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We first establish local estimates of solutions to the -curvature equation with nonlinear Neumann boundary condition. Then, under assumption that the mean curvature of a background metric is nonnegative on totally non-umbilic boundary, for dimensions three and four there exists a conformal metric having a prescribed positive -curvature and a prescribed nonnegative boundary mean curvature. The local estimates play an important role in the blow up analysis for the latter existence result.

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