We present spectra of charged hadrons from Au+Au and d+Au collisions at GeV measured with the BRAHMS experiment at RHIC. The spectra for different collision centralities are compared to spectra from ${\rm p}+\bar{{\rm p}}$ collisions at the same energy scaled by the number of binary collisions. The resulting ratios (nuclear modification factors) for central Au+Au collisions at and evidence a strong suppression in the high region (2 GeV/c). In contrast, the d+Au nuclear modification factor (at ) exhibits an enhancement of the high yields. These measurements indicate a high energy loss of the high particles in the medium created in the central Au+Au collisions. The lack of suppression in d+Au collisions makes it unlikely that initial state effects can explain the suppression in the central Au+Au collisions.

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