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Preheat oven to 375°F. If desired, peel pears, core and halve pears lengthwise. Arrange pear halves, cut sides up, in a 2-quart rectangular baking dish. Sprinkle with cinnamon. Top with pineapple.
In a medium bowl, combine rolled oats, whole wheat flour, hazelnuts, brown sugar, ginger and nutmeg. Stir in melted butter until well mixed. Sprinkle oat mixture over fruit.
Bake for 25 to 30 minutes or until pears are tender. If desired, serve with frozen yogurt or ice cream.