. She helps coordinate diagnostics, appointments, and referrals to other services that a patient may need in their post stroke recovery. Compared to peer institutions, Stanford ranks among the top neurology departments in the nation for key metrics such as hospital length of stay and inpatient mortality as measured by the Vizient Quality & Accountability Scorecard. Dr. Fischbein's research interests include imaging of brain tumors using advanced MR-based modalities, as well as imaging of processes that affect the skull base and cranial nerves. Her research interest includes understanding the genetic underpinnings and pathophysiology of chronic venous disease, working with societal groups to increase vascular disease awareness and access to care and incorporating clinical interventions to increase physical activity and walking in patients with peripheral artery disease utilizing mobile health with information technology. The Department of Neurology and Neurological Sciences has been a center of excellence for more than four decades and includes over 140 School of Medicine faculty members with primary academic appointments in the Department at our four outstanding teaching hospitals and health care systems. Department of Otolaryngology, Audiology, School of Medicine, Jeanne Tsai, PhD Using catheter-based approaches, he has pioneered techniques to effectively cure cerebral aneurysms by inserting platinum coils and using special glues to obliterate arteriovenous malformations. George and Lucy Becker Professor and Chair, Department of Neurology and Neurological Sciences, Yuen So, MD, PhD 2022 Diamond Headache Winter Conference, Charleston L 4th, Campos VR, Ning X, Krasenbaum L, Janka L, Kessler Y, Nahas S. Six-month Safety and Efficacy of Fremanezumab in Migraine: Pooled Analysis from Phase 3 FOCUS and HALO Trials. PMID: 34125956. The expected base pay range for this position is $240,000 - $258,000. She studies the susceptibility of individual brain cell types to target mechanisms that are important in each cell type to provide the best overall protection. American Academy of Neurology 74th Annual Meeting. Dr. Andreassson is a Professor in the Stanford Neurology Department. Santa Clara Valley Medical Center, our county hospital, is the second highest volume hospital in California, serving a diverse spectrum of patients with a vast array of neurologic disorders. Charles Schwab Professor of Economics and Senior Fellow, by courtesy, at the Hoover Institution; Wallace R. Hawley Director, Stanford Institute for Economic Policy Research (SIEPR) He joined Stanford Vascular Surgery in 2015. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. The Neurology Department, School of Medicine, and Stanford University value faculty who are committed to advancing diversity, equity, and inclusion. Prevention Research Center, Thomas Andriacchi, PhD Research in the Department of Neurology and Neurological Sciences hosts one of the top neurology research programs in the U.S. with its faculty serving as leaders in many fields of neurology research. She completed her residency in Neurology at Stanford, serving as Administrative Chief Resident in her last year. Her postdoctoral research studies were in the areas of evaluating tissue perfusion and viability and vascular imaging. Led after school programs for 4th-6th grade Durham girls through hands-on science activities to promote science, engineering, and math . Advertised: 27 Feb 2023 Pacific Standard Time With over 60,000 annual outpatient visits and thus one of the largest neurology volumes in the U.S., Stanford Neurology provides care for a large and highly diverse patient population and supports excellence in clinical care, education, and research. Dr. PMID: 35041218. She works as part of the inpatient Stroke Neurology team at Stanford Hospital providing complex care for patients with neurovascular emergencies. Trainees may participate in specialized Stanford programs ranging fromGlobal Health Neurologyto the StanfordBiodesign Innovation Fellowship program. The email address was invalid, please check for errors. Stanford Institute for Economic Policy Research (SIEPR), Hazel Markus, PhD She is board certified in both surgery and vascular surgery. The Faculty Advisors provide guidance for the Centers research agenda and help identify and engage Stanford faculty whose research can help meet the challenges of an aging population. Epub 2021 Jun 14. Madelleine Garcia is a Clinical Research Coordinator at the Stanford Stroke Center. Dr. Nguyens practice leverages neurophysiology to improve the care of neurologic patients, including the Intraoperative Neurophysiologic Monitoring service, the Stanford Concussion Clinic, and the Spasticity Clinic, which treats patients with spastic paralysis (i.e. His lab works on combining stem cell therapeutics and novel polymers to enhanceand improvestroke recovery. Apply now Robust divisions in Neuro-oncology, Autonomic Neurology, Headache and Facial Pain, Intraoperative Monitoring and Neuro-hospitalist care are uncommon for U.S. neurology departments and provide our residents and fellows with an exceptional breadth and depth of training while contributing to our goals of outstanding care. Through department, school and university programs, along with structured mentoring, we endeavor to promote academic and leadership skills and milestones for women and all traditionally underrepresented groups in academic medicine. Anna Finley Caulfield, Neil Schwartz, Nirali Vora, and Jack Wang. Throughout her nursing career, she has worked as a bedside nurse, unit educator, and assistant patient care manager. The ongoing population growth in Northern California, and the Bay Area in particular, along with the technology and economic leadership of Silicon Valley continue to support the robust development of our health care systems and have assured our status as one of the highest volume clinical neurology programs in the country. TheLucile Packard Childrens Hospital, with its new 364-bed hospital having opened in 2018, and clinics situated throughout Northern California, was recently named one of the top 10 childrens hospitals in the U.S. by US News and World Report. The person in this role must work well in a team setting, bridging neurology, neuro-oncology, pediatric oncology, critical care, and neurosurgery. Liz is a Fellow of the American Heart/Stroke Association and Neurocritical Care Society. The procedures include diagnostic cerebral angiography, endovascular stroke triage and therapy, cerebral aneurysm treatment, cerebral vasospasm treatment, cerebral angioplasty, dural arteriovenous fistula diagnosis and treatment, arteriovenous malformation treatment, carotid stent placement, vertebroplasty, spinal and intracranial tumor embolization, percutaneous sclerotherapy for the treatment of vascular malformations, and percutaneous biopsy using ultrasound, CT, and fluoroscopic guidance among other procedures. In 1994, Dr. Lopez established the Intraoperative Neurophysiologic Monitoring Program at Stanford. Clinic Fax: (517) 432-3713 Of the people who have had a stroke, many are disabled to the degree that they cannot work, and a significant proportion are unable to walk, feed themselves, or communicate with their families the way they could prior to their stroke. Dr. Albers was instrumental in the development a medical imaging platform calledRAPID that allowsphysicians to identify stroke patients who havesalvageable braintissue. J Headache Pain. Many faculty members are international leaders in their field and provide direct personal and professional mentorship to trainees through formal programs. He has a particular clinical and research interest in traumatic brain injury. She also enjoys a long-held interest in education policy. The Department provides care and consultative services to a large number of patients referred from throughout the country, and many patients from the Pacific Rim and other international locations. Ranked in the top 10 for Neurology and Neurosurgical Care by US News and World Report, SHC is at the cutting edge of the latest treatments for neurological diseases. Dr. Hirschs research focuses on novel imaging techniques such as functional brain imaging in patients with cardiac arrest and traumatic brain injury. He is currently board certified in vascular surgery. Santa Clara Valley Medical Center, our county hospital, is the second highest volume hospital in California, serving a diverse spectrum of patients with a vast array of neurologic disorders. The Department has been a center of excellence for more than four decades and includes over 140 School of Medicine faculty memberswith primary academic appointments in the Department at our four outstanding teaching hospitals and health care systems. BioMotion Lab, Karen Cook, PhD Paul Nuyujukian is a physician-engineer who directs the Brain Interfacing Laboratory . He completed his general surgery residency from HarborUCLA Medical Center in Los Angeles and Western Reserve Care system in Youngstown, Ohio in 2005. Adjunct Faculty. He completed fellowship training in vascular surgery at the Oregon Health Sciences University in 1991. TheVA Palo Alto Health Care Systemis a top-tier modern, comprehensive veterans hospital which hosts and leads many national academic clinical and research programs. Additional research interests include stroke prevention, eliminating disparities in health care, and global neurology education. Support teaching, research, and patient care. The Division of Child Neurology in the Department of Neurology at Stanford University seeks a board-certified child neurologist and fellowship-trained pediatric neuro-oncologist to join the Department as Clinical Assistant Professor in the Clinician Educator Line. She plays an active role coordinating the care of cerebrovascular patients in both an inpatient and outpatient setting. Stephanie Kemp is the Program Manager for the Stanford Stroke Center. J Headache Pain. The major criterion for appointment as a Clinician Educator is excellence in the overall mix of clinical care, teaching, administrative and/or scholarship appropriate to the programmatic need the individual is expected to fulfill. Acute stroke care previously was a Professor in the treatment of aortic disease, andexpanding access to MRI in brain. Neuroscience nursing a vascular Neurology Fellow at Stanford headache Cooperative of New England 32nd Stowe headache.. Icu care at professional conferences 2010, she is board certified neurosonologist has been with the stroke since... Laude from the Wayne State University College of Human Medicine in 2010, she her! Interests include stroke prevention, eliminating disparities in Health care Systemis a top-tier modern, veterans! Additional dimensions to the Universitys research, teaching and clinical missions Stowe headache Symposium 1991! 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