Progress: the UC San Diego – Universidade Eduardo Mondlane Medical Education Partnership Initiative

In this official video, Dr. Emilia Noormahomed describes the goals and progress of the UC San Diego—Universidade Eduardo Mondlane (UEM) Medical Education Partnership Initiative (MEPI) program in Mozambique.

Map of Africa showing location of MozambiqueEmilia Noormahomed, MD, PhD, is UEM principal investigator of the MEPI project, which is intended to strengthen Mozambique’s medical education system by building infrastructure to support medical training, research and technology.

Noormahomed is associate professor in the Parasitology Section, Department of Microbiology, at UEM and associate professor of medicine at UC San Diego.

In their partnership, UEM receives the bulk of the grant funding and UC San Diego provides partners and mentors to help UEM meet its goals.  |  More about UC San Diego’s role

The UC San Diego Internal Medicine Residency Training Program offers a global medicine elective in which residents rotate to the UEM’s Maputo Central Hospital in Mozambique for a four-week period.  |  More about the elective

MEPI is a joint initiative of the United States National Institutes of Health and the President’s Emergency Plan for AIDS Relief (PEPFAR).

More Information:

Internal Medicine Residency Training Program

Medical Education Partnership Initiative

Bringing Power of Prevention, Diagnosis to the People

“A Mercedes Benz isn’t designed to function in the Sahara Desert,” notes Dr. Eliah Aronoff-Spencer of the University of California, San Diego. “So why are we designing medical equipment for developing countries the same way we do for developed ones?”

It’s a question researchers at the new Distributed Health Laboratory in the California Institute for Telecommunications and Information Technology (Calit2) at UC San Diego aim to address, and eventually, to render moot. In collaboration with the UC San Diego School of Medicine and the Universidade Eduardo Mondlane (UEM) in Maputo, Mozambique, Calit2’s DH Lab is designing low-cost medical devices such as microscopes and wireless sensing devices that can be used by virtually anyone anywhere in the world to prevent and even diagnose illness. … Read the full story from the UCSD Newsroom


Co-directing the Distributed Health Laboratory is Eliah Aronoff-Spencer, MD, PhD, fellow in infectious diseases at UCSD and informatics coordinator for the Medical Education Partnership Initiative (MEPI) between UC San Diego and Universidade Eduardo Mondlane (UEM) in Maputo, Mozambique.

Eliah Aronoff-Spencer, MD, PhD with Dr. Manuel TomasThe photo at left shows Dr. Aronoff-Spencer with UEM physician Dr. Manuel Tomás (at right) on a patient ward at Maputo Central Hospital.

Dr. Aronoff-Spencer is also an organizer of the Biomedical Research Informatics for Global Health Training (BRIGHT) program, an international collaboration devoted to training the next generation of informatics researchers in partner countries.

The BRIGHT program, a Division of Biomedical Informatics project, is funded by grant D43TW007015 from the Fogarty International Center of the National Institutes of Health.

A graduate of the UCSD Internal Medicine Residency Program and Physician-Scientist Training Pathway, Dr. Aronoff-Spencer has completed a fellowship in clinical infectious disease and is now a fellow in research in infectious disease, global health informatics and decision making at UCSD. He is also a staff physician in infectious disease at the VA San Diego Healthcare System.

More information:

NIH Funds UCGHI GloCal Health Fellowship to Train Next Generation of Global Health Researchers

The University of California Global Health Institute (UCGHI) announces the UCGHI GloCal Health Fellowship funded by the Fogarty International Center (FIC) at the National Institutes of Health (NIH) to provide global health research training opportunities for 9-12 fellows annually for the next five years. Co-led by Drs. Steffanie Strathdee (UC San Diego) and Craig Cohen (UCSF), this program will contribute to the development of future global health researchers at the University of California and international partner institutions …… Read the full story from the University of California Global Health Institute


Dr. Steffanie Strathdee
Co-directing the UCGHI GloCal Health Fellowship program is Dr. Steffanie Strathdee, Associate Dean of Global Health Sciences and Harold Simon Professor and Chief of the UC San Diego Division of Global Public Health; Director, UC San Diego Global Health Initiative.

More Information:

Appreciation and a Fond Farewell to Dr. Ken Kaushansky

Kenneth Kaushansky, MD, MACPOn July 19, Dr. Ken Kaushansky officially begins his work as Senior Vice President for Health Sciences and Dean of the School of Medicine at Stony Brook University in New York.

When he announced his departure to the faculty and staff of the UCSD Department of Medicine on June 7, he described his new position as an opportunity to implement, on a larger scale, the successful programs that the Department of Medicine has instituted under his leadership here.

He called his years at UCSD a time of “incredible transition in our faculty, our leaders, our teaching programs, and our clinical impact.”

During Dr. Kaushansky’s tenure as Helen M. Ranney Distinguished Professor and Chair, the Department of Medicine expanded from 253 to over 420 faculty members, added four divisions, and recruited 11 division chiefs. Its annual budget grew from $86 million to nearly $150 million.

Dr. Robert Schooley“Dr. Kaushansky has been an outstanding Chair for this department,” said Dr. Robert “Chip” Schooley, Professor and Chief of the Division of Infectious Diseases and Vice Chair for Academic Affairs in the Department of Medicine.“

During his eight years as Chair, the medical house staff program became one of the most highly regarded programs in the country. New divisions in Hospital Medicine, Biomedical Informatics, Geriatrics, and Global Public Health were developed and research programs thrived throughout the Department,” Dr. Schooley said.

“In response to increasing interest in international medicine among the medical house staff, Dr. Kaushansky launched the Department’s Global Medicine Residency Program in 2009,” he said.“Dr. Kaushansky worked with his counterpart at the Universidade Eduardo Mondlane to establish a model program in international cooperation that has revitalized postgraduate medical training in the Republic of Mozambique.”


Dr. Kaushansky with Drs. Marisa Magaña, Emilia Noormahomed, and Robert Schooley in Mozambique Dr. Kaushansky on a global medicine planning trip to China.Dr. Kaushansky with Drs. Marisa Magaña, Emilia Noormahomed, and Robert Schooley in Mozambique (left); on global medicine program planning trip to China (right).

Since 2002, the Department’s NIH research funding has grown from $60 million to $113.6 million. It has more than twice as many complex multi-investigator program-project grants and career development awards granted to the junior faculty and fellows.

The Department has also boosted its showing in the “America’s Best Hospitals” rankings from U.S.News & World Report. In 2002, two subspecialty clinical programs ranked in the nation’s top 50: respiratory at 9th and cancer at 41st. In the most recent rankings, five subspecialties ranked in the top 50, including one (HIV/AIDS) in the top 10.

Dr. Greg Maynard“Ken was directly responsible for building up the strength of clinical care at UCSD,” said Dr. Greg Maynard (right), Health Sciences Professor of Medicine and Chief of the Division of Hospital Medicine.

“He recruited me here about 7-1/2 years ago, and in that time, the Hospital Medicine program has grown from 4 hospitalists to nearly 30, as just one example of that.”

“Dr Kaushansky nurtured my career here at UCSD,” said Dr. Pradipta Ghosh (below left), physician-scientist and Assistant Professor of Medicine in the Division of Gastroenterology.

Dr. Pradipta Ghosh“As a product of the Physician-Scientist Training Program,” she said, “I am one of those few who enjoyed special access to this busy department chair. His doors were always open. I recall having multiple consultations with him at various stages of my career as it grew here at UCSD.

“When the time came for me to choose where to spend the first decade of my young career as an independent investigator, it was his support and a match in our visions which tilted my decision in favor of UCSD,” she said.

“His tireless efforts at instilling the physician-scientist culture here in the Department of Medicine, both from top-down and bottom-up, have paved the path for many young folks like me to craft a career for themselves as physician-scientists,” Dr. Ghosh said.

Dr. John Carethers“Ken was the reason why I eventually accepted the GI Chief job at UCSD,” said Dr. John M. Carethers (right), now John G. Searle Professor and Chair of the Department of Internal Medicine at the University of Michigan.

When Dr. Kaushansky joined the UCSD faculty, Dr. Carethers was an associate professor of medicine in the Division of Gastroenterology. Dr. Carethers became division chief in 2004

“Ken … gave me enough autonomy to help grow the GI Division, gain a GI Center grant, coordinate well with the Cancer Center and other divisions, and allowed me to grow personally,” Dr. Carethers said. “The GI Division flourished under that mantra.

“We went to a clinical service chief structure, developed a new hierarchy for our administrative staff, started a robust web site, grew our fellowship, and survived many challenges over that time because of his support,” he said.

“Ken provided invaluable advice on my career,” Dr. Carethers said. “He was a great sounding board, not pretentious; encouraging, but never overprotective. I think he understood the value of growth and opportunity, something that is hard to come by these days.”

Dr. Patricia FinnDr. Patricia Finn (left), Professor and Chief of the Division of Pulmonary and Critical Care Medicine, described Dr. Kaushansky as “a tireless advocate for his faculty.”

“He is accessible 24/7 to offer support and guidance, which is huge to a new faculty member just moving cross country,” she said.

“On a personal note, when I had barely arrived here he was already nominating me for positions and committees to help me advance my career.”

Dr. Kirk Knowlton“His integrity, fairness, and open-mindedness built an environment of trust that allowed the substantial growth of the Department of Medicine during his tenure as Chair,” said Dr. Kirk U. Knowlton (right), Professor of Medicine and Chief of the Division of Cardiology.

“I am struck by how he has been able to hold the respect of so many people with widely disparate interests,” Dr. Knowlton said.

“This included people who were fully engaged in basic science and those who were busy taking excellent care of their patients; medical students and residents and post-graduate research fellows; administrators and faculty; and others over whom he might have had influence or who crossed his path.

“The people he has worked with knew that they could count on him to represent their interests in the context of the institution’s goals in a considered and reasonable manner while at the same time maintaining his vision of the future of the Department of Medicine.”

“He is a rare breed,” Dr. Maynard said. “I guess I’d call him a quadruple threat. An outstanding scientist, a superb clinician, a great educator, and an incredible leader and administrator to boot.

“While he is not really replaceable,” he said, “he has left an enduring legacy that stresses clinical and operational excellence, as well as research contributions.”

Dr. Finn said, “In addition to [his] world-class scientific reputation, Dr. Kaushansky is most respected for his character and vision.”

“He makes his department and faculty a priority, while striving to always do the right thing for the patients,” she said. “He will be most remembered for his infectious enthusiasm, upbeat attitude, and steady, insightful guidance of students and faculty.”

“He leaves an 8-year legacy that advanced the Department of Medicine in many ways,” said Dr. Carethers, “including growing faculty, changing the way residents learn, obtaining key recruitments for division chiefs and faculty, enhancing VA relations, and being an all out cheerleader for the Department.”

On June 21, Dr. Kaushansky was honored at a farewell reception hosted by David Brenner, M.D., Dean of the UCSD School of Medicine and Vice Chancellor, Health Sciences. In his remarks there, Dr. Kaushansky expressed his appreciation for “eight and a half years of good friends, challenges, and teamwork.”

Observing that he had been involved in recruiting many of the faculty members in the room, he said, “Everything at UCSD works toward recruiting great people.”

“It’s easy, at UCSD, to build things and to make a difference,” he said. “Everybody makes everyone else stronger.”

Dr. Kaushansky praised UCSD’s “incredible richness” of people, science, teaching, and clinical programs. “I’ve never seen more devotion to the three missions,” he said.

And now he looks ahead.

“In academic medicine, you get to re-craft yourself every ten years,” he said. “I’m looking forward to my newly-found steep learning curve.”

Dr. Kaushansky was honored at a tribute from the senior leaders of the Department of Medicine on July 11. There will be a tribute from all departmental staff, faculty, and house staff on a date to be selected.

“Although one could cite metric after metric by which his unceasing efforts strengthened the Department,” said Dr. Schooley, “what many of us think distinguished his tenure most was the way in which his ‘bottom up’ style of leadership brought out the best in all of us.

“The Department will benefit for many years to come from things he set in motion – as will each of its members from what we learned from his multifaceted demonstration of scholarship, integrity, imagination and dedication to his Department.”


Drs. Ken Kaushansky and Wolfgang Dillmann   Drs. Ken Kaushansky and Wolfgang DillmannDr. Kaushansky with newly designated Interim Chair Wolfgang Dillmann, M.D.

Early Successes: Global Medicine Update from Mozambique

Since it began last summer, the Global Medicine Program at UC San Diego has sent 11 internal medicine residents to Mozambique, sparked several new research projects, and stimulated learning on both sides of this unique international partnership.

The Republic of Mozambique. Map from CIA: The World Factbook.

The Republic of Mozambique.
Map from CIA: The World Factbook.

The Global Medicine Program is a two-way exchange of faculty and residents between UCSD and the Universidade Eduardo Mondlane in Maputo, Mozambique. It is part of the Department of Medicine’s efforts to expand its involvement in global health.

“I think the program has made absolutely incredible progress,” said Dr. Constance Benson, Professor of Medicine and Director of UCSD’s Fellowship Training Program in Infectious Diseases.

Dr. Benson is a faculty director of the program.

During their 3-week stay, the UCSD internal medicine residents rotate through four different wards at Maputo General Hospital. Dr. Michael Preziosi, Clinical Director of the program, serves as faculty attending physician on site in Maputo.

Mozambican internal medicine residents

Mozambican internal medicine residents (left to right) Drs. Clotilde Tilwene, Neusa Jessen, Marilia Vida. Photo by Mike Preziosi, MD

Working together with the Mozambican doctors, the UCSD residents are encountering diseases they have never seen before and far more advanced stages of diseases frequently seen in San Diego; schistosomiasis, for example, and full-blown tuberculosis.

In one 24-hour period, Dr. Preziosi said, his patients included one who had tetanus with lockjaw, one with a liver cancer caused by a fungus that grows on peanuts, and one who had an advanced case of pellagra.

Broadening UCSD’s Internal Medicine Residency Training Program is one of the goals of the Global Medicine Program. Promoting collaborative global health research is another.

Mozambican residents at a presentation

U.S. and Mozambican residents at a presentation. Photo by Mike Preziosi, MD.

In the past six months, UCSD residents, fellows, and faculty members have begun to partner with Maputo researchers in new studies of tuberculosis and other endemic diseases.

UCSD is also introducing tools and practices that will strengthen the medical education program at Universidade Eduardo Mondlane.

A weekly journal club, instituted by UCSD residents, has been very well received.

“On the wards with the Mozambican residents, what’s going on has been really inspiring,” said Dr. Preziosi. “We’re seeing them get excited about medicine again.”This, in turn, refreshes the American residents, he said.

“I think they are getting a renewed sense of the purpose and value of the educational activities they are helping to introduce,” Dr. Preziosi said, “and are participating in them with renewed energy.”

Mozambican and American residents

Mozambican resident Marilia Vida (left) with Dr. Sarah Fox, second-year UCSD resident. Photo by Mike Preziosi, MD.

Mozambican residents will begin rotations at UCSD later this year.

“What makes our program unique,” said Dr. Robert “Chip” Schooley, “is that the transfer of capacity is being done in a peer-to-peer fashion by people who are transferring knowledge about jobs they do all the time.“The Mozambican residents see our residents as counterparts who are sharing their own experiences.”

Dr. Schooley, a Faculty Director of the program, is Professor of Medicine and Chief of the Division of Infectious Diseases. “I think this program will break a lot of ground,” he said.

UCSD faculty appointments have been granted to Drs. Emilia Noormahomed and Sam Patel, the faculty leaders on the Universidade Eduardo Mondlane side of the Global Medicine Program.

UCSD is assisting with material needs in Maputo as well.

Last summer, a UCSD team brought a supply of modern tuberculosis protective masks for the Mozambican residents’ workroom at the hospital. There is a great shortage of other basic clinical supplies.

To help meet such needs and to sustain the Global Medicine Program, Dr. Schooley and colleagues are stepping up their fundraising efforts.

“We can make a real impact on the health of this country with a very modest investment,” said Dr. Kenneth Kaushansky. Dr. Kaushansky, Helen M. Ranney Distinguished Professor and Chair of the Department of Medicine, is Director of the Global Medicine Program.

As the U.S. and Mozambican residents care for patients and pursue their studies together, they lay groundwork for stronger healthcare systems in both nations. In the face of overwhelming need in Maputo, they press forward with the resources available.

Drs. Benson and Schooley are veterans of many successful efforts to improve healthcare delivery in Africa.

“You overcome,” said Dr. Benson. “One day at a time, one patient at a time.”

* * *

The Global Medicine elective rotation is open to second- and third-year residents and to Department of Medicine faculty members from all specialties.

For more information on the Global Medicine Program,
visit http://imresidency.ucsd.edu/GlobalMed.shtml.

Read our news story about the launch of the Global Medicine Program here.

Give to our Global Medicine Program.

Two Gates Foundation Grants Awarded to DOM Global Health Researchers

The Bill & Melinda Gates Foundation has awarded $100,000 grants to two Department of Medicine research teams for their innovative proposals in global health research.In the two projects, researchers will explore new tools for eradicating malaria. The disease is one of the leading causes of death in developing nations.

Catriona Jamieson, PhD, MD

Catriona Jamieson, PhD, MD

The faculty investigators are Catriona Jamieson, PhD, MD, and Joseph M. Vinetz, MD.

They will work with postdoctoral fellows Jennifer Black, MD, and Kailash Patra, PhD, as well as collaborators from UC Irvine and the Salk Institute.

Dr. Jamieson is Assistant Professor of Medicine in the Division of Hematology-Oncology and Director for Stem Cell Research at the Moores UCSD Cancer Center. Dr. Vinetz is Professor of Medicine in the Division of Infectious Diseases.

Joseph Vinetz, MD

Joseph Vinetz, MD

The funding comes from the Grand Challenges Explorations initiative of the Gates Foundation. The $100 million initiative provides funding for investigators who have fresh approaches to the most severe health challenges in the developing world.  |  Read the full story from UC San Diego News

New Global Medicine Program at Work in Mozambique

UCSD internal medicine resident Seth Goldman, M.D., with Dr. Sam Patel of UEM on the wards at Maputo Central Hospital.

UCSD internal medicine resident Seth Goldman, M.D., with Dr. Sam Patel of UEM on the wards at Maputo Central Hospital. Photo by Mike Preziosi, MD.

At Maputo Central Hospital in Mozambique, the patients suffer from diseases that a doctor might never see in the U.S.: malaria, cholera, or drug resistant tuberculosis, for example. Important research takes place despite limited resources. Internal medicine residents divide their time between their clinical duties and the moonlighting jobs that finance their medical education.

Beginning this month, UCSD internal medicine doctors are working side by side with their counterparts in Maputo. The new Global Medicine elective rotation in the UCSD Internal Medicine Residency Training Program is underway.

It’s a bilateral exchange of faculty and residents between UCSD and the Universidade Eduardo Mondlane (UEM) School of Medicine in Maputo. The purpose is to enrich the training programs and the research efforts at both institutions.

Dr. Seth Goldman, a third-year resident in internal medicine, is the first UCSD trainee to take part. He’ll spend almost 4 weeks in Maputo, departing as the next resident arrives from UCSD to take his place.

Dr. Preziosi with Mozambican residents

Global Medicine Program Clinical Director Mike Preziosi, MD (center), with Mozambican internal medicine residents Lucia Chambal (left) and Manuel Tomas (right).

Supervising the residents in Maputo is Michael Preziosi, MD, who graduated from the Internal Medicine Residency Program in June. He’ll spend a full year in Maputo as Assistant Professor of Medicine, and clinical director for the UCSD residents.

“Our research and education presence in Maputo will equip us to prepare our next generation of internal medicine specialists and researchers,” says Ken Kaushansky, MD, MACP, Helen M. Ranney Distinguished Professor and Chair of the Department of Medicine. Dr. Kaushansky directs the Global Medicine program for UCSD.

Drs. Marisa Magaña and Emilia Noormahomed

Dr. Marisa Magaña, former UCSD internal medicine resident, with Dr. Emilia Noormahomed of UEM.

UCSD’s Global Medicine faculty leaders include Robert (Chip) Schooley, MD, Professor of Medicine and Chief of the Division of Infectious Diseases, and colleague Professor Constance Benson, MD, who directs the Fellowship Training Program in Infectious Diseases.

This is an exciting opportunity for UCSD and for UEM,” says Dr. Schooley.

He and Dr. Benson have collaborated with researchers in Mozambique and other African nations since the mid-1990s.

It was their interest in doing research work with Dr. Emilia Noormahomed that brought UEM to the foreground when the UCSD Department of Medicine began its search for potential Global Medicine rotation sites.

Emilia Noormahomed, MD, PhD, a gifted parasitology researcher, is a former dean of the UEM School of Medicine.

She and Sam Patel, MD, Professor of Medicine and, until recently, Chair of the Department of Medicine, are UEM’s participating faculty who have worked closely with Dr. Kaushansky to design this unique partnership.

Both have accepted faculty appointments in UCSD’s Department of Medicine.


“Our long-term goal is to play a critical role in developing sustainable local capacity to lead programs in HIV, tuberculosis, and malaria in southeast Africa.”
— Dr. Schooley


City of Maputo

The city of Maputo is a major port on the Indian Ocean.
Photo by Robert Schooley, MD.

For UCSD, the Global Medicine program reflects the Department of Medicine’s commitment to enlarge its efforts in the field of global medicine. The new elective will broaden the program offered to internal medicine residency trainees.

“Our faculty, residents, and fellows will have the opportunity to see diseases such as TB and malaria that we see much less often here in the U.S.,” Dr. Schooley says, “and actually to take part in revitalizing postgraduate medical education in Moçambique.”

A generation after a civil war that drove all but a few doctors from the country, the government of Moçambique is striving to build a sustainable healthcare system that can meet the nation’s urgent need for physicians and medical leaders.

Children in cane village outside Maputo.

Children in cane village outside Maputo. Photo by Kenneth Kaushansky, MD.

UCSD’s involvement at UEM is part of this effort, as is funding for the UEM departments of parasitology and medicine by the Gilead Foundation, a nonprofit organization of the pharmaceutical company Gilead Sciences, LLC.

The Gilead Foundation contributed along with the UCSD Center for AIDS Research to the refurbishing of Dr. Noormahomed’s laboratory at UEM. It’s also a key sponsor of the UCSD Global Medicine rotation.

It’s hoped that additional philanthropic gifts from other sources will continue to support the Global Medicine exchange and other collaborative projects between UCSD and UEM.

UCSD’s presence at UEM will nourish medical research programs and promote the use of evidence-based medicine and epidemiological methods in patient care.

Maputo Central Hospital

Maputo Central Hospital, the primary teaching hospital for UEM.
Photo by Mike Preziosi, MD.

During the early months of this inaugural year, Dr. Preziosi is focusing on establishing relationships, learning the language, and determining the needs of the UEM medical trainees and researchers.

“I’m really excited,” he says. “It’s clear to me how important my job is as a continuous presence in Maputo.”

He and his UCSD colleagues will work with UEM to establish a more academic day in the medical training program. They’ll also develop a number of research studies.

“We’ll work with their residents and investigators,” he says, “to do the projects that really matter.”

Dr. Preziosi hopes to have launched the first group of new research projects by the end of the year. In June 2010, he will return to UCSD to begin his fellowship training in infectious diseases.

Mozambique shown on map of Africa.

The republic of Mozambique.
Map from CIA: The World Factbook.

The Global Medicine elective rotation is open to second- and third-year residents. During the 2009-2010 academic year, over 20 UCSD internal medicine trainees will complete the Global Medicine rotation in Maputo.

Additional UCSD Department of Medicine faculty will rotate through Maputo for 3-4 week periods over the course of the year, working alongside their Mozambican colleagues to augment the Internal Medicine training program at Maputo Central Hospital. Dr. Randy Taplitz, Clinical Director of the Division of Infectious Diseases, will join Dr. Preziosi in early August.

Department of Medicine faculty rotating through Maputo live in an apartment, located several blocks from the medical school complex, with Dr. Preziosi and the UCSD residents.

Starting later this year, UEM residents will travel to UCSD to spend 2-3-month periods in research and clinical work here.

“Our long-term goal,” says Dr. Schooley, “is to play a critical role in developing sustainable local capacity to lead programs in HIV, tuberculosis, and malaria in southeast Africa.”


Join With Us

We’re building practical, sustainable programs here at home and in our partner nations.

Your gift in any amount will go directly to help train a doctor, continue a key research project, or equip a community with the knowledge it needs to fight the spread of a preventable disease.

For more information about philanthropy and the Department of Medicine’s international programs, please contact Dan Otto, Senior Executive Director of Development, at 858-246-1563.

Give Now

UCSD Faculty Volunteers Welcomed

UCSD Department of Medicine faculty volunteers of all specialties are welcome to participate in the Global Medicine program in Maputo.

To make your interests known or to find out more, please contact:

Jesus Vera
Global Medicine Program Coordinator
Telephone 619-543-2896
Email jevera@ucsd.edu

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