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10 Conclusions Despite numerous research studies and resources invested, the question of what determines the transition from pharyngeal colonization to IMD, which has been raised since Weichselbaums meningococcus, the main agent of epidemic cerebrospinal meningitis, was identified (Weichselbaum, 1887), remains without a definitive answer

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AI Statement This manuscript was supported by the use of a large language model (ChatGPT, OpenAI) for language editing and formatting assistance

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Activity and Bathing There is no restriction on postoperative physical activity

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