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buy viramune The Dow Jones industrial average fell 52.40 points, or 0.3 percent, to 15,973.13. The Standard & Poor's 500 index lost 5.75 points, or 0.3 percent, to 1,802.62. The index hit an all-time high Monday. The Nasdaq composite lost 8.26 points, or 0.2 percent, to 4,060.49.