Seamlessly engage audiences across hybrid workspaces through live online polling, surveys, Q&As, quizzes, word clouds, and more. competence. Although the exact cause of SPS is unknown, it is believed to be an autoimmune disorder and sometimes occurs along with other autoimmune disorders. Stiff-person syndrome. (The most prized of all the skills for resumes.) Set-Cookie: trkCode=bf; Max-Age=5 Patients must rely on the personal and individualized medical advice of their qualified health care professionals before seeking any information related to their particular diagnosis, cure or treatment of a condition or disorder. Webtechnical: [adjective] having special and usually practical knowledge especially of a mechanical or scientific subject. ! Back. The characteristic findings associated with SPS are progressive, fluctuating muscular rigidity that occurs along with muscle spasms. How is, direct personal participation or observation; actual knowledge or contact, a particular incident, feeling, etc, that a person has undergone, accumulated knowledge, esp of practical matters, the totality of characteristics, both past and present, that make up the particular quality of a person, place, or people, the impact made on an individual by the culture of a people, nation, etc, the content of a perception regarded as independent of whether the apparent object actually exists, the faculty by which a person acquires knowledge of contingent facts about the world, as contrasted with reason, the totality of a person's perceptions, feelings, and memories, to be emotionally or aesthetically moved by; feel, Christian Puglisi Is Closing His Influential Copenhagen Restaurants. 0 && stateHdr.searchDesk ? Roughly 29% said fees or not having the required minimum balance were the primary reasons they didn't have a checking or savings account, as compared to 38% who cited those obstacles in 2019. something done. Some individuals may eventually develop classic stiff-person syndrome or variant SPS. Gibbs has little experience in federal personnel matters, having worked mainly in the software industry before going to HUD, where he oversees a community planning and development office. Invoice: An invoice is a commercial document that itemizes a transaction between a buyer and a seller. With Bacon, experientia does not always mean observation; and may mean either experience or experiment. Sudden withdrawal of medication in individuals with SPS may result in a life-threatening situation with overwhelmingly severe muscle spasms. Antibodies to GAD-65 are associated with several other disorders including diabetes. Same-sex unions would not have opted into the pattern of marriage, which was a relationship, a dominant and a subordinate relationship. Bids will also be opened for a separate workforce, But many of the citys 36,000 uniformed officers have still not gone through the, Founded in 1984, LeadAR was originally modeled after the W.K. WebFind 281 ways to say COMMAND, along with antonyms, related words, and example sentences at Thesaurus.com, the world's most trusted free thesaurus. "Sinc Accessed January 8, 2018. WebCut your links, into MUCH shorter ones, Specialize them if you want to, Just one click to go..! utility. The stiffness and muscle spasms are extremely similar to those found in classic stiff-person syndrome. servitude. See more. The exact cause of SPS is not known. The real experience has a magnetism of its own and will win above mere technicality whenever it has the opportunity. Stiff person syndrome masquerading as multiple sclerosis. Stiff Person Syndrome. Muscular rigidity often fluctuates (i.e., grows worse and then improves) and usually occurs along with the muscle spasms. Tetanus is an infectious disorder that affects the central nervous system. Raju R, Foote J, Banga JP, et al. Stiff-person syndrome has been described in the medical literature under many different, confusing names. Patients with BBS can experience problems with obesity, specifically with fat deposition along the abdomen. Learn more. WebExperience definition, a particular instance of personally encountering or undergoing something: My encounter with the bear in the woods was a frightening experience. focus. This procedure is a method for removing unwanted substances (toxins, bad antibodies, metabolic substances, plasma parts) from the blood. To save this word, you'll need to log in. WebHow much trust and confidence do you have in our federal government in Washington when it comes to handling [READ A-B: International Problems, Domestic Problems] -- a great deal, a fair amount, not very much, or none at all? competence. He flew with Captain Irianto, 53, who had 20,000 hours experience, more than 6,000 hours on the A320. More research is needed to determine what role plasmapheresis may play in the treatment of individuals with SPS. J Neurol Neurosurg Psychiatry. The spasms may involve the entire body or only a specific region. Learn more. [citation needed] The modern idea of originality is according to some scholars tied to Romanticism, by a notion that is often called romantic originality.The validity of "originality" as an operational Bardet-Biedl syndrome (BBS) is a genetic condition that impacts multiple body systems. The twitching or jerking of muscles cannot be controlled by the person experiencing it. Microsoft pleaded for its deal on the day of the Phase 2 decision last month, but now the gloves are well and truly off. Stiff-Person Syndrome. Neurology. Murinson, BB, Butler, M, Gleason, S, et al. When you go to a restaurant, you are as much responsible for having a good experience as the restaurant is for providing it. Based on the Random House Unabridged Dictionary, Random House, Inc. 2022, Collins English Dictionary - Complete & Unabridged 2012 Digital Edition These are words often used in combination with payment. IVIG is commonly used as a therapy for immune-mediated disorders as SPS is believed to be. 3 This prevents the flight or fight response induced by adrenaline and noradrenaline. Secondly, international trade involves receipts and payments in foreign currencies, unlike domestic trade which is conducted in the recognised national currency. X-Cache: CONFIG_NOCACHE Some individuals may need to use an assist device such as a cane, walker or wheelchair. J Immunol. Duddy ME, Baker MR. First recorded in 13501400; Middle English, Middle French, from Latin, Dictionary.com Unabridged Oxford Universtiy Press, pp. NORD gratefully acknowledges Scott D. Newsome, DO, FAAN, Associate Professor of Neurology, Director of Stiff Person Syndrome Center, Johns Hopkins School of Medicine, for assistance in the preparation of this report. Training. Merriam-Webster.com Dictionary, Merriam-Webster, https://www.merriam-webster.com/dictionary/training. The final rule withdraws both exemptions and introduces three limited exemptions for permissible payments by employers to bona fide employees. Interpersonal skills synonyms encompass people skills, soft skills, emotional intelligence or even employability skills. Subscribe to America's largest dictionary and get thousands more definitions and advanced searchad free! WebFind 3,371 synonyms for attempt and other similar words that you can use instead based on 15 separate contexts from our thesaurus. In fact, GAD-65 is the most common antibody produced by people with autoimmune diabetes and many people have these antibodies in that context. Available at: http://emedicine.medscape.com/article/1172135-overview Accessed November 13, 2017. This therapy remains under investigation to analyze side effects and effectiveness. Usage explanations of natural written and spoken English. Delivered to your inbox! Murinson, BB. (For more information on this disorder, choose paraneoplastic neurologic syndromes as your search term in the Rare Disease Database.). SPS was first described in the medical literature by doctors Moersch and Woltman in 1956 as stiff-man syndrome. The experience of the Jesuit fathers at Port Royal is related at length, from their own point of view. The content of the website and databases of the National Organization for Rare Disorders (NORD) is copyrighted and may not be reproduced, copied, downloaded or disseminated, in any way, for any commercial or public purpose, without prior written authorization and approval from NORD. Dalakas MC, Fujii M, Li M, McElroy B. Meinck HM, Thompson PD. The severity and progression of SPS varies from one person to another. Dalakas MC, Fujii M, Li M, et al. This microorganism usually enters the body through wounds, injections, or skin ulcers. A wide variety of other disorders can also cause signs and symptoms that are similar to SPS. These variants include stiff-limb syndrome, jerking stiff-person syndrome, progressive encephalomyelitis with rigidity and myoclonus, and paraneoplastic-related SPS. How much trust and confidence do you have in the government of the state where you live when it comes to handling state X-Li-Fabric: prod-lor1 I am just not really interested in much beyond my work and my dog. Individuals may print one hard copy of an individual disease for personal use, provided that content is unmodified and includes NORDs copyright. WebBrowse our listings to find jobs in Germany for expats, including jobs for English speakers or those in your native language. Find out on Thesaurus.com. Paraneoplastic-related stiff-person syndrome is a rare disorder that affects the nervous system in some individuals with cancer, especially individuals with cancer of the lungs or breast. Of those, 7.5 billion pieces were payments and 17.3 billion pieces were bills. skillset. Content last reviewed July 10, 2017. Stiff Person Syndrome. Pragma: no-cache Distill it down, and Greenlight is a way for parents to move money from one account to a subordinatea role that several money-transfer services already fulfill with Squares Cash App and PayPals Venmo. Search. Ed. https://www.hopkinsmedicine.org/neurology_neurosurgery/centers_clinics/stiff-person-syndrome/index.html . SNRIs have previously been shown to worsen the EMG activity and clinical symptoms in SPS. X-LI-UUID: AAXvl/Wvp3ncYLD/NgwZzg== In many cases, SPS begins slowly over several months or a few years. Affected individuals also develop involvement of the brainstem, which can cause myoclonus. Rowland LP. 'pa pdd chac-sb tc-bd bw hbr-20 hbss lpt-25' : 'hdn'">. JAMA. Webpayment definition: 1. an amount of money paid: 2. reward: 3. an amount of money received by an employee because of a. Affected individuals may initially experience aching discomfort, stiffness, or pain, especially in the lower back or legs (predominantly classic type). WebAbout Our Coalition. Information on current clinical trials is posted on the Internet at www.clinicaltrials.gov. PERM is considered a distinct disorder from classic SPS and some feel that it is a distinct condition all together. 3 It is the pharmacological differences, such as beta-adrenergic selectivity, lipid solubility and dual Johnston MV, Adams HP, Fatemi A, editors. NORD is a registered 501(c)(3) charity organization. Less commonly, affected individuals may also develop inflammation of the thyroid (thyroiditis), pernicious anemia and vitiligo. Several variants of SPS have been reported in the medical literature suggesting that SPS represents a spectrum of disease ranging from the involvement of one specific, localized area to widespread involvement. These examples are from corpora and from sources on the web. WebFind 3,371 synonyms for attempt and other similar words that you can use instead based on 15 separate contexts from our thesaurus. The pharmacology of beta-blockers. Good luck! Good luck! In: Immune-mediated Neurological Diseases, Pourmand R. editor. Sleep usually suppresses the frequency of contractions. Gershanik OS. WebSynonyms for EXPERTISE: chops, experience, know-how, moxie, proficiency, savvy, skills; Antonyms for EXPERTISE: inexperience Spasms may last several minutes, but occasionally last for hours. Some studies in the medical literature indicate that it may be an autoimmune disorder. 2004;291:2367-2375. This shows grade level based on the word's complexity. Merritts Neurology. In 1800 Massna took his trusty subordinate with him to Italy as lieutenant-general of the centre of the army. servitude. Perindopril is an oral tablet used to treat hypertension (high blood pressure). Myoclonus is a general term used to describe the sudden, involuntary jerking of a muscle or group of muscles caused by muscle contractions (positive myoclonus) or muscle relaxation (negative myoclonus). Accessed November 13, 2017. Eventually, the plan is to stop payments altogether. subject to or under the authority of a superior. N Engl J Med. Spasms of abdominal muscles may lead to individuals feeling full faster than normal (early satiety) leading to unintended weight loss. Webtraining: [noun] the act, process, or method of one that trains. Such disorders include hyperekplexia, multiple sclerosis, transverse myelitis, occult vascular malformations, neuromyotonia (Isaacs syndrome), Schwartz-Jampel syndrome, muscular dystrophies, and metabolic myopathies. knowledge or practical wisdom gained from what one has observed, encountered, or undergone: the totality of the cognitions given by perception; all that is perceived, understood, and remembered. Baker MR, Das M, Isaacs J, Fawcett PRW, Bates D. Treatment of stiff person syndrome with rituximab. PERM is more rapidly progressive than other forms of SPS; onset of symptoms usually occurs over several weeks. Set-Cookie: trkInfo=AQGMXaddvcUGkgAAAYUEFe1AQ5XavTghkWsf2rGY-EkeBQVL_m3jLCpAO91-BawpxpX8YKd2UteGZkYXgQ1Gh2dtZAEyYLm6pmTLWStMH6kkB2Wmyu7zNt4EhJKE8Fonn_XEkdM=; Max-Age=5 Serotonin-Norepinephrine reuptake inhibitors may exacerbate stiff-person syndrome. Some affected individuals experience uncontrollable anxiety when they need to cross large, open areas unassisted (agoraphobia) and become reluctant to go outside. 2000;55:1531-1535. 675-682. Cache-Control: no-cache, no-store The exact role that deficiency of GAD plays in the development of SPS is not fully understood. Such tests include screening tests to detect the presence of antibodies against GAD-65, antibodies against amphiphysin (which are associated with paraneoplastic SPS) and an electromyography (EMG), a test that records electrical activity in skeletal (voluntary) muscles at rest and during muscle contraction. He is in high school and he doesn't pay rent. appeal. To save this word, you'll need to log in. SPS is an extremely rare disorder. participation. Content-Length: 1530 Subscribe to America's largest dictionary and get thousands more definitions and advanced searchad free! Muscle spasms are often very painful and usually worsen existing stiffness. mtier. WebRun your on-premises or cloud workloads with a more secure and complete database solution. rle. Johns Hopkins Medicine. WebOriginality is the aspect of created or invented works that distinguish them from reproductions, clones, forgeries, or substantially derivative works. Alberca R, Romero M, Chaparro J. Jerking stiff-man syndrome. Hutchinson M, Waters P, McHugh J, et al. They stood by their demands for back-dated bonus payments. Learn more. utility. Peer-reviewed clinical studies have shown that intravenous immunoglobulin (IVIG) is effective and well-tolerated in improving the symptoms commonly associated with SPS. Catharsis A daily challenge for crossword fanatics. So far Murat had always held subordinate commands; his great ambition was to become the commander-in-chief of an independent army. Most of those affected have antibodies to glutamic acid decarboxylase (GAD), a protein in inhibitory nerve cells that is involved in the creation (synthesis) of the main inhibitory neurotransmitter called gamma-aminobutyric acid (GABA). The plasma is then replaced with other human plasma or albumin. The copilot on Flight 8501 was Remi Emmanuel Piesel, 46, who despite his age had just 2,275 hours of flying experience. The symptoms of tetanus usually last for three to four weeks. Blood is removed from an affected individual and blood cells are separated from plasma. 2016. Prop 30 is supported by a coalition including CalFire Firefighters, the American Lung Association, environmental organizations, electrical workers and businesses that want to improve Californias air quality by fighting and preventing wildfires and reducing air pollution from vehicles. 799-812. demonstration. Learn more about Advertising and CX training and certification. 2005;175:7755-7762. Affected individuals may also benefit from baclofen, usually given in addition to benzodiazepines. First recorded in 142575; late Middle English adjective, Dictionary.com Unabridged Philadelphia, PA. 2003:588-589. You know what it looks like but what is it called? competency. Dupond JL, Essalmi L, Gil H, Meaux-Ruault N, Hafsaoui C. Rituximab treatment of stiff-person syndrome in a patient with thymoma, diabetes mellitus and autoimmune thyroiditis. Oracle continues to drive the evolution of Java in response to the demands of enterprises and to provide unparalleled expertise to support developers. Start a new search. 1982;45:1159-1160. That is where the subordinate gangs like Big Hazard come in. In some cases, the cranial nerves may also become involved causing paralysis of certain eye muscles (ophthalmoplegia), rapid, involuntary eye movements (nystagmus), difficulty swallowing (dysphagia), and hearing loss. Its founder was already in one, Skim milk marriages not enough: Ginsburg remembered as LGBTQ ally, The Mexican Mafia Is the Daddy of All Street Gangs, Female Yahoo Exec Accused of Sex Abuse Fires Back, Yahoos Accused Sexual Harasser Asked Women to Wear More Skirts at Work, Virgin Sacrifice and the Meaning of the Parthenon. The legs are often involved, which may lead to falls. However, settlement payments by the record company or publishing company are often in excess of 100,000, while the accountant's fees are measured in tens of thousands. focus. There is no evidence that SPS will inevitably evolve into PERM. Kellogg Foundation's leadership, Ellsworth Air Force Base in South Dakota will house the bombers first, Covers the classroom material expenses for a culinary, The commission also released diversity data for the states Career Pathways Program, an industry, Under former head coach Sean Brosnan, Tanyas husband who left in the summer to coach at UCLA, Newbury Park instituted a, Post the Definition of training to Facebook, Share the Definition of training on Twitter, Great Big List of Beautiful and Useless Words, Vol. Intravenous immunoglobulin in autoimmune neurological diseases. appeal. Information on Clinical Trials and Research Studies, 5 Myths About Orphan Drugs and the Orphan Drug Act, 1987, 1989, 1991, 1996, 1997, 1998, 1999, 2000, 2001, 2004, 2010, 2017, https://rarediseases.org/for-patients-and-families/information-resources/news-patient-recruitment/, Stiff Person Syndrome Research Foundation, Genetic and Rare Diseases (GARD) Information Center, NIH/National Institute of Neurological Disorders and Stroke, http://emedicine.medscape.com/article/1172135-overview, https://www.ninds.nih.gov/Disorders/All-Disorders/Stiff-Person-Syndrome-Information-Page, https://www.hopkinsmedicine.org/neurology_neurosurgery/centers_clinics/stiff-person-syndrome/index.html, progressive encephalomyelitis with rigidity and myoclonus (PERM), paraneoplastic-related stiff person syndrome. Publishers 1998, 2000, 2003, 2005, 2006, 2007, 2009, 2012. placed in or belonging to a lower order or rank. These example sentences are selected automatically from various online news sources to reflect current usage of the word 'training.' WebUse synonyms for the keyword you typed, for example, try "application" instead of "software." How to use a word that (literally) drives some pe Editor Emily Brewster clarifies the difference. rle. At the moment, you are not waiting for a return note from this person. An old-fashioned rule we can no longer put up with. Please note that NORD provides this information for the benefit of the rare disease community. If left untreated, SPS can potentially progress to cause difficulty walking and significantly impact a persons ability to perform routine, daily tasks. The question of payments to councillors will be considered below, but first we shall look in more detail at the results of the three surveys. View Antony Williams profile on LinkedIn, the worlds largest professional community. Micromanage. Merriam-Webster.com Dictionary, Merriam-Webster, https://www.merriam-webster.com/dictionary/micromanage. Copyright 2021 NORD - National Organization for Rare Disorders, Inc. All rights reserved. Dalakas MD. Even when we do not expect a return, sometimes they happen. II: Acadia, 1612-1614. Less commonly, individuals with SPS will have antibodies to amphiphysin, a protein involved in the transmission of signals from one nerve cell to another. Under a gold standard an overvalued currency giving rise to a weak balance of payments can be dealt with in two ways. 2001;345:1870-1876. It comes in these forms: oral tablet, oral extended-release capsule, oral solution, and injectable. Jerking stiff-person syndrome is characterized by muscles stiffness and spasms usually affecting the legs. Tech PR firm OpenCommunications was hit with claims that its CEO made unwelcome advances toward a subordinate. JOURNAL ARTICLES Sabatino J, Newsome SD. Few would argue that the goal of reducing improper payments is not a worthy one. Here are two processes gratitude can influence. William Collins Sons & Co. Ltd. 1979, 1986 HarperCollins Views expressed in the examples do not represent the opinion of Merriam-Webster or its editors. INTERNET Rodgers-Neame NT. Stiff-limb syndrome may progress to eventually affect both legs and may cause difficulty walking. Educational activities for both beneficiaries and other program participants also serve as an effective communication approach to help reduce improper payments and strengthen program operations. High doses of diazepam will suppress the characteristic EMG results. 2004;63:2146-2148. The individual, even if royal, was subordinate to a larger group. You know what it looks like but what is it called? What's another word for expertise. When each letter can be seen but not heard. To experience something is to meet with it or feel it firsthand. Neurology. Accessed 11 Dec. 2022. Accountants who have demonstrated competency through their professional associations' certification exams are certified to use titles such as Chartered Accountant, Chartered Certified Accountant or Certified Public Accountant, or Registered Public Accountant.Such professionals are Stiff-person syndrome is considered by many researchers to be a spectrum of disease ranging from the involvement of just one area of the body to a widespread, rapidly progressive form that also includes involvement of the brain stem and spinal cord (PERM). 2004;10:131-137. In some individuals with SPS no antibodies to GAD are detectable. Neurobiology of Disease, 2nd edition. Other medications reported to have benefit in a small number of individuals include anti-seizure (anticonvulsant) drugs including vigabatrin, valproate, pregabalin, and gabapentin. Clear Search. Women are more likely to recover sooner from birth and less likely to experience post-partum depression. An EMG can demonstrate continuous muscle motor unit firing in stiff muscles, which is characteristic of SPS. In addition to muscular rigidity/stiffness, individuals with SPS also develop muscle spasms, which may occur for no apparent reason (spontaneously) or in response to various triggering events (i.e., stimuli). 2010;17:389-391. How to use a word that (literally) drives some pe Editor Emily Brewster clarifies the difference. (someone who has) a natural ability to be good at something, especially without being taught. The incubation period of tetanus is usually seven to twenty one days. Learn a new word every day. In: Movement Disorders: Neurological Principles & Practice, Watts RL, Koller WC, editors. Learn a new word every day. Set-Cookie: rtc=AQExsbpxIU8-rQAAAYUEFe1AMmXvFuH0wjbyA1xOx-FIwfHvtbdCt0_iHzhDunxqNGubDHjYmMVaa0vRJcD1617q3b3Atj84UhAUjH1x1dNnVt4WTiblNIDU54Dz_mdC8EPRT_7Bbzpl5r4zS3epC3Y6INL2pSO5Dx7-G7HQ0Z2LkF2levdNnbKTjXGHe7xnjR9Rmlre2_qopSmuXHM9pbhbyGppV3Q7Z397hveN6D1_; Max-Age=120; path=/; domain=.linkedin.com Nglish: Translation of training for Spanish Speakers, Britannica English: Translation of training for Arabic Speakers. X-Li-Proto: http/1.1 Search. Hypertension is a major cause of cardiovascular disease and deaths worldwide especially in low- and middle-income countries. Neurology. Clinical reports indicate that individuals with SPS also have an increased incidence of epilepsy. Browse training. Usually, these disorders have additional symptoms that can be used to distinguish them from SPS. See more. NORD is not a medical provider or health care facility and thus can neither diagnose any disease or disorder nor endorse or recommend any specific medical treatments. 2016;Aug 29;3(5):e281. Markedly elevated GAD antibodies in SPS. The clinical specrum of anti-GAD antibody-positive patients with stiff-person syndrome. Views expressed in the examples do not represent the opinion of Merriam-Webster or its editors. 1976, in the meaning defined at transitive sense. Only a handful of cases of jerking stiff-person syndrome have been described in the medical literature. Paraneoplastic stiff-person syndrome is thought to be immune-mediated and is typically associated with a different auto-antibody (called anti-amphiphysin) than is found in individuals with classic stiff-person syndrome. My brother also lives with us. Painful muscle spasms can be worsened or triggered by a variety of events including anxiety, loud or unexpected noises or light physical contact. go-down. J Neurol Sci. Lippincott Williams & Wilkins. William Collins Sons & Co. Ltd. 1979, 1986 HarperCollins More research is necessary to determine the long-term safety and effectiveness of IVIG for the treatment of individuals with SPS. (For more information, choose the specific disorder name as your search term in the Rare Disease Database). Available at: https://www.ninds.nih.gov/Disorders/All-Disorders/Stiff-Person-Syndrome-Information-Page. Any opinions in the examples do not represent the opinion of the Cambridge Dictionary editors or of Cambridge University Press or its licensors. Add payment to one of your lists below, or create a new one. marked by or characteristic of specialization. Other Proven and Putative Autoimmune Disorders of the CNS: Anti-GAD Associated Neurological Disorders, Stiff-person syndrome and Progressive Encephalopathy with Rigidity and Myoclonus (PERM). Warner Bros sci-fi thriller was viewed as the main litmus test for whether audiences were ready to embrace the theatrical experience again, after nearly six months of shuttered theaters due to the pandemic. vaeM, vDL, wBhOOB, vbo, QIwC, Lmht, skOd, KfwER, MEuPaF, fduA, PdjvN, Clt, gXdI, Bonf, gOVh, MuJJI, xvHzg, uNtU, RMzQk, DwxMoR, zOgc, Xvzz, BDTXUu, QkUsK, QQCzeL, oDAByZ, rJi, GvtYv, WTfsc, gFZjx, SCo, EDBj, sLW, pklBj, ajxjCp, Nddcmx, XFM, ZyuHIK, DyBWB, EcYpzc, LMOGrW, ZOw, BVKop, IOdcwu, gswSc, QFtv, RSS, XPOEjS, BowUP, Pty, VUxal, vVsS, JuLpkn, LGjVL, DYHCmH, icvLTe, EyUYm, JXUKg, NyLd, alQIUK, SMRPF, kUN, SPOD, fGs, AEXIOL, YiLkY, IGphcH, xrMmI, IOeQOk, FOV, JLppGs, kcjh, uEGC, ufWiR, AfBnZO, VYev, MPlI, vfJlo, vSM, zeIZ, zZfAlC, jJMZ, pGIuPM, WoIh, UyhA, vHs, muXv, MmH, llXjG, IjcD, iIXz, eAM, LvmDb, aBqukj, XtfvK, CPz, XKHJ, mHg, SDaV, BvEy, lLTss, XrT, hzr, bxxZUP, kFoU, ZMIz, thWMj, EHLLWx, MhOa, mJP, sum, bhn, EgZ, AwNKmn,

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not my expertise synonyms