Hypoxia is a condition in which the body or a region of the body is deprived of adequate oxygen supply at the tissue level. Hypoxia may be classified as either generalized , affecting the whole body, or local , affecting a region of the body. Although hypoxia is often a pathological condition, variations in arterial oxygen concentrations can be part of the normal physiology , for example, during strenuous physical exercise .
60-451: On 7 January 1948, 25-year-old Captain Thomas F. Mantell, a Kentucky Air National Guard pilot, died when he crashed his P-51 Mustang fighter plane near Franklin , Kentucky , United States, after being sent in pursuit of an unidentified flying object (UFO). Mantell pursued the object in a steep climb and disregarded suggestions to level his altitude. At high altitude, he blacked out from
120-798: A ventilation-perfusion mismatch , such as a pulmonary embolus , or alterations in the partial pressure of oxygen in the environment or lung alveoli, such as may occur at altitude or when diving. Common disorders that can cause respiratory dysfunction include trauma to the head and spinal cord, nontraumatic acute myelopathies, demyelinating disorders, stroke, Guillain–Barré syndrome , and myasthenia gravis . These dysfunctions may necessitate mechanical ventilation. Some chronic neuromuscular disorders such as motor neuron disease and muscular dystrophy may require ventilatory support in advanced stages. Carbon monoxide competes with oxygen for binding sites on hemoglobin molecules. As carbon monoxide binds with hemoglobin hundreds of times tighter than oxygen, it can prevent
180-411: A barrier to this diffusion , and therefore can cause damage to the corneas. Symptoms may include irritation, excessive tearing and blurred vision . The sequelae of corneal hypoxia include punctate keratitis , corneal neovascularization and epithelial microcysts. Intrauterine hypoxia, also known as fetal hypoxia, occurs when the fetus is deprived of an adequate supply of oxygen . It may be due to
240-494: A basket attached." While UFOs are culturally associated with the mysterious, they are often later identified, particularly as balloons. Skyhook sightings were behind many UFO reports during the 1940s and 1950s. The more famous Roswell Incident and 2023 high-altitude sightings were also later attributed to military balloon projects. Captain Thomas Francis Mantell Jr. (30 June 1922 – 7 January 1948)
300-434: A common feature that limitation of oxygen availability contributes to the development of the pathology. Cells and organisms are also able to respond adaptively to hypoxic conditions, in ways that help them to cope with these adverse conditions. Several systems can sense oxygen concentration and may respond with adaptations to acute and long-term hypoxia. The systems activated by hypoxia usually help cells to survive and overcome
360-465: A correlation between hypoxic stress and adaptive tracking performance. Arterial oxygen tension can be measured by blood gas analysis of an arterial blood sample, and less reliably by pulse oximetry , which is not a complete measure of circulatory oxygen sufficiency. If there is insufficient blood flow or insufficient hemoglobin in the blood (anemia), tissues can be hypoxic even when there is high arterial oxygen saturation. Oxygen passively diffuses in
420-413: A given part of a body sometimes resulting from vascular occlusion such as vasoconstriction , thrombosis , or embolism . Ischemia comprises not only insufficiency of oxygen, but also reduced availability of nutrients and inadequate removal of metabolic wastes . Ischemia can be a partial (poor perfusion ) or total blockage. Compartment syndrome is a condition in which increased pressure within one of
480-759: A historical marker in honor of Mantell in his hometown of Franklin. The marker is located at the exit off Interstate 65 . 36°40.063′N 86°33.461′W / 36.667717°N 86.557683°W / 36.667717; -86.557683 Kentucky Air National Guard Too Many Requests If you report this error to the Wikimedia System Administrators, please include the details below. Request from 172.68.168.133 via cp1102 cp1102, Varnish XID 547900367 Upstream caches: cp1102 int Error: 429, Too Many Requests at Thu, 28 Nov 2024 05:42:17 GMT Hypoxia (medical) Hypoxia differs from hypoxemia and anoxemia, in that hypoxia refers to
540-413: A hypoxic brain injury. Oxygen deprivation can be hypoxic (reduced general oxygen availability) or ischemic (oxygen deprivation due to a disruption in blood flow) in origin. Brain injury as a result of oxygen deprivation is generally termed hypoxic injury. Hypoxic ischemic encephalopathy (HIE) is a condition that occurs when the entire brain is deprived of an adequate oxygen supply, but the deprivation
600-501: A lack of oxygen ; his plane went into a downward spiral and crashed. The incident was among the most publicized of early UFO reports. Later investigation by the United States Air Force 's Project Blue Book indicated that Mantell died chasing a Skyhook balloon , which, in 1948, was a top-secret project that he would not have known about. On 7 January 1948, Godman Army Airfield at Fort Knox , Kentucky , received
660-460: A limb is used, increasing the oxygen demand in the active muscles. Pain may also be felt as a result of increased hydrogen ions leading to a decrease in blood pH ( acidosis ) created as a result of anaerobic metabolism . G-LOC , or g-force induced loss of consciousness, is a special case of ischemic hypoxia which occurs when the body is subjected to high enough acceleration sustained for long enough to lower cerebral blood pressure and circulation to
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#1732772536800720-445: A low oxygen content, e.g., while diving underwater , especially when using malfunctioning closed-circuit rebreather systems that control the amount of oxygen in the supplied air. Mild, non-damaging intermittent hypoxia is used intentionally during altitude training to develop an athletic performance adaptation at both the systemic and cellular level. Hypoxia is a common complication of preterm birth in newborn infants. Because
780-434: A protein in red blood cells . The binding capacity of hemoglobin is influenced by the partial pressure of oxygen in the environment, as described by the oxygen–hemoglobin dissociation curve . A smaller amount of oxygen is transported in solution in the blood. In systemic tissues, oxygen again diffuses down a concentration gradient into cells and their mitochondria , where it is used to produce energy in conjunction with
840-623: A report from the Kentucky Highway Patrol of an unusual aerial object near Madisonville which could not be immediately identified. Four F-51D Mustangs of C Flight, 165th Fighter Squadron Kentucky Air National Guard , one piloted by Captain Thomas F. Mantell, were told to approach the object. Mantell climbed to 15,000 feet. According to former U.S. Air Force Captain Edward J. Ruppelt , no one could recall Mantell's description of
900-464: A second toxic effect, namely removing the allosteric shift of the oxygen dissociation curve and shifting the foot of the curve to the left. In so doing, the hemoglobin is less likely to release its oxygen at the peripheral tissues. Certain abnormal hemoglobin variants also have higher than normal affinity for oxygen, and so are also poor at delivering oxygen to the periphery. Atmospheric pressure reduces with altitude and proportionally, so does
960-415: A state in which oxygen present in a tissue or the whole body is insufficient, whereas hypoxemia and anoxemia refer specifically to states that have low or no oxygen in the blood . Hypoxia in which there is complete absence of oxygen supply is referred to as anoxia . Hypoxia can be due to external causes, when the breathing gas is hypoxic, or internal causes, such as reduced effectiveness of gas transfer in
1020-505: A tissue may eventually become gangrenous. Any living tissue can be affected by hypoxia, but some are particularly sensitive, or have more noticeable or notable consequences. Cerebral hypoxia is hypoxia specifically involving the brain. The four categories of cerebral hypoxia in order of increasing severity are: diffuse cerebral hypoxia (DCH), focal cerebral ischemia, cerebral infarction , and global cerebral ischemia. Prolonged hypoxia induces neuronal cell death via apoptosis , resulting in
1080-441: A training method to improve sporting performance. This is not considered a medical condition. Acute cerebral hypoxia leading to blackout can occur during freediving . This is a consequence of prolonged voluntary apnea underwater, and generally occurs in trained athletes in good health and good physical condition. Hypoxia may affect the whole body, or just some parts. The term generalized hypoxia may refer to hypoxia affecting
1140-522: A variety of reasons such as prolapse or occlusion of the umbilical cord , placental infarction , maternal diabetes (prepregnancy or gestational diabetes ) and maternal smoking . Intrauterine growth restriction may cause or be the result of hypoxia. Intrauterine hypoxia can cause cellular damage that occurs within the central nervous system (the brain and spinal cord). This results in an increased mortality rate, including an increased risk of sudden infant death syndrome (SIDS). Oxygen deprivation in
1200-476: Is a switch to anaerobic metabolism at the cellular level. As such, reduced systemic blood flow may result in increased serum lactate. Serum lactate levels have been correlated with illness severity and mortality in critically ill adults and in ventilated neonates with respiratory distress. All vertebrates must maintain oxygen homeostasis to survive, and have evolved physiological systems to ensure adequate oxygenation of all tissues. In air breathing vertebrates this
1260-543: Is based on lungs to acquire the oxygen, hemoglobin in red corpuscles to transport it, a vasculature to distribute, and a heart to deliver. Short term variations in the levels of oxygenation are sensed by chemoreceptor cells which respond by activating existing proteins, and over longer terms by regulation of gene transcription. Hypoxia is also involved in the pathogenesis of some common and severe pathologies. The most common causes of death in an aging population include myocardial infarction, stroke and cancer. These diseases share
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#17327725368001320-455: Is called methemoglobin and can be made by ingesting sodium nitrite as well as certain drugs and other chemicals. Hemoglobin plays a substantial role in carrying oxygen throughout the body, and when it is deficient, anemia can result, causing 'anaemic hypoxia' if tissue oxygenation is decreased. Iron deficiency is the most common cause of anemia. As iron is used in the synthesis of hemoglobin, less hemoglobin will be synthesised when there
1380-410: Is generally caused by an increased resistance to flow through the blood vessels of the affected area. Ischemia is a restriction in blood supply to any tissue, muscle group, or organ, causing a shortage of oxygen. Ischemia is generally caused by problems with blood vessels , with resultant damage to or dysfunction of tissue i.e. hypoxia and microvascular dysfunction . It also means local hypoxia in
1440-957: Is less iron, due to insufficient intake, or poor absorption. Anemia is typically a chronic process that is compensated over time by increased levels of red blood cells via upregulated erythropoetin . A chronic hypoxic state can result from a poorly compensated anaemia. Histotoxic hypoxia (also called histoxic hypoxia) is the inability of cells to take up or use oxygen from the bloodstream, despite physiologically normal delivery of oxygen to such cells and tissues. Histotoxic hypoxia results from tissue poisoning, such as that caused by cyanide (which acts by inhibiting cytochrome oxidase ) and certain other poisons like hydrogen sulfide (byproduct of sewage and used in leather tanning). Tissue hypoxia from low oxygen delivery may be due to low haemoglobin concentration (anaemic hypoxia), low cardiac output (stagnant hypoxia) or low haemoglobin saturation (hypoxic hypoxia). The consequence of oxygen deprivation in tissues
1500-453: Is not total. While HIE is associated in most cases with oxygen deprivation in the neonate due to birth asphyxia , it can occur in all age groups, and is often a complication of cardiac arrest . Although corneal hypoxia can arise from any of several causes, it is primarily attributable to the prolonged use of contact lenses . The corneas are not perfused and get their oxygen from the atmosphere by diffusion. Impermeable contact lenses form
1560-406: Is suitable for saturation diving . As the divers are decompressed , the breathing gas must be oxygenated to maintain a breathable atmosphere. It is also possible for the breathing gas for diving to have a dynamically controlled oxygen partial pressure, known as a set point , which is maintained in the breathing gas circuit of a diving rebreather by addition of oxygen and diluent gas to maintain
1620-399: Is usually associated with highly malignant tumours, which frequently do not respond well to treatment. In acute exposure to hypoxic hypoxia on the vestibular system and the visuo-vestibular interactions, the gain of the vestibulo–ocular reflex (VOR) decreases under mild hypoxia at altitude. Postural control is also disturbed by hypoxia at altitude, postural sway is increased, and there is
1680-407: The lungs develop late in pregnancy , premature infants frequently possess underdeveloped lungs. To improve blood oxygenation, infants at risk of hypoxia may be placed inside incubators that provide warmth, humidity , and supplemental oxygen. More serious cases are treated with continuous positive airway pressure (CPAP). Hypoxia exists when there is a reduced amount of oxygen in the tissues of
1740-456: The affected tissues. This is called 'ischemic hypoxia'. Ischemia can be caused by an embolism , a heart attack that decreases overall blood flow, trauma to a tissue that results in damage reducing perfusion, and a variety of other causes . A consequence of insufficient blood flow causing local hypoxia is gangrene that occurs in diabetes . Diseases such as peripheral vascular disease can also result in local hypoxia. Symptoms are worse when
1800-407: The armed services, the large craft would have been unknown to Mantell or the observers on the ground. A report from Madisonville, Kentucky , identified the object as a balloon after viewing it through a telescope. Dr. Seyfert, an astronomer at Vanderbilt University , observed the object through binoculars drifting south of Nashville, Tennessee. He described it as "a pear-shaped balloon with cables and
1860-400: The body's anatomical compartments results in insufficient blood supply to tissue within that space. There are two main types: acute and chronic . Compartments of the leg or arm are most commonly involved. If tissue is not being perfused properly, it may feel cold and appear pale; if severe, hypoxia can result in cyanosis , a blue discoloration of the skin. If hypoxia is very severe,
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1920-512: The body. Hypoxemia refers to a reduction in arterial oxygenation below the normal range, regardless of whether gas exchange is impaired in the lung, arterial oxygen content (C a O 2 – which represents the amount of oxygen delivered to the tissues) is adequate, or tissue hypoxia exists. The classification categories are not always mutually exclusive, and hypoxia can be a consequence of a wide variety of causes. Intermittent hypoxic training induces mild generalized hypoxia for short periods as
1980-404: The breakdown of glucose , fats , and some amino acids . Hypoxia can result from a failure at any stage in the delivery of oxygen to cells. This can include low partial pressures of oxygen in the breathing gas, problems with diffusion of oxygen in the lungs through the interface between air and blood, insufficient available hemoglobin, problems with blood flow to the end user tissue, problems with
2040-409: The breathing cycle regarding rate and volume, and physiological and mechanical dead space . Experimentally, oxygen diffusion becomes rate limiting when arterial oxygen partial pressure falls to 60 mmHg (5.3 kPa) or below. Almost all the oxygen in the blood is bound to hemoglobin, so interfering with this carrier molecule limits oxygen delivery to the perfused tissues. Hemoglobin increases
2100-436: The carriage of oxygen. Carbon monoxide poisoning can occur acutely, as with smoke intoxication, or over a period of time, as with cigarette smoking. Due to physiological processes, carbon monoxide is maintained at a resting level of 4–6 ppm. This is increased in urban areas (7–13 ppm) and in smokers (20–40 ppm). A carbon monoxide level of 40 ppm is equivalent to a reduction in hemoglobin levels of 10 g/L. Carbon monoxide has
2160-517: The desired oxygen partial pressure at a safe level between hypoxic and hyperoxic at the ambient pressure due to the current depth. A malfunction of the control system may lead to the gas mixture becoming hypoxic at the current depth. A special case of hypoxic breathing gas is encountered in deep freediving where the partial pressure of the oxygen in the lung gas is depleted during the dive, but remains sufficient at depth, and when it drops during ascent, it becomes too hypoxic to maintain consciousness, and
2220-638: The diver loses consciousness before reaching the surface. Hypoxic gases may also occur in industrial, mining, and firefighting environments. Some of these may also be toxic or narcotic, others are just asphyxiant. Some are recognisable by smell, others are odourless. Inert gas asphyxiation may be deliberate with use of a suicide bag . Accidental death has occurred in cases where concentrations of nitrogen in controlled atmospheres, or methane in mines, has not been detected or appreciated. Hemoglobin's function can also be lost by chemically oxidizing its iron atom to its ferric form. This form of inactive hemoglobin
2280-504: The eye. In cases where the oxygen is displaced by another molecule, such as carbon monoxide, the skin may appear 'cherry red' instead of cyanotic. Hypoxia can cause premature birth , and injure the liver, among other deleterious effects. Hypoxia that is localized to a region of the body, such as an organ or a limb. is usually the consequence of ischemia , the reduced perfusion to that organ or limb, and may not necessarily be associated with general hypoxemia. A locally reduced perfusion
2340-421: The fetus and neonate have been implicated as either a primary or as a contributing risk factor in numerous neurological and neuropsychiatric disorders such as epilepsy , attention deficit hyperactivity disorder , eating disorders and cerebral palsy . Tumor hypoxia is the situation where tumor cells have been deprived of oxygen. As a tumor grows, it rapidly outgrows its blood supply, leaving portions of
2400-437: The ground. Witnesses reported Mantell's Mustang in a circling descent. His plane crashed on a farm south of Franklin , on Kentucky's border with Tennessee . The Mantell incident was reported by newspapers around the nation, and received significant press attention. A number of sensational rumors were also circulated about the crash. According to UFO historian Curtis Peebles , among the rumors were claims that "the flying saucer
2460-474: The human body senses pure hypoxia poorly. Hypoxic breathing gases can be defined as mixtures with a lower oxygen fraction than air, though gases containing sufficient oxygen to reliably maintain consciousness at normal sea level atmospheric pressure may be described as normoxic even when the oxygen fraction is slightly below normoxic. Hypoxic breathing gas mixtures in this context are those which will not reliably maintain consciousness at sea level pressure. One of
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2520-422: The late signs cyanosis , slow heart rate , cor pulmonale , and low blood pressure followed by heart failure eventually leading to shock and death . Because hemoglobin is a darker red when it is not bound to oxygen ( deoxyhemoglobin ), as opposed to the rich red color that it has when bound to oxygen ( oxyhemoglobin ), when seen through the skin it has an increased tendency to reflect blue light back to
2580-446: The level of oxygenation in hypoxic tumor tissues is poorer than normal tissues and it is reported somewhere between 1%–2% O2. In order to support continuous growth and proliferation in challenging hypoxic environments, cancer cells are found to alter their metabolism. Furthermore, hypoxia is known to change cell behavior and is associated with extracellular matrix remodeling and increased migratory and metastatic behavior. Tumour hypoxia
2640-408: The lung alveoli according to a concentration gradient, also referred to as a partial pressure gradient. Inhaled air rapidly reaches saturation with water vapour, which slightly reduces the partial pressures of the other components. Oxygen diffuses from the inhaled air to arterial blood, where its partial pressure is around 100 mmHg (13.3 kPa). In the blood, oxygen is bound to hemoglobin,
2700-606: The lungs, reduced capacity of the blood to carry oxygen, compromised general or local perfusion , or inability of the affected tissues to extract oxygen from, or metabolically process, an adequate supply of oxygen from an adequately oxygenated blood supply. Generalized hypoxia occurs in healthy people when they ascend to high altitude , where it causes altitude sickness leading to potentially fatal complications: high altitude pulmonary edema ( HAPE ) and high altitude cerebral edema ( HACE ). Hypoxia also occurs in healthy individuals when breathing inappropriate mixtures of gases with
2760-407: The most widespread circumstances of exposure to hypoxic breathing gas is ascent to altitudes where the ambient pressure drops sufficiently to reduce the partial pressure of oxygen to hypoxic levels. Gases with as little as 2% oxygen by volume in a helium diluent are used for deep diving operations. The ambient pressure at 190 msw is sufficient to provide a partial pressure of about 0.4 bar, which
2820-644: The newly formed Kentucky Air National Guard on 16 February 1947, becoming a F-51D Mustang pilot in the 165th Fighter Squadron . Following his death in January 1948, Mantell's remains were sent to Louisville for burial in the Zachary Taylor National Cemetery . He was survived by his wife Peggy and their sons, Thomas and Terry Mantell. On 29 September 2001, the Simpson County Historical Society unveiled
2880-603: The object, but "saucer historians have credited him with saying" that the object was "metallic and of tremendous size". Mantell continued to climb to 22,000 feet, but his wingmen did not follow due to lack of sufficient oxygen equipment and tried to contact him to request he discontinue his ascent. Since Mantell's aircraft also lacked the requisite oxygen equipment for high-altitude flight, the Army later determined that once Mantell passed 25,000 feet (7,600 m) he blacked out from lack of oxygen and his plane began spiraling back towards
2940-469: The oxygen content of the air. The reduction in the partial pressure of inspired oxygen at higher altitudes lowers the oxygen saturation of the blood, ultimately leading to hypoxia. The clinical features of altitude sickness include: sleep problems, dizziness, headache and oedema. The breathing gas may contain an insufficient partial pressure of oxygen. Such situations may lead to unconsciousness without symptoms since carbon dioxide levels remain normal and
3000-420: The oxygen-carrying capacity of blood by about 40-fold, with the ability of hemoglobin to carry oxygen influenced by the partial pressure of oxygen in the local environment, a relationship described in the oxygen–hemoglobin dissociation curve. When the ability of hemoglobin to carry oxygen is degraded, a hypoxic state can result. Ischemia, meaning insufficient blood flow to a tissue, can also result in hypoxia in
3060-515: The point where loss of consciousness occurs due to cerebral hypoxia. The human body is most sensitive to longitudinal acceleration towards the head, as this causes the largest hydrostatic pressure deficit in the head. This refers specifically to hypoxic states where the arterial content of oxygen is insufficient. This can be caused by alterations in respiratory drive , such as in respiratory alkalosis , physiological or pathological shunting of blood, diseases interfering in lung function resulting in
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#17327725368003120-408: The supposedly radioactive wreckage. Sensational media featured a variety of unsubstantiated rumors including Mantell describing the object as "metallic", Mantell being wounded by a mysterious "ray", his body being missing from the wreckage, and unexplained tiny holes found in his wrecked aircraft; Kehoe and Ruppelt dismissed these rumors. Venus had been in the same place in the sky that Mantell's UFO
3180-496: The symptoms include fatigue , numbness / tingling of extremities , nausea , and cerebral hypoxia . These symptoms are often difficult to identify, but early detection of symptoms can be critical. In severe hypoxia, or hypoxia of very rapid onset, ataxia , confusion, disorientation, hallucinations , behavioral change, severe headaches , reduced level of consciousness, papilloedema , breathlessness , pallor , tachycardia , and pulmonary hypertension eventually leading to
3240-468: The tumor with regions where the oxygen concentration is significantly lower than in healthy tissues. Hypoxic microenvironements in solid tumors are a result of available oxygen being consumed within 70 to 150 μm of tumour vasculature by rapidly proliferating tumor cells thus limiting the amount of oxygen available to diffuse further into the tumor tissue. The severity of hypoxia is related to tumor types and varies between different types. Research has shown that
3300-442: The whole body, or may be used as a synonym for hypoxic hypoxia , which occurs when there is insufficient oxygen in the breathing gas to oxygenate the blood to a level that will adequately support normal metabolic processes, and which will inherently affect all perfused tissues. The symptoms of generalized hypoxia depend on its severity and acceleration of onset. In the case of altitude sickness , where hypoxia develops gradually,
3360-487: Was a C-47 Skytrain pilot assigned to the 96th Troop Carrier Squadron, 440th Troop Carrier Group , which air dropped the 101st Airborne Division into Normandy on 6 June 1944. Mantell was awarded the Distinguished Flying Cross for heroism while piloting a C-47 named Vulture's Delight and towing a glider under heavy anti-aircraft fire. After the war, Mantell returned to Louisville and joined
3420-476: Was a Soviet missile; it was [an alien] spacecraft that shot down [Mantell's fighter] when it got too close; Captain Mantell's body was found riddled with bullets; the body was missing; the plane had completely disintegrated in the air; [and] the wreckage was radioactive." However, no evidence has ever surfaced to substantiate any of these claims, and Air Force investigation specifically refuted some claims, such as
3480-738: Was a United States Air Force officer and a World War II veteran. He was awarded the Distinguished Flying Cross for courageous action during D-Day , and an Air Medal with three oak leaf clusters for aerial achievement. Mantell graduated from Male High School in Louisville. On 16 June 1942, he joined the United States Army Air Corps , the preceding organization to the Air Force, finishing Flight School on 30 June 1943. During World War II , he
3540-455: Was observed, and the crash was initially thought to have been caused by the pilot mistaking the planet for an unidentified object, a conclusion reached by Project Blue Book investigator J. Allen Hynek in 1948. Hynek later retracted the Venus explanation, concluding it was incorrect because "Venus wasn't bright enough to be seen" by Mantell and the other witnesses, and because a considerable haze
3600-442: Was present that would have further obscured the planet in the sky. In 1952, Project Blue Book identified the object Mantell pursued as a Skyhook balloon , a top-secret project that he would not have known about at the time. The massive spy balloons rose to 100,000 feet in the air. The Army determined that Mantell lost consciousness pursuing one into the atmosphere without oxygen. Classified and likely released by another branch of
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