Effect of vamana on madhumeha (diabetes mellitus type-2)-a case study
Journal name: World Journal of Pharmaceutical Research
Original article title: Effect of vamana on madhumeha (diabetes mellitus type-2)-a case study
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Kiran Jadhao, Sushil Chawre, H. S. Bhivgade and P. R. Kabra
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Effect of vamana on madhumeha (diabetes mellitus type-2)-a case study
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20178-9120
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Summary of article contents:
Introduction
Diabetes mellitus, particularly Type 2 diabetes, has become a significant public health issue, with India on the brink of becoming the "Diabetic capital of the world." With a global incidence of 8.5%, the implications of diabetes extend beyond mere statistics, imposing financial and healthcare burdens. Ayurvedic medicine, particularly concepts like Madhumeha, correlates with diabetes mellitus and emphasizes the importance of managing the condition through Shodhana and Shaman Chikitsa approaches that consider the balance of Dosha, Dushya, and Bala in patients. The study aims to explore the efficacy of Vamana, a detoxification process, in managing diabetes potentially induced by pesticide exposure.
Impact of Pesticides on Diabetes
Recent studies have indicated a possible association between pesticide exposure and the onset of Type 2 diabetes. While Ayurveda does not explicitly link Prameha (diabetes) to Vish (toxins), modern research suggests that exposure to pesticides might be a risk factor for diabetes, classifying these substances as Dushivisha. In Ayurveda, conditions arising from environmental toxins warrant detoxification, and Vamana is identified as a suitable practice. This methodological approach resonates with the findings from Beyond Pesticides, which highlight increased diabetes risk due to pesticide exposure, thereby encouraging a re-evaluation of treatment strategies in diabetes management.
Significance of Vamana in Management
In the Ayurvedic framework, Vamana, a therapeutic emesis technique, can play a crucial role in managing conditions like diabetes. The case study outlines a 27-year-old male with uncontrolled diabetes over ten months despite medical treatment, who underwent Vamana along with prior preparations of Snehapan and Pachana. The procedure involved dietary restrictions that promoted Kapha disturbance and utilized specific herbal preparations to induce emesis. Following the Vamana, the patient showed significant reductions in blood sugar levels and insulin doses, demonstrating the potential of this Ayurvedic approach as a holistic management technique.
Observations and Results
The observational study reported noteworthy outcomes after conducting Vamana. Blood sugar levels reduced significantly from 215 mg/dl to 204 mg/dl immediately following the procedure. Furthermore, there was a considerable decrease in the required insulin dosage, with the patient’s regime halved, thus alleviating the economic burden. The patient's HbA1c also showed a promising drop from 11 mmol/mol to 9.74 mmol/mol, indicating improved glycemic control. These changes underscore the expected physiological responses associated with Ayurvedic detoxification practices and their practical applications in modern health challenges.
Conclusion
In conclusion, the case study illustrates the effective application of Vamana in managing diabetes mellitus, particularly in individuals exposed to harmful pesticides. The significant reductions in blood sugar and insulin requirements post-treatment affirm that Ayurvedic methodologies can synergistically contribute to contemporary medical practices. By emphasizing the detoxification of Dushivisha, particularly in patients with lifestyle-induced conditions like diabetes, Ayurveda presents a comprehensive approach that could potentially revolutionize diabetes management. Such case studies are instrumental in further validating Ayurveda’s role in modern health care, promoting a more integrated perspective on chronic disease management.
FAQ section (important questions/answers):
What is the relationship between Vamana and Diabetes Mellitus?
Vamana is an Ayurvedic detoxification procedure that may help in managing Diabetes Mellitus by cleansing the body and removing toxins, potentially improving blood sugar levels and reducing the need for insulin.
What symptoms did the patient exhibit prior to treatment?
The patient experienced symptoms like polyuria, polyphagia, nocturia, and polydipsia, indicating significant glucose imbalance and Diabetes Mellitus. These symptoms developed over a 10-month period.
How did the patient's insulin dosage change after Vamana treatment?
After undergoing Vamana, the patient's insulin dosage was reduced significantly from 16 IU in the morning and 12 IU at night to 8 IU and 6 IU respectively, showcasing improved blood sugar management.
What are the Ayurvedic terms related to Diabetes in this study?
In Ayurveda, Diabetes is referred to as 'Madhumeha', classified under 'Santarpanjanya Vyadhi', which describes diseases arising from an excess in nutritional intake and metabolic disorders.
What environmental factor was linked to the patient's condition?
The patient worked in a pesticide company, and studies suggest a possible correlation between pesticide exposure and the onset of Diabetes Mellitus, prompting investigation of the role of environmental toxins.
What was the aim of the case study conducted in this research?
The aim was to evaluate the effectiveness of Vamana in reducing blood sugar levels and alleviating symptoms of Diabetes Mellitus in the patient, demonstrating the applicability of Ayurvedic principles.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Effect of vamana on madhumeha (diabetes mellitus type-2)-a case study”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Vamana:
Vamana is an Ayurvedic therapeutic procedure that involves the induced vomiting or expulsion of doshas, particularly Kapha, from the body. It is utilized to cleanse and detoxify the system, especially in cases of disorders like diabetes. The procedure aims to balance bodily humors and alleviate symptoms by removing toxins and excess Kapha.
2) Pesticide:
Pesticides are chemical substances used to kill pests that can adversely affect agricultural crops. In the context of this case study, exposure to pesticides is associated with increased risk of diabetes mellitus, potentially serving as an etiological factor that may disturb the balance of doshas as per Ayurvedic principles.
3) Karma (Karman):
Karma translates to 'action' or 'procedure' in Ayurveda, referring to the specific therapeutic methods applied according to an individual's condition. In this study, Vamana is identified as 'Karma,' serving as a key treatment strategy for reducing diabetes symptoms and correcting the imbalance of doshas in the patient.
4) Sugar:
Sugar, or blood glucose, is a crucial energy source for the human body. In diabetes, the management of sugar levels becomes essential to prevent complications. The increase in sugar levels signifies the need for therapeutic interventions like Vamana in Ayurveda to restore balance and promote health.
5) Vega:
Vega refers to the urges or natural impulses of the body, such as hunger, thirst, or the need to eliminate. In this context, observing the patient's vega during the Vamana procedure helps assess the body's response to therapy and ensures that the cleansing process is effective and safe.
6) Nagapura (Naga-pura):
Nagpur is a city in Maharashtra, India, where the Ayurvedic case study was conducted. The city serves as a site for integrating traditional medical practices and modern healthcare approaches, enhancing the understanding of Ayurvedic treatments in managing chronic conditions like diabetes.
7) Blood:
Blood is essential for transporting nutrients and oxygen throughout the body. In the context of diabetes, monitoring blood parameters, including sugar levels, is critical for assessing the effectiveness of treatments like Vamana, ensuring the patient’s metabolic health is adequately managed throughout the therapeutic process.
8) Table:
The term 'table' refers to organized data sets presented in a structured format, often used to summarize findings from the case study. It facilitates comprehension and analysis of patient responses to therapies and aids in comparing pre-and post-treatment results effectively.
9) Study (Studying):
The 'study' refers to the structured examination of the Vamana treatment's effects on a patient suffering from diabetes. Such case studies contribute to the broader understanding of how Ayurvedic therapies function in managing chronic diseases, providing evidence for their efficacy in medical literature.
10) Dosha (Dosa):
Dosha represents the fundamental biological energies in Ayurveda, comprising Vata, Pitta, and Kapha. The balance of these doshas is essential for health. In the case study, assessing the patient's dosha informs the choice of treatment strategy, highlighting the need for therapies like Vamana to restore equilibrium.
11) Bala:
Bala translates to strength or vitality and is considered an important factor in assessing a patient's ability to withstand therapies. Evaluating Bala helps in customizing treatment plans, ensuring that therapeutic interventions like Vamana are appropriate for the patient’s physiological state, enhancing recovery and healing.
12) Dushivisha (Dusivisa):
Dushivisha refers to toxic substances that lead to chronic diseases and are now related to environmental factors, such as pesticides. In this context, understanding Dushivisha is vital for targeting underlying causes of diabetes in patients, justifying the use of Vamana to expedite detoxification.
13) Dushya (Dusya):
Dushya denotes the substances that become morbid due to dosha imbalances and contribute to disease formation. Recognizing the dushya in a patient with diabetes is crucial for determining appropriate treatments, allowing Ayurvedic practitioners to effectively tailor therapies like Vamana to restore health.
14) Post:
Post indicates the stage after a specific procedure or treatment. In this study, post-treatment analysis refers to evaluating the patient’s health and blood sugar levels after Vamana, providing insights into the procedure's efficacy and assisting in determining future management strategies.
15) Observation:
Observation is critical in the clinical setting, referring to the systematic monitoring of patient responses to treatment. In this study, accurate observations during the Vamana procedure are essential for understanding its impact on the patient’s symptoms and metabolic state, guiding further interventions.
16) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine from India that emphasizes balance among body, mind, and spirit. The principles of Ayurveda guide the treatment strategies discussed in the case study, especially focusing on personalized care, detoxification, and holistic healing to manage conditions such as diabetes.
17) Lakshana (Laksana):
Lakshana signifies the signs and symptoms of a condition. In this context, the identification of lakshanas helps clinicians ascertain the severity of the patient’s diabetes, assess the effectiveness of Vamana in ameliorating symptoms, and adjust treatment regimens accordingly.
18) Dravya:
Dravya means 'substance' or 'medicine' used in Ayurveda for therapeutic purposes. The choice of dravya in this case study is critical to ensuring the effectiveness of Vamana, as the right medicinal substances can significantly influence the outcomes and healing process for the patient.
19) Nausea:
Nausea is an unpleasant sensation of needing to vomit, often experienced during medical procedures like Vamana. Monitoring nausea is crucial, as it may indicate the procedure's effectiveness but can also help gauge the patient’s tolerance and overall response during detoxification.
20) Purvakarma (Purvakarman, Purva-karman):
Purvakarma means preliminary procedures in Ayurveda that prepare the patient for the main treatment, enhancing the effectiveness and safety of the intervention. For Vamana, purvakarma optimizes conditions for detoxification, ensuring the body is ready to expel toxins effectively.
21) Atikshudha (Atiksudha, Ati-kshudha):
Atikshudha denotes excessive hunger, a common symptom in diabetes. In the context of the study, addressing atikshudha is essential in evaluating the patient's condition and tailoring therapeutic approaches, like Vamana, to restore balance and reduce discomfort effectively.
22) Shodhana (Sodhana):
Shodhana translates to purification or detoxification procedures in Ayurveda. It refers to therapies that eliminate toxins and excess doshas from the body. In the context of diabetes, shodhana techniques, such as Vamana, serve to cleanse the body and restore metabolic balance.
23) Medicine:
Medicine refers to the science of diagnosing and treating illnesses. In the context of this case study, both Ayurvedic and modern medical practices are incorporated to manage diabetes, highlighting the relevance of integrative approaches in optimizing patient care and health outcomes.
24) Kshudha (Ksudha):
Kshudha refers to hunger, a physiological need for food. In the management of diabetes, understanding kshudha is vital as it informs dietary recommendations and therapeutic strategies, particularly in managing symptoms and improving the patient's general well-being.
25) Prameha:
Prameha is an Ayurvedic term for diabetes, comprising multiple symptoms such as polyuria and excessive thirst. The understanding and management of prameha are critical in Ayurveda, where holistic approaches like Vamana are implemented to restore health and balance in affected individuals.
26) Science (Scientific):
Science represents a systematic enterprise that builds and organizes knowledge in the form of testable explanations and predictions. In the context of Ayurveda, this study reflects the scientific evaluation of traditional practices, supporting the integration of ancient wisdom with contemporary medical research.
27) Satmya:
Satmya denotes an individual's adaptability to particular diets, environments, or treatments. In the Ayurvedic context, assessing satmya is crucial because it determines how well a patient can tolerate specific therapies, such as Vamana, and their likelihood of successful recovery.
28) Vyadhin (Vyadhi):
Vyadhi translates to 'disease' or 'disorder' in Ayurveda. In this case study, vyadhi refers specifically to diabetes mellitus, with Vamana designated as a treatment aimed at alleviating the symptoms and reversing the disease process based on individual constitution and conditions.
29) Family:
The family history provides essential context for a patient's health risks and conditions. In this study, assessing family history is significant for understanding potential genetic predispositions to diabetes, influencing management and preventive strategies used in the patient's treatment plan.
30) Bitter:
Bitter (Tiktasyata) refers to the taste associated with certain substances used in Ayurvedic treatments. Bitter-tasting medicines may promote digestion or detoxification. In the context of Vamana, the presence of bitterness signifies efficacy in the treatment and the elimination of excess Kapha.
31) Medium:
Medium (Madhyam) describes the patient’s physical constitution in Ayurveda, which is relevant for tailoring treatment. Understanding whether a patient is of medium build helps practitioners decide the appropriate dosage and treatment methods like Vamana to ensure safety and effectiveness.
32) Kapha:
Kapha is one of the three doshas in Ayurveda representing earth and water elements. In this study, Kapha is associated with obesity and sluggishness, underlining the rationale for using Vamana to expel excess Kapha and restore balance in the patient's health.
33) Satva (Shatva):
Satva refers to the mental state or purity of an individual. Assessing a patient's satva is important in Ayurveda, influencing the treatment approach. The balance of satva can predict responses to stress and therapies, as well as overall outcomes in the management of diseases like diabetes.
34) Mudga:
Mudga refers to mung beans, often used in Ayurvedic nutrition and treatments. In the context of the case study, mudga yusha (mung bean soup) may have been utilized during the post-treatment phase to promote digestion and recovery, aligning with Ayurvedic dietary principles.
35) Purva:
Purva means 'prior' or 'preliminary' and describes the preparatory steps taken before a main treatment in Ayurveda, such as Vamana. Proper purva-karmas make the body more receptive to the therapeutic interventions necessary for effective healing.
36) India:
India is the birthplace of Ayurveda, a system of traditional medicine that integrates health and wellness practices. The significance of Ayurveda and its applications in managing diabetes, as explored in the case study, highlights the cultural and historical relevance of this ancient knowledge within a modern context.
37) Yusa (Yusha):
Yusha denotes a thin soup primarily made from cereals or legumes, often used in Ayurvedic dietary regimens. In this study, Yusha is likely prescribed post-procedure for easy digestion, facilitating recovery while ensuring that the patient receives adequate nourishment without overloading the system.
38) Vaca:
Vacha refers to the root of Acorus calamus, an herb used in Ayurveda for its medicinal properties. In the context of the Vamana treatment, Vacha may have been included for its potential to support digestion and enhance therapeutic outcomes, contributing to the patient’s overall well-being.
39) Alpa:
Alpa signifies 'little' or 'less' in Sanskrit, often used to describe the moderation of dietary intake or symptoms. Recognizing alpa in a patient’s response or food consumption is crucial for Ayurvedic practitioners to tailor treatments that minimize discomfort and promote health effectively.
40) Kala:
Kala means 'time' or 'duration,' which is significant in both therapeutic and diagnostic contexts in Ayurveda. Treatment timing influences effectiveness; thus, understanding kala aids practitioners in scheduling interventions, allowing optimal conditions for procedures such as Vamana.
41) Sign:
Sign refers to indicators of a patient's health status, primarily assessing symptoms and their changes throughout treatment. Recognizing signs such as reduced blood sugar levels after Vamana aids practitioners in evaluating the therapeutic effectiveness and making informed decisions regarding patient management.
42) Drug:
Drug refers to a substance intended for use in diagnosing, curing, treating, or preventing disease. In the Ayurvedic context, the term encompasses herbal and natural medicines tailored to patient needs, emphasizing the importance of proper selection for achieving optimal therapeutic outcomes.
43) Paschat-karma:
Paschat-karma refers to post-treatment procedures, crucial for ensuring a smooth recovery and restoration of balance after therapeutic interventions. Following Vamana, paschat-karma guides patients in dietary practices and lifestyle adjustments, promoting health and preventing relapse into previous imbalances.
44) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is a state in India where the case study was conducted. The state's access to both traditional and modern medical practices facilitates the exploration of Ayurvedic therapies like Vamana, fostering a broader understanding of integrated approaches to managing chronic diseases.
45) Yashtimadhu (Yastimadhu, Yashti-madhu):
Yashtimadhu refers to Glycyrrhiza glabra, commonly known as licorice, used in Ayurveda for its soothing and anti-inflammatory properties. In this case study, Yashtimadhu may have been included in therapies to aid digestion and enhance the gastrointestinal tolerance of treatments like Vamana.
46) Mudgayusha (Mudgayusa, Mudga-yusha):
Mudga-yusha signifies mung bean soup, often recommended in Ayurvedic practice for its nourishing qualities and ease of digestion. In the post-treatment phase of Vamana, serving Mudga-yusha supports the patient in recuperation by providing light, nutrient-rich nourishment.
47) Tiktasyata (Tiktasya-ta):
Tiktasyata refers to a bitter taste experienced during detoxification processes like Vamana. Recognizing bitterness can indicate effective purging of doshas and toxins, serving as a therapeutic sign for practitioners to assess the treatment's success and adjust strategies accordingly.
48) Discussion:
Discussion encompasses the analytical section of the study where results are interpreted and contextualized in relation to existing medical knowledge. It allows practitioners to explore the implications of the findings and their relevance in integrating Ayurveda into modern healthcare for managing diabetes.
49) Mahatikta (Maha-tikta):
Mahatikta refers to a potent ghee infused with bitter herbs used in Ayurvedic treatments. In this case, Mahatikta may have been utilized in purvakarma to promote detoxification and balance in the body, essential for preparing the patient for the Vamana procedure.
50) Vitiation (Vitiated):
Vitiated describes a state where doshas are disturbed or imbalanced, leading to health complications. Acknowledging vitiated doshas helps Ayurvedic practitioners to design targeted therapeutic strategies, such as Vamana, aimed at restoring harmony and resolving the underlying causes of diseases.
51) Aushadhi (Ausadhi, Aushadhin, Ausadhin):
Aushadhi denotes 'medicinal drug' in Ayurveda, emphasizing the use of plant-based and natural substances for healing. In this context, aushadhi is critical for formulating effective treatments tailored to individual needs, essential for the Vamana procedure's success.
52) Sweating (Sweat):
Sweating is a physiological reaction that may occur during detoxification processes like Vamana. Monitoring perspiration levels helps practitioners assess the patient's response, ensuring that the expulsion of toxins happens efficiently and safely throughout the therapeutic process.
53) Prakrit (Prakrt):
Prakrit denotes the natural state or constitution of an individual. Assessing prakrit is crucial in Ayurveda as it informs the formulation of tailored therapies, such as Vamana, ensuring that treatments are conducive to the patient's unique constitution and metabolic needs.
54) Avastha:
Avastha means 'stage' or 'state' of health, indicating the condition being addressed. Understanding the patient's avastha is essential in Ayurveda for classifying diseases and customizing treatments like Vamana based on the severity and nature of the individual's health issues.
55) Apathya:
Apathya symbolizes contraindications in Ayurveda, indicating what shouldn't be consumed or engaged in based on an individual's condition. Recognizing apathya is vital for guiding patients post-treatment to prevent relapse of symptoms and ensure effective recovery after therapies like Vamana.
56) Pradhan:
Pradhan translates to 'primary' or 'vital'. In Ayurvedic treatment planning, identifying the pradhan aspects of a patient’s condition, including dominant dosha imbalances, allows clinicians to prioritize interventions like Vamana that address the root cause of health issues, enhancing treatment success.
57) Disease:
Disease signifies a pathological condition that disrupts normal body functions. In this case, the focus is on diabetes mellitus, emphasizing the need for targeted treatments like Vamana to correct imbalances and restore health according to Ayurvedic principles.
58) Company:
Company refers to the workplace context of the patient, who works in a pesticide company. Understanding this background is significant for assessing environmental exposures that may contribute to health issues such as diabetes, reinforcing the importance of detoxification treatments like Vamana.
59) Sthula:
Sthula means 'obese' in Ayurveda and is often used to describe individuals with excess Kapha dosha. The recognition of sthula in a patient with diabetes supports the use of treatments aimed at detoxification and weight management, such as Vamana, to restore balance.
60) Pathya:
Pathya refers to dietary and lifestyle guidelines in Ayurveda that promote health and well-being. In the context of this case study, establishing pathya is crucial for supporting recovery after Vamana, ensuring that the patient adopts practices conducive to sustaining health.
61) Vilepi:
Vilepi means 'gruel' or 'thick soup' in Ayurveda, typically used as part of post-treatment diets to aid in recovery and digestion. In this case study, vilepi may have been adopted to ensure that the patient receives nourishing yet easy-to-digest food after the Vamana procedure.
62) Salt (Salty):
Salt is a common seasoning and preservative, but in Ayurveda, its consumption must be balanced based on the individual's condition. The use of salt in the dietary context post-Vamana needs careful consideration to avoid aggravating imbalances and to support recovery.
63) Madhu:
Madhu means 'honey' in Sanskrit, valued in Ayurveda for its healing properties and used as a natural sweetener. In treatments like Vamana, madhu may have been incorporated for its soothing effects and to enhance the palatability of certain herbal mixtures consumed by the patient.
64) Sneha:
Sneha refers to oleation or lubrication in Ayurveda, essential for preparing the body for detoxification therapies like Vamana. Proper sneha processes help facilitate the expulsion of toxins, ensuring the patient is effectively primed for treatment.
65) Rasna (Rasa-una, Rashna, Rasona):
Rasna is a medicinal herb known for its various health benefits. In the Ayurvedic context, it is particularly useful for digestive health. Understanding the role of rasna in the preparation for Vamana emphasizes the importance of utilizing specific herbs to promote effective outcomes.
66) Musta (Mushta):
Musta refers to the medicinal plant Cyperus rotundus, often used in Ayurvedic formulations for its digestive benefits. In this case study, musta may have been used in conjunction with other herbs for enhancing the effectiveness of the detoxification process during Vamana.
67) Bahya:
Bahya translates to 'external' and signifies treatments or practices applied on the body’s surface. In this context, bahya snehan refers to external oleation performed during the Vamana procedure, which helps prepare the body for internal cleansing and promotes relaxation.
68) Glass:
Glass refers to the measurement unit used to quantify the liquids administered or expelled during treatment. Accurate measurements in milliliters are essential for ensuring safe and effective procedures, particularly in deriding doses of medicinal herbs and during detoxification.
69) Water:
Water is vital for hydration and bodily functions, often used in Ayurvedic preparations. In the context of Vamana, water facilitates various processes and is important in the patient's diet post-treatment, contributing to optimal digestive health and overall well-being.
70) Aahar:
Aahar denotes 'diet' in Ayurveda, encompassing the principles of food consumption essential for health. In the case study, assessing aahar informs treatment planning and recovery strategies post-Vamana to ensure proper nourishment and adherence to dietary guidelines for optimum health.
71) Honey:
Honey is a natural sweetener highly valued in Ayurveda for its therapeutic properties. It serves as a soothing agent in formulations, enhancing palatability and effectiveness. In the context of Vamana, honey may aid in mitigating bitterness from other ingredients used.
72) Pulse:
Pulse refers to the heart rate, a vital sign measured to assess overall health status and response to treatments. Throughout the Vamana procedure, monitoring the pulse helps clinicians gauge the patient’s physiological response, ensuring safety during detoxification.
73) Pana:
Pana means 'drinking' in Ayurveda, highlighting the importance of fluid intake in treatment regimens. Ensuring appropriate hydration and consumption of prescribed herbal infusions or decoctions is crucial for promoting health and facilitating detoxification during therapies like Vamana.
74) Peya:
Peya signifies a semi-liquid food, usually in a soup-like consistency, recommended in Ayurveda for easy digestion and nourishment. In the recovery phase post-Vamana, peya serves as a suitable option for patients to regain strength while ensuring optimal digestion.
75) Vish (Vis):
Vish denotes 'poison' or toxic substances in Ayurveda, signifying the harmful agents that may lead to diseases. Understanding the concept of vish helps practitioners assess environmental factors, like pesticide exposure contributing to diabetes, and consider therapeutic routes for detoxification.
[Note: The above list is limited to 75. Total glossary definitions available: 80]
Other Science Concepts:
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