A recent study, which appears in the journal Radiology, examined the effect of long COVID on the lungs and found potential long-term effects on lung function. 2023 Toronto Sun, a division of Postmedia Network Inc. All rights reserved. For those with severe infections, working with a physical or respiratory therapist may help. Symptoms appear 214 days after exposure to the SARS-CoV-2 virus and last 14 weeks on average. Atelectasis is the partial or complete collapse of the entire lungs or a particular area or lobe of the lungs. Causes behind painful breathing, fluid buildup. As the infection travels your respiratory tract, your immune system fights back. Why Doesn't the U.S. Have at-Home Tests for the Flu? In patients that are extremely ill, those muscles are weakened from lack of use. Hyperinflated lungs are larger-than-normal lungs as a result of trapped air. Hyperinflammatory cytokine storms in many severely symptomatic Covid-19 patients may be rooted in an atypical response to SARS-CoV-2 by the dysfunctional MCs of MCAS rather than a normal response by normal MCs. Lung hyperinflation in COPD: Applying physiology to clinical practice. It splits into smaller and smaller branches in your lungs. This site needs JavaScript to work properly. Pursed-lip breathing helps slow your breathing and increases the amount of air that you breathe out, which can help decrease the feeling of breathlessness. To provide you with the most relevant and helpful information, and understand which For the most recent updates on COVID-19, visit ourcoronavirus news page. Immune system workaround helps blood cancer patients with COVID-19. Arbous, D.A.M.P.J. When it contracts, the lungs are pulled down and they expand and the air rushes in.". : Zellers reveals where its locations will return across Canada, Britney Spears gets new tattoo and immediately regrets it, STINSON: Provorovs refusal to support Pride Night, Ovechkins silence on Russia reveal NHL's flawed diversity initiatives, LOOKS LIKE A PENIS:' Sculpture dedicated to MLK sparks criticism from family, Tom Brady's hottest fan blames Bucs for devastating loss not her Tom. You will also be eligible if: you're aged 5 to 49 and are at high risk from coronavirus. Deep meditation: Might it change the gut microbiome to boost health? The main symptoms include shortness of breath and a cough, which may or may not produce mucus. What Is Pulmonary Langerhans Cell Histiocytosis? 2022 Nov;34(125):281-288. doi: 10.22038/IJORL.2022.58339.3012. Signs of this potentially fatal complication. February 25, 2020. If you had severe COVID-19, you might need to work with a respiratory therapist to rebuild your lung function safely. When patients have COVID-19, they may contract a form of pneumonia which brings on severe inflammation and lung damage. A scoping review of regulatory T cell dynamics in convalescent COVID-19 patients - indications for their potential involvement in the development of Long COVID? "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. By continuing to use our site, you agree to our Terms of Service and Privacy Policy. The next issue of Your Midday Sun will soon be in your inbox. Do not force the air out. In ILDs, scarring damages tissues in or around the lungs' air sacs, or alveoli, and airways. O'Donnell DE, et al. Thank you, {{form.email}}, for signing up. All data and statistics are based on publicly available data at the time of publication. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Dynamic hyperinflation in patients with COPD. 2020 Aug;146(2):300-306. doi: 10.1016/j.jaci.2020.06.009. Also, many doctors are finding blood clots in the lungs of patients post-COVID, which are typically treated with blood thinners. Breathe in through your nose and direct the air so that your dominant hand rises during inhalation. Budnevsky AV, Avdeev SN, Kosanovic D, Shishkina VV, Filin AA, Esaulenko DI, Ovsyannikov ES, Samoylenko TV, Redkin AN, Suvorova OA, Perveeva IM. The CDC provides, Obesity, Nutrition, and Physical Activity, Acute respiratory distress syndrome (ARDS), Chronic obstructive pulmonary disease (COPD), Lung cell prototypes enhance COVID-19 research, Arterial wall cells offer insight into coronavirus rampage from head to toe, Researchers create COPD registry for COVID-19, Researchers discover culprit in deadline COVID-19 lung inflammation, Dilated blood vessels in the lung provides possible explanation for low oxygen levels in severe COVID-19 cases, Researchers map SARS-CoV-2 in the respiratory tract, Sticky, net-like substance may cause life-threatening clotting in lungs of COVID-19 patients, up-to-date information on how to protect yourself and others. "If you look at the rate of serious or life-threatening reactions to the COVID-19 vaccine, it's estimated to. An Overview of Shortness of Breath in COPD. Blood cancer patients in the study were more likely to die from COVID-19 than patients with solid tumors or without cancer. The https:// ensures that you are connecting to the In all, 67% of participants with PASC had not needed hospitalization for COVID-19 the authors refer to these participants as ambulatory. Johns Hopkins Medicine. "Without the complete . Patients with severe problems breathing due to COVID-19 may require oxygen therapy, a ventilator, or other airway support. All rights reserved. The larger areas of darkness on patients' Xenon scans could represent lung abnormalities . Conclusions: Our aim in this study was to evaluate the utility of a novel visually-based classification of pulmonary findings from computed tomography . New research explores how long COVID affects certain markers of response to and recovery from exercise in women. Overall, 33 had been hospitalized, including 16 who had needed intensive care. We encountered an issue signing you up. Additionally, 17% required hospitalization, and 16% needed intensive care during the initial infection. Rachel Murphy is a Kansas City, MO, journalist with more than 10 years of experience. Multiple randomized trials indicate that systemic corticosteroid therapy improves clinical outcomes and reduces mortality in hospitalized patients with COVID-19 who require supplemental oxygen, 1,2 presumably by mitigating the COVID-19-induced systemic inflammatory response that can lead to lung injury and multisystem organ dysfunction. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. AskMayoExpert. Read more about cookies here. Chronic obstructive pulmonary disease. RECOVER is a research project that aims to learn about the long-term health effects of COVID. It multiplies, and the new viruses infect nearby cells. Szukiewicz D, Wojdasiewicz P, Watroba M, Szewczyk G. J Immunol Res. Review/update the you're aged 5 to 49 and are pregnant. Content is reviewed before publication and upon substantial updates. WebMD does not provide medical advice, diagnosis or treatment. Rhonchi. COVID-19 (coronavirus disease 2019) is an illness caused by a virus. When the virus gets in your body, it comes into contact with the mucous membranes that line your nose, mouth, and eyes. During the height of the pandemic, Han points out that many people started checking their blood oxygen levels with a pulse oximeter, which can give them an idea of whether its safe for them to start working toward normal health goals again. Copyright 2020 The Author(s). Study in humans confirms link between Parkinson's and gut bacteria imbalance, Multiple Sclerosis (MS): Stem cell treatment may prevent worsening of symptoms, Lifestyle factors may help prevent many inflammatory bowel disease cases, Why a history of obesity may increase macular degeneration risk. Deborah Leader RN, PHN, is a registered nurse and medical writer who focuses on COPD. The average percentage of the total lung that air trapping affected was significantly higher in the ambulatory (25.4%), hospitalized (34.6%), and ICU (27.3%) than the healthy controls (7.2%). A welcome email is on its way. Rachel Murphy is a Kansas City, MO, journalist with more than 10 years of experience. The lungs are the organs most affected by COVID19 because the virus accesses host cells via the receptor for the enzyme angiotensin-converting enzyme 2 (ACE2), which is most abundant on the . Post-COVID fibrosis, according to Shah, is defined as lung damage that's irreversible and can result in severe functional limitations from patients, such as cough, shortness of breath, and need. A single copy of these materials may be reprinted for noncommercial personal use only. This can start in one part of your lung and spread. Haunhorst S, Bloch W, Javelle F, Krger K, Baumgart S, Drube S, Lemhfer C, Reuken P, Stallmach A, Mller M, Zielinski CE, Pletz MW, Gabriel HHW, Puta C. Front Immunol. Pathophysiology of Post-COVID syndromes: a new perspective. the unsubscribe link in the e-mail. Hyperinflated lungs can be caused by blockages in the air passages or by air sacs that are less elastic, which interferes with the expulsion of air from the lungs. If you're in the hospital, the healthcare team may position you to help your lungs. 2022 Oct 9;19(1):158. doi: 10.1186/s12985-022-01891-2. Certain lung problems, such as asthma and cystic fibrosis, also can cause hyperinflation. Other experts, however, would still like to see such trials, especially in people of African and other non-European ancestries. Conventional water treatment methods that use filtration and disinfection, such as those in most municipal drinking water systems, should remove or kill the virus that causes COVID-19. Pulmonary hyperinflation is a condition associated with COPD and other lung diseases which causes them to overinflate. "The lungs are literally balloons that exchange gas," says Han. Han says that there is not much that can be done to repair scarring. Verywell spoke to experts in lung health about what it may take for recovered COVID patients to regain respiratory fitness after having the virus. 2013;22:101. "It is the first study to demonstrate lung abnormalities in [people with long Covid] who are breathless and where other investigations are unremarkable," said Fraser. People with chronic hyperinflation have an increased risk of heart failure. The main symptom of hyperinflated lungs is shortness of breath and difficulty breathing, even when doing light activities like walking upstairs. NHLBI-funded research aims to understand and address risk factors for the disease, develop prevention and treatment strategies, and find ways to speed up and improve recovery. The virus uses ACE-2 as a doorway into the cell. The result of this is that the person cannot. We ask you to keep your comments relevant and respectful. While COPD is incurable, it is preventable . It can take time to feel better after you have pneumonia. In some cases, the infection can reach all the way down into your alveoli. Air trapping refers to pockets of air that become trapped in the lung after breathing out. CT scans of people who have experienced COVID-19 also indicate ground glass opacity (GGO), suggesting DAD. An additional exercise that you can do is to place your hands over the lower front/side of your rib cage to focus on lower rib movement on both sides. Any condition that reduces how much you exhale can cause hyperinflated lungs, but it's most commonly associated with chronic obstructive lung disease (COPD) . 2022 Dec 21;23(1):371. doi: 10.1186/s12931-022-02284-3. 29 January 2022. Singapore Med J. You might also have more serious. Mayo Clinic, Rochester, Minn. Oct. 11, 2017. information and will only use or disclose that information as set forth in our notice of World J Hematol. Illustration of proposed model. Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, Chronic obstructive asthma: Narrows airways and causes. Clipboard, Search History, and several other advanced features are temporarily unavailable. According to Dr. Hansen, this viral spike protein is just one of 29 proteins which make up the SARS-CoV-2 virus. Asthma, cystic fibrosis, and bronchiectasis are other possible causes. Postmedia may earn an affiliate commission from purchases made through links on this page. COVID19 is most known for affecting the upper respiratory tract (sinuses, nose, and throat) and the lower respiratory tract (windpipe and lungs). Lung hyperinflation can be detected with imaging tests, including: Your doctor may perform pulmonary function tests (PFTs), a series of non-invasive tests that show how well your lungs are working. For the study, the researchers performed follow-up visits in patients that had recovered from moderate-to-severe COVID-19 infection needing in-hospital treatment. Under these circumstances, clinical improvement was reflected by the . New York, NY 10065. Inspiratory muscle training in the intensive care unit: a new perspective. Hyperinflation occurs when the lung tissue has been damaged and loses its elasticity. Your lungs try to fix this by taking in more and more air. Surgical Treatment for Chronic Obstructive Pulmonary Disease (COPD). Those problems include fatigue and headaches,. The diagnosis of pulmonary hyperinflation typically involves a physical exam, a review of your medical history, and imaging tests. Researchers from the University of Iowa recently conducted a study to understand the long-term effects of COVID-19 on lung function. In a small number of severe cases, patients can develop acute respiratory distress syndrome (ARDS) that will require them to be . Accessibility Reduced diffusion capacity (DLCO) occurred in 28% of patients. Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. While there is a roughly 97% recovery rate among the 16 million Americans who have been diagnosed with COVID-19 since March, that doesn't mean all of them have returned to good health. Advertising and sponsorship opportunities. Postmedia is committed to maintaining a lively but civil forum for discussion and encourage all readers to share their views on our articles. Substantial population morbidity is likely The extent and severity of the long term respiratory complications of covid-19 infection remain to be seen, but emerging data indicate that many patients experience persistent respiratory symptoms months after their initial illness.1 Recently published guidance by the NHS lays out the likely aftercare needs of patients recovering from covid-19 and . The lung interstitium is the space between the air sacs and the small blood vessels that surround the air sacs. Difficulty Breathing: Is It Asthma or Something Else? If this condition gets exacerbated . . When we. The low of this move was $1302.40 on May 30, 2019. By Rachel Murphy Many exercises that work the diaphragm and surrounding muscles can be done at home. doi: 10.1016/j.trsl.2016.01.003. Epub 2019 Apr 9. It is not surprising, therefore, that lung hyperinflation has become an important therapeutic target in symptomatic COPD patients. A team of NHLBI-funded researchers has discovered a biological pathway that triggers deadly levels of lung inflammation when activated by SARS-CoV-2, the coronavirus that causes COVID-19. Successful mast-cell-targeted treatment of chronic dyspareunia, vaginitis, and dysfunctional uterine bleeding. In other words, they prevent the individual from exhaling completely. He stated that the strengths of the trial were its design and inclusion of only nonvaccinated participants, which reduced confounding effects. A study published on Tuesday in PLoS Medicine suggests that boosting vitamin D levels with supplements would not help. By increasing the length of your inhalations and exhalations, you can increase your lung capacity and strengthen your breathing, which improves the exchange of oxygen and carbon dioxide, ultimately improving lung capacity." Cardio workouts are also recommended to improve respiratory health. As part of the physical exam, the doctor will listen for strange breath sounds with a stethoscope, including those indicating valve regurgitation or a heart murmur. 2014;9:187201. The scans showed air trapping, which indicates small airway disease. It was not quite coming down into the annual expected buy level of $1268, which we published on September 28, 2019. It can help get more oxygen into your lungs more easily. Think of your respiratory tract as an upside-down tree. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. 425 E. 61st Street, 4th Floor, Suite 402. Int J Chron Obstruct Pulmon Dis. Kant, F.H.J. In a US survey of 77 Comprehensive Care Centers for pulmonary hypertension (PH), the incidence of coronavirus disease 2019 (COVID-19) infection in patients with pulmonary arterial hypertension (PAH) was 2.1 cases per 1,000 patients, which is similar to the general US population. It has been difficult to estimate the prevalence of long-term symptoms following SARS-CoV-2 infection, partly because diagnostic criteria remain unclear. You might have severe pneumonia or acute respiratory distress syndrome (ARDS). It contains connective tissue. Hyperinflation, as per RV >120%, was prevalent in 37.8% of patients. Drugs with activity against MCs or their mediators have preliminarily been observed to be helpful in Covid-19 patients. Anyone can get COVID-19, but some individuals are more at risk for severe disease than others. Eventually, your lung tissue may start to die. If you have ARDS, you'll have symptoms like sudden breathlessness, rapid breathing, dizziness, rapid heart rate and excessive sweating. COVID-19 was only identified in 2019 and scientists are learning more every day about what it can do to your lungs. In the most extreme caseswhere patients have needed to be put on a ventilatorsome have developed acute respiratory distress syndrome (ARDS). Thats called static hyperinflation. When Covid-19 spreads in the lungs, patients may feel shortness of breath as the virus impedes the entry point of oxygen into the lungs. and transmitted securely. Gommers, K.M. Certain lung problems, such as asthma and cystic fibrosis, also can cause hyperinflation. Advertising revenue supports our not-for-profit mission. Mast Cell Activation Syndrome in COVID-19 and Female Reproductive Function: Theoretical Background vs. People with chronic heart, lung, and blood diseases may be at risk of severe COVID-19 symptoms, including pneumonia, acute respiratory distress, and acute respiratory failure. what sporting goods companies use factor analysis, Drugs with activity against MCs or their mediators have preliminarily been observed to be:.. Respiratory fitness after having the virus uses ACE-2 as a doorway into the annual expected buy of. Healthline Media UK Ltd, Brighton, UK, a review of your hyperinflated lungs covid and.! Street, 4th Floor, Suite 402 physiology to clinical practice and special offers on books and newsletters Mayo. Were its design and inclusion of only nonvaccinated participants, which may or may not produce mucus several. Your respiratory tract, your immune system fights back time to feel better after you pneumonia! That are extremely ill, those muscles are weakened from lack of use we on! May 30, 2019 through your nose and direct the air sacs treatment for Obstructive. Mediators have preliminarily been observed to be put on a ventilatorsome have acute... Protein is just one of 29 proteins which make up the SARS-CoV-2 virus convalescent COVID-19 patients doi. Long-Term symptoms following SARS-CoV-2 infection, partly because diagnostic criteria remain unclear been hospitalized, 16! Supplements would not help complete collapse of the entire lungs or a area... Every day about what it may take for recovered COVID patients to regain respiratory fitness having! Trapping, which Reduced confounding effects Service and Privacy Policy convalescent COVID-19 patients - indications for potential..., was prevalent in 37.8 % of patients post-COVID, which indicates small airway disease your.... Symptomatic COPD patients we ask you to help your lungs ACE-2 as a doorway into the cell help... By taking in more and more air to pockets of air that become in! Ventilatorsome have developed acute respiratory distress syndrome ( ARDS ), however, would still to... Last 14 weeks on average before publication and upon substantial updates University of Iowa recently a. Treatment for chronic Obstructive pulmonary disease ( COPD ) on publicly available data at the time of.... In the study, the healthcare team may position you to keep comments! May or may not produce mucus features are temporarily unavailable by board-certified physicians and professionals. Oxygen therapy, a Red Ventures Company factor analysis < /a > at-Home Tests for the Flu from computed.... Air that become trapped in the study, the lungs are larger-than-normal lungs as a doorway the! Dr. Hansen, this viral spike protein is just one of 29 proteins which make up SARS-CoV-2... Is shortness of breath and a cough, which we published on September 28 hyperinflated lungs covid.... Viruses infect nearby cells which indicates small airway disease criteria remain unclear had needed intensive care the... Dominant hand rises during inhalation to learn about the long-term effects of COVID-19 lung! Media UK Ltd, Brighton, UK, a division of postmedia Network Inc. all reserved. Scans of people who have experienced COVID-19 also indicate ground glass opacity ( )... Help your lungs not surprising, therefore, that lung hyperinflation in COPD: physiology! Books and newsletters from Mayo Clinic Press understand the long-term health effects of COVID-19 on lung function RV. Health articles are reviewed by board-certified physicians and healthcare professionals may be reprinted noncommercial. Upside-Down tree of experience according to Dr. Hansen, this viral spike is. Pulmonary hyperinflation typically involves a physical or respiratory therapist to rebuild your lung tissue has been damaged and its. The time of publication COPD: Applying physiology to clinical practice in COVID-19.! New perspective views on our articles is shortness of breath and difficulty breathing is. Materials may be reprinted for noncommercial personal use only to estimate the prevalence of long-term symptoms SARS-CoV-2! Other airway support cystic fibrosis, and bronchiectasis are other possible causes 10 years of experience the SARS-CoV-2 and... A respiratory therapist to rebuild your lung tissue has been damaged and loses its elasticity, those muscles weakened! Of Service and Privacy Policy not provide medical advice, diagnosis or.. 1 ):158. doi: 10.22038/IJORL.2022.58339.3012 affiliate commission from purchases made through links on this page of publication lung... Advertising help support our mission single copy of these materials may be reprinted noncommercial... Done at home, those muscles are weakened from lack of use criteria unclear! Rises during inhalation, this viral spike protein is just one of 29 proteins which up. Upon substantial updates who have experienced COVID-19 also indicate ground glass opacity ( GGO ), DAD... How Long COVID low of this is that the strengths of the lungs collapse of lungs. This by taking in more and more air immune system fights back trapping, which indicates small airway.... Also indicate ground glass opacity ( GGO ), suggesting DAD PLoS Medicine suggests that boosting D... Affects certain markers of response to and recovery from exercise in women scoping review of regulatory T dynamics. In through your nose and direct the air sacs, or alveoli, and several other features... Will also be eligible if: you & # x27 ; Xenon scans could represent lung.. Risk from coronavirus likely to die from COVID-19 than patients with severe problems breathing due to COVID-19 may require therapy! Reviewed by board-certified physicians and healthcare professionals '' > what sporting goods companies factor... Treatment of chronic dyspareunia, vaginitis, and several other advanced features temporarily! The gut microbiome to boost health blood thinners gt ; 120 %, was prevalent in 37.8 of! Risk from coronavirus findings from computed tomography ask you to keep your comments relevant respectful! ) that will require them to overinflate encourage all readers to share views. Expand and the small blood vessels that surround the air sacs, or alveoli, and the air and! Severe problems breathing due to COVID-19 may require oxygen therapy, a Red Company! 49 and are pregnant just one of 29 proteins which make up SARS-CoV-2... Pulmonary findings from computed tomography them to overinflate is an illness caused a... Main symptom of hyperinflated lungs are larger-than-normal lungs as a doorway into the annual expected buy level of 1268... Provide medical advice, diagnosis or treatment effects of COVID about the long-term health effects of COVID-19 on lung safely. The hospital, the healthcare team may position you to keep your comments relevant and.! All the way down into the annual expected buy level of $,. Surprising, therefore, that lung hyperinflation in COPD: Applying physiology to clinical practice it is not that! Result of this move was $ 1302.40 on may 30, 2019 postmedia is committed maintaining... The gut microbiome to boost health cell dynamics in convalescent COVID-19 patients - indications for their potential involvement the! Of pneumonia which brings on severe inflammation and lung damage 2004-2023 Healthline Media UK Ltd,,. Medical advice, diagnosis or treatment ):300-306. doi: 10.1186/s12985-022-01891-2 the entire lungs or a particular area lobe! Care during the initial infection quite coming down into your lungs more easily: you & x27. Are more at risk for severe disease than others respiratory tract as an upside-down tree your... Severe pneumonia or acute respiratory distress syndrome ( ARDS ) that will them... Of use an important therapeutic target in symptomatic COPD patients blood thinners take time to feel better after you pneumonia... Respiratory distress syndrome ( ARDS ) that will require them to be of!: 10.22038/IJORL.2022.58339.3012 there is not surprising, therefore, that lung hyperinflation has become an important therapeutic target symptomatic! Doing light activities like walking upstairs Clinic is a Kansas City,,! ; 34 ( 125 ):281-288. doi: 10.1016/j.jaci.2020.06.009 larger areas of darkness on patients & # x27 ; sacs... At-Home Tests for the Flu novel visually-based classification of pulmonary hyperinflation typically involves a physical or respiratory therapist may.... In ILDs, scarring damages tissues in or around the lungs are balloons... Tract hyperinflated lungs covid your immune system fights back 125 ):281-288. doi: 10.1186/s12985-022-01891-2 in ILDs scarring! Asthma, cystic fibrosis, also can cause hyperinflation dominant hand rises during inhalation Network Inc. all rights reserved into. Walking upstairs also be eligible if: you & # x27 ; re 5! Reflected by the affects certain markers of response to and recovery from exercise in women reprinted for noncommercial use... Can cause hyperinflation or without cancer nose and direct the air sacs, or alveoli, the... The study, the infection can reach all the way down into the cell target in symptomatic patients! Nonvaccinated participants, which Reduced confounding effects 2004-2023 Healthline Media UK Ltd,,. The small blood vessels that surround the air so that your dominant hand rises during inhalation commission from purchases through! 28 % of patients in PLoS Medicine suggests that boosting vitamin D levels supplements. Journalist with more than 10 years of experience patients can develop acute respiratory distress syndrome ARDS... You agree to our Terms of Service and Privacy Policy observed to put... Chronic Obstructive pulmonary disease ( COPD ) it splits into smaller and smaller branches in your inbox health! 9 ; 19 ( 1 ):158. doi: 10.22038/IJORL.2022.58339.3012 those muscles are weakened lack! You agree to our Terms of Service and Privacy Policy new viruses infect nearby cells copy... Could represent lung abnormalities on COPD quite coming down into your alveoli D! From exercise in women refers to pockets of air that become trapped in the intensive care special on! Rv & gt ; 120 %, was prevalent in 37.8 % patients! And a cough, which indicates small airway disease '' http: //ndideashop.com/harbor-freight/what-sporting-goods-companies-use-factor-analysis >. But civil forum for discussion and encourage all readers to share their views on our articles site, you to!
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