{"id":3223,"date":"2019-10-11T14:11:54","date_gmt":"2019-10-11T12:11:54","guid":{"rendered":"https:\/\/www.alpha1-deutschland.org\/?p=3223"},"modified":"2021-03-08T12:34:20","modified_gmt":"2021-03-08T11:34:20","slug":"feinstaub-die-unsichtbare-gefahr","status":"publish","type":"post","link":"https:\/\/alpha1-deutschland.org\/en\/feinstaub-die-unsichtbare-gefahr","title":{"rendered":"FINE DUST \u2013 the invisible danger"},"content":{"rendered":"<div id=\"fws_6a8cb2d4ec5f3\"  data-column-margin=\"default\" data-midnight=\"dark\" data-top-percent=\"3%\"  class=\"wpb_row vc_row-fluid vc_row full-width-section\"  style=\"padding-top: calc(100vw * 0.03); padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<h1><span style=\"color: #004267;\">Fine dust \u2013 the invisible danger<\/span><\/h1>\n<\/div>\n\n\n\n<div class=\"divider-wrap\" data-alignment=\"default\"><div style=\"height: 50px;\" class=\"divider\"><\/div><\/div><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_width_100 vc_sep_border_width_5 vc_sep_pos_align_center vc_sep_color_grey wpb_content_element vc_separator-has-text\" ><span class=\"vc_sep_holder vc_sep_holder_l\"><span class=\"vc_sep_line\"><\/span><\/span><h4>Author<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span class=\"vc_sep_line\"><\/span><\/span>\n<\/div>\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<p><strong>Alpha1 Germany eV.<\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"divider-wrap\" data-alignment=\"default\"><div style=\"margin-top: 25px; height: 5px; margin-bottom: 25px;\" data-width=\"100%\" data-animate=\"\" data-animation-delay=\"\" data-color=\"default\" class=\"divider-border\"><\/div><\/div>\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<p>It&#039;s on everyone&#039;s lips: particulate matter, associated with the diesel scandal and driving bans in major cities. We would like to approach the topic from the perspective of lung damage and offer you a tool to determine the amount of particulate matter in the air:<\/p>\n<p>The German Federal Environment Agency has launched an app on air quality for Android and iPhone devices. Current measurement data on particulate matter, nitrogen dioxide, and ozone from 400 monitoring stations are now available.<\/p>\n<p>This app shouldn&#039;t simply lead to avoiding places with high levels of particulate matter, but rather encourage everyone to take small steps to combat pollution. Therefore, it&#039;s important to understand the terms particulate matter, ozone, and nitrogen dioxide more precisely and to consider what each individual can do to reduce air pollution.<\/p>\n<p>The German National Academy of Sciences Leopoldina is Germany&#039;s highest-ranking research organization. Its extensive studies have shown that particulate matter poses a greater global health risk than nitrogen oxides. A nationwide air pollution control strategy is urgently needed. Stuttgart, for example, prohibits the use of fireplaces on days with particulate matter alerts. The general discussion includes not only diesel driving bans and the use of electric cars, but also raises the question of whether tire abrasion contributes significantly to particulate matter pollution.<\/p>\n<p>In Germany, 2.25 million tons of annual particulate matter emissions are emitted on New Year&#039;s Eve alone! Depending on weather conditions, peak values exceeding 1000 \u03bcg\/m\u00b3 can be measured in major cities during the first hour of the new year. These levels then fall back to normal after a few hours.<br \/>\n<a href=\"https:\/\/www.spektrum.de\/wissen\/feinstaub-ist-gesundheitsschaedlich-und-noch-nicht-hinreichend-erforscht\/1639880\" target=\"_blank\" rel=\"noopener noreferrer\" data-cke-saved-href=\"https:\/\/www.spektrum.de\/wissen\/feinstaub-ist-gesundheitsschaedlich-und-noch-nicht-hinreichend-erforscht\/1639880\">&gt;&gt;&gt; Read more here<\/a><\/p>\n<p>Many high-ranking physicians are concerned about the dangers associated with particulate matter. Prof. Dr. Tobias Welte, MHH, President of the European Respiratory Society, and well known to us Alphas as a dedicated physician, spoke out on the topic of particulate matter, along with other pulmonologists.<br \/>\n<a href=\"https:\/\/www.medical-tribune.de\/medizin-und-forschung\/artikel\/feinstaub-debatte-positionspapier-einiger-pneumologen-sorgt-fuer-aufruhr-an-der-umweltfront\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-cke-saved-href=\"https:\/\/www.medical-tribune.de\/medizin-und-forschung\/artikel\/feinstaub-debatte-positionspapier-einiger-pneumologen-sorgt-fuer-aufruhr-an-der-umweltfront\/\">&gt;&gt;&gt; To the article<\/a><\/p>\n<p><strong>But please don&#039;t forget: the biggest burden for you is and remains smoking!<\/strong><\/p>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t<div id=\"fws_6a8cb2d4edf10\"  data-column-margin=\"default\" data-midnight=\"dark\" data-top-percent=\"5%\"  class=\"wpb_row vc_row-fluid vc_row full-width-section\"  style=\"padding-top: calc(100vw * 0.05); padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<div class=\"cmsms_text\">\n<h2><span style=\"color: #004267;\">Please remember to get your flu shot this year.<\/span><\/h2>\n<p>In addition to the reasons we all know, we find further good information in the patient library, Autumn 2019, page 10: The flu vaccine has the important side effect of boosting the immune system, lubricating the body&#039;s own immune machinery, and ensuring a faster and more active defense against pathogens other than just the flu virus. For patients with respiratory conditions, a vaccination against pneumococcus, one of the most dangerous types of bacteria that can cause pneumonia, is also recommended.<\/p>\n<p>And page 6: Proven to show fewer cases of pneumonia in grandparents when their grandchildren are vaccinated against pneumococcus!<br \/>\n<a href=\"https:\/\/alpha1-deutschland.org\/en\/copd\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-cke-saved-href=\"https:\/\/www.alpha1-deutschland.org\/copd#\">&gt;&gt;&gt; To the patient library issues<\/a><\/p>\n<\/div>\n<\/div>\n\n\n\n<div id=\"fws_6a8cb2d4eea70\" data-midnight=\"\" data-column-margin=\"default\" class=\"wpb_row vc_row-fluid vc_row inner_row\"  style=\"\"><div class=\"row-bg-wrap\"> <div class=\"row-bg\" ><\/div> <\/div><div class=\"row_col_wrap_12_inner col span_12  left\">\n\t<div  class=\"vc_col-sm-2 wpb_column column_container vc_column_container col child_column no-extra-padding inherit_tablet inherit_phone\"   data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t\n\t\t<\/div> \n\t<\/div>\n\t<\/div> \n\n\t<div  class=\"vc_col-sm-8 wpb_column column_container vc_column_container col child_column no-extra-padding inherit_tablet inherit_phone\"   data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div class=\"nectar_cascading_images\" data-border-radius=\"none\" data-parallax=\"\" data-parallax-intensity=\"subtle\" data-animation-timing=\"175\"><div class=\"cascading-image\" data-has-img=\"false\" style=\" padding:8%;\" data-max-width=\"100%\" data-max-width-mobile=\"100%\" data-animation=\"fade-in\" data-shadow=\"none\"><div class=\"inner-wrap\"><div class=\"bg-layer\" data-scale=\"1\" style=\"transform: scale(1)\"><div class=\"bg-color\" style=\" -webkit-transform:translateX(0%) translateY(0%) ; -ms-transform:translateX(0%) translateY(0%) ; transform: translateX(0%) translateY(0%) ; background-color: #004267;\" data-has-bg-color=\"true\"><\/div><\/div><\/div><\/div><div class=\"cascading-image\" data-has-img=\"true\" style=\" padding:8%;\" data-max-width=\"100%\" data-max-width-mobile=\"100%\" data-animation=\"fade-in\" data-shadow=\"none\"><div class=\"inner-wrap\"><div class=\"bg-layer\" data-scale=\"1\" style=\"transform: scale(1)\"><div style=\" -webkit-transform:translateX(10%) translateY(10%) ; transform:translateX(10%) translateY(10%) ;\" class=\"img-wrap\"> <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Infektion-1.jpg\" srcset=\"https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Infektion-1.jpg 2500w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Infektion-1-300x132.jpg 300w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Infektion-1-1024x451.jpg 1024w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Infektion-1-768x338.jpg 768w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Infektion-1-1536x676.jpg 1536w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Infektion-1-2048x901.jpg 2048w\" sizes=\"auto, (min-width: 1000px) 55vw, 100vw\" height=\"1100\" width=\"2500\" class=\"skip-lazy\" alt=\"Viren bei einer Infektion\" \/> <\/div><\/div><\/div><\/div><\/div>\n\t\t<\/div> \n\t<\/div>\n\t<\/div> \n\n\t<div  class=\"vc_col-sm-2 wpb_column column_container vc_column_container col child_column no-extra-padding inherit_tablet inherit_phone\"   data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t\n\t\t<\/div> \n\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t<div id=\"fws_6a8cb2d4f0b8c\"  data-column-margin=\"default\" data-midnight=\"dark\" data-top-percent=\"5%\"  class=\"wpb_row vc_row-fluid vc_row full-width-section\"  style=\"padding-top: calc(100vw * 0.05); padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<h2><span style=\"color: #004267;\">New reference book for doctors<\/span><\/h2>\n<p><strong>The ERS Monograph \u03b11-Antitrypsin Deficiency is now available. <\/strong>The ERS Monograph is the quarterly book series of the European Respiratory Society (ERS). Each monograph covers a specific area of respiratory medicine and offers detailed overviews, providing clinicians at all levels with concise, comprehensive guidance on symptoms, diagnosis, and treatment. All current information and studies are incorporated. What makes this edition special:\u00a0<strong>IT&#039;S ABOUT US!<\/strong><br \/>\nIt concerns alpha-1 antitrypsin deficiency, and it was important to the experts to also publish the patients&#039; perspective on the disease.<\/p>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t<div id=\"fws_6a8cb2d4f19c1\"  data-column-margin=\"default\" data-midnight=\"dark\" data-top-percent=\"5%\"  class=\"wpb_row vc_row-fluid vc_row full-width-section\"  style=\"padding-top: calc(100vw * 0.05); padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<h2><span style=\"color: #004267;\">Groundbreaking publication on liver involvement in alpha1-antitrypsin deficiency published in the journal &quot;Gastroenterology&quot;<\/span><\/h2>\n<div>The Aachen Alpha1 team led by Priv.-Doz. Dr. Pavel Strnad and Dr. Karim Hamesch, who coordinate the European reference center for liver involvement in Alpha1 antitrypsin deficiency at the Department of Gastroenterology of the University Hospital RWTH Aachen, recently published a multinational study on liver involvement in Alpha1 antitrypsin deficiency in the renowned journal Gastroenterology.<\/div>\n<div>\n<p>\u201eAlpha1 antitrypsin deficiency is a common rare disease and one of the most frequent causes of death from genetic disorders worldwide. It primarily affects the lungs and liver,\u201c reports Dr. Karim Hamesch, first author of the publication and coordinating study physician. Dr. Pavel Strnad, senior author and European study director, adds: \u201eWhile the extent of lung involvement in this genetic metabolic disorder is quite well defined, there was a knowledge gap regarding liver involvement, which can now be filled.\u201c<\/p>\n<p>The two scientists began systematically recording liver involvement in patients with this rare disease in 2015. The study registry was quickly expanded to neighboring countries, and subsequently, other countries joined. This led to the formation of a European study group under Aachen&#039;s leadership.<\/p>\n<p>These efforts have since been recognized by the European Commission&#039;s European Reference Network and the European Association for the Study of Liver Diseases (EASL) registry grant. Thanks to the active support of collaborating scientists and, above all, the patient representatives and referring pulmonologists, the European Reference Center in Aachen has established the world&#039;s largest cohort of Alpha1 patients with detailed liver characterization. &quot;In our recently published report, we systematically examined over 550 patients with the classic form of Alpha1 antitrypsin deficiency (Pi*ZZ genotype) from nine European countries. Approximately one-quarter to one-third of these patients show signs of liver scarring,&quot; reports Dr. Hamesch. &quot;Many of the patients also exhibit metabolic changes and fatty liver. These findings have also been confirmed in mouse experiments,&quot; adds Dr. Strnad.<\/p>\n<\/div>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t<div id=\"fws_6a8cb2d4f2743\"  data-column-margin=\"default\" data-midnight=\"dark\" data-top-percent=\"5%\"  class=\"wpb_row vc_row-fluid vc_row full-width-section\"  style=\"padding-top: calc(100vw * 0.05); padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-2 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n\n\t<div  class=\"vc_col-sm-8 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<div class=\"cmsms_text\">\n<div class=\"cmsms_text\">\n<h2><span style=\"color: #004267;\">Our kitchen tip for boosting your immune system: Salmon with spicy savoy cabbage<\/span><\/h2>\n<p>We want you to get through the winter well, why not try cooking the following: salmon with spicy savoy cabbage.<br \/>\n<strong><a href=\"https:\/\/www.lecker.de\/lachs-mit-scharfem-wirsing-70445.html\" target=\"_blank\" rel=\"noopener noreferrer\" data-cke-saved-href=\"https:\/\/www.lecker.de\/lachs-mit-scharfem-wirsing-70445.html\">&gt;&gt;&gt; To the recipe<\/a><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"nectar_cascading_images\" data-border-radius=\"none\" data-parallax=\"\" data-parallax-intensity=\"subtle\" data-animation-timing=\"175\"><div class=\"cascading-image\" data-has-img=\"false\" style=\" padding:8%;\" data-max-width=\"100%\" data-max-width-mobile=\"100%\" data-animation=\"fade-in\" data-shadow=\"none\"><div class=\"inner-wrap\"><div class=\"bg-layer\" data-scale=\"1\" style=\"transform: scale(1)\"><div class=\"bg-color\" style=\" -webkit-transform:translateX(0%) translateY(0%) ; -ms-transform:translateX(0%) translateY(0%) ; transform: translateX(0%) translateY(0%) ; background-color: #004267;\" data-has-bg-color=\"true\"><\/div><\/div><\/div><\/div><div class=\"cascading-image\" data-has-img=\"true\" style=\" padding:8%;\" data-max-width=\"100%\" data-max-width-mobile=\"100%\" data-animation=\"fade-in\" data-shadow=\"none\"><div class=\"inner-wrap\"><div class=\"bg-layer\" data-scale=\"1\" style=\"transform: scale(1)\"><div style=\" -webkit-transform:translateX(10%) translateY(10%) ; transform:translateX(10%) translateY(10%) ;\" class=\"img-wrap\"> <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Lachs.jpg\" srcset=\"https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Lachs.jpg 1120w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Lachs-300x107.jpg 300w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Lachs-768x274.jpg 768w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Lachs-1024x366.jpg 1024w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Lachs-580x207.jpg 580w, https:\/\/alpha1-deutschland.org\/wp-content\/uploads\/Lachs-820x293.jpg 820w\" sizes=\"auto, (min-width: 1000px) 55vw, 100vw\" height=\"400\" width=\"1120\" class=\"skip-lazy\" alt=\"\" \/> <\/div><\/div><\/div><\/div><\/div>\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n\n\t<div  class=\"vc_col-sm-2 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>","protected":false},"excerpt":{"rendered":"Fine particulate matter \u2013 the invisible danger. Author: Alpha1 Germany e.V. It&#039;s on everyone&#039;s lips: fine particulate matter, associated with the diesel scandal and driving bans in major cities. We would like to address this topic from the perspective of lung damage...","protected":false},"author":1,"featured_media":3624,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,21],"tags":[],"class_list":["post-3223","post","type-post","status-publish","format-standard","has-post-thumbnail","category-allgemein","category-newsletter"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>FEINSTAUB \u2013 die unsichtbare Gefahr f\u00fcr die Lunge<\/title>\n<meta name=\"description\" content=\"Feinstaub ist besonders gef\u00e4hrlich f\u00fcr Lungenkranke. 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