General Article

Choice Drugs Widespread Amongst Seniors, However Maximum Do not Inform Their Medical doctors About It

News Picture: Alternative Medicine Popular Among Seniors, But Most Don't Tell Their Doctors About It

WEDNESDAY, July 27, 2022 (HealthDay Information)

Numerous older people are turning to choice medication to lend a hand them with the trials of growing older – however they do not essentially suppose that is any in their physician’s industry.

About 40% of older adults use no less than one choice medication observe to lend a hand with physique aches or psychological traces, be it chiropractic care, therapeutic massage remedy, meditation, yoga or some other non-conventional possibility, consistent with the College of Michigan Nationwide Ballot on Wholesome Growing older.

However most effective 18% of those that’ve attempted another medication observe have in reality mentioned it with their well being care supplier.

The effects recommend that number one care doctors must deliver up the subject all through checkups, stated Dr. Rachael Maciasz, a common inside medication doctor at Michigan Drugs who labored with the polling crew at the record.

“As analysis continues to turn the significance of the mind-body connection in well being, and as extra rigorous research are accomplished to decide what results integrative methods will have on more than a few stipulations, it is crucial for sufferers and suppliers to stay the strains of conversation open,” Maciasz stated in a information liberate at the record.

With regards to everybody surveyed stated they consider that the intellect affects well being, with 82% announcing it has a big have an effect on and 14% announcing it has a minor have an effect on.

The folk surveyed stated that they had attempted choice medication to regard or save you ache, insomnia, digestive problems, to chill out or organize rigidity, to deal with a bodily damage, or to lend a hand with despair or nervousness.

About 38% of other folks 50 and older discovered choice medication very really helpful, whilst some other 54% stated it was once reasonably really helpful.

Those that pursue such practices generally tend to pay for it out of pocket, the findings confirmed.

Handiest 15% stated their medical health insurance covers them, 19% stated they’ve no protection, and two-thirds had been undecided about their protection.

About 84% stated they would be most likely to take a look at choice medication if medical health insurance coated it. Of those that’ve stopped the usage of one of these observe, greater than one-quarter cited value as probably the most causes.

Additional info

The U.S. Nationwide Middle for Complementary and Integrative Well being has extra about integrative well being.

SOURCE: College of Michigan, information liberate, July 22, 2022

Through Dennis Thompson HealthDay Reporter

MedicalNews

Copyright © 2021 HealthDay. All rights reserved.





QUESTION


Medically talking, the time period “myalgia” refers to what form of ache?
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General Article

Docs Transplant Kidneys to Kids With out Want for Immune-Suppressing Medicine

News Picture: Doctors Transplant Kidneys to Children Without Need for Immune-Suppressing DrugsBy means of Amy Norton HealthDay Reporter

THURSDAY, June 16, 2022 (HealthDay Information)

Researchers have discovered a method to safely give kids a donor kidney with out the desire for immune-suppressing medicine — an advance they hope to increase to many extra kidney transplant sufferers in coming years.

Reporting within the June 15 factor of the New England Magazine of Drugs, docs at Stanford College describe the primary 3 kids to be handled with the brand new means. It concerned giving them now not just a new kidney, however a brand new immune machine — each donated from a mum or dad.

All 3 kids now have standard kidney serve as, and are freed from the anti-rejection medicine that transplant recipients in most cases need to take each day for the remainder of their lives.

A lot analysis stays prior to the means will also be extensively presented, and mavens cautioned that the 3 kids in those circumstances had an extraordinary genetic situation inflicting their kidney illness.

“This can be a nice consequence for those kids,” stated Dr. Bradley Warady, director of pediatric nephrology at Kids’s Mercy Kansas Town, in Missouri. “However we will be able to’t extrapolate this to all kids who want a kidney transplant.”

That caveat made, “there may be wary optimism this might turn into a extra in style process,” stated Warady, who could also be at the board of administrators for the Nationwide Kidney Basis.

Lead researcher Dr. Alice Bertaina stated the findings display a “holy grail” of transplant medication is achievable.

“Crucial factor is, now we have proven that is conceivable,” stated Bertaina, an affiliate professor of pediatrics at Stanford.

Releasing kidney transplant recipients from anti-rejection medicine could be an enormous advance, each docs stated. Lifelong immune suppression comes with a bunch of penalties, together with heightened dangers of significant infections and most cancers, in addition to stipulations like diabetes and hypertension.

Dr. Eliza Blanchette, a pediatric nephrologist at Kids’s Medical institution Colorado, pointed to some other good thing about negating the desire for anti-rejection medicine: Through the years, they are able to in reality injury the kidney they’re designed to give protection to. So it is conceivable that liberating sufferers from the medicine may extend the lifetime of a donor kidney.

For years, researchers have sought a method to induce “immune tolerance” for donor organs, in order that a life-time of anti-rejection medicine is not sensible. One means is thru a stem mobile transplant from the organ donor.

Stem cells are primitive cells that give upward thrust to mature cells, together with the ones of the immune machine. So, a stem mobile transplant from an organ donor necessarily supplies the recipient with a brand new immune machine that are supposed to acknowledge the donor organ and go away it unscathed.

The issue is that new immune machine too can assault the recipient’s frame, inflicting a probably deadly response known as graft-versus-host illness (GVHD).

“It is been idea that the danger used to be too top,” Bertaina stated.

However she and her colleagues evolved a protocol to reduce the dangers, via refining how the donor stem cells are processed: They expend the transplant of the actual cells, known as alpha-beta T-cells, which purpose GVHD.

The 3 kids within the present record all won stem cells from their kidney-donor mum or dad, after which 5 to ten months later won the kidney itself. One kid did broaden delicate GVHD, but it surely used to be controlled with drugs.

At this level, all 3 kids were residing with absolutely functioning kidneys for 22 to 34 months — with out immune-suppressing medicine.

Jessica and Kyle Davenport of Muscle Shoals, Ala., are the fogeys of 2 of the youngsters. Jessica used to be the donor for her 8-year-old son Kruz, whilst his 7-year-old sister, Paizlee, won transplants from Kyle.

“They have healed and recovered, and are doing issues we by no means idea could be conceivable,” Jessica Davenport stated in a Stanford information unencumber.

A big caveat is that every one 3 youngsters have an extraordinary genetic dysfunction known as Schimke immuno-osseous dysplasia (SIOD). Together with kidney illness, SIOD reasons brief stature, immune machine deficiencies and different issues.




QUESTION


The one objective of the kidneys is to clear out blood.
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Bertaina stated the immune deficiencies observed in SIOD might in reality be one reason why the transplant means labored so neatly for those youngsters.

Way more ceaselessly, Warady stated, pediatric kidney illness is brought about via a beginning defect, in kids with standard immune serve as.

“We want extra analysis to peer if that is efficient for kids with an intact immune machine,” he stated.

Blanchette additionally stressed out that the effectiveness for kids with standard immune serve

General Article

Medical doctors Devise More secure Selection to Opioids Throughout, After Surgical procedures

News Picture: Doctors Devise Safer Alternative to Opioids During, After SurgeriesVia Denise Mann HealthDay Reporter

THURSDAY, April 28, 2022 (HealthDay Information)

It is been rather greater than a 12 months since Jonathan Akinrele, 23, underwent weight-loss surgical treatment, and thus far, so excellent.

He’s now down 130 kilos, and he used to be ready to get thru gastric sleeve surgical treatment and restoration with out taking any opioids for ache.

“The ache proper after surgical treatment used to be extra like a abdomen pain. It used to be somewhat uncomfortable, however totally manageable,” mentioned Akinrele, who manages a safety company in Lengthy Island, N.Y.

There’s a large push throughout all of drugs to seek out possible choices to opioids because of the national opioid epidemic. Many of us first transform addicted to those tough painkillers following surgical treatment.

And the danger for dependancy is also even upper for individuals who go through weight-loss surgical treatment. That is why tips from 5 clinical societies, together with the American Society for Metabolic and Bariatric Surgical procedure, name for opioid-free or opioid-sparing ache reduction right through and after weight-loss surgical treatment.

About 3% to 4% of people that obtain opioids for the primary time after surgical treatment are nonetheless taking them a 12 months later, and this jumps to eight% to ten% for individuals who had weight-loss surgical treatment, mentioned Dr. Dominick Gadaleta, chair of surgical treatment at South Shore College Health facility in Bay Shore, N.Y.

Higher ache reduction

As an alternative of opioids, folks present process weight-loss surgical procedures at Northwell Well being Hospitals in New York obtain intravenous acetaminophen or nonsteroidal anti inflammatory medication (NSAIDs) ahead of surgical treatment. That is adopted by means of an intravenous infusion of non-opioid anesthetics and a nerve block of the surgical space. Thus far, surgeons at Northwell hospitals have carried out greater than 200 procedures the use of this protocol, together with gastric sleeve surgical treatment and hernia operations.

“We necessarily flip the nerve endings down or off ahead of surgical treatment with preemptive acetaminophen or NSAIDs,” defined Dr. Don Decrosta, chair of anesthesia at South Shore College Health facility, which is a part of the Northwell well being device. “Once we get harm or go through surgical treatment, the nerve endings within the injured space fireplace at a miles upper charge, but when we blunt or get rid of this pressure reaction with preemptive [pain relief], you get in the course of the early therapeutic days with out the will for opioids.”

Opioids block ache alerts between your mind and frame, whilst the brand new protocol is extra centered, he mentioned,

Folks do not get despatched house with a prescription for opioids as a result of they are not looking for them, mentioned Dr. Andrew Bates, director of minimally invasive surgical treatment at South Shore College Health facility.

Those other people are not essentially pain-free within the days following their process, and that is the reason a excellent factor, Bates famous. “They are going to have some soreness later on and that is the reason OK as a result of it is a main surgical treatment and ache may give us necessary knowledge,” Bates mentioned. “We by no means wish to totally quilt up ache.”

Shorter restoration

Along with a heightened possibility of dependancy and overdose, opioids reason many temporary unwanted side effects that may abate restoration, together with nausea, itching, fatigue, dizziness and constipation, mentioned Dr. David Pechman, a bariatric surgeon at South Shore College Health facility. He’s the surgeon who carried out Akinrele’s gastric sleeve process in March 2021. Opioids decelerate your intestines so that you would not have bowel actions, however “with the brand new protocol, sufferers have common bowel actions and are strolling across the afternoon in their surgical treatment.”




SLIDESHOW


Ache Control: Unexpected Reasons of Ache
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When Pechman used to be in coaching, weight-loss surgical treatment sufferers stayed within the medical institution for 2 to 3 days. Now, maximum handiest keep for one night time, and that’s in part as a result of opioids don’t seem to be a part of the combination any further, he mentioned.

Individuals who go through weight-loss surgical treatment have a tendency to be extra liable to different opioid-related headaches reminiscent of bother respiring, nausea and vomiting, Pechman famous.

This is a double whammy as weight-loss procedures might also build up possibilities of nausea and vomiting, he mentioned.

For probably the most section, sufferers are on board with this opioid-sparing protocol. “Sufferers are very excited once they listen that they may not want opioids as they incessantly know someone who has been adversely affected or hooked on opioids, or have observed what opioids can do in pop culture and at the information,” Pechman mentioned.

It is catching on throughout america, too. Many different

General Article

U.S. Medical doctors at the Frontlines of Hepatitis Outbreak Putting Children

News Picture: U.S. Doctors on the Frontlines of Hepatitis Outbreak Striking KidsThrough Alan Mozes HealthDay Reporter

WEDNESDAY, April 27, 2022 (HealthDay Information)

As well being professionals all over the world attempt to perceive why just about 200 youngsters in 12 international locations have fallen severely sick with critical hepatitis, docs in Alabama are investigating 9 such instances in that state.

In each and every case, reputedly wholesome youngsters ended up in clinic with acute liver irritation.

What is going on is “no doubt no longer the norm,” stated Dr. Helena Gutierrez, clinical director of the Pediatric Liver Transplant Program at Kids’s of Alabama, a clinic in Birmingham, which has been treating all 9 sufferers, who vary in age from 1 to six years.

“It is rather uncommon to look critical hepatitis to the purpose of desiring hospitalization in youngsters this age,” Gutierrez famous. “On reasonable, we see perhaps 4 to 5 instances a 12 months at maximum. So, to look this quantity having one of these spike is amazingly uncommon.”

The primary Alabama case used to be recognized final October, whilst the latest case surfaced in February.

The entire sufferers had been admitted with probably the most telltale indicators of critical liver harm: yellowing pores and skin (jaundice); yellowing eyes; and one of these fluid accumulation and bleeding dispositions that steadily accompany acute liver failure.

At Kids’s of Alabama, remedy has focused on shut tracking accompanied through hydration and dietary beef up, Gutierrez stated; there’s no silver bullet medicine for such instances.

Up to now, none of those youngsters have succumbed to their sickness. However two of the 9 skilled such critical liver failure that they needed to go through liver transplants.

What makes that so bizarre, stated Gutierrez, is that whilst gentle irritation of the liver is lovely not unusual, critical irritation requiring hospitalization isn’t.

“Hepatitis is an umbrella clinical time period used to explain irritation of the liver,” she defined. “In adults, alcohol could cause it. In youngsters there are well known viruses — akin to hepatitis A, B or C — that may purpose irritation of the liver. And now with weight problems so common we even have non-alcoholic fatty liver illness inflicting hepatitis. So, gentle hepatitis isn’t bizarre.”

However as for why critical hepatitis is unexpectedly hanging youngsters, “we do not know,” Gutierrez stated.

For something, “some of these sufferers are in a different way wholesome,” she famous. “They do not have any vital clinical histories. At maximum, a couple of had some environmental allergic reactions.”

Nonetheless, Gutierrez and her colleagues, Dr. Henry Shiau and Dr. Markus Buchfellner, have found out one not unusual thread that hyperlinks all 9 sufferers: Along with hepatitis, all had been additionally inflamed with a not unusual chilly virus referred to as an adenovirus.

“Adenovirus is available in waves and has been round for ages,” Gutierrez stated. “It is quite common. Normally, it reasons a runny nostril, coughing, sneezing and gastrointestinal signs like diarrhea and vomiting. It usually does no longer purpose any form of liver irritation or illness, except the affected person is immunocompromised,” that means she or he is struggling with most cancers or has had passed through an organ transplant.

“However those youngsters are all wholesome,” Gutierrez stressed out. “That is what’s new right here.”

Gutierrez stated that whilst checking out remains to be underway international, no longer all the 116 British acute hepatitis sufferers have examined sure for the adenovirus. And she or he cautioned that whether or not or no longer this actual virus — or a perilous mutation of it — is immediately chargeable for the outbreak stays unclear.




QUESTION


Hepatitis C virus reasons an an infection of the ______________.
See Resolution

“In fact we marvel, however it is too early to attract conclusions,” she stated. “We no doubt wish to get extra information, to get extra sufferers to be examined, and to have viral samples genetically sequenced.”

In the meantime, Gutierrez has some recommendation for folks: “Do not be alarmed. Bear in mind.”

“I am a mom myself,” she stated. “And what I need oldsters to grasp is that it is quite common for youngsters to expand signs like vomiting or a fever, and so they most commonly do OK. They do not expand critical issues.”

However, Gutierrez stated, “if in the future one in all your youngsters develops different signs — akin to jaundice or urine that is very darkish in colour or yellow eyes — the ones signs must be introduced as much as the pediatrician. Lead them to conscious this is occurring. However not unusual issues are not unusual. So do not be alarmed.”

Additional information

There may be extra at the hepatitis outbreak on the International Well being Group.

SOURCE: Helena Gutierrez, MD, assistant professor, College of Alabama at Birmingham, and clinical director, Pediatric

General Article

New Strategy to Blast Kidney Stones Can Be Executed in Physician’s Place of work

News Picture: New Way to Blast Kidney Stones Can Be Done in Doctor's OfficeAmy Norton

THURSDAY, March 31, 2022 (HealthDay Information)

A noninvasive ultrasound method is able to temporarily pulverizing kidney stones, an early learn about presentations — in what researchers name a primary step towards a more practical, anesthesia-free remedy for the painful drawback.

The learn about studies at the first 19 sufferers who have had kidney stones handled with the ultrasound “bursts.” Thus far, it is been in a position to fully, or just about totally, get a divorce stones inside of 10 mins.

A lot more analysis lies forward, however professionals now not concerned within the learn about referred to as the early effects “thrilling.” If it pans out, they mentioned, the ultrasound method may make noninvasive remedy for kidney stones extra readily to be had to sufferers.

Kidney stones are not unusual, affecting about 10% of folks sooner or later, consistent with the Nationwide Kidney Basis.

Steadily, a stone may also be handed within the urine with out an excessive amount of agony. In different instances — akin to when a bigger stone is inflicting a blockage or insufferable ache — remedy is essential.

Presently, many kidney stones may also be handled with a process referred to as surprise wave lithotripsy. It delivers high-energy sound waves during the pores and skin to wreck the stone into tiny fragments that may then be handed.

However there are downsides, mentioned Dr. Mathew Sorenson, of the College of Washington College of Drugs in Seattle, one of the most researchers at the new paintings.

Surprise wave treatment may also be painful, so it is most often achieved within the running room, with sufferers underneath anesthesia, in america.

Sorenson and his colleagues were creating another manner referred to as burst wave lithotripsy. They are saying it has the prospective to blast kidney stones in a shorter period of time, and in all probability with out anesthesia.

Without equal purpose, the researchers mentioned, is to accomplish the process on totally unsleeping sufferers, throughout an workplace seek advice from with a urologist — and even within the emergency room when sufferers arrive in serious ache.

In contrast to surprise wave treatment, the burst wave manner makes use of “brief harmonic bursts” of ultrasound calories, consistent with the analysis staff. Earlier analysis has advised it could possibly get a divorce stones extra temporarily, and with much less ache, than surprise waves.

Within the new learn about, the researchers examined the burst wave method in 19 sufferers who have been present process kidney stone remedy with a process referred to as ureteroscopy. It comes to threading a skinny scope during the urethra, as much as the site of the kidney stone; tools are used to both snare the stone or damage it into fragments that may be got rid of.

As a result of ureteroscopy calls for anesthesia, the learn about sufferers have been underneath when the ultrasound bursts have been carried out, for as much as 10 mins.

General, the researchers discovered, that used to be sufficient to fragment 21 of 23 stones. Part of the stones had no less than 90% in their quantity pulverized to items of not more than 2 millimeters (mm). And 9 stones (39%) have been totally damaged right down to that stage.

The findings have been printed lately in The Magazine of Urology.

Two urologists who weren’t concerned within the learn about referred to as that effectiveness spectacular, taking into account the fast period of remedy (which used to be selected to restrict sufferers’ time underneath anesthesia).

Kidney stones damaged down to two mm or much less will have to be quite simple to go, mentioned Dr. Mantu Gupta, director of the Kidney Stone Middle at Mount Sinai, in New York Town.

Gupta famous that the learn about didn’t in fact take a look at the hoped-for, real-world state of affairs: The use of the method with out anesthesia. However earlier paintings via the staff has indicated sufferers can tolerate it.

“That is very thrilling,” Gupta mentioned, including that the protection information up to now appears to be like just right, too.

Some sufferers confirmed gentle bleeding, with small quantities of blood within the urine.




SLIDESHOW


Kidney Stones: Signs, Reasons, and Remedy
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Dr. William Roberts, a professor of urology on the College of Michigan, additionally described the paintings as thrilling.

“This undoubtedly appears to be like as secure, or more secure than, surprise wave lithotripsy,” he mentioned.

Whether or not burst waves might be simpler is unclear, however Roberts mentioned that if the process can, in reality, be achieved within the urologist’s workplace, that may be a large merit.

None of that suggests the generation would assist everybody with kidney stones. Roberts famous that whilst 19 sufferers have been handled, a

General Article

What is Extra Correct, Blood Force Readings at House or Physician’s Place of business?

Newest Prime Blood Force Information

News Picture: What's More Accurate, Blood Pressure Readings at Home or Doctor's Office?

TUESDAY, March 8, 2022 (HealthDay Information)

Common blood drive readings at house are extra correct for diagnosing hypertension than the ones taken at a health care provider’s administrative center, in keeping with a brand new find out about.

“Blood drive varies so much over the day … and one or two measurements in sanatorium won’t replicate your moderate blood drive,” stated find out about creator Dr. Beverly Inexperienced, a senior investigator at Kaiser Permanente Washington Well being Analysis Institute in Seattle. “House blood drive tracking lets you accumulate many extra readings and moderate those.”

The find out about incorporated 510 adults at top possibility of creating hypertension. They have been divided into teams who were given blood drive readings in 3 other ways: at house; in a Kaiser sanatorium; or at kiosks in pharmacies and different places.

All the sufferers additionally gained 24-hour ambulatory blood drive tracking (ABPM). ABPM is the gold usual for diagnosing hypertension, however it isn’t extensively to be had to be used. The transportable software is worn steadily for twenty-four hours, offering blood drive readings each and every 20 to half-hour all over the day and each and every 30 to 60 mins at night time.

The researchers discovered that blood drive readings taken at house have been in line with ABPM, in keeping with findings revealed on-line March 3 within the Magazine of Common Inner Medication.

In comparison to ABPM, readings at sanatorium visits have been considerably decrease for the systolic measure. The systolic studying measures the drive to your arteries when your center beats. It is the best quantity in a blood drive studying. Diastolic blood drive, the ground quantity, measures the drive to your arteries between center beats. Commonplace blood drive is 120/80 or decrease.

Blood drive readings from kiosks have been considerably upper than ABPM readings, leading to the next probability of overdiagnosis of hypertension.

“House blood drive tracking was once a better choice, as it was once extra correct than sanatorium blood drive readings,” Inexperienced stated in a Kaiser information free up. “Moreover, a spouse find out about discovered that sufferers most well-liked taking their blood drive at house.”

It is believed that tens of millions of U.S. adults have untreated hypertension, which will reason center assault, stroke, kidney harm and different issues. When hypertension is identified, medical doctors normally prescribe medicine to get ranges beneath keep watch over.

Additional info

For extra on hypertension, pass to the U.S. Nationwide Middle, Lung, and Blood Institute.

SOURCE: Kaiser Permanente, information free up, March 3, 2022

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QUESTION


Salt and sodium are the similar.
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General Article

Alexa Will Quickly Put Customers in Contact With Telehealth Medical doctors

Newest Prevention & Wellness Information

News Picture: Alexa Will Soon Put Users in Touch With Telehealth Doctors

TUESDAY, March 1, 2022 (HealthDay Information)

Alexa can already play your favourite music or let you know whether or not it’s going to rain, however quickly you might also be capable to inform the preferred voice assistant to touch a physician for well being problems.

The provider from Amazon and telemedicine supplier Teladoc Well being might be to be had across the clock on Amazon’s Echo gadgets, the Related Press reported.

After telling Alexa they wish to communicate to a physician, shoppers gets a choice again from a Teladoc doctor. In some instances, medical doctors will be capable to prescribe drugs, in step with main points introduced Monday.

Whether or not sufferers get a choice again at the identical day they make their request to Alexa would possibly rely at the availability of medical doctors, Teladoc spokesman Chris Savarese advised the AP.

Amazon will be unable to get admission to, document or retailer the content material of the following name, he famous. The price depends upon the affected person’s insurance coverage. With out protection, the cost might be $75.

The provider might be audio-only to begin, however the corporations mentioned they be expecting to quickly upload video, the AP reported.

Amazon already dispenses prescribed drugs and is increasing a program referred to as Amazon Care that used to be introduced in 2019 and gives telemedicine visits with the choice of an in-person talk over with.

Some hospitals already use Alexa as a voice assistant in affected person rooms, and the U.Okay.’s Nationwide Well being Carrier makes use of the voice assistant to assist solution scientific questions with recommendation from the provider’s web page.

“Telehealth now’s one thing that sufferers have got used to and would possibly come to be expecting as an choice for his or her care,” Lori Uscher-Pines, a senior coverage researcher with Rand Corp., advised the AP. “[Before] the pandemic, there may no longer were this a lot consciousness that this used to be a provider that used to be to be had.”

Additional info

Talk over with Harvard College for extra on well being apps.

SOURCE: Related Press

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SLIDESHOW


Well being Care Reform: Give protection to Your Well being in a Tough Economic system
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