Subjects with fatigue had significantly worse scores on the mean Schwab and England Activities of Daily Living Scale, PD QUALIF, and Hamilton Depression Scale (Ham-D) ( table 1). It is of interest that all three subscales of the UPDRS were worse in the fatigued group than in the nonfatigued group (mentation p < 0.0001, activities of daily living p < 0.0001, motor p = 0.0014). However, the fatigued group was significantly more neurologically impaired at baseline than the nonfatigued group as indicated by higher scores on each subset of the UPDRS and Hoehn-Yahr stage ( table 1). Fatigued subjects did not differ significantly from nonfatigued subjects in age (mean age 63.9 years vs 64.9 years) or gender (men 66% vs 70%). A total of 128 of these 349 (37%) participants were classified as fatigued at baseline. Of the 361 patients enrolled in ELLDOPA, 9 349 completed fatigue measures. SPECT scans were performed immediately prior to baseline and week 40 visits. Assessments of fatigue, using the Fatigue Severity Scale (FSS), 12 were performed at baseline, and weeks 3, 9, 24, 40, and 42.Ī total of 131 subjects were also co-enrolled in an imaging study using iodine-123-labeled 2-β-carboxymethoxy-3-β-(4-iodopheyl)tropane (-β-CIT) SPECT to measure striatal dopamine transporter density. A second investigator (primary rater) assessed PD severity using the UPDRS 11 at baseline and week 42. At each visit, participants were assessed for adverse experiences and clinically evaluated using the UPDRS 11 by the treating investigator. Subjects remained on drug for 40 weeks, followed by a 3-day downtitration and 2-week washout period, and were re-evaluated at 3, 9, 24, 40, 41, and 42 weeks after randomization. 9ĮLLDOPA participants were randomly assigned to receive carbidopa-levodopa 37.5/150 mg, 75/300 mg, or 150/600 mg, or matching placebo daily with titration to full dose occurring over 9 weeks. Patients with tremor scores of 3 or greater on the Unified Parkinson's Disease Rating Scale (UPDRS), 11 freezing of gait, loss of postural reflexes, dementia, or major depression were excluded from participation in ELLDOPA. 9 Briefly, this cohort included 361 untreated, levodopa-naïve individuals with early PD, defined by 1) diagnosis of PD within 2 years prior to enrollment, and 2) a rating of less than stage 3 on the modified Hoehn-Yahr scale, 10 who were considered unlikely to require symptomatic treatment within 9 months of enrollment. In addition, the placebo-controlled nature of the ELLDOPA study provided an ideal setting to assess the response of fatigue to levodopa treatment and its relationship to motor changes.įatigue was evaluated in the context of the randomized, double-blind, placebo-controlled ELLDOPA clinical trial. In this regard, the Earlier vs Later Levodopa (ELLDOPA) trial 9 offered a unique opportunity for investigating the relationship between fatigue and measures of disease severity, function, and quality of life in a large cohort of early, untreated, levodopa naïve subjects with PD. In addition, the effect of levodopa on fatigue in patients with PD who are levodopa naïve has never been described to our knowledge. Little is known about the prevalence of fatigue in early PD. In fact, most of the published investigations have focused on subjects with PD at later stages of the disease, and usually while on dopaminergic treatment. 8 It is even less likely that fatigue would be assessed in the early diagnosis of PD. 4-6 Although fatigue affects 32% to 56% of the PD population, 1,4,5,7 this nonmotor symptom is still under-recognized in the routine evaluation of subjects with PD even by PD experts. Since the earliest reports, 1-3 fatigue has been confirmed as a frequent and disabling nonmotor symptom in Parkinson disease (PD). Fatigue is a common symptom reported in most medical, neurologic, and psychiatric disorders but is poorly understood.
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So If you want to clean up the server storage hit that command and delete your download folder after all of your current downloads got uploaded. (Since owner and auth users support multitasking their downloads folder will not get deleted automatically!. delmyfolder - To delete the download folder of the owner and the auth users. /deletethumbnail - To delete your saved custom thumbnail!./help - To get the detailed help guide of using the bot!.AUTH_USERS - Id's of the telegram users, who you want to allow for multitasking - downloading multiple links at once!.(must enter with in the front of the username) Bot_username - Your bot's telegram username.Mega_password - This is not necessary! Enter your mega password only if you have a mega.nz account with pro/business features.Mega_email - This is not necessary! Enter your mega email only if you have a mega.nz account with pro/business features.TG_BOT_TOKEN - Make a bot from and enter the token here.Now If you did everything correctly, the bot will be running successfully! □ Make a vps (Recommended - Ubuntu 20.04 (LTS) 圆4 vps from a location/region near New Zealand) and log in to it. Note :- It's best if you deploy on a vps because with heroku downloadings can be slow! □ Examples of needed bot variables are mentioned below in this readme!.(Beacuse downloadings will be a little fast!). Choose Europe as server location when deploying.Note :- Due to telegram API limits I can't upload files which are bigger than 2GB so such files will be spliited and uploaded to you! Ability to download any file under 5GB! (If you provide a pro/business account when deploying there will be no file size limits! □).Broadcast any message to every user of your bot!.Attractive progress bar when downloading and uploading files! □.Multitasking is also supported ! (This means You (owner) and telegram users who you set as auth users will be able to download multiple links at the same time! □).Parallel download are supported! (This means many users can use the bot at the same time.You can find a live version of this bot in telegram as be kind to star and fork this repo!✨□ This is a telegram bot to download mega.nz links and return them as files/videos - Made by a 100% noob! "They may lack an understanding of what it means to struggle. "Because things come so easily to these people, they may not have as much determination or grit," Budd explains. However, sometimes an easy life comes with a cost. Those with this easy flow of energy in their chart may be effortlessly talented, magnetic, and successful. Generally speaking, though, grand trines are known to be favorable placements, with Budd noting, "Three different parts of the chart are interacting very favorably, and so they give energy to each other in a favorable way, as opposed to conflicting with each other." "While this can be a great tool for dreaming up world-changing ideas, it can also cause someone to chase every wild scheme and have a difficult time with boundaries and excess." "For example, let's say you have a Grand Trine between the excitable Sun, no-limits Jupiter, and imaginative-but-unrealistic Neptune," the twins explain. Pamela Anderson 0☀1′, Vespasian 0☀2′, Nastassja Kinski 0☀2′, Marcia Cross 0☀4′, Jimmy Carter 0☁3′, Emperor Hirohito 0☁4′, Anthony Burgess 0☁7′, Jodie Foster 0☂2′, Pablo Neruda 0☂9′, Billy Ray Cyrus 0☃3′, Jack Nicholson 0☃3′, Monica Seles 0☄3′, John Hurt 0☄5′, Christopher Reeve 0☄7′, Whoopi Goldberg 0★0′, Fred Astaire 0★7′, Jim Morrison 1☁1′, Kenny Chesney 1☁7′, Mike Pompeo 1☂2′, Sid Vicious 1☃0′, Deepak Chopra 1☃6′, Paul Ryan 2☃9′, Brigitte Bardot 2☄3′.Again, how your individual grand trine influences you will greatly depend on its specific planetary placements, Budd and the twins both say. Follow your instincts, and do it! Mars Trine Ascendant Celebrities This is an excellent time to use your initiative and start new projects. You can take the lead, but you would have to like or respect someone to take orders from them. This is a winning transit you can work alone but will do exceptionally well in a partnership or as part of a team. You can count on courage and good timing to attack and defeat your enemies. This is a good time for meeting new people, taking risks, having sex, competitive sports, and doing business. If you are shy, this is a great time to make the first move because you will make an excellent first impression. You can be direct and assertive with people without seeming aggressive or pushy. This is a high-energy transit that gives initiative and a sense of adventure. Mars trine Ascendant transit makes you more self-confident and outgoing. You can also be counted on to fight for what you believe in. Although you don’t start fights or anger people, you would undoubtedly attack if someone threatened you or your loved ones. Leadership is a natural talent, but taking orders may sometimes be challenging. You can work well alone and should be able to get along with a team. Your competitive streak would also be good in the world of business. For this reason, I think these aspects are so interesting These Sun-Ascendant aspects will dictate if you show your true qualities to others or if you wear a mask, hiding who you truly are. You should be physically strong and good at sports, and you would enjoy competing to win or just having a good time. ApAspects / Astrology Sun-Ascendant aspects are all about how you appear versus who you truly are. A high degree of initiative and a sense of adventure means you are not afraid to make the first move and take risks. You should have a lot of energy and enthusiasm for anything you are interested in. You are strongly independent and will fight hard to be yourself and live on your terms. High self-esteem means your ego does not need approval but seems to come your way. People like your no-nonsense approach and find you very attractive. You are direct and assertive but generally non-threatening. Mars trine Ascendant natal gives courage and strong willpower. Create video tutorials with screen capture, a webcam, or a combination.Replace background with image, video or solid color using Green Screen tool.Laptop camera recording and video capture.Record audio from your microphone and speakers with your video ideal for recording video conferences and webinars.Ability to show keystrokes in screen recordings.Mouse highlighting spotlights the location of the cursor when using screen recorder.Screen capture software records the entire screen, a single window or any selected portion.Capture video from a webcam, network IP camera or video input device (e.g., VHS recorder).Record videos as avi, wmv, flv, mpg, mp4, mov and more video formats.Reset: This button will remove the previous recordings and gives you a fresh start.Save: Lastly, you can download the watermark free recorded video by clicking on this button.Also, it is equipped with navigation features like play, pause, sound on/off, and full screen. When the recording gets ended you can use it as a player to watch the preview video. Preview Display: This panel shows you the real-time screen recording.You can then determine the duration for background. In Windows 11, turn on the switch for Record what happened. Next, you can opt to record activity that has already occurred.Also: How to downgrade from Windows 11 to Windows 10In Windows 10, turn on the switch for Record in the background while Im playing a game. The screens look different between Windows 10 and 11, but the settings are all the same.By default, your screen recordings are saved in your user folder under VideosCaptures, but you can change the location if you wish. Stop: It is used to stop the recording process. 1.In Windows 10 or 11, go to Settings > Gaming > Captures.Start Recording: Using this button you can start the screen recording.For that, you need to allow microphone access in order to do that. Record Microphone Audio: When you enable this option, it will record your microphone audio with the screen.So, it will record the browser's voice with the screen. Most importantly, you need to allow the "Share Audio" checkbox in order to do that. Record Browser Audio: It allows you to record your web browser's audio.Let's have a brief knowledge about all of them. The screen recording tool is loaded with many features to help you record your screen very easily. You will get very smooth, perfect, and premium quality recordings for free and with no watermark. Add a touch of flair to your loom with the confetti shortcut. High-Quality Results: The screen and audio recording results are very clean and of the highest quality. Draw (Control + Shift + D) Full screen screenshot (Control + Shift + 1) Selected area screenshot (Control + Shift + 2) Pro tip: Use the shortcut control + alt + c' to add a confetti explosion to your recording. It will be lost when you close the browser tab or window. The recording is on your browser only until you save it on your local storage. We use frontend JavaScript libraries to allow you to record the screen and save it. Previously, recording a screen on Windows required expensive equipment or third-party software, but Windows 10 and Windows 11 have the functionality built right, allowing anyone to record their. There is no backend routing to send your information to our servers. Everything happens on your browser locally. Our website doesn't store any kind of recordings you make. Highly Secured: We never harm your privacy and security. Just open our tool on your web browser and start recording. So, it's useful to record meetings, online tutorials, streams, live classes, and many more.Įverything within Browser: One of the greatest advantages you get using this tool is, you can complete all the tasks from recording to downloading in one place without using any other application. Very Useful Tool: With a screen recorder, you can easily record any medium and large device screen and save it in your local storage. Choose to record your screen, webcam, or both. The recorder frame will then appear on your Mac or Windows screen. It makes your job very much easy and fast. To screen record on a Mac or Windows computer, launch the recorder from our Screen Recorder page or from your free video hosting account. Hence, you can record your voice or browser's audio along with the screen recording. Supports Voice Recording: The tool supports recording microphone or browser audio. Language: English Words: 3,506 Chapters: 1/1 Comments: 10 Kudos: 15 Bookmarks: 1 Hits: 78 "I know," Aki says, and Denji stares at him in shock, because that may be the first time Aki's ever actually agreed with him. He looks too pale.ĭenji's chainsaw starts to melt away. aki gets injured during battle and denji has to take care of him but he kind of sucks at it ♡Īki just winces in response.Jojolions Fandoms: Chainsaw Man (Manga), Chainsaw Man (Anime) Of a wonderous family, nourishing the sweetest of memories together. Of a lovely life, in a house filled with hugs at every step. Simple dreams, burrowing in the back of her young mind. The control devil is born anew - a child, lost in a languishing world by her lonesome, spurned forward by dreams. Nothing too bad I think but let's play it safe.Choose Not To Use Archive Warnings, No Archive Warnings Apply.Al menos, eso es lo que ella cree.༺ Language: Español Words: 22,277 Chapters: 2/? Comments: 22 Kudos: 35 Hits: 401ĬobalticArkangel Fandoms: Chainsaw Man (Manga), Chainsaw Man (Anime) Ya no es un mocoso de secundaria Asa tampoco lo es porque ha cambiado. ¡Hasta un ciego sería capaz de verlas! Su paciencia está llegando al límite por lo que una noche le demostrará que no está hecho para estos jueguecitos. ༻Denji está cansado de que su amiga le envíe indirectas demasiado obvias. Alternate Universe - College/University.Creator Chose Not To Use Archive Warnings.StrawBerry022 Fandoms: Chainsaw Man (Manga), Chainsaw Man (Anime) Language: English Words: 2,550 Chapters: 1/1 Hits: 0 Or, denji and asa watch a movie, and asa falls (in more ways than one). A flower.” Denji squirms. The movie plays on in the background. “What?” This takes Asa off-guard something cold and rotten curls in her stomach. “That ain’t true!” Two spots of outraged colour bloom on Denji’s cheeks. You don’t have a romantic bone in your body.” “It’s about the gesture,” Asa says huffily. “Why’s marriage even cost money? That chick is way too high-maintenance.” If the game is still not working you can notify us by using the link report broken game so we can try to fix it.Everybodyhasroots Fandoms: Chainsaw Man (Manga) Reload the page and wait for the game to load. If the game Scooby Doo episode 2.1 River Rapids Rampage is not working make sure that you have one of the browsers Firefox, Chrome, Opera or Edge. Register now for free or log in so you can add the game Scooby Doo episode 2.1 River Rapids Rampage in Favourite games using the button "Make favourite", so you can find it easier in your private page with Favourite games. If you like this game you can rate it with rating from one to five using the stars in the description. You can play the game Scooby Doo episode 2.1 River Rapids Rampage in fullscreen mode by using the fullscreen button located on the top right side of the game screen. Scooby Doo episode 2.1 River Rapids Rampage is a game online with scooby doo, point and click, cartoon, cartoon network, in category Adventure. Play online Scooby Doo episode 2.1 River Rapids Rampage in - web site for games online. The title of the article must be catchy and clearly understandable.The article must be in easy language for better understanding.Not using facts or quotes or similar cases.Now that you know the steps of article writing and the article writing format, the occurrence of mistakes becomes obvious. Discuss the opinion and the matter in an organized and descriptive mannerĬommon Mistakes in the Article Writing Format.Keep the introduction of the topic catching, interesting, and short.While writing an article, always use proper grammar, spelling, and proper punctuations.Once you’ve taken care of all the Above steps you move forward to the final step- Writing. Organize: Arrange the information and the facts in a logical way.Also, identify the details that are most significant Collect & Select: Gather as such information as possible.Purpose: Find the objective or aim of writing the article.Target Audience: Identify the concerning reading group. Only after you’ve decided your topic you can go ahead and undertake the further steps in the process one by one: Think of the topic you want to write the article about. Conclusion (Ending paragraph of the article with the opinion or recommendation, anticipation or an appeal).Body (the main part of the article, 2 – 3 paragraphs).The basic outline for an article writing format is The article discusses various stories, persons, locations, rising-issues, and technical developmentsĪn article must be organized in a proper way so as to draw the attention of the readers.It influences the readers and urges them to think.It offers suggestions and pieces of advice.The article provides information on the topics.It brings out the topics or the matter of interest in the limelight.Definition, Essential Elements of Article WritingĪn article is written with the following objectives.The topic can either be serious or not-so-serious Same goes for its tone and language. It may be the topics of interest of the writer or it may be related to some current issues. The main motive behind writing an article is that it should be published in either newspapers or magazines or journals so as to make some difference to the world. doi: 10.1063/1.1924703.2 Solved Example on Steps of Article Writing ArticlesĪn article is a piece of writing written for a large audience. "Commutation relations for functions of operators". "Operational Dynamic Modeling Transcending Quantum and Classical Mechanics". An Ad hoc example of an operator which does have time dependence is ⟨ xt 2⟩, where x is the ordinary position operator and t is just the (non-operator) time, a parameter. The time dependence of the expectation value, in this picture, is due to the time evolution of the wavefunction for which the expectation value is calculated. ^ Although the expectation value of the momentum ⟨ p⟩, which is a real-number-valued function of time, will have time dependence, the momentum operator itself, p does not, in this picture: Rather, the momentum operator is a constant linear operator on the Hilbert space of the system.In other words, we applied the adjoint operation to the entire Schrödinger equation, which flipped the order of operations for H and Φ. D d t ⟨ A ⟩ = 1 i ℏ ⟨ ⟩ + ⟨ ∂ A ∂ t ⟩, is the Hamiltonian operator, and H is the Hamiltonian represented in coordinate space (as is the case in the derivation above). Class III / IV - Construction / Demolition - $75.Each County Waste Transfer Station has their own unique operating schedule and may accept different materials. Class I - Household garbage - $75.00 / ton County Waste and Recycling operates four conveniently located Transfer Stations where residents and businesses can drop off solid waste and recycling materials for a small fee.Brush - Clean wood waste and chips - $40.00 / ton.Please note: A safe motorized vehicle is required to drop off waste for disposal and all loads must be properly secured. Residents can also use these depots to dispose of their unwanted items. For a list of landfill and convenience center locations, click here.Ĭommercial loads – must be from Williamson County only The City of Toronto operates seven Transfer Stations which have Drop-Off Depots used to collect, sort and transfer all the City’s waste. Receipt of the no charge cost is strictly dependent on the Williamson County resident meeting all of these requirements, all policies of the Williamson County Solid Waste Department, and all applicable laws, rules, and ordinances. The Olinda and Prima Deshecha landfills are the only two sites open for. The no charge cost is limited to the first 5 tons of Class I waste, class III/IV waste, and/or brush per calendar year per Williamson County residential household. The fees listed below are for public disposal at Orange Countys landfills only. Note: Please have a Photo ID and proof of residency ready for the Scale Operator to review upon arrival. The Williamson County resident must be present with proof of residence at the time a load is delivered to the landfill to receive the no charge cost. Previously, these supraventricular tachycardia required long term drug therapy but more recently curative treatment with ablation has been developed. Other times they persist and may require drug treatment or electrical conversion in hospital. Sometimes these episodes are short-lived and terminate spontaneously. This usually causes distressing palpitations often with light-headedness, chest tightness, breathlessness and other symptoms. These are called supraventricular tachycardia (SVT) during which the heart rate can increase quite suddenly to over 200 beats per minute. Other forms of rapid heart beating are not life-threatening in the same way as ventricular tachycardia. Other non life-threatening forms and symptoms which may require drug treatment The most serious cardiac rhythm disturbance is called ventricular fibrillation when the electrical activity is so fast and chaotic that the heart cannot pump any blood.Ĭollapse and sudden death follows unless cardiac pulmonary resuscitation (CPR) and further medical help is provided immediately. When rapid heart beating arises in the ventricles – called ventricular tachycardia – a life-threatening situation can arise. Some forms of rapid heart beating can be life-threatening We consider that the normal heart rate is between 60 and 100 beats per minute but there are many exceptions.Īthletic people may have heart rates less than 60 and all of us can have rates over 100 when we are exercising or under pressure etc. If it is too fast, it is called a tachyarrhythmia or tachycardia. If the heartbeat is too slow, it is called a bradyarrhythmia or bradycardia. Resusitation Quality Improvement (RQI) ProgrammeĪrrhythmia The medical term for an abnormal rhythm of the heart is arrhythmia.CPR Courses for Healthcare Professionals.Volunteer with our patient support services. I will NOT check products for brands that are listed here. If your brand is listed, ask your question on that brand’s page. I will delete questions that don’t follow the guidelines, are in the wrong spot or are rude. If your brand is here on the list, I will not answer you on this post. You can also learn more about how to use these pregnancy safety lists. If you want to ask about a specific product, I require that you follow these guidelines for asking about pregnancy/nursing safety. I will not review products that fall into the “don’t worry about it” categories. Please read the Pregnancy Beauty Guide intro first, where you will learn which products you actually need to worry about (spoiler alert, you don’t need to worry about all makeup or hair products). Don’t See Your Brand? Read This Before You Ask About It… The eBook describes my approach to pregnancy skincare, why I think you need a “core” of products that you use throughout your pregnancy. Yes, you need to subscribe to my newsletter to get it, but it is otherwise free! I promise, I don’t email often, and when I do it is with helpful pregnancy beauty updates. A professional-grade liquid makeup brush cleaner that is quick drying and rinse free. I recommend starting with my Pregnancy Skincare eBook. Buy Professional Makeup Brush Cleaner Spray from Cinema Secrets here. I’ve tried to take the entire process and make it much easier for my readers. I was a doctor and reading all of the ingredient lists and learning which ones I needed to avoid was very intimidating! I wrote a few posts about the process, readers started asking questions, and over the years pregnancy safe beauty products grew into more and more posts on 15 Minute Beauty. You pour the brush cleaner into a dish or the cinema secrets tin (I have the travel sized and regular sized tins, although they arent necessa. When I was pregnant with my first child, I had a major anxiety moment over my beauty products. This product makes cleaning my brushes so quick and easy. And truly, who wants to spend hours researching which ingredients you should avoid in your skincare if you are pregnant? Is it safe to use your favorite retinol serum or what about benzoyl peroxide to treat your hormone related blemishes? If you are pregnant or trying to conceive, have you thought about your beauty products? Not all skincare and makeup is safe to use for pregnancy. Stubborn waterproof and long wear makeup melts away and brushes dry almost instantly, no water or rinsing required. JRĪnd one more tip to keep in mind: If you ever want to summon driving mode on your own, you can always activate Assistant (by saying "Hey Google" or using whatever Assistant-summoning command you prefer) and then saying "driving mode" - or you can give yourself a one-touch button for launching the mode by long-pressing on your home screen, selecting "Widgets," then scrolling down to the Maps section and touching and holding the "Driving Mode" widget to place it anywhere on your home screen. On the auto-driving detection, the pop-up prompt is your only option beyond the default "do nothing" behavior. Now, on the screen that comes up next, look at the lines labeled "When connected to car's Bluetooth" and "When driving is detected." In the first case, you can ask Maps to fire up driving mode instantly as soon as a connection is made - or you can instruct it to pop up a prompt and ask you if you want that to happen every time such a connection is established. To find those options, tap your profile picture in the upper-right corner of the Maps Android app, then select "Settings" followed by "Navigation settings" and then "Google Assistant settings" (whew!). But with a couple quick tweaks, you can make it even more useful by telling it to start up on its own whenever you connect to your vehicle's Bluetooth system - or even just whenever it detects that you're driving. Google Maps and Assistant now work together to give you a driving mode that puts common mid-trip functions front and center and makes 'em as easy as can be to activate whilst on the road.īy default, that mode pops up whenever you actively start a new Maps navigation. JRĪnd just a reminder: If you'd rather not have this info pulled over from other Google services into the Maps app, you can disable the feature or restrict how far back it goes by turning off or limiting Web & App Activity in your Google privacy settings. There, in that tucked-away spot no sane person would ever get around to finding, you'll see detailed info about any wanderings Google has compiled over the years. Want to look back on past adventures? You've got it: Just tap your profile picture in Maps' upper-right corner, then select "Your Timeline" from the menu that comes up and look for the word "Trips" on the bar at the top of the screen. Tap that, and any flights, car rentals, restaurant reservations, or other travel-related plans you've got will show up in an organized list - culled directly from the confirmations in your Gmail inbox as well as your Google Calendar. So here's the secret: Open up the Maps app on Android, tap the Saved tab at the bottom, and then scroll down and look for the circular Reservations button. You just practically need a map to find it. Fast-forward to today, and much of Trips' planning intelligence has quietly made its way into the main Maps app. After a few short years, the company killed off Trips and left those of us who'd come to rely on its smarts stranded, without any comparable replacement. Spectacular.īut then, well, Google Googled. Trips tapped into all the info already in your inbox and automatically created impressively organized, easy-to-manage bundles of plans from your incoming itineraries and confirmations. Way back in 2016, Google came out with an awesomely clever app called Trips. |
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