2009 Education Day _ Awards Dinner - Center for Donation _ Transplant by wuyunyi


									A Publication of the Center for Donation and Transplant                                                       Volume 12, Number 2

2009 Education Day & Awards Dinner                                                                                From the CEO
                                                                                                                  By Jeffrey P.

       DT’s fourth annual Education Day was held         case. Connie Jastremski, Chief Nursing Officer and
       on April 1, 2009 at the Holiday Inn in Sarato-    Vice President of Patient Care Services, and Donna       Orlowski
       ga Springs, NY. The program was geared            Anderson, Director of Critical Care and Emer-            In past issues, the
towards nursing professionals, and featured nation-      gency Services, offered insight on how facilities can    Legacy has chroni-
ally-known speakers in the fields of donation and        honor a family’s wish to donate the gift of life, even   cled many donor sto-
transplantation as well as a panel of local healthcare   when the circumstances of their loved one’s death        ries and many events
practitioners to share best practices.                   involve an alleged crime.                                performed to honor
                                                                                                                  donors and their fam-
Bryan Stewart, Vice President of Communications          The educational program was certified for 3.0 educa-     ilies. The vast majori-
at OneLegacy in Los Angeles, California was the          tional credit hours and preceded CDT’s annual            ty of the time, these
first speaker. Charging the audience to find ways to     Awards Dinner. The keynote address at this year’s        stories and events
grow enthusiasm for, not just awareness of, the New      dinner was delivered by Jim Carter, donor father and     have been exclusive
York State Donate Life registry was the focus of         2009 Donate Life Float rider. Award winners were         of donor hospitals...
Bryan’s presentation. His dynamic speaking style,        presented with their commemorative gifts including       either CDT organ-
and experience chairing the Rose Parade Donate           CDT’s Healthcare Practitioner of the Year, Dr. Regi-     ized an event or a
Life Float, was a hard charging kick off to the edu-     na Frants, from UHS Wilson and Elizabeth Surprise,       donor family reached
cation portion of program.                               RN, CDT’s Nurse of the Year from Columbia                out to CDT, their
                                                         Memorial Hospital. Special community service             recipients, etc.
Internationally-renowned transplant surgeon Dr.          awards were given to: Regent Communications,
Kareem Abu-Elmagd, presented the keynote                 media partners for the Donate Life Capital Region        I am pleased to
address on multi-visceral transplantation and his        campaign, and Sam Messina and Jan Messina for            announce in this arti-
efforts to create a national program for intestinal      their tireless volunteer work on behalf of CDT and       cle that in 2009/2010,
transplantation at the University of Pittsburgh          the donation community at large. The Chief Execu-        CDT will be reaching
Medical Center.                                          tive Officer award was bestowed upon CDT                 out to each of our
                                                         employee Philip Newell, for thirty years of dedicated    donor hospitals (all 45
Finally, a panel of professionals from Bassett           service to the Center for Donation & Transplant.         of them) to partner
Healthcare in Cooperstown, NY discussed their                   Please turn to page 3 for additional photos       with us in honoring
experience managing a donor during a coroner’s             of the 2009 Education Day and Awards Dinner            donors through two
                                                                                                                  linked events as well as
                                                                                                                  an ongoing, year-
                                                                                                                  round program. While
                                                                                                                  I will be formally
                                                                                                                  reaching out to each
                                                                                                                  hospital CEO in the
                                                                                                                  coming month with a
                                                                                                                  more detailed proposal
                                                                                                                  and seeking the CEO’s
                                                                                                                  commitment to par-
                                                                                                                  ticipate, let me take a
                                                                                                                  few moments to out-
                                                                                                                  line the basics here.

                                                                                                                  The linked events
Left, Bryan Stewart, Vice Oresident of Communivations at OneLegacy. Right,                                        will actually occur in
Nurse of the year winner, Elizabeth Surprise, R.N. and Jeffery Orlowski, CEO,                                     January and April of
Center for Donation and Transplant at center are pictured with other nursing                                        See From the CEO,
staff from Columbia Memorial Hospital.                                                                                            page 6

Volume 12, Number 2 Spring 2009                                                                                            The Legacy
                                                                                                                The Legacy
                                                                                                                Volume 12, Number 2
                      In the News                                                                                  Spring 2009
                                                                                                                  The Legacy is published
                                                                                                                 quarterly by the Center for
                                                                                                                   Donation & Transplant.
                                                                                                                 218 Great Oaks Boulevard

Staff Updates                                                              in Australia with this skin and
                                                                                                                  Albany, New York 12203
                                                                                                                    Phone 518 262-5606

       DT is thrilled to welcome                                           play a role in helping victims of         Fax 518 262-5427
       back Christina Santiago to                                          these tragic fires,” said Michael    Jeffrey Orlowski, M.S., C.P.T.C.,
       the hospital development                                            Kawas, President, MTF Skin               Chief Executive Officer
team. Christina took a leave of                                            Division. “Our commitment to                  Bill McTague,
absence to spend time with her                                             caring for those who need tissue           Director of Clinical
husband, a member of the                                                   does not stop at the U.S. border.              Operations
National Guard, who was called                                             We share a common philosophy                 Lauren Quinn,
up to serve in North Carolina                                              with DTBV, a dedication to                         Editor
last year. She is happy to be                                              quality and safety.”                       Heather Hickland,
back and looking forward to                                                                                               Contributor
reconnecting with her col-                                                 DTBV is the largest tissue bank              Walter Boppert,
                                                                                                                        Art and Design
leagues in hospitals across                                                in Australia and the only human
CDT’s service area.                                     skin bank in the state of Victoria, where most of         24-Hour Information
                                                        the fires and deaths have occurred.                      (800) 256-7811

       APPY anniversary wishes to Perfusion Spe-
       cialist and donation expert, Phil Newell,        Musculoskeletal Transplant Foundation is the
       who reached his 30th year with the Center        largest tissue bank in the United States, and a non-
for Donation & Transplant in April. In his time at      profit organization. MTF is dedicated to providing
CDT, Phil has served as an organ procurement            quality tissue through a commitment to excellence
                                                                                                                 We Want
coordinator, quality assurance advocate and train-
er. Both CDT and patients across the region owe
                                                        in education, research, recovery and care for recipi-
                                                        ents, donors and their families. Since its inception
                                                                                                                 to Hear
Phil a debt of gratitude for his many years of dedi-
cated service.
                                                        in 1987, MTF has received tissue from more than
                                                        80,000 donors and has provided over three million
                                                        tissue grafts for transplantation.                         You!
MTF/Australian Wildfires
                                                        NKF End the Wait                                              If you are

      HE deadliest wildfires in the history of Aus-                                                               a member of an
      tralia killed over 200 people and injured         Campaign                                                 affiliated hospital
      many more. The United States’ largest tissue                                                                who would like

bank, and CDT’s local tissue procurement organi-               HERE is on an ongoing and urgent need to
zation, the Musculoskeletal Transplant Foundation              increase the number of organs available for        to advertise an
(MTF), has responded to this crisis by providing               transplantation in the United States. T o          upcoming event
donor skin to treat some of those victims.              address this complex problem, the National Kidney       or submit an article
                                                        Foundation has developed a comprehensive action            to the Legacy,
The large scale fires have resulted in burns, trauma,   plan to increase the number of transplants for kid-       contact Heather
shock and organ failure. The Donor Tissue Bank          ney patients-and to End the Wait! This ground-
of Victoria (DTBV), located in Melbourne, the           breaking initiative hopes to serve as a roadmap for
                                                                                                                     Hickland at
capital of Victoria, contacted MTF to request the       implementing tested and proven strategies that will        (800) 256-7811
donation of human skin, when local facilities were      effectively end the wait for kidney transplants in 10     or via e-mail at
overwhelmed by the need for tissue. When some-          years. By collaborating with many organizations,        hhickland@cdtny.org
one suffers a severe burn, the use of allografts, or    government agencies and individuals, NKF’s End
donated skin, allow surgeons to cover the affected      the Wait! recommendations will eliminate barriers,            The Legacy is
areas when patients don’t have enough intact skin       institute best practices across the nation, improve          published on a
of their own to protect the area. Unprotected tissue    the transplant system, cover the cost of donating an      quarterly basis and
can quickly become infected and can lead to death       organ, reduce regional and ethnic disparities and          covers the health
if patients are not treated in time.                    increase living and deceased donation throughout            care community
                                                        the United States.The National Kidney Founda-             that CDT serves in
After receiving the necessary international clear-      tion’s mission includes increasing and improving         northern and eastern
ances, the skin was sent from the United States to      transplantation and to carry out programs in edu-            New York, and
Victoria. “We were delighted to assist our friends      cation, research and services.                             western Vermont.

The Legacy                                                                                        Volume 12, Number 2 Spring 2009
National Donor Designation Report Card
Reveals a Ten Percent Increase
in Registered Donors Since 2006

        NATIONAL report card prepared by                 Colorado (60 percent), Ohio (52 percent) and Utah
        Donate Life America shows a 10 percent           (50 percent). Six other states are nearing the goal
        increase nationally in donor designations
over the last 18 months, bringing the total number       “State donor registries play an essential role in the
of registered donors in the United States to nearly      donation process by enabling individuals to make a
70 million. Still, only 35 percent of licensed drivers   decision that is similar to an advanced directive. In
and ID cardholders have committed themselves to          this case, donor designations authorize donation
donation by registering to be donors through their       recovery agencies to proceed with donation,” said
state registry or motor vehicle department, leaving      Sara Pace Jones, Chairman of Donate Life America.
the donor shortage a leading public health crisis.       “These legally binding donation decisions are criti-
                                                         cal for the nearly 100,000 people who are on the
In 2006, Donate Life America, a not-for-profit           national organ transplant waiting list and many
alliance of national organizations and state teams       more awaiting cornea and tissue transplants to
across the United States, launched the Donor Des-        restore their lives and health.”
ignation Collaborative (DDC). One of the main
goals of the DDC was ensuring that each state had        In 2007, 1,521 organ donors had joined their state
an effective system for allowing individuals to legal-   registry before their death. “The seemingly small
ly designate themselves as donors. This would be a       decision by these individuals to register as donors
key step in allowing states to obtain 100 million        had a huge impact on the lives of the approximately
actionable donor designations, commitments of            4,600 people who received lifesaving organ trans-
individuals to donate their organs and/or tissues        plants as a result,” said Pace Jones. Additionally, it is
upon their death that are recorded in a searchable       estimated that registered donors enhanced or saved
donor registry.                                          the lives of more than 300,000 people through tis-
                                                         sue donation and gave sight to more than 14,000
A secondary goal for the DDC is to attain a 50 per-      through cornea donation.
cent designation rate among licensed drivers in every
state—that is, half of all people applying for or        For a copy of the National Donor Designation
renewing a driver’s license or ID card are registering   Report Card or more information on how to com-
to be donors. In 2007, only four states had a desig-     mit to becoming an organ, eye and tissue donor in
nation rate of at least 50 percent: Iowa (67 percent),   New York State, visit www.donatelifecdt.com.

                                                                                                                     Clockwise from top
2009 Education Day & Awards Dinner Photos, Story on page 1                                                           left, Regina Frantz,
                                                                                                                     MD, Healthcare
                                                                                                                     Practitioner of the
                                                                                                                     Year, with CDT’s
                                                                                                                     CEO Jeffrey
                                                                                                                     Orlowski; Atten-
                                                                                                                     dees from Albany
                                                                                                                     Medical Center at
                                                                                                                     dinner; Jim Carter,
                                                                                                                     donor father and
                                                                                                                     2009 Rose Parade
                                                                                                                     float rider; Presen-
                                                                                                                     ters Connie Jas-
                                                                                                                     tremski (right) and
                                                                                                                     Donna Anderson;
                                                                                                                     attendees from
                                                                                                                     Fletcher Allen
                                                                                                                     Health Center, from
                                                                                                                     left, Darryl Arnold,
                                                                                                                     Barbra Higgenbot-
                                                                                                                     tom, Wendy Tom-
                                                                                                                     linson, Deb Hebert,
                                                                                                                     Carol Guyette,
                                                                                                                     Molly Mitchell.

Volume 12, Number 2 Spring 2009                                                                                              The Legacy
                                     In Our Community
             Spotlight on Glens Falls Hospital:
             Co-worker Gives the Gift of Life

                       OST people assumed they were the best                                                  members, friends
                       of friends. But Donna Davison-Smith and                                                and sometimes
                       Ray Agnew, colleagues for more than 10                                                 even strangers,
             years at Glens Falls Hospital, actually knew very lit-                                           are willing and
             tle about each other. That began to change the day                                               able to offer a
             Ray offered one of his kidneys to Donna.                                                         life-saving gift to
                                                                                                              help one of these
             In 2003 Donna had surgery for what her doctors                                                   people in need.
             believed was pancreatic cancer, but was in fact an
             aneurysm. Four years later, tests began to show that                                              Since the trans-
             Donna’s kidneys were failing. Her doctors told her                                                plant Donna has
             that she was days away from dialysis, and that ulti-                                              been enjoying
             mately she’d need a transplant. Davison-Smith was                                                 great health, and
             put on the transplant list and underwent surgery to                                               endless kisses
             install an arteriovenous fistula, connecting an artery to                                         from her grand-
                                                                         Ray Agnew with
             a vein in the forearm to allow for dialysis treatment.                                            children. Ray has
                                                                         Donna Davison-Smith
                                                                                                               also recovered
             Then along came Ray. A Vice President at Glens              from the procedure. “The good news for me is that
             Falls Hospital, he took the news to heart. “I heard         after all the tests they put me through, there’s no
             from my significant other, who works with Donna,            doubt I’m healthy as a horse,” Agnew said, laugh-
             that she needed a kidney transplant. The first thing        ing. “There are actually very few restrictions on my
             I thought is, I should see if I can help,” Agnew said       end. I’ll be here to be a father for my two kids. ...
             to the Glens Falls Post Star when interviewed in            Not a whole lot is changing, and I got to help save
             February of 2008. After extensive testing at Albany         someone’s life. It seems like a win-win to me.”
             Medical Center, it was determined that Ray was a
             match for Donna and the transplant took place on            Now these formerly cordial acquaintances have
             January 14, 2008.                                           become, in their words, family. Donna has even
                                                                         nicknamed her new kidney, Rayette, as a tribute to
             Annually almost 6,000 patients a year receive a kid-        Ray. “I didn’t lose a kidney,” Agnew added to the
             ney from a living donor. With almost 70,000 people          Post Star. “I gained a new family member.”
             on the waiting list in need of a new kidney, the
             average time spent on the waiting list for an adult         If you’re interested in participating in the living
             from a deceased donor kidney is more than 1500              donor program, please contact the Division of
             days, or around four years. For these patients, this        Renal and Pancreatic Transplant Services at Albany
             time is generally spent on dialysis, with a low quali-      Medical Center at 518-262-5614.
             ty of life and the risk of complications. Many family

             Local Students Awarded Bindelglass
             Memorial Scholarship

                   ONGRATULATIONS to the two winners                     her studies at Ulster County Community College
                   of this year’s Amy Bindelglass Memorial               in the fall.
                   Scholarship Award. The recipient of the
             $500 scholarship is Sasha Kassoff, a senior at              The Bindelglass Memorial Scholarship was estab-
             Bethlehem Central High School in Bethlehem,                 lished in 2001 in memory of two-year old Amy
             New York. Sasha plans to attend the University of           Bindelglass, who was tragically killed in an accident.
             Vermont in the fall. The recipient of the $200              Her family made the decision to donate her organs
             scholarship is Courtney Weis, a senior at New               and to save another child’s life. The Bindelglass family
             Paltz High School from Gardiner, New York.                  continues to advocate for organ donation awareness
             Courtney plans to use her scholarship to further            through the scholarship program and volunteer work.

The Legacy                                                                              Volume 12, Number 2 Spring 2009
Local Colleges Support Donate Life Month

       OLLEGES across the Capital Region              organized an educational program highlighting
       worked to promote awareness of the New         donation and the importance of the registry at
       York State Donate Life                                              Adirondack Community Col-
Registry and support organ                                                 lege on Monday, April 20.
                                     Students collected over 900
donation in their communities                                              Sponsored by the business
                                          donor registry cards,
for the month of April. The                                                club, participants included Ray
                                           the largest number
State University at Albany                                                 Agnew and Donna Davison-
                                        of signed registry cards
hosted its yearly communica-                                               Smith, both of Glens Falls
                                         any class has collected
tion class dedicated to raising                                            Hospital, Celia Fulfs, a living
                                   in the class’ seven-year history.
awareness of donation through                                              kidney donor and Heather
a student-run public relations                                             Hickland from the Center for
campaign. The theme of the class’ campaign was,       Donation & Transplant. For more about Ray and
“You Hold the Missing Piece.” Students collected      Donna’s story, see page 4.
over 900 donor registry cards, the largest number of
signed registry cards any class has collected in the  Siena graduate students Amy McCarthy, Liz Mur-
class’ seven-year history. The SUNY students          phy and Allyson Sweeney along with Professor
achieved this by holding or participating in a num-   Diana Strock-Lynsky, organized the 4th annual
ber of campus events, including the first annual      panel presentation on organ donation for the Siena
Richard Bailey walk in Albany, commemorating a        community on Tuesday, April 14. A small but
former classmate who became an organ donor.           enthusiastic crowd heard from Siena alumnus and
Look for more about Richard’s story in a future       living kidney donor Melissa Stevens, heart trans-
issue of the Legacy.                                  plant recipient John Hoefler, Heather Hickland
                                                      from the Center for Donation & Transplant and
In recognition of Donate Life Month in April,         Joanne Beach from the Lion’s Eye Bank.
SUNY Plattsburgh graduate student Sherry Aiken

                        For Our Families
CDT Award Thoughts
By Jan Messina
Jan Messina is a donor mother and a tireless volunteer   I am very pleased to receive this award and consider
for CDT. She was honored with a Community Service        it an honor to Matt’s life. I also consider myself only
Award from CDT in 2009.                                  one of a very dedicated group of volunteers, all of
                                                         whom are at CDT volunteering their time for

   want to express my appreciation to the Center for     many personal reasons. I accepted this award in
   Donation and Transplant for choosing my hus-          Matt’s memory, but I also want to share it with all
   band Sam and me to be the 2009 Volunteers of          the volunteers who work with me at CDT.
the Year. I can’t adequately express how very pleased
I am to receive this award, but I want to let you        I could not fail to speak also of the dedicated staff of
know as best I can what it means to me.                  CDT, who take their work so very seriously, per-
                                                         form all their tasks with the highest level of profes-
As I was standing at the podium with Jeff Orlows-        sionalism, and are always cognizant of the extreme
ki at the Education Day & Awards Dinner, I was           emotional circumstances of the families they inter-
thinking about what the reasons were for my              act with on a daily basis. I have the utmost respect
being there. I thought about how I came to               for all of them, and am humbled to be working with
deserve this recognition. Earlier in the evening,        them. I dedicate my work at CDT to furthering the
Cindy Lauzon provided the answer, which is one I         good work of all the staff members there.
have said many times, to many people. My son
Matthew put me and Sam on a different path.              Thank you for giving me this most prestigious
Knowing it was what he would have wanted, he             recognition. I am sincerely grateful for it, and I
inspired us at the time of his death to donate his       know Matthew is proud.
organs, and at that moment, sent us on the jour-
ney we find ourselves on now.

Volume 12, Number 2 Spring 2009                                                                                     The Legacy
                      Assembly Proclaims April 2009 as Organ
                      and Tissue Donor Awareness Month

                         N April, Assemblyman Jim Conte (R,I,C,WF-             standing of this important issue, we can provide
                         Huntington Station) sponsored an unanimously          help to the thousands of patients awaiting trans-
                         approved resolution in the State Assembly pro-        plants and bring greater awareness to the critical
                      claiming April 2009 as Organ and Tissue Donor            need for organ, eye, tissue, bone marrow, and blood
                      Awareness Month in New York.                             donations."

                      This is the 19th year Assemblyman Conte spon-            Assemblyman Conte noted that while many New
                      sored a resolution to make April Organ and Tissue        Yorkers have signed up to become organ and tissue
                      Donor Awareness Month and is part of his contin-         donors, the need for organ donors continues to
                      ued efforts to bring greater awareness to the urgent     grow. Currently, there are over 9,500 New Yorkers
                      need for organ donors.                                   on the waiting list for organ and tissue donations.

       Alyce Hyde                                  "By making April organ      "An organ donor saved my life" remarked Conte.
 Hospital flies the                                and tissue donor aware-     "I am encouraging everyone to sign up today to the
    flag in honor                                  ness month, the Legis-      New York State Donate Life Registry and give the
        of Donate                                  lature provides an          gift of life."
      Life Month.                                  opportunity to help
                                                   New Yorkers learn more       o
                                                                               T join the registry go to www.donatelifecdt.com or
                                                   about organ donations,"     contact the NYS Department of Health at 1-866-
                                                   said Conte. "By enhanc-     693-6667 to request a registry card.
                                                   ing individuals under-

                          From the CEO, from page 1
                          2010. CDT will, in partnership with those            honor each individual organ and tissue donor.
                          donor hospitals that choose to participate, spon-    Upon being taken down, the flag will be sent to
                          sor a rose for each donor recovered at a donor       the donor family with a letter of recognition.
                          hospital. The roses will be individually dedicat-
                          ed and placed in the memorial rose garden on         CDT will provide the flags, the roses, and coordi-
                          board the 2010 Donate Life America float in the      nate the process with the donor families. Donor
                          Rose Parade. A letter, signed by both myself and     hospitals will be asked to provide their flag pole in
                          the hospital CEO, announcing the dedication          April (and possibly year round) and to reach out
                          will be sent to the donor family prior to Christ-    to their local media in late December and again in
                          mas, 2009. The second event will be to fly a         April to get coverage of our organizations’ joint
                          Donate Life flag in front of the participating       effort to honor all those who have given.
                          hospital for the entire month of April 2010
                          (Donate Life month).                                 If you are a hospital CEO or a hospital key con-
                                                                               tact for CDT, please be on the lookout for my
                          Additionally, hospital CEO’s will be asked to com-   letter, which will be arriving in June. And please,
                          mit their hospital to an on going, year round pro-   commit to joining CDT in honoring the donor
                          gram in which a Donate Life flag will be flown in    families we jointly serve.
                          front of the donor hospitals for one week to

                                                       Contact CDT if you would like to:
                                               • ENROLL in the New York State Organ and Tissue Registry
                                               • OBTAIN INFORMATION or donor cards
                                               • REQUEST SPEAKERS for schools, civic organizations or
                                                 health fairs
                                               • BECOME A VOLUNTEER and help raise awareness of donation!
                                                                               Call or write to:
                                                                    The Center for Donation and Transplant
                                                               218 Great Oaks Boulevard, Albany, New York 12203
                                                                       Or visit www.cdtny.org

The Legacy                                                                                    Volume 12, Number 2 Spring 2009
Donor Activity by Hospital
January 1 through March 31, 2009
93 total tissue donors, 7 total organ donors
        A.O. Fox Memorial Hospital                      3
         Adirondack Medical Center          1
             Albany Medical Center                                                                 12
                   Albany Memorial                      3
               Alice Hyde Memorial                  2
            Bassett Of Cooperstown                      3
               Benedictine Hospital                             4
               Binghamton General           1
    Catskill Regional Medical Center        1
                  Champlain Valley                      3
                Columbia Memorial                   2
                             Copley         1
                           Ellenville       1
                                Ellis                                        7
                           Fairview         1
       Faxton - St. Lukes Healthcare                    3
          Fletcher Allen Health Care                                         7
                         Glens Falls                                    6
                   Lourdes Hospital                 2
                    Nathan Littauer                 2
                 Northern Dutchess          1
          Northwestern Medical Ctr          1
          Rutland Regional Med Ctr                  2
                     S. W. Vermont                  2
                          Samaritan                 2
                           Saratoga                                                      9
                       St. Elizabeth                2
              St. Marys-Amsterdam                               4
                     St. Marys-Troy                 2
                          St. Peters        1
         Tri-Town Regional Hospital         1
                             Wilson                                                  8
                                        0       2           4       6            8           10   12

                                                Organ Donors                Tissue Donors

Volume 12, Number 2 Spring 2009                                                                         The Legacy
                                                                          Phone 518 262-5606, Fax 518 262-5427
                                                                          218 Great Oaks Boulevard, Albany, New York 12203
                                                                          Center for Donation & Transplant

 Upcoming Events and Important Dates

 June 7, 2009 ......................................Annual Donor Family and Recipient Family Picnic,
                                         Saratoga State Park, NY

 August 1, 2009...................................National Minority Awareness Day

 November 1, 2009 ............................CDT Donor Memorial,
                                         Albany, NY

 March 31, 2010..................................Education Day & Awards Dinner,
                                         Saratoga Springs, NY

         Please contact CDT at 518-262-5606 for further information about upcoming events.

The Legacy                                                                                    Volume 12, Number 2 Spring 2009

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