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Cuba's President Fidel Castro, right, trips after a speech at a graduation ceremony in Santa Clara, Cuba, Wednesday, October 21, 2004, in this image made from television. An Associated Press photographer at the scene said Castro tripped on a concrete step after he finished walking down the stairs from the stage, then fell onto the ground on his right side, first hitting his knee and hip, and then his elbow and arm. Speaking live on state television less than a minute after his fall, Castro told television viewers across the island of 11.2 million people that he thought he had broken his knee "and maybe an arm ... but I am all in one piece." (KEYSTONE/AP Photo/APTN)===TV-PICTURE===