Diabetes Cost the U.S. $245 Billion in 2012

Walk 8, 2013 (Washington, D.C.) — Diabetes fetched the United States an assessed $245 billion in 2012, according to a unused analysis from the American Diabetes Affiliation (ADA).

The report is an upgrade to the ADA’s last taken a toll report issued in 2007. It looks at the use of wellbeing resources and lost efficiency due to diabetes, as well as costs brought about by individuals with diabetes in the U.S.

The findings, to be published in the April 2013 issue of Diabetes Care, were discharged at a press briefing on Capitol Hill.

Agreeing to the report, around 22.3 million individuals — 7% of the U.S. populace — were living with diabetes in 2012, an increase of about 5 million since 2007.

“We have an unimaginable plague of diabetes that is driving wellbeing care uses excessively. … Unless we do something to stop diabetes, the economic taken a toll will continue to rise,” ADA Chief Scientific and Medical Officer Robert E. Ratner, MD, said at the briefing.

The Rising Cost of Diabetes

The $245 billion figure is made up of $176 billion in coordinate therapeutic costs, counting clinic and crisis care, doctors‘ visits, and drugs. There moreover are $69 billion in circuitous costs, counting lower productivity at work or misplaced productivity, and untimely passing.

The full represents a 41% increment from the ADA’s last appraise of $174 billion in 2007, Ratner said.

According to the report, after taking into consideration age and sex, annual wellbeing costs for people with diabetes are more than twofold than for those without — $13,741 vs. $5,853. This proposes that diabetes is responsible for $7,888 in overabundance costs per year.

Agreeing to Ratner, the increased number of individuals with diabetes is the most reason for the more noteworthy financial burden, rather than a rise in medical costs per person.

The taken a toll of diabetes patients spending time in the clinic was the largest supporter to coordinate restorative costs in 2012, at $76 billion compared with $58 billion in 2007. However, on a good note, Ratner said inpatient costs as a extent of total coordinate restorative costs dropped from 50% to just 43% of the entire.

“We show up to be maintaining a strategic distance from the costs of hospitalizations and progressing less expensive outpatient management,” he said.

Sen. Susan Collins (R-Maine), co-chair of the Senate Diabetes Caucus, moreover spoke at the briefing, noting that one-third of Americans over 65 have been diagnosed with type 2 diabetes, and half are at risk for it.

And, she said, about 1 in 3 Medicare dollars is went through on diabetes. “When you look at the impact of diabetes, it’s evident that on the off chance that we seem anticipate the malady and come up with superior medications, we could have a major affect not only on peoples’ lives, but also on the Medicare and Medicaid budgets.”

To see a adaptation of this story for doctors, visit Medscape, the leading location for physicians and health care professionals.

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Google Retina Scan May Reveal Heart Attack Risk

Feb. 21, 2018 — A retinal examination by counterfeit intelligence may uncover a person’s risk for heart attack or stroke, agreeing to a new think about.

Google analysts said this approach was 70 percent exact in recognizing patients who would suffer a heart attack or other major cardiovascular issue inside five a long time and those who would not, USA Today detailed.

That rate is similar to blood tests to measure cholesterol levels.

For the study, the analysts used models that were based on data from 284,335 patients and approved utilizing two partitioned information sets of 12,026 and 999 patients. The findings were published Monday in the online diary Nature Biomedical Building.

The study authors famous that much more research needs to be done.

„The caveat to usually that it’s early, (and) we trained this on a small data set,“ lead analyst Lily Peng told USA Nowadays. „We think that the accuracy of this prediction will go up a little bit more as we kind of get more comprehensive data. Discovering that we could do typically a great to begin with step. But we ought to validate.“

 

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U.S. House Passes Drug Pricing Bill

Dec. 13, 2019 — A U.S. House Democrat charge that would give Medicare the authority to arrange prescription drug costs and provide modern benefits for seniors was passed Thursday in a 230-192 vote along party lines.

In any case, the bill has no chance of being passed by the Republican-controlled Senate and the White House has threatened to reject it, the Related Press detailed.

The AARP is among the groups that support the charge, while the pharmaceutical industry strongly restricts it.

House Speaker Nancy Pelosi’s charge would limit Medicare patients‘ out-of-pocket costs for medicines to $2,000 a year and make coverage for dental care, hearing and vision by using the $360 billion of anticipated 10-year investment funds from lower drug costs, the AP reported.

The charge „may be a serious proposal but everyone knows that the Senate isn’t reaching to go for it,“ according to John Rother, CEO of the National Coalition on Wellbeing, a bunch that speaks to wellbeing care industry bunches and customers.

„It is around administering, but even more it’s approximately setting up a stage that Democrats can run on going into the following decision cycle and lays the foundation for authoritative movement in 2021,“ Rother told the AP.

Pelosi said her bill would provide on Donald Trump’s promise during the 2016 presidential campaign to „arrange like crazy“ to lower prescription sedate prices for Medicare recipients.

As president, Trump has sponsored absent from the promise, the AP reported.

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Amy’s Kitchen Products Recalled Over Listeria

Walk 24, 2015 –More than 73,000 cases of its items are being reviewed by Amy’s Kitchen due to conceivable listeria contamination.

„This review is based on a review notice from one of Amy’s natural spinach providers that Amy’s may have gotten natural spinach with the conceivable nearness of Listeria monocytogenes,“ the company said in a articulation, ABC News detailed.

The reviewed items which include lasagnas, pizza and enchiladas that contain the possibly sullied spinach. Amy’s Kitchen said it is not aware of any ailment or complaints related to the reviewed products.

Listeria can cause serious and now and then lethal infections in young children, frail or elderly individuals, and other people with debilitated immune frameworks, according to Kirsten Larson, supervisor of the nourishment safety program for the Association of Public Wellbeing Research facilities, ABC News reported. Indications incorporate tall fever, migraine and stomach trouble.

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FDA Approves Saline Breast Implants

May 10, 2000 (Washington) — The FDA declared Wednesday that it will allow two makers of saline breast inserts to keep their items on the market. But women ought to be given enough data almost tall complication and disappointment rates so that they can make informed choices about whether the implants are right for them.

The FDA made its decision based on investigate conducted by the two California companies that produce saline inserts, McGhan Therapeutic Corp. and Coach Corp.

Thinks about looked at about 9,000 female subjects, examining their encounters with short-term complications such as disease, hardening of the tissue surrounding the implant, spillage, or collapse, and complications requiring removal of the product. Analysts weighed these components against others, like patient fulfillment and self-esteem.

„With the data that have been displayed, ladies and their doctors will be able to form informed decisions about whether the benefits are worth the risks,“ said FDA Commissioner Jane E. Henney, MD.

David Feigal, MD, the FDA restorative devices chief, included, „It’s clear from these ponders that there is a possibility that a substantial number of ladies who get these inserts will require extra surgery at some point to expel or replace their inserts because of complications.“

The FDA reports that after three a long time in the thinks about, there were around 700 patients still being followed. One-fifth required extra surgery; 16% reported breast torment; 11% reported wrinkling; and around 10% each had hardness, non-symmetric breasts, leakage, or a need to expel the implants.

The government’s choice to favor saline inserts is a long time coming. Saline implants, like their more questionable silicone cousins, have been on the market for nearly three decades, long before the FDA started to direct restorative gadgets in 1976. So specialists, patients, and industrialists have waited until presently for the government’s official Ok.

Almost 130,000 American ladies gotten saline-filled breast implants final year, indeed in spite of the fact that the FDA had never pronounced the implants safe.

The hazard is more prominent for women who get the inserts after breast cancer surgery than for ladies who select cosmetic breast broadening, the FDA warns. A few 39% of cancer survivors need extra surgeries within three years of their unique breast embed.

And the longer women have inserts, the more likely they are to endure a side effect, the FDA says. Up to 73% of patients in one think about endured at slightest one side impact.

Women’s health advocates condemned the FDA’s decision.

„The standard of safety is at a modern moo at FDA,“ said Diana Zuckerman, of the National Center for Arrangement Inquire about for Women and Families. „Here you’ve got the advantage, which is cosmetic, and the dangers, which are genuine wellbeing problems.“

In Walk, WebMD reported that Leroy Young, MD, makes a point of telling his patients that their modern inserts will most likely ought to be replaced inside the first decade of receiving them. The professor of surgery at Washington College in St. Louis notes that more surgery implies risks with anesthesia, infection, dying, clotting, and other complications.

But in their choice, FDA authorities said they affirmed the implants since, in spite of the complications and the dangers of experiencing rehashed surgeries, many women in the companies‘ considers insisted they were upbeat with the inserts.

In March, the FDA’s free logical counsels suggested that the items stay on the market, in spite of pronouncing that they break open and leak at „alarmingly tall“ rates. The board heard hours of testimony from dozens of ladies claiming the implants cleared out them in dire pain and distorted them — while many cancer survivors said the implants were important for their passionate recuperation.

For most ladies needing breast implants, saline-filled products are the only choice, since the FDA banned use of silicone gel-filled versions in 1992. No other implants are sold within the Joined together States.

An choice for cancer patients is for specialists to revamp their breasts using fat and tissue from other parts of the body.

The controversy over breast inserts emerged in the early 1990s, when thousands of ladies claimed the inserts gave them genuine illnesses, from arthritis to cancer. But after repeated scientific considers, the Founded of Medicine last year announced that inserts, whether silicone gel- or saline-filled, don’t cause major infections. So the FDA’s concerns almost saline inserts center on breast-related side impacts — torment, disease, deflation, and rehash surgeries.

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Cash Could Help Teens Stop Texting While Driving

By Robert Preidt

HealthDay Correspondent

WEDNESDAY, May 2, 2018 (HealthDay News) — Teenagers cherish their cellphones, but that adore issue can turn dangerous when they climb behind the wheel of a car.

But new research suggests that budgetary motivations and other measures might help to deter young drivers from texting whereas driving.

Numerous youngsters who concede to texting while driving said they’d be open to cash rewards or lower insurance premiums in return for not texting, a new survey found.

In addition, many are open to employing a „driver mode“ phone app that would limit a cellphone’s functions when behind the wheel.

„More than half of youngsters within the Joined together States admit to texting whereas driving, and this has become a noteworthy open wellbeing issue leading to preventable deaths and impairing injuries,“ said think about lead creator Dr. Pack Delgado. He’s an collaborator teacher of emergency pharmaceutical at the College of Pennsylvania’s Perelman School of Medication.

„Our consider proposes a promising strategy to curb this scourge would include empowering a phone setting or third-party app with programmed responses to approaching writings, but with route and music capacities open, combined with monetary incentives to support utilize,“ Delgado said in a university news discharge.

The consider included 153 youngsters, matured 16 and 17, who possessed their possess car and said they had texted whereas driving in the past month.

Ninety-nine percent of the youngsters said they’d be „willing“ or „somewhat willing“ to provide up reading emails and using social media while driving.

More than nine out of 10 too said they’d be willing to swear off perusing texts, and making or receiving non-hands-free calls while driving.

Far fewer said they would consider giving up music apps (55 percent) or navigation apps (40 percent), the discoveries appeared.

Almost half of the high schoolers conceded to texting frequently while driving — more than six days a month. These drivers were much less willing to deliver up behind-the-wheel cellphone use, according to the report.

When inquired around several possible ways to debilitate texting while driving, most of the teenagers said financial motivations would be very effective. Possible motivating forces included an annual insurance premium markdown or a cash reward for every week they didn’t text and drive.

Just over half moreover said that automatic phone locking whereas driving would work.

Car crashes are the leading cause of passing among U.S. teens, and cellphone distraction is a major cause of such deaths. Drivers aged 15 to 19 are more likely than any other age bunch to die in crashes caused by cellphone distraction, the consider authors said.

The findings were published online as of late in the journal Traffic Injury Prevention.

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Lead Poisoning Prompts Recall of Metal Charms

March 3, 2005 – Lead poisoningLead poisoning fears have incited the recall of about 3 million metal charms sold in create stores in later years.

The Shopper Product Safety Commission (CPSC) and the charms‘ manufacturer, Hirschberg Schutz & Co. Inc., declared the intentional review of 2.8 million charms sold under the name „Charming Thoughts“ nowadays.

The CSPC gotten a report of a 6-year-old young lady who developed hoisted blood lead levels thought to be related to mouthing the charms on a custom made necklace. Lead harming in children is linked to behavioral problems, learning inabilities, hearing problems, and growth impediment. Even moo levels of lead are destructive.

Children, especially those beneath the age of 6, are at risk because of their quick development and their tendency to put their hands and objects in their mouths. On the off chance that you’re concerned approximately your child being uncovered, ask your doctor to test your child for lead poisoning.test your child for lead harming.

The recalled metal charms were sold at Michaels Stores from July 2002 through February 2005, at Memories stores from October 2004 through February 2005, and at Hancock Textures stores from January 2004 through January 2005. All of the charms were made in China.

Most of the charms are silver-colored with small silver loops. They were sold in packages of two to 12 pieces.

The metal charms are different shapes including small hearts, crowns, winged creatures, picture outlines, fragrance bottles, and a cross. Some of the metal charms have little blue, pink, or yellow stones and are printed with words including „princess,“ „congratulations,“ „city young lady,“ „world traveler,“ and „life’s endowments.“ „Embed photo here,“ „cherish,“ „cherish,“ and „honor“ are printed on the picture frame charms.

The metal charms were sold as decorations for put cards, welcoming cards, collages, memory boxes, gift cards, scrapbooks, invitations, and gift sacks. The charms also can be joined to pieces of jewelry and bracelets.

To see a picture of the reviewed charms, go to the CPSC web site.CPSC web site.

People who purchased the charms ought to immediately take these metal charms away from children and contact Hirschberg Schutz & Co. at (800) 873-5506 to get a refund. Shoppers too can mail the firm at [email protected] for more information.

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Heart Failure Patients Living Longer

       

By Dennis Thompson

       

         HealthDay Reporter        

     

       

THURSDAY, July 6, 2017 (HealthDay News) — Heart disappointment patients are much less likely presently to kick the bucket from sudden cardiac arrest, new research appears.

Rates of sudden passing from heart disappointment have declined by nearly half over the past two decades, according to data assembled from a dozen isolated clinical trials.

Better heart medications utilized in viable combinations are expanding the lives of people with heart disappointment, said senior consider creator Dr. John McMurray, a teacher of cardiology with the University of Glasgow in Scotland.

„Patients with heart failure and reduced launch division certainly are living longer, and I think are also living better,“ McMurray said. „Present day pharmacological and gadget therapy is very successful, and we are presently reasonably commonly seeing patients with considerable or even complete recuperation of their heart muscle dysfunction.“

In truth, medicines have gotten to be so effective that many low-risk heart failure patients may not got to get an implantable cardioverter-defibrillator (ICD) to secure their lives, McMurray and his international colleagues argued.      

„Our discoveries add to the later debate about who ought to get an ICD given that these are costly devices, the implantation of which can be related with complications,“ McMurray said. „The lion’s share of patients accepting an ICD never utilize it. So whereas everybody agrees that ICDs are a valuable and lifesaving treatment, we haven’t yet worked out who most needs and benefits from an ICD — i.e., how to target ICDs to the highest-risk patients.“

For this consider, researchers analyzed information on more than 40,000 heart disappointment patients enlisted in 12 clinical trials conducted between 1995 and 2014.

Heart failure occurs when the heart grows too powerless to pump enough blood to meet desires of the body. Most heart disappointment patients create reduced ejection fraction, a condition in which the lower chambers of the heart (ventricles) do not press difficult sufficient to pump oxygen-rich blood out to the body.

Patients with reduced launch division frequently pass on all of a sudden from cardiac arrest because their ventricles create a dangerously sporadic heartbeat, the analysts explained in foundation notes.

To prevent this, many heart failure patients receive an ICD, the analysts said. These devices screen heart cadence and provide an electrical shock to restore ordinary cadence on the off chance that the pulse begins to go astray.

But over the past two decades, numerous new drugs have gotten to be accessible that are successful at making a difference a battling heart beat strongly and in an organized mold, McMurray said.

The combined data from the clinical trials appeared that sudden death rates have fallen by 44 percent in heart failure patients who have not gotten an ICD.

The inquire about was published July 6 in the New England Diary of Pharmaceutical.

       

The think about recorded a trend that has been observed by heart specialists, said Dr. David Majure, restorative executive of mechanical circulatory support at Sandra Map book Bass Heart Healing center, portion of North Shore College Healing center in Manhasset, N.Y.

       

„Individuals with heart failure tend to die from disappointment of the pump but not so much from sudden cardiac death,“ Majure said. „It was really decent of them [the researchers behind the new think about] to actually report that usually the case.“

       

The analysts also found that the rate of sudden death was not higher among newly analyzed heart disappointment patients.

       

Current rules call for patients to be on pharmaceutical for three months some time recently their doctor decides whether they require an ICD. These new findings recommend that specialists may be able to securely hold up up to a year some time recently choosing whether to put an ICD, McMurray said.

       

„Certainly, we shouldn’t rush to implant them, given that a period of successful restorative treatment may lead to adequate advancement in discharge fraction to deter the need for an ICD,“ McMurray said.

       

UCLA cardiologist Dr. Gregg Fonarow concurred that heart failure patients are living longer and way better, thanks to new therapies.

       

However, Fonarow isn’t persuaded that heart inserts are no longer vital for many patients.

       

„Patients accepting all of the current guideline-recommended heart disappointment medicines still have a leftover chance of sudden passing that can be viably reduced with ICDs,“ said Fonarow, co-director of the UCLA Preventative Cardiology Program at the David Geffen School of Pharmaceutical in Los Angeles.

       

More inquire about will be required to recognize particular sorts of heart failure patients who could be treated exclusively with drugs, said Dr. Chris O’Connor, editor-in-chief of the diary JACC: Heart Failure.

       

The analysts behind the unused consider might too be premature in saying that doctors have more time to decide whether an embed is needed for person patients, included O’Connor, CEO of the Inova Heart and Vascular Founded in Falls Church, Va.

       

He famous that patients in clinical trials receive much more consideration than average real-world heart patients, as researchers closely screen whether they take their pharmaceutical and undergo follow-up care.

       

„Within the genuine world, we fair don’t get the patients on all these medications at the proper doses, so we won’t see this ideal sudden passing lessening,“ O’Connor said.

     

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Exercise May Cut Alcohol Health Risks

Sept. 8, 2016 — Work out may balanced the expanded hazard of passing associated with drinking expansive sums of liquor, modern data recommend.

In an examination of data from eight British population-based studies, the link between drinking liquor and chance of death from all causes was weaker among individuals who met or exceeded minimum week after week physical action proposals, Kadija Perreault, PhD, from the College of Montreal in Quebec, Canada, and colleagues report in a commentary distributed in the British Diary of Sports Pharmaceutical. Specifically, the added risk for biting the dust of cancer tied to drinking was about erased among customary exercisers.

The findings show up to back previous thinks about proposing that drinking liquor and physical action are both linked to incessant illness but work in opposite ways, the authors type in.

In a previous study, overwhelming drinking was appeared to extend the chance of passing by 31% to 54%. A recent review unequivocally linked liquor to multiple types of cancer. Tall levels of physical movement, in differentiate, have been connected to a essentially reduced risk for breast and colon cancer in multiple considers.

The current ponder is one of the primary to look at whether an affiliation exists between the wellbeing benefits of physical action and the expanded death risk related with drinking alcohol.

Using information from the annual, nationally representative Wellbeing Overview for Britain and the Scottish Health Study that included data around drinking and physical activity, researchers looked at 36,370 adults aged 40 and older.

Of them, 4,845 people drank more than suggested week by week liquor limits — 14 drinks for women and 21 for men. Among individuals who reported having had a drink during the previous week, the average amount was slightly more than six drinks. Over the consider populace, more than a quarter of the participants (27.5%) detailed no physical movement, meaning they didn’t get the prescribed 150 minutes of moderate to intense work out week after week. Thirty-nine percent achieved the minimum sum and about 23% detailed exercising more.

Incidental drinking appeared to help ensure against deaths from all causes and heart infection deaths among adults who got the recommended amount of exercise, concurring to the researchers.

The think about emphasizes the part work out can play in health, even in the event that individuals lock in in unfortunate behaviors, the researchers type in.

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Report Warns of Medicare Drug Coverage Gaps

June 1, 2004 — Medicare started its questionable prescription-drug rebate plan nowadays, in spite of the fact that a few examiners are as of now looking ahead to 2006 when the program’s paid drug advantage begins. And a few are caution that many seniors may discover far lower benefits than they anticipate.

A unused report issued Tuesday cautions that substantial numbers of elderly and debilitated Medicare recipients can anticipate tall drug expenses even after the program begins in 19 months. A few, especially those with more than one chronic ailment requiring medication, may still cause thousands of dollars in out-of-pocket costs, it concludes.

„I suspect there are a part of individuals who will be especially disadvantaged after just some a long time“ with the advantage, says Marilyn Moon, chief of health programs at the American Institutes for Inquire about, who authored the report for the Commonwealth Fund.

The ‚Donut Hole‘ Uncovered

The expected costs are due to quirks in the Medicare advantage law that cause a gap in accessible scope. Medicare is set to pay 75% of initial medicate costs up to $2,250 after a $250 deductible for most seniors. But then the program pays nothing until sedate costs reach $5,100, after which the government pays 95% of all costs.

The total lack of coverage for sedate spending between $2,251 and $5,100 is regularly called Medicare’s „donut gap“ by Washington analysts and officials. More than one-quarter of all Medicare beneficiaries are anticipated to have medicate spending that falls within the doughnut hole’s extend, agreeing to the Congressional Budget Office.

The structure implies that sicker patients with higher drug costs will end up not as it were paying more for their drugs, but paying the next share of their medicate costs than those with fewer medicines, Moon says. A senior with $1,000 in annual medicate costs would pay $438 out of pocket under the plan, while a beneficiary with $5,000 in costs would be capable for $3,500 of their add up to costs.

„The donut hole will diminish assurance against medicate expenses just as many of those Medicare recipients who are most in need are expecting monetary help,“ writes Moon, who may be a former Medicare trustee. „The unused benefit’s donut hole will likely outrage many beneficiaries once they understand these rules,“ the report states.

Most spectators concur that Congress allowed the donut hole because lawmakers wanted to supply at least a few help to seniors with both low and high drug costs. The program’s projected $410 billion, 10-year budget isn’t nearly enough to cover the evaluated $1.2 trillion seniors are expected to spend on drugs between presently and 2013, Moon says.

Low-income seniors living at 150% of the federal poverty level get distant more offer assistance with their sedate costs. In general, seniors are anticipated to see almost 47% of their medicate costs secured, on average.

But later polling data from the Henry J. Kaiser Family Foundation proposes that the larger part of seniors are unconscious of the law’s subtle elements, or in numerous cases, that a modern law was even passed by Congress. That is setting up millions of seniors — especially those with incessant conditions — for a potentially repulsive surprise, Moon cautions.

According to a 1999 investigation by the Urban Founded, seniors with three chronic diseases spend an normal of $3,426 per year on drugs, well inside Medicare’s „donut hole“ hole. Those seniors comprise more than 55% of the whole Medicare populace.

„I don’t think I’d want to be a pharmacist at the time when individuals are pounding the table and saying, ‚Why when I had a 75% advantage last month do I have zero advantage this month,'“ Moon says.

Congress Not Finished However

Gail Wilensky, PhD, a health investigators with Extend Hope and a previous Medicare chairman, says she concurs that the structure Congress chose for the medicate benefit is „strange.“ But she cautions that much of the dire notices around the program may be election-year politics.

She says it’s „amazingly impossible“ that Congress won’t respond to voters and go back to reduce the donut hole’s estimate.

„On the off chance that you are caught in that doughnut hole you may be baffled and begin pressing your members of Congress to do something around it,“ says Wilensky, who prompted President Bush during the 2000 presidential campaign.

SOURCES: „How Beneficiaries Passage Beneath the New Medicare Medicate Bill,“ Commonwealth Fund, June 1, 2004. Marilyn Moon, chiefs, wellbeing program, American Establishing for Inquire about. Gail Wilensky, Ph.D., senior individual, Venture Trust.

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