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By the age of At about six years of age cheap panmycin online master card antibiotic word parts, the lower permanent lead to disease or even tooth loss panmycin 500mg on line antimicrobial qualities of silver. Tooth decay permanent teeth are portant during all stages of life since it supports two and a half buy panmycin 500 mg low cost oral antibiotics for acne pregnancy, all primary teeth have erupted buy genuine panmycin on line virus medication. Healthy primary teeth maintain the space for and wellbeing smiling, socializing and eating. Theeth help to nent dentition typically lasts from 6 to 12 years their permanent successors developing in the Proper self- and professional oral care, throughout life. Their premature loss, from combined with a healthy lifestyle and avoiding teeth have erupted. The normal set of teeth comprises 20 primary tooth decay or injury, often results in loss risks, such as high sugar consumption and teeth, which are replaced by 32 permanent of space for their successors and may lead During the life course teeth and oral tissues are smoking, make it possible to retain a function- teeth. Tooth eruption begins when babies are to crowding problems with the permanent exposed to many environmental factors that may ing dentition through life. Age: 2½ years old Age: 12 years old Age: 6 months old All primary (upper and Most permanent teeth Theething begins. Good oral hygiene and healthy habits, together with Cleaning or wiping can Children can start Dry mouth as a result of Develop a life-time habit regular dental check-ups, help start with the eruption supervised tooth reduced saliva production of twice-daily brushing Start to wear mouthguards Avoid sweets, tobacco to avoid tooth decay and of a child’s first teeth. Regular check- women should take extra care sugary drinks or fruit amount of fluoride Establish good dietary ups may help keep a of their oral health. Good habits for life 10 11 Oral Diseases and Health Chapter 2 What is oral health and why consider oral dis- Untreated tooth decay is now known to be the eases as a serious public health threat? Oral most prevalent of the 291 conditions studied diseases may directly affect a limited area between 1990 and 2010 within the frame of of the human body, but their consequences the international Global Burden of Disease and impacts affect the body as a whole. Severe periodontitis, which is estimated to infection and sores, periodontal disease, tooth affect between 5 and 20 percent of populations decay, tooth loss, and other diseases and dis- around the world, was found to be the sixth orders that limit an individual’s capacity in most common condition. Oral cancer is among biting, chewing, smiling, speaking, and psy- the 10 most common cancers in the world, chosocial wellbeing. Thens Declaration of Human Rights of thousands of children are still af- adopted by all nations. Moreover, one in every 500 A healthy mouth and a healthy body go hand to 700 children is born with a cleft lip and/or in hand. And oral and facial trauma, associated detrimental consequences on physical and with unsafe environments, sports and violence, psychological wellbeing. Oral diseases are often oral diseases that affict humankind and which hidden and invisible, or they are accepted as require population-wide prevention and access an unavoidable consequence of life and age- to appropriate care. However, there is clear evidence that oral general and oral health, particularly in terms of diseases are not inevitable, but can be reduced shared risk factors and other determinants, pro- or prevented through simple and effective vide the basis for closer integration of oral and measures at all stages of the life course, both at general health for the beneft of overall human the individual and population levels. The mouth is a pattern of inequalities in oral and general The extensive or general health are complete loss of teeth closely related and mirror of the body, often reflecting signs of sys- disease burden between different population Organ infections: may negatively impact Oral bacteria are should be considered temic diseases. With the global improvement in life expectancy, infections of the heart, habits such as tobacco or alcohol use. Different ages in life and changes in tooth appearance can indicate Noma: have different oral health needs, and the specific serious eating disorders. Acute necrotizing problems of older people, who are often also Saliva: Can be used to gingivitis/periodontitis Many general conditions increase the risk suffering from other diseases, are becoming identify specific is an important risk of oral diseases, such as an increased risk of more prevalent. Tooth decay shares the same social determinants and resulting inequalities as many other oral diseases. Separate national oral health surveys epidemiologic information constrains the 2000 or latest available data studies. It records the number of decayed (D), missing (M) and filled (F) are complex and costly to conduct, and development of appropriate approaches to decayed (D) missing (M) filled (F) teeth (T). However, a wide range of other factors the tooth surface, the bacterial biofilm (dental disease. These factors act over time at the level of reducing sugar Reducing acid attacks on the tooth enamel can food. Biofilm bacteria metabolize sugars and the community, the family and the affected intake, appropriate be achieved by reducing the total amount and individual. Action on the microbial biofilm can can be arrested and even reversed, but in the be taken by ensuring good oral hygiene later stages a cavity forms. E becomes necessary to restore tooth function, In addition, a range of external factors, such as lt involving the removal of decayed tissue or the where and how people live, also influence the placement of a filling or crown. This means that untreated, decay can lead to extensive destruc- although the decay process starts at the surface tion of the tooth, pain, and infection. The latter F of the tooth the problem cannot be solved by can result in abscess formation or septicaemia. It also neces- At this stage, root canal treatment or extraction sitates action on the community level to becomes necessary. Several of the bacterial species have been associated with causing tooth decay including Streptococcus mutans. I decided to take some Universal access to affordable and effective simple and cost-effective interventions. I spent about four The highest levels of tooth decay are found Exposure to fluoride is among the most when it hurt and that would do the minimizing the risk of tooth decay. During in middle-income countries, where sugar cost-effective measures to prevent tooth trick. Then one day, the pain got so So we started taking our son for this time, though, I developed the consumption is on the rise and health decay and improve oral health. Regular use acute that I started having a fever regular dental checkups and we habit of snacking and drinking soda. I rushed to the dentist who knowing that we are taking the right impact on my life. I decided to go consequences of untreated tooth decay, Universal access to primary oral healthcare told me that my tooth was in such preventive measures to keep our son back to work, only my employer said particularly for children, are negative Existing inequalities in disease burden can bad shape that I needed a root canal in good health. Luckily our health he wouldn’t take me because I had impacts on nutrition and growth, loss of only be reduced with universal access to treatment. I didn’t realize days in school and at work, reduced overall primary oral healthcare, covering at least could have been quickly cured ended so we can do what is necessary for this had become so visible, but my productivity and significant impacts on relief of pain, promotion of oral health and up costing me numerous working our son’s wellbeing and overall bad eating habits had caused a lot of quality of life and social interactions. This was a mistake I will devastated to learn I couldn’t Theacher, Vancouver, Canada, to address the global tooth decay burden, not make again. This was a wake-up call to Full integration of oral health into popula- demiological surveillance. Inadequate oral hygiene leads to The defence of the local immune Because of the shared risk factors and its accumulation of dental plaque containing system breaks down and the two-way relationship with some systemic harmful bacteria and bacterial products that inflammation process advances. However, the global attention from healthcare professionals, cells of the immune system counter these pocket formation, with loss of governments, and insurance and pharmaceuti- damaging effects and the inflammation supporting bone. For many patients, the affected teeth may become loose disease never progresses beyond this point and be lost. Specialized periodontal care is not generally Links with general health available; when it is, it is unaffordable for Products from inflammation around the tooth and the bacteria in dental plaque enter the bloodstream and may cause systemic many.


  • Talk to your health care provider or visit a travel clinic 4 - 6 weeks before you leave for your trip. You may need to get updated (or booster) vaccinations before you leave.
  • Harm to your vocal cords
  • Infants who have received blood exchange transfusions
  • Low body temperature
  • Kidney ultrasound or CT scan (may show kidney stones)
  • Injecting botulinum toxin can temporarily relieve torticollis, but repeat injections are usually needed every 3 months.
  • Breast development in men
  • Shoe inserts
  • Hearing loss
  • Spread of the infection (see acute invasive aspergillosis)

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Communicating under medical patriarchy: Gendered doctor- patient communication between female patients with overactive bladder and male urologists in Hong Kong cheap 250mg panmycin mastercard antibiotics for sinus infection what kind. Determinants of physicians’ patient-centred behaviour in the medical specialist encounter purchase panmycin once a day bacteria b cepacia. I am going to ask you a number of questions about your background and experience as a woman with thyroid disease buy panmycin from india infection after miscarriage. If you feel that any of the questions are too personal buy generic panmycin 250mg on-line antimicrobial test laboratories, you do not have to answer them. If you begin to feel upset or uncomfortable, please inform me and I will cease the interview. Because we are using online chat to conduct this interview, a transcript of our conversation will be automatically recorded. Please tell me, what has been your experience in seeking treatment for thyroid disease? How would you describe your current relationship with the doctor who treats you for thyroid disease? How does being a woman, as opposed to being a man, influence your relationship with your doctor? How comfortable do you feel in talking with your doctor about symptoms or medical issues you have experienced that you believe might be related to thyroid disease? What do you believe might help you to feel more comfortable in sharing your experience of these symptoms with your doctor? Do you have a journal or diary about your experience with thyroid disease that you would like to share with me? If you would like to share your journal/diary with me, please remove your real name from their journal/diary before emailing it to me. Would you mind reviewing the transcript of our chat to make sure everything is correct? McCormick, Based on my review of your research proposal, I give permission for you to conduct the study entitled “Women and Thyroid Disease: Treatment Experiences and the Doctor- Patient Relationship” within The Thyroid Support Group. As part of this study, I authorize you to invite members of my group to participate in the study as interview subjects. We reserve the right to withdraw from the study at any time if our circumstances change. Sincerely, ___________________, Group Owner-Moderator 311 Appendix C: On-List Group Email Invitation Hello everyone! My name is Laura McCormick and I am a doctoral student at Walden University (http://www. I obtained permission from the Group Owner and Moderator to seek participants for my study. If you are a woman age 18 or older, have a thyroid disease diagnosis, are a member of this support group, and if you are interested in participating in research about women’s experiences with thyroid disease treatment, then I invite you to take part in a research study of women with thyroid disease. A potential benefit to this study is that it gives participants the opportunity to share their experiences of thyroid disease with professionals and the general public (your real names will not be known or used). Email me off-list through my personal email address by January 26, 2014 to express your interest in participating. After reading the consent form, if you are still interested in participating, we will communicate via email using your fictitious name and email address to set up a date and time for your individual interview. Once we set a date and time for your interview, please be sure to participate in the interview in a private, non-public location. I want to assure everyone that you are in no way required to participate in my study. Likewise, if you choose to participate in my study, you may change your mind at any time and withdraw from the study without explanation. I will never know who does and does not participate in this study and I will never know the true identity of any participant. Warm regards, Laura 312 Appendix D: Consent Form You are invited to take part in a research study of women with thyroid disease. You were chosen for the study because you are a woman with a thyroid disease diagnosis and you expressed an interest in this study. Please read this form and ask any questions you have before agreeing to be part of the study. Background Information: The purpose of this study is to obtain an understanding of the experiences of women with thyroid disease. International Suicide and Crisis Hotlines are available here: http://suicidehotlines. At the end of the interview, you will be asked if you would like to follow up by e-mailing Laura your journal/diary (see below) and by reviewing your individual chat transcript. Please make sure that you participate in the interview in a private, non-public location, and use your fictitious name at all times. E-mail Laura not through the support group, but to her e-mail address and protect the journal with a password. This means that everyone will respect your decision of whether or not you want to be in the study. No one in The Thyroid Support Group will know whether you choose to participate and no one will treat you differently if you decide not to be in the study. You do not have to participate in any follow-up activities such as reviewing the transcript of your interview if you do not want to. Risks and Benefits of Being in the Study: A potential risk of participating in this study is the possibility of your e-mail being read by someone other than Laura. In order to prevent access to your e-mails, interview responses, and journal, Laura has password-protected her computer. No one will have access to the login information that you use to join the chat session, so no one will be able to see the transcript of your interview, which will be stored on a password-protected drive. Another possible risk is that you might feel emotional distress in talking about some aspects of your experience. If this is the case, you are free to end the interview, take a break, or withdraw from the study without consequences. A potential benefit of this study is to have your “voice” be heard about what it’s like to be a woman with thyroid disease. Laura will not use your information for any purposes outside of this research project. Also, Laura will not know your real name and will not include anything that could identify you in any reports of the study. If you want to talk privately about your rights as a participant, you can call the Director of the Research Center at Walden University.

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Its occurrence in domestic animals appears to be much less frequent than in man panmycin 500 mg otc virus and bacteria, but this may be because animals are less able to communicate their symptoms and because the lesions are concealed by their fur discount panmycin 500mg with visa antimicrobial essential oils list. Moreover cheap panmycin 250 mg line bacteria war, it is diffi- cult to distinguish cercarial dermatitis from hookworm dermatitis caused by nema- todes of the family Ancylostomatidae cheap panmycin online american express antibiotics that treat strep throat. Source of Infection and Mode of Transmission: The sources of infection for man are the banks of bodies of fresh or salt water where the snails that release the cercariae live. Epidemiologists have identified three situations in which the infection typically occurs. In the first, the infection originates in freshwater bodies frequented by waterfowl (geese, ducks, etc. In these cases, the parasites are generally species of the genera Australobilharzia, Gigantobilharzia, or Trichobilharzia, which infect fowl and develop in snails of the genera Lymnaea, Nassarius, or Physa, or the genera Heterobilharzia or Schistosomatium, which infect mammals and develop in Lymnaea, Physa,or Stagnicola snails. In the second situation, the infection is acquired on the banks of saltwater bodies. In these cases, the parasites generally belong to the genera Australobilharzia, Gigantobilharzia, Microbilharzia, or Ornithobilharzia, which infect marine or migratory birds and develop in marine snails such as Ilyanassa. In the third case, the infection is acquired in rice fields and floodlands inhabited by par- asites of domestic animals and wild rodents, such as Schistosoma spindale,aspecies that affects bovines and wild rats (Inder et al. The mode of transmission is direct penetration of the cercariae into the host’s skin within 24 hours of its formation. Diagnosis: Diagnosis is difficult and is based mainly on observation of the patient’s clinical symptoms and a history of recent exposure to watercourses in which hosts of nonhuman schistosomes exist. As treatment is purely symptomatic and does not exclude the existence of other allergic conditions, successful treatment does not help to confirm the infection. Although various serum immunologic tests can establish the diagnosis (fluorescence test, cercarial Hullen reaction, circumoval precipitation, etc. Indirect immunofluorescence and enzyme-linked immunosorbent assay, employing commercially available human schistosome antigens, have been used to diagnose the infection, but the results are less sensitive (Kolarova et al. The population of snails in pools, rice fields, or irrigation canals can be controlled with molluscicides (Kolarova et al. In the case of small nat- ural ponds, clearing the vegetation from the banks will create a less favorable envi- ronment for snails and removing the mud from the bottom will eliminate them. Use of praziquantel baits has been recommended to eliminate the mature parasites of fowl, but three 200 mg doses daily per duck are needed to produce a permanent reduction in the excretion of eggs. In Japan, rice-field workers and other individuals have been protected with copper oleate, which is applied to the skin and allowed to evaporate. It is recommended that swimmers dry off vigorously as soon as they emerge from the water, since the cercariae are better able to penetrate the skin when it is allowed to air dry slowly. Direct and sequential switching from mu to epsilon in patients with Schistosoma mansoni infection and atopic der- matitis. Public health importance and risk factors for cer- carial dermatitis associated with swimming in Lake Leman at Geneva, Switzerland. Cercaria-schistosomulum surface transfor- mation of Trichobilharzia szidati and its putative immunological impact. Studies on animal schis- tosomes in Peninsular Malaysia: Record of naturally infected animals and additional hosts of Schistosoma spindale. Serodiagnosis of cercarial dermatitis with antigens of Trichobilharzia szidati and Schistosoma mansoni. The epidemiology of cercarial dermatitis and its association with limno- logical characteristics of a northern Michigan lake. Case report of cercaria dermatitis caused by Trichobilharzia (Digena, Schistosomatidae). Etiology: Clonorchis sinensis is a small trematode measuring 12–20 mm long and 3–5 mm wide, with a reddish, translucent body. It lives in the bile ducts of humans, pigs, cats, dogs, rats, and several other species of fish-eating mammals. Some authors place it in the genus Opisthorchis because adults of the genera Clonorchis and Opisthorchis are similar in appearance, but there are clear differences in the pre- adult stages. Moreover, the name Clonorchis has been used in the medical literature since 1907, so retaining it seems justified. The first is any of several operculate aquatic snails, such as species of Alocinma, Bulimus, Melanoides, Parafossarulus, and Semisulcospira. The second intermediate host is any of more than 100 species of freshwater fish (often members of the family Cyprinidae), only about a dozen of which are regu- larly consumed by humans. If the eggs reach fresh water (rivers, lakes, lagoons, reservoirs, ponds) and find appropri- ate intermediate hosts, their development continues. The snail ingests the eggs, which hatch in the intestine and release ciliated larvae, or miracidia. The miracid- ium penetrates the intestinal wall, invades the digestive gland (hepatopancreas), and becomes a sporocyst, which produces other larvae, the rediae. After a redia leaves the sporocyst, it produces still other pre-adult larvae, the cercariae. Multiplication of larvae in the pre-adult stages is called pedogenesis, and is characteristic of trema- todes. The cercariae—juvenile stage larvae with a tail—emerge from the snail when they are mature and seek a second intermediate host, which they must find within 24–48 hours or they will die. A cercaria penetrates the skin of a fish, loses its tail, and forms a resistant wall around its body. This cyst, called a metacercaria, lodges under the fish’s skin or in the connective tissue or underlying muscles. The meta- cercariae become infective for the definitive host in approximately one month. When the definitive host consumes infected raw fish, the metacercariae excyst in the host’s duodenum. The juvenile parasite penetrates the ampulla of Vater and moves against the bile flow towards the bile ducts. After three to four weeks, the par- asite reaches sexual maturity and begins to lay eggs, and the life cycle begins anew. The entire life cycle is completed in around three months, but the mature parasites can live for up to 40 years. Geographic Distribution: The endemic area of clonorchiasis is limited to China, Japan, Malaysia, Republic of Korea, Singapore, Taiwan, Vietnam, and possibly Cambodia and the Lao People’s Democratic Republic. In several countries of the world, sporadic cases have been diagnosed in immigrants from and in people who had visited the endemic area. Occurrence: Human infection appears to be ancient, as eggs of the parasite have been found in human remains 2,600 years old. The prevalence among humans is estimated at between 7 and 30 million cases in the endemic area, with some 20 mil- lion people believed to be infected in southeastern China alone. Although the first human case in the Republic of Korea was not diagnosed until 1915, C. In 1997, stool sample examinations in that country showed a human infection rate of 11. Nevertheless, this situation represents an improvement over that of several decades ago (Joo et al.

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The median cell loss in corneas from donors < 66 years was 69% compared to 75% in corneas from donors > 66 years generic 500mg panmycin amex antibiotic news. Additionally discount panmycin 500mg visa antibiotic resistance in livestock, there was a weak negative correlation between donor age and endothelial cell density at 5 years D purchase panmycin 250mg fast delivery bacteria that cause disease. To assess the effect of donor and recipient factors on corneal allograft rejection b cheap panmycin 500mg fast delivery bacteria resistant to penicillin. To determine whether the 10- year success rate of penetrating keratoplasty for corneal endothelial disorders is associated with donor age 2. Among 651 eyes with surviving graft at 5 years, the 10- year graft failure rates were 12% among eyes with no rejection events in the first 5 years, 17% in eyes with at least 1 probable rejection event, and 22% in eyes with at least 1 definite rejection event b. Preoperative history of glaucoma (especially in eyes with a history of glaucoma surgery and still on glaucoma medications) was significantly associated with a higher risk of definite graft rejection c. The success rate of penetrating keratoplasty for corneal endothelial disorders was higher for donors aged 12 to 33 years (96%) and lower for donors aged 72 to 75 years (62%). Donor age is not an important factor n penetrating keratoplasties for endothelial disease: primary analysis did not show significant difference comparing ages 12 to 65 vs. To determine whether histocompatibility matching of corneal transplant donors and recipients can reduce the incidence of graft rejection in high-risk patients 2. Incidentally noted that the rate of rejection was lower than reported and concluded that it likely was related to aggressive steroid use in the postoperative period, good patient compliance with medication, and close patient follow-up F. To compare topical natamycin vs topical voriconazole in the treatment of fungal keratitis 2. Randomized, active comparator-controlled, double-masked, multicenter clinical trial 3. Natamycin treated cases had significantly better 3-month best spectacle-corrected visual acuity than voriconazole-treated cases b. Natamycin-treated cases were significantly less likely to have perforation or require therapeutic penetrating keratoplasty compared to voriconazole-treated cases c. The difference between the treatment groups was secondary to improved outcomes in Fusarium keratitis; other fungal organisms had comparable outcomes with the two medications G. To determine whether there is a benefit in clinical outcomes with the use of topical corticosteroids as adjunctive therapy in the treatment of bacterial corneal ulcers. There was no difference overall in the visual acuity at 3 months (primary outcome variable), scar size, time to re-epithelialization, or rate of perforation e. In patients with presenting vision of Count Fingers or worse, or with central ulcers at baseline, the steroid group had significantly greater improvement in vision at 3 months compared to the control group f. Herpetic Eye Disease Study Group: A controlled trial of oral acyclovir for iridocyclitis caused by herpes simplex virus. The Herpetic Eye Disease Study Group: Acyclovir for the prevention of recurrent herpes simplex virus eye disease. Herpetic Eye Disease Study Group: A controlled trial of oral acyclovir for the prevention of stromal keratitis or iritis in patients with herpes simplex virus epithelial keratitis. Psychological stress and other potential triggers for recurrences of herpes simplex virus eye infections. The effect of donor age on corneal transplantation outcome results of the cornea donor study. Corneal graft rejection 10 years after penetrating keratoplasty in the cornea donor study. Effectiveness of histocompatibility matching in high-risk corneal transplantation. The Mycotic Ulcer Treatment Trial: A Randomized Trial Comparing Natamycin vs Voriconazole. Pseudomonas aeruginosa keratitis: outcomes and response to corticosteroid treatment. Advances in Molecular and Cellular Microbiology 24 Bacteriophages in Health and Disease Edited by Paul Hyman Department of Biology/Toxicology, Ashland University and Stephen T. Abedon Department of Microbiology, The Ohio State University Advances in Molecular and Cellular Microbiology Through the application of molecular and cellular microbiology we now recognise the diversity and dominance of microbial life forms on our planet, that exist in all environments. These microbes have many important planetary roles, but for we humans a major problem is their ability to colonise our tissues and cause disease. The same techniques of molecular and cellular microbiology have been applied to the problems of human and animal infection during the past two decades and have proved to be immensely powerful tools in elucidating how microorganisms cause human pathology. This series has the aim of providing information on the advances that have been made in the application of molecular and cellular microbiology to specific organisms and the diseases that they cause. The series is edited by researchers active in the application of molecular and cellular microbiology to human disease states. Each volume focuses on a particular aspect of infectious disease and will enable graduate students and researchers to keep up with the rapidly diversifying literature in current microbiological research. Antimicrobial Peptides: Discovery, Design and Novel Therapeutic Strategies Edited by Guangshun Wang 19. Antimicrobial Drug Discovery: Emerging Strategies Edited by George Thegos and Elefherios Mylonakis 24. No part of this publication may be reproduced in any form or by any means, electronically, mechanically, by photocopying, recording orotherwise, without the prior permission of the copyright owners. The electron micrograph on the cover is of Salmonella phage bound to cell wall residues forming a ‘phage bouquet’. This image was prepared by Jochen Klumpp at the Institute of Food, Nutrition and Health, Zurich, Switzerland. Library of Congress Cataloging-in-Publication Data Bacteriophages in health and disease / [edited by] Paul Hyman, Stephen T. The Lion and the Mouse: How Bacteriophages Create, Liberate and Decimate Bacterial Pathogens 61 Heather Hendrickson* 6. Phages and Their Hosts: a Web of Interactions – Applications to Drug Design 119 Jeroen Wagemans and Rob Lavigne* 10. Bacteriophage-based Methods of Bacterial Detection and Identification 134 Christopher R. Phage Translocation, Safety and Immunomodulation 168 Natasza Olszowska-Zaremba*, Jan Borysowski, Krystyna Dąbrowska and Andrzej Górski 13. Phage Therapy of Wounds and Related Purulent Infections 185 Catherine Loc-Carrillo*, Sijia Wu and James Peter Beck 14. Rudolfa Weigla 12, 53-114 Wroclaw, Poland; Department of Clinical Immunology, Institute of Transplantology, Medical University of Warsaw, ul. This page intentionally left blank Foreword It has been personally gratifying to examine the sections and chapters that make up this book, ‘Bacteriophages in Health and Disease’. The book represents real progress since the now almost half a century when I was first introduced to the bacteriophages at a Cold Spring Harbor Phage Course in 1965.

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