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Connective tissue papillae fromthe underlying lamina propria project into the epitheliallayer. This can be accom-plished either by a high fresh gas ?ow (FGF) orthe inclusion of a substance into the anesthesiasystem that will absorb the carbon dioxide (seebelow). It is based on whether that indi-vidual possesses a female (XX) or male (XY) karyotype and the expression of secondarysexual characteristics regulated by sex hormone levels.

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