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I. General Public - Health is the most important thing in everyone's life. Medical knowledge is the best health insurance against diseases and for getting sound medical treatments. Medical World Search can help you and your loved ones to keep abreast of health news, medical advances and drug information. Most importantly, MWSearch provides you an intelligent medical search engine and dozens of special database search tools all in one place for you to search and drill down a medical or health topic to get difficult to find and reliable information. Spend a few minutes a week may save you thousands of dollars in medical bills, avoid painful mistakes and extend years of your life. Isn't your health worth it?!

II. Medical and Health Professionals - 15% of web information is health and medical related. Practicing medicine and healthcare requires keeping up with the rapid advances in medical science, treatments, clinical trials and pharmaceuticals. You can access Medical breakthroughs, health news, new drugs, clinical trials and peer publications using MWSearch (Over dozen search tools & services gathered in one place for very busy professionals). Don't let colleagues or patients surprise you with what they know but you don't. One stop for quick and full answers! 

III. Medical Students and Researchers - MWSearch's interactive and expansive medical search engine is the most powerful tool for digging deep into the knowledge domain on any medical and health subject. The selected medical journals, hot topics, medical conferences and special web sites and numerous other search tools will save you days and months in your medical studies and research. Use forum to exchange information and experience!

IV. Who Are Registered MWSearch Members: Professors, Researchers, Physicians, Nurses, Pharmacists, Medical Technicians, Patients, Librarians, School Teachers, Health Professionals, Health News Writers, Hospital Administrators, Insurance Professionals, Injury Lawyers, Social Workers, Medical Informaticians and General Public.   

 

MWSearch Membership for Your Loved One is A Gift of Love & Care!
Access to Medical Knowledge Is Like Having A Health Insurance Covering All Preventive Medicine and Guaranteeing Paying Lowest Medical Expense or None at All!
An Intelligent Medical Search Service Saves Money and Saves Lives!
Your Practice, Your Health and Your Family Deserve Medical World Search!

 

Click the Yellow "" Button  to gain the privileged  MWSearch Membership. Submit the registration form, receive an acknowledgement page on-line, then make the secure online membership payment, It is just that simple! After receiving the payment confirmation, you can immediately use your userid and password to   to access categorized and valuable  information and many search tools . All major search engines cite MWSearch as the top site regarding 'medical' ,'medical search' and 'health' matters. You are here is the proof. Feel free to browse the rich information on this site  then sign up.

 

What are some of the most difficult to diagnose diseases? Answer: Allergies, Aneurysm, Celiac Disease, Chlamydia, Hemochromatosis, Hepatitus C, Hypothyroidism, Lupus, Lyme Disease, Polycystic Ovary Syndrome, Sleep Apnea...  (Use MWSearch to dig deeper into the medical knowledge of each disease to learn more, for starter, Aneurysm means: Aneurysm of unspecified site; Aneurysmal dilatation; ANEURISM; Aneurysm, Infected; Arteriovenous Fistula; Aortic Aneurysm; Aortic aneurysm of unspecified site without mention of rupture; Aortic Rupture; Aortic Aneurysm, Ruptured; Iliac Aneurysm; Aneurysm, Dissecting; Aortic Aneurysm, Abdominal; Cerebral Aneurysm; Other aneurysm of heart; Aortic Aneurysm, Thoracic; Thoracic aneurysm, ruptured ...... MWSearch offers you the expansion of medical knowledge and help you search deeper with our Boolean Operators on clinical features, treatment, pathology, prognosis, drugs, advanced research as well as offer you the most relevant medical search tools at your finger tips.....)    

Surgeons at Massachusetts General Hospital, the largest teaching affiliate of Harvard Medical School, will demonstrate to an Internet audience surgical procedures: Kyphoplasty, 9/21, C-Section, 9/23, Myomectomy, 9/28, Carotid Stent, 9/28, Fibroids, 9/28. The webcast can be accessed by going to www.OR-Live.com (Thanks to Mass General!) Medical students are advised to view these weekly live broadcasts. They are free.

Laughter the Best Medicine offered by Reader's Digest, for example,"Two doctors and an HMO manager die and line up together at the Pearly Gates. One doctor steps forward and tells St. Peter, "As a pediatric surgeon, I saved hundreds of children." St. Peter lets him enter. The next doctor says, "As a psychiatrist, I helped thousands of people live better lives." St. Peter tells him to go ahead. The last man says, "I was an HMO manager. I got countless families cost-effective health care." St. Peter replies, "You may enter. But," he adds, "You can only stay for three days. After that, you can go to hell."" More....

 

Medical & Health Terminology of the Week  

 

Pertussis: Whooping Cough <1>; Pertussis; Infection due to Bordetella pertussis;

Cystic Fibrosis: Cystic Fibrosis; Cystic fibrosis of the pancreas; Fibrocystic Disease of Pancreas; Mucoviscidosis; Pancreatic Cystic Fibrosis; CF; Cystic fibrosis with meconium ileus; Cystic fibrosis without mention of meconium ileus;

Sepeis: Sepsis; Systemic infection; Hemorrhagic Bacteremia; Toxic Shock Syndrome; Parasitemia; Fungemia; Septicemia due to hemophilus influenzae (H. influenzae); Septicemia; Septicemia due to escherichia coli (E. coli); Viremia; Septicemia due to Pseudomonas; Streptococcal septicemia; Septicemia due to Serratia; Staphylococcal septicemia; Sepsis Syndrome; Pneumococcal septicemia; Shock, Septic; Other specified septicemias;

Schizophrenia: Schizophrenia; Schizophrenic Disorders; Unspecified schizophrenia; Paranoid schizophrenia in remission; Subchronic undifferentiated schizophrenia; Subchronic undifferentiated schizophrenia with acute exacerbations; Chronic undifferentiated schizophrenia; Chronic undifferentiated schizophrenia with acute exacerbations; Undifferentiated schizophrenia in remission; Subchronic residual schizophrenia;

Thyroidectomy: Thyroidectomy; Thyroidectomy NEC

Levofloxacin Levofloxacin is in a class of antibiotics called fluoroquinolones; Levaquin®

Paget's Disease: Paget's Disease, Mammary; Paget's Disease of Breast; Paget's disease; Paget Disease of Breast; Paget Disease, Mammary; PAGET DISEASE, NIPPLE; Paget's disease, nipple; Paget's disease of the breast with intraductal carcinoma; Paget's disease of the breast with invasive ductal carcinoma;...

Diabetic Retinopathy: Diabetic Retinopathy; DIABETIC OPHTHALMOPATHY; Diabetes, retinopathy; Proliferative diabetic retinopathy; Background diabetic retinopathy; 

Sarcoma: Sarcoma; Mesenchymal tumor, malignant; Soft tissue tumor, malignant; Sarcoma, Soft Tissue; stage, Kaposi's sarcoma; Lymphangiosarcoma; Sarcoma, Avian; adult malignant fibrous histiocytoma of bone; Kaposi's sarcoma, skin; Kaposi's sarcoma, soft tissue; Mixed Tumor, Mesodermal; Kaposi's sarcoma, palate; Myosarcoma; Kaposi's sarcoma, gastrointestinal sites; Carcinoma 256, Walker; Kaposi's sarcoma, lung

Tympanostomy: Tympanostomy; Tympanotomy; Myringostomy; Paracentesis of tympanum; Aspiration of middle ear; Tympanocentesis;

Reference Sources: MWSearch Search Tool and other online information tools collected for member use.

Medical Search Example of the Week

Examples of Search Result on Perussis: Communicable Disease Fact Sheet Pertussis, or whooping cough, is a highly contagious disease involving the respiratory tract. It is caused by a bacterium that is found in the mouth, ...

Cystic Fibrosis: Cystic Fibrosis Foundation - Home
Seeking the means to cure and control cystic fibrosis and to improve the quality of life for those with the disease. Providing information about the disease ...

Sepsis:SpringerLink - Publication Sepsis. Publisher: Springer Science+Business Media BV, Formerly Kluwer Academic Publishers BV. ISSN: 1385-0229 (Paper) 1573-7411 (Online). Subject: Medicine ...Sepsis.com - Severe sepsis information for healthcare professionals

Schizophrenia:Schizophrenia.com, The World's No. 1 Schizophrenia Website ...The Leading Independent Info Source on Schizophrenia Diagnosis, Treatments, News,Blogs, On-line Schizophrenia Support Groups and Chat, and Education.

Thyroidectomy: Surgery/Thyroid/Thyroidectomy  Comprehensive annotated list of web sites offering information on thyroid surgery, including needle biopsy, lobectomy, and partial and full thyroidectomy.

Levofloxacin: Levofloxacin.com | All you need to know about levofloxacin

Paget's Disease:  Paget Disease, Mammary : Article by Grace F Kao, MD

Diabetic Retinopathy The earliest phase of the disease is known as background diabetic retinopathy.... The next stage is known as proliferative diabetic retinopathy. ...

Sarcoma: Sarcoma.org and Sarcoma.net

Tympanostomy: Effect of early or delayed insertion of tympanostomy tubes for ... BACKGROUND: A main indication for the insertion of tympanostomy tubes in infants and young children is persistent otitis media with effusion, ...

West Nile Virus: CDC West Nile Virus Homepage Background, entomology, vertebrate ecology, NYC area outbreak, virology, surveillance, control, prevention, and bibliography regarding West Nile virus ...

 

Sample Medical News by search tool

Acellular Pertussis Vaccine Proves Effective In Adults ...
A vaccine to protect adults and adolescents against illness due to Bordetella pertussis infection--or whooping cough--has proved more than 90 percent effective ...

Special issue on cystic fibrosis in The Journal of Pediatrics

2 more county residents confirmed with West Nile

Champion boxer dies from brain injury

Thyroid Removal Prevents Hereditary Cancer

Scientists find human brain still evolving

Theory links mad cow disease to funerals

Human infected: Local person diagnosed with West Nile Virus

NY City wants trans fax off restaurants' menu

State Health Officials Report An Increase In West Nile Virus ...

Echinacea useless at treating colds: study

Diabetes drug controls blood glucose, cardiac risk
... "Our review confirms that tight glycemic control with metformin monotherapy is one of the main therapeutic options in the type 2 diabetes mellitus in patients ...

Cardiologist: Stop marketing of heart drug

Colon Cancer: Sigmoidoscopy Helps Catch Colon Cancer  (HealthDay News) -- Patients have a high acceptance of flexible sigmoidoscopy screening for colorectal cancer, according to the results of the ...

Predicting Heart Attacks - Atherosclerosis
Atherosclerosis Atherosclerosis is a disease of the arteries that causes the vessels to thicken and lose elasticity. It occurs when ...

Login to use the news search tools to get topic oriented news for your interest by date and by keyword

Alzheimer Disease

Obesity at Midlife Raises Alzheimer's Risk Later
Test helps predict Alzheimer's onset Simple memory tests appear to predict with a high degree of accuracy those people who will go on to develop Alzheimer's disease in five to 10 years ...
Statin may slow Alzheimer’s disease, Xagena.it, Italy 
... lowering drug, may be of some clinical benefit on measures of cognitive and psychiatric symptoms in patients with mild to moderate Alzheimer disease.

Alzheimer's Drug May Boost Memory In MS Patients
A drug used to treat Alzheimer's disease may prove to be helpful for people with multiple sclerosis.
Stem cells won't save us from disease... could save the world from Alzheimer's disease any day ... this research will provide answers for Alzheimer's, although there ... will never yield a cure for anything ...scientist debates....
Herpes Research Uncovers Possible Clue To Alzheimer's Disease
... a protein that breaks down to form a major component of the amyloid plaques that
are consistently present in the brains of persons with Alzheimer's disease
 
Brain Scans Help Predict Alzheimer's Disease
... Brain scans using positron emission tomography, or PET, markedly increase the ability of doctors to predict which patients will develop Alzheimer's disease as ...
Issue Paper on Human Memory, Alzheimer Disease and Drugs in Development
Newest Imaging Methods Provide Unprecedented Views Inside Human Body Technique may help scientists understand which cells are sick in the early stages of Alzheimer's disease, or how nerves regrow following spinal cord injuries.
Drug Therapy: Alzheimer's Disease  J.L. Cummings NEJM V. 351, N. 1, P. 56
Can Playing Games Help Elderly as Do Young Children? See Issue Paper by Dr. Chang

 MWSearch Sponsors Headutainment Games for a Reason Parkinson's Disease 

People with Parkinson's disease only blink 2 to 5 times per minute. Normally, people blink their eyes about 20 to 30 times per minute. 
Parkinson's Gene Therapies Progress Betterhumans, Canada 
Two gene therapies for Parkinson's disease are showing promise at preventing the disease's progression and avoiding side-effects of existing treatments. ...
Parkinson's Disease Reviews: 2002
Parkinson's Disease Reviews: 2002. (363 References) (2002). "Speech therapy in Parkinson's disease." Mov Disord 17 Suppl 4: S163-6. (2002). "Psychosocial counseling in Parkinson's disease."
New insights into Parkinson's disease
myDNA.com, TX 
New insights into risk factors for Parkinson's disease were among the scientific highlights at the 57th Annual Meeting of the American Academy of Neurology (AAN ...


Diabetic Disease

 


Milk May Help Keep Diabetes Away FOX News 
Men who drank 2 to 3 cups of low-fat or nonfat milk a day were found to be 20 percent less likely to develop type 2 diabetes in a study by researchers from ...

Syndrome may rise in obese, diabetic kids South Bend Tribune, IN 
Researchers are warning physicians to watch out for a dangerous syndrome in obese children brought to the emergency room. The condition ...

Glucose not sole risk for diabetic nerve problem Heart Center Online 
... 27 (Reuters Health) - Many patients with diabetes develop numbness, tingling, pain, or weakness in their hands or feet, a condition called diabetic neuropathy.

Statins Don't Affect Mortality in Diabetes Patients on Dialysis

 

Cancer

 


Stem Cells May Fight Cancer Scientists grow human embryonic stem cells into immune system cells which form part of the body's natural defense against cancer. ...

Study: Surgery Best for Prostate Cancer 

Trial Launched for New Bowel Cancer Treatment
A national bowel cancer trial was launched today with experts hoping it will lead to better treatment for thousands of victims of the deadly disease. ...

New drug in battle against breast cancer
For nearly two decades, breast cancer sufferers have used the drug tamoxifen to boost survival rates. But now a global trial of ...

 

Information on SARS


WHO | Severe Acute Respiratory Syndrome (SARS) .. and treatment guidelines, travel advisory, and daily outbreak updates. ... Situation Updates - SARS - Cumulative number of reported probable cases ... (May 2005)

CDC Guidance on SARS (2004) Updated Guidance (Jan 21, 2004)

See list and for details please log in and read the full papers: (Severe Acute Respiratory Syndrome related papers listed)

Severe Acute Respiratory Syndrome (SARS), Click SARS 

Login for Paper by Julie L Gerberding, Director of CDC 

Major Outbreak of Severe Acute Respiratory Syndrome in Hong Kong, Nelson Lee et al (14 authors), in NEJM

SARS Appears to be Under Control, says WHO Official Voice of America

Pfizer identifies possible SARS answer
... Pfizer has announced that it has identified compounds that may be effective against the SARS virus. It says it now plans to select the most promising of the candidates ...

 

Information on HIV, Cancer, Heart Disease, New Drugs & Mad Cow Disease


Scientist says seizure drug flushes out dormant HIV David Margolis of UTargues that a drug developed to treat seizures and depression appears able to flush out dormant HIV, making it vulnerable to treatment.
Scientist finds Aids virus  
The discovery of a virus which may cause Aids, the fatal disease sweeping through America, has been hailed as a "monumental breakthrough" in medical research. ... 
Pharma firms in race for pill to block AIDS virus
If successful, so-called CCR5 inhibitors should have fewer toxic side effects and offer hope ... The discovery of a potentially new virulent strain of HIV in a New ...
[MWSearch]The world's leading drugmakers are racing to be first to market with a new kind of pill that can block the AIDS virus before it enters human cells, experts said. If successful, so-called CCR5 inhibitors should have fewer toxic side effects and offer hope to patients whose virus has developed resistance to existing antiretroviral medicines. PFIZER INC., with a product already in final Phase III tests, is a few months ahead, but both GLAXOSMITHKLINE PLC and SCHERING-PLOUGH CORP. are on its tail. The discovery of a potentially new virulent strain of HIV in a New York man over the weekend has highlighted the need for
fresh pharmaceutical weaponry in the fight against AIDS. Dr. Graeme Moyle, an HIV expert at the Chelsea and Westminster Hospital in London, said he expected the first CCR5 drugs to reach the market in 2007 or 2008. 
Over 800 pupils sign sexual abstinence agreement

CDC Official to Head Bill Gates HIV/AIDS Program
Victor Barnes, associate director of the Centers for Disease Control and Prevention's HIV/AIDS prevention division, has been hired by the Washington-based ...
What Is Enfuvirtide? New Drug for AIDS Not in Medical Thesaurus. 
What are Zyprexa and Risperidal for Schizophrenia? Click Issue Papers and See Other Health and Medical Issues Log in to use Medical Acronym Search and Medical Spell Check 
Single-Dose Perinatal Nevirapine plus Standard Zidovudine to Prevent Mother-to-Child Transmission of HIV-1 in Thailand
M. Lallemont and Others
Intrapartum Exposure to Nevirapine and Subsequent Maternal Responses to Nevirapine-Based Antiretroviral Therapy
G. Jourdain and Others
Antiretroviral Agents -- How Best to Protect Infants from HIV and Save Their Mothers from AIDS H. Coovadia 
Mad Cow Disease Found in the US ( London Financial Times)  Could this First Case Signal an Epidemic? (NY Times)  USDA Misleading American Public about Beef Safety (Dr. Michael Greger) Former Cattle Lobbyist Veneman 'extremely disingenuous'  Bovine Spongiform Encephalopathy (BSE) (US FDA)  Bovine Spongiform Encephalopathy: Main Index, CDC (Center for Disease Control) http://www.cnn.com/SPECIALS/2000/madcow/  (CNN)  http://www.cbc.ca/news/indepth/background/madcow.html (CBS) http://www.organicconsumers.org/madcow.htm (Organic Consumer Association http://www.mad-cow.org/  (Early References)

 Cancer, HIV, Mosquitto, Alzheimer, Healthcare, .. See Issue Papers

MWSearch Voices

Conferences of the Week (Samples)

  • PACS 2005 Annual Conference: The Expanding Integrated Digital Healthcare Enterprise. The Westin Riverwalk Hotel, San Antonio. University of Rochester: http://www.urmc.rochester.edu/pacs2005, Mar. 9-12, 2005
  • AMGA's 2005 Annual Conference. Westin Century Plaza Hotel and Spa, Los Angeles. American Medical Group Association (AMGA): http://www.amga.org/Education/AnnualConf/index_annualConf.asp, Mar. 10-13, 2005
  • Congress on Healthcare Management. Chicago. American College of Healthcare Executives: http://www.ache.org, March 14-17, 2005
  • The NCCLS 2005 Leadership Conference. Chicago. American College of Healthcare Executives (ACHE): http://www.ache.org, Mar. 17-19, 2005

Login to browse the conference list and CME courses for events in 2005 to 2007  

US Medical License Exam

   

There are a series of three USMLE exams that candidates must pass in order to qualify for medical licensure in the United States. Unlike previous USMLE exams, the computer versions are administered by appointment on a year-round basis. The Step 1 emphasizes basic science principles, specifically in anatomy, behavioral science, biochemistry, microbiology, pathology, pharmacology, and physiology. Interdisciplinary areas such as genetics, immunology, and nutrition are also tested. The Step 1 examone-day computer exam contains 350 questions and spans 8 hours of testing (including an hour of break time). It is administered as 7 one-hour "blocks" of 50 questions each. The Step 2 exam contains of 400 questions and spans 9 hours of testing (including an hour of break time). It is administered as eight, 1-hour "blocks" of 50 questions each. The Step 3 exam is a 2-day computerized examination with approximately 500 multiple-choice items administered over the first day and a half of testing. These items deal with clinical situations typically encountered by a generalist physician. The exam concludes with a half-day consisting of approximately 9 open-ended computer-based case simulations (CCS). The Step 3 exam focuses primarily on patient management (45-55% of the questions). Other "physician tasks" tested include history and physical (8-12%), lab and diagnostic studies (8-12%), diagnosis (8-12%), prognosis (8-12%), and pathophysiology (8-12%). In addition to "physician tasks," each question also falls into one of three clinical encounter frames: initial workup (20-30%), continued care (55-65%), and emergency care (10-20%).

For more information and taking the USMLE tests see the helpful Kaplan Test Prep in the MWSearch Online Shopping Mart under the learning category. College, Professional, K-12 and Language tests are also available.

An interesting article: International Medical Graduates in the US, NEJM, Vol. 350, issue 24, pp.2435-37

 

                Health Statistics   

New Benefits for MWSearch Members

Login to take advantage of the medical thesaurus and terminology in  MWSearch, use query expansion to search medical knowledge. More search tools, news, dictionary, directories, encyclopedia, research databases, NEJM articles, drug information, search for a doctor, etc etc are available to MWSearch members. Browse the Navigation Guide and Functions and Features Buttons on the Frame Content List to find out more about MWsearch and other posted member privileges.

Magic Shopping Card (Click to See CD below) 

(Magic Mart for your convenience and $/Time Savings)

 

Shopping can be very stressful but gift giving gets great goodwill (5G) in business and in personal life. MWSearch presents you the friendly, no pressure and enjoyable Magic Mart www.magicmart.us which has over 200 stores and businesses for your shopping needs. You save more money and time than rushing through stores to stores. Bad weather gives you more reason to shop online. Stores are eager to offer discounts and free shipping. Click here www.magicmart.us to browse. Click to check out the latest Sales!

 

Magic Mart appreciates many special offers made by its merchants to MWS shoppers.. MWS members and visitors should take advantage of them. Keep a record of your purchases for possible additional rebate from MWS. Notify MWSearch by email your purchases to get Magic Mart rebates.

 

Always Current Magic Shopping Card

Linked to Online Magic mart

Why does MWSearch offer one of the biggest online shopping mart? Of course, Specials and Discounts offered by Over 250 Stores are Great Values to MWSearch Members and Visitors. We also believe that online shopping can be a relaxing rather than a stressful activity especially when one is obligated to shop under time pressure. Feeling of time wasted or performing inefficient tasks are two main contributors to stress. We are tempted to suggest that 'online shopping' at one's leisure in a relaxed atmosphere can be quite therapeutic compared to 'physical shopping', although we have not found any research to compare online shopping versus mall or main street shopping in a systematic study. We welcome researchers to use MWSearch's Magic Mart to conduct such a research. To facilitate such a research, the Magic Mart has been produced on an interactive CD which can be used online and off Internet. This Magic Mart Shopping Card contains many valuable tools, information and edutaining applications in addition to the giant Magic Mart organized for shoppers' convenience. Merchants can order and distribute this Magic Mart shopping card to customers at a cost of $10 per card. Researchers and businesses can order bulk quantity at cost to distribute them free. This Magic Shopping Card is offered to participating individual shoppers free. (send request to mwsearch@mwsearch.com) 

Magic Mart offers a great variety of goods and services beyond medical and health related products. It is common knowledge that shoppers want the convenience to find what they are looking for as well as things they have not yet anticipated the need for in one shopping excursion. This is the reason shopping malls mushroomed in the eighties and nineties. Unfortunately, it takes too much time to walk through the malls and shops. In today's life pace, shoppers need much more efficient ways to shop. Online shopping offers that for most goods and services. Shoppers also derive tremendous pleasure when they find a genuine sale item which is just what they needed. Magic Mart is designed to give shoppers that opportunity and convenience. Use the Magic Mart shopping card frequently to get familiar with the 200+ companies' product lines and their sales pattern. Magic Mart is expanding its Toys and Games Section where you can browse the GIFTED-CD an information card just focused on Games and toys. Shoppers should always Compare Quality & Price and take advantage of the Discounts & MM Rebates. Make notes and do frequent visits at your leisure. Why fight the traffic and parking? Why pay more at last minute? Let the Mouse do the shopping! Check out what other shoppers say. Don't miss the Sales Newsletter's Bargains! Register with MWSearch, Shoppers can even claim an additional MM Award! Just tell us your purchase, there may be a surprise award for you!

 

The above picture is the cover design of the interactive Magic Mart Shopping Card. You will have fast speed and portability using this CD. You may view it together with your spouse or friends to buy a gift for your parents or kids. You can browse the online version of the Magic Mart if you have a broadband connection. If you like to have a copy in your wallet, click the order button here to request a copy. (first come first serve basis till out of supply) We believe the Magic Mart will make your shopping more enjoyable and will save you more time and money. Click the Magic Mart and browse, your comments and suggestions for improvement are most welcome. Magic Mart Is a Trade Mark used by MWSearch. Please note that Magic Mart will feature the GIFTED Toys and Games (Good Inventions For Toys & EDucation!).

     
   
     
   

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