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The religious, shamanic, or spiritual significance of entheogens is well established in anthropological and modern contexts; entheogens have traditionally been used to supplement many diverse practices geared towards achieving transcendence, including white and black magic, sensory deprivation, divinatory, meditation, yoga, prayer, trance, rituals, chanting, hymns like peyote songs, and drumming. Some children with Down syndrome are educated in typical school classes, while others require more specialized education. The pictured oocyte has an extruded polar body at about 12 o'clock indicating its maturity. There was some attempt at safe sex education and access to condoms for sex workers in the 90s but these were largely token gestures and had no real effect. 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