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St. Michael's Hospital

Division of Orthopaedic Surgery

Dr. E.R. Bogoch - Professor
Dr. T.R. Daniels - Assistant Professor
Dr. D. E. Hastings - Professor
Dr. R.J. McBroom - Assistant Professor
Dr. M.D. McKee - Associate Professor
Dr. E.H. Schemitsch - Professor (Division Head)
Dr. J.P. Waddell - Professor

Publications

Balakrishnan A, Schemitsch EH, Pearce D, McKee MD: Distinguishing transient osteoporosis of the hip from avascular necrosis. Canadian J Surg: June 2003: 3: pp 187-192.

Beimers L, Kreder HJ, Berry GK, Stephen DJG, Schemitsch EH, McKee MD, Jaglal S: Subcapital hip fractures: the Garden classification should be replaced, not collapsed. Can J Surg: December 2002: 45, No.6: pp 411-414.

Bhandari M, Guyatt G, Swiontkowski M, Tornetta P III, Sprague S, Schemitsch EH: A lack of consensus in the assessment of fracture healing among orthopaedic surgeons. Journal of Orthopaedic Trauma: December 2002: 16(8): pp 562-566.

Bogoch ER, Judd MGP: The hand: The second Face? Journal of Rheumatology: December 2002: 29: No.12: pp 2477-2483.

Brown Jacques P, Josse Robert G., et al for the Scientific Advisory Council of the Osteoporosis Society of Canada: 2002 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada. Canadian Medical Association Journal: November 2002: Nov. 12/02: pp S1-S34.

Daniels TR: 1) Ankle biomechanics and gait analysis; and 2) Ankle arthroplasty: Inidications, techniques, and clinical outcomes. Audio-Digest Orthopaedics: July 2002: 25, Issue7: pp 1-4.

Daniels TR, Waddell JP: Musculoskeletal images: Charcot Arthropathy. Canadian Journal of Surgery: October 2002: 45, No. 5: pp 363-364.

Gilchrist AD, McKee MD: Valgus instability of the elbow due to medial epicondyle nonunion: Treatment by fragment excision and ligament repair. J Shoulder Elbow Surg: October 2002: 11, No.5: pp 493-497.

Hawker G, Ridout R, Ricupero M, Jaglal S, Bogoch E: The impact of a simple fracture clinic intervention in improving the diagnosis and treatment of osteoporosis in fragility fracture patients. Osteoporosis International: February 2003: pp 2-20.

Jolles BM, Bogoch ER: Consensus recommendations for rheumatoid arthritis therapy: A blind spot for osteoporosis prevention and treatment. Journal of Rheumatology: September 2002: 29:9: pp 1814-1817.

Lobo J, McKee MD: Musculoskeletal images: Chronic osteomyelitis. Canadian Journal of Surgery: February 2003: 46, No.1: pp 47-48.

McKee MD, Pugh DMW, Richards RR, Pedersen E, Jones C, Schemitsch EH,: Effect of humeral condylar resection on strength and functional outcome after semi-constrained total elbow arthroplasty. Journal Bone Joint Surg (Am): May 2003: 85A, No.5: pp 802-807.

McKee MD, Wild LM, Schemitsch EH: Midshaft malunions of the clavicle. Journal Bone Joint Surgery(A): May 2003: 85A, No.5: pp 790-797.

McKee MD, Wild LM, Schemitsch EH, Waddell JP: The use of an antibiotic impregnated, osteoconductive bioabsorbable bone substitute in the treatment of infected long bone defects. Journal of Orthopaedic Trauma: October 2002: 16: pp 622-627.

O’Driscoll SW, Jupiter JB, Cohen MS, Ring D, McKee MD: Difficult elbow fractures: Pearls and Pitfalls. In: AAOS Intrstructional Course Lectures Vol52 2003 (Ferlic DC, ed). AAOS, Rosemont Illinois: 2003: pp 113-134.

Sprague S, Bhandari M, Devereaux PJ, Swiontkowski MF, Tornetta P, Cook DJ, Dirschl D, Schemitsch EH, Guyatt G: Barriers to full-text publication following presentation of abstracts at annual orthopaedic meetings. Journal of Bone and Joint Surgery American Volume: January 2003: 85A(1): pp 158-163.

Stephen DJG, Kreder HJ, Schemitsch EH, Conlan LB, Wild LM, McKee MD: Femoral intramedullary nailing: Comparison of fracture-table and manual traction, A prospective randomized study. Journal Bone Joint Surg (A): September 2002: 84-A, No.9: pp 1514-1521.

Thivaios G, McKee MD: Sliding osteotomy for deformity correction following malunion of volarly displaced distal radial fractures. Journal of Orthopaedic Trauma: May 2003: 17: pp 326-333.

Thomas RH, Daniels TR: Ankle arthritis: Current concepts review. Journal of Bone and Joint Surgery: May 2003: 85-A: pp 923-936.

Thomas RH, Daniels TR: Primary fusion as salvage following talar neck fracture: A case report. Foot & Ankle International: April 2003: 24, No. 4: pp 368-371.

Waddell JP, Daniels TR: Musculoskeletal images: Silicone synovitis. Canadian Journal of Surgery: April 2003: 46, no.2: pp 120.

Wedge JH, Bogoch ER: The surgical management of juvenile arthritis. In: Textbook of Orthopaedics (Bulstrode C, ed). Oxford Press, Bristal, Great Britain: 2002: pp 2433-2446.

Wong T, Majchrzak B, Bogoch E, Keystone CE, Fish EN: Therapeutic implications for interferon in arthritis: A pilot study. Journal of Rheumatology: May 2003: 2003:30:5: pp 934-940.

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Invited Visits to other Hospitals/Universities

Bogoch ER: Family Practice Rounds, Oakville Trafalgar Memorial Hospital, Oakville, Ontario, November 2002. “Bridging the Gap”, What to do after fragility fracture.

Bogoch ER: Regional Family Practice Rounds, Peterborough, Ontario, October 2002. Fragility fracture patient in Family Practice.

Bogoch ER: Partners in Aging - Falls Prevention Conference ’02, Peterborough, Ontario, October 2002. Fragility Fractures in Older Adults.

Bogoch ER: The Osteoporosis Society of Canada Peterborough Chapter, Lindsay, Ontario, October 2002. Fragility Fractures in Older Adults.

Bogoch ER: Wood Professor Lecturer, University of Calgary, Calgary, Alberta, April 2003. My Aching Hip.... Today’s medical / surgical management.

Bogoch ER: Canadian Arthritis Network Special Research Initiative in OA Workshop, Calgary, Alberta, September 2002. Orthopaedic approaches to the management of OA.

Daniels TR: University of Saskatchewan, Orthopaedic Rounds, Saskatoon, Saskatchewan, July 2002. 1) Ankle arthrodesis - Gait analysis and functional outcomes; 2) Management of stage II posterior tibial tendon dysfunction.

Daniels TR: COA - Instructional course lecture, Toronto, Ontario, June 2003. 1) Arthroscopic debridement and mosaicplasty of talo-osteochondral lesions; 2) Moderator for “Ankle Arthritis”.

Daniels TR: New Zealand Continual Education Meeting, Taupo, New Zealand, May 2003. 1) Management of osteochondral lesion of talus; 2) Os calcis osteotomy for posterior tibial tendon dysfunction; 3) Management of reucrrent ankle and subtalar instability; 4) Rheumatoid forefoot reconstruction; 5) Management of ankle arthritis - Current concept; 6) Late reconstruction of tarsometatarsal injuries; 7) Management of adult club foot (complications following correction in infancy).

Daniels TR: Canadian Orthopaedic Foot and Ankle Society Annual Symposium, Simon Fraser University at Harbour Centre, Vancouver, British Columbia, April 2003. 1) Surgical treatment of the ulcerated and charcot foot; 2) Acute management of midfoot fracture dislocations.

Daniels TR: Wound Care Conference, St. Michael’s Hospital, Toronto, Ontario, March 2003. Acute care of diabetics admitted to hospital: Indications for surgery.

Daniels TR: Canadian Orthopaedic Foot and Ankle Society Symposium, Vancouver, British Columbia, April 2003. Ankle biomechanics and gait analysis -- Zimmer Speaker.

Daniels TR: St Michael’s Hospital Medical Imaging In-Service Lecture, Toronto, Ontario, October 2002. Radiological views of the foot and ankle: Standing views, hindfoot views, etc.

Daniels TR: St. Michael’s Hospital in partnership with Smith & Nephew Canada - Wound Care Internship Program, Toronto, Ontario, February 2003. The neuropathic foot: Surgical management.

McKee MD: AO Course - Advanced controversies in fracture care, Toronto, Ontario, November 2002. 1) Humeral shaft fractures 2) Fracture-dislocation of the elbow 3) Biologics in orthopaedic trauma 4) Upper extremity case discussions.

McKee MD: Emerging Trends - Orthopaedic Symposium, Whistler 2003, Whistler, British Columbia, March 2003. 1) TEA for supracondylar fracture 2) Elbow fracture-dislocations 3) Bone substitutes - when and how 4) External fixator for plafond fractures.

McKee MD: AO North America Visiting Professor, University of Saskatchewan, Saskatoon, Saskatchewan, January 2003. 1)Distal biceps tendon ruptures 2) Terrible triad of the elbow 3) Bone substitutes 4) Vascularized fibular grafts for AVN of the hip.

McKee MD: Surgical Advances in Trauma, Deerhurst, Ontario, June 2003. 1)Fractures of the distal humerus 2) The use of biological osteoinductive materials.

McKee MD: 17th Annual Vail Orthopaedic Symposium, Vail, Colorado, January 2003. 1.Biceps tendon ruptures 2. TEA for supracondylar humeral fractures 3. Debate: Scaphoid fractures ORIF 4. Scaphoid fractures: classification and natural history 5. Bennett’s fracture: How I treat it.

McKee MD: Fracture Forum, Beaver Creek, Colorado, January 2003. Debate: Synthetic bone graft substitutes.

McKee MD: 2002 OTA Residents Basic Fracture Course, Toronto, October 2002. Fractures of the humeral shaft.

McKee MD: Annual Meeting of the Newfoundland and Labrador Orhopaedic Society, Port Blanchford, Newfoundland, September 2002. Royal College Visiting Professor.

McKee MD: Orthopaedic Trauma Association Annual Meeting, Toronto, October 2002. Symposium: Complex Elbow Injuries.

McKee MD: 8th meeting of the ISFR, Toronto, October 2002. Trauma applications of BMP- a symposium.

Schemitsch EH: 17th Annual Vail Orthopaedic Symposium, Vail, Colorado, January 2003. 1. Adult Supracondylar Humerus Fractures: ORIF. 2. Keynote address: Forearm function and biomechanics. 3. Plating of humeral shaft fractures is better than IM fixation.

Schemitsch EH: Ecuador Society of Orthopaedics and Traumatology (Visiting Professor), Quito, Ecuador, November 2002. 1. Current concepts in the treatment of open tibial fractures. 2. Nailing versus plating of humeral shaft fractures. 3. Retrograde nailing of femoral fractures. 4. Periprosthetic femur fractures. 5. Current concepts in the treatment of elbow trauma. 6. Is there anything new in the treatment of femur fractures.

Schemitsch EH: Joint and Bone Preservation Surgery of the Hip., Montréal, Québec, June 2003. 1. Intracapsular fractures of the proximal femur: head and neck fractures. 2. THA after free vascularized fibular graft.

Schemitsch EH: AO Advanced Fracture Course, Toronto, Ontario, November 2002. 1. Is there a role of plating of tibial shaft fractures.

Schemitsch EH: AO Basic Fracture Course, Toronto, Ontario, November 2002. 1. Moderator 2. Bone: Response to fracture and implant. 3. Diaphyseal fractures: Principles of management.

Schemitsch EH: Orthopaedic Trauma Association, Toronto, Ontario, October 2002. 1. Moderator 2. Symposium: Fracture healing biological supplementation and nonunions. 3. Symposium: Clinical Research Advisory Panel.

Schemitsch EH: SICOT Annual Meeting. Instructional Course, San Diego, California, August 2002. 1. Subtrochanteric fractures: Reconstruction nailing. 2. Subcapital fractures: Replacement.

Schemitsch EH: Contemporary and Future Concepts of Total Hip and Knee Arthroplasty, Whistler,British Columbia, February 2003. 1. Surface replacement THA-What a great idea. 2. Extensively porous coated stems. 3. Modularity in TKR - Friend or Foe?

Schemitsch EH: Surgical Advances in Total Hip, Knee and Trauma., Deerhurst, Ontario, June 2003. 1. Trauma Co-Chairperson. 2. Retrograde Nailing of the distal femur. 3. Open tibial fractures. 4. Trauma and Arthroplasty (session moderator). The case of ceramic on ceramic in the 50-year-old requiring THA.

Schemitsch EH: Emerging Trends Whistler 2003 Orthopaedic Symposium Lower Extremity Trauma Update., Whistler, British Columbia, February 2003. 1. Antegrade vs retrograde femoral nailing. 2. Retrograde femoral nailing: Treatment of choice in supracondylar femur fractures.

Schemitsch EH: International Society for Fracture Repair, Toronto, Ontario, October 2002. 1. Moderator 2. Symposium: T2 Nailing Workshop.

Schemitsch EH: AAOS Annual Meeting., New Orleans, Louisiana, February 2003. Instructional Course. 1. Tibial shaft fractures update Part II: Challenges, complications and management of tibial shaft fractures.

Waddell JP: SICOT - Association for the Rational Treatment of Fractures Program (1) Moderator: Femoral Fracture Session (2) Reduction & Fixation of Femoral Neck Fractures. San Diego, California, August 27, 2002.

Waddell JP: SICOT - CURRENT TRENDS SESSION - Subtrochanteric Hip Fractures (Chairperson). San Diego, California, August 28 (Chairperson).

Waddell JP: Bone & Joint Decade Annual Meeting of Network Coordinators. Total Hip Replacement. Rio De Janeiro, Brazil, September 14, 2002.

Waddell JP: Hip 2002. Hip Pain With or Without Total Hip Arthroplasty - Moderator. Toulouse, France, October 2, 2002.

Waddell JP: Hip 2002. Round Table “Perioperative and Early Complications of Total Hip Arthroplasty” - Thrombosis and Pulmonary Embolism. Toulouse, France, October 4, 2002.

Waddell JP: 8th Meeting of the International Society for Fracture Repair. Breakout Session “Anticoagulation and Trauma: When Is It Appropriate?” Toronto, Ontario, October 10, 2002.

Waddell JP: Orthopaedic Trauma Association 2002 Resident’s Basic Fracture Course. Closed Reduction and Treatment of Common Fractures - Principles. Toronto, Ontario, October 10, 2002.

Waddell JP: American Academy of Orthopaedic Surgeons. Instructional Course Lecture - Rotational Pelvic Osteotomies for Symptomatic Dysplasia and Perthes in Adults: Indications and Surgical Techniques. New Orleans, Louisiana, February 6, 2003.

Waddell JP: 3rd Combined Arthoplasty and Knee Surgery Congress. (1) Cemented vs. Cementless Cup Study. . (2) Cementless Primary and Revision Hip Replacements (presentation and hands-on workshop). (3) Management of Periprosthetic Fractures Following Total Hip Replacement. Drakensberg, South Africa, April 10, 2003.

Waddell JP: 3rd Combined Arthoplasty and Knee Surgery Congress. (1) The Use of Reconstruction Rings in the Management of Acetabular Defects. Drakensberg, South Africa, April 11, 2003. (2) Total Hip Replacement Following Pelvic Osteotomy. Drakensberg, South Africa, April 10, 2003.

Waddell JP: EFORT (European Federation of National Associations of Orthopaedics & Traumatology) - Specialty Day. Plating Humeral Shaft Fractures. Helsinki, Finland, June 8, 2003.

Waddell JP: 2nd Symposium on Joint and Bone Preserving Surgery of the Hip in Conjuction with the 2nd International Conference on Metal-Metal Hip Prostheses: Past Performance and Future Directions. Total Hip Replacement Following Pelivc Osteotomy. Montréal, Québec, June 20, 2003.

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Research and Investigations

Senior Investigator’s Name Appears in Italics

A multicenter prospective randomized trial of conservative treatment vs plate fixation for displaced fractures of the clavicular shaft. McKee MD, Schemitsch EH: University of Toronto, Division of Orthopaedic Surgery Research Committee. ($10,000 2001 - 2002).

A multicenter prospective randomized trial of conservative treatment vs. operative plate fixation for displaced fractures of the clavicular shaft. McKee MD, Schemitsch EH: Canadian Orthopaedic Trauma Society: Orthopaedic Trauma Association ($30,000 2001 - 2003).

A multicenter prospective randomized trial of open reduction and internal fixation vs. total elbow arthroplasty for severe fractures of the distal humerus in elderly patients. McKee MD, Schemitsch EH: Canadian Orthopaedic Trauma Society, Orthopaedic Trauma Association ($30,000 2001 - 2003).

A randomized, prospective clinical trial of arthroplasty versus internal fixation for comminuted fractures of the distal humerus in elderly patients. McKee MD, Canadian Orthopaedic Trauma Society: Zimmer Canada Ltd. ($20,000 2001 - 2003).

A randomized, prospective clinical trial of operative versus conservative treatment for displaced mid-shaft fractures of the clavicle. McKee MD, Canadian Orthopaedic Trauma Society: Orthopaedic Trauma Association ($30,000 2001 - 2003).

An in-vivo evaluation of graft materials using a canine metaphyseal defect model. Schemitsch EH: Stryker Howmedica Osteonics ($199,000 2001 - 2003).

Clinically important venous thromboembolism following lower extremity fractures: Epidemiology and prevention. Selby R, Geerts W, Kreder H, Oh P, Szalai S, Hamilton P, Crowther M, Schemitsch EH, McKee MD: Canadian Institutes of Health Research/Industry Pharmacia ($66,679 2001 - 2003).

How are you now? Testing a model of recovery from patient’s perspective one year after a traumatic fracture of an extremity. Beaton D, Schemitsch EH, Franche RL, Gignac M, Kreder H, Davis A: Canadian Institutes of Health Research ($75,000 2002).

Identification of fragility fracture patients in two Fracture Clinics of St. Michael’s Hospital. Bogoch ER, Josse R, Murray T: Merck Frosst Canada Inc ($50,000 2002 - 2003).

Immunoassays and imaging for the analysis of synthesis and degradation of cartilage in vitro and in vivo. Poole AR, Bogoch E, Cruz T, Fitzcharles MA, Hartmann N, Keystone, Laverty S, Menard H, Mort J, St-Pierre Y: Canadian Arthritis Network ($27,000 1999 - 2003).

Insulin-like growth factors modulate fracture healing following intramedullary reaming. Bhandari M, Schemitsch EH: Regional Medical Associates ($4,300 2001 - 2002).

Integrated Post-Fracture Care. Susan Jaglal, Hawker G, McIsaac W, Davis D, Carroll J, Jaakkimainen L, Cadarette S, Bogoch E: Ontario Women’s Health Council ($192,635 2002).

Martin Family Centre for Arthritis Care Research. Bogoch ER, Shupak R, Johnstone B: Martin Family ($500,000 2000 - 2005).

New quantitative imaging techniques for arthritis. Foster S, Bogoch E, Buschmann M, Kirkley A, Holdsworth D, Poole AR, Webber C: Canadian Arthritis Network ($27,000 1999 - 2003).

Ontario Orthopaedic Association, Prevention of Osteoporotic Fragility Fractures. Bogoch ER: Procter & Gamble Pharmaceuticals ($165,000 2001 - 2003).

Osteoclastic Resorption in Inflammatory Arthritis: Mechanisms and Pharmacological Regulation. Dixon J, Bogoch E, de Brum-Fernandes A, Heersche J, Sims S: Canadian Arthritis Network ($27,000 1998 - 2003).

Osteoclastic Resorption in inflammatory arthritis: Mechanisms and Pharmacological regulation (Project code 01-CEL-08 renewal). Bogoch ER, Sims S, Dixon J, Heersche J, De Brum Fernandes A: Canadian Arthritis Network (CAN) ($16,500 2001 - 2002).

Outcome following experimental production of pulmonary fat embolism. Schemitsch EH: University of Toronto Research Committee ($12,500 2003 - 2004).

Pilot study for a randomized controlled trial of standardized arthroscopic debridement protocol (SADP) versus total knee arthroplasty (TKA) for advanced knee osteoarthritis. Mahomed N, Schemitsch EH, University of Toronto, Arthroplasty Committee: University of Toronto, Division of Orthopaedic Surgery Research Committee. ($10,000 2001 - 2002).

Predictor of disability outcomes following revision total knee arthroplasty. Davis A, Mahomed NN, Gross AE, Szalai J, Schemitsch EH, Kreder HJ, MacDonald SJ, Gignac MAM, Garbuz D, Sekundiak T, Bogoch ER, Davey JR: Canadian Institute for Health Research (CIHR) ($68,365 2001 - 2004).

Predictors of disability outcomes following revision total knee arthroplasty. Davis A, Mahomed N, Gross A, Szalai J, Schemitsch EH, Kreder H, MacDonald S, Gignac M, Garbuz D, Sekundiak T, Bogoch E, Davey JR: Canadian Institutes of Health Research ($68,000 2001 - 2003).

Predictors of outcome following revision total hip arthroplasty. Davis A, Gross AE, Davey JR, Mahomed N, Szalai J, Schemitsch EH, Badley EM, Kreder HJ, Saleh KJ, Hutchison C: Arthritis Society ($78,024 2001 - 2003).

Propsective randomized trial of indomethacin versus control in prevention of functionally disabling ectopic bone formation following musculoskeletal injury in association with traumatic brain injury. Lundon K, McKee MD, Schemitsch EH, Baker A: PSI Foundation ($87,000 2001 - 2003).

Prospective randomized clinical study to evaluate the effects of less invasive stabilization plating techniques in distal femoral fractures. Leighton R, O’Brien P, Buckley R, McKee MD, Schemitsch EH, Stephen DJ, Sanders D, McCormack D: AO Foundation and Synthes Canada ($294,400 2002 - 2004).

Randomized trial of reamed versus non reamed nails in tibial fractures. Guyatt G, Bhandari M, Walter S, Leighton R, Kreder H, Schemitsch EH, O’Brien B: Canadian Institutes of Health Research ($710,000 2001 - 2003).

Randomized trial of reamed versus non reamed nails in tibial fractures. Guyatt G, Bhandari M, Walter S, Leighton R, Kreder H, Schemitsch EH, O’Brien B: Canadian Orthopaedic Trauma Study: Orthopaedic Trauma Association. ($75,000 2002 - 2003).

Study of prospectively evaluate reamed intramedullary nails in tibial fractures. A multi-centre randomized trial. Swiontkowski M, Guyatt G, Bhandari M, Tornetta P, Schemitsch EH and the Sprint Study Group: NIH ($1,500,000 2002 - 2005).

Technical considerations in intramedullary nailing of tibial shaft fractures. Bhandari M, Guyatt G, Swiontkowski M, Tornetta P, Schemitsch EH: Canadian Orthopaedic Foundation ($2,100 2001 - 2002).

The effect of low pressure lavage with various irrigating solutions on contaminated tibiae. Schemitsch EH, Bhandari M: University of Toronto Research Committee ($10,000 2002 - 2003).

The effect of pulsatile irrigation on cortical bone blood flow and fracture healing: A canine study using laser doppler flowmetry. Schemitsch EH, Bhandari M: University of Toronto, Division of Orthopaedic Surgery Research Committee ($10,000 2001 - 2002).

The role of pressure irrigation in modulating cytokines. Bhandari M, Schemitsch EH: Canadian Orthopaedic Foundation ($2,700 2001 - 2002).

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Honours Received

Daniels TR: Nomination as International Scientist of the Year 2003 (International Biographical Centre Cambride, England), June 2003.

McKee MD: “Highlight Paper” OTA Annual Meeting 2002 - “The effect of rhBMP-7 on nhealing of open tibial shaft fractures: a multi-center RCT”, December 2002.

McKee MD: Edwin G. Bovill Award - Most Outstanding Papaer - OTA Specialty Day 2003 - “The effect of rhBMP-7 on nhealing of open tibial shaft fractures: a multi-center RCT”, February 2003.

McKee MD: Robert B. Salter Award in Excellence for Teaching, October 2002.

Schemitsch EH: Best Poster, International Society for Fracture Repair, Toronto., October 2002.

Schemitsch EH: Orthopaedic Trauma Association Annual Meeting Highlight Paper, October 2002.

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