ESTRO 2020

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			'description' => 'Der für April 2020 in Wien geplante <strong>ESTRO 2020</strong> wurde auf den <strong>28. November bis 01. Dezember 2020 verschoben</strong> und findet rein virtuell statt.<br />
Mehr Informationen unter: <a href="https://www.estro.org/Congresses" target="_blank">https://www.estro.org/Congresses</a><br />
++++++<br />
Unter dem Motto „Translating research and partnership into optimal health“ wird der Kongress vor allem Vorträge rund um die Themengebiete <strong>Radioonkologie</strong> und <strong>Interdisziplinäre Krebsbehandlung</strong> bieten.<br />
<br />
<strong>Veranstaltungsdaten: </strong><br />
<br />
<u>Datum:</u> 28.11.-01.12.2020<br />
<u>Gebühren:</u> EUR 30-1.250',
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++++++<br />
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			(int) 254 => array(
				[maximum depth reached]
			),
			(int) 255 => array(
				[maximum depth reached]
			),
			(int) 256 => array(
				[maximum depth reached]
			),
			(int) 257 => array(
				[maximum depth reached]
			),
			(int) 258 => array(
				[maximum depth reached]
			),
			(int) 259 => array(
				[maximum depth reached]
			),
			(int) 260 => array(
				[maximum depth reached]
			),
			(int) 261 => array(
				[maximum depth reached]
			),
			(int) 262 => array(
				[maximum depth reached]
			),
			(int) 263 => array(
				[maximum depth reached]
			),
			(int) 264 => array(
				[maximum depth reached]
			),
			(int) 265 => array(
				[maximum depth reached]
			),
			(int) 266 => array(
				[maximum depth reached]
			),
			(int) 267 => array(
				[maximum depth reached]
			),
			(int) 268 => array(
				[maximum depth reached]
			),
			(int) 269 => array(
				[maximum depth reached]
			),
			(int) 270 => array(
				[maximum depth reached]
			),
			(int) 271 => array(
				[maximum depth reached]
			),
			(int) 272 => array(
				[maximum depth reached]
			),
			(int) 273 => array(
				[maximum depth reached]
			),
			(int) 274 => array(
				[maximum depth reached]
			),
			(int) 275 => array(
				[maximum depth reached]
			),
			(int) 276 => array(
				[maximum depth reached]
			),
			(int) 277 => array(
				[maximum depth reached]
			),
			(int) 278 => array(
				[maximum depth reached]
			),
			(int) 279 => array(
				[maximum depth reached]
			),
			(int) 280 => array(
				[maximum depth reached]
			),
			(int) 281 => array(
				[maximum depth reached]
			),
			(int) 282 => array(
				[maximum depth reached]
			),
			(int) 283 => array(
				[maximum depth reached]
			),
			(int) 284 => array(
				[maximum depth reached]
			),
			(int) 285 => array(
				[maximum depth reached]
			),
			(int) 286 => array(
				[maximum depth reached]
			),
			(int) 287 => array(
				[maximum depth reached]
			),
			(int) 288 => array(
				[maximum depth reached]
			),
			(int) 289 => array(
				[maximum depth reached]
			),
			(int) 290 => array(
				[maximum depth reached]
			),
			(int) 291 => array(
				[maximum depth reached]
			),
			(int) 292 => array(
				[maximum depth reached]
			),
			(int) 293 => array(
				[maximum depth reached]
			),
			(int) 294 => array(
				[maximum depth reached]
			),
			(int) 295 => array(
				[maximum depth reached]
			),
			(int) 296 => array(
				[maximum depth reached]
			),
			(int) 297 => array(
				[maximum depth reached]
			),
			(int) 298 => array(
				[maximum depth reached]
			),
			(int) 299 => array(
				[maximum depth reached]
			),
			(int) 300 => array(
				[maximum depth reached]
			),
			(int) 301 => array(
				[maximum depth reached]
			),
			(int) 302 => array(
				[maximum depth reached]
			),
			(int) 303 => array(
				[maximum depth reached]
			),
			(int) 304 => array(
				[maximum depth reached]
			),
			(int) 305 => array(
				[maximum depth reached]
			),
			(int) 306 => array(
				[maximum depth reached]
			),
			(int) 307 => array(
				[maximum depth reached]
			),
			(int) 308 => array(
				[maximum depth reached]
			),
			(int) 309 => array(
				[maximum depth reached]
			),
			(int) 310 => array(
				[maximum depth reached]
			),
			(int) 311 => array(
				[maximum depth reached]
			),
			(int) 312 => array(
				[maximum depth reached]
			),
			(int) 313 => array(
				[maximum depth reached]
			),
			(int) 314 => array(
				[maximum depth reached]
			),
			(int) 315 => array(
				[maximum depth reached]
			),
			(int) 316 => array(
				[maximum depth reached]
			),
			(int) 317 => array(
				[maximum depth reached]
			),
			(int) 318 => array(
				[maximum depth reached]
			),
			(int) 319 => array(
				[maximum depth reached]
			),
			(int) 320 => array(
				[maximum depth reached]
			),
			(int) 321 => array(
				[maximum depth reached]
			),
			(int) 322 => array(
				[maximum depth reached]
			),
			(int) 323 => array(
				[maximum depth reached]
			),
			(int) 324 => array(
				[maximum depth reached]
			),
			(int) 325 => array(
				[maximum depth reached]
			),
			(int) 326 => array(
				[maximum depth reached]
			),
			(int) 327 => array(
				[maximum depth reached]
			),
			(int) 328 => array(
				[maximum depth reached]
			),
			(int) 329 => array(
				[maximum depth reached]
			),
			(int) 330 => array(
				[maximum depth reached]
			),
			(int) 331 => array(
				[maximum depth reached]
			),
			(int) 332 => array(
				[maximum depth reached]
			),
			(int) 333 => array(
				[maximum depth reached]
			),
			(int) 334 => array(
				[maximum depth reached]
			),
			(int) 335 => array(
				[maximum depth reached]
			),
			(int) 336 => array(
				[maximum depth reached]
			),
			(int) 337 => array(
				[maximum depth reached]
			),
			(int) 338 => array(
				[maximum depth reached]
			),
			(int) 339 => array(
				[maximum depth reached]
			),
			(int) 340 => array(
				[maximum depth reached]
			),
			(int) 341 => array(
				[maximum depth reached]
			),
			(int) 342 => array(
				[maximum depth reached]
			),
			(int) 343 => array(
				[maximum depth reached]
			),
			(int) 344 => array(
				[maximum depth reached]
			),
			(int) 345 => array(
				[maximum depth reached]
			),
			(int) 346 => array(
				[maximum depth reached]
			),
			(int) 347 => array(
				[maximum depth reached]
			),
			(int) 348 => array(
				[maximum depth reached]
			),
			(int) 349 => array(
				[maximum depth reached]
			),
			(int) 350 => array(
				[maximum depth reached]
			),
			(int) 351 => array(
				[maximum depth reached]
			),
			(int) 352 => array(
				[maximum depth reached]
			),
			(int) 353 => array(
				[maximum depth reached]
			),
			(int) 354 => array(
				[maximum depth reached]
			),
			(int) 355 => array(
				[maximum depth reached]
			),
			(int) 356 => array(
				[maximum depth reached]
			),
			(int) 357 => array(
				[maximum depth reached]
			),
			(int) 358 => array(
				[maximum depth reached]
			),
			(int) 359 => array(
				[maximum depth reached]
			),
			(int) 360 => array(
				[maximum depth reached]
			),
			(int) 361 => array(
				[maximum depth reached]
			),
			(int) 362 => array(
				[maximum depth reached]
			),
			(int) 363 => array(
				[maximum depth reached]
			),
			(int) 364 => array(
				[maximum depth reached]
			),
			(int) 365 => array(
				[maximum depth reached]
			),
			(int) 366 => array(
				[maximum depth reached]
			),
			(int) 367 => array(
				[maximum depth reached]
			),
			(int) 368 => array(
				[maximum depth reached]
			),
			(int) 369 => array(
				[maximum depth reached]
			),
			(int) 370 => array(
				[maximum depth reached]
			),
			(int) 371 => array(
				[maximum depth reached]
			),
			(int) 372 => array(
				[maximum depth reached]
			),
			(int) 373 => array(
				[maximum depth reached]
			),
			(int) 374 => array(
				[maximum depth reached]
			),
			(int) 375 => array(
				[maximum depth reached]
			),
			(int) 376 => array(
				[maximum depth reached]
			),
			(int) 377 => array(
				[maximum depth reached]
			),
			(int) 378 => array(
				[maximum depth reached]
			),
			(int) 379 => array(
				[maximum depth reached]
			),
			(int) 380 => array(
				[maximum depth reached]
			),
			(int) 381 => array(
				[maximum depth reached]
			),
			(int) 382 => array(
				[maximum depth reached]
			),
			(int) 383 => array(
				[maximum depth reached]
			),
			(int) 384 => array(
				[maximum depth reached]
			),
			(int) 385 => array(
				[maximum depth reached]
			),
			(int) 386 => array(
				[maximum depth reached]
			),
			(int) 387 => array(
				[maximum depth reached]
			),
			(int) 388 => array(
				[maximum depth reached]
			),
			(int) 389 => array(
				[maximum depth reached]
			),
			(int) 390 => array(
				[maximum depth reached]
			),
			(int) 391 => array(
				[maximum depth reached]
			),
			(int) 392 => array(
				[maximum depth reached]
			),
			(int) 393 => array(
				[maximum depth reached]
			),
			(int) 394 => array(
				[maximum depth reached]
			),
			(int) 395 => array(
				[maximum depth reached]
			),
			(int) 396 => array(
				[maximum depth reached]
			),
			(int) 397 => array(
				[maximum depth reached]
			),
			(int) 398 => array(
				[maximum depth reached]
			),
			(int) 399 => array(
				[maximum depth reached]
			),
			(int) 400 => array(
				[maximum depth reached]
			),
			(int) 401 => array(
				[maximum depth reached]
			),
			(int) 402 => array(
				[maximum depth reached]
			),
			(int) 403 => array(
				[maximum depth reached]
			),
			(int) 404 => array(
				[maximum depth reached]
			),
			(int) 405 => array(
				[maximum depth reached]
			),
			(int) 406 => array(
				[maximum depth reached]
			),
			(int) 407 => array(
				[maximum depth reached]
			),
			(int) 408 => array(
				[maximum depth reached]
			),
			(int) 409 => array(
				[maximum depth reached]
			),
			(int) 410 => array(
				[maximum depth reached]
			),
			(int) 411 => array(
				[maximum depth reached]
			),
			(int) 412 => array(
				[maximum depth reached]
			),
			(int) 413 => array(
				[maximum depth reached]
			),
			(int) 414 => array(
				[maximum depth reached]
			),
			(int) 415 => array(
				[maximum depth reached]
			),
			(int) 416 => array(
				[maximum depth reached]
			),
			(int) 417 => array(
				[maximum depth reached]
			),
			(int) 418 => array(
				[maximum depth reached]
			),
			(int) 419 => array(
				[maximum depth reached]
			),
			(int) 420 => array(
				[maximum depth reached]
			),
			(int) 421 => array(
				[maximum depth reached]
			),
			(int) 422 => array(
				[maximum depth reached]
			),
			(int) 423 => array(
				[maximum depth reached]
			),
			(int) 424 => array(
				[maximum depth reached]
			),
			(int) 425 => array(
				[maximum depth reached]
			),
			(int) 426 => array(
				[maximum depth reached]
			),
			(int) 427 => array(
				[maximum depth reached]
			),
			(int) 428 => array(
				[maximum depth reached]
			),
			(int) 429 => array(
				[maximum depth reached]
			),
			(int) 430 => array(
				[maximum depth reached]
			),
			(int) 431 => array(
				[maximum depth reached]
			),
			(int) 432 => array(
				[maximum depth reached]
			),
			(int) 433 => array(
				[maximum depth reached]
			),
			(int) 434 => array(
				[maximum depth reached]
			),
			(int) 435 => array(
				[maximum depth reached]
			),
			(int) 436 => array(
				[maximum depth reached]
			),
			(int) 437 => array(
				[maximum depth reached]
			),
			(int) 438 => array(
				[maximum depth reached]
			),
			(int) 439 => array(
				[maximum depth reached]
			),
			(int) 440 => array(
				[maximum depth reached]
			),
			(int) 441 => array(
				[maximum depth reached]
			),
			(int) 442 => array(
				[maximum depth reached]
			),
			(int) 443 => array(
				[maximum depth reached]
			),
			(int) 444 => array(
				[maximum depth reached]
			),
			(int) 445 => array(
				[maximum depth reached]
			),
			(int) 446 => array(
				[maximum depth reached]
			),
			(int) 447 => array(
				[maximum depth reached]
			),
			(int) 448 => array(
				[maximum depth reached]
			),
			(int) 449 => array(
				[maximum depth reached]
			),
			(int) 450 => array(
				[maximum depth reached]
			),
			(int) 451 => array(
				[maximum depth reached]
			),
			(int) 452 => array(
				[maximum depth reached]
			),
			(int) 453 => array(
				[maximum depth reached]
			),
			(int) 454 => array(
				[maximum depth reached]
			),
			(int) 455 => array(
				[maximum depth reached]
			),
			(int) 456 => array(
				[maximum depth reached]
			),
			(int) 457 => array(
				[maximum depth reached]
			),
			(int) 458 => array(
				[maximum depth reached]
			),
			(int) 459 => array(
				[maximum depth reached]
			),
			(int) 460 => array(
				[maximum depth reached]
			),
			(int) 461 => array(
				[maximum depth reached]
			),
			(int) 462 => array(
				[maximum depth reached]
			),
			(int) 463 => array(
				[maximum depth reached]
			),
			(int) 464 => array(
				[maximum depth reached]
			),
			(int) 465 => array(
				[maximum depth reached]
			),
			(int) 466 => array(
				[maximum depth reached]
			),
			(int) 467 => array(
				[maximum depth reached]
			),
			(int) 468 => array(
				[maximum depth reached]
			),
			(int) 469 => array(
				[maximum depth reached]
			),
			(int) 470 => array(
				[maximum depth reached]
			),
			(int) 471 => array(
				[maximum depth reached]
			),
			(int) 472 => array(
				[maximum depth reached]
			),
			(int) 473 => array(
				[maximum depth reached]
			),
			(int) 474 => array(
				[maximum depth reached]
			),
			(int) 475 => array(
				[maximum depth reached]
			),
			(int) 476 => array(
				[maximum depth reached]
			),
			(int) 477 => array(
				[maximum depth reached]
			),
			(int) 478 => array(
				[maximum depth reached]
			),
			(int) 479 => array(
				[maximum depth reached]
			),
			(int) 480 => array(
				[maximum depth reached]
			),
			(int) 481 => array(
				[maximum depth reached]
			),
			(int) 482 => array(
				[maximum depth reached]
			),
			(int) 483 => array(
				[maximum depth reached]
			),
			(int) 484 => array(
				[maximum depth reached]
			),
			(int) 485 => array(
				[maximum depth reached]
			),
			(int) 486 => array(
				[maximum depth reached]
			),
			(int) 487 => array(
				[maximum depth reached]
			),
			(int) 488 => array(
				[maximum depth reached]
			),
			(int) 489 => array(
				[maximum depth reached]
			),
			(int) 490 => array(
				[maximum depth reached]
			),
			(int) 491 => array(
				[maximum depth reached]
			),
			(int) 492 => array(
				[maximum depth reached]
			),
			(int) 493 => array(
				[maximum depth reached]
			),
			(int) 494 => array(
				[maximum depth reached]
			),
			(int) 495 => array(
				[maximum depth reached]
			),
			(int) 496 => array(
				[maximum depth reached]
			),
			(int) 497 => array(
				[maximum depth reached]
			),
			(int) 498 => array(
				[maximum depth reached]
			),
			(int) 499 => array(
				[maximum depth reached]
			),
			(int) 500 => array(
				[maximum depth reached]
			),
			(int) 501 => array(
				[maximum depth reached]
			),
			(int) 502 => array(
				[maximum depth reached]
			),
			(int) 503 => array(
				[maximum depth reached]
			),
			(int) 504 => array(
				[maximum depth reached]
			),
			(int) 505 => array(
				[maximum depth reached]
			),
			(int) 506 => array(
				[maximum depth reached]
			),
			(int) 507 => array(
				[maximum depth reached]
			),
			(int) 508 => array(
				[maximum depth reached]
			),
			(int) 509 => array(
				[maximum depth reached]
			),
			(int) 510 => array(
				[maximum depth reached]
			),
			(int) 511 => array(
				[maximum depth reached]
			),
			(int) 512 => array(
				[maximum depth reached]
			),
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			),
			(int) 520 => array(
				[maximum depth reached]
			),
			(int) 521 => array(
				[maximum depth reached]
			),
			(int) 522 => array(
				[maximum depth reached]
			),
			(int) 523 => array(
				[maximum depth reached]
			),
			(int) 524 => array(
				[maximum depth reached]
			),
			(int) 525 => array(
				[maximum depth reached]
			),
			(int) 526 => array(
				[maximum depth reached]
			),
			(int) 527 => array(
				[maximum depth reached]
			),
			(int) 528 => array(
				[maximum depth reached]
			),
			(int) 529 => array(
				[maximum depth reached]
			),
			(int) 530 => array(
				[maximum depth reached]
			),
			(int) 531 => array(
				[maximum depth reached]
			),
			(int) 532 => array(
				[maximum depth reached]
			),
			(int) 533 => array(
				[maximum depth reached]
			),
			(int) 534 => array(
				[maximum depth reached]
			),
			(int) 535 => array(
				[maximum depth reached]
			),
			(int) 536 => array(
				[maximum depth reached]
			),
			(int) 537 => array(
				[maximum depth reached]
			),
			(int) 538 => array(
				[maximum depth reached]
			),
			(int) 539 => array(
				[maximum depth reached]
			),
			(int) 540 => array(
				[maximum depth reached]
			),
			(int) 541 => array(
				[maximum depth reached]
			),
			(int) 542 => array(
				[maximum depth reached]
			),
			(int) 543 => array(
				[maximum depth reached]
			),
			(int) 544 => array(
				[maximum depth reached]
			),
			(int) 545 => array(
				[maximum depth reached]
			),
			(int) 546 => array(
				[maximum depth reached]
			),
			(int) 547 => array(
				[maximum depth reached]
			),
			(int) 548 => array(
				[maximum depth reached]
			),
			(int) 549 => array(
				[maximum depth reached]
			),
			(int) 550 => array(
				[maximum depth reached]
			),
			(int) 551 => array(
				[maximum depth reached]
			),
			(int) 552 => array(
				[maximum depth reached]
			),
			(int) 553 => array(
				[maximum depth reached]
			),
			(int) 554 => array(
				[maximum depth reached]
			),
			(int) 555 => array(
				[maximum depth reached]
			),
			(int) 556 => array(
				[maximum depth reached]
			),
			(int) 557 => array(
				[maximum depth reached]
			),
			(int) 558 => array(
				[maximum depth reached]
			),
			(int) 559 => array(
				[maximum depth reached]
			),
			(int) 560 => array(
				[maximum depth reached]
			),
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			),
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			),
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			),
			(int) 585 => array(
				[maximum depth reached]
			),
			(int) 586 => array(
				[maximum depth reached]
			),
			(int) 587 => array(
				[maximum depth reached]
			),
			(int) 588 => array(
				[maximum depth reached]
			),
			(int) 589 => array(
				[maximum depth reached]
			),
			(int) 590 => array(
				[maximum depth reached]
			),
			(int) 591 => array(
				[maximum depth reached]
			),
			(int) 592 => array(
				[maximum depth reached]
			),
			(int) 593 => array(
				[maximum depth reached]
			),
			(int) 594 => array(
				[maximum depth reached]
			),
			(int) 595 => array(
				[maximum depth reached]
			),
			(int) 596 => array(
				[maximum depth reached]
			),
			(int) 597 => array(
				[maximum depth reached]
			),
			(int) 598 => array(
				[maximum depth reached]
			),
			(int) 599 => array(
				[maximum depth reached]
			),
			(int) 600 => array(
				[maximum depth reached]
			),
			(int) 601 => array(
				[maximum depth reached]
			),
			(int) 602 => array(
				[maximum depth reached]
			),
			(int) 603 => array(
				[maximum depth reached]
			),
			(int) 604 => array(
				[maximum depth reached]
			),
			(int) 605 => array(
				[maximum depth reached]
			),
			(int) 606 => array(
				[maximum depth reached]
			),
			(int) 607 => array(
				[maximum depth reached]
			),
			(int) 608 => array(
				[maximum depth reached]
			),
			(int) 609 => array(
				[maximum depth reached]
			),
			(int) 610 => array(
				[maximum depth reached]
			),
			(int) 611 => array(
				[maximum depth reached]
			),
			(int) 612 => array(
				[maximum depth reached]
			),
			(int) 613 => array(
				[maximum depth reached]
			),
			(int) 614 => array(
				[maximum depth reached]
			),
			(int) 615 => array(
				[maximum depth reached]
			),
			(int) 616 => array(
				[maximum depth reached]
			),
			(int) 617 => array(
				[maximum depth reached]
			),
			(int) 618 => array(
				[maximum depth reached]
			),
			(int) 619 => array(
				[maximum depth reached]
			),
			(int) 620 => array(
				[maximum depth reached]
			),
			(int) 621 => array(
				[maximum depth reached]
			),
			(int) 622 => array(
				[maximum depth reached]
			),
			(int) 623 => array(
				[maximum depth reached]
			),
			(int) 624 => array(
				[maximum depth reached]
			),
			(int) 625 => array(
				[maximum depth reached]
			),
			(int) 626 => array(
				[maximum depth reached]
			),
			(int) 627 => array(
				[maximum depth reached]
			),
			(int) 628 => array(
				[maximum depth reached]
			),
			(int) 629 => array(
				[maximum depth reached]
			),
			(int) 630 => array(
				[maximum depth reached]
			),
			(int) 631 => array(
				[maximum depth reached]
			),
			(int) 632 => array(
				[maximum depth reached]
			),
			(int) 633 => array(
				[maximum depth reached]
			),
			(int) 634 => array(
				[maximum depth reached]
			),
			(int) 635 => array(
				[maximum depth reached]
			),
			(int) 636 => array(
				[maximum depth reached]
			),
			(int) 637 => array(
				[maximum depth reached]
			),
			(int) 638 => array(
				[maximum depth reached]
			),
			(int) 639 => array(
				[maximum depth reached]
			),
			(int) 640 => array(
				[maximum depth reached]
			),
			(int) 641 => array(
				[maximum depth reached]
			),
			(int) 642 => array(
				[maximum depth reached]
			),
			(int) 643 => array(
				[maximum depth reached]
			),
			(int) 644 => array(
				[maximum depth reached]
			),
			(int) 645 => array(
				[maximum depth reached]
			),
			(int) 646 => array(
				[maximum depth reached]
			),
			(int) 647 => array(
				[maximum depth reached]
			),
			(int) 648 => array(
				[maximum depth reached]
			),
			(int) 649 => array(
				[maximum depth reached]
			),
			(int) 650 => array(
				[maximum depth reached]
			),
			(int) 651 => array(
				[maximum depth reached]
			),
			(int) 652 => array(
				[maximum depth reached]
			),
			(int) 653 => array(
				[maximum depth reached]
			),
			(int) 654 => array(
				[maximum depth reached]
			),
			(int) 655 => array(
				[maximum depth reached]
			),
			(int) 656 => array(
				[maximum depth reached]
			),
			(int) 657 => array(
				[maximum depth reached]
			),
			(int) 658 => array(
				[maximum depth reached]
			),
			(int) 659 => array(
				[maximum depth reached]
			),
			(int) 660 => array(
				[maximum depth reached]
			),
			(int) 661 => array(
				[maximum depth reached]
			),
			(int) 662 => array(
				[maximum depth reached]
			),
			(int) 663 => array(
				[maximum depth reached]
			),
			(int) 664 => array(
				[maximum depth reached]
			),
			(int) 665 => array(
				[maximum depth reached]
			),
			(int) 666 => array(
				[maximum depth reached]
			),
			(int) 667 => array(
				[maximum depth reached]
			),
			(int) 668 => array(
				[maximum depth reached]
			),
			(int) 669 => array(
				[maximum depth reached]
			),
			(int) 670 => array(
				[maximum depth reached]
			),
			(int) 671 => array(
				[maximum depth reached]
			),
			(int) 672 => array(
				[maximum depth reached]
			),
			(int) 673 => array(
				[maximum depth reached]
			),
			(int) 674 => array(
				[maximum depth reached]
			),
			(int) 675 => array(
				[maximum depth reached]
			),
			(int) 676 => array(
				[maximum depth reached]
			),
			(int) 677 => array(
				[maximum depth reached]
			),
			(int) 678 => array(
				[maximum depth reached]
			),
			(int) 679 => array(
				[maximum depth reached]
			),
			(int) 680 => array(
				[maximum depth reached]
			),
			(int) 681 => array(
				[maximum depth reached]
			),
			(int) 682 => array(
				[maximum depth reached]
			),
			(int) 683 => array(
				[maximum depth reached]
			),
			(int) 684 => array(
				[maximum depth reached]
			),
			(int) 685 => array(
				[maximum depth reached]
			),
			(int) 686 => array(
				[maximum depth reached]
			),
			(int) 687 => array(
				[maximum depth reached]
			),
			(int) 688 => array(
				[maximum depth reached]
			),
			(int) 689 => array(
				[maximum depth reached]
			),
			(int) 690 => array(
				[maximum depth reached]
			),
			(int) 691 => array(
				[maximum depth reached]
			),
			(int) 692 => array(
				[maximum depth reached]
			),
			(int) 693 => array(
				[maximum depth reached]
			),
			(int) 694 => array(
				[maximum depth reached]
			),
			(int) 695 => array(
				[maximum depth reached]
			),
			(int) 696 => array(
				[maximum depth reached]
			),
			(int) 697 => array(
				[maximum depth reached]
			),
			(int) 698 => array(
				[maximum depth reached]
			),
			(int) 699 => array(
				[maximum depth reached]
			),
			(int) 700 => array(
				[maximum depth reached]
			),
			(int) 701 => array(
				[maximum depth reached]
			),
			(int) 702 => array(
				[maximum depth reached]
			),
			(int) 703 => array(
				[maximum depth reached]
			),
			(int) 704 => array(
				[maximum depth reached]
			),
			(int) 705 => array(
				[maximum depth reached]
			),
			(int) 706 => array(
				[maximum depth reached]
			),
			(int) 707 => array(
				[maximum depth reached]
			),
			(int) 708 => array(
				[maximum depth reached]
			),
			(int) 709 => array(
				[maximum depth reached]
			),
			(int) 710 => array(
				[maximum depth reached]
			),
			(int) 711 => array(
				[maximum depth reached]
			),
			(int) 712 => array(
				[maximum depth reached]
			),
			(int) 713 => array(
				[maximum depth reached]
			),
			(int) 714 => array(
				[maximum depth reached]
			),
			(int) 715 => array(
				[maximum depth reached]
			),
			(int) 716 => array(
				[maximum depth reached]
			),
			(int) 717 => array(
				[maximum depth reached]
			),
			(int) 718 => array(
				[maximum depth reached]
			),
			(int) 719 => array(
				[maximum depth reached]
			),
			(int) 720 => array(
				[maximum depth reached]
			),
			(int) 721 => array(
				[maximum depth reached]
			),
			(int) 722 => array(
				[maximum depth reached]
			),
			(int) 723 => array(
				[maximum depth reached]
			),
			(int) 724 => array(
				[maximum depth reached]
			),
			(int) 725 => array(
				[maximum depth reached]
			),
			(int) 726 => array(
				[maximum depth reached]
			),
			(int) 727 => array(
				[maximum depth reached]
			),
			(int) 728 => array(
				[maximum depth reached]
			),
			(int) 729 => array(
				[maximum depth reached]
			),
			(int) 730 => array(
				[maximum depth reached]
			),
			(int) 731 => array(
				[maximum depth reached]
			),
			(int) 732 => array(
				[maximum depth reached]
			),
			(int) 733 => array(
				[maximum depth reached]
			),
			(int) 734 => array(
				[maximum depth reached]
			),
			(int) 735 => array(
				[maximum depth reached]
			),
			(int) 736 => array(
				[maximum depth reached]
			),
			(int) 737 => array(
				[maximum depth reached]
			),
			(int) 738 => array(
				[maximum depth reached]
			),
			(int) 739 => array(
				[maximum depth reached]
			),
			(int) 740 => array(
				[maximum depth reached]
			),
			(int) 741 => array(
				[maximum depth reached]
			),
			(int) 742 => array(
				[maximum depth reached]
			),
			(int) 743 => array(
				[maximum depth reached]
			),
			(int) 744 => array(
				[maximum depth reached]
			),
			(int) 745 => array(
				[maximum depth reached]
			),
			(int) 746 => array(
				[maximum depth reached]
			),
			(int) 747 => array(
				[maximum depth reached]
			),
			(int) 748 => array(
				[maximum depth reached]
			),
			(int) 749 => array(
				[maximum depth reached]
			),
			(int) 750 => array(
				[maximum depth reached]
			),
			(int) 751 => array(
				[maximum depth reached]
			),
			(int) 752 => array(
				[maximum depth reached]
			),
			(int) 753 => array(
				[maximum depth reached]
			),
			(int) 754 => array(
				[maximum depth reached]
			),
			(int) 755 => array(
				[maximum depth reached]
			),
			(int) 756 => array(
				[maximum depth reached]
			),
			(int) 757 => array(
				[maximum depth reached]
			),
			(int) 758 => array(
				[maximum depth reached]
			),
			(int) 759 => array(
				[maximum depth reached]
			),
			(int) 760 => array(
				[maximum depth reached]
			),
			(int) 761 => array(
				[maximum depth reached]
			),
			(int) 762 => array(
				[maximum depth reached]
			),
			(int) 763 => array(
				[maximum depth reached]
			),
			(int) 764 => array(
				[maximum depth reached]
			),
			(int) 765 => array(
				[maximum depth reached]
			),
			(int) 766 => array(
				[maximum depth reached]
			),
			(int) 767 => array(
				[maximum depth reached]
			),
			(int) 768 => array(
				[maximum depth reached]
			),
			(int) 769 => array(
				[maximum depth reached]
			),
			(int) 770 => array(
				[maximum depth reached]
			),
			(int) 771 => array(
				[maximum depth reached]
			),
			(int) 772 => array(
				[maximum depth reached]
			),
			(int) 773 => array(
				[maximum depth reached]
			),
			(int) 774 => array(
				[maximum depth reached]
			),
			(int) 775 => array(
				[maximum depth reached]
			),
			(int) 776 => array(
				[maximum depth reached]
			),
			(int) 777 => array(
				[maximum depth reached]
			),
			(int) 778 => array(
				[maximum depth reached]
			),
			(int) 779 => array(
				[maximum depth reached]
			),
			(int) 780 => array(
				[maximum depth reached]
			),
			(int) 781 => array(
				[maximum depth reached]
			),
			(int) 782 => array(
				[maximum depth reached]
			),
			(int) 783 => array(
				[maximum depth reached]
			),
			(int) 784 => array(
				[maximum depth reached]
			),
			(int) 785 => array(
				[maximum depth reached]
			),
			(int) 786 => array(
				[maximum depth reached]
			),
			(int) 787 => array(
				[maximum depth reached]
			),
			(int) 788 => array(
				[maximum depth reached]
			),
			(int) 789 => array(
				[maximum depth reached]
			),
			(int) 790 => array(
				[maximum depth reached]
			),
			(int) 791 => array(
				[maximum depth reached]
			),
			(int) 792 => array(
				[maximum depth reached]
			),
			(int) 793 => array(
				[maximum depth reached]
			),
			(int) 794 => array(
				[maximum depth reached]
			),
			(int) 795 => array(
				[maximum depth reached]
			),
			(int) 796 => array(
				[maximum depth reached]
			),
			(int) 797 => array(
				[maximum depth reached]
			),
			(int) 798 => array(
				[maximum depth reached]
			),
			(int) 799 => array(
				[maximum depth reached]
			),
			(int) 800 => array(
				[maximum depth reached]
			),
			(int) 801 => array(
				[maximum depth reached]
			),
			(int) 802 => array(
				[maximum depth reached]
			),
			(int) 803 => array(
				[maximum depth reached]
			),
			(int) 804 => array(
				[maximum depth reached]
			),
			(int) 805 => array(
				[maximum depth reached]
			),
			(int) 806 => array(
				[maximum depth reached]
			),
			(int) 807 => array(
				[maximum depth reached]
			),
			(int) 808 => array(
				[maximum depth reached]
			),
			(int) 809 => array(
				[maximum depth reached]
			),
			(int) 810 => array(
				[maximum depth reached]
			),
			(int) 811 => array(
				[maximum depth reached]
			),
			(int) 812 => array(
				[maximum depth reached]
			),
			(int) 813 => array(
				[maximum depth reached]
			),
			(int) 814 => array(
				[maximum depth reached]
			),
			(int) 815 => array(
				[maximum depth reached]
			),
			(int) 816 => array(
				[maximum depth reached]
			),
			(int) 817 => array(
				[maximum depth reached]
			),
			(int) 818 => array(
				[maximum depth reached]
			),
			(int) 819 => array(
				[maximum depth reached]
			),
			(int) 820 => array(
				[maximum depth reached]
			),
			(int) 821 => array(
				[maximum depth reached]
			),
			(int) 822 => array(
				[maximum depth reached]
			),
			(int) 823 => array(
				[maximum depth reached]
			),
			(int) 824 => array(
				[maximum depth reached]
			),
			(int) 825 => array(
				[maximum depth reached]
			),
			(int) 826 => array(
				[maximum depth reached]
			),
			(int) 827 => array(
				[maximum depth reached]
			),
			(int) 828 => array(
				[maximum depth reached]
			),
			(int) 829 => array(
				[maximum depth reached]
			),
			(int) 830 => array(
				[maximum depth reached]
			),
			(int) 831 => array(
				[maximum depth reached]
			),
			(int) 832 => array(
				[maximum depth reached]
			),
			(int) 833 => array(
				[maximum depth reached]
			),
			(int) 834 => array(
				[maximum depth reached]
			),
			(int) 835 => array(
				[maximum depth reached]
			),
			(int) 836 => array(
				[maximum depth reached]
			),
			(int) 837 => array(
				[maximum depth reached]
			),
			(int) 838 => array(
				[maximum depth reached]
			),
			(int) 839 => array(
				[maximum depth reached]
			),
			(int) 840 => array(
				[maximum depth reached]
			),
			(int) 841 => array(
				[maximum depth reached]
			),
			(int) 842 => array(
				[maximum depth reached]
			),
			(int) 843 => array(
				[maximum depth reached]
			),
			(int) 844 => array(
				[maximum depth reached]
			),
			(int) 845 => array(
				[maximum depth reached]
			),
			(int) 846 => array(
				[maximum depth reached]
			),
			(int) 847 => array(
				[maximum depth reached]
			),
			(int) 848 => array(
				[maximum depth reached]
			),
			(int) 849 => array(
				[maximum depth reached]
			),
			(int) 850 => array(
				[maximum depth reached]
			),
			(int) 851 => array(
				[maximum depth reached]
			),
			(int) 852 => array(
				[maximum depth reached]
			),
			(int) 853 => array(
				[maximum depth reached]
			),
			(int) 854 => array(
				[maximum depth reached]
			),
			(int) 855 => array(
				[maximum depth reached]
			),
			(int) 856 => array(
				[maximum depth reached]
			),
			(int) 857 => array(
				[maximum depth reached]
			),
			(int) 858 => array(
				[maximum depth reached]
			),
			(int) 859 => array(
				[maximum depth reached]
			),
			(int) 860 => array(
				[maximum depth reached]
			),
			(int) 861 => array(
				[maximum depth reached]
			),
			(int) 862 => array(
				[maximum depth reached]
			),
			(int) 863 => array(
				[maximum depth reached]
			),
			(int) 864 => array(
				[maximum depth reached]
			),
			(int) 865 => array(
				[maximum depth reached]
			),
			(int) 866 => array(
				[maximum depth reached]
			),
			(int) 867 => array(
				[maximum depth reached]
			),
			(int) 868 => array(
				[maximum depth reached]
			),
			(int) 869 => array(
				[maximum depth reached]
			),
			(int) 870 => array(
				[maximum depth reached]
			),
			(int) 871 => array(
				[maximum depth reached]
			),
			(int) 872 => array(
				[maximum depth reached]
			),
			(int) 873 => array(
				[maximum depth reached]
			),
			(int) 874 => array(
				[maximum depth reached]
			),
			(int) 875 => array(
				[maximum depth reached]
			),
			(int) 876 => array(
				[maximum depth reached]
			),
			(int) 877 => array(
				[maximum depth reached]
			),
			(int) 878 => array(
				[maximum depth reached]
			),
			(int) 879 => array(
				[maximum depth reached]
			),
			(int) 880 => array(
				[maximum depth reached]
			),
			(int) 881 => array(
				[maximum depth reached]
			),
			(int) 882 => array(
				[maximum depth reached]
			),
			(int) 883 => array(
				[maximum depth reached]
			),
			(int) 884 => array(
				[maximum depth reached]
			),
			(int) 885 => array(
				[maximum depth reached]
			),
			(int) 886 => array(
				[maximum depth reached]
			),
			(int) 887 => array(
				[maximum depth reached]
			),
			(int) 888 => array(
				[maximum depth reached]
			),
			(int) 889 => array(
				[maximum depth reached]
			),
			(int) 890 => array(
				[maximum depth reached]
			),
			(int) 891 => array(
				[maximum depth reached]
			),
			(int) 892 => array(
				[maximum depth reached]
			),
			(int) 893 => array(
				[maximum depth reached]
			),
			(int) 894 => array(
				[maximum depth reached]
			),
			(int) 895 => array(
				[maximum depth reached]
			),
			(int) 896 => array(
				[maximum depth reached]
			),
			(int) 897 => array(
				[maximum depth reached]
			),
			(int) 898 => array(
				[maximum depth reached]
			),
			(int) 899 => array(
				[maximum depth reached]
			),
			(int) 900 => array(
				[maximum depth reached]
			),
			(int) 901 => array(
				[maximum depth reached]
			),
			(int) 902 => array(
				[maximum depth reached]
			),
			(int) 903 => array(
				[maximum depth reached]
			),
			(int) 904 => array(
				[maximum depth reached]
			),
			(int) 905 => array(
				[maximum depth reached]
			),
			(int) 906 => array(
				[maximum depth reached]
			),
			(int) 907 => array(
				[maximum depth reached]
			),
			(int) 908 => array(
				[maximum depth reached]
			),
			(int) 909 => array(
				[maximum depth reached]
			),
			(int) 910 => array(
				[maximum depth reached]
			),
			(int) 911 => array(
				[maximum depth reached]
			),
			(int) 912 => array(
				[maximum depth reached]
			),
			(int) 913 => array(
				[maximum depth reached]
			),
			(int) 914 => array(
				[maximum depth reached]
			),
			(int) 915 => array(
				[maximum depth reached]
			),
			(int) 916 => array(
				[maximum depth reached]
			),
			(int) 917 => array(
				[maximum depth reached]
			),
			(int) 918 => array(
				[maximum depth reached]
			),
			(int) 919 => array(
				[maximum depth reached]
			),
			(int) 920 => array(
				[maximum depth reached]
			),
			(int) 921 => array(
				[maximum depth reached]
			),
			(int) 922 => array(
				[maximum depth reached]
			),
			(int) 923 => array(
				[maximum depth reached]
			),
			(int) 924 => array(
				[maximum depth reached]
			),
			(int) 925 => array(
				[maximum depth reached]
			),
			(int) 926 => array(
				[maximum depth reached]
			),
			(int) 927 => array(
				[maximum depth reached]
			),
			(int) 928 => array(
				[maximum depth reached]
			),
			(int) 929 => array(
				[maximum depth reached]
			),
			(int) 930 => array(
				[maximum depth reached]
			),
			(int) 931 => array(
				[maximum depth reached]
			),
			(int) 932 => array(
				[maximum depth reached]
			),
			(int) 933 => array(
				[maximum depth reached]
			),
			(int) 934 => array(
				[maximum depth reached]
			),
			(int) 935 => array(
				[maximum depth reached]
			),
			(int) 936 => array(
				[maximum depth reached]
			),
			(int) 937 => array(
				[maximum depth reached]
			),
			(int) 938 => array(
				[maximum depth reached]
			),
			(int) 939 => array(
				[maximum depth reached]
			),
			(int) 940 => array(
				[maximum depth reached]
			),
			(int) 941 => array(
				[maximum depth reached]
			),
			(int) 942 => array(
				[maximum depth reached]
			),
			(int) 943 => array(
				[maximum depth reached]
			),
			(int) 944 => array(
				[maximum depth reached]
			),
			(int) 945 => array(
				[maximum depth reached]
			),
			(int) 946 => array(
				[maximum depth reached]
			),
			(int) 947 => array(
				[maximum depth reached]
			),
			(int) 948 => array(
				[maximum depth reached]
			),
			(int) 949 => array(
				[maximum depth reached]
			),
			(int) 950 => array(
				[maximum depth reached]
			),
			(int) 951 => array(
				[maximum depth reached]
			),
			(int) 952 => array(
				[maximum depth reached]
			),
			(int) 953 => array(
				[maximum depth reached]
			),
			(int) 954 => array(
				[maximum depth reached]
			),
			(int) 955 => array(
				[maximum depth reached]
			),
			(int) 956 => array(
				[maximum depth reached]
			),
			(int) 957 => array(
				[maximum depth reached]
			),
			(int) 958 => array(
				[maximum depth reached]
			),
			(int) 959 => array(
				[maximum depth reached]
			),
			(int) 960 => array(
				[maximum depth reached]
			),
			(int) 961 => array(
				[maximum depth reached]
			),
			(int) 962 => array(
				[maximum depth reached]
			),
			(int) 963 => array(
				[maximum depth reached]
			),
			(int) 964 => array(
				[maximum depth reached]
			),
			(int) 965 => array(
				[maximum depth reached]
			),
			(int) 966 => array(
				[maximum depth reached]
			),
			(int) 967 => array(
				[maximum depth reached]
			),
			(int) 968 => array(
				[maximum depth reached]
			),
			(int) 969 => array(
				[maximum depth reached]
			),
			(int) 970 => array(
				[maximum depth reached]
			),
			(int) 971 => array(
				[maximum depth reached]
			),
			(int) 972 => array(
				[maximum depth reached]
			),
			(int) 973 => array(
				[maximum depth reached]
			),
			(int) 974 => array(
				[maximum depth reached]
			),
			(int) 975 => array(
				[maximum depth reached]
			),
			(int) 976 => array(
				[maximum depth reached]
			),
			(int) 977 => array(
				[maximum depth reached]
			),
			(int) 978 => array(
				[maximum depth reached]
			),
			(int) 979 => array(
				[maximum depth reached]
			),
			(int) 980 => array(
				[maximum depth reached]
			),
			(int) 981 => array(
				[maximum depth reached]
			),
			(int) 982 => array(
				[maximum depth reached]
			),
			(int) 983 => array(
				[maximum depth reached]
			),
			(int) 984 => array(
				[maximum depth reached]
			),
			(int) 985 => array(
				[maximum depth reached]
			),
			(int) 986 => array(
				[maximum depth reached]
			),
			(int) 987 => array(
				[maximum depth reached]
			),
			(int) 988 => array(
				[maximum depth reached]
			),
			(int) 989 => array(
				[maximum depth reached]
			),
			(int) 990 => array(
				[maximum depth reached]
			),
			(int) 991 => array(
				[maximum depth reached]
			),
			(int) 992 => array(
				[maximum depth reached]
			),
			(int) 993 => array(
				[maximum depth reached]
			),
			(int) 994 => array(
				[maximum depth reached]
			),
			(int) 995 => array(
				[maximum depth reached]
			),
			(int) 996 => array(
				[maximum depth reached]
			),
			(int) 997 => array(
				[maximum depth reached]
			),
			(int) 998 => array(
				[maximum depth reached]
			),
			(int) 999 => array(
				[maximum depth reached]
			),
			(int) 1000 => array(
				[maximum depth reached]
			),
			(int) 1001 => array(
				[maximum depth reached]
			),
			(int) 1002 => array(
				[maximum depth reached]
			),
			(int) 1003 => array(
				[maximum depth reached]
			),
			(int) 1004 => array(
				[maximum depth reached]
			),
			(int) 1005 => array(
				[maximum depth reached]
			),
			(int) 1006 => array(
				[maximum depth reached]
			),
			(int) 1007 => array(
				[maximum depth reached]
			),
			(int) 1008 => array(
				[maximum depth reached]
			),
			(int) 1009 => array(
				[maximum depth reached]
			),
			(int) 1010 => array(
				[maximum depth reached]
			),
			(int) 1011 => array(
				[maximum depth reached]
			),
			(int) 1012 => array(
				[maximum depth reached]
			),
			(int) 1013 => array(
				[maximum depth reached]
			),
			(int) 1014 => array(
				[maximum depth reached]
			),
			(int) 1015 => array(
				[maximum depth reached]
			),
			(int) 1016 => array(
				[maximum depth reached]
			),
			(int) 1017 => array(
				[maximum depth reached]
			),
			(int) 1018 => array(
				[maximum depth reached]
			),
			(int) 1019 => array(
				[maximum depth reached]
			),
			(int) 1020 => array(
				[maximum depth reached]
			),
			(int) 1021 => array(
				[maximum depth reached]
			),
			(int) 1022 => array(
				[maximum depth reached]
			),
			(int) 1023 => array(
				[maximum depth reached]
			),
			(int) 1024 => array(
				[maximum depth reached]
			),
			(int) 1025 => array(
				[maximum depth reached]
			),
			(int) 1026 => array(
				[maximum depth reached]
			),
			(int) 1027 => array(
				[maximum depth reached]
			),
			(int) 1028 => array(
				[maximum depth reached]
			),
			(int) 1029 => array(
				[maximum depth reached]
			),
			(int) 1030 => array(
				[maximum depth reached]
			),
			(int) 1031 => array(
				[maximum depth reached]
			),
			(int) 1032 => array(
				[maximum depth reached]
			),
			(int) 1033 => array(
				[maximum depth reached]
			),
			(int) 1034 => array(
				[maximum depth reached]
			),
			(int) 1035 => array(
				[maximum depth reached]
			),
			(int) 1036 => array(
				[maximum depth reached]
			),
			(int) 1037 => array(
				[maximum depth reached]
			),
			(int) 1038 => array(
				[maximum depth reached]
			),
			(int) 1039 => array(
				[maximum depth reached]
			),
			(int) 1040 => array(
				[maximum depth reached]
			),
			(int) 1041 => array(
				[maximum depth reached]
			),
			(int) 1042 => array(
				[maximum depth reached]
			),
			(int) 1043 => array(
				[maximum depth reached]
			),
			(int) 1044 => array(
				[maximum depth reached]
			),
			(int) 1045 => array(
				[maximum depth reached]
			),
			(int) 1046 => array(
				[maximum depth reached]
			),
			(int) 1047 => array(
				[maximum depth reached]
			),
			(int) 1048 => array(
				[maximum depth reached]
			),
			(int) 1049 => array(
				[maximum depth reached]
			),
			(int) 1050 => array(
				[maximum depth reached]
			),
			(int) 1051 => array(
				[maximum depth reached]
			),
			(int) 1052 => array(
				[maximum depth reached]
			),
			(int) 1053 => array(
				[maximum depth reached]
			),
			(int) 1054 => array(
				[maximum depth reached]
			),
			(int) 1055 => array(
				[maximum depth reached]
			),
			(int) 1056 => array(
				[maximum depth reached]
			),
			(int) 1057 => array(
				[maximum depth reached]
			),
			(int) 1058 => array(
				[maximum depth reached]
			),
			(int) 1059 => array(
				[maximum depth reached]
			),
			(int) 1060 => array(
				[maximum depth reached]
			),
			(int) 1061 => array(
				[maximum depth reached]
			),
			(int) 1062 => array(
				[maximum depth reached]
			),
			(int) 1063 => array(
				[maximum depth reached]
			),
			(int) 1064 => array(
				[maximum depth reached]
			),
			(int) 1065 => array(
				[maximum depth reached]
			),
			(int) 1066 => array(
				[maximum depth reached]
			),
			(int) 1067 => array(
				[maximum depth reached]
			),
			(int) 1068 => array(
				[maximum depth reached]
			),
			(int) 1069 => array(
				[maximum depth reached]
			),
			(int) 1070 => array(
				[maximum depth reached]
			),
			(int) 1071 => array(
				[maximum depth reached]
			),
			(int) 1072 => array(
				[maximum depth reached]
			),
			(int) 1073 => array(
				[maximum depth reached]
			),
			(int) 1074 => array(
				[maximum depth reached]
			),
			(int) 1075 => array(
				[maximum depth reached]
			),
			(int) 1076 => array(
				[maximum depth reached]
			),
			(int) 1077 => array(
				[maximum depth reached]
			),
			(int) 1078 => array(
				[maximum depth reached]
			),
			(int) 1079 => array(
				[maximum depth reached]
			),
			(int) 1080 => array(
				[maximum depth reached]
			),
			(int) 1081 => array(
				[maximum depth reached]
			),
			(int) 1082 => array(
				[maximum depth reached]
			),
			(int) 1083 => array(
				[maximum depth reached]
			),
			(int) 1084 => array(
				[maximum depth reached]
			),
			(int) 1085 => array(
				[maximum depth reached]
			),
			(int) 1086 => array(
				[maximum depth reached]
			),
			(int) 1087 => array(
				[maximum depth reached]
			),
			(int) 1088 => array(
				[maximum depth reached]
			),
			(int) 1089 => array(
				[maximum depth reached]
			),
			(int) 1090 => array(
				[maximum depth reached]
			),
			(int) 1091 => array(
				[maximum depth reached]
			),
			(int) 1092 => array(
				[maximum depth reached]
			),
			(int) 1093 => array(
				[maximum depth reached]
			),
			(int) 1094 => array(
				[maximum depth reached]
			),
			(int) 1095 => array(
				[maximum depth reached]
			),
			(int) 1096 => array(
				[maximum depth reached]
			),
			(int) 1097 => array(
				[maximum depth reached]
			),
			(int) 1098 => array(
				[maximum depth reached]
			),
			(int) 1099 => array(
				[maximum depth reached]
			),
			(int) 1100 => array(
				[maximum depth reached]
			),
			(int) 1101 => array(
				[maximum depth reached]
			),
			(int) 1102 => array(
				[maximum depth reached]
			),
			(int) 1103 => array(
				[maximum depth reached]
			),
			(int) 1104 => array(
				[maximum depth reached]
			),
			(int) 1105 => array(
				[maximum depth reached]
			),
			(int) 1106 => array(
				[maximum depth reached]
			),
			(int) 1107 => array(
				[maximum depth reached]
			),
			(int) 1108 => array(
				[maximum depth reached]
			),
			(int) 1109 => array(
				[maximum depth reached]
			),
			(int) 1110 => array(
				[maximum depth reached]
			),
			(int) 1111 => array(
				[maximum depth reached]
			),
			(int) 1112 => array(
				[maximum depth reached]
			),
			(int) 1113 => array(
				[maximum depth reached]
			),
			(int) 1114 => array(
				[maximum depth reached]
			),
			(int) 1115 => array(
				[maximum depth reached]
			),
			(int) 1116 => array(
				[maximum depth reached]
			),
			(int) 1117 => array(
				[maximum depth reached]
			),
			(int) 1118 => array(
				[maximum depth reached]
			),
			(int) 1119 => array(
				[maximum depth reached]
			),
			(int) 1120 => array(
				[maximum depth reached]
			),
			(int) 1121 => array(
				[maximum depth reached]
			),
			(int) 1122 => array(
				[maximum depth reached]
			),
			(int) 1123 => array(
				[maximum depth reached]
			),
			(int) 1124 => array(
				[maximum depth reached]
			),
			(int) 1125 => array(
				[maximum depth reached]
			),
			(int) 1126 => array(
				[maximum depth reached]
			),
			(int) 1127 => array(
				[maximum depth reached]
			),
			(int) 1128 => array(
				[maximum depth reached]
			),
			(int) 1129 => array(
				[maximum depth reached]
			),
			(int) 1130 => array(
				[maximum depth reached]
			),
			(int) 1131 => array(
				[maximum depth reached]
			),
			(int) 1132 => array(
				[maximum depth reached]
			),
			(int) 1133 => array(
				[maximum depth reached]
			),
			(int) 1134 => array(
				[maximum depth reached]
			),
			(int) 1135 => array(
				[maximum depth reached]
			),
			(int) 1136 => array(
				[maximum depth reached]
			),
			(int) 1137 => array(
				[maximum depth reached]
			)
		),
		'EventsDate' => array(
			(int) 0 => array(
				[maximum depth reached]
			)
		),
		'Infothekentracking' => array(
			(int) 0 => array(
				[maximum depth reached]
			),
			(int) 1 => array(
				[maximum depth reached]
			),
			(int) 2 => array(
				[maximum depth reached]
			),
			(int) 3 => array(
				[maximum depth reached]
			),
			(int) 4 => array(
				[maximum depth reached]
			),
			(int) 5 => array(
				[maximum depth reached]
			),
			(int) 6 => array(
				[maximum depth reached]
			),
			(int) 7 => array(
				[maximum depth reached]
			),
			(int) 8 => array(
				[maximum depth reached]
			),
			(int) 9 => array(
				[maximum depth reached]
			),
			(int) 10 => array(
				[maximum depth reached]
			),
			(int) 11 => array(
				[maximum depth reached]
			),
			(int) 12 => array(
				[maximum depth reached]
			),
			(int) 13 => array(
				[maximum depth reached]
			),
			(int) 14 => array(
				[maximum depth reached]
			),
			(int) 15 => array(
				[maximum depth reached]
			),
			(int) 16 => array(
				[maximum depth reached]
			),
			(int) 17 => array(
				[maximum depth reached]
			),
			(int) 18 => array(
				[maximum depth reached]
			),
			(int) 19 => array(
				[maximum depth reached]
			),
			(int) 20 => array(
				[maximum depth reached]
			),
			(int) 21 => array(
				[maximum depth reached]
			),
			(int) 22 => array(
				[maximum depth reached]
			),
			(int) 23 => array(
				[maximum depth reached]
			),
			(int) 24 => array(
				[maximum depth reached]
			),
			(int) 25 => array(
				[maximum depth reached]
			),
			(int) 26 => array(
				[maximum depth reached]
			),
			(int) 27 => array(
				[maximum depth reached]
			),
			(int) 28 => array(
				[maximum depth reached]
			),
			(int) 29 => array(
				[maximum depth reached]
			),
			(int) 30 => array(
				[maximum depth reached]
			),
			(int) 31 => array(
				[maximum depth reached]
			),
			(int) 32 => array(
				[maximum depth reached]
			),
			(int) 33 => array(
				[maximum depth reached]
			),
			(int) 34 => array(
				[maximum depth reached]
			),
			(int) 35 => array(
				[maximum depth reached]
			),
			(int) 36 => array(
				[maximum depth reached]
			),
			(int) 37 => array(
				[maximum depth reached]
			),
			(int) 38 => array(
				[maximum depth reached]
			),
			(int) 39 => array(
				[maximum depth reached]
			),
			(int) 40 => array(
				[maximum depth reached]
			),
			(int) 41 => array(
				[maximum depth reached]
			),
			(int) 42 => array(
				[maximum depth reached]
			),
			(int) 43 => array(
				[maximum depth reached]
			),
			(int) 44 => array(
				[maximum depth reached]
			),
			(int) 45 => array(
				[maximum depth reached]
			),
			(int) 46 => array(
				[maximum depth reached]
			),
			(int) 47 => array(
				[maximum depth reached]
			),
			(int) 48 => array(
				[maximum depth reached]
			),
			(int) 49 => array(
				[maximum depth reached]
			),
			(int) 50 => array(
				[maximum depth reached]
			),
			(int) 51 => array(
				[maximum depth reached]
			),
			(int) 52 => array(
				[maximum depth reached]
			),
			(int) 53 => array(
				[maximum depth reached]
			),
			(int) 54 => array(
				[maximum depth reached]
			),
			(int) 55 => array(
				[maximum depth reached]
			),
			(int) 56 => array(
				[maximum depth reached]
			),
			(int) 57 => array(
				[maximum depth reached]
			),
			(int) 58 => array(
				[maximum depth reached]
			),
			(int) 59 => array(
				[maximum depth reached]
			),
			(int) 60 => array(
				[maximum depth reached]
			),
			(int) 61 => array(
				[maximum depth reached]
			),
			(int) 62 => array(
				[maximum depth reached]
			),
			(int) 63 => array(
				[maximum depth reached]
			),
			(int) 64 => array(
				[maximum depth reached]
			),
			(int) 65 => array(
				[maximum depth reached]
			),
			(int) 66 => array(
				[maximum depth reached]
			),
			(int) 67 => array(
				[maximum depth reached]
			),
			(int) 68 => array(
				[maximum depth reached]
			),
			(int) 69 => array(
				[maximum depth reached]
			),
			(int) 70 => array(
				[maximum depth reached]
			),
			(int) 71 => array(
				[maximum depth reached]
			),
			(int) 72 => array(
				[maximum depth reached]
			),
			(int) 73 => array(
				[maximum depth reached]
			),
			(int) 74 => array(
				[maximum depth reached]
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			),
			'Role' => array([maximum depth reached])
		),
		(int) 627 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 678 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 701 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 1025 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array(
				[maximum depth reached]
			)
		),
		(int) 1047 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		)
	),
	'mainMenuData' => array(
		(int) 436 => 'Home',
		(int) 288 => 'CME Online',
		(int) 283 => 'News',
		(int) 285 => 'Schwerpunkt',
		(int) 875 => 'Podcasts',
		(int) 501 => 'Zentren',
		(int) 286 => 'Veranstaltungen',
		(int) 287 => 'Videos',
		(int) 625 => 'Service',
		(int) 619 => 'Werkzeuge',
		(int) 405 => 'Forschung und Studien',
		(int) 609 => 'Studiengänge Liste',
		(int) 627 => 'Diverses',
		(int) 678 => 'Infothek Index',
		(int) 701 => 'Interaktiv',
		(int) 1025 => 'HWG Reminder deaktivieren',
		(int) 1047 => 'Publizierende Details'
	),
	'frontendMenuData_array' => array(
		(int) 299 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 330 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 335 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 346 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array(
				[maximum depth reached]
			)
		),
		(int) 360 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array(
				[maximum depth reached]
			)
		),
		(int) 401 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array(
				[maximum depth reached]
			)
		),
		(int) 402 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array(
				[maximum depth reached]
			)
		),
		(int) 411 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array(
				[maximum depth reached]
			)
		),
		(int) 426 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 428 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array(
				[maximum depth reached]
			)
		),
		(int) 442 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array(
				[maximum depth reached]
			)
		),
		(int) 510 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array(
				[maximum depth reached]
			)
		),
		(int) 560 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 712 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 733 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 761 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 762 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 763 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 775 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 806 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 807 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 808 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 862 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 958 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array([maximum depth reached])
		),
		(int) 1040 => array(
			'Navigation' => array(
				[maximum depth reached]
			),
			'Role' => array(
				[maximum depth reached]
			)
		)
	),
	'frontendMenuData' => array(
		(int) 299 => 'Banner',
		(int) 330 => 'Newsletter',
		(int) 335 => 'User',
		(int) 346 => 'Empfehlen',
		(int) 360 => 'Favoriten',
		(int) 401 => 'Ticker Kongress Übersicht',
		(int) 402 => 'Nutzerdaten verwalten',
		(int) 411 => 'Suche',
		(int) 426 => 'Thema anzeigen',
		(int) 428 => 'Infoservice',
		(int) 442 => 'Downloads Herunterladen',
		(int) 510 => 'Umfragen Feedback Umfrage',
		(int) 560 => 'Datenschutz bestätigen',
		(int) 712 => 'Set Remember Cookie',
		(int) 733 => 'Cookie',
		(int) 761 => 'Webversion',
		(int) 762 => 'Track Display',
		(int) 763 => 'Sondernewsletter abmelden',
		(int) 775 => 'Newsletteranmeldung',
		(int) 806 => 'Bestofnewsletter Anmeldung',
		(int) 807 => 'Bestofnewsletter Aktivieren',
		(int) 808 => 'Bestofnewsletter deaktivieren',
		(int) 862 => 'Bestofnewsletter',
		(int) 958 => 'CmeNewsletter',
		(int) 1040 => 'Auth0 Redirect Callback'
	),
	'indications' => array(
		(int) 2000 => 'ACS',
		(int) 2001 => 'ADHS',
		(int) 2002 => 'Adipositas',
		(int) 163 => 'Akromegalie',
		(int) 2003 => 'Allergie',
		(int) 2004 => 'Alzheimer',
		(int) 2005 => 'Amyotrophe Lateralsklerose',
		(int) 2006 => 'Angioödem',
		(int) 2007 => 'Angststörung',
		(int) 2008 => 'Antikoagulationstherapie',
		(int) 164 => 'Anämie',
		(int) 2009 => 'Arteriosklerose',
		(int) 2010 => 'Arthrose',
		(int) 2011 => 'Asthma',
		(int) 2012 => 'Augenerkrankungen',
		(int) 2013 => 'Autoimmunerkrankungen',
		(int) 2014 => 'BPE',
		(int) 2015 => 'Bipolarstörungen',
		(int) 2016 => 'CED',
		(int) 2017 => 'COPD',
		(int) 2098 => 'COVID-19',
		(int) 2097 => 'Colitis ulcerosa',
		(int) 2018 => 'Demenz',
		(int) 2019 => 'Depression',
		(int) 2020 => 'Diabetes Typ I',
		(int) 2021 => 'Diabetes Typ II',
		(int) 2022 => 'Eisenmangel',
		(int) 2023 => 'Epilepsie',
		(int) 2024 => 'Erektile Dysfunktion',
		(int) 172 => 'Ernährung',
		(int) 2025 => 'Fibromyalgie',
		(int) 2026 => 'Gicht',
		(int) 2027 => 'HIV',
		(int) 2028 => 'Hepatitis B',
		(int) 2029 => 'Hepatitis C',
		(int) 2030 => 'Herzinsuffizienz',
		(int) 2031 => 'Hypercholesterinämie',
		(int) 2032 => 'Hyperparathyreoidismus',
		(int) 2033 => 'Hypertonie',
		(int) 2034 => 'Hämophilie',
		(int) 2035 => 'Idiopathische Lungenfibrose',
		(int) 2091 => 'Immundefekte',
		(int) 2036 => 'Infektionskrankheiten',
		(int) 2037 => 'Inkontinenz',
		(int) 2038 => 'KHK',
		(int) 2039 => 'Krebs',
		(int) 2040 => 'LVH',
		(int) 2041 => 'Lebererkrankungen',
		(int) 2093 => 'Leberzirrhose',
		(int) 232 => 'Leukämie',
		(int) 2099 => 'Long-COVID',
		(int) 2042 => 'Lungenerkrankungen',
		(int) 2084 => 'Lymphödem',
		(int) 2094 => 'M. Basedow',
		(int) 2096 => 'M. Crohn',
		(int) 2043 => 'Makuladegeneration',
		(int) 192 => 'Mammakarzinom',
		(int) 2044 => 'Migräne',
		(int) 2045 => 'Morbus Cushing',
		(int) 2046 => 'Mukoviszidose',
		(int) 2047 => 'Multiple Sklerose',
		(int) 2080 => 'Myasthenia gravis',
		(int) 201 => 'Mykosen',
		(int) 2048 => 'Myokardinfarkt',
		(int) 2049 => 'Myopathie',
		(int) 2050 => 'Neurodermitis',
		(int) 2051 => 'Neuropathie',
		(int) 2052 => 'Nierenerkrankungen',
		(int) 208 => 'Obstipation',
		(int) 2053 => 'Orphan diseases',
		(int) 210 => 'Osteoporose',
		(int) 2054 => 'PAH',
		(int) 2055 => 'PAVK',
		(int) 2056 => 'PBC',
		(int) 2057 => 'PSC',
		(int) 2058 => 'Parkinson',
		(int) 2102 => 'Plaque-Psoriasis',
		(int) 218 => 'Prävention',
		(int) 2059 => 'Psoriasis',
		(int) 2060 => 'Raucherentwöhnung',
		(int) 2061 => 'Reflux',
		(int) 2062 => 'Reizdarm',
		(int) 2063 => 'Restless Legs',
		(int) 2064 => 'Rheumatoide Arthritis',
		(int) 2065 => 'SLE',
		(int) 2066 => 'Schilddrüsenerkrankungen',
		(int) 2067 => 'Schizophrenie',
		(int) 2068 => 'Schlaganfall',
		(int) 221 => 'Schmerz',
		(int) 2069 => 'Schwangerschaftskomplikationen',
		(int) 2070 => 'Sepsis',
		(int) 2101 => 'Spinale Muskelatrophie',
		(int) 2071 => 'Spondylitis ankylosans',
		(int) 2092 => 'Thalassämie',
		(int) 2072 => 'Thrombose',
		(int) 2073 => 'Tinnitus',
		(int) 2074 => 'Vergiftungen',
		(int) 2075 => 'Vorhofflimmern',
		(int) 2076 => 'Zöliakie',
		(int) 2077 => 'Ödem'
	),
	'ingredients' => array(
		(int) 2000 => 'Abacavir',
		(int) 2001 => 'Abatacept',
		(int) 4123 => 'Abrocitinib',
		(int) 2002 => 'Acetylsalicylsäure',
		(int) 2003 => 'Aclidiniumbromid',
		(int) 2004 => 'Adalimumab',
		(int) 2005 => 'Adefovirdipivoxil',
		(int) 164 => 'Alemtuzumab',
		(int) 2006 => 'Alendronat',
		(int) 2007 => 'Alirocumab',
		(int) 2008 => 'Amlodipin',
		(int) 3763 => 'Anakinra',
		(int) 2009 => 'Andexanet alfa',
		(int) 3931 => 'Anifrolumab',
		(int) 2010 => 'Apixaban',
		(int) 2011 => 'Apremilast',
		(int) 4019 => 'Asundexian',
		(int) 2012 => 'Atorvastatin',
		(int) 3655 => 'Bamlanivimab',
		(int) 2013 => 'Baricitinib',
		(int) 2014 => 'Beclometason',
		(int) 2015 => 'Benralizumab',
		(int) 2016 => 'Bicarbonat',
		(int) 3654 => 'Bictegravir',
		(int) 2017 => 'Boceprevir',
		(int) 2363 => 'Brodalumab',
		(int) 3696 => 'Budenosid',
		(int) 2018 => 'Budesonid',
		(int) 2019 => 'Canagliflozin',
		(int) 2137 => 'Canakinumab',
		(int) 2020 => 'Candesartan',
		(int) 2402 => 'Caplacizumab',
		(int) 3907 => 'Casirivimab ',
		(int) 330 => 'Celecoxib',
		(int) 2021 => 'Certolizumab',
		(int) 4057 => 'Cilgavimab',
		(int) 2022 => 'Cinacalcet',
		(int) 2135 => 'Cladribin',
		(int) 2023 => 'Clopidogrel',
		(int) 2024 => 'Dabigatran',
		(int) 2025 => 'Daclatasvir',
		(int) 2026 => 'Daclizumab',
		(int) 2027 => 'Dapagliflozin',
		(int) 4045 => 'Darvadstrocel',
		(int) 2028 => 'Dasabuvir',
		(int) 200 => 'Denosumab',
		(int) 2029 => 'Dimethylfumarat',
		(int) 2030 => 'Dolutegravir',
		(int) 2031 => 'Dronedaron',
		(int) 2032 => 'Dulaglutid',
		(int) 2033 => 'Duloxetin',
		(int) 2141 => 'Dupilumab',
		(int) 206 => 'Edoxaban',
		(int) 2034 => 'Elbasvir',
		(int) 3649 => 'Emicizumab',
		(int) 2035 => 'Empagliflozin',
		(int) 2036 => 'Emtricitabin',
		(int) 2037 => 'Entecavir',
		(int) 2038 => 'Ertugliflozin',
		(int) 3933 => 'Esomeprazol',
		(int) 2039 => 'Etanercept',
		(int) 2040 => 'Etelcalcetid',
		(int) 3656 => 'Etesevimab',
		(int) 2041 => 'Etoricoxib',
		(int) 2042 => 'Evolocumab',
		(int) 2043 => 'Exenatide',
		(int) 2044 => 'Ezetimib',
		(int) 2045 => 'Faldaprevir',
		(int) 2046 => 'Febuxostat',
		(int) 215 => 'Fentanyl',
		(int) 2047 => 'Fesoterodin',
		(int) 2048 => 'Fidaxomicin',
		(int) 2049 => 'Fluticason',
		(int) 2050 => 'Formoterol',
		(int) 3705 => 'Fostamatinib',
		(int) 2051 => 'Fumarsäureester',
		(int) 2052 => 'Glatirameracetat',
		(int) 2131 => 'Glecaprevir',
		(int) 2053 => 'Glyceroltrinitrat',
		(int) 2054 => 'Glykopyrronium',
		(int) 2149 => 'Golimumab',
		(int) 2055 => 'Grazoprevir',
		(int) 2355 => 'Guselkumab',
		(int) 228 => 'Hydromorphon',
		(int) 2056 => 'Icatibant',
		(int) 2057 => 'Idarucizumab',
		(int) 3908 => 'Imdevimab',
		(int) 2058 => 'Indacaterol',
		(int) 2059 => 'Infliximab',
		(int) 2145 => 'Inotersen',
		(int) 2060 => 'Insulin',
		(int) 2061 => 'Insulinanaloga',
		(int) 2062 => 'Interferon',
		(int) 2063 => 'Ixekizumab',
		(int) 2064 => 'Lamivudin',
		(int) 2065 => 'Ledipasvir',
		(int) 2066 => 'Linagliptin',
		(int) 2067 => 'Liraglutid',
		(int) 2068 => 'Lixisenatid',
		(int) 2069 => 'Maraviroc',
		(int) 4005 => 'Mavacamten',
		(int) 3910 => 'Mepolizumab',
		(int) 2070 => 'Metformin',
		(int) 2071 => 'Methotrexat',
		(int) 2072 => 'Methylphenidat',
		(int) 2073 => 'Metoclopramid',
		(int) 3959 => 'Molnupiravir',
		(int) 2074 => 'Montelukast',
		(int) 2075 => 'Naloxegol',
		(int) 245 => 'Naloxon',
		(int) 3932 => 'Naproxen',
		(int) 2076 => 'Natalizumab',
		(int) 2136 => 'Nemolizumab',
		(int) 248 => 'Nintedanib',
		(int) 2139 => 'Nusinersen',
		(int) 2077 => 'Obeticholsäure (OCA)',
		(int) 2078 => 'Ocrelizumab',
		(int) 2079 => 'Olanzapin',
		(int) 2080 => 'Olmesartan',
		(int) 2081 => 'Olodaterol',
		(int) 2082 => 'Omalizumab',
		(int) 2083 => 'Ombitasvir',
		(int) 3909 => 'Onasemnogen-Abeparvovec',
		(int) 256 => 'Oxycodon',
		(int) 3805 => 'Palovaroten',
		(int) 2084 => 'Paritaprevir',
		(int) 262 => 'Pasireotid',
		(int) 2085 => 'Peginterferon',
		(int) 4021 => 'Pegvaliase',
		(int) 2086 => 'Perampanel',
		(int) 2132 => 'Pibrentasvir',
		(int) 2087 => 'Pirfenidon',
		(int) 2088 => 'Prasugrel',
		(int) 2089 => 'Prednison',
		(int) 2090 => 'Pregabalin',
		(int) 2091 => 'Prucaloprid',
		(int) 2092 => 'Raltegravir',
		(int) 2093 => 'Ranolazin',
		(int) 3536 => 'Remdesivir',
		(int) 2094 => 'Reslizumab',
		(int) 2095 => 'Rilpivirin',
		(int) 2096 => 'Riociguat',
		(int) 3749 => 'Risankizumab',
		(int) 2097 => 'Ritonavir',
		(int) 277 => 'Rituximab',
		(int) 278 => 'Rivaroxaban',
		(int) 2098 => 'Roflumilast',
		(int) 2099 => 'Romosozumab',
		(int) 2100 => 'Rotigotin',
		(int) 2101 => 'Sacubitril/Valsartan',
		(int) 2102 => 'Safinamid',
		(int) 2103 => 'Salmeterol',
		(int) 2104 => 'Sarilumab',
		(int) 3828 => 'Satralizumab',
		(int) 2105 => 'Saxagliptin',
		(int) 2106 => 'Secukinumab',
		(int) 2133 => 'Sildenafil',
		(int) 2107 => 'Simeprevir',
		(int) 2108 => 'Simvastatin',
		(int) 2908 => 'Sirolimus',
		(int) 2109 => 'Sitagliptin',
		(int) 2110 => 'Sofosbuvir',
		(int) 3815 => 'Sotrovimab',
		(int) 2111 => 'Strontiumranelat',
		(int) 2112 => 'Tadalafil',
		(int) 2113 => 'Tafamidis',
		(int) 286 => 'Tapentadol',
		(int) 4046 => 'Teduglutid',
		(int) 2114 => 'Telaprevir',
		(int) 2115 => 'Telmisartan',
		(int) 2116 => 'Tenofovir',
		(int) 2117 => 'Teriflunomid',
		(int) 2118 => 'Teriparatid',
		(int) 2119 => 'Ticagrelor',
		(int) 2120 => 'Tiotropium',
		(int) 3636 => 'Tivozanib',
		(int) 4056 => 'Tixagevimab',
		(int) 2121 => 'Tocilizumab',
		(int) 2122 => 'Tofacitinib',
		(int) 3633 => 'Tolebrutinib',
		(int) 3713 => 'Tralokinumab',
		(int) 2123 => 'Turoctogog alfa',
		(int) 3650 => 'Upadacitinib',
		(int) 2124 => 'Ustekinumab',
		(int) 2125 => 'Valsartan',
		(int) 2126 => 'Vedolizumab',
		(int) 2127 => 'Velpatasvir',
		(int) 3897 => 'Vericiguat',
		(int) 2365 => 'Vilanterol',
		(int) 2128 => 'Vildagliptin',
		(int) 2129 => 'Vortioxetin'
	),
	'keywords' => array(
		(int) 2000 => 'ADHS',
		(int) 2001 => 'AIDS',
		(int) 2003 => 'AMNOG',
		(int) 925 => 'Adipositas',
		(int) 2506 => 'Affenpocken',
		(int) 254 => 'Akromegalie',
		(int) 2004 => 'Alkoholismus',
		(int) 2005 => 'Alkoholsucht',
		(int) 2006 => 'Allergie',
		(int) 2007 => 'Allergologie',
		(int) 2008 => 'Alpha-1-Antitrypsin-Mangel',
		(int) 2009 => 'Alzheimer',
		(int) 2002 => 'Amyotrophe Lateralsklerose',
		(int) 2010 => 'Aneurysma',
		(int) 2011 => 'Angioödem',
		(int) 2012 => 'Angsterkrankungen',
		(int) 2518 => 'Angstpatient',
		(int) 2013 => 'Anorexie',
		(int) 2014 => 'Anti-Korruptions-Gesetz',
		(int) 2015 => 'Antibiotika',
		(int) 2016 => 'Antibiotika-Resistenz',
		(int) 2017 => 'Antidot',
		(int) 2018 => 'Antikoagulationstherapie',
		(int) 2019 => 'Antiobiotika-Prophylaxe',
		(int) 78 => 'Anämie',
		(int) 252 => 'Anästhesie',
		(int) 2020 => 'Aortendissektion',
		(int) 2021 => 'Apotheken',
		(int) 2022 => 'Approbation',
		(int) 2023 => 'Arbeitsmarkt',
		(int) 2024 => 'Arbeitsrecht',
		(int) 2025 => 'Armut',
		(int) 2026 => 'Arteriosklerose',
		(int) 2027 => 'Arthrose',
		(int) 1153 => 'Arzneimittelfälschungen',
		(int) 2028 => 'Arzneimittelinnovationen',
		(int) 780 => 'Arzneimittelkosten',
		(int) 2029 => 'Arzneimittelrabattverträge',
		(int) 2030 => 'Arzneimittelreport',
		(int) 353 => 'Arzneimitteltherapie',
		(int) 46 => 'Arzt',
		(int) 2031 => 'Arzt-Patienten-Gespräch',
		(int) 2032 => 'Arztbesuche',
		(int) 2033 => 'Arzthonorar',
		(int) 2034 => 'Arztrechnung',
		(int) 2035 => 'Aspergillose',
		(int) 2036 => 'Asthma',
		(int) 2037 => 'Atherosklerose',
		(int) 2038 => 'Atomkraft',
		(int) 2039 => 'Augenerkrankungen',
		(int) 2040 => 'Autismus',
		(int) 2041 => 'Autoimmunerkrankungen',
		(int) 2042 => 'Azidose',
		(int) 2043 => 'BPE',
		(int) 2044 => 'BPS',
		(int) 2045 => 'BSE',
		(int) 2046 => 'Bakteriologie',
		(int) 2047 => 'Bandscheibenvorfall',
		(int) 483 => 'Barrett-Ösophagus',
		(int) 2048 => 'Bauchaortenaneurysma',
		(int) 2049 => 'Bechterew',
		(int) 2050 => 'Behandlungsfehler',
		(int) 2051 => 'Behinderung',
		(int) 2052 => 'Bereitschaftsdienst',
		(int) 2053 => 'Berufskrankheiten',
		(int) 2054 => 'Betäubungsmittelgesetz',
		(int) 2055 => 'Bewegung',
		(int) 2056 => 'BigData',
		(int) 422 => 'Bildgebung',
		(int) 2057 => 'Biologika',
		(int) 1372 => 'Biomarker',
		(int) 2058 => 'Biosimilars',
		(int) 1595 => 'Biotechnologie',
		(int) 2059 => 'Bluttransfusion',
		(int) 2060 => 'Borderline',
		(int) 2061 => 'Borreliose',
		(int) 2062 => 'Botulinumtoxin',
		(int) 2063 => 'Bronchitis',
		(int) 1693 => 'Brustkrebs',
		(int) 2064 => 'Buchtipp',
		(int) 2065 => 'Burn-out',
		(int) 2066 => 'CAP',
		(int) 2473 => 'CAR-T-Zellen',
		(int) 2067 => 'CED',
		(int) 186 => 'CML',
		(int) 1030 => 'CMV',
		(int) 2068 => 'COPD',
		(int) 2477 => 'COVID-19',
		(int) 2459 => 'CRISPR Cas9',
		(int) 2069 => 'CTEPH',
		(int) 960 => 'Candidosen',
		(int) 2070 => 'Cannabinoide',
		(int) 2071 => 'Cannabis',
		(int) 2072 => 'Chagas',
		(int) 2073 => 'Chikungunya',
		(int) 2074 => 'Cholangitis',
		(int) 2075 => 'Cholera',
		(int) 2076 => 'Chorea',
		(int) 2077 => 'Chromosomenaberrationen',
		(int) 2078 => 'Clostridium',
		(int) 2079 => 'Cluster-Kopfschmerz',
		(int) 2489 => 'Colitis ulcerosa',
		(int) 2080 => 'Computer',
		(int) 2081 => 'Contergan',
		(int) 2082 => 'Coronavirus',
		(int) 2083 => 'Creutzfeldt-Jakob-Krankheit',
		(int) 2084 => 'Crohn',
		(int) 2085 => 'Crystal',
		(int) 813 => 'Cushing',
		(int) 1422 => 'Cystitis',
		(int) 1502 => 'Cytomegalievirus',
		(int) 2086 => 'Darmflora',
		(int) 2087 => 'Darmkrebs',
		(int) 2088 => 'Datenschutz',
		(int) 2089 => 'Dekubitus',
		(int) 2090 => 'Demenz',
		(int) 2091 => 'Dengue-Fieber',
		(int) 2092 => 'Depression',
		(int) 2093 => 'Diabetes Typ I',
		(int) 2094 => 'Diabetes Typ II',
		(int) 1417 => 'Diagnostik',
		(int) 2095 => 'Dialyse',
		(int) 2096 => 'Diarrhoe',
		(int) 2097 => 'Digitalisierung',
		(int) 2098 => 'Divertikulitis',
		(int) 2099 => 'Dokumentation',
		(int) 2100 => 'Drogensucht',
		(int) 2101 => 'Duchenne',
		(int) 2102 => 'Duchenne-Muskeldystrophie',
		(int) 2103 => 'Durchblutungsstörungen',
		(int) 2104 => 'Durchfall',
		(int) 2105 => 'Dysfunktion',
		(int) 2106 => 'Dyskalkulie',
		(int) 2107 => 'Dyslexie',
		(int) 2108 => 'Dyslipidämie',
		(int) 2109 => 'Dystonie',
		(int) 2110 => 'E-Zigarette',
		(int) 2111 => 'EHEC',
		(int) 2112 => 'Ebola',
		(int) 989 => 'Eisenmangel',
		(int) 2113 => 'Eisenüberladung',
		(int) 2114 => 'Embryonalentwicklung',
		(int) 2115 => 'Endokarditis',
		(int) 2116 => 'Endometriose',
		(int) 2117 => 'Endoprothese',
		(int) 2453 => 'Endoskopie',
		(int) 2118 => 'Energiepolitik',
		(int) 2119 => 'Entzündungen',
		(int) 2120 => 'Eosinophilie',
		(int) 2121 => 'Epidemien',
		(int) 1105 => 'Epigenetik',
		(int) 2122 => 'Epilepsie',
		(int) 2123 => 'Epstein-Barr-Virus',
		(int) 2124 => 'Erkältung',
		(int) 2125 => 'Ernährungstherapie',
		(int) 2126 => 'Europa',
		(int) 2127 => 'Exazerbation',
		(int) 2128 => 'FSME',
		(int) 2129 => 'Fabry',
		(int) 2130 => 'Fallpauschalen',
		(int) 2131 => 'Familienpolitik',
		(int) 2132 => 'Fanconi',
		(int) 135 => 'Fatigue',
		(int) 2133 => 'Fibromyalgie',
		(int) 2134 => 'Flüchtlinge',
		(int) 2135 => 'Forschungsstandort',
		(int) 2136 => 'Fortbildung',
		(int) 2137 => 'Früherkennung',
		(int) 2138 => 'Frühgeborene',
		(int) 2139 => 'Frühverrentung',
		(int) 2495 => 'GOÄ',
		(int) 2140 => 'Gastroenteritis',
		(int) 1099 => 'Gaucher',
		(int) 2141 => 'Geburt',
		(int) 2142 => 'Gebührenordnung',
		(int) 2143 => 'Gedächtnis',
		(int) 2144 => 'Gefäßchirurgie',
		(int) 2145 => 'Gehirnerschütterung',
		(int) 2146 => 'Gendermedizin',
		(int) 562 => 'Generika',
		(int) 2147 => 'Genetik',
		(int) 2148 => 'Genomanalyse',
		(int) 2149 => 'Gentherapie',
		(int) 910 => 'Geriatrie',
		(int) 2150 => 'Gesellschaftspolitik',
		(int) 2151 => 'Gestationsdiabetes',
		(int) 2152 => 'Gesundheit',
		(int) 2153 => 'Gesundheits-App',
		(int) 2154 => 'Gesundheitskarte',
		(int) 2155 => 'Gesundheitspolitik',
		(int) 2156 => 'Gesundheitssystem',
		(int) 2157 => 'Gesundheitswesen',
		(int) 2158 => 'Gicht',
		(int) 2159 => 'Glaukom',
		(int) 2160 => 'Glutenunverträglichkeit',
		(int) 1478 => 'Granulomatose',
		(int) 2161 => 'Grundfreibeträge',
		(int) 2162 => 'Grundlagenforschung',
		(int) 2163 => 'Guillain-Barré-Syndrom',
		(int) 2164 => 'Gürtelrose',
		(int) 2165 => 'HBV',
		(int) 2166 => 'HCV',
		(int) 2167 => 'HEV',
		(int) 2168 => 'HIV',
		(int) 121 => 'HPV',
		(int) 2169 => 'Halsschmerzen',
		(int) 2170 => 'Hantavirus',
		(int) 2171 => 'Harninkontinenz',
		(int) 2172 => 'Harnwegsinfekt',
		(int) 2173 => 'Hautkrebs-Screening',
		(int) 2174 => 'Heilmittelverordnung',
		(int) 2175 => 'Helicobacter',
		(int) 2176 => 'Herpes',
		(int) 2177 => 'Herzinsuffizienz',
		(int) 2178 => 'Herzrhythmusstörungen',
		(int) 2179 => 'Heuschnupfen',
		(int) 2180 => 'Hexenschuss',
		(int) 2181 => 'Hirnstimulation',
		(int) 2182 => 'Histamin-Intoleranz',
		(int) 2183 => 'Hormonstörungen',
		(int) 2184 => 'Hospitalisierungskeime',
		(int) 2185 => 'Hospiz',
		(int) 2186 => 'Husten',
		(int) 2187 => 'Hygiene',
		(int) 2188 => 'Hypercholesterinämie',
		(int) 2189 => 'Hyperhidrose',
		(int) 2190 => 'Hyperparathyreoidismus',
		(int) 2191 => 'Hyperphosphatämie',
		(int) 2192 => 'Hypertonie',
		(int) 2193 => 'Hypertriglyzeridämie',
		(int) 2194 => 'Hyperurikämie',
		(int) 2195 => 'Hypnose',
		(int) 2449 => 'Hypoglykämie',
		(int) 1534 => 'Hämangiom',
		(int) 2 => 'Hämatologie',
		(int) 2196 => 'Hämorrhoiden',
		(int) 2197 => 'Hörsturz',
		(int) 2198 => 'IGeL',
		(int) 923 => 'IQWiG',
		(int) 2199 => 'Immundefekt',
		(int) 2463 => 'Immundefekte',
		(int) 2200 => 'Immunsystem',
		(int) 1703 => 'Immuntherapie',
		(int) 2201 => 'Immunthrombozytopenie',
		(int) 2202 => 'Impfung',
		(int) 2203 => 'Implantate',
		(int) 2204 => 'Infektionen',
		(int) 2205 => 'Infektionskrankheiten',
		(int) 2206 => 'Influenza',
		(int) 2207 => 'Informatik',
		(int) 2208 => 'Inhalation',
		(int) 1694 => 'Inkontinenz',
		(int) 2209 => 'Insulinresistenz',
		(int) 2210 => 'Integration',
		(int) 2211 => 'Kardiomyopathie',
		(int) 2212 => 'Karpaltunnelsyndrom',
		(int) 2213 => 'Katastrophenmanagement',
		(int) 2214 => 'Klimawandel',
		(int) 2215 => 'Klinefelter',
		(int) 2216 => 'Kliniken',
		(int) 2217 => 'Knieverletzung',
		(int) 2218 => 'Knochenmarktransplantation',
		(int) 2219 => 'Kollagenosen',
		(int) 2220 => 'Koloskopie',
		(int) 2221 => 'Kopfläuse',
		(int) 2222 => 'Kopfschmerzen',
		(int) 2223 => 'Koronarsyndrom',
		(int) 2224 => 'Korruption',
		(int) 2225 => 'Krankenhausinfektionen',
		(int) 2226 => 'Krankenhauskeime',
		(int) 1498 => 'Krankenhäuser',
		(int) 2227 => 'Krankenkassen',
		(int) 2228 => 'Krankenkassenbeiträge',
		(int) 2229 => 'Krebsforschung',
		(int) 2230 => 'Krebsnachsorge',
		(int) 2231 => 'Krebsprävention',
		(int) 2232 => 'Krebsregister',
		(int) 2233 => 'Krebsrisiko',
		(int) 2234 => 'Kur',
		(int) 2235 => 'Kurzdarmsyndrom',
		(int) 2493 => 'Künstliche Intelligenz',
		(int) 971 => 'Labordiagnostik',
		(int) 2236 => 'Landärzte',
		(int) 2237 => 'Lateralsklerose',
		(int) 2238 => 'Lebenmittelsicherheit',
		(int) 251 => 'Lebensqualität',
		(int) 2239 => 'Lebensstil',
		(int) 2240 => 'Lebererkrankungen',
		(int) 2241 => 'Leberkrebs',
		(int) 2242 => 'Leberversagen',
		(int) 2243 => 'Leberzirrhose',
		(int) 2244 => 'Legasthenie',
		(int) 2245 => 'Legionellen',
		(int) 2246 => 'Leishmaniose',
		(int) 2458 => 'Leitlinie',
		(int) 429 => 'Leitlinien',
		(int) 2247 => 'Lernen',
		(int) 3 => 'Leukämie',
		(int) 2248 => 'Lieferengpass',
		(int) 2485 => 'Lieferengpässe',
		(int) 2249 => 'Linksherzinsuffizienz',
		(int) 2250 => 'Lipidmanagement',
		(int) 2451 => 'Lipödem',
		(int) 2469 => 'Liquid Biopsy',
		(int) 2251 => 'Listerien',
		(int) 2491 => 'Long COVID',
		(int) 2252 => 'Lungenembolie',
		(int) 2253 => 'Lungenemphysem',
		(int) 2254 => 'Lungenerkrankungen',
		(int) 2255 => 'Lungenfibrose',
		(int) 2256 => 'Lungenhochdruck',
		(int) 52 => 'Lymphom',
		(int) 2257 => 'Lymphödem',
		(int) 2488 => 'M. Crohn',
		(int) 2259 => 'MERS',
		(int) 2260 => 'MRSA',
		(int) 2261 => 'Makuladegeneration',
		(int) 2262 => 'Malaria',
		(int) 214 => 'Malnutrition',
		(int) 2263 => 'Mammografie',
		(int) 2492 => 'Maschinelles Lernen',
		(int) 2264 => 'Masern',
		(int) 1477 => 'Mastozytose',
		(int) 2265 => 'Medien',
		(int) 2266 => 'Medizinethik',
		(int) 2267 => 'Medizingeschichte',
		(int) 2268 => 'Medizinprodukte',
		(int) 2269 => 'Medizinrecht',
		(int) 2270 => 'Medizinstudium',
		(int) 2271 => 'Medizintechnik',
		(int) 1677 => 'Melanom',
		(int) 2272 => 'Meningokokken',
		(int) 2273 => 'Menopause',
		(int) 2274 => 'Menschenrechte',
		(int) 2275 => 'Metastasierung',
		(int) 885 => 'Methylierung',
		(int) 2276 => 'Migration',
		(int) 2277 => 'Migräne',
		(int) 2278 => 'Mikrobiologie',
		(int) 2279 => 'Milchschorf',
		(int) 2280 => 'Missbrauch',
		(int) 2281 => 'Misshandlung',
		(int) 2282 => 'Mitralklappeninsuffizienz',
		(int) 2283 => 'Mobbing',
		(int) 2468 => 'Molekularpathologie',
		(int) 2284 => 'Mukoviszidose',
		(int) 2285 => 'Multimorbidität',
		(int) 2286 => 'Multiple Sklerose',
		(int) 1026 => 'Musiktherapie',
		(int) 2287 => 'Muskelerkrankungen',
		(int) 2467 => 'Mutation',
		(int) 361 => 'Myelofibrose',
		(int) 260 => 'Mykosen',
		(int) 2288 => 'Myokardinfarkt',
		(int) 2289 => 'Myokarditis',
		(int) 2290 => 'Myom',
		(int) 221 => 'Nahrungsergänzung',
		(int) 2291 => 'Nebennierenerkrankungen',
		(int) 2292 => 'Nebenwirkungen',
		(int) 2293 => 'Nephropathie',
		(int) 2294 => 'Neurodermitis',
		(int) 246 => 'Neuropathie',
		(int) 2295 => 'Nierenerkrankungen',
		(int) 2296 => 'Niereninsuffizienz',
		(int) 2297 => 'Noroviren',
		(int) 2298 => 'Nutzenbewertung',
		(int) 2299 => 'Nävus',
		(int) 2300 => 'Obstipation',
		(int) 2301 => 'Off-Label-Use',
		(int) 2302 => 'Organspende',
		(int) 2303 => 'Orphan',
		(int) 2304 => 'Osteopathie',
		(int) 2305 => 'Osteoporose',
		(int) 2306 => 'PAH',
		(int) 2307 => 'PAVK',
		(int) 2308 => 'PBC',
		(int) 2309 => 'PSC',
		(int) 2310 => 'Palliativversorgung',
		(int) 2311 => 'Pandemie',
		(int) 2312 => 'Pankreasinsuffizienz',
		(int) 2313 => 'Pankreatitis',
		(int) 2314 => 'Parkinson',
		(int) 2315 => 'Parodontitis',
		(int) 2316 => 'Patienten',
		(int) 1384 => 'Patientenleitlinie',
		(int) 2317 => 'Patientenverfügung',
		(int) 2318 => 'Pfeiffersches Drüsenfieber',
		(int) 942 => 'Pflege',
		(int) 2319 => 'Pflegeversicherung',
		(int) 2320 => 'Pharma',
		(int) 2321 => 'Physiotherapie',
		(int) 2322 => 'Plaque-Psoriasis',
		(int) 2323 => 'Pneumokoken',
		(int) 2324 => 'Pneumokokken',
		(int) 2325 => 'Pneumonie',
		(int) 2326 => 'Polio',
		(int) 2327 => 'Politik',
		(int) 2328 => 'Polymedikation',
		(int) 1481 => 'Polyneuropathie',
		(int) 2329 => 'Pompe',
		(int) 2507 => 'Portale Hypertonie',
		(int) 2330 => 'Post-Zoster-Neuralgie',
		(int) 2331 => 'Praxismanagement',
		(int) 2332 => 'Preisverhandlungen',
		(int) 2333 => 'Prionen',
		(int) 2334 => 'Probiotika',
		(int) 2335 => 'Prophylaxe',
		(int) 2336 => 'Prothesen',
		(int) 2337 => 'Pruritus',
		(int) 2338 => 'Prädiabetes',
		(int) 2339 => 'Präeklampsie',
		(int) 2340 => 'Präimplantationsdiagnostik',
		(int) 2341 => 'Präventionsgesetz',
		(int) 2342 => 'Pseudomonas',
		(int) 2343 => 'Psoriasis',
		(int) 2344 => 'Psoriasis-Arthritis',
		(int) 2504 => 'Psychosomatik',
		(int) 2452 => 'Psychotherapie',
		(int) 445 => 'Qualitätssicherung',
		(int) 2345 => 'Querschnittslähmung',
		(int) 2462 => 'Rauchen',
		(int) 2346 => 'Raucherentwöhnung',
		(int) 2347 => 'Reflux',
		(int) 2348 => 'Regress',
		(int) 577 => 'Rehabilitation',
		(int) 2349 => 'Reizdarmsyndrom',
		(int) 2519 => 'Renale Hypertonie',
		(int) 2350 => 'Rentenpolitik',
		(int) 378 => 'Reproduktionsmedizin',
		(int) 2351 => 'Resistenz',
		(int) 2352 => 'Restless-Legs-Syndrom',
		(int) 2353 => 'Retinopathie',
		(int) 2354 => 'Rettungsdienst',
		(int) 2355 => 'Rheuma',
		(int) 2356 => 'Rhinitis',
		(int) 2357 => 'Rhinosinusitis',
		(int) 2358 => 'Riechstörung',
		(int) 2359 => 'Rosacea',
		(int) 2360 => 'Rotavirus',
		(int) 899 => 'Rote-Hand-Brief',
		(int) 2361 => 'Rückenmarksverletzung',
		(int) 2362 => 'Rückenschmerzen',
		(int) 2478 => 'SARS-CoV-2',
		(int) 2363 => 'SLE',
		(int) 2364 => 'Salmonellen',
		(int) 2365 => 'Sarkoidose',
		(int) 2366 => 'Sarkopenie',
		(int) 2367 => 'Schilddrüsenerkrankungen',
		(int) 2368 => 'Schizophrenie',
		(int) 2369 => 'Schlafkrankheit',
		(int) 2370 => 'Schlafmedizin',
		(int) 2371 => 'Schlafstörungen',
		(int) 2372 => 'Schlaganfall',
		(int) 91 => 'Schmerz',
		(int) 1312 => 'Schwangerschaft',
		(int) 2373 => 'Schweigepflicht',
		(int) 2374 => 'Schwindel',
		(int) 2375 => 'Schwitzen',
		(int) 2376 => 'Schädel-Hirn-Trauma',
		(int) 2377 => 'Schönheitsoperation',
		(int) 2378 => 'Screening',
		(int) 2379 => 'Sehbehinderung',
		(int) 341 => 'Sepsis',
		(int) 1519 => 'Service',
		(int) 2380 => 'Sexualität',
		(int) 2381 => 'Sinusitis',
		(int) 2382 => 'Skabies',
		(int) 2383 => 'Sklerodermie',
		(int) 2384 => 'Skoliose',
		(int) 2385 => 'Sodbrennen',
		(int) 2386 => 'Sonografie',
		(int) 2387 => 'Sozialmedien',
		(int) 2388 => 'Speicherkrankheiten',
		(int) 2389 => 'Spielsucht',
		(int) 2390 => 'Spondylitis',
		(int) 2391 => 'Spondyloarthritis',
		(int) 2392 => 'Sport',
		(int) 2393 => 'Sprache',
		(int) 2394 => 'Stammzellen',
		(int) 227 => 'Stammzelltransplantation',
		(int) 2395 => 'Staphylococcus',
		(int) 2396 => 'Stent',
		(int) 2397 => 'Sterbehilfe',
		(int) 2398 => 'Sterben',
		(int) 2399 => 'Stress',
		(int) 2400 => 'Studie',
		(int) 2401 => 'Suchterkrankungen',
		(int) 2402 => 'Syphilis',
		(int) 2403 => 'Telemedizin',
		(int) 139 => 'Thromboembolie',
		(int) 2258 => 'Thrombolyse',
		(int) 2404 => 'Thrombose',
		(int) 2405 => 'Thromboseprophylaxe',
		(int) 2406 => 'Tinnitus',
		(int) 2407 => 'Tollwut',
		(int) 2408 => 'Toxoplasmose',
		(int) 2409 => 'Transplantationsregister',
		(int) 2410 => 'Trauer',
		(int) 2411 => 'Trauma',
		(int) 2412 => 'Tremor',
		(int) 2413 => 'Tropenmedizin',
		(int) 2414 => 'Tuberkulose',
		(int) 2415 => 'Typ-1-Diabetes',
		(int) 2416 => 'Typ-2-Diabetes',
		(int) 2417 => 'Typhus',
		(int) 2418 => 'Ultraschall',
		(int) 2419 => 'Umweltmedizin',
		(int) 2420 => 'Urolithiasis',
		(int) 2421 => 'Vaskulitiden',
		(int) 2520 => 'Venöse Hypertonie',
		(int) 2422 => 'Verbraucherschutz',
		(int) 2423 => 'Verbrennungen',
		(int) 2424 => 'Vergiftungen',
		(int) 2450 => 'Versorgungsforschung',
		(int) 2496 => 'Vitamin B12',
		(int) 2425 => 'Vitamin-D-Mangel',
		(int) 2426 => 'Vorhofflimmern',
		(int) 2427 => 'Wachkoma',
		(int) 2428 => 'Wachstumsstörungen',
		(int) 1386 => 'Wechselwirkungen',
		(int) 2429 => 'Weichmacher',
		(int) 1555 => 'Wundheilung',
		(int) 2430 => 'Wundinfektionen',
		(int) 2431 => 'Wundmanagement',
		(int) 2432 => 'Yersinia',
		(int) 2433 => 'Yoga',
		(int) 2434 => 'ZNS-Erkrankungen',
		(int) 2435 => 'Zahnersatz',
		(int) 2436 => 'Zecken',
		(int) 2437 => 'Zikavirus',
		(int) 2438 => 'Zoonosen',
		(int) 2439 => 'Zoster',
		(int) 1691 => 'Zulassung',
		(int) 2440 => 'Zusatzbeiträge',
		(int) 1475 => 'Zusatznutzen',
		(int) 2441 => 'Zwangsstörungen',
		(int) 2442 => 'Zweitmeinung',
		(int) 2443 => 'Zöliakie',
		(int) 2497 => 'arterielle Hypertonie',
		(int) 2517 => 'pulmonale Hypertonie',
		(int) 2444 => 'von-Willebrand-Syndrom',
		(int) 2445 => 'Ärzte',
		(int) 2446 => 'Ärztemangel',
		(int) 2447 => 'Überbehandlung'
	),
	'disciplines' => array(
		(int) 172 => 'Allergologie',
		(int) 57 => 'Allgemeinmedizin',
		(int) 179 => 'Anästhesiologie',
		(int) 73 => 'Arbeitsmedizin',
		(int) 213 => 'Biologische Medizin',
		(int) 76 => 'Chirurgie',
		(int) 151 => 'Ernährungsmedizin',
		(int) 150 => 'Forschung',
		(int) 60 => 'Frauenheilkunde und Geburtshilfe',
		(int) 81 => 'Hals-Nasen-Ohrenheilkunde',
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		(int) 210 => 'Innere Medizin - Diabetologie und Endokrinologie',
		(int) 107 => 'Innere Medizin - Gastroenterologie',
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		(int) 105 => 'Innere Medizin - Hämatologie',
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		(int) 63 => 'Innere Medizin - Kardiologie',
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		(int) 83 => 'Innere Medizin - Onkologie',
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		(int) 195 => 'Psychosomatische Medizin und Psychotherapie',
		(int) 75 => 'Radiologie - allgemein',
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		(int) 70 => 'Rehabilitative und physikalische Medizin',
		(int) 99 => 'Reproduktionsmedizin',
		(int) 166 => 'Schlafmedizin',
		(int) 154 => 'Schmerztherapie',
		(int) 188 => 'Sozialmedizin',
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		(int) 190 => 'Transfusionsmedizin',
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		(int) 32 => 'Falk',
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		(int) 39 => 'Grünenthal',
		(int) 41 => 'Hexal',
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		(int) 42 => 'Ipsen',
		(int) 43 => 'Janssen-Cilag',
		(int) 44 => 'Jenapharm',
		(int) 45 => 'Johnson & Johnson',
		(int) 2009 => 'Kyowa Kirin',
		(int) 2010 => 'Leo',
		(int) 47 => 'Lilly',
		(int) 2011 => 'Lundbeck',
		(int) 48 => 'MEDA',
		(int) 52 => 'MSD',
		(int) 2068 => 'Medice',
		(int) 2012 => 'MerckSerono',
		(int) 2085 => 'Moderna',
		(int) 53 => 'Mundipharma',
		(int) 2071 => 'Mylan',
		(int) 2013 => 'Neovacs',
		(int) 2100 => 'Neuraxpharm',
		(int) 2014 => 'Newron',
		(int) 2015 => 'Norgine',
		(int) 54 => 'Novartis',
		(int) 2096 => 'Novavax',
		(int) 55 => 'NovoNordisk',
		(int) 57 => 'Nutricia',
		(int) 2092 => 'Otsuka Pharma GmbH',
		(int) 2087 => 'PARI',
		(int) 2045 => 'PUREN',
		(int) 2079 => 'Paul Hartmann AG',
		(int) 60 => 'Pfizer',
		(int) 2099 => 'Pharmacosmos',
		(int) 2086 => 'Pharmact',
		(int) 2016 => 'Pharmaxis',
		(int) 62 => 'Pierre Fabre',
		(int) 63 => 'Pohl-Boskamp',
		(int) 2059 => 'ROVI',
		(int) 2017 => 'Raptor',
		(int) 2031 => 'RedHill',
		(int) 2018 => 'Regeneron',
		(int) 67 => 'Riemser',
		(int) 68 => 'Roche',
		(int) 114 => 'STADA',
		(int) 2040 => 'Sandoz',
		(int) 70 => 'Sanofi',
		(int) 37 => 'Sanofi Genzyme',
		(int) 2019 => 'Sanofi Pasteur MSD',
		(int) 2077 => 'Schwabe',
		(int) 71 => 'Servier',
		(int) 72 => 'Shire',
		(int) 2021 => 'Sobi',
		(int) 2022 => 'Steigerwald',
		(int) 2023 => 'Strathmann',
		(int) 75 => 'Takeda',
		(int) 76 => 'Teva',
		(int) 2032 => 'Theraclion',
		(int) 77 => 'Trommsdorff',
		(int) 78 => 'UCB',
		(int) 2095 => 'Valneva',
		(int) 2024 => 'Verona',
		(int) 2060 => 'WÖRWAG Pharma',
		(int) 2025 => 'Zentiva',
		(int) 15 => 'betapharm',
		(int) 49 => 'medac',
		(int) 80 => 'vifor'
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			),
			(int) 152 => array(
				[maximum depth reached]
			),
			(int) 153 => array(
				[maximum depth reached]
			),
			(int) 154 => array(
				[maximum depth reached]
			),
			(int) 155 => array(
				[maximum depth reached]
			),
			(int) 156 => array(
				[maximum depth reached]
			),
			(int) 157 => array(
				[maximum depth reached]
			),
			(int) 158 => array(
				[maximum depth reached]
			),
			(int) 159 => array(
				[maximum depth reached]
			),
			(int) 160 => array(
				[maximum depth reached]
			),
			(int) 161 => array(
				[maximum depth reached]
			),
			(int) 162 => array(
				[maximum depth reached]
			),
			(int) 163 => array(
				[maximum depth reached]
			),
			(int) 164 => array(
				[maximum depth reached]
			),
			(int) 165 => array(
				[maximum depth reached]
			),
			(int) 166 => array(
				[maximum depth reached]
			),
			(int) 167 => array(
				[maximum depth reached]
			),
			(int) 168 => array(
				[maximum depth reached]
			),
			(int) 169 => array(
				[maximum depth reached]
			),
			(int) 170 => array(
				[maximum depth reached]
			),
			(int) 171 => array(
				[maximum depth reached]
			),
			(int) 172 => array(
				[maximum depth reached]
			),
			(int) 173 => array(
				[maximum depth reached]
			),
			(int) 174 => array(
				[maximum depth reached]
			),
			(int) 175 => array(
				[maximum depth reached]
			),
			(int) 176 => array(
				[maximum depth reached]
			),
			(int) 177 => array(
				[maximum depth reached]
			),
			(int) 178 => array(
				[maximum depth reached]
			),
			(int) 179 => array(
				[maximum depth reached]
			),
			(int) 180 => array(
				[maximum depth reached]
			),
			(int) 181 => array(
				[maximum depth reached]
			),
			(int) 182 => array(
				[maximum depth reached]
			),
			(int) 183 => array(
				[maximum depth reached]
			),
			(int) 184 => array(
				[maximum depth reached]
			),
			(int) 185 => array(
				[maximum depth reached]
			),
			(int) 186 => array(
				[maximum depth reached]
			),
			(int) 187 => array(
				[maximum depth reached]
			),
			(int) 188 => array(
				[maximum depth reached]
			),
			(int) 189 => array(
				[maximum depth reached]
			),
			(int) 190 => array(
				[maximum depth reached]
			),
			(int) 191 => array(
				[maximum depth reached]
			),
			(int) 192 => array(
				[maximum depth reached]
			),
			(int) 193 => array(
				[maximum depth reached]
			),
			(int) 194 => array(
				[maximum depth reached]
			),
			(int) 195 => array(
				[maximum depth reached]
			),
			(int) 196 => array(
				[maximum depth reached]
			),
			(int) 197 => array(
				[maximum depth reached]
			),
			(int) 198 => array(
				[maximum depth reached]
			),
			(int) 199 => array(
				[maximum depth reached]
			),
			(int) 200 => array(
				[maximum depth reached]
			),
			(int) 201 => array(
				[maximum depth reached]
			),
			(int) 202 => array(
				[maximum depth reached]
			),
			(int) 203 => array(
				[maximum depth reached]
			),
			(int) 204 => array(
				[maximum depth reached]
			),
			(int) 205 => array(
				[maximum depth reached]
			),
			(int) 206 => array(
				[maximum depth reached]
			),
			(int) 207 => array(
				[maximum depth reached]
			),
			(int) 208 => array(
				[maximum depth reached]
			),
			(int) 209 => array(
				[maximum depth reached]
			),
			(int) 210 => array(
				[maximum depth reached]
			),
			(int) 211 => array(
				[maximum depth reached]
			),
			(int) 212 => array(
				[maximum depth reached]
			),
			(int) 213 => array(
				[maximum depth reached]
			),
			(int) 214 => array(
				[maximum depth reached]
			),
			(int) 215 => array(
				[maximum depth reached]
			),
			(int) 216 => array(
				[maximum depth reached]
			),
			(int) 217 => array(
				[maximum depth reached]
			),
			(int) 218 => array(
				[maximum depth reached]
			),
			(int) 219 => array(
				[maximum depth reached]
			),
			(int) 220 => array(
				[maximum depth reached]
			),
			(int) 221 => array(
				[maximum depth reached]
			),
			(int) 222 => array(
				[maximum depth reached]
			),
			(int) 223 => array(
				[maximum depth reached]
			),
			(int) 224 => array(
				[maximum depth reached]
			),
			(int) 225 => array(
				[maximum depth reached]
			),
			(int) 226 => array(
				[maximum depth reached]
			),
			(int) 227 => array(
				[maximum depth reached]
			),
			(int) 228 => array(
				[maximum depth reached]
			),
			(int) 229 => array(
				[maximum depth reached]
			),
			(int) 230 => array(
				[maximum depth reached]
			),
			(int) 231 => array(
				[maximum depth reached]
			),
			(int) 232 => array(
				[maximum depth reached]
			),
			(int) 233 => array(
				[maximum depth reached]
			),
			(int) 234 => array(
				[maximum depth reached]
			),
			(int) 235 => array(
				[maximum depth reached]
			),
			(int) 236 => array(
				[maximum depth reached]
			),
			(int) 237 => array(
				[maximum depth reached]
			),
			(int) 238 => array(
				[maximum depth reached]
			),
			(int) 239 => array(
				[maximum depth reached]
			),
			(int) 240 => array(
				[maximum depth reached]
			),
			(int) 241 => array(
				[maximum depth reached]
			),
			(int) 242 => array(
				[maximum depth reached]
			),
			(int) 243 => array(
				[maximum depth reached]
			),
			(int) 244 => array(
				[maximum depth reached]
			),
			(int) 245 => array(
				[maximum depth reached]
			),
			(int) 246 => array(
				[maximum depth reached]
			),
			(int) 247 => array(
				[maximum depth reached]
			),
			(int) 248 => array(
				[maximum depth reached]
			),
			(int) 249 => array(
				[maximum depth reached]
			),
			(int) 250 => array(
				[maximum depth reached]
			),
			(int) 251 => array(
				[maximum depth reached]
			),
			(int) 252 => array(
				[maximum depth reached]
			),
			(int) 253 => array(
				[maximum depth reached]
			),
			(int) 254 => array(
				[maximum depth reached]
			),
			(int) 255 => array(
				[maximum depth reached]
			),
			(int) 256 => array(
				[maximum depth reached]
			),
			(int) 257 => array(
				[maximum depth reached]
			),
			(int) 258 => array(
				[maximum depth reached]
			),
			(int) 259 => array(
				[maximum depth reached]
			),
			(int) 260 => array(
				[maximum depth reached]
			),
			(int) 261 => array(
				[maximum depth reached]
			),
			(int) 262 => array(
				[maximum depth reached]
			),
			(int) 263 => array(
				[maximum depth reached]
			),
			(int) 264 => array(
				[maximum depth reached]
			),
			(int) 265 => array(
				[maximum depth reached]
			),
			(int) 266 => array(
				[maximum depth reached]
			),
			(int) 267 => array(
				[maximum depth reached]
			),
			(int) 268 => array(
				[maximum depth reached]
			),
			(int) 269 => array(
				[maximum depth reached]
			),
			(int) 270 => array(
				[maximum depth reached]
			),
			(int) 271 => array(
				[maximum depth reached]
			),
			(int) 272 => array(
				[maximum depth reached]
			),
			(int) 273 => array(
				[maximum depth reached]
			),
			(int) 274 => array(
				[maximum depth reached]
			),
			(int) 275 => array(
				[maximum depth reached]
			),
			(int) 276 => array(
				[maximum depth reached]
			),
			(int) 277 => array(
				[maximum depth reached]
			),
			(int) 278 => array(
				[maximum depth reached]
			),
			(int) 279 => array(
				[maximum depth reached]
			),
			(int) 280 => array(
				[maximum depth reached]
			),
			(int) 281 => array(
				[maximum depth reached]
			),
			(int) 282 => array(
				[maximum depth reached]
			),
			(int) 283 => array(
				[maximum depth reached]
			),
			(int) 284 => array(
				[maximum depth reached]
			),
			(int) 285 => array(
				[maximum depth reached]
			),
			(int) 286 => array(
				[maximum depth reached]
			),
			(int) 287 => array(
				[maximum depth reached]
			),
			(int) 288 => array(
				[maximum depth reached]
			),
			(int) 289 => array(
				[maximum depth reached]
			),
			(int) 290 => array(
				[maximum depth reached]
			),
			(int) 291 => array(
				[maximum depth reached]
			),
			(int) 292 => array(
				[maximum depth reached]
			),
			(int) 293 => array(
				[maximum depth reached]
			),
			(int) 294 => array(
				[maximum depth reached]
			),
			(int) 295 => array(
				[maximum depth reached]
			),
			(int) 296 => array(
				[maximum depth reached]
			),
			(int) 297 => array(
				[maximum depth reached]
			),
			(int) 298 => array(
				[maximum depth reached]
			),
			(int) 299 => array(
				[maximum depth reached]
			),
			(int) 300 => array(
				[maximum depth reached]
			),
			(int) 301 => array(
				[maximum depth reached]
			),
			(int) 302 => array(
				[maximum depth reached]
			),
			(int) 303 => array(
				[maximum depth reached]
			),
			(int) 304 => array(
				[maximum depth reached]
			),
			(int) 305 => array(
				[maximum depth reached]
			),
			(int) 306 => array(
				[maximum depth reached]
			),
			(int) 307 => array(
				[maximum depth reached]
			),
			(int) 308 => array(
				[maximum depth reached]
			),
			(int) 309 => array(
				[maximum depth reached]
			),
			(int) 310 => array(
				[maximum depth reached]
			),
			(int) 311 => array(
				[maximum depth reached]
			),
			(int) 312 => array(
				[maximum depth reached]
			),
			(int) 313 => array(
				[maximum depth reached]
			),
			(int) 314 => array(
				[maximum depth reached]
			),
			(int) 315 => array(
				[maximum depth reached]
			),
			(int) 316 => array(
				[maximum depth reached]
			),
			(int) 317 => array(
				[maximum depth reached]
			),
			(int) 318 => array(
				[maximum depth reached]
			),
			(int) 319 => array(
				[maximum depth reached]
			),
			(int) 320 => array(
				[maximum depth reached]
			),
			(int) 321 => array(
				[maximum depth reached]
			),
			(int) 322 => array(
				[maximum depth reached]
			),
			(int) 323 => array(
				[maximum depth reached]
			),
			(int) 324 => array(
				[maximum depth reached]
			),
			(int) 325 => array(
				[maximum depth reached]
			),
			(int) 326 => array(
				[maximum depth reached]
			),
			(int) 327 => array(
				[maximum depth reached]
			),
			(int) 328 => array(
				[maximum depth reached]
			),
			(int) 329 => array(
				[maximum depth reached]
			),
			(int) 330 => array(
				[maximum depth reached]
			),
			(int) 331 => array(
				[maximum depth reached]
			),
			(int) 332 => array(
				[maximum depth reached]
			),
			(int) 333 => array(
				[maximum depth reached]
			),
			(int) 334 => array(
				[maximum depth reached]
			),
			(int) 335 => array(
				[maximum depth reached]
			),
			(int) 336 => array(
				[maximum depth reached]
			),
			(int) 337 => array(
				[maximum depth reached]
			),
			(int) 338 => array(
				[maximum depth reached]
			),
			(int) 339 => array(
				[maximum depth reached]
			),
			(int) 340 => array(
				[maximum depth reached]
			),
			(int) 341 => array(
				[maximum depth reached]
			),
			(int) 342 => array(
				[maximum depth reached]
			),
			(int) 343 => array(
				[maximum depth reached]
			),
			(int) 344 => array(
				[maximum depth reached]
			),
			(int) 345 => array(
				[maximum depth reached]
			),
			(int) 346 => array(
				[maximum depth reached]
			),
			(int) 347 => array(
				[maximum depth reached]
			),
			(int) 348 => array(
				[maximum depth reached]
			),
			(int) 349 => array(
				[maximum depth reached]
			),
			(int) 350 => array(
				[maximum depth reached]
			),
			(int) 351 => array(
				[maximum depth reached]
			),
			(int) 352 => array(
				[maximum depth reached]
			),
			(int) 353 => array(
				[maximum depth reached]
			),
			(int) 354 => array(
				[maximum depth reached]
			),
			(int) 355 => array(
				[maximum depth reached]
			),
			(int) 356 => array(
				[maximum depth reached]
			),
			(int) 357 => array(
				[maximum depth reached]
			),
			(int) 358 => array(
				[maximum depth reached]
			),
			(int) 359 => array(
				[maximum depth reached]
			),
			(int) 360 => array(
				[maximum depth reached]
			),
			(int) 361 => array(
				[maximum depth reached]
			),
			(int) 362 => array(
				[maximum depth reached]
			),
			(int) 363 => array(
				[maximum depth reached]
			),
			(int) 364 => array(
				[maximum depth reached]
			),
			(int) 365 => array(
				[maximum depth reached]
			),
			(int) 366 => array(
				[maximum depth reached]
			),
			(int) 367 => array(
				[maximum depth reached]
			),
			(int) 368 => array(
				[maximum depth reached]
			),
			(int) 369 => array(
				[maximum depth reached]
			),
			(int) 370 => array(
				[maximum depth reached]
			),
			(int) 371 => array(
				[maximum depth reached]
			),
			(int) 372 => array(
				[maximum depth reached]
			),
			(int) 373 => array(
				[maximum depth reached]
			),
			(int) 374 => array(
				[maximum depth reached]
			),
			(int) 375 => array(
				[maximum depth reached]
			),
			(int) 376 => array(
				[maximum depth reached]
			),
			(int) 377 => array(
				[maximum depth reached]
			),
			(int) 378 => array(
				[maximum depth reached]
			),
			(int) 379 => array(
				[maximum depth reached]
			),
			(int) 380 => array(
				[maximum depth reached]
			),
			(int) 381 => array(
				[maximum depth reached]
			),
			(int) 382 => array(
				[maximum depth reached]
			),
			(int) 383 => array(
				[maximum depth reached]
			),
			(int) 384 => array(
				[maximum depth reached]
			),
			(int) 385 => array(
				[maximum depth reached]
			),
			(int) 386 => array(
				[maximum depth reached]
			),
			(int) 387 => array(
				[maximum depth reached]
			),
			(int) 388 => array(
				[maximum depth reached]
			),
			(int) 389 => array(
				[maximum depth reached]
			),
			(int) 390 => array(
				[maximum depth reached]
			),
			(int) 391 => array(
				[maximum depth reached]
			),
			(int) 392 => array(
				[maximum depth reached]
			),
			(int) 393 => array(
				[maximum depth reached]
			),
			(int) 394 => array(
				[maximum depth reached]
			),
			(int) 395 => array(
				[maximum depth reached]
			),
			(int) 396 => array(
				[maximum depth reached]
			),
			(int) 397 => array(
				[maximum depth reached]
			),
			(int) 398 => array(
				[maximum depth reached]
			),
			(int) 399 => array(
				[maximum depth reached]
			),
			(int) 400 => array(
				[maximum depth reached]
			),
			(int) 401 => array(
				[maximum depth reached]
			),
			(int) 402 => array(
				[maximum depth reached]
			),
			(int) 403 => array(
				[maximum depth reached]
			),
			(int) 404 => array(
				[maximum depth reached]
			),
			(int) 405 => array(
				[maximum depth reached]
			),
			(int) 406 => array(
				[maximum depth reached]
			),
			(int) 407 => array(
				[maximum depth reached]
			),
			(int) 408 => array(
				[maximum depth reached]
			),
			(int) 409 => array(
				[maximum depth reached]
			),
			(int) 410 => array(
				[maximum depth reached]
			),
			(int) 411 => array(
				[maximum depth reached]
			),
			(int) 412 => array(
				[maximum depth reached]
			),
			(int) 413 => array(
				[maximum depth reached]
			),
			(int) 414 => array(
				[maximum depth reached]
			),
			(int) 415 => array(
				[maximum depth reached]
			),
			(int) 416 => array(
				[maximum depth reached]
			),
			(int) 417 => array(
				[maximum depth reached]
			),
			(int) 418 => array(
				[maximum depth reached]
			),
			(int) 419 => array(
				[maximum depth reached]
			),
			(int) 420 => array(
				[maximum depth reached]
			),
			(int) 421 => array(
				[maximum depth reached]
			),
			(int) 422 => array(
				[maximum depth reached]
			),
			(int) 423 => array(
				[maximum depth reached]
			),
			(int) 424 => array(
				[maximum depth reached]
			),
			(int) 425 => array(
				[maximum depth reached]
			),
			(int) 426 => array(
				[maximum depth reached]
			),
			(int) 427 => array(
				[maximum depth reached]
			),
			(int) 428 => array(
				[maximum depth reached]
			),
			(int) 429 => array(
				[maximum depth reached]
			),
			(int) 430 => array(
				[maximum depth reached]
			),
			(int) 431 => array(
				[maximum depth reached]
			),
			(int) 432 => array(
				[maximum depth reached]
			),
			(int) 433 => array(
				[maximum depth reached]
			),
			(int) 434 => array(
				[maximum depth reached]
			),
			(int) 435 => array(
				[maximum depth reached]
			),
			(int) 436 => array(
				[maximum depth reached]
			),
			(int) 437 => array(
				[maximum depth reached]
			),
			(int) 438 => array(
				[maximum depth reached]
			),
			(int) 439 => array(
				[maximum depth reached]
			),
			(int) 440 => array(
				[maximum depth reached]
			),
			(int) 441 => array(
				[maximum depth reached]
			),
			(int) 442 => array(
				[maximum depth reached]
			),
			(int) 443 => array(
				[maximum depth reached]
			),
			(int) 444 => array(
				[maximum depth reached]
			),
			(int) 445 => array(
				[maximum depth reached]
			),
			(int) 446 => array(
				[maximum depth reached]
			),
			(int) 447 => array(
				[maximum depth reached]
			),
			(int) 448 => array(
				[maximum depth reached]
			),
			(int) 449 => array(
				[maximum depth reached]
			),
			(int) 450 => array(
				[maximum depth reached]
			),
			(int) 451 => array(
				[maximum depth reached]
			),
			(int) 452 => array(
				[maximum depth reached]
			),
			(int) 453 => array(
				[maximum depth reached]
			),
			(int) 454 => array(
				[maximum depth reached]
			),
			(int) 455 => array(
				[maximum depth reached]
			),
			(int) 456 => array(
				[maximum depth reached]
			),
			(int) 457 => array(
				[maximum depth reached]
			),
			(int) 458 => array(
				[maximum depth reached]
			),
			(int) 459 => array(
				[maximum depth reached]
			),
			(int) 460 => array(
				[maximum depth reached]
			),
			(int) 461 => array(
				[maximum depth reached]
			),
			(int) 462 => array(
				[maximum depth reached]
			),
			(int) 463 => array(
				[maximum depth reached]
			),
			(int) 464 => array(
				[maximum depth reached]
			),
			(int) 465 => array(
				[maximum depth reached]
			),
			(int) 466 => array(
				[maximum depth reached]
			),
			(int) 467 => array(
				[maximum depth reached]
			),
			(int) 468 => array(
				[maximum depth reached]
			),
			(int) 469 => array(
				[maximum depth reached]
			),
			(int) 470 => array(
				[maximum depth reached]
			),
			(int) 471 => array(
				[maximum depth reached]
			),
			(int) 472 => array(
				[maximum depth reached]
			),
			(int) 473 => array(
				[maximum depth reached]
			),
			(int) 474 => array(
				[maximum depth reached]
			),
			(int) 475 => array(
				[maximum depth reached]
			),
			(int) 476 => array(
				[maximum depth reached]
			),
			(int) 477 => array(
				[maximum depth reached]
			),
			(int) 478 => array(
				[maximum depth reached]
			),
			(int) 479 => array(
				[maximum depth reached]
			),
			(int) 480 => array(
				[maximum depth reached]
			),
			(int) 481 => array(
				[maximum depth reached]
			),
			(int) 482 => array(
				[maximum depth reached]
			),
			(int) 483 => array(
				[maximum depth reached]
			),
			(int) 484 => array(
				[maximum depth reached]
			),
			(int) 485 => array(
				[maximum depth reached]
			),
			(int) 486 => array(
				[maximum depth reached]
			),
			(int) 487 => array(
				[maximum depth reached]
			),
			(int) 488 => array(
				[maximum depth reached]
			),
			(int) 489 => array(
				[maximum depth reached]
			),
			(int) 490 => array(
				[maximum depth reached]
			),
			(int) 491 => array(
				[maximum depth reached]
			),
			(int) 492 => array(
				[maximum depth reached]
			),
			(int) 493 => array(
				[maximum depth reached]
			),
			(int) 494 => array(
				[maximum depth reached]
			),
			(int) 495 => array(
				[maximum depth reached]
			),
			(int) 496 => array(
				[maximum depth reached]
			),
			(int) 497 => array(
				[maximum depth reached]
			),
			(int) 498 => array(
				[maximum depth reached]
			),
			(int) 499 => array(
				[maximum depth reached]
			),
			(int) 500 => array(
				[maximum depth reached]
			),
			(int) 501 => array(
				[maximum depth reached]
			),
			(int) 502 => array(
				[maximum depth reached]
			),
			(int) 503 => array(
				[maximum depth reached]
			),
			(int) 504 => array(
				[maximum depth reached]
			),
			(int) 505 => array(
				[maximum depth reached]
			),
			(int) 506 => array(
				[maximum depth reached]
			),
			(int) 507 => array(
				[maximum depth reached]
			),
			(int) 508 => array(
				[maximum depth reached]
			),
			(int) 509 => array(
				[maximum depth reached]
			),
			(int) 510 => array(
				[maximum depth reached]
			),
			(int) 511 => array(
				[maximum depth reached]
			),
			(int) 512 => array(
				[maximum depth reached]
			),
			(int) 513 => array(
				[maximum depth reached]
			),
			(int) 514 => array(
				[maximum depth reached]
			),
			(int) 515 => array(
				[maximum depth reached]
			),
			(int) 516 => array(
				[maximum depth reached]
			),
			(int) 517 => array(
				[maximum depth reached]
			),
			(int) 518 => array(
				[maximum depth reached]
			),
			(int) 519 => array(
				[maximum depth reached]
			),
			(int) 520 => array(
				[maximum depth reached]
			),
			(int) 521 => array(
				[maximum depth reached]
			),
			(int) 522 => array(
				[maximum depth reached]
			),
			(int) 523 => array(
				[maximum depth reached]
			),
			(int) 524 => array(
				[maximum depth reached]
			),
			(int) 525 => array(
				[maximum depth reached]
			),
			(int) 526 => array(
				[maximum depth reached]
			),
			(int) 527 => array(
				[maximum depth reached]
			),
			(int) 528 => array(
				[maximum depth reached]
			),
			(int) 529 => array(
				[maximum depth reached]
			),
			(int) 530 => array(
				[maximum depth reached]
			),
			(int) 531 => array(
				[maximum depth reached]
			),
			(int) 532 => array(
				[maximum depth reached]
			),
			(int) 533 => array(
				[maximum depth reached]
			),
			(int) 534 => array(
				[maximum depth reached]
			),
			(int) 535 => array(
				[maximum depth reached]
			),
			(int) 536 => array(
				[maximum depth reached]
			),
			(int) 537 => array(
				[maximum depth reached]
			),
			(int) 538 => array(
				[maximum depth reached]
			),
			(int) 539 => array(
				[maximum depth reached]
			),
			(int) 540 => array(
				[maximum depth reached]
			),
			(int) 541 => array(
				[maximum depth reached]
			),
			(int) 542 => array(
				[maximum depth reached]
			),
			(int) 543 => array(
				[maximum depth reached]
			),
			(int) 544 => array(
				[maximum depth reached]
			),
			(int) 545 => array(
				[maximum depth reached]
			),
			(int) 546 => array(
				[maximum depth reached]
			),
			(int) 547 => array(
				[maximum depth reached]
			),
			(int) 548 => array(
				[maximum depth reached]
			),
			(int) 549 => array(
				[maximum depth reached]
			),
			(int) 550 => array(
				[maximum depth reached]
			),
			(int) 551 => array(
				[maximum depth reached]
			),
			(int) 552 => array(
				[maximum depth reached]
			),
			(int) 553 => array(
				[maximum depth reached]
			),
			(int) 554 => array(
				[maximum depth reached]
			),
			(int) 555 => array(
				[maximum depth reached]
			),
			(int) 556 => array(
				[maximum depth reached]
			),
			(int) 557 => array(
				[maximum depth reached]
			),
			(int) 558 => array(
				[maximum depth reached]
			),
			(int) 559 => array(
				[maximum depth reached]
			),
			(int) 560 => array(
				[maximum depth reached]
			),
			(int) 561 => array(
				[maximum depth reached]
			),
			(int) 562 => array(
				[maximum depth reached]
			),
			(int) 563 => array(
				[maximum depth reached]
			),
			(int) 564 => array(
				[maximum depth reached]
			),
			(int) 565 => array(
				[maximum depth reached]
			),
			(int) 566 => array(
				[maximum depth reached]
			),
			(int) 567 => array(
				[maximum depth reached]
			),
			(int) 568 => array(
				[maximum depth reached]
			),
			(int) 569 => array(
				[maximum depth reached]
			),
			(int) 570 => array(
				[maximum depth reached]
			),
			(int) 571 => array(
				[maximum depth reached]
			),
			(int) 572 => array(
				[maximum depth reached]
			),
			(int) 573 => array(
				[maximum depth reached]
			),
			(int) 574 => array(
				[maximum depth reached]
			),
			(int) 575 => array(
				[maximum depth reached]
			),
			(int) 576 => array(
				[maximum depth reached]
			),
			(int) 577 => array(
				[maximum depth reached]
			),
			(int) 578 => array(
				[maximum depth reached]
			),
			(int) 579 => array(
				[maximum depth reached]
			),
			(int) 580 => array(
				[maximum depth reached]
			),
			(int) 581 => array(
				[maximum depth reached]
			),
			(int) 582 => array(
				[maximum depth reached]
			),
			(int) 583 => array(
				[maximum depth reached]
			),
			(int) 584 => array(
				[maximum depth reached]
			),
			(int) 585 => array(
				[maximum depth reached]
			),
			(int) 586 => array(
				[maximum depth reached]
			),
			(int) 587 => array(
				[maximum depth reached]
			),
			(int) 588 => array(
				[maximum depth reached]
			),
			(int) 589 => array(
				[maximum depth reached]
			),
			(int) 590 => array(
				[maximum depth reached]
			),
			(int) 591 => array(
				[maximum depth reached]
			),
			(int) 592 => array(
				[maximum depth reached]
			),
			(int) 593 => array(
				[maximum depth reached]
			),
			(int) 594 => array(
				[maximum depth reached]
			),
			(int) 595 => array(
				[maximum depth reached]
			),
			(int) 596 => array(
				[maximum depth reached]
			),
			(int) 597 => array(
				[maximum depth reached]
			),
			(int) 598 => array(
				[maximum depth reached]
			),
			(int) 599 => array(
				[maximum depth reached]
			),
			(int) 600 => array(
				[maximum depth reached]
			),
			(int) 601 => array(
				[maximum depth reached]
			),
			(int) 602 => array(
				[maximum depth reached]
			),
			(int) 603 => array(
				[maximum depth reached]
			),
			(int) 604 => array(
				[maximum depth reached]
			),
			(int) 605 => array(
				[maximum depth reached]
			),
			(int) 606 => array(
				[maximum depth reached]
			),
			(int) 607 => array(
				[maximum depth reached]
			),
			(int) 608 => array(
				[maximum depth reached]
			),
			(int) 609 => array(
				[maximum depth reached]
			),
			(int) 610 => array(
				[maximum depth reached]
			),
			(int) 611 => array(
				[maximum depth reached]
			),
			(int) 612 => array(
				[maximum depth reached]
			),
			(int) 613 => array(
				[maximum depth reached]
			),
			(int) 614 => array(
				[maximum depth reached]
			),
			(int) 615 => array(
				[maximum depth reached]
			),
			(int) 616 => array(
				[maximum depth reached]
			),
			(int) 617 => array(
				[maximum depth reached]
			),
			(int) 618 => array(
				[maximum depth reached]
			),
			(int) 619 => array(
				[maximum depth reached]
			),
			(int) 620 => array(
				[maximum depth reached]
			),
			(int) 621 => array(
				[maximum depth reached]
			),
			(int) 622 => array(
				[maximum depth reached]
			),
			(int) 623 => array(
				[maximum depth reached]
			),
			(int) 624 => array(
				[maximum depth reached]
			),
			(int) 625 => array(
				[maximum depth reached]
			),
			(int) 626 => array(
				[maximum depth reached]
			),
			(int) 627 => array(
				[maximum depth reached]
			),
			(int) 628 => array(
				[maximum depth reached]
			),
			(int) 629 => array(
				[maximum depth reached]
			),
			(int) 630 => array(
				[maximum depth reached]
			),
			(int) 631 => array(
				[maximum depth reached]
			),
			(int) 632 => array(
				[maximum depth reached]
			),
			(int) 633 => array(
				[maximum depth reached]
			),
			(int) 634 => array(
				[maximum depth reached]
			),
			(int) 635 => array(
				[maximum depth reached]
			),
			(int) 636 => array(
				[maximum depth reached]
			),
			(int) 637 => array(
				[maximum depth reached]
			),
			(int) 638 => array(
				[maximum depth reached]
			),
			(int) 639 => array(
				[maximum depth reached]
			),
			(int) 640 => array(
				[maximum depth reached]
			),
			(int) 641 => array(
				[maximum depth reached]
			),
			(int) 642 => array(
				[maximum depth reached]
			),
			(int) 643 => array(
				[maximum depth reached]
			),
			(int) 644 => array(
				[maximum depth reached]
			),
			(int) 645 => array(
				[maximum depth reached]
			),
			(int) 646 => array(
				[maximum depth reached]
			),
			(int) 647 => array(
				[maximum depth reached]
			),
			(int) 648 => array(
				[maximum depth reached]
			),
			(int) 649 => array(
				[maximum depth reached]
			),
			(int) 650 => array(
				[maximum depth reached]
			),
			(int) 651 => array(
				[maximum depth reached]
			),
			(int) 652 => array(
				[maximum depth reached]
			),
			(int) 653 => array(
				[maximum depth reached]
			),
			(int) 654 => array(
				[maximum depth reached]
			),
			(int) 655 => array(
				[maximum depth reached]
			),
			(int) 656 => array(
				[maximum depth reached]
			),
			(int) 657 => array(
				[maximum depth reached]
			),
			(int) 658 => array(
				[maximum depth reached]
			),
			(int) 659 => array(
				[maximum depth reached]
			),
			(int) 660 => array(
				[maximum depth reached]
			),
			(int) 661 => array(
				[maximum depth reached]
			),
			(int) 662 => array(
				[maximum depth reached]
			),
			(int) 663 => array(
				[maximum depth reached]
			),
			(int) 664 => array(
				[maximum depth reached]
			),
			(int) 665 => array(
				[maximum depth reached]
			),
			(int) 666 => array(
				[maximum depth reached]
			),
			(int) 667 => array(
				[maximum depth reached]
			),
			(int) 668 => array(
				[maximum depth reached]
			),
			(int) 669 => array(
				[maximum depth reached]
			),
			(int) 670 => array(
				[maximum depth reached]
			),
			(int) 671 => array(
				[maximum depth reached]
			),
			(int) 672 => array(
				[maximum depth reached]
			),
			(int) 673 => array(
				[maximum depth reached]
			),
			(int) 674 => array(
				[maximum depth reached]
			),
			(int) 675 => array(
				[maximum depth reached]
			),
			(int) 676 => array(
				[maximum depth reached]
			),
			(int) 677 => array(
				[maximum depth reached]
			),
			(int) 678 => array(
				[maximum depth reached]
			),
			(int) 679 => array(
				[maximum depth reached]
			),
			(int) 680 => array(
				[maximum depth reached]
			),
			(int) 681 => array(
				[maximum depth reached]
			),
			(int) 682 => array(
				[maximum depth reached]
			),
			(int) 683 => array(
				[maximum depth reached]
			),
			(int) 684 => array(
				[maximum depth reached]
			),
			(int) 685 => array(
				[maximum depth reached]
			),
			(int) 686 => array(
				[maximum depth reached]
			),
			(int) 687 => array(
				[maximum depth reached]
			),
			(int) 688 => array(
				[maximum depth reached]
			),
			(int) 689 => array(
				[maximum depth reached]
			),
			(int) 690 => array(
				[maximum depth reached]
			),
			(int) 691 => array(
				[maximum depth reached]
			),
			(int) 692 => array(
				[maximum depth reached]
			),
			(int) 693 => array(
				[maximum depth reached]
			),
			(int) 694 => array(
				[maximum depth reached]
			),
			(int) 695 => array(
				[maximum depth reached]
			),
			(int) 696 => array(
				[maximum depth reached]
			),
			(int) 697 => array(
				[maximum depth reached]
			),
			(int) 698 => array(
				[maximum depth reached]
			),
			(int) 699 => array(
				[maximum depth reached]
			),
			(int) 700 => array(
				[maximum depth reached]
			),
			(int) 701 => array(
				[maximum depth reached]
			),
			(int) 702 => array(
				[maximum depth reached]
			),
			(int) 703 => array(
				[maximum depth reached]
			),
			(int) 704 => array(
				[maximum depth reached]
			),
			(int) 705 => array(
				[maximum depth reached]
			),
			(int) 706 => array(
				[maximum depth reached]
			),
			(int) 707 => array(
				[maximum depth reached]
			),
			(int) 708 => array(
				[maximum depth reached]
			),
			(int) 709 => array(
				[maximum depth reached]
			),
			(int) 710 => array(
				[maximum depth reached]
			),
			(int) 711 => array(
				[maximum depth reached]
			),
			(int) 712 => array(
				[maximum depth reached]
			),
			(int) 713 => array(
				[maximum depth reached]
			),
			(int) 714 => array(
				[maximum depth reached]
			),
			(int) 715 => array(
				[maximum depth reached]
			),
			(int) 716 => array(
				[maximum depth reached]
			),
			(int) 717 => array(
				[maximum depth reached]
			),
			(int) 718 => array(
				[maximum depth reached]
			),
			(int) 719 => array(
				[maximum depth reached]
			),
			(int) 720 => array(
				[maximum depth reached]
			),
			(int) 721 => array(
				[maximum depth reached]
			),
			(int) 722 => array(
				[maximum depth reached]
			),
			(int) 723 => array(
				[maximum depth reached]
			),
			(int) 724 => array(
				[maximum depth reached]
			),
			(int) 725 => array(
				[maximum depth reached]
			),
			(int) 726 => array(
				[maximum depth reached]
			),
			(int) 727 => array(
				[maximum depth reached]
			),
			(int) 728 => array(
				[maximum depth reached]
			),
			(int) 729 => array(
				[maximum depth reached]
			),
			(int) 730 => array(
				[maximum depth reached]
			),
			(int) 731 => array(
				[maximum depth reached]
			),
			(int) 732 => array(
				[maximum depth reached]
			),
			(int) 733 => array(
				[maximum depth reached]
			),
			(int) 734 => array(
				[maximum depth reached]
			),
			(int) 735 => array(
				[maximum depth reached]
			),
			(int) 736 => array(
				[maximum depth reached]
			),
			(int) 737 => array(
				[maximum depth reached]
			),
			(int) 738 => array(
				[maximum depth reached]
			),
			(int) 739 => array(
				[maximum depth reached]
			),
			(int) 740 => array(
				[maximum depth reached]
			),
			(int) 741 => array(
				[maximum depth reached]
			),
			(int) 742 => array(
				[maximum depth reached]
			),
			(int) 743 => array(
				[maximum depth reached]
			),
			(int) 744 => array(
				[maximum depth reached]
			),
			(int) 745 => array(
				[maximum depth reached]
			),
			(int) 746 => array(
				[maximum depth reached]
			),
			(int) 747 => array(
				[maximum depth reached]
			),
			(int) 748 => array(
				[maximum depth reached]
			),
			(int) 749 => array(
				[maximum depth reached]
			),
			(int) 750 => array(
				[maximum depth reached]
			),
			(int) 751 => array(
				[maximum depth reached]
			),
			(int) 752 => array(
				[maximum depth reached]
			),
			(int) 753 => array(
				[maximum depth reached]
			),
			(int) 754 => array(
				[maximum depth reached]
			),
			(int) 755 => array(
				[maximum depth reached]
			),
			(int) 756 => array(
				[maximum depth reached]
			),
			(int) 757 => array(
				[maximum depth reached]
			),
			(int) 758 => array(
				[maximum depth reached]
			),
			(int) 759 => array(
				[maximum depth reached]
			),
			(int) 760 => array(
				[maximum depth reached]
			),
			(int) 761 => array(
				[maximum depth reached]
			),
			(int) 762 => array(
				[maximum depth reached]
			),
			(int) 763 => array(
				[maximum depth reached]
			),
			(int) 764 => array(
				[maximum depth reached]
			),
			(int) 765 => array(
				[maximum depth reached]
			),
			(int) 766 => array(
				[maximum depth reached]
			),
			(int) 767 => array(
				[maximum depth reached]
			),
			(int) 768 => array(
				[maximum depth reached]
			),
			(int) 769 => array(
				[maximum depth reached]
			),
			(int) 770 => array(
				[maximum depth reached]
			),
			(int) 771 => array(
				[maximum depth reached]
			),
			(int) 772 => array(
				[maximum depth reached]
			),
			(int) 773 => array(
				[maximum depth reached]
			),
			(int) 774 => array(
				[maximum depth reached]
			),
			(int) 775 => array(
				[maximum depth reached]
			),
			(int) 776 => array(
				[maximum depth reached]
			),
			(int) 777 => array(
				[maximum depth reached]
			),
			(int) 778 => array(
				[maximum depth reached]
			),
			(int) 779 => array(
				[maximum depth reached]
			),
			(int) 780 => array(
				[maximum depth reached]
			),
			(int) 781 => array(
				[maximum depth reached]
			),
			(int) 782 => array(
				[maximum depth reached]
			),
			(int) 783 => array(
				[maximum depth reached]
			),
			(int) 784 => array(
				[maximum depth reached]
			),
			(int) 785 => array(
				[maximum depth reached]
			),
			(int) 786 => array(
				[maximum depth reached]
			),
			(int) 787 => array(
				[maximum depth reached]
			),
			(int) 788 => array(
				[maximum depth reached]
			),
			(int) 789 => array(
				[maximum depth reached]
			),
			(int) 790 => array(
				[maximum depth reached]
			),
			(int) 791 => array(
				[maximum depth reached]
			),
			(int) 792 => array(
				[maximum depth reached]
			),
			(int) 793 => array(
				[maximum depth reached]
			),
			(int) 794 => array(
				[maximum depth reached]
			),
			(int) 795 => array(
				[maximum depth reached]
			),
			(int) 796 => array(
				[maximum depth reached]
			),
			(int) 797 => array(
				[maximum depth reached]
			),
			(int) 798 => array(
				[maximum depth reached]
			),
			(int) 799 => array(
				[maximum depth reached]
			),
			(int) 800 => array(
				[maximum depth reached]
			),
			(int) 801 => array(
				[maximum depth reached]
			),
			(int) 802 => array(
				[maximum depth reached]
			),
			(int) 803 => array(
				[maximum depth reached]
			),
			(int) 804 => array(
				[maximum depth reached]
			),
			(int) 805 => array(
				[maximum depth reached]
			),
			(int) 806 => array(
				[maximum depth reached]
			),
			(int) 807 => array(
				[maximum depth reached]
			),
			(int) 808 => array(
				[maximum depth reached]
			),
			(int) 809 => array(
				[maximum depth reached]
			),
			(int) 810 => array(
				[maximum depth reached]
			),
			(int) 811 => array(
				[maximum depth reached]
			),
			(int) 812 => array(
				[maximum depth reached]
			),
			(int) 813 => array(
				[maximum depth reached]
			),
			(int) 814 => array(
				[maximum depth reached]
			),
			(int) 815 => array(
				[maximum depth reached]
			),
			(int) 816 => array(
				[maximum depth reached]
			),
			(int) 817 => array(
				[maximum depth reached]
			),
			(int) 818 => array(
				[maximum depth reached]
			),
			(int) 819 => array(
				[maximum depth reached]
			),
			(int) 820 => array(
				[maximum depth reached]
			),
			(int) 821 => array(
				[maximum depth reached]
			),
			(int) 822 => array(
				[maximum depth reached]
			),
			(int) 823 => array(
				[maximum depth reached]
			),
			(int) 824 => array(
				[maximum depth reached]
			),
			(int) 825 => array(
				[maximum depth reached]
			),
			(int) 826 => array(
				[maximum depth reached]
			),
			(int) 827 => array(
				[maximum depth reached]
			),
			(int) 828 => array(
				[maximum depth reached]
			),
			(int) 829 => array(
				[maximum depth reached]
			),
			(int) 830 => array(
				[maximum depth reached]
			),
			(int) 831 => array(
				[maximum depth reached]
			),
			(int) 832 => array(
				[maximum depth reached]
			),
			(int) 833 => array(
				[maximum depth reached]
			),
			(int) 834 => array(
				[maximum depth reached]
			),
			(int) 835 => array(
				[maximum depth reached]
			),
			(int) 836 => array(
				[maximum depth reached]
			),
			(int) 837 => array(
				[maximum depth reached]
			),
			(int) 838 => array(
				[maximum depth reached]
			),
			(int) 839 => array(
				[maximum depth reached]
			),
			(int) 840 => array(
				[maximum depth reached]
			),
			(int) 841 => array(
				[maximum depth reached]
			),
			(int) 842 => array(
				[maximum depth reached]
			),
			(int) 843 => array(
				[maximum depth reached]
			),
			(int) 844 => array(
				[maximum depth reached]
			),
			(int) 845 => array(
				[maximum depth reached]
			),
			(int) 846 => array(
				[maximum depth reached]
			),
			(int) 847 => array(
				[maximum depth reached]
			),
			(int) 848 => array(
				[maximum depth reached]
			),
			(int) 849 => array(
				[maximum depth reached]
			),
			(int) 850 => array(
				[maximum depth reached]
			),
			(int) 851 => array(
				[maximum depth reached]
			),
			(int) 852 => array(
				[maximum depth reached]
			),
			(int) 853 => array(
				[maximum depth reached]
			),
			(int) 854 => array(
				[maximum depth reached]
			),
			(int) 855 => array(
				[maximum depth reached]
			),
			(int) 856 => array(
				[maximum depth reached]
			),
			(int) 857 => array(
				[maximum depth reached]
			),
			(int) 858 => array(
				[maximum depth reached]
			),
			(int) 859 => array(
				[maximum depth reached]
			),
			(int) 860 => array(
				[maximum depth reached]
			),
			(int) 861 => array(
				[maximum depth reached]
			),
			(int) 862 => array(
				[maximum depth reached]
			),
			(int) 863 => array(
				[maximum depth reached]
			),
			(int) 864 => array(
				[maximum depth reached]
			),
			(int) 865 => array(
				[maximum depth reached]
			),
			(int) 866 => array(
				[maximum depth reached]
			),
			(int) 867 => array(
				[maximum depth reached]
			),
			(int) 868 => array(
				[maximum depth reached]
			),
			(int) 869 => array(
				[maximum depth reached]
			),
			(int) 870 => array(
				[maximum depth reached]
			),
			(int) 871 => array(
				[maximum depth reached]
			),
			(int) 872 => array(
				[maximum depth reached]
			),
			(int) 873 => array(
				[maximum depth reached]
			),
			(int) 874 => array(
				[maximum depth reached]
			),
			(int) 875 => array(
				[maximum depth reached]
			),
			(int) 876 => array(
				[maximum depth reached]
			),
			(int) 877 => array(
				[maximum depth reached]
			),
			(int) 878 => array(
				[maximum depth reached]
			),
			(int) 879 => array(
				[maximum depth reached]
			),
			(int) 880 => array(
				[maximum depth reached]
			),
			(int) 881 => array(
				[maximum depth reached]
			),
			(int) 882 => array(
				[maximum depth reached]
			),
			(int) 883 => array(
				[maximum depth reached]
			),
			(int) 884 => array(
				[maximum depth reached]
			),
			(int) 885 => array(
				[maximum depth reached]
			),
			(int) 886 => array(
				[maximum depth reached]
			),
			(int) 887 => array(
				[maximum depth reached]
			),
			(int) 888 => array(
				[maximum depth reached]
			),
			(int) 889 => array(
				[maximum depth reached]
			),
			(int) 890 => array(
				[maximum depth reached]
			),
			(int) 891 => array(
				[maximum depth reached]
			),
			(int) 892 => array(
				[maximum depth reached]
			),
			(int) 893 => array(
				[maximum depth reached]
			),
			(int) 894 => array(
				[maximum depth reached]
			),
			(int) 895 => array(
				[maximum depth reached]
			),
			(int) 896 => array(
				[maximum depth reached]
			),
			(int) 897 => array(
				[maximum depth reached]
			),
			(int) 898 => array(
				[maximum depth reached]
			),
			(int) 899 => array(
				[maximum depth reached]
			),
			(int) 900 => array(
				[maximum depth reached]
			),
			(int) 901 => array(
				[maximum depth reached]
			),
			(int) 902 => array(
				[maximum depth reached]
			),
			(int) 903 => array(
				[maximum depth reached]
			),
			(int) 904 => array(
				[maximum depth reached]
			),
			(int) 905 => array(
				[maximum depth reached]
			),
			(int) 906 => array(
				[maximum depth reached]
			),
			(int) 907 => array(
				[maximum depth reached]
			),
			(int) 908 => array(
				[maximum depth reached]
			),
			(int) 909 => array(
				[maximum depth reached]
			),
			(int) 910 => array(
				[maximum depth reached]
			),
			(int) 911 => array(
				[maximum depth reached]
			),
			(int) 912 => array(
				[maximum depth reached]
			),
			(int) 913 => array(
				[maximum depth reached]
			),
			(int) 914 => array(
				[maximum depth reached]
			),
			(int) 915 => array(
				[maximum depth reached]
			),
			(int) 916 => array(
				[maximum depth reached]
			),
			(int) 917 => array(
				[maximum depth reached]
			),
			(int) 918 => array(
				[maximum depth reached]
			),
			(int) 919 => array(
				[maximum depth reached]
			),
			(int) 920 => array(
				[maximum depth reached]
			),
			(int) 921 => array(
				[maximum depth reached]
			),
			(int) 922 => array(
				[maximum depth reached]
			),
			(int) 923 => array(
				[maximum depth reached]
			),
			(int) 924 => array(
				[maximum depth reached]
			),
			(int) 925 => array(
				[maximum depth reached]
			),
			(int) 926 => array(
				[maximum depth reached]
			),
			(int) 927 => array(
				[maximum depth reached]
			),
			(int) 928 => array(
				[maximum depth reached]
			),
			(int) 929 => array(
				[maximum depth reached]
			),
			(int) 930 => array(
				[maximum depth reached]
			),
			(int) 931 => array(
				[maximum depth reached]
			),
			(int) 932 => array(
				[maximum depth reached]
			),
			(int) 933 => array(
				[maximum depth reached]
			),
			(int) 934 => array(
				[maximum depth reached]
			),
			(int) 935 => array(
				[maximum depth reached]
			),
			(int) 936 => array(
				[maximum depth reached]
			),
			(int) 937 => array(
				[maximum depth reached]
			),
			(int) 938 => array(
				[maximum depth reached]
			),
			(int) 939 => array(
				[maximum depth reached]
			),
			(int) 940 => array(
				[maximum depth reached]
			),
			(int) 941 => array(
				[maximum depth reached]
			),
			(int) 942 => array(
				[maximum depth reached]
			),
			(int) 943 => array(
				[maximum depth reached]
			),
			(int) 944 => array(
				[maximum depth reached]
			),
			(int) 945 => array(
				[maximum depth reached]
			),
			(int) 946 => array(
				[maximum depth reached]
			),
			(int) 947 => array(
				[maximum depth reached]
			),
			(int) 948 => array(
				[maximum depth reached]
			),
			(int) 949 => array(
				[maximum depth reached]
			),
			(int) 950 => array(
				[maximum depth reached]
			),
			(int) 951 => array(
				[maximum depth reached]
			),
			(int) 952 => array(
				[maximum depth reached]
			),
			(int) 953 => array(
				[maximum depth reached]
			),
			(int) 954 => array(
				[maximum depth reached]
			),
			(int) 955 => array(
				[maximum depth reached]
			),
			(int) 956 => array(
				[maximum depth reached]
			),
			(int) 957 => array(
				[maximum depth reached]
			),
			(int) 958 => array(
				[maximum depth reached]
			),
			(int) 959 => array(
				[maximum depth reached]
			),
			(int) 960 => array(
				[maximum depth reached]
			),
			(int) 961 => array(
				[maximum depth reached]
			),
			(int) 962 => array(
				[maximum depth reached]
			),
			(int) 963 => array(
				[maximum depth reached]
			),
			(int) 964 => array(
				[maximum depth reached]
			),
			(int) 965 => array(
				[maximum depth reached]
			),
			(int) 966 => array(
				[maximum depth reached]
			),
			(int) 967 => array(
				[maximum depth reached]
			),
			(int) 968 => array(
				[maximum depth reached]
			),
			(int) 969 => array(
				[maximum depth reached]
			),
			(int) 970 => array(
				[maximum depth reached]
			),
			(int) 971 => array(
				[maximum depth reached]
			),
			(int) 972 => array(
				[maximum depth reached]
			),
			(int) 973 => array(
				[maximum depth reached]
			),
			(int) 974 => array(
				[maximum depth reached]
			),
			(int) 975 => array(
				[maximum depth reached]
			),
			(int) 976 => array(
				[maximum depth reached]
			),
			(int) 977 => array(
				[maximum depth reached]
			),
			(int) 978 => array(
				[maximum depth reached]
			),
			(int) 979 => array(
				[maximum depth reached]
			),
			(int) 980 => array(
				[maximum depth reached]
			),
			(int) 981 => array(
				[maximum depth reached]
			),
			(int) 982 => array(
				[maximum depth reached]
			),
			(int) 983 => array(
				[maximum depth reached]
			),
			(int) 984 => array(
				[maximum depth reached]
			),
			(int) 985 => array(
				[maximum depth reached]
			),
			(int) 986 => array(
				[maximum depth reached]
			),
			(int) 987 => array(
				[maximum depth reached]
			),
			(int) 988 => array(
				[maximum depth reached]
			),
			(int) 989 => array(
				[maximum depth reached]
			),
			(int) 990 => array(
				[maximum depth reached]
			),
			(int) 991 => array(
				[maximum depth reached]
			),
			(int) 992 => array(
				[maximum depth reached]
			),
			(int) 993 => array(
				[maximum depth reached]
			),
			(int) 994 => array(
				[maximum depth reached]
			),
			(int) 995 => array(
				[maximum depth reached]
			),
			(int) 996 => array(
				[maximum depth reached]
			),
			(int) 997 => array(
				[maximum depth reached]
			),
			(int) 998 => array(
				[maximum depth reached]
			),
			(int) 999 => array(
				[maximum depth reached]
			),
			(int) 1000 => array(
				[maximum depth reached]
			),
			(int) 1001 => array(
				[maximum depth reached]
			),
			(int) 1002 => array(
				[maximum depth reached]
			),
			(int) 1003 => array(
				[maximum depth reached]
			),
			(int) 1004 => array(
				[maximum depth reached]
			),
			(int) 1005 => array(
				[maximum depth reached]
			),
			(int) 1006 => array(
				[maximum depth reached]
			),
			(int) 1007 => array(
				[maximum depth reached]
			),
			(int) 1008 => array(
				[maximum depth reached]
			),
			(int) 1009 => array(
				[maximum depth reached]
			),
			(int) 1010 => array(
				[maximum depth reached]
			),
			(int) 1011 => array(
				[maximum depth reached]
			),
			(int) 1012 => array(
				[maximum depth reached]
			),
			(int) 1013 => array(
				[maximum depth reached]
			),
			(int) 1014 => array(
				[maximum depth reached]
			),
			(int) 1015 => array(
				[maximum depth reached]
			),
			(int) 1016 => array(
				[maximum depth reached]
			),
			(int) 1017 => array(
				[maximum depth reached]
			),
			(int) 1018 => array(
				[maximum depth reached]
			),
			(int) 1019 => array(
				[maximum depth reached]
			),
			(int) 1020 => array(
				[maximum depth reached]
			),
			(int) 1021 => array(
				[maximum depth reached]
			),
			(int) 1022 => array(
				[maximum depth reached]
			),
			(int) 1023 => array(
				[maximum depth reached]
			),
			(int) 1024 => array(
				[maximum depth reached]
			),
			(int) 1025 => array(
				[maximum depth reached]
			),
			(int) 1026 => array(
				[maximum depth reached]
			),
			(int) 1027 => array(
				[maximum depth reached]
			),
			(int) 1028 => array(
				[maximum depth reached]
			),
			(int) 1029 => array(
				[maximum depth reached]
			),
			(int) 1030 => array(
				[maximum depth reached]
			),
			(int) 1031 => array(
				[maximum depth reached]
			),
			(int) 1032 => array(
				[maximum depth reached]
			),
			(int) 1033 => array(
				[maximum depth reached]
			),
			(int) 1034 => array(
				[maximum depth reached]
			),
			(int) 1035 => array(
				[maximum depth reached]
			),
			(int) 1036 => array(
				[maximum depth reached]
			),
			(int) 1037 => array(
				[maximum depth reached]
			),
			(int) 1038 => array(
				[maximum depth reached]
			),
			(int) 1039 => array(
				[maximum depth reached]
			),
			(int) 1040 => array(
				[maximum depth reached]
			),
			(int) 1041 => array(
				[maximum depth reached]
			),
			(int) 1042 => array(
				[maximum depth reached]
			),
			(int) 1043 => array(
				[maximum depth reached]
			),
			(int) 1044 => array(
				[maximum depth reached]
			),
			(int) 1045 => array(
				[maximum depth reached]
			),
			(int) 1046 => array(
				[maximum depth reached]
			),
			(int) 1047 => array(
				[maximum depth reached]
			),
			(int) 1048 => array(
				[maximum depth reached]
			),
			(int) 1049 => array(
				[maximum depth reached]
			),
			(int) 1050 => array(
				[maximum depth reached]
			),
			(int) 1051 => array(
				[maximum depth reached]
			),
			(int) 1052 => array(
				[maximum depth reached]
			),
			(int) 1053 => array(
				[maximum depth reached]
			),
			(int) 1054 => array(
				[maximum depth reached]
			),
			(int) 1055 => array(
				[maximum depth reached]
			),
			(int) 1056 => array(
				[maximum depth reached]
			),
			(int) 1057 => array(
				[maximum depth reached]
			),
			(int) 1058 => array(
				[maximum depth reached]
			),
			(int) 1059 => array(
				[maximum depth reached]
			),
			(int) 1060 => array(
				[maximum depth reached]
			),
			(int) 1061 => array(
				[maximum depth reached]
			),
			(int) 1062 => array(
				[maximum depth reached]
			),
			(int) 1063 => array(
				[maximum depth reached]
			),
			(int) 1064 => array(
				[maximum depth reached]
			),
			(int) 1065 => array(
				[maximum depth reached]
			),
			(int) 1066 => array(
				[maximum depth reached]
			),
			(int) 1067 => array(
				[maximum depth reached]
			),
			(int) 1068 => array(
				[maximum depth reached]
			),
			(int) 1069 => array(
				[maximum depth reached]
			),
			(int) 1070 => array(
				[maximum depth reached]
			),
			(int) 1071 => array(
				[maximum depth reached]
			),
			(int) 1072 => array(
				[maximum depth reached]
			),
			(int) 1073 => array(
				[maximum depth reached]
			),
			(int) 1074 => array(
				[maximum depth reached]
			),
			(int) 1075 => array(
				[maximum depth reached]
			),
			(int) 1076 => array(
				[maximum depth reached]
			),
			(int) 1077 => array(
				[maximum depth reached]
			),
			(int) 1078 => array(
				[maximum depth reached]
			),
			(int) 1079 => array(
				[maximum depth reached]
			),
			(int) 1080 => array(
				[maximum depth reached]
			),
			(int) 1081 => array(
				[maximum depth reached]
			),
			(int) 1082 => array(
				[maximum depth reached]
			),
			(int) 1083 => array(
				[maximum depth reached]
			),
			(int) 1084 => array(
				[maximum depth reached]
			),
			(int) 1085 => array(
				[maximum depth reached]
			),
			(int) 1086 => array(
				[maximum depth reached]
			),
			(int) 1087 => array(
				[maximum depth reached]
			),
			(int) 1088 => array(
				[maximum depth reached]
			),
			(int) 1089 => array(
				[maximum depth reached]
			),
			(int) 1090 => array(
				[maximum depth reached]
			),
			(int) 1091 => array(
				[maximum depth reached]
			),
			(int) 1092 => array(
				[maximum depth reached]
			),
			(int) 1093 => array(
				[maximum depth reached]
			),
			(int) 1094 => array(
				[maximum depth reached]
			),
			(int) 1095 => array(
				[maximum depth reached]
			),
			(int) 1096 => array(
				[maximum depth reached]
			),
			(int) 1097 => array(
				[maximum depth reached]
			),
			(int) 1098 => array(
				[maximum depth reached]
			),
			(int) 1099 => array(
				[maximum depth reached]
			),
			(int) 1100 => array(
				[maximum depth reached]
			),
			(int) 1101 => array(
				[maximum depth reached]
			),
			(int) 1102 => array(
				[maximum depth reached]
			),
			(int) 1103 => array(
				[maximum depth reached]
			),
			(int) 1104 => array(
				[maximum depth reached]
			),
			(int) 1105 => array(
				[maximum depth reached]
			),
			(int) 1106 => array(
				[maximum depth reached]
			),
			(int) 1107 => array(
				[maximum depth reached]
			),
			(int) 1108 => array(
				[maximum depth reached]
			),
			(int) 1109 => array(
				[maximum depth reached]
			),
			(int) 1110 => array(
				[maximum depth reached]
			),
			(int) 1111 => array(
				[maximum depth reached]
			),
			(int) 1112 => array(
				[maximum depth reached]
			),
			(int) 1113 => array(
				[maximum depth reached]
			),
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			'user_id' => '29999',
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			'user_id' => '29999',
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			'created' => '2020-11-03 17:12:02',
			'modified' => '2020-11-03 17:12:02',
			'user_id' => '29999',
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			'modified' => '2020-11-03 17:12:03',
			'user_id' => '29999',
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			'created' => '2020-11-03 17:56:16',
			'modified' => '2020-11-03 17:56:16',
			'user_id' => '35042',
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			'created' => '2020-11-03 20:06:07',
			'modified' => '2020-11-03 20:06:07',
			'user_id' => '29999',
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			'created' => '2020-11-14 14:30:26',
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			'user_id' => '29999',
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			'modified' => '2020-11-15 00:16:02',
			'user_id' => '29999',
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		(int) 809 => array(
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			'modified' => '2020-11-15 09:38:58',
			'user_id' => '29999',
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		(int) 810 => array(
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		(int) 813 => array(
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			'modified' => '2020-11-17 17:08:03',
			'user_id' => '29999',
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			'modified' => '2020-11-17 17:09:49',
			'user_id' => '29999',
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			'modified' => '2020-11-17 17:09:58',
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		(int) 816 => array(
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		(int) 817 => array(
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		(int) 818 => array(
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		(int) 822 => array(
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			'created' => '2020-11-19 07:44:13',
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			'user_id' => '29999',
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			'user_id' => '29999',
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			'created' => '2020-11-23 01:48:42',
			'modified' => '2020-11-23 01:48:42',
			'user_id' => '29999',
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		(int) 845 => array(
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			'created' => '2020-11-23 11:57:04',
			'modified' => '2020-11-23 11:57:04',
			'user_id' => '29999',
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		(int) 846 => array(
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			'created' => '2020-11-23 20:24:59',
			'modified' => '2020-11-23 20:24:59',
			'user_id' => '29999',
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		(int) 847 => array(
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			'created' => '2020-11-24 00:20:23',
			'modified' => '2020-11-24 00:20:23',
			'user_id' => '29999',
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		(int) 848 => array(
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			'created' => '2020-11-24 05:05:41',
			'modified' => '2020-11-24 05:05:41',
			'user_id' => '29999',
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		(int) 849 => array(
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			'created' => '2020-11-24 09:00:54',
			'modified' => '2020-11-24 09:00:54',
			'user_id' => '29999',
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		(int) 850 => array(
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			'created' => '2020-11-24 19:49:47',
			'modified' => '2020-11-24 19:49:47',
			'user_id' => '29999',
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		(int) 851 => array(
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			'created' => '2020-11-25 01:35:47',
			'modified' => '2020-11-25 01:35:47',
			'user_id' => '29999',
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		(int) 852 => array(
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			'created' => '2020-11-25 04:17:57',
			'modified' => '2020-11-25 04:17:57',
			'user_id' => '29999',
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		(int) 853 => array(
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			'created' => '2020-11-25 06:51:38',
			'modified' => '2020-11-25 06:51:38',
			'user_id' => '29999',
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		(int) 854 => array(
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			'created' => '2020-11-25 07:31:51',
			'modified' => '2020-11-25 07:31:51',
			'user_id' => '29999',
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		(int) 855 => array(
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			'created' => '2020-11-25 11:52:09',
			'modified' => '2020-11-25 11:52:09',
			'user_id' => '29999',
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		(int) 856 => array(
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			'created' => '2020-11-25 15:49:09',
			'modified' => '2020-11-25 15:49:09',
			'user_id' => '29999',
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		(int) 857 => array(
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			'created' => '2020-11-25 23:16:04',
			'modified' => '2020-11-25 23:16:04',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 858 => array(
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			'created' => '2020-11-26 06:17:23',
			'modified' => '2020-11-26 06:17:23',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'event_id' => '941',
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		),
		(int) 859 => array(
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			'created' => '2020-11-26 10:05:05',
			'modified' => '2020-11-26 10:05:05',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'event_id' => '941',
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		),
		(int) 860 => array(
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			'created' => '2020-11-26 10:11:08',
			'modified' => '2020-11-26 10:11:08',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'event_id' => '941',
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		),
		(int) 861 => array(
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			'created' => '2020-11-26 17:59:12',
			'modified' => '2020-11-26 17:59:12',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'event_id' => '941',
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		),
		(int) 862 => array(
			'id' => '18195374',
			'created' => '2020-11-26 21:51:12',
			'modified' => '2020-11-26 21:51:12',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'event_id' => '941',
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		),
		(int) 863 => array(
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			'created' => '2020-11-27 14:36:07',
			'modified' => '2020-11-27 14:36:07',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'created' => '2020-11-27 23:16:43',
			'modified' => '2020-11-27 23:16:43',
			'user_id' => '29999',
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			'created' => '2020-11-28 00:45:09',
			'modified' => '2020-11-28 00:45:09',
			'user_id' => '29999',
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		(int) 867 => array(
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			'created' => '2020-11-28 03:31:07',
			'modified' => '2020-11-28 03:31:07',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		(int) 868 => array(
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			'created' => '2020-11-28 22:55:05',
			'modified' => '2020-11-28 22:55:05',
			'user_id' => '29999',
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		(int) 869 => array(
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			'created' => '2020-11-29 00:25:08',
			'modified' => '2020-11-29 00:25:08',
			'user_id' => '29999',
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			'created' => '2020-11-29 04:16:37',
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			'user_id' => '29999',
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		(int) 871 => array(
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			'created' => '2020-11-29 20:51:19',
			'modified' => '2020-11-29 20:51:19',
			'user_id' => '29999',
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		(int) 872 => array(
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			'modified' => '2020-12-01 03:03:55',
			'user_id' => '29999',
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		(int) 873 => array(
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			'user_id' => '29999',
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		(int) 874 => array(
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			'user_id' => '29999',
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		(int) 875 => array(
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			'user_id' => '29999',
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			'user_id' => '29999',
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			'user_id' => '29999',
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		(int) 878 => array(
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			'created' => '2020-12-07 22:38:15',
			'modified' => '2020-12-07 22:38:15',
			'user_id' => '29999',
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		(int) 879 => array(
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			'created' => '2020-12-08 12:19:14',
			'modified' => '2020-12-08 12:19:14',
			'user_id' => '29999',
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		(int) 880 => array(
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			'created' => '2020-12-08 12:19:56',
			'modified' => '2020-12-08 12:19:56',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		(int) 881 => array(
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			'user_id' => '29999',
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			'created' => '2020-12-10 05:46:35',
			'modified' => '2020-12-10 05:46:35',
			'user_id' => '29999',
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			'modified' => '2020-12-10 05:46:36',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'modified' => '2020-12-12 03:56:15',
			'user_id' => '29999',
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			'user_id' => '29999',
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			'modified' => '2020-12-27 11:06:26',
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			'modified' => '2021-01-09 04:06:48',
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			'modified' => '2021-01-11 22:55:03',
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			'user_id' => '29999',
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			'modified' => '2021-01-21 03:17:40',
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			'modified' => '2021-01-21 03:39:27',
			'user_id' => '29999',
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			'modified' => '2021-01-23 18:34:48',
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			'modified' => '2021-01-23 22:18:44',
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			'modified' => '2021-01-30 18:16:01',
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			'modified' => '2021-02-03 22:17:56',
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			'user_id' => '29999',
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			'modified' => '2021-02-11 11:16:15',
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			'modified' => '2021-02-13 04:22:51',
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			'modified' => '2021-02-13 11:13:59',
			'user_id' => '29999',
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		(int) 910 => array(
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			'created' => '2021-02-13 14:26:08',
			'modified' => '2021-02-13 14:26:08',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'created' => '2021-02-13 19:54:02',
			'modified' => '2021-02-13 19:54:02',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'created' => '2021-02-15 16:47:50',
			'modified' => '2021-02-15 16:47:50',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		(int) 913 => array(
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			'created' => '2021-02-18 10:24:59',
			'modified' => '2021-02-18 10:24:59',
			'user_id' => '29999',
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		(int) 914 => array(
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			'created' => '2021-02-18 14:16:58',
			'modified' => '2021-02-18 14:16:58',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		(int) 915 => array(
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			'modified' => '2021-02-27 16:14:06',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 916 => array(
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			'created' => '2021-03-03 01:46:05',
			'modified' => '2021-03-03 01:46:05',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 917 => array(
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			'created' => '2021-03-04 18:45:17',
			'modified' => '2021-03-04 18:45:17',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'infotheken_id' => null
		),
		(int) 918 => array(
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			'created' => '2021-03-05 01:18:15',
			'modified' => '2021-03-05 01:18:15',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 919 => array(
			'id' => '20221498',
			'created' => '2021-03-05 12:46:05',
			'modified' => '2021-03-05 12:46:05',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 920 => array(
			'id' => '20330868',
			'created' => '2021-03-10 15:36:13',
			'modified' => '2021-03-10 15:36:13',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 921 => array(
			'id' => '20428057',
			'created' => '2021-03-15 05:33:06',
			'modified' => '2021-03-15 05:33:06',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 922 => array(
			'id' => '20454469',
			'created' => '2021-03-16 16:40:56',
			'modified' => '2021-03-16 16:40:56',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 923 => array(
			'id' => '20486771',
			'created' => '2021-03-18 16:45:54',
			'modified' => '2021-03-18 16:45:54',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 924 => array(
			'id' => '20504010',
			'created' => '2021-03-19 15:10:46',
			'modified' => '2021-03-19 15:10:46',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 925 => array(
			'id' => '20572080',
			'created' => '2021-03-22 04:58:38',
			'modified' => '2021-03-22 04:58:38',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 926 => array(
			'id' => '20590282',
			'created' => '2021-03-23 02:51:18',
			'modified' => '2021-03-23 02:51:18',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 927 => array(
			'id' => '20593995',
			'created' => '2021-03-23 06:55:35',
			'modified' => '2021-03-23 06:55:35',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 928 => array(
			'id' => '20595612',
			'created' => '2021-03-23 09:07:07',
			'modified' => '2021-03-23 09:07:07',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 929 => array(
			'id' => '20620526',
			'created' => '2021-03-24 10:55:08',
			'modified' => '2021-03-24 10:55:08',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 930 => array(
			'id' => '20625702',
			'created' => '2021-03-24 17:24:30',
			'modified' => '2021-03-24 17:24:30',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 931 => array(
			'id' => '20683482',
			'created' => '2021-03-27 13:08:46',
			'modified' => '2021-03-27 13:08:46',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 932 => array(
			'id' => '20690531',
			'created' => '2021-03-27 21:30:53',
			'modified' => '2021-03-27 21:30:53',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 933 => array(
			'id' => '20782047',
			'created' => '2021-03-31 04:19:43',
			'modified' => '2021-03-31 04:19:43',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 934 => array(
			'id' => '20820099',
			'created' => '2021-04-02 01:08:54',
			'modified' => '2021-04-02 01:08:54',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 935 => array(
			'id' => '20882242',
			'created' => '2021-04-04 09:23:07',
			'modified' => '2021-04-04 09:23:07',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 936 => array(
			'id' => '20884450',
			'created' => '2021-04-04 12:25:11',
			'modified' => '2021-04-04 12:25:11',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 937 => array(
			'id' => '20891590',
			'created' => '2021-04-04 21:54:04',
			'modified' => '2021-04-04 21:54:04',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 938 => array(
			'id' => '20944498',
			'created' => '2021-04-07 13:34:47',
			'modified' => '2021-04-07 13:34:47',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 939 => array(
			'id' => '20981231',
			'created' => '2021-04-09 01:57:10',
			'modified' => '2021-04-09 01:57:10',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 940 => array(
			'id' => '21000344',
			'created' => '2021-04-09 22:57:51',
			'modified' => '2021-04-09 22:57:51',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 941 => array(
			'id' => '21045736',
			'created' => '2021-04-11 01:15:58',
			'modified' => '2021-04-11 01:15:58',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 942 => array(
			'id' => '21050292',
			'created' => '2021-04-11 05:57:03',
			'modified' => '2021-04-11 05:57:03',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 943 => array(
			'id' => '21076395',
			'created' => '2021-04-12 14:27:37',
			'modified' => '2021-04-12 14:27:37',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 944 => array(
			'id' => '21295285',
			'created' => '2021-04-20 18:58:31',
			'modified' => '2021-04-20 18:58:31',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 945 => array(
			'id' => '21432774',
			'created' => '2021-04-25 23:45:04',
			'modified' => '2021-04-25 23:45:04',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 946 => array(
			'id' => '21451798',
			'created' => '2021-04-27 01:15:53',
			'modified' => '2021-04-27 01:15:53',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 947 => array(
			'id' => '21462869',
			'created' => '2021-04-27 14:45:27',
			'modified' => '2021-04-27 14:45:27',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 948 => array(
			'id' => '21476489',
			'created' => '2021-04-28 05:36:27',
			'modified' => '2021-04-28 05:36:27',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 949 => array(
			'id' => '21517721',
			'created' => '2021-04-30 07:06:08',
			'modified' => '2021-04-30 07:06:08',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 950 => array(
			'id' => '21603066',
			'created' => '2021-05-03 03:02:34',
			'modified' => '2021-05-03 03:02:34',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 951 => array(
			'id' => '21753453',
			'created' => '2021-05-09 06:03:40',
			'modified' => '2021-05-09 06:03:40',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 952 => array(
			'id' => '21766664',
			'created' => '2021-05-09 19:08:51',
			'modified' => '2021-05-09 19:08:51',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 953 => array(
			'id' => '21806420',
			'created' => '2021-05-11 15:08:50',
			'modified' => '2021-05-11 15:08:50',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 954 => array(
			'id' => '21807506',
			'created' => '2021-05-11 16:07:53',
			'modified' => '2021-05-11 16:07:53',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 955 => array(
			'id' => '21825069',
			'created' => '2021-05-12 10:52:19',
			'modified' => '2021-05-12 10:52:19',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 956 => array(
			'id' => '21828139',
			'created' => '2021-05-12 14:59:22',
			'modified' => '2021-05-12 14:59:22',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 957 => array(
			'id' => '21856097',
			'created' => '2021-05-13 23:41:42',
			'modified' => '2021-05-13 23:41:42',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 958 => array(
			'id' => '21873953',
			'created' => '2021-05-14 19:19:58',
			'modified' => '2021-05-14 19:19:58',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 959 => array(
			'id' => '21971141',
			'created' => '2021-05-18 01:42:14',
			'modified' => '2021-05-18 01:42:14',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 960 => array(
			'id' => '22270828',
			'created' => '2021-05-30 06:42:07',
			'modified' => '2021-05-30 06:42:07',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 961 => array(
			'id' => '22276117',
			'created' => '2021-05-30 11:23:11',
			'modified' => '2021-05-30 11:23:11',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 962 => array(
			'id' => '22325652',
			'created' => '2021-06-01 19:04:15',
			'modified' => '2021-06-01 19:04:15',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 963 => array(
			'id' => '22376166',
			'created' => '2021-06-03 20:59:33',
			'modified' => '2021-06-03 20:59:33',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 964 => array(
			'id' => '22391370',
			'created' => '2021-06-04 18:42:55',
			'modified' => '2021-06-04 18:42:55',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 965 => array(
			'id' => '22437896',
			'created' => '2021-06-06 02:45:13',
			'modified' => '2021-06-06 02:45:13',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 966 => array(
			'id' => '22446090',
			'created' => '2021-06-06 11:23:31',
			'modified' => '2021-06-06 11:23:31',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 967 => array(
			'id' => '22604003',
			'created' => '2021-06-10 23:38:38',
			'modified' => '2021-06-10 23:38:38',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 968 => array(
			'id' => '22675807',
			'created' => '2021-06-13 11:04:14',
			'modified' => '2021-06-13 11:04:14',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 969 => array(
			'id' => '22690730',
			'created' => '2021-06-14 02:58:13',
			'modified' => '2021-06-14 02:58:13',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 970 => array(
			'id' => '22805450',
			'created' => '2021-06-18 08:30:16',
			'modified' => '2021-06-18 08:30:16',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 971 => array(
			'id' => '22824267',
			'created' => '2021-06-19 00:55:59',
			'modified' => '2021-06-19 00:55:59',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 972 => array(
			'id' => '22866649',
			'created' => '2021-06-19 23:42:20',
			'modified' => '2021-06-19 23:42:20',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 973 => array(
			'id' => '22877737',
			'created' => '2021-06-20 07:47:58',
			'modified' => '2021-06-20 07:47:58',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 974 => array(
			'id' => '22887984',
			'created' => '2021-06-20 17:23:15',
			'modified' => '2021-06-20 17:23:15',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 975 => array(
			'id' => '22952773',
			'created' => '2021-06-22 18:41:34',
			'modified' => '2021-06-22 18:41:34',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 976 => array(
			'id' => '22992671',
			'created' => '0000-00-00 00:00:00',
			'modified' => '0000-00-00 00:00:00',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 977 => array(
			'id' => '22993245',
			'created' => '0000-00-00 00:00:00',
			'modified' => '0000-00-00 00:00:00',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 978 => array(
			'id' => '23015098',
			'created' => '0000-00-00 00:00:00',
			'modified' => '0000-00-00 00:00:00',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 979 => array(
			'id' => '23047796',
			'created' => '0000-00-00 00:00:00',
			'modified' => '0000-00-00 00:00:00',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 980 => array(
			'id' => '23100742',
			'created' => '0000-00-00 00:00:00',
			'modified' => '0000-00-00 00:00:00',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 981 => array(
			'id' => '23105999',
			'created' => '0000-00-00 00:00:00',
			'modified' => '0000-00-00 00:00:00',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 982 => array(
			'id' => '23153847',
			'created' => '0000-00-00 00:00:00',
			'modified' => '0000-00-00 00:00:00',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 983 => array(
			'id' => '23169302',
			'created' => '0000-00-00 00:00:00',
			'modified' => '0000-00-00 00:00:00',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 984 => array(
			'id' => '23174870',
			'created' => '2021-06-29 19:10:36',
			'modified' => '2021-06-29 19:10:36',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 985 => array(
			'id' => '23189178',
			'created' => '2021-06-30 11:43:23',
			'modified' => '2021-06-30 11:43:23',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 986 => array(
			'id' => '23275594',
			'created' => '2021-07-04 00:30:03',
			'modified' => '2021-07-04 00:30:03',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 987 => array(
			'id' => '23292353',
			'created' => '2021-07-05 03:01:09',
			'modified' => '2021-07-05 03:01:09',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 988 => array(
			'id' => '23356132',
			'created' => '2021-07-08 17:59:07',
			'modified' => '2021-07-08 17:59:07',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 989 => array(
			'id' => '23378182',
			'created' => '2021-07-08 23:38:07',
			'modified' => '2021-07-08 23:38:07',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 990 => array(
			'id' => '23425056',
			'created' => '2021-07-10 23:53:22',
			'modified' => '2021-07-10 23:53:22',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 991 => array(
			'id' => '23438460',
			'created' => '2021-07-11 05:44:03',
			'modified' => '2021-07-11 05:44:03',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 992 => array(
			'id' => '23438723',
			'created' => '2021-07-11 05:58:21',
			'modified' => '2021-07-11 05:58:21',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 993 => array(
			'id' => '23475522',
			'created' => '2021-07-12 18:16:14',
			'modified' => '2021-07-12 18:16:14',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 994 => array(
			'id' => '23489745',
			'created' => '2021-07-13 16:56:08',
			'modified' => '2021-07-13 16:56:08',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 995 => array(
			'id' => '23519170',
			'created' => '2021-07-14 15:06:35',
			'modified' => '2021-07-14 15:06:35',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 996 => array(
			'id' => '23558614',
			'created' => '2021-07-17 15:31:34',
			'modified' => '2021-07-17 15:31:34',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 997 => array(
			'id' => '23561247',
			'created' => '2021-07-17 20:40:35',
			'modified' => '2021-07-17 20:40:35',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 998 => array(
			'id' => '23567855',
			'created' => '2021-07-17 22:36:17',
			'modified' => '2021-07-17 22:36:17',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 999 => array(
			'id' => '23628391',
			'created' => '2021-07-19 22:00:23',
			'modified' => '2021-07-19 22:00:23',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1000 => array(
			'id' => '23671633',
			'created' => '2021-07-23 02:49:35',
			'modified' => '2021-07-23 02:49:35',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1001 => array(
			'id' => '23694371',
			'created' => '2021-07-24 22:49:11',
			'modified' => '2021-07-24 22:49:11',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1002 => array(
			'id' => '23761521',
			'created' => '2021-07-26 21:39:57',
			'modified' => '2021-07-26 21:39:57',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1003 => array(
			'id' => '23826376',
			'created' => '2021-07-31 08:24:32',
			'modified' => '2021-07-31 08:24:32',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1004 => array(
			'id' => '23851772',
			'created' => '2021-07-31 23:38:30',
			'modified' => '2021-07-31 23:38:30',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1005 => array(
			'id' => '23871027',
			'created' => '2021-08-01 06:00:15',
			'modified' => '2021-08-01 06:00:15',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1006 => array(
			'id' => '23884260',
			'created' => '2021-08-02 08:00:09',
			'modified' => '2021-08-02 08:00:09',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1007 => array(
			'id' => '23885064',
			'created' => '2021-08-02 09:00:18',
			'modified' => '2021-08-02 09:00:18',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1008 => array(
			'id' => '23919946',
			'created' => '2021-08-04 16:35:32',
			'modified' => '2021-08-04 16:35:32',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1009 => array(
			'id' => '23934171',
			'created' => '2021-08-05 20:56:31',
			'modified' => '2021-08-05 20:56:31',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1010 => array(
			'id' => '23982959',
			'created' => '2021-08-06 17:21:12',
			'modified' => '2021-08-06 17:21:12',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1011 => array(
			'id' => '24007919',
			'created' => '2021-08-07 22:37:04',
			'modified' => '2021-08-07 22:37:04',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1012 => array(
			'id' => '24040932',
			'created' => '2021-08-08 21:04:05',
			'modified' => '2021-08-08 21:04:05',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1013 => array(
			'id' => '24049275',
			'created' => '2021-08-09 00:06:04',
			'modified' => '2021-08-09 00:06:04',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1014 => array(
			'id' => '24066068',
			'created' => '2021-08-09 04:58:32',
			'modified' => '2021-08-09 04:58:32',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1015 => array(
			'id' => '24068664',
			'created' => '2021-08-09 10:00:18',
			'modified' => '2021-08-09 10:00:18',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1016 => array(
			'id' => '24120992',
			'created' => '2021-08-13 18:57:49',
			'modified' => '2021-08-13 18:57:49',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1017 => array(
			'id' => '24134166',
			'created' => '2021-08-14 22:41:04',
			'modified' => '2021-08-14 22:41:04',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1018 => array(
			'id' => '24211571',
			'created' => '2021-08-21 22:54:36',
			'modified' => '2021-08-21 22:54:36',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1019 => array(
			'id' => '24246108',
			'created' => '2021-08-24 11:18:52',
			'modified' => '2021-08-24 11:18:52',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1020 => array(
			'id' => '24271054',
			'created' => '2021-08-26 17:12:09',
			'modified' => '2021-08-26 17:12:09',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1021 => array(
			'id' => '24298178',
			'created' => '2021-08-28 00:16:06',
			'modified' => '2021-08-28 00:16:06',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1022 => array(
			'id' => '24313321',
			'created' => '2021-08-28 22:35:05',
			'modified' => '2021-08-28 22:35:05',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1023 => array(
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			'patientenbereiche_id' => null,
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		),
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			'created' => '2021-09-04 17:13:53',
			'modified' => '2021-09-04 17:13:53',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
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			'created' => '2021-09-05 00:05:22',
			'modified' => '2021-09-05 00:05:22',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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		),
		(int) 1026 => array(
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			'created' => '2021-09-07 20:32:27',
			'modified' => '2021-09-07 20:32:27',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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			'event_id' => '941',
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		),
		(int) 1027 => array(
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			'created' => '2021-09-08 06:30:10',
			'modified' => '2021-09-08 06:30:10',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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			'event_id' => '941',
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		),
		(int) 1028 => array(
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			'created' => '2021-09-10 10:01:02',
			'modified' => '2021-09-10 10:01:02',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
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		),
		(int) 1029 => array(
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			'created' => '2021-09-10 23:36:11',
			'modified' => '2021-09-10 23:36:11',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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		),
		(int) 1030 => array(
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			'created' => '2021-09-11 23:23:13',
			'modified' => '2021-09-11 23:23:13',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1031 => array(
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			'modified' => '2021-09-18 23:26:10',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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		),
		(int) 1032 => array(
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			'modified' => '2021-09-26 00:25:23',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1033 => array(
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			'modified' => '2021-10-02 23:22:39',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1034 => array(
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			'modified' => '2021-10-03 15:53:57',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1035 => array(
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			'modified' => '2021-10-04 19:01:42',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1036 => array(
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			'modified' => '2021-10-07 13:37:58',
			'user_id' => null,
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		),
		(int) 1037 => array(
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			'modified' => '2021-10-09 23:49:21',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		(int) 1038 => array(
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			'modified' => '2021-10-16 23:34:47',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1039 => array(
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			'created' => '2021-10-19 01:59:37',
			'modified' => '2021-10-19 01:59:37',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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		),
		(int) 1040 => array(
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			'modified' => '2021-10-23 22:39:34',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1041 => array(
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			'modified' => '2021-10-26 03:33:15',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1042 => array(
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			'modified' => '2021-10-29 18:25:36',
			'user_id' => null,
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		),
		(int) 1043 => array(
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			'modified' => '2021-10-30 22:25:17',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1044 => array(
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			'created' => '2021-11-06 22:53:07',
			'modified' => '2021-11-06 22:53:07',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1045 => array(
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			'modified' => '2021-11-13 22:23:54',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1046 => array(
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			'modified' => '2021-11-14 08:02:30',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1047 => array(
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			'modified' => '2021-11-15 16:42:33',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1048 => array(
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			'modified' => '2021-11-20 22:13:48',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1049 => array(
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			'created' => '2021-11-27 22:47:19',
			'modified' => '2021-11-27 22:47:19',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1050 => array(
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			'modified' => '2021-12-04 22:39:15',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1051 => array(
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			'created' => '2021-12-09 14:03:58',
			'modified' => '2021-12-09 14:03:58',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1052 => array(
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			'modified' => '2021-12-11 22:30:21',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		(int) 1053 => array(
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			'modified' => '2021-12-18 23:23:50',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		(int) 1054 => array(
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			'modified' => '2021-12-25 22:36:40',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1055 => array(
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			'modified' => '2022-01-01 22:48:16',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1056 => array(
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			'modified' => '2022-01-03 15:41:42',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		(int) 1057 => array(
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			'created' => '2022-01-06 21:14:42',
			'modified' => '2022-01-06 21:14:42',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1058 => array(
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			'created' => '2022-01-06 21:54:30',
			'modified' => '2022-01-06 21:54:30',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1059 => array(
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			'modified' => '2022-01-08 10:13:02',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1060 => array(
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			'created' => '2022-01-08 19:15:41',
			'modified' => '2022-01-08 19:15:41',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1061 => array(
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			'created' => '2022-01-08 19:44:05',
			'modified' => '2022-01-08 19:44:05',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1062 => array(
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			'created' => '2022-01-08 22:44:12',
			'modified' => '2022-01-08 22:44:12',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1063 => array(
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			'modified' => '2022-01-15 22:52:43',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1064 => array(
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			'modified' => '2022-01-17 18:22:27',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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		),
		(int) 1065 => array(
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			'created' => '2022-01-19 11:07:02',
			'modified' => '2022-01-19 11:07:02',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'event_id' => '941',
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		),
		(int) 1066 => array(
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			'created' => '2022-01-19 16:12:49',
			'modified' => '2022-01-19 16:12:49',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1067 => array(
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			'created' => '2022-01-20 10:33:25',
			'modified' => '2022-01-20 10:33:25',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1068 => array(
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			'created' => '2022-01-20 22:39:38',
			'modified' => '2022-01-20 22:39:38',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1069 => array(
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			'created' => '2022-01-20 22:39:54',
			'modified' => '2022-01-20 22:39:54',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1070 => array(
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			'created' => '2022-01-22 22:51:11',
			'modified' => '2022-01-22 22:51:11',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1071 => array(
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			'created' => '2022-01-23 04:15:00',
			'modified' => '2022-01-23 04:15:00',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'event_id' => '941',
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		),
		(int) 1072 => array(
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			'created' => '2022-01-23 11:27:51',
			'modified' => '2022-01-23 11:27:51',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1073 => array(
			'id' => '25917829',
			'created' => '2022-01-23 13:51:41',
			'modified' => '2022-01-23 13:51:41',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1074 => array(
			'id' => '25925826',
			'created' => '2022-01-25 17:55:46',
			'modified' => '2022-01-25 17:55:46',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1075 => array(
			'id' => '25930374',
			'created' => '2022-01-26 10:30:59',
			'modified' => '2022-01-26 10:30:59',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
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			'modified' => '2022-01-29 19:30:05',
			'user_id' => '29999',
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		(int) 1077 => array(
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			'created' => '2022-01-29 22:23:49',
			'modified' => '2022-01-29 22:23:49',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1078 => array(
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			'created' => '2022-02-02 18:30:25',
			'modified' => '2022-02-02 18:30:25',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'event_id' => '941',
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		),
		(int) 1079 => array(
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			'created' => '2022-02-03 20:18:03',
			'modified' => '2022-02-03 20:18:03',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1080 => array(
			'id' => '26044306',
			'created' => '2022-02-05 22:30:16',
			'modified' => '2022-02-05 22:30:16',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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		),
		(int) 1081 => array(
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			'created' => '2022-02-12 13:09:43',
			'modified' => '2022-02-12 13:09:43',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1082 => array(
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			'created' => '2022-02-12 22:47:22',
			'modified' => '2022-02-12 22:47:22',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
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		),
		(int) 1083 => array(
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			'created' => '2022-02-19 21:08:54',
			'modified' => '2022-02-19 21:08:54',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1084 => array(
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			'created' => '2022-02-19 22:28:37',
			'modified' => '2022-02-19 22:28:37',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1085 => array(
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			'created' => '2022-02-26 22:59:30',
			'modified' => '2022-02-26 22:59:30',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1086 => array(
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			'created' => '2022-03-05 22:22:49',
			'modified' => '2022-03-05 22:22:49',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1087 => array(
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			'created' => '2022-03-12 22:12:33',
			'modified' => '2022-03-12 22:12:33',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1088 => array(
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			'created' => '2022-03-16 06:04:45',
			'modified' => '2022-03-16 06:04:45',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1089 => array(
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			'created' => '2022-03-19 22:18:04',
			'modified' => '2022-03-19 22:18:04',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1090 => array(
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			'created' => '2022-03-26 14:48:30',
			'modified' => '2022-03-26 14:48:30',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1091 => array(
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			'created' => '2022-03-26 22:34:25',
			'modified' => '2022-03-26 22:34:25',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1092 => array(
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			'created' => '2022-04-02 22:34:57',
			'modified' => '2022-04-02 22:34:57',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1093 => array(
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			'created' => '2022-04-09 22:33:19',
			'modified' => '2022-04-09 22:33:19',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1094 => array(
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			'created' => '2022-04-10 01:41:10',
			'modified' => '2022-04-10 01:41:10',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1095 => array(
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			'created' => '2022-04-16 22:47:10',
			'modified' => '2022-04-16 22:47:10',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1096 => array(
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			'created' => '2022-04-23 22:19:59',
			'modified' => '2022-04-23 22:19:59',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1097 => array(
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			'created' => '2022-04-30 22:33:13',
			'modified' => '2022-04-30 22:33:13',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1098 => array(
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			'created' => '2022-05-03 20:55:12',
			'modified' => '2022-05-03 20:55:12',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1099 => array(
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			'created' => '2022-05-09 05:08:20',
			'modified' => '2022-05-09 05:08:20',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'event_id' => '941',
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		),
		(int) 1100 => array(
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			'created' => '2022-05-09 05:08:22',
			'modified' => '2022-05-09 05:08:22',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'event_id' => '941',
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		),
		(int) 1101 => array(
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			'created' => '2022-05-15 02:07:25',
			'modified' => '2022-05-15 02:07:25',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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		),
		(int) 1102 => array(
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			'created' => '2022-05-15 02:07:27',
			'modified' => '2022-05-15 02:07:27',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1103 => array(
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			'created' => '2022-05-22 21:44:09',
			'modified' => '2022-05-22 21:44:09',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1104 => array(
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			'created' => '2022-05-22 21:44:10',
			'modified' => '2022-05-22 21:44:10',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1105 => array(
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			'created' => '2022-05-28 12:20:01',
			'modified' => '2022-05-28 12:20:01',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1106 => array(
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			'created' => '2022-05-29 13:08:38',
			'modified' => '2022-05-29 13:08:38',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1107 => array(
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			'created' => '2022-05-29 13:08:40',
			'modified' => '2022-05-29 13:08:40',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1108 => array(
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			'created' => '2022-06-05 04:02:29',
			'modified' => '2022-06-05 04:02:29',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1109 => array(
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			'created' => '2022-06-05 04:02:31',
			'modified' => '2022-06-05 04:02:31',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1110 => array(
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			'created' => '2022-06-13 05:00:17',
			'modified' => '2022-06-13 05:00:17',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1111 => array(
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			'created' => '2022-06-13 05:00:18',
			'modified' => '2022-06-13 05:00:18',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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		),
		(int) 1112 => array(
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			'created' => '2022-06-19 18:07:11',
			'modified' => '2022-06-19 18:07:11',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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		),
		(int) 1113 => array(
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			'created' => '2022-06-19 18:07:12',
			'modified' => '2022-06-19 18:07:12',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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			'event_id' => '941',
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		),
		(int) 1114 => array(
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			'created' => '2022-06-20 22:52:30',
			'modified' => '2022-06-20 22:52:30',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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			'event_id' => '941',
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		),
		(int) 1115 => array(
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			'created' => '2022-06-26 15:25:33',
			'modified' => '2022-06-26 15:25:33',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1116 => array(
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			'created' => '2022-06-26 15:25:34',
			'modified' => '2022-06-26 15:25:34',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1117 => array(
			'id' => '27948652',
			'created' => '2022-06-28 15:36:35',
			'modified' => '2022-06-28 15:36:35',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
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			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1118 => array(
			'id' => '27986858',
			'created' => '2022-06-30 12:03:48',
			'modified' => '2022-06-30 12:03:48',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1119 => array(
			'id' => '28044551',
			'created' => '2022-07-03 07:34:46',
			'modified' => '2022-07-03 07:34:46',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1120 => array(
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			'created' => '2022-07-03 07:34:48',
			'modified' => '2022-07-03 07:34:48',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1121 => array(
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			'created' => '2022-07-04 16:12:55',
			'modified' => '2022-07-04 16:12:55',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1122 => array(
			'id' => '28171210',
			'created' => '2022-07-09 19:45:19',
			'modified' => '2022-07-09 19:45:19',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1123 => array(
			'id' => '28192551',
			'created' => '2022-07-10 04:57:27',
			'modified' => '2022-07-10 04:57:27',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1124 => array(
			'id' => '28192555',
			'created' => '2022-07-10 04:57:29',
			'modified' => '2022-07-10 04:57:29',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1125 => array(
			'id' => '28256492',
			'created' => '2022-07-12 11:36:10',
			'modified' => '2022-07-12 11:36:10',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1126 => array(
			'id' => '28277081',
			'created' => '2022-07-15 13:47:44',
			'modified' => '2022-07-15 13:47:44',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1127 => array(
			'id' => '28329775',
			'created' => '2022-07-17 11:11:27',
			'modified' => '2022-07-17 11:11:27',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
			'news_id' => null,
			'video_id' => null,
			'event_id' => '941',
			'infotheken_id' => null
		),
		(int) 1128 => array(
			'id' => '28329777',
			'created' => '2022-07-17 11:11:28',
			'modified' => '2022-07-17 11:11:28',
			'user_id' => '29999',
			'patientenbereiche_id' => null,
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			'created' => '2020-03-23 23:18:40',
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			'created' => '2020-03-24 02:26:45',
			'modified' => '2020-03-24 02:26:45',
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			'created' => '2020-03-28 08:15:38',
			'modified' => '2020-03-28 08:15:38',
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			'created' => '2020-03-28 11:08:53',
			'modified' => '2020-03-28 11:08:53',
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			'created' => '2020-03-28 19:49:47',
			'modified' => '2020-03-28 19:49:47',
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			'user_id' => '29999',
			'news_id' => null,
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			'event_id' => '941',
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			'created' => '2020-03-29 05:30:23',
			'modified' => '2020-03-29 05:30:23',
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			'created' => '2020-03-29 15:43:11',
			'modified' => '2020-03-29 15:43:11',
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			'user_id' => '29999',
			'news_id' => null,
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			'created' => '2020-03-30 00:27:30',
			'modified' => '2020-03-30 00:27:30',
			'infotheken_id' => '32',
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			'created' => '2020-04-04 05:18:07',
			'modified' => '2020-04-04 05:18:07',
			'infotheken_id' => '32',
			'user_id' => '29999',
			'news_id' => null,
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			'created' => '2020-04-14 22:19:49',
			'modified' => '2020-04-14 22:19:49',
			'infotheken_id' => '32',
			'user_id' => '29999',
			'news_id' => null,
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			'event_id' => '941',
			'events_date_id' => null,
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			'study_id' => null,
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			'created' => '2020-05-02 12:12:03',
			'modified' => '2020-05-02 12:12:03',
			'infotheken_id' => '32',
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			'news_id' => null,
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			'created' => '2020-05-02 20:53:05',
			'modified' => '2020-05-02 20:53:05',
			'infotheken_id' => '32',
			'user_id' => '29999',
			'news_id' => null,
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			'event_id' => '941',
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			'created' => '2020-05-03 05:33:38',
			'modified' => '2020-05-03 05:33:38',
			'infotheken_id' => '32',
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			'news_id' => null,
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			'event_id' => '941',
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			'created' => '2020-05-03 16:57:31',
			'modified' => '2020-05-03 16:57:31',
			'infotheken_id' => '32',
			'user_id' => '29999',
			'news_id' => null,
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			'created' => '2020-05-04 01:39:40',
			'modified' => '2020-05-04 01:39:40',
			'infotheken_id' => '32',
			'user_id' => '29999',
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			'event_id' => '941',
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			'study_id' => null,
			'questionaire_id' => null
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			'created' => '2020-05-05 19:20:29',
			'modified' => '2020-05-05 19:20:29',
			'infotheken_id' => '32',
			'user_id' => '29999',
			'news_id' => null,
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			'event_id' => '941',
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			'study_id' => null,
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		(int) 27 => array(
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			'created' => '2020-05-06 04:01:41',
			'modified' => '2020-05-06 04:01:41',
			'infotheken_id' => '32',
			'user_id' => '29999',
			'news_id' => null,
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			'event_id' => '941',
			'events_date_id' => null,
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			'study_id' => null,
			'questionaire_id' => null
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			'created' => '2020-05-07 03:47:51',
			'modified' => '2020-05-07 03:47:51',
			'infotheken_id' => '32',
			'user_id' => '29999',
			'news_id' => null,
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			'event_id' => '941',
			'events_date_id' => null,
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			'created' => '2020-05-07 23:09:35',
			'modified' => '2020-05-07 23:09:35',
			'infotheken_id' => '32',
			'user_id' => '29999',
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			'event_id' => '941',
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			'created' => '2020-05-09 18:30:05',
			'modified' => '2020-05-09 18:30:05',
			'infotheken_id' => '32',
			'user_id' => '29999',
			'news_id' => null,
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			'event_id' => '941',
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			'study_id' => null,
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			'created' => '2020-05-13 02:29:04',
			'modified' => '2020-05-13 02:29:04',
			'infotheken_id' => '32',
			'user_id' => '29999',
			'news_id' => null,
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			'event_id' => '941',
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			'haupttext' => 'Laut Robert Koch-Institut kommt in Deutschland die durch Hepatitis-E-Virus (HEV) Genotyp 3 verursachte Hepatitis E endemisch vor. Die HEV-Antik&ouml;rper-Pr&auml;valenz liegt bei 16,8%. Haus- sowie Wildschweine sind wichtige tierische Reservoire f&uuml;r Infektion &uuml;ber kontaminierte Lebensmittel. In anderen L&auml;ndern mit niedrigem Hygienestandard wird das Virus (Genotyp 1 und 2) hingegen haupts&auml;chlich durch die Aufnahme von f&auml;kal verunreinigtem Wasser oder Lebensmitteln &uuml;bertragen.<br />
&nbsp;<br />
Die Infektion mit dem in Deutschland vorkommenden HEV (HEV-3) verl&auml;uft &uuml;berwiegend asymptomatisch. Symptomatische Infektionen verlaufen in der Regel akut, selbstlimitierend und h&auml;ufig ohne Ikterus mit milden gastro&shy;intes&shy;tinalen oder allgemeinen Symp&shy;tomen. Prinzipiell ist jedoch ein breites Spektrum der klinischen Symptomatik zu beobachten.<br />
&nbsp;<br />
Diagnostiziert wird eine HEV-Infektion durch Messung erh&ouml;hter Level an Aspartat- und Alanin-Aminotransferase (AST und ALT). Zudem wird labordiagnostisch Anti-HEV-IgM im Serum als Beweis f&uuml;r eine Infektion nachgewiesen.<br />
&nbsp;<br />
Eine akute HEV-Infektion erfordert bei Patienten mit funktionierendem Immunsystem nur eine Behandlung der Symptome. Liegt allerdings eine chronische HEV-Infektion vor, sollte eine Elimination des Virus z.B. durch eine antivirale Therapie erfolgen, um Lebersch&auml;den zu verhindern.<br />
&nbsp;<br />
Derzeit ist in Europa noch kein Impfstoff gegen HEV zugelassen. Bei Reisen in Gebiete endemischer Verbreitung der Genotypen 1 und 2 sollten Infektionen durch Lebensmittel, wie Leitungswasser oder rohen Speisen, durch entsprechende Ma&szlig;nahmen vermieden werden.<br />
&nbsp;<br />
Eine belgische Kohortenstudie konnte nun zeige, dass eine akute Hepatitis-E-Virus(HEV)-Infektion h&auml;ufig ein Vorl&auml;ufer eines Guillain-Barr&eacute;-Syndrom (GBS) ist. Um die Pr&auml;valenz des HEV-assoziierten GBS zu bestimmen, wurde das klinische Spektrum der HEV-assoziierten GBS in dieser Studie untersucht und Schwierigkeiten bei der Diagnose einer akuten HEV-Infektion diskutiert.',
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	<li><a href="https://www.rki.de/DE/Content/Infekt/EpidBull/Merkblaetter/Ratgeber_HepatitisE.html">https://www.rki.de/DE/Content/Infekt/EpidBull/Merkblaetter/Ratgeber_HepatitisE.html</a></li>
	<li>Stevens O, Claeys KG, Poesen K. Diagnostic Challenges and Clinical Characteristics of Hepatitis E Virus&ndash;Associated Guillain-Barr&eacute; Syndrome. JAMA Neurology 2016; doi:<em>10.1001/jamaneurol.2016.3541</em></li>
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			'vorspann' => 'In der westlichen Welt ist die portale Hypertension eine Komplikation, die auf das Vorliegen einer Leberzirrhose zurückzuführen ist. Bei einer portalen Hypertension handelt es sich um eine erhöhten Druck in der Pfortader, die das Blut aus den Verdauungsorganen zur Leber führt.',
			'haupttext' => '<h2 class="medNews">Was ist portale Hypertension?</h2>
Spricht man von <a href="https://www.journalmed.de/thema/lesen/hypertonie">erhöhtem Blutdruck</a> ist in der der Regel das Vorliegen eines erhöhten Blutdrucks in den Arterien gemeint. Neben <a href="https://www.journalmed.de/thema/lesen/arterielle_hypertonie">arterieller Hypertonie</a> gibt es auch die portale Hypertonie. Diese wird auch portale Hypertension oder Pfortaderhochdruck genannt. Patienten leiden unter einem erhöhten Blutdruck in einem Venensystem, das als Pfortadersystem bezeichnet wird.<br />
<br />
Die häufigste Ursache für eine portale Hypertension ist eine Lebererkrankung, die Leberzirrhose. Venen aus Magen, Darm, Milz und Bauchspeicheldrüse münden in die Pfortader, die sich dann in der gesunden Leber in kleinere Gefäße verzweigt. Sind die Gefäße in der Leber, aufgrund eines Leberschadens verstopft, beispielsweise durch eine Leberzirrhose, kann das Blut nicht richtig durch das Organ fließen. Bei einer Leberzirrhose handelt es sich um eine Vernarbung, eine sogenannte Fibrose, die durch langfristige Leberschäden verursacht wird. Das Narbengewebe verhindert, dass die Leber richtig funktioniert. Dadurch entsteht ein erhöhter Blutdruck im Pfortadersystem. Dieser Pfortaderhochdruck kann zur Bildung von großen, geschwollenen Venen, den sogennanten Varizen, in der Speiseröhre (Ösophagusvarizen), im Magen, im letzten Abschnitt des Dünndarms oder im Nabelbereich führen. Varizen können platzen und bluten, was zu potenziell lebensbedrohlichen Komplikationen führen kann.
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<h2 class="medNews">Was sind die Ursachen von portaler Hypertension?</h2>
Die Ursachen der Erkrankung können eine Leberzirrhose oder andere Komplikationen, denen keine Zirrhose zu Grunde liegt, sein.

<h3 class="medNews">Portale Hypertension verursacht durch Leberzirrhose</h3>
Die häufigste Ursache der Erkrankung ist eine Leberzirrhose. In Europa erkranken jährlich etwa 250 von 100.000 Menschen an einer Leberzirrhose, Männer sind dabei ungefähr doppelt so häufig betroffen wie Frauen. Eine Zirrhose entsteht durch die Ausheilung einer Leberschädigung, die beispielsweise durch eine chronische Hepatitis oder Alkoholmissbrauch (Fettleber) verursacht wurde. Bei Patient:innen, die unter einer Leberzirrhose leiden, blockiert das Narbengewebe den Blutfluss durch die Leber, verlangsamt deren Verarbeitungsfunktionen und führt zur Erhöhung des portalen Drucks. Die Zirrhose ist ein Spätstadium der Lebererkrankung und ihrer Komplikationen. Einige Risikofaktoren können die Entstehung einer Zirrhose begünstigen.<br />
<br />
Faktoren, für ein erhöhtes Risiko einer Leberzirrhose:<br />
 
<ul>
	<li>Alkoholmissbrauch</li>
	<li>Hepatitis B und Hepatitis C</li>
	<li>nicht-alkoholische Fettleber (NAFLD)</li>
	<li><a href="https://www.journalmed.de/thema/lesen/diabetes_mellitus_typ_2">Diabetes</a></li>
	<li>Übergewicht</li>
</ul>
Eine Leberzirrhose kann auch durch ein Problem der Gallenwege oder des Immunsystems, beispielsweise Autoimmunhepatitis, durch bestimmte Erbkrankheiten und durch die langfristige Einnahme bestimmter Arzneimittel verursacht werden.<br />
<br />
Neben portaler Hypertension kann das fortgeschrittene Stadium der Leberzirrhose zu einer Reihe von weiteren Komplikationen führen: Gelbsucht (Ikterus), Bauchwassersucht (Aszites), Leberzellkrebs (hepatozelluläres Karzinom) und hepatische Enzephalopathie.
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<h3 class="medNews">Nicht-zirrhotische portale Hypertension</h3>
Neben der Leberzirrhose können aber nicht-zirrhotische Erkrankungen, beispielsweise eine Thrombose, die Ursache für einen Pfortaderhochdruck und somit eine portale Hypertension sein. Bei diesen Patient:innen spricht man von einer nicht-zirrhotischen portalen Hypertension (NCPH). Der Begriff NCPH bezieht sich auf eine heterogene Gruppe von Erkrankungen, die in erster Linie das Lebergefäßsystem der Patient:innen betreffen. Die Klassifizierung erfolgt aufgrund des Ortes des Widerstands im Blutfluss prähepatisch (z.B. Pfortaderthrombose), intrahepatisch oder posthepatisch. Die intrahepatische Form der NCPH tritt am häufigsten auf und wird unterteilt in präsinusoidal, sinusoidal oder postsinusoidal.<br />
<br />
Präsinusoidal:<br />
 
<ul>
	<li>portosinusoidale Gefäßerkrankung (PSVD)</li>
	<li>Pfortaderobstruktion (neoplastisch und nicht-neoplastisch)</li>
	<li>Schistosomiasis</li>
	<li>arteriovenöse Fisteln</li>
	<li>polyzystische Erkrankung</li>
	<li>angeborene hepatische Fibrose</li>
	<li>Erkrankungen der Gallenwege: primäre biliäre Zirrhose, biliäre Cholangitis</li>
</ul>
Sinusoidal:<br />
 
<ul>
	<li>induziert durch Medikamente</li>
	<li>Leberschäden durch Alkohol</li>
	<li>nicht-alkoholische Steatohepatitis</li>
	<li>Hepatitis-Viren</li>
	<li>Amyloidose</li>
	<li>infiltrierende Krankheiten</li>
	<li>akute Fettleber in der Schwangerschaft</li>
	<li>Morbus Gaucher</li>
	<li>viszerale Leishmaniose</li>
</ul>
Postsinusoidal:<br />
 
<ul>
	<li>Thrombose der Lebervenen</li>
	<li>Budd-Chiari-Syndrom</li>
	<li>venös-okklusive Krankheit</li>
	<li>primäre vaskuläre Malignome</li>
	<li>Hypervitaminose A</li>
	<li>epitheloides Hämangioendotheliom und Angiosarkom
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<h2 class="medNews">Welche Symptome verursacht portale Hypertonie?</h2>
In den Anfangsstadien der Erkrankung treten bei betroffenen Patient:innen möglicherweise keine Symptome auf. Sie entwickeln sich oft erst dann, wenn es durch den erhöhten Pfortaderdruck zu Komplikationen kommt.<br />
<br />
Symptome der portalen Hypertension:<br />
 
<ul>
	<li>Vergrößerung der Leber und Milz</li>
	<li>Ösophagusvarizen: vergrößerte Venen in der Speiseröhre</li>
	<li>Varizen im Magen</li>
	<li>Gastrointestinale Blutungen: schwarzer, teeriger Stuhl oder Blut im Stuhl</li>
	<li>hepatische Enzephalopathie: Verwirrtheit und Vergesslichkeit, die durch eine schlechte Leberfunktion und die Umleitung des Blutflusses von der Leber weg verursacht werden</li>
	<li>Gewichtsverlust durch Unterernährung</li>
	<li>Aszites: Flüssigkeitsansammlungen im Bauchraum</li>
	<li>hepatorenales Syndrom: Nierenfunktionsstörung</li>
	<li>niedrige Blutplättchenzahl oder verringerte Anzahl der weißen Blutkörperchen</li>
	<li>Flüssigkeit in der Lunge</li>
</ul>

<h2 class="medNews">Wie wird portale Hypertonie diagnostiziert?</h2>
Die Diagnose einer portalen Hypertonie erfolgt durch eine körperliche Untersuchung. Zudem werden die Patient:innen über das Vorliegen von familiären Vorbelastungen und Risikofaktoren befragt.

<h3 class="medNews">Endoskopisches Untersuchung bei der portalen Hypertonie</h3>
Die Endoskopie ist eine weitere Möglichkeit zur Diagnose von Varizen, d. h. großen Gefäßen, die mit portaler Hypertension einhergehen. Eine Endoskopie kann eine endgültige Diagnose der Varizen liefern. Bei einer Magen-Darm-Spiegelung kann die Schleimhaut des oberen Magen-Darm-Trakts, einschließlich Speiseröhre, Magen und Zwölffingerdarm, betrachtet werden.<br />
<br />
<a href="https://www.journalmed.de/thema/lesen/medizinische_bildgebung">Bildgebende Untersuchungen</a>:<br />
 
<ul>
	<li>Duplex-Doppler-<a href="https://www.journalmed.de/thema/lesen/medizinische_bildgebung">Ultraschall</a>: Schallwellen werden eingesetzt, um sichtbar zu machen, wie das Blut durch die Pfortader fließt</li>
	<li><a href="https://www.journalmed.de/thema/lesen/medizinische_bildgebung">Röntgenuntersuchungen</a></li>
	<li>Labortests können eine Varizenblutung aufdecken</li>
	<li><a href="https://www.journalmed.de/thema/lesen/haematologie">Blutuntersuchungen</a> zur Bestimmung der Thrombozytenzahl: eine niedrige Thrombozytenzahl ist das häufigste Anzeichen einer portalen Hypertension</li>
	<li>Bestimmung der Child-Pugh-Scores zur Stadieneinteilung der Leberzirrhose</li>
</ul>

<h2 class="medNews">Welche Behandlung gibt es für portale Hypertension?</h2>
Die meisten Ursachen der portalen Hypertension können durch eine Therapie nicht behoben werden. Stattdessen konzentriert sich die Behandlung der betroffenen Patientinnen und Patienten auf die Vorbeugung oder das Management der Komplikationen, insbesondere der Blutungen aus den Varizen. Die Therapie der Erkrankung hängt von der Schwere der Symptome und der Funktionsfähigkeit der Leber der Patient:innen ab.

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<h3 class="medNews">Erste Stufe der Behandlung der portalen Hypertension</h3>

<ul>
	<li>Endoskopische Therapie bei Varizenblutungen: Banding (Gummibandligatur) oder Sklerotherapie</li>
</ul>
medikamentöse Therapien:

<ul>
	<li>Nichtselektive Betablocker (Nadolol oder Propranolol) werden, allein oder in Kombination mit der endoskopischen Therapie, eingesetzt um den Druck in den Varizen zu senken und das Blutungsrisiko weiter zu verringern.</li>
	<li>Lactulose: zur Behandlung geistiger Veränderungen im Zusammenhang mit einer Enzephalopathie</li>
	<li>Diuretika: Flüssigkeitsansammlungen</li>
	<li>Nitrate: allein oder in Kombination mit der endoskopischen Therapie</li>
	<li>Änderungen der Ernährung und der Lebensweise</li>
</ul>

<h3 class="medNews">Zweite Stufe der Behandlung bei portaler Hypertension</h3>
Könenn die Varizenblutungen oder die Aszites der Patientinnen und Patienten durch eine endoskopische Therapie, eine medikamentöse Behandlung oder eine Umstellung der Ernährung nicht erfolgreich eingedämmt werden, kann eines der folgenden Dekompressionsverfahren erforderlich sein, um den Druck in den betroffenen Venen zu verringern.<br />
<br />
Therapie durch Dekompression:<br />
 
<ul>
	<li>TIPS-Anlage: Transjugulärer intrahepatischer portosystemischer Shunt. Bei diesem radiologischen Verfahren wird ein Stent in der Mitte der Leber platziert, um die Lebervene mit der Pfortader zu verbinden. Auf diese Weise wird der hepatische Blutfluss umgeleitet und der Druck in den abnormen Venen verringert.</li>
	<li>DSRS: Distaler splenorenaler Shunt. Bei diesem Verfahren wird die Milzvene mit der linken Nierenvene verbunden, um den Druck in den Varizen zu verringern und die Blutung zu kontrollieren.</li>
	<li>Bei einer fortgeschrittenen Leberzirrhose oder bei einem Leberversagen kann eine Lebertransplantation die letzte Option der Therapie sein.</li>
</ul>

<h2 class="medNews">Kann man portaler Hypertension vorbeugen?</h2>
Folgenden Maßnahmen können helfen, dieser Lebererkrankung vorzubeugen:<br />
 
<ul>
	<li>Alkoholkonsum einschränken</li>
	<li>Rauchen und Passivrauchen vermeiden</li>
	<li>gesunde Ernährung</li>
	<li>körperliche Aktivität steigern</li>
	<li>normales Körpergewicht: Vermeidung von Übergewicht (Adipositas) und Fettleber</li>
	<li>Vermeidung einer übermäßigen Einnahme bestimmter Medikamente</li>
	<li>Vorsorgeuntersuchungen für Leberkrankheiten</li>
	<li>Impfungen gegen Hepatitis B
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			'ueb1' => 'Alzheimer',
			'ueb2' => 'Alzheimer',
			'ueb3' => '',
			'uebdach' => '',
			'vorspann' => 'Diese neurodegenerative Erkrankung wurde 1906 erstmals von ihrem Namengeber dem deutschen Neurologen Alois Alzheimer (1864-1915) beschrieben. Meist tritt die Krankheit ab einem Alter von 65 Jahren auf. Symptome, wie z.B. die Abnahme der kognitiven Leistungsfähigkeit und Verhaltensauffälligkeiten, werden durch einen fortschreitenden Verlust von Nervenzellen im Gehirn verursacht.',
			'haupttext' => '<h2 class="medNews">Was ist Alzheimer?</h2>
Bei Alzheimer (auch Morbus Alzheimer, Alzheimersche Krankheit, Alzheimer-Demenz, Alzheimer-Krankheit) handelt es sich um eine neurodegenerative Erkrankung. Dieser Begriff beschreibt Erkrankungen, die das Nervensystem betreffen und durch den voranschreitenden Verlust von Nervenzellen (Neurodegeneration) gekennzeichnet sind. Die Alzheimer-Krankheit wurde 1906 erstmals von ihrem Namensgeber, dem deutschen Neurologen Alois Alzheimer (1864-1915), beschrieben, als er bei einer verstorbenen Patientin eine mikroskopische Untersuchung der Gehirns vornahm und dabei Veränderungen feststellte.

<h2 class="medNews">Was ist der Unterschied zwischen Alzheimer und Demenz?</h2>
Umgangsprachlich werden die Begriffe Alzheimer und Demenz oft synonym verwendet. Tatsächlich handelt es sich bei der Demenz jedoch um einen Oberbegriff, der eine Vielzahl von Erkrankungen des Gehirns umfasst. Bei diesen Erkrankungen besteht immer ein Verlust von kognitiven, emotionalen und sozialen Fähigkeiten. Die Alzheimer-Demenz ist eine Sonderform der Demenz, betrifft jedoch mind. 60% aller Patientinnen und Patienten und zählt zu den primären Demenzen. Die primäre Demenz ist direkt auf Veränderungen im Gehirn zurückzuführen. Bei anderen (sekundären) Demenzen handelt es sich um Folgeerkrankungen, die beispielsweise aus Vergiftungen (z. B. sehr starker Alkoholkonsum, Medikamentenmissbrauch), Verletzungen oder Mangelerscheinungen hervorgehen. Manche Patientinnen und Patienten leiden an einer Mischform aus Alzheimer- und vaskulärer Demenz (Durchblutungsstörung). Bei einigen sekundären Demenzen sind Schäden zum Teil reversibel. Die Schäden der Alzheimer-Erkrankung und anderer primärer Demenzen (wie beispielsweise Lewy-Body-Demenz, vaskuläre Demenz) sind nicht reversibel.

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<h2 class="medNews">Wer ist von Alzheimer betroffen?</h2>
Die Alzheimer-Krankheit tritt meist in sehr hohem Alter auf. Da Frauen im Durchschnitt älter werden als Männer, sind mehr Frauen als Männer betroffen. In Deutschland leiden circa 1,6 Millionen Menschen an einer Demenz. Schätzungsweise sind 70% der Demenzerkrankten von Alzheimer betroffen. Da Menschen immer älter werden, steigt auch die Prävalenz der Alzheimer-Erkrankung. Forschende schätzen, dass im Jahr 2050 innerhalb der UNO 131,5 Millionen Menschen an Alzheimer-Demenz leiden werden.

<h2 class="medNews">Was passiert bei Alzheimer im Gehirn?</h2>
Was die Ursache für die Erkrankung ist, ist bisweilen nicht abschließend geklärt. Dennoch konnten Forschende einige Einfluss- und Risikofaktoren für die Entstehung einer Alzheimer-Demenz ausmachen. Außerdem sind alle Erkrankten von bestimmten Veränderungen in ihrem Gehirn betroffen.

<h3 class="medNews">1. Veränderungen im Gehirn: Glymphatisches System</h3>

<h4 class="medNews">Störung des glymphatischen Systems als Ursache für Alzheimer-Krankheit?</h4>
Im Jahr 2012 wurde das glymphatische System entdeckt. Dabei handelt es sich um ein System im Zentralnervensystem (ZNS), das für den Abtransport von überflüssigem und schädlichem Material zuständig ist. Die Funktionstüchtigkeit des glymphatischen Systems wird in Verbindung mit der Entstehung von neurogenerativen Erkrankungen wie der Alzheimer-Demenz in Verbindung gebracht. Eine Veränderung, die im Gehirn aller Betroffenen beobachtet wird, ist die Ablagerung von sogenannten senilen Plaques im Zellzwischenraum. Die Ursache dieser Plaques liegt in einem Ungleichgewicht in einem bestimmten Protein im Gehirn. Es handelt sich dabei um die sogenannten Beta-Amyloid-Proteine. Sind zu viele dieser Proteine vorhanden, können sie nicht mehr vom glymphatischen System abtransportiert werden, schließen sich zusammen und verklumpen. Dabei entstehen die Beta-Amyloid-Plaques, die sich dann im Gehirn ablagern. Auch Schädel-Hirn-Traumata begünstigen die Entstehung von Beta-Amyloid-Peptiden. 

<h4 class="medNews">Fehlerhafte Tau-Proteine als Ursache für Alzheimer-Krankheit?</h4>
Die zweite wesentliche Veränderung des Gehirns von Alzheimer-Erkrankten ist die Entstehung von sogenannten Tau-Fibrillen. Bei einem gesunden Menschen kommunizieren Nervenzellen durch ein elektrisches Signal, das über das Axon, das die Verbindung zwischen 2 Nervenzellen herstellt, weitergeleitet wird. Die Struktur des Axons wird durch ein Zytoskelett (aus Proteinen aufgebautes Netzwerk) aufrechterhalten. Dieses Zytoskelett besteht aus Mikrotubuli, eine Art der menschlichen Proteine. Das sogenannte Tau-Protein sorgt im Zytoskelett für die Stabilität der Mikrotubuli. Bei Alzheimer-Erkrankten sind die Tau-Proteine fehlerhaft und verändert. Das sorgt dafür, dass die Mikrotubuli instabil werden und das Zytoskelett der Nervenzelle zerfällt. Das Tauprotein sammelt sich an. Die dadurch entstehenden Klumpen werden Tau-Fibrillen genannt und führen zum Absterben von Nervenzellen. Zunächst tritt diese Veränderung nur in einem Bereich des Hippocampus (Gedächtnisbildung im Gehirn) auf, breitet sich dann jedoch über das gesamte Organ aus. Der Verlust vieler Nervenzellen führt zu einigen Funktionsverlusten, die die typischen Symptome der Alzheimer-Demenz auslösen.

<h4 class="medNews">Schlafstörung als Ursache für Alzheimer-Krankheit?</h4>
Sowohl der Abbau der senilen Plaques als auch der Tau-Fibrillen liegt in der Verantwortung des glymphatischen Systems. Daher wird bei Alzheimer-Patientinnen und -Patienten von einer Unterfunktion des glympathischen Systems ausgegangen. Einen weiteren Hinweis auf die Krankheitsentstehung liefert ein Experiment an Mäusen, bei dem beobachtet wurde, dass der Abtransport dieses schädlichen Materials im Schlaf deutlich schneller funktionierte als in wachem Zustand. Daher wird von einem Zusammenhang zwischen Schlafstörungen und der Entstehung der Alzheimer-Erkrankung ausgegangen.

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<h3 class="medNews">2. Genetische Komponente</h3>
Auch auf genetischer Ebene wurden Veränderungen festgestellt, die mit einem erhöhten Risiko für die Entstehung der Alzheimer-Demenz einhergehen. Bei etwa 5 bis 10% der erkrankten Menschen tritt eine familiäre Häufung auf.<br />
<br />
Betroffen sind folgende Gene:<br />
 
<ul>
	<li>Mutation im Gen für das Apolipoprotein E (ApoE)</li>
	<li>Mutationen im Gen Präsenilin-1</li>
	<li>Mutationen im Gen Präsenilin-2</li>
	<li>Mutationen im Aymloid-Precursor-Protein (APP, Amyloid-Vorläuferprotein)</li>
</ul>
Die Mutationen in den letzten 3 Genen führen beispielsweise zu einer gehäuften Produktion von Beta-Amyloiden, die, wie oben beschrieben, zur Ablagerung von senilen Plaques im Gehirn führen können.  <br />
<br />
Es gibt Theorien darüber, dass auch entzündliche Prozesse, Infektionen, Aluminium im Gehirn und Feinstaub zum Risiko für die Entstehung der Alzheimer-Demenz beitragen können. Diese Theorien werden fortlaufend durch weitere Studien untersucht.
<h2 class="medNews">Was sind weitere Risikofaktoren für die Entstehung von Alzheimer?</h2>
Neben den oben genannten Ursachen für die Entstehung von Alzheimer-Demenz gibt es weitere Risikofaktoren, die das Alzheimer-Risiko erhöhen können.<br />
<br />
Zu den Risikofaktoren für die Entstehung von Morbus Alzheimer gehören:<br />
 
<ul>
	<li>hohes Alter</li>
	<li>Depressionen</li>
	<li>Gefäßverkalkung (Arteriosklerose)</li>
	<li><a href="https://www.journalmed.de/thema/lesen/diabetes_mellitus_typ_2">Diabetes mellitus</a></li>
	<li><a href="https://www.journalmed.de/thema/lesen/hypertonie">Bluthochdruck (Hypertonie)</a></li>
	<li>Übergewicht</li>
	<li>erhöhter Cholesterinspiegel</li>
	<li>Tabakkonsum</li>
	<li>Schwerhörigkeit</li>
	<li>geringe Bildung</li>
</ul>

<h2 class="medNews">Was sind Symptome von Alzheimer?</h2>
Ein Alzheimer-Symptom, das viele Menschen mit der Erkrankung in Verbindung bringen, ist die Vergesslichkeit. Tatsächlich äußert sich die Erkrankung jedoch auf verschiedene Arten. Die verschiedenen Symptome treten abhängig vom Stadium der Erkrankung auf:

<h3 class="medNews">1. Symptome von Morbus Alzheimer im Frühstadium</h3>

<ul>
	<li>kleinere Gedächtnislücken</li>
	<li>Wortfindungsstörungen</li>
	<li>leichte Orientierungsprobleme</li>
	<li>verlangsamtes Denken und Sprechen</li>
	<li>Antriebsschwäche</li>
	<li>zunehmende Frustration, Aggressivität, Abwehr, Rückzug, Depression</li>
</ul>

<h3 class="medNews">2. Symptome von Morbus Alzheimer im mittleren Krankheitsstadium</h3>

<ul>
	<li>verschärfte Gedächtnisstörungen</li>
	<li>verminderte zeitliche und räumliche Orientierung</li>
	<li>Einschränkungen bei einfachen Alltagstätigkeiten</li>
	<li>stark eingeschränkte Kommunikationsfähigkeiten</li>
	<li>zunehmender Bewegungsdrang, Unruhe, Wahnvorstellungen</li>
</ul>

<h3 class="medNews">3. Symptome von Morbus Alzheimer im Spätstadium </h3>

<ul>
	<li>Bettlägrigkeit</li>
	<li>extrem eingeschränktes Kommunikationsvermögen</li>
	<li>Harn- und Stuhlinkontinenz</li>
	<li>Kau- und Schluckprobleme</li>
	<li>Versteifung der Gliedmaßen</li>
	<li>Atemprobleme</li>
	<li>geschwächtes Immunsystem, was zu häufigen Infektionen führt</li>
</ul>

<h3 class="medNews">4. Symptome von Morbus Alzheimer bei untypischem Alzheimer-Verlauf </h3>

<ul>
	<li>unsoziale, auffällige Verhaltensveränderungen</li>
	<li>Wahrnehmungs-, vor allem Sehprobleme
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<h2 class="medNews">Wie verläuft Alzheimer?</h2>
Die Alzheimer-Demenz verläuft in 4 Stadien, die ingesamt eine Zeit von bis zu 20 Jahren umfassen können. In den meisten Fällen verschlechtert sich der Zustand stetig. Teilweise kann es aber zu wechselhaften Veränderungen kommen, bei denen der Patient oder die Patientin eine Verbesserung zu erreichen scheint, bevor der Zustand sich wieder verschlechtert.

<h3 class="medNews">1. Alzheimer im Vorstadium: Leichte kognitive Störung</h3>
Als erstes Vorstadium der Erkrankung wird das Auftreten leichter kognitiver Störungen gesehen. Die Gedächtnisfähigkeit ist bei Betroffenen leicht eingeschränkt, wird aber meist weder von ihnen selbst, noch von Menschen aus ihrem Umfeld wahrgenommen. Durch größere Anstrengung kann die verminderte Leistungsfähigkeit sogar teilweise ausgeglichen werden. Das Auftreten dieser Vorstufe wird jedoch als wichtiger Faktor für die Entstehung einer Alzheimer-Demenz gesehen.

<h3 class="medNews">2. Alzheimer im frühen Stadium</h3>
In der frühen Phase der Alzheimer-Demenz treten Störungen im Kurzzeitgedächtnis auf. Betroffene erinnern sich nicht an neue Informationen. Ein typisches Symptom ist außerdem, dass es für Betroffene zunehmend schwieriger wird, Gesprächen zu folgen. Vor allem in größeren Gruppen, verlieren sie zunehmend den Anschluss an Diskussionen. Es treten außerdem Wortfindungsstörungen auf, die durch unpassende Füllwörter erkannt werden können. In diesem Stadium sind die Erkrankten durchaus fähig, einfache Alltagsaufgaben wie Kochen, Putzen oder die Erhaltung der Körperhygiene auszuführen. Es können jedoch bei komplexeren Aufgaben wie Vertragsabschlüssen, Überweisungen bei der Bank, etc. Probleme auftreten. In diesem Stadium merken Erkrankte, dass „etwas nicht stimmt“. Aus Scham versuchen sie ihre Symptome zu vertuschen. Oft halten sich Betroffene vermehrt zu Hause auf und vermeiden neue Situationen, in denen sie Schwierigkeiten haben könnten, sich zu orientieren. Das führt in vielen Fällen zu Stimmungsschwankungen, Reizbarkeit und auch zu Depressionen.

<h3 class="medNews">3. Alzheimer im mittleren Stadium</h3>
Im mittleren Krankheitsstadium verschlimmern sich die Symptome zunehmend. Neben Störungen des Kurzzeitgedächtnisses ist auch das Langzeitgedächtnis betroffen. Alzheimer-Patienten und -Patientinnen erinnern sich teilweise an Ereignisse ihrer Kindheit und Jugend, wissen aber häufig nicht mehr, ob sie Kinder, einen Ehepartner oder in welchem Beruf sie gearbeitet haben. Betroffene haben Schwierigkeiten sich räumlich und zeitlich zu orientieren. Die geistige Leistungsfähigkeit und kognitive Fähigkeiten nehmen weiter ab; eine selbstständige Lebensführung ist nicht mehr möglich. Für pflegende Angehörige ist dieser Zustand meist eine große Belastung, da die Betroffenen auch an starken Veränderungen ihres Verhaltens und ihrer Persönlichkeit leiden. Auch für die Patientinnen und Patienten selbst ist dieser Zustand schwer zu handhaben. Häufig verspüren Betroffene Unruhe und Nervosität und laufen ständig in der Wohnung herum. Das gestörte Zeitgefühl führt dazu, dass der Schlaf-Wach-Rhythmus durcheinander gerät. Bei den Betroffenen verschiebt sich zum Teil der Tag-Nacht-Rhythmus, was wiederum zu einer gesteigerten Gereiztheit, Nervosität, Misstrauen und aggressiven Ausbrüchen führt.

<h3 class="medNews">4. Alzheimer im späten Stadium</h3>
Im fortgeschrittenen Stadium der Erkrankung sind Patientinnen und Patienten meist bettlägerig. Die körperlichen Funktionen nehmen immer weiter ab. Die kognitive Verschlechterung und die Abnahme geistiger Funktionen schreiten weiter voran. Sie sind in diesem Zustand kaum noch fähig zu sprechen. Ihre kommunikativen Fähigkeiten begrenzen sich auf einzelne Wörter. Das Kauen, Schlucken und Atmen fällt zunehmend schwerer. Wenn Blase und Darm nicht mehr kontrollierbar sind, treten Harn- und Stuhlinkontinenz auf. Es kann außerdem zu Krampfanfällen und Versteifung von Gliedmaßen kommen. Die Patientinnen und Patienten sind vollständig pflegebedürftig. Ihr Immunsystem ist stark geschwächt, wodurch viele Patientinnen und Patienten an Infektionskrankheiten leiden und häufig in Folge dessen versterben.

<h2 class="medNews">Wie wird Alzheimer diagnostiziert?</h2>
Wie bei vielen anderen Erkrankungen sind auch bei Morbus Alzheimer die Früherkennung und eine zeitnahe Diagnose sehr wichtig, da die Behandlung vor allem im frühen Stadium gut anschlägt und den Krankheitsverlauf verlangsamen kann.<br />
<br />
Erste Symptome werden von Patientinnen und Patienten mit Alzheimer-Demenz oft aus Scham verschwiegen und überspielt. Das amerikanische „National Institute on Aging“ hat aus diesem Grund einen Katalog zusammengestellt, der Angehörigen die ersten Warnzeichen für eine Alzheimer-Erkrankung vermitteln soll.<br />
 
<ul>
	<li>Der Betroffene wiederholt mehrmals dieselbe Frage.</li>
	<li>Der Betroffene erzählt dieselbe kurze Geschichte immer wieder.</li>
	<li>Der Betroffene weiß plötzlich nicht mehr, wie Dinge funktionieren, obwohl er diese vor Kurzem wusste (z.B. TV-Fernbedingung, Kartenspiel, Kochen)</li>
	<li>Der Betroffene geht nicht mehr sicher mit Geld, Überweisungen, Rechnungen oder Ähnlichem um.</li>
	<li>Der Betroffene legt Alltagsgegenstände an ungewöhnlichen Stellen ab, erinnert sich nicht mehr daran und beschuldigt andere, sie entwendet zu haben.</li>
	<li>Der Betroffene vernachlässigt sein Äußeres und bestreitet dies.</li>
	<li>Der Betroffene wiederholt ihm gestellte Fragen und beantwortet sie nicht.</li>
</ul>
Sollten diese Symptome auftreten, stellt das noch kein Beleg für ein tatsächliches Vorliegen Alzheimer-Krankheit dar. Die Einschränkung kognitiver und geistiger Fähigkeiten kann auch aus anderen Erkrankungen wie beispielsweise Depressionen, einem <a href="https://www.journalmed.de/thema/lesen/schlaganfall">Schlaganfall</a>, etc. hervorgehen. Daher muss der Verdacht bei einem Arzt oder einer Ärztin bestätigt werden, bevor eine Diagnose gestellt werden kann.<br />
<br />
Medizinerinnen und Medizinern stehen verschiedene Verfahren zur Feststellung der Diagnose Alzheimer-Krankheit zur Verfügung.
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<h3 class="medNews">1. Alzheimer Diagnostik: Gespräch mit dem Betroffenen </h3>
Im ersten Schritt unterhält sich der Arzt oder die Ärztin mit dem Betroffenen. Ein wichtiger Teil dieses Gesprächs stellt die Anamnese des Patienten oder der Patientin dar. Es werden Vorerkrankungen, eingenommene Medikamente und der allgemeine körperliche und geistige Zustand abgefragt, um Rückschlüsse auf das individuelle Alzheimer-Risiko zu ziehen. In solchen Gesprächen kann es hilfreich sein, wenn ein Mensch aus dem näheren Umfeld anwesend ist, da diesem möglicherweise Anzeichen auffallen, die der Betroffene noch nicht bemerkt hat. Außerdem ist eine emotionale Unterstützung für den Patienten oder die Patientin meist hilfreich, da einige Betroffene sich für ihre Anzeichen schämen.

<h3 class="medNews">2. Alzheimer Diagnostik: Psychometrische Tests</h3>
Im nächsten Schritt werden verschiedene Tests eingesetzt, um festzustellen, ob eine Demenzerkrankung vorliegt. Mithilfe der Tests können Krankheitsstadium und Verlauf eingeschätzt werden. Es handelt sich dabei um Kurztests (ca. 15 min), die durch kleine Aufgabenstellungen das Urteilsvermögen, die Erinnerungsfähigkeit, die sprachliche Fähigkeit und die Konzentrationsfähigkeit prüfen.

<h4 class="medNews">2.1. Mini-Mental Status Test (MMST)</h4>
Beim Mini-Mental Status Test (MMST) wird zunächst die zeitliche und räumliche Orientierung durch Fragen wie „Welchen Tag haben wir heute?“ und „Wo sind wir jetzt?“ abgefragt. Im nächsten Schritt wird die Merkfähigkeit getestet, indem Begriffe genannt werden, die dann wiederholt werden müssen. Um die Aufmerksamkeit und Konzentrationsfähigkeit zu testen, werden leichte Rechenaufgaben gestellt oder der Betroffene wird aufgefordert ein kurzes Wort rückwärts zu buchstabieren. Gegen Ende des Tests wird das Erinnerungsvermögen geprüft, indem die vorher genannten Begriffe aus der Merkfähigkeitsübung erneut abgefragt werden. Im nächsten Schritt muss der Betroffene Gegenstände, die sich im Raum befinden, benennen. Als nächstes muss er/sie einen Satz wiederholen, einen dreiteiligen Befehl ausführen, einen vollständigen Satz schreiben und eine Zeichnung abzeichnen. Je nach erreichter Punktzahl kann eine Aussage über das Vorhandensein und den Grad der Demenzerkrankung getroffen werden.

<h4 class="medNews">2.2. Uhrentest </h4>
Beim Uhrentest wird der Untersuchte dazu aufgefordert einen Kreis zu zeichnen und ein Ziffernblatt aufzumalen. Im nächsten Schritt wird dem Betroffenen eine Uhrzeit genannt, die er in die gezeichnete Uhr eintragen muss. Dies gelingt nur, wenn die geistigen Fähigkeiten noch nicht zu sehr eingeschränkt sind.

<h4 class="medNews">2.3. Demenz-Detektions-Test</h4>
Der Demenz-Detektions-Test ähnelt dem MMST. Es werden verschiedene Aufgaben gestellt, kognitive Fähigkeiten wie Wortflüssigkeit, Gedächtnis und Konzentrationsfähigkeit prüft. Eine der Aufgaben ist, dem Betroffenen eine Wortliste vorzulesen. Dieser muss dann alle Begriffe, an die er sich erinnern kann, wiederholen. Die Reihenfolge ist dabei unwichtig. Die zweite Aufgabe ist ein Zahlenumwandlungs-Test bei dem der Betroffene Ziffern in Zahlenwörter umwandeln muss und andersherum. Der dritte Test wird „Supermarktaufgabe“ genannt. Der Betroffene soll aufzählen, welche Dinge in einem Supermarkt erworben werden können. Mithilfe dieser Aufgabe wird die semantische Wortflüssigkeit überprüft. In der vierten Aufgabe werden dem Betroffenen mehrstellige Zahlen vorgelesen, die er rückwärts wiederholen muss. In der letzten Aufgabe wird die Erinnerungsfähigkeit geprüft, indem der Untersuchte noch einmal dazu aufgefordert wird, die in Aufgabe 1 gehörten Begriffe zu wiederholen.

<h3 class="medNews">3. Alzheimer Diagnostik: Körperliche Untersuchung</h3>
Im letzten Schritt können medizinische Untersuchung bei der Diagnose Alzheimer-Demenz hilfreich sein.<br />
<br />
Der Arzt oder die Ärztin bedient sich dabei folgender Verfahren:
<ul>
	<li>Betrachten (Inspektion), Abtasten (Palpation), Abklopfen (Perkussion), Abhören mit dem Stethoskop (Auskultation) und Testen der einzelnen Körperfunktionen (Funktionsprüfung)</li>
	<li>Blutuntersuchung</li>
	<li>bildgebende Verfahren (z.B. CT oder MRT)</li>
	<li>Punktion der Lendenwirbelsäule (Nervenwasserentnahme)</li>
</ul>
Die Diagnose Alzheimer-Demenz wird unter Berücksichtigung aller Testergebnisse und weiterer Einfluss- und Risikofaktoren gestellt.

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<p class="cl-box-text-inner cl-box-full"><span class="cl-box-zert">Erschienen am 15.04.2021</span><span class="cl_hide_on_mobile_text"><strong> • </strong>Der Ratgeber „Leben mit der Diagnose Alzheimer“ wurde neuaufgelegt udn enthält wichtige Informationen zu Pflege, Betreuung, Vollmachten und Umgang mit Alzheimer – Lesen Sie mehr unter...</span></p>

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<h2 class="medNews">Wie kann man Alzheimer vorbeugen?</h2>
Durch die Reduktion von Risikofaktoren kann der Entstehung eines Morbus Alzheimer vorgebeugt werden.<br />
<br />
Wichtig ist also:
<ul>
	<li>viel Bewegung</li>
	<li>Gewichtsreduktion auf Normalgewicht</li>
	<li>geistige Fitness (durch Aktivitäten wie Lesen, usw.)</li>
	<li>ausgewogene, gesunde Ernährung</li>
	<li>kein Alkohol- oder Tabakkonsum</li>
	<li>Austausch mit anderen (Pflegen sozialer Kontakte)</li>
	<li>Gedächtnistraining</li>
</ul>

<h2 class="medNews">Wie wird Alzheimer behandelt?</h2>
Die Alzheimer-Krankheit ist nicht heilbar. Ziel der Behandlung ist es also,<br />
 
<ul>
	<li>die Lebensqualität zu verbessern,</li>
	<li>psychische Beschwerden zu lindern und</li>
	<li>Selbstständigkeit und Alltagskompetenzen möglichst lange zu erhalten.</li>
</ul>
Der Betroffene wird je nach Ausgangslage von einem Team aus Mediziner:innen, Pflegenden und Psycholog:innen betreut. Wichtig ist bei der Behandlung auch die Entlastung Angehöriger.

<h3 class="medNews">Medikamentöse Therapie bei der Alzheimer-Krankheit</h3>

<ul>
	<li>Einsatz von Vitamin E</li>
</ul>
Im ersten Stadium der Alzheimer-Krankheit wird häufig Vitamin E eingesetzt. Dadurch kann die Krankheitsprogression verlangsamt werden.<br />
 
<ul>
	<li>Einsatz von Antidementiva wie Cholestrasehemmern</li>
</ul>
Im frühen Stadium lässt sich mithilfe von Cholestarasehemmern ein Acetylcholin-Mangel bei den Betroffenen ausgleichen. Dadurch fallen Alltagsaktivitäten leichter und kognitive Fähigkeiten bleiben länger erhalten.<br />
In späteren Stadien wird häufig Memantin verabreicht. Auch hierbei handelt es sich um einen Cholestarasehemmer, der zum möglichst langen Erhalt kognitiver Fähigkeiten und dem Schutz der Nervenzellen vor dem Absterben beitragen kann.<br />
 
<ul>
	<li>Einsatz von Extrakten aus Ginkgoblättern</li>
</ul>
Einige Studien zeigen, dass der Einsatz von Extrakten aus Ginkgoblättern in fortgeschrittenen Krankheitsstadien zu einer Verbesserung der Gedächtnisleistung und psychischer Beschwerden beitragen kann.

<ul>
	<li>Einsatz von Neuroleptika</li>
</ul>
Neuroleptika können in der Alzheimer-Behandlung zur Linderung psychischer Beschwerden beitragen, wenn nicht-medikamentöse Therapiemethoden nicht ausreichen.<br />
 
<ul>
	<li>Behandlung von Begleiterkrankungen</li>
</ul>
Auch die Behandlung von Begleiterkrankungen erfolgt meist über den Einsatz von Medikamenten.

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<p class="cl-box-text-inner cl-box-full"><span class="cl-box-zert">Erschienen am 30.11.2021</span><span class="cl_hide_on_mobile_text"><strong> • </strong>Den kognitiven Abbau bei Alzheimer verlangsamen? Hier erfahren Sie, wie Aducanumab in der Phase-III-Studie abgeschnitten hat!</span></p>

<p class="cl-box-text-inner cl-box-responsive"><span class="cl-box-zert">Erschienen am 30.11.2021</span><span class="cl_hide_on_mobile_text"><strong> • </strong>Den kognitiven Abbau bei Alzheimer verlangsamen? Hier erfahren Sie, wie Aducanumab in der Phase-III-Studie...</span></p>

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<h3 class="medNews">Nicht-medikamentöse Therapiemethoden bei Alzheimer</h3>
Gerade die nicht-medikamentöse Behandlung ist bei Alzheimer-Patienten und -Patientinnen besonders wichtig und kann zu einem Erhalt der Selbstständigkeit im Alltag und einer Verzögerung des Verlustes geistiger Fähigkeiten führen.<br />
<br />
Bei der nicht-medikamentösen Therapie werden folgende Methoden eingesetzt:<br />
 
<ul>
	<li>Realitäts-Orientierungs-Training</li>
	<li>kognitives Training</li>
	<li>Verhaltenstherapie</li>
	<li>autobiografische Arbeit</li>
	<li>Ergotherapie</li>
	<li>Kunst- und Musiktherapie</li>
	<li>Physiotherapie</li>
	<li>Aromatherapie</li>
</ul>
Weitere Informationen entnehmen Sie der <a href="https://www.dgppn.de/_Resources/Persistent/ade50e44afc7eb8024e7f65ed3f44e995583c3a0/S3-LL-Demenzen-240116.pdf" target="_blank">S3-Leitlinie „Demenzen“ der Deutschen Gesellschaft für Neurologie</a>.

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<p class="cl-box-text-inner cl-box-full"><span class="cl_hide_on_mobile_text">Was sind die neusten Behandlungsoptionen bei neurodegenerativen Erkrankungen? Gibt es neue Erkenntnisse zur Entstehung? Das erfahren Sie hier!</span></p>

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			'haupttext' => '<strong>Allgemeines</strong><br />
<br />
Die Masern sind eine Infektionskrankheit, die durch das Masernvirus hervorgerufen wird und vor allem Kinder betrifft. Neben den charakteristischen roten Hautflecken ruft das Virus Fieber und einen erheblich geschw&auml;chten Zustand hervor. Es k&ouml;nnen au&szlig;erdem potenziell lebensbedrohliche Komplikationen wie Lungen- und Hirnentz&uuml;ndungen auftreten. Die Krankheit ist hochansteckend und deshalb in den meisten L&auml;ndern meldepflichtig. Die WHO strebt bereits seit Jahren die weltweite Ausrottung der Krankheit an. In der Vergangenheit wurde dieses Ziel bereits fast erreicht und die Zahl der Erkrankungen konnte durch Impfungen um 95% reduziert werden. Nord- und S&uuml;damerika hatten die Masern 2014 de facto ausgerottet. Allerdings kam es in den USA im April 2019 zu einem neuen H&ouml;chststand von Masernf&auml;llen seit dem Jahr 2000. Auch in Deutschland kam es in den letzten Jahren aufgrund von unzureichenden Impfquoten zu gr&ouml;&szlig;eren Masernausbr&uuml;chen, was eine Debatte um die Wiedereinf&uuml;hrung einer Impfpflicht ausl&ouml;ste. In der DDR bestand diese bereits ab den 1970er Jahren. Jedoch hat die Impfpflicht aufgrund des im Grundgesetz verankerten Pers&ouml;nlichkeitsrechts sehr viele Kritiker. Im April 2019 beschloss nun das Land Brandenburg als erstes Bundesland die Masern-Impfpflicht f&uuml;r Kinder.&nbsp;<br />
<br />
<strong>Krankheitsbild</strong><br />
<br />
Die &Uuml;bertragung des Virus erfolgt durch Tr&ouml;pfcheninfektion oder direkten Kontakt. Daraufhin dringt das Masernvirus &uuml;ber die Epithelzellen der Schleimhaut des Atemtrakts oder &uuml;ber die Bindehaut der Augen in den K&ouml;rper ein, vermehrt sich in den Lymphknoten und breitet sich nach 48 Stunden &uuml;ber die Blutbahn aus. Etwa 5-7 Tage nach der Ausbreitung des Virus kommt es dann zum ersten Auftreten und der anschlie&szlig;enden Infektion des Atemtraktes, wodurch schnupfenartige Symptome sowie akute Bronchitis und eine Entz&uuml;ndung der Mundschleimhaut mit Koplik-Flecken ausgel&ouml;st werden. Diese Phase der Krankheit bezeichnet man als das Vorl&auml;uferstadium (Prodromalstadium). Zu diesem Zeitpunkt tritt die h&ouml;chste Infektiosit&auml;t auf. Das Virus ist jedoch schon 3-5 Tage vor dem Ausbruch der Infektion und bis zu 4 Tage danach ansteckend. Daraufhin folgt mit dem Hauptstadium (Exanthemstadium) das zweite Stadium der Krankheit. In dieser Phase steigt das Fieber sehr stark an und kann Temperaturen bis 41&deg;C erreichen. Au&szlig;erdem entwickelt sich der charakteristische rote Hautausschlag, der nach ca. 7 Tagen wieder verblasst. Die Schw&auml;chung des Immunsystems kann ab diesem Zeitpunkt noch bis zu 6 Wochen lang anhalten, sodass der Patient in dieser Zeit sehr anf&auml;llig f&uuml;r andere Infektionen ist.<br />
<br />
<strong>Diagnose</strong><br />
<br />
Eine Diagnose anhand der Krankheitssymptome ist bei Masern grunds&auml;tzlich m&ouml;glich. Allerdings &auml;hneln die Symptome denen von R&ouml;teln, Ringr&ouml;teln und Scharlach sehr stark und es besteht die Gefahr einer Fehldiagnose. Deshalb muss der Masernverdacht durch eine Laboruntersuchung best&auml;tigt werden. Die gebr&auml;uchlichste Methode ist hierbei der Nachweis spezifischer Antik&ouml;rper gegen das Masernvirus im Blut, es wird aber in seltenen F&auml;llen auch eine Diagnose durch den Nachweis des viralen Erbguts oder der Anz&uuml;chtung von Masernviren durchgef&uuml;hrt.&nbsp;<br />
<br />
<strong>Behandlung</strong><br />
<br />
Es gibt keine spezifische Behandlung gegen eine ausgebrochene Masernerkrankung. Nach einer einmal durchgemachten Erkrankung entsteht aufgrund der dabei gebildeten Antik&ouml;rper Immunit&auml;t gegen eine erneute Infektion. Kinder ab dem 12. Monat k&ouml;nnen gegen Masern geimpft werden. Obwohl das Impfen mit einem Einzelwirkstoff m&ouml;glich ist, verwendet man in Deutschland haupts&auml;chlich einen Kombinationsimpfstoff, mit dem gegen Masern, Mumps, R&ouml;teln und manchmal auch Windpocken geimpft wird. Es handelt sich dabei um einen Lebendimpfstoff, welcher aus abgeschw&auml;chten Krankheitserregern besteht und den K&ouml;rper dazu anregt, dieselben Antik&ouml;rper, die sonst bei einer Infektion gebildet werden, zu produzieren. Um eine ausreichende Immunit&auml;t zu erreichen, sind jedoch 2 Impfungen n&ouml;tig, die in einem Abstand von ca. 4 Wochen durchgef&uuml;hrt werden sollten. Sollte ein Kind nicht im empfohlenen Alter geimpft werden, kann diese Impfung bis zum 18. Lebensjahr nachgeholt werden.&nbsp;',
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			'haupttext' => 'Hepatitis B ist die h&auml;ufigste chronische Lebererkrankung infekti&ouml;sen Ursprungs. Sie wird durch den Hepatitis-B-Virus (HBV) ausgel&ouml;st und betrifft ann&auml;hernd 240 Millionen Menschen weltweit. J&auml;hrlich sterben mehr als 600.000 Menschen an den Komplikationen im Endstadium einer Lebererkrankung oder an Leberkarzinomen verursacht durch Hepatitis B.<br />
&nbsp;<br />
Die meisten neuen HBV-Infektionen treten in Endemiegebieten, wie China, S&uuml;dostasien und Afrika, auf. Die HBV-&Uuml;bertragung erfolgt durch Blut- oder Sexualkontakt. In den letzten zehn Jahren haben sich die weltweite Dynamik der HBV-Epidemiologie, die Umsetzung von Pr&auml;ventionsstrategien, die Screening-Politik und die &ouml;ffentliche Aufkl&auml;rung ver&auml;ndert. Vor allem prophylaktischen Impfungen und der globalen Verbesserung der sozio&ouml;konomischen Bedingungen ist ein langsamer R&uuml;ckgang des Hepatitis-B-Oberfl&auml;chenantigens (HBsAg) zu verdanken, obwohl die Zahl der HBV-Tr&auml;ger aufgrund der zunehmenden Weltbev&ouml;lkerung steigt.<br />
Der nat&uuml;rliche Verlauf einer HBV-Infektion ergibt sich aus einer komplexen dynamischen Wechselwirkung zwischen dem Virus und der Immunabwehr des Wirts. W&auml;hrend der akuten HBV-Infektion bei Erwachsenen f&uuml;hrt meist eine breite, kr&auml;ftige Immunantwort zur Viruselimination mit akuten, entz&uuml;ndlichen Lebererkrankungen. Tritt eine HBV-Infektion perinatal oder in der fr&uuml;hen Kindheit auf, so werden die Patienten zu chronischen HBV-Tr&auml;gern. Eine Impfung gegen Hepatitis B ist m&ouml;glich.<br />
<br />
Die HBV-Diagnose basiert auf serologischen Markern wie HBsAg, Anti-HBs-Antik&ouml;rpern, Anti-HBc-Antik&ouml;rpern (Gesamt oder IgM), HBeAg und anti-HBe Antik&ouml;rper und auf dem Nachweis und der Quantifizierung der HBV-DNA im Blut. Akute Hepatitis B liegt vor, wenn gleichzeitig HBsAg und anti-HBc-IgM gefunden werden. Bei chronischen HBsAg-Tr&auml;gern hilft HBeAg, HBV-DNA- und die ALT-Level die Phase der chronischen Infektion zu bestimmen.<br />
<br />
F&uuml;r die langfristige Therapie der chronischen Hepatitis-B-Infektion stehen pegyliertes Interferon (IFN) und Nukleosid-/Nukleotid-Analoga wie z.B. Tenofovir oder Entecavir zur Verf&uuml;gung. Derzeit werden neue antivirale Ans&auml;tze mit dem Ziel der vollst&auml;ndigen Virus-Elimination untersucht, z.B.&nbsp; &bdquo;HBV entry inhibitors&ldquo;, Zytokine oder Inhibitoren der viralen Proteinfunktion, interferierende RNAs, RNAse H-Inhibitoren, monoklonale Antik&ouml;rper. Auch therapeutische Ans&auml;tze mit Immunmodulatoren werden derzeit untersucht.',
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	<li>Fourati S, Pawlotsky JM. Recent advances in understanding and diagnosing hepatitis B virus infection. F1000Res. 2016 Sep 6;5.</li>
	<li>Schweitzer A, Horn J, Mikolajczyk RT et al. Estimations of worldwide prevalence of chronic hepatitis B virus infection: a systematic review of data published between 1965 and 2013. <em>Lancet.</em> 2015;386(10003):1546&ndash;55.</li>
	<li>Lai CL, Ratziu V, Yuen MF et al. Viral hepatitis B. <em>Lancet.</em> 2003;362(9401):2089&ndash;94.</li>
	<li>Revill P, Testoni B, Locarnini S et al. Global strategies are required to cure and eliminate HBV infection. <em>Nat Rev Gastroenterol Hepatol.</em> 2016;13(4):239&ndash;48.</li>
	<li>Zeisel MB, Lucifora J, Mason WS et al. Towards an HBV cure: state-of-the-art and unresolved questions--report of the ANRS workshop on HBV cure. <em>Gut.</em> 2015;64(8):1314&ndash;26.</li>
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			'haupttext' => '<h2 class="medNews">Was ist eine renale Hypertonie?</h2>
Die renovaskuläre Hypertonie ist ein Bluthochdruck, der durch eine Verengung der Arterien verursacht wird, die das Blut zu den Nieren führen. Die renovaskuläre Hypertonie wird auch als Nierenarterienstenose bezeichnet. Da die Nieren der betroffenen Patienten nicht ausreichend mit Blut versorgt werden, reagieren sie mit der Produktion eines Hormons, das den Blutdruck ansteigen lässt. Der Nierenhochdruck belastet die Niere. Er ist eine der Hauptursachen für das Nierenversagen im Endstadium, auch bekannt als chronische Nierenerkrankung, bei älteren Menschen. Im Laufe der Zeit kann der hohe Blutdruck die Blutgefäße in den Nieren der Patienten schädigen und so die Funktionsfähigkeit der Nieren beeinträchtigen. Ist die Funktion der Nieren eingeschränkt, kann es zu einer übermäßigen Ansammlung von Flüssigkeit und Abfallstoffen im Blut kommen. Dies wiederum kann zu Bluthochdruck führen, der weitere Schäden an den Nieren verursacht. Im weiteren Verlauf kann bei einigen Patienten ein chronisches Nierenversagen auftreten.<br />
<br />
Bluthochdruck kann sowohl die Ursache als auch eine Folge einer chronischen Nierenschwäche sein. Einerseite führt ein konstant hoher Blutdruck zur Verengung der Gefäße in der Niere. Durch diese vaskuläre Nierenschädigung wird die Nierendurchblutung beeinträchtigt. Andererseits werden bei nachlassender Nierenfunktion vermehrt blutdrucksteigernde Hormone gebildet und es wird zu wenig Wasser aus dem Körper ausgeschieden. Eine arterielle Hypertonie, die in Folge einer anderen Grunderkrankung auftritt, wird sekundäre Hypertonie genannt. Als renale Hypertonie bezeichnet man eine aufgrund einer Nierenerkrankung bestehende sekundäre Hypertonie. Das ist bei etwa 5-10% aller Bluthochdruck-Erkrankungen der Fall.<br />
 
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<p class="cl-box-text-inner cl-box-full"><span class="cl-box-zert">Erschienen am 22.03.2022</span><span class="cl_hide_on_mobile_text"><strong> • </strong>Die Ergebnisse, die zu einer vorzeitigen Beendung der Phase-III-Studie EMPA-KIDNEY geführt haben, stellen wir Ihnen hier vor!</span></p>

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<h2 class="medNews">Was sind die Ursachen von renaler Hypertonie?</h2>
Nierenhochdruck wird durch einen teilweisen oder vollständigen Verschluss der Arterien verursacht, die bei normaler Nierenfunktion die Nieren mit Blut versorgen. Diese Nierenarterien transportieren sauerstoff- und nährstoffreiches Blut vom Herzen zu den Nieren. Werden die Nieren nicht ausreichend mit Blut und Sauerstoff versorgt, kann dies daran liegen, dass diese Nierenarterien verengt sind, was als Nierenarterienstenose bezeichnet wird.<br />
<br />
Jede Erkrankung, die den Blutfluss zu den Nieren beeinträchtigt, kann zu renovaskulärem Bluthochdruck bei betroffenen Patienten führen. Die häufigsten Ursachen der renovaskulären Hypertonie sind Formen der Nierenarterienstenose. Hierbei ist Atherosklerose, d. h. die Ablagerung von Plaque in den Arterien, in 90% der Fälle die Ursache. Fibromuskuläre Dysplasie, eine Erkrankung, die eine Verengung der Arterien verursacht, ist in etwa 9% der Fälle verantwortlich für diese Nierenerkrankung.<br />
<br />
Weitere Ursachen für eine Nierenarteriostenose:<br />
 
<ul>
	<li>Entzündungen der Arterien, die auf die folgenden Erkrankungen zurückzuführen sein können:
	<ul>
		<li>Takayasu-Arteriitis</li>
		<li>Antiphospholipid-Antikörper-Syndrom</li>
		<li>mittleres Aortensyndrom</li>
	</ul>
	</li>
	<li>Strahlenfibrose, eine Nebenwirkung der Strahlentherapie</li>
	<li>Kompression der Nierenarterien</li>
	<li>Nierenarteriendissektion, die nach einer Verletzung des Blutgefäßes auftreten kann</li>
	<li>Verstopfung infolge einer Operation an den Arterien</li>
</ul>

<h2 class="medNews">Welche Risikofaktoren gibt es bei renaler Hypertonie?</h2>
Die meisten Fälle von Nierenarterienstenose sind auf verengte Nierenarterien zurückzuführen. Zu den Risikofaktoren, die eine Verengung der Arterien in den Nieren und anderen Teilen des Körpers wahrscheinlicher machen, gehören:<br />
 
<ul>
	<li>Alter</li>
	<li>hoher Blutdruck</li>
	<li>hoher Cholesterinspiegel</li>
	<li>Diabetes</li>
	<li>Fettleibigkeit</li>
	<li>Rauchen und anderer Tabakkonsum</li>
	<li>frühzeitige Herzkrankheiten in der Familie</li>
	<li>Bewegungsmangel<br />
	 
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<h2 class="medNews">Was sind die Symptome bei renaler Hypertonie?</h2>
Obwohl die Nierenarterienstenose in der Regel keine Symptome aufweist, sollten Patienten auf diese Anzeichen achten:<br />
 
<ul>
	<li>medikamentös nicht einstellbare Bluthochdruckerkrankungen</li>
	<li>hoher Blutdruck bei jungen Patienten</li>
	<li>stabiler Bluthochdruck, der sich plötzlich verschlechtert oder schwer zu kontrollieren ist</li>
	<li>schlecht funktionierende Nieren</li>
	<li>Verengung anderer Arterien im Körper, z. B. in den Beinen, im Gehirn, in den Augen usw.</li>
	<li>Lungenödeme</li>
</ul>
Steigt der Blutdruck gefährlich hoch, sind folgende Symptome möglich:<br />
 
<ul>
	<li>Kopfschmerzen</li>
	<li>Verwirrung</li>
	<li>verschwommenes oder doppeltes Sehen</li>
	<li>blutiger Urin</li>
	<li>Nasenbluten</li>
	<li>Schmerzen in der Brust</li>
</ul>

<h2 class="medNews">Wie erfolgt die Diagnose der renalen Hypertonie?</h2>
Eine Nierenarterienstenose ist schwer zu diagnostizieren. Patienten mit renovaskulärem Bluthochdruck werden häufig einer umfassenden Untersuchung unterzogen, um eine Ursache für den unkontrollierten Bluthochdruck zu finden. Durch eine gründliche ärztliche Anamnese und eine körperliche Untersuchung können Hinweise auf das Vorliegen einer Gefäßerkrankung gesammelt werden. Wenn in der Vorgeschichte der Patienten bereits andere Gefäßerkrankungen wie Herzinfarkte oder Schlaganfälle aufgetreten sind, besteht ein erhöhtes Risiko für eine Nierenarterienstenose.<br />
<br />
Laboruntersuchungen, die auf eine renale Hypertonie hinweisen:<br />
 
<ul>
	<li>Urinanalyse: Untersuchung auf Proteinurie, Hämaturie etc.</li>
	<li>Blut-Harnstoff-Stickstoff und Serum-Kreatinin</li>
	<li>basales metabolisches Profil zur Beurteilung von Elektrolytstörungen und des Säure-Basen-Haushalts</li>
	<li>Autoimmunprofil: Bei Verdacht auf Autoimmunerkrankungen, die das Nierengefäßsystem betreffen.</li>
	<li>Plasma-Renin-Aldosteron-Verhältnis</li>
	<li>freies Cortisol im 24-Stunden-Urin oder niedrig dosierter Dexamethason-Suppressionstest zum Ausschluss des Cushing-Syndroms</li>
</ul>
Bildgebende Verfahren, um eine Verengung der Nierenarterien festzustellen:<br />
 
<ul>
	<li>Duplex-Ultraschall: Verstopfungen in der Nierenarterie oder Blut, das sich mit überdurchschnittlicher Geschwindigkeit durch nahe gelegene Arterien bewegt, können gezeigt werden.</li>
	<li>Computertomographische Angiographie (CTA): Durch Röntgenstrahlen als auch Computertechnologie wird die Struktur der Arterien untersucht.</li>
	<li>Magnetresonanzangiogramm (MRA): Der Blutfluss und die Organfunktion können ohne Röntgenstrahlen dargestellt werden.</li>
	<li>Katheterangiographie: Eine spezielle Art der Röntgenuntersuchung, bei der ein Katheter oder ein dünner, flexibler Schlauch durch die großen Arterien in die Nierenarterie eingeführt wird.</li>
</ul>

<h2 class="medNews">Welche Therapien gibt es bei renaler Hypertonie?</h2>
Die Behandlung der renalen Hypertonie zielt darauf ab, die zugrunde liegende Ursache zu beheben. Hierfür stehen den Patienten mehrere Möglichkeiten der Behandlung zur Verfügung, darunter eine pharmakologische und eine invasive Therapie.<br />
Medikamentöse Therapien zielen auf die langfristige Blutdrucksenkung ab. Bei den meisten Menschen mit renalem Bluthochdruck, der auf eine Verengung der Nierenarterien zurückzuführen ist, kann der Blutdruck durch eine Behandlung mit Medikamenten wirksam kontrolliert werden. Häufig ist jedoch mehr als ein Blutdruckmedikament zur Therapie erforderlich.<br />
<br />
Blutdrucksenkende Medikamente bei renaler Hypertonie:<br />
 
<ul>
	<li>Angiotensin-konvertierende Enzyme (ACE-Hemmer)</li>
	<li>Angiotensin-Rezeptorblocker (ARBs)</li>
</ul>
Bei manchen Patienten mit erhöhtem renalen Blutdruck, reicht selbst die tägliche Einnahme von drei oder mehr Medikamenten nicht aus, um den Blutdruck ausreichend zu kontrollieren. In diesen Fällen können invasive Behandlungen zur Verbesserung des Blutflusses zu den Nieren dienen.<br />
<br />
Invasive Therapien bei renaler Hypertonie:<br />
 
<ul>
	<li>Angioplastie, auch Ballonangioplastie und perkutane transluminale Angioplastie (PTA) genannt: Hierbei handelt es sich um ein minimal-invasives endovaskuläres Verfahren zur Erweiterung verengter oder verstopfter Arterien oder Venen. Ein an einem Katheter befestigter, entleerter Ballon wird über einen Führungsdraht in das verengte Gefäß eingeführt und dann auf eine bestimmte Größe aufgeblasen, wodurch das Blutgefäß aufgedehnt wird und der Blutfluss verbessert wird.</li>
	<li>Stenting: Bei der Angioplastie kann ein Stent aus Drahtgeflecht in der Nierenarterie aufgedehnt werden. Der Stent verbleibt an seinem Platz. Dadurch bleibt die Arterie offen, nachdem der Ballon entfernt wurde.</li>
	<li>Operation: Die verengte Nierenarterie kann überbrückt werden. In der Regel wird ein chirurgischer Eingriff nur dann in Betracht gezogen, wenn Angioplastie und Stenting nicht möglich sind.</li>
	<li>renale Denervation (RDN): Bei einer therapieresistenten Hypertonie (Bluthochdruck, der nicht auf Medikamente anspricht) wird dieses minimal-invasive Verfahren durchgeführt. Bei diesem Verfahren werden die Nerven in den Nierenarterien mittels Radiofrequenzablation verbrannt. Dieser Prozess führt zu einer Verringerung der Nervenaktivität, wodurch der Blutdruck gesenkt wird.</li>
	<li>Dialyse oder eine Nierentransplantation bei Patienten mit einer Nierenerkrankung im Endstadium<br />
	 
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			'haupttext' => 'Das menschliche Immundefizienzvirus (HIV, human immunodeficiency virus) geh&ouml;rt zur Familie der Retroviren und verursacht das erworbene Immunschw&auml;chesyndrom (AIDS, acquired immunodeficiency syndrome). Die Ansteckung mit dem HIV verl&auml;uft &uuml;ber infekti&ouml;se K&ouml;rperfl&uuml;ssigkeiten, wie z.B. Blut, Sperma, Scheidenfl&uuml;ssigkeit und Fl&uuml;ssigkeit auf der Enddarmschleimhaut. 2-4 Wochen nach einer Infektion treten bei Patienten meist Beschwerden, wie z.B. Fieber, Nachtschwei&szlig;, Diarrhoe, Abgeschlagenheit, Lymphknotenschwellungen und Hautausschl&auml;ge, auf. Da diese Symptome der einer Grippe &auml;hneln, wird die HIV-Infektion in diesem Stadium oft nicht erkannt. Das Virus kann sich unbemerkt vermehren. Bleibt die Krankheit unbehandelt und versagt das Immunsystem des Erkrankten, bildet sich das Vollbild AIDS aus, mit Lungenentz&uuml;ndungen, Mykosen oder Krebs.<br />
<br />
Das HIV nutzt das CD4-Molek&uuml;l und bestimmte Chemokin-Rezeptoren, um in Helfer-T-Zellen einzudringen und diese zu ihrer eigenen Vermehrung zu nutzen. Dadurch werden die Helfer-T-Zellen zerst&ouml;rt und betroffene Patienten werden anf&auml;llig f&uuml;r normalerweise ungef&auml;hrliche Infektionen.<br />
<br />
Eine HIV-Infektion kann durch Immunassays (ELISA), die die vom menschlichen Immunsystem gebildeten Antik&ouml;rper gegen das Virus detektieren, nachgewiesen werden. Moderne Tests der 4. Generation erfassen zus&auml;tzlich das p24-Antigen des HIV-1-Virus. Zur Best&auml;tigung des Testergebnisses oder bei unsicheren Testergebnissen kann zus&auml;tzlich ein Western-Blot durchgef&uuml;hrt werden, mit dem ebenfalls HIV-spezifische Antik&ouml;rper nachgewiesen werden k&ouml;nnen. Eine RT-PCR zum Nachweis von ist eines der schnellsten und genausten Nachweisverfahren einer HIV-Infektion.<br />
<br />
Die AIDS-Pandemie hat bereits mehr als 25 Millionen Menschenleben gefordert. Allerdings gibt es mittlerweile Medikamente, die eine Vermehrung des HIV im K&ouml;rper verhindern k&ouml;nnen, so dass viele HIV-Patienten relativ lange mit dem Virus leben k&ouml;nnen und es nicht mehr zum Stadium AIDS kommen muss. Eine Heilung gibt es bisher allerdings nicht.<br />
<br />
Aktuell existieren 6 Medikamentenklassen (mit &gt;25 zugelassenen Medikamenten) zur Behandlung von HIV:<br />
&bull; Reverse-Transkriptase-Inhibitoren: Nukleosidale (NRTI) sowie<br />
&bull; nicht-nukleosidale Reverse-Transkriptase-Inhibitoren ( NNRTI), die das Enzym Reverse Transkriptase blockieren.<br />
&bull; Integrase-Inhibitoren: hemmen den Einbau der HIV-DNA in die menschliche DNA<br />
&bull; Protease-Inhibitoren (PI): hemmen die Virus-Protease und somit die Produktion neuer Virusbausteine<br />
&bull; Entry-Inhibitoren (CCR5s) oder auch Fusionsinhibitoren wie Maraviroc verhindern, dass das HIV an die CD4-Zellmembran bindet und in diese eindringt.<br />
<br />
F&uuml;r die&nbsp; antiretrovirale Therapie ART werden jeweils mehrere Medikationen dieser Medikamentenklassen kombiniert, um das Virus in allen Szenarien der Vermehrung oder des Eintritts in die Wirtszelle zu sch&auml;digen.',
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			'litheraturhinweise' => '1. Alberts B, Johnson A, Lewis J et al. Molekularbiologie der Zelle. &Uuml;bersetzung herausgegeben von U Sch&auml;fer. 5. Auflage 2011. Wiley-VCH Verlag.<br />
2. Pantaleo G, Graziosi C, Fauci AS. New concepts in the immunopathogenesis of human immunodeficiency virus (HIV) infection. New Engl J Med 1993;328:327-35.<br />
3. https://www.aidshilfe.de Stand November 2016.',
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			'ueb2' => 'Asthma',
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			'vorspann' => 'Laut WHO leben über 300 Millionen Menschen weltweit mit der chronisch-entzündlichen Erkrankung der Atemwege – Asthma. Die Krankheit kann in jedem Lebensalter auftreten. In Mitteleuropa ist die Sterblichkeit eher gering, da Asthma in der Regel gut behandelbar ist.',
			'haupttext' => '<h2 class="medNews">Was ist Asthma?</h2>
Asthma bronchiale ist eine entzündliche Erkrankung der Atemwege, bei der sich die Bronchien verengen und anschwellen. Die Symptome dieser chronischen Erkrankung können zu schweren Anfällen führen. Es handelt sich um eine der häufigsten chronischen, nicht übertragbaren Atemwegserkrankungen bei Kindern und Erwachsenen. Betroffene leiden unter Atemwegssymptomen, z.B. Atemnot, Kurzatmigkeit, Verengung der Bronchien und Husten. Es gibt verschiedene Ursachen der Erkrankung. Man unterscheidet das allergische und das nicht-allergische (intrinsische) Asthma. Manche Patient:innen können durch eine Vermeidung der Auslöser und eine kontrollierende Behandlung mit Medikamenten auch mit der Krankheit ein nahezu normales Leben führen. Für andere Patient:innen kann die Erkrankung ein großes Problem sein, das die täglichen Aktivitäten beeinträchtigt und zu einer lebensbedrohlichen Atemnot führen kann.

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<p class="cl-box-ueb2">Asthma: Therapieziel Remission</p>

<p class="cl-box-text-inner cl-box-full"><span class="cl-box-zert">Erschienen am 31.05.2022</span><span class="cl_hide_on_mobile_text"><strong> • </strong>Bei Asthma ist das erklärte Therapieziel mittlerweile die Remission. Wie sie zu erreichen ist, erfahren Sie bei uns!</span></p>

<p class="cl-box-text-inner cl-box-responsive"><span class="cl-box-zert">Erschienen am 31.05.2022</span><span class="cl_hide_on_mobile_text"><strong> • </strong>Bei Asthma ist das erklärte Therapieziel mittlerweile die Remission. Wie sie zu erreichen ist, erfahren...</span></p>

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<h2 class="medNews">Welche Unterklassen von Asthma bronchiale gibt es?</h2>
Mehrere Studien haben gezeigt, dass die Kontrolle von Asthma bronchiale bei den meisten Betroffenen unabhängig vom Schweregrad der Erkrankung möglich ist. Folgende Formen der Erkrankung sind möglich:

<h3 class="medNews">Allergisches Asthma</h3>
Allergisches Asthma ist die häufigste Form der Erkrankung und tritt oft bereits im Kindesalter auf. Es entsteht durch eine allergische Reaktion, die durch eingeatmete Allergene, wie Pollen, Hautschuppen oder Schimmelsporen, ausgelöst wird. Diese <a href="https://www.journalmed.de/thema/lesen/allergien">Allergie</a> führt zu einer Überreaktion des Immunsystems, die Bronchien verengen sich und es kommt zu Asthmaanfällen.

<h3 class="medNews">Nicht-allergisches (intrinsisches) Asthma</h3>
Das nicht-allergische Asthma beginnt häufig erst im Erwachsenenalter und nimmt eher einen schweren Verlauf als allergisches Asthma. Inzwischen ist allgemein anerkannt, dass nicht-allergisches Asthma objektiv von allergischem Asthma unterschieden werden kann, wenn der Hauttest auf die üblichen Allergene, die über die Luft mit dem Menschen in Kontakt kommen (z.B. Pollen, Schimmelpilzsporen, Tierhaare, Hausstaubmilben) negativ ausfällt. Somit ist nicht-allergisches Asthma oder nicht-atopisches Asthma eine Form der Erkrankung, die nicht mit einem Allergieauslöser wie Pollen oder Staub zusammenhängt und seltener auftritt als allergisches Asthma.

<h4 class="medNews">Was sind die Ursachen für die Entstehung von nicht-allergischem Asthma?</h4>
Die genauen Ursachen für intrinsisches Asthma sind nicht bekannt, doch werden verschiedene Faktoren damit in Verbindung gebracht:<br />
 
<ul>
	<li>Sinus-Infektion</li>
	<li>Bronchitis</li>
	<li>Nasenpolypen</li>
	<li>Nasennebenhöhlenentzündung</li>
	<li>Zahn- oder Zahnfleischentzündungen</li>
	<li>Halsentzündung</li>
	<li>gastrointestinale Probleme</li>
	<li>Nierenversagen</li>
	<li>Herzversagen
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<h3 class="medNews">Gemischtförmiges Asthma</h3>
Die meisten erwachsenen Patient:innen leiden an einer Mischform aus allergischem und nicht-allergischem Asthma. In diesen Fällen können sowohl Allergene als auch unspezifische Reize einen Asthmaanfall oder eine Verschlechterung der Symptome auslösen.

<h3 class="medNews">Eosinophiles Asthma (EA)</h3>
Hierbei handelt es sich um eine seltene aber schwere Form von Asthma. Es ist gekennzeichnet durch eine hohe Anzahl weißer Blutkörperchen, der Eosinophile. Diese Zellen bekämpfen in der Regel Infektionen. Bei EA-Betroffenen verursachen die weißen Blutkörperchen jedoch Entzündungen und Schwellungen in den Atemwegen. Je höher die Eosinophilen-Konzentration im Blut ist, desto stärker können die Symptome ausfallen. EA ist schwer zu behandeln und beeiträchtigt die Lebensqualität.

<h3 class="medNews">Kontrolliertes Asthma</h3>
Asthma wird als „kontrolliert“ definiert, wenn:<br />
 
<ul>
	<li>unter Verwendung von Medikamenten, wie einem Beta-2-Sympathomimetikum, weniger als 2x pro Woche Beschwerden auftreten</li>
	<li>keine nächtlichen Symptome vorliegen</li>
	<li>Betroffene keine Aktivitätseinschränkungen haben</li>
	<li>höchstens 2x pro Woche eine Bedarfsmedikation mit einem rasch wirksamen Beta-2-Sympathomimetikum notwendig ist</li>
	<li>die Lungenfunktion, gemessen nach der Einsekundenkapazität (FEV1) oder dem PEF-Wert (Peak Expiratory Flow), normal ist</li>
	<li>keine Exazerbationen auftreten</li>
</ul>

<h2 class="medNews">Was ist die Ursache von Asthma?</h2>
Die Ursachen der chronischen Atemwegserkrankung liegen in einer Kombination von <a href="https://www.journalmed.de/thema/lesen/allergien">Allergie</a> auslösenden Umweltfaktoren und vererbten (genetischen) Faktoren.<br />
<br />
Wird die Diagnose Asthma gestellt, kommen folgende Auslöser und Ursachen in Betracht:<br />
 
<ul>
	<li><a href="https://www.journalmed.de/thema/lesen/allergien">Allergie</a>-Auslöser in der Luft, wie Pollen, Hausstaubmilben, Schimmelpilzsporen, Tierhaare</li>
	<li>Infektionen der Atemwege, z.B. eine Erkältung</li>
	<li>kalte Luft</li>
	<li>körperliche Aktivität</li>
	<li>Luftschadstoffe</li>
	<li>bestimmte Medikamente, einschließlich Betablocker, Acetylsalicylsäure und nichtsteroidale entzündungshemmende Medikamente</li>
	<li>Stress</li>
	<li>Sulfite und Konservierungsstoffe</li>
	<li>gastroösophageale Refluxkrankheit
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Risikofaktoren können sein:<br />
 
<ul>
	<li>Vererbung</li>
	<li>andere allergische Erkrankungen wie atopische Dermatitis oder Heuschnupfen</li>
	<li>Übergewicht</li>
	<li>Rauchen</li>
	<li>Chemikalien in der Landwirtschaft, im Friseurhandwerk und in der Produktion</li>
</ul>

<h2 class="medNews">Was sind die typischen Asthma-Symptome? </h2>
Asthma-Symptome sind von Patient:in zu Patient:in verschieden. Typische Symptome und Beschwerden der Erkrankung sind:<br />
 
<ul>
	<li>Kurzatmigkeit</li>
	<li>Atemnot</li>
	<li>Engegefühl oder Schmerzen in der Brust</li>
	<li>Keuchen beim Ausatmen</li>
	<li>Schlafstörungen aufgrund von Kurzatmigkeit, Husten oder pfeifendes Atmen (nächtliche Beschwerden)</li>
	<li>Husten- oder Keuchanfälle, die durch ein Atemwegsvirus wie bei einer Erkältung oder Grippe verschlimmert werden</li>
</ul>
Anzeichen dafür, dass sich die Krankheit verschlechtert:<br />
 
<ul>
	<li>asthmatische Beschwerden treten häufiger auf</li>
	<li>zunehmende Atembeschwerden, messbar mit einem Peak-Flow-Meter zur Überprüfung der Lungenfunktion</li>
</ul>

<h2 class="medNews">Wie wird Asthma bronchiale diagnostiziert?</h2>

<h3 class="medNews">Körperliche Untersuchung </h3>
Durch eine ärztliche Untersuchung können andere mögliche Krankheiten, wie z. B. eine Infektion der unteren Atemwege oder eine chronisch obstruktive Lungenerkrankung (COPD), ausgeschlossen werden.<br />
<br />
Tests zur Messung der Lungenfunktion:<br />
 
<ul>
	<li>Kleiner Lungenfunktionstest – Spirometrie: Mit diesem Test wird die Verengung der Bronchien eingeschätzt, indem geprüft wird, wie viel Luft der/die Patient:in nach einem tiefen Atemzug ausatmet und wie schnell die Ausatmung erfolgt</li>
	<li>Peak-Flow-Messung: Der Peak-Flow-Wert gibt an, wie stark der/die Patient:in ausatmen kann.</li>
	<li>Lungenfunktionstests werden häufig vor und nach der Einnahme von Medikamenten zur Erweiterung der Atemwege, sogennanten Bronchodilatatoren, durchgeführt. Verbessert sich die Lungenfunktion eines/einer Patient:in durch die Einnahme eines Bronchodilatators, ist es wahrscheinlich, dass er an Asthma bronchiale leidet.</li>
</ul>
Zusätzliche Tests<br />
 
<ul>
	<li>Methacholin-Test</li>
	<li><a href="https://www.journalmed.de/thema/lesen/medizinische_bildgebung">Röntgenaufnahmen</a> des Brustkorbs</li>
	<li>Allergietests</li>
	<li>Stickstoffoxid-Tests</li>
	<li>Eosinophile im Auswurf beim Husten</li>
	<li>Provokationstests für Belastungsasthma und kälteinduziertes Asthma
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<h2 class="medNews">Ist Asthma heilbar? </h2>
Eine Heilung der chronischen Krankheit ist nicht möglich. Die Asthma-Behandlung sieht medikamentöse Therapien und unterstützende Maßnahmen, wie regelmäßige Bewegung vor. Große körperliche Anstrengung oder eine hohe körperliche Belastung sollte aber vermieden werden. In Kombination mit Asthma-Medikamenten lässt sich Asthma bronchiale heutzutage gut behandeln. Den meisten Patient:innen ist es durch eine stetige Asthma-Therapie möglich, ihre Erkrankung zu kontrollieren und ein weitgehend beschwerdefreies, normales Leben zu führen. Da sich Asthma bronchiale oft im Laufe der Zeit verändert, ist es wichtig, dass Patient:innen unter ärztlicher Behandlung stehen, um die Anzeichen und Symptome der Asthma-Erkrankung zu beobachten und die Therapie bei Bedarf anzupassen. Neue biologische Therapien zur Behandlung von schwerem Asthma sowie Entwicklungen bei den Biomarkern bieten Möglichkeiten für stärker personalisierte Therapien.

<h2 class="medNews">Welche Möglichkeiten zur Behandlung gibt es bei Asthma bronchiale? </h2>
Prävention und langfristige Kontrolle sind der Schlüssel, um Asthma-Anfälle zu verhindern, bevor sie auftreten. Zur Therapie gehört im Allgemeinen, dass Patient:innen lernen, die Auslöser zu erkennen und Maßnahmen zur Vermeidung dieser Asthma-Auslöser ergreifen. Zur schnellen Entlastung bei einem Asthma-Anfall dient in der Regel ein Inhalator.

<h3 class="medNews">Medikamentöse Therapien bei Asthma</h3>
Welche Medikamente im jeweiligen Erkrankungsfall geeignet sind, hängt vom Alter, den Symptomen und den Auslösern ab. Vorbeugende, langfristig wirkende Mittel reduzieren die Entzündung der Atemwege, die zu den Symptomen führt. Schnell wirksame Inhalatoren (Bronchodilatatoren) können die geschwollenen Atemwege, die die Atmung einschränken, schnell öffnen. Manchmal sind auch <a href="https://www.journalmed.de/thema/lesen/allergien">Allergie</a>-lindernde Medikamente hilfreich.<br />
<br />
Langzeitmedikamente, die die Wahrscheinlichkeit eines Asthmaanfalls verringern, werden im Allgemeinen täglich eingenommen. Bei einem akuten Asthmaanfall werden Medikamente zur schnellen Linderung der Symptome während eines Asthmaanfalls nach Bedarf eingesetzt.<br />
<br />
Medikamentöse Therapien zur Langzeitkontrolle:<br />
 
<ul>
	<li>Inhalative Kortikosteroide: Fluticasonpropionat, Budesonid, Ciclesonid, Beclomethason, Mometason und Fluticasonfuroat</li>
	<li>Orale Leukotrien-Modifikatoren: Montelukast, Zafirlukast und Zileuton</li>
	<li>Kombinationsinhalatoren: Fluticason-Salmeterol, Formoterol-Mometason und Fluticason-Furoat-Vilanterol</li>
	<li>Theophyllin</li>
	<li>Therapien zur schnellen Linderung:</li>
	<li>Beta-2-Sympathomimetikum: inhalative, schnell wirksame Bronchodilatatoren, wie Salbutamol, wirken innerhalb von Minuten und lindern die Symptome während eines Asthmaanfalls.</li>
	<li>Orale und intravenöse Kortikosteroide: Prednison und Methylprednisolon</li>
</ul>

<h3 class="medNews">Spezifische Immuntherapie bei Asthma</h3>
Durch eine Immuntherapie, spezifisch für bestimmte Allergene, lassen sich die Symptome und der Gebrauch von Medikamenten bei allergischem Asthma bronchiale reduzieren. Eine spezifische Immuntherapie, die sogenannte Hyposensibilisierung, ist die einzige Methode zur Behandlung, die bei der Ursache der <a href="https://www.journalmed.de/thema/lesen/allergien">Allergie</a> ansetzt und damit das Fortschreiten der Erkrankung verzögern und längerfristig Beschwerden vermindern kann.

<h3 class="medNews">Nicht-medikamentöse Therapien bei Asthma</h3>
Medikamente sind bei der Behandlung von Asthma wichtig, um Asthmaanfälle zu verhindern und die Krankheit unter Kontrolle zu halten. Zusätzliche Maßnahmen:<br />
 
<ul>
	<li>spezielle Atemtechniken, um mit Asthmaanfällen besser umgehen zu können.</li>
	<li>Vermeidung von bestimmten Asthmaauslösern</li>
	<li>regelmäßige Bewegung und ein angemessenes Maß an Sport </li>
	<li>mit dem Rauchen aufhören
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