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First @-@ line treatment of AML consists primarily of chemotherapy , and is divided into two phases : induction and postremission ( or consolidation ) therapy . The goal of induction therapy is to achieve a complete remission by reducing the number of leukemic cells to an undetectable level ; the goal of consolidation...
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= = = Induction = = =
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All FAB subtypes except M3 are usually given induction chemotherapy with cytarabine ( ara @-@ C ) and an anthracycline ( most often daunorubicin ) . This induction chemotherapy regimen is known as " 7 + 3 " ( or " 3 + 7 " ) , because the cytarabine is given as a continuous IV infusion for seven consecutive days while ...
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The M3 subtype of AML , also known as acute promyelocytic leukemia ( APL ) , is almost universally treated with the drug all @-@ trans @-@ retinoic acid ( ATRA ) in addition to induction chemotherapy , usually an anthracycline . Care must be taken to prevent disseminated intravascular coagulation ( DIC ) , complicatin...
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The goal of the induction phase is to reach a complete remission . Complete remission does not mean the disease has been cured ; rather , it signifies no disease can be detected with available diagnostic methods . Complete remission is obtained in about 50 % – 75 % of newly diagnosed adults , although this may vary ba...
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= = = Consolidation = = =
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Even after complete remission is achieved , leukemic cells likely remain in numbers too small to be detected with current diagnostic techniques . If no further postremission or consolidation therapy is given , almost all people with AML will eventually relapse . Therefore , more therapy is necessary to eliminate nonde...
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The specific type of postremission therapy is individualized based on a person 's prognostic factors ( see above ) and general health . For good @-@ prognosis leukemias ( i.e. inv ( 16 ) , t ( 8 ; 21 ) , and t ( 15 ; 17 ) ) , people will typically undergo an additional three to five courses of intensive chemotherapy ,...
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For people who are not eligible for a stem cell transplant , immunotherapy with a combination of histamine dihydrochloride ( Ceplene ) and interleukin 2 ( Proleukin ) after the completion of consolidation has been shown to reduce the absolute relapse risk by 14 % , translating to a 50 % increase in the likelihood of m...
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= = = Relapsed AML = = =
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For people with relapsed AML , the only proven potentially curative therapy is a hematopoietic stem cell transplant , if one has not already been performed . In 2000 , the monoclonal antibody @-@ linked cytotoxic agent gemtuzumab ozogamicin ( Mylotarg ) was approved in the United States for people aged more than 60 ye...
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Since treatment options for relapsed AML are so limited , palliative care or enrolment in a clinical trial may be offered .
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For relapsed acute promyelocytic leukemia ( APL ) , arsenic trioxide is approved by the US FDA . Like ATRA , arsenic trioxide does not work with other subtypes of AML .
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= = Prognosis = =
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Acute myeloid leukemia is a curable disease ; the chance of cure for a specific person depends on a number of prognostic factors .
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= = = Cytogenetics = = =
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The single most important prognostic factor in AML is cytogenetics , or the chromosomal structure of the leukemic cell . Certain cytogenetic abnormalities are associated with very good outcomes ( for example , the ( 15 ; 17 ) translocation in acute promyelocytic leukemia ) . About half of people with AML have " normal...
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The first publication to address cytogenetics and prognosis was the MRC trial of 1998 :
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Later , the Southwest Oncology Group and Eastern Cooperative Oncology Group and , later still , Cancer and Leukemia Group B published other , mostly overlapping lists of cytogenetics prognostication in leukemia .
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= = = Myelodysplastic syndrome = = =
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AML which arises from a pre @-@ existing myelodysplastic syndrome ( MDS ) or myeloproliferative disease ( so @-@ called secondary AML ) has a worse prognosis , as does treatment @-@ related AML arising after chemotherapy for another previous malignancy . Both of these entities are associated with a high rate of unfavo...
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= = = Other prognostic markers = = =
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In some studies , age > 60 years and elevated lactate dehydrogenase level were also associated with poorer outcomes . As with most forms of cancer , performance status ( i.e. the general physical condition and activity level of the person ) plays a major role in prognosis as well .
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= = = = Genotype = = = =
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A large number of molecular alterations are under study for their prognostic impact in AML . However , only FLT3 @-@ ITD , NPM1 , CEBPA and c @-@ KIT are currently included in validated international risk stratification schema . These are expected to increase rapidly in the near future . FLT3 internal tandem duplicati...
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Researchers are investigating the clinical significance of c @-@ KIT mutations in AML . These are prevalent , and potentially clinically relevant because of the availability of tyrosine kinase inhibitors , such as imatinib and sunitinib that can block the activity of c @-@ KIT pharmacologically . It is expected that a...
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= = = Expectation of cure = = =
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Cure rates in clinical trials have ranged from 20 – 45 % ; although clinical trials often include only younger people and those able to tolerate aggressive therapies . The overall cure rate for all people with AML ( including the elderly and those unable to tolerate aggressive therapy ) is likely lower . Cure rates fo...
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= = Epidemiology = =
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Acute myeloid leukemia is a relatively rare cancer . There are approximately 10 @,@ 500 new cases each year in the United States , and the incidence rate has remained stable from 1995 through 2005 . AML accounts for 1 @.@ 2 % of all cancer deaths in the United States .
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The incidence of AML increases with age ; the median age at diagnosis is 63 years . AML accounts for about 90 % of all acute leukemias in adults , but is rare in children . The rate of therapy @-@ related AML ( that is , AML caused by previous chemotherapy ) is rising ; therapy @-@ related disease currently accounts f...
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There is some geographic variation in the incidence of AML . In adults , the highest rates are seen in North America , Europe , and Oceania , while adult AML is rarer in Asia and Latin America . In contrast , childhood AML is less common in North America and India than in other parts of Asia . These differences may be...
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= = = UK = = =
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AML accounts for 34 % of all leukaemia cases in the UK , and around 2 @,@ 900 people were diagnosed with the disease in 2011 .
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= = History = =
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The first published description of a case of leukemia in medical literature dates to 1827 , when French physician Alfred @-@ Armand @-@ Louis @-@ Marie Velpeau described a 63 @-@ year @-@ old florist who developed an illness characterized by fever , weakness , urinary stones , and substantial enlargement of the liver ...
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The term " leukemia " was coined by Rudolf Virchow , the renowned German pathologist , in 1856 . As a pioneer in the use of the light microscope in pathology , Virchow was the first to describe the abnormal excess of white blood cells in people with the clinical syndrome described by Velpeau and Bennett . As Virchow w...
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Further advances in the understanding of acute myeloid leukemia occurred rapidly with the development of new technology . In 1877 , Paul Ehrlich developed a technique of staining blood films which allowed him to describe in detail normal and abnormal white blood cells . Wilhelm Ebstein introduced the term " acute leuk...
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In 2008 , AML became the first cancer genome to be fully sequenced . DNA extracted from leukemic cells were compared to unaffected skin . The leukemic cells contained acquired mutations in several genes that had not previously been associated with the disease .
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= = Pregnancy = =
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Leukemia is rarely associated with pregnancy , affecting only about 1 in 10 @,@ 000 pregnant women . How it is handled depends primarily on the type of leukemia . Acute leukemias normally require prompt , aggressive treatment , despite significant risks of pregnancy loss and birth defects , especially if chemotherapy ...
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= Love Me Like You =
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" Love Me Like You " is a song recorded by British girl group Little Mix for their third studio album , Get Weird ( 2015 ) . The song was released on 25 September 2015 , as the second single from the album . Produced by Steve Mac , he co @-@ wrote the song with Iain James , Camille Purcell and James Newman . Backed by...
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Critical response to " Love Me Like You " was positive : critics praised its vintage style and highlighted it as an album standout . It reached number 11 on the UK Singles Chart and has been certified gold by the BPI . The accompanying music video for the song was set at a high school dance . Unbeknownst to each membe...
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= = Background and release = =
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" Love Me Like You " was written by Steve Mac , Camille Purcell , Iain James and James Newman for Little Mix 's third studio album , Get Weird ( 2015 ) . It was published by Rokstone Music Ltd. under exclusive licence to BMG Rights Management ( UK ) Ltd ; Kobalt Music Group ; Sony / ATV Music Publishing ; Black Butter...
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The group announced on 9 September 2015 that " Love Me Like You " would be the second single to be released from the album , and that it would be made available to pre @-@ order on 11 September , and be released on 25 September . It was released by Syco and Columbia in Ireland and the United Kingdom on 25 September 20...
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= = Composition = =
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" Love Me Like You " has been described as a down @-@ tempo " ode to ' 60s doo @-@ wop " retro style pop song , which lasts for a duration of three minutes , seventeen seconds . The song is composed in the key of G major using common time and a tempo of 106 beats per minute . Instrumentation is provided by " vintage "...
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The song opens with the group harmonising " Sha la la la " over pianos . The lyrics are about puppy love , as they yearningly sing " Last night I lay in bed so blue / Cause ' I realized the truth / They can 't love me like you / I tried to find somebody new / Baby they ain 't got a clue / Can 't love me like you . " F...
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= = Critical reception = =
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Andy Gill of The Independent described the track as having a " nice " retro sound , and singled it out as being one of his top three songs from the album to download , along with " Black Magic " and " Grown " . Writing for NME , Nick Levine thought that " Love Me Like You " was reminiscent of songs recorded by Stooshe...
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= = Chart performance = =
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In the United Kingdom , " Love Me Like You " debuted at number 21 on the UK Singles Chart on 8 October 2015 . It later peaked at number 11 on 7 January 2016 . It also peaked at number nine on the UK Singles Downloads Chart . The track has been certified gold by the British Phonographic Industry ( BPI ) , denoting ship...
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= = Music video = =
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The accompanying music video for " Love Me Like You " was released on 10 October 2015 . The video takes place at a school dance , where a professor in the hall ( the same man who appeared in their previous single 's video " Black Magic " ) tells everyone that it is the last dance . Jade , Leigh @-@ Anne , Jesy and Per...
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Finally , he invited Perrie to be his date after she fell off her bike while staring at him work out on a field and pouring water over his torso to cool down . He helps her up , and gives her a corsage . Toward the end of the video , they sit on a bench next to the entrance , and see their date walk in with another gi...
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= = Live performances = =
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" Little Mix " performed " Love Me Like You " live on the seventh season of The X Factor in Australia on 13 October 2015 . Capital praised their performed , writing that it set an " amazing example " for the contestants on the show and that their vocals were " pitch perfect " . On 1 November , the group performed a " ...
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= = Track listing = =
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Digital download
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" Love Me Like You " – 3 : 17
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Digital download — The Collection
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" Love Me Like You " ( Christmas Mix ) – 3 : 29
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" Lightning " – 5 : 09
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" Love Me Like You " ( J @-@ Vibe Reggae Remix ) – 3 : 04
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" Love Me Like You " ( Bimbo Jones Remix ) – 3 : 07
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" Love Me Like You " ( 7th Heaven Remix ) – 3 : 10
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" Love Me Like You " ( Exclusive Interview ) – 3 : 16
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" Love Me Like You " ( Instrumental ) – 3 : 15
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= = Charts and certifications = =
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= Shaoguan incident =
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The Shaoguan incident was a civil disturbance which took place overnight on 25 / 26 June 2009 in Guangdong province , China . A violent dispute erupted between migrant Uyghurs and Han workers at a toy factory in Shaoguan as a result of allegations of the sexual assault of a Han female . Groups of Han set upon Uyghur c...
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The event was widely cited as the trigger event for July 2009 Ürümqi riots , which ostensibly started as a peaceful street protest demanding official action over the two Uyghurs who died in Shaoguan . Following trials in October 2009 , one person was executed and several others sentenced to terms between life imprison...
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= = Background = =
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The factory where the incident took place is the Xuri ( " Early Light " ) Toy Factory ( 旭日玩具厂 ) , owned by Hong Kong @-@ based Early Light International ( Holdings ) Ltd . , the largest toy manufacturer in the world . The company 's Shaoguan factory in the Wujiang district employs some 16 @,@ 000 workers . At the behe...
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An official in charge of ethnic and religious affairs in Guangdong said that the province had hired Uygurs , aged from 18 to 29 , in May . A small group of Uyghurs arrived on 2 May , and workers at the factory remarked that relations between the two groups deteriorated as the number of Uyghurs increased . State media ...
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= = Causes and events = =
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Overnight on 25 – 26 June , tensions flared at the factory , leading to a full @-@ blown ethnic brawl between Uyghurs and Han . As a result of the fighting , 2 Uyghurs died and 118 people were injured , 16 of them seriously . Of the injured , 79 were Uyghurs and 39 were Hans . 400 police and 50 anti @-@ riot vehicles ...
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Official sources state that the rioting began at around 2 a.m. , and there were reports that they lasted until at least 4 @.@ 30 a.m. , when police arrived . An initial disturbance was reported at around 11 p.m. when security guards responded to a call for help by a female worker who felt intimidated by several chanti...
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Uyghurs maintained that the attacks started after the night shift at around 12 @.@ 30 a.m. , when Han mobs stormed into Uyghur dormitories and started indiscriminate and unprovoked beatings . Amateur videos posted online showed brutal attacks , and Han chasing Uyghurs through the dorm floors . One man said that he saw...
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= = = Rape rumours = = =
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The rioting was sparked by allegations of sexual assault on Han women by Uyghurs , and rumours of an incident in which two female Han workers were sexually assaulted by six Uyghur co @-@ workers at the factory , according to Voice of America . The authorities said that the rumours were false , and had been initiated b...
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= = Responses = =
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Police said that their investigations found no evidence that a rape had taken place . Shaoguan government spokesman Wang Qinxin , called it " a very ordinary incident " , which he said had been exaggerated to foment unrest.The Guardian reported that video of the riots and photographs of the victims were quickly circul...
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On 8 July 2009 , Xinhua released an interview with Huang Cuilian , the " Han girl " whose alleged rape triggered the disturbances . The 19 @-@ year @-@ old trainee from rural Guangdong , who had worked at the factory less than two months , said : " I was lost and entered the wrong dormitory and screamed when I saw tho...
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Shaoguan authorities moved the Uyghur workers to temporary accommodation , and the workers were transferred on 7 July to another facility belonging to Early Light , 30 km away in Baitu town . The Baitu factory is now reported to be an Uyghur enclave , with , sporting facilities , canteen serving Xinjiang food , a roun...
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Abdukeyum Muhammat , deputy secretary of Xinjiang kanji Prefectural Committee of the Communist Party , led a working team to Shaoguan on 27 June . Zhou Yongkang , Politburo Standing Committee member responsible for security , reportedly visited Shaoguan in early September 2009 . On 5 August , Xinhua reported that Chin...
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At a trial on 10 October at Shaoguan Intermediate People 's Court , Xiao Jianhua ( 肖建华 ) was sentenced to death for being the " principal instigator " of the violence and Xu Qiqi ( 许其琪 ) was given a life sentence for manslaughter ; three other people were sentenced to seven to eight years for assault . On the same day...
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= Galveston , Texas =
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Galveston / ˈɡælvᵻstən / is a coastal city located on Galveston Island and Pelican Island in the U.S. state of Texas . The community of 208 @.@ 3 square miles ( 539 km2 ) , with its population of 47 @,@ 762 people ( 2012 Census estimate ) , is the county seat and second @-@ largest municipality of Galveston County . I...
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Named after Bernardo de Gálvez y Madrid , Count of Gálvez ( born in Málaga , Spain ) , Galveston 's first European settlements on the island were constructed around 1816 by French pirate Louis @-@ Michel Aury to help the fledgling Republic of Mexico fight Spain . The Port of Galveston was established in 1825 by the Co...
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During the 19th century , Galveston became a major U.S. commercial center and one of the largest ports in the United States . It was devastated by the 1900 Galveston Hurricane , whose effects included flooding and a storm surge . The natural disaster on the exposed barrier island is still ranked as the deadliest in Un...
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Much of Galveston 's modern economy is centered in the tourism , health care , shipping , and financial industries . The 84 @-@ acre ( 340 @,@ 000 m2 ) University of Texas Medical Branch campus with an enrollment of more than 2 @,@ 500 students is a major economic force of the city . Galveston is home to six historic ...
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= = History = =
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= = = Exploration and 19th century development = = =
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Galveston Island was originally inhabited by members of the Karankawa and Akokisa tribes who called the island Auia . The Spanish explorer Cabeza de Vaca and his crew were shipwrecked on the island or nearby in November 1528 , calling it " Isla de Malhado " ( " Isle of Bad Fate " ) . They began their years @-@ long tr...
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The first permanent European settlements on the island were constructed around 1816 by the pirate Louis @-@ Michel Aury as a base of operations to support Mexico 's rebellion against Spain . In 1817 , Aury returned from an unsuccessful raid against Spain to find Galveston occupied by the pirate Jean Lafitte . Lafitte ...
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In 1825 the Congress of Mexico established the Port of Galveston and in 1830 erected a customs house . Galveston served as the capital of the Republic of Texas when in 1836 the interim president David G. Burnet relocated his government there . In 1836 , the French @-@ Canadian Michel Branamour Menard and several assoc...
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In 1839 the City of Galveston adopted a charter and was incorporated by the Congress of the Republic of Texas . The city was by then a burgeoning port of entry and attracted many new residents in the 1840s and later among the flood of German immigrants to Texas , including Jewish merchants . Together with ethnic Mexic...
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