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Over the past ten years, total assets of the largest banks have been relatively flat. The middle ages saw the emergence of fiat currencies. The problem with pre-modern fiat currencies is that they could be easily debased. Crypto technologies are now enabling a new genre of fiat currency: crypto currencies like bitcoin and They are fiat currencies without governments or central banks.

These flaps include the Pedicled TRAM (traverse rectus myocutaneous) flap, the free TRAM flap, the DIEP Pedicled TRAM flap A TRAM flap uses the muscle, fat and skin from your lower abdomen to reconstruct a DIEP flap The DIEP flap utilizes the same lower abdominal skin and fat as the TRAM and free TRAM flap : Transverse Upper Gracilis flap • VUG flap: Vertical Upper Gracilis flap • DUG flap: Diagonal Upper Similar to the gracilis-based flaps, a PAP flap uses skin and fat from the back of the upper thigh to

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