13,948 results match your criteria group n=16

A mixed-methods evaluation of the uptake of novel differentiated ART delivery models in a national sample of health facilities in Uganda.

PLoS One 2021 22;16(7):e0254214. Epub 2021 Jul 22.

Kabale University, School of Medicine, Kabale, Uganda.

Introduction: Since 2017, Uganda has been implementing five differentiated antiretroviral therapy (ART) delivery models to improve the quality of HIV care and to achieve health-system efficiencies. Community-based models include Community Client-Led ART Delivery and Community Drug Distribution Points. Facility-based models include Fast Track Drug Refill, Facility Based Group and Facility Based Individual Management. Read More

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What undergraduates want in campus sexual assault prevention programming: Findings from a formative research study.

J Am Coll Health 2021 Jul 22:1-8. Epub 2021 Jul 22.

Addiction Center and Department of Psychiatry, School of Medicine, University of Michigan, Ann Arbor, Michigan, USA.

Objective: Campus sexual assault (SA) prevention programs are widely implemented, despite few having strong empirical support. To inform the development and refinement of prevention programs, we collected pilot qualitative data to capture undergraduates' perspectives regarding desirable program characteristics.

Participants: Undergraduates completed an audio-taped interview (n = 19) or a focus group (n = 16) in June - November 2016. Read More

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Adoption of a new automated optical coherence tomography software to obtain a lipid plaque spread-out plot.

Int J Cardiovasc Imaging 2021 Jul 22. Epub 2021 Jul 22.

Centro per la Lotta Contro L'Infarto - CLI Foundation, Rome, Italy.

Purpose: Near infrared spectroscopy-Intravascular ultrasound (NIRS-IVUS) provide a fully automated Lipid Core Burden Index (LCBI). Optical coherence tomography (OCT) is potentially capable of measuring lipid longitudinal extension in a dedicated two-dimensional LCBI spread-out plot. The present study has been designed to validate an automated approach to assess OCT images, able of providing a dedicated LCBI spread-out plot. Read More

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"The system has to be health literate, too" - perspectives among healthcare professionals on health literacy in transcultural treatment settings.

BMC Health Serv Res 2021 Jul 21;21(1):716. Epub 2021 Jul 21.

Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health (CERES), University of Cologne and Research Unit Ethics, Faculty of Medicine and University Hospital Cologne, 50931, Cologne, Germany.

Background: Effective communication is a central aspect of organizational health literacy. Healthcare professionals are expected to ensure an effective and satisfactory flow of information and to support their patients in accessing, understanding, appraising, and applying health information. This qualitative study aimed to examine the health literacy-related challenges, needs, and applied solutions of healthcare professionals when engaging with persons with a migrant background. Read More

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Gas6 expression and Tyrosine kinase Axl Sky receptors: Their relation with tumor stage and grade in patients with bladder cancer.

Arch Ital Urol Androl 2021 Jun 28;93(2):148-152. Epub 2021 Jun 28.

Department of Urology, Acıbadem University, School of Medicine, Istanbul.

Objectives: It has been shown that the dysregulation of tyrosine kinase Axl receptor and its ligand growth arrest-specific gene (Gas6) are associated with poor prognosis in various types of tumors but there is not enough study about their importance in bladder cancer (BC). We evaluated the relation of Gas6 gene expression and tyrosine- kinase Axl and Sky (Tyro 3) receptors with tumor stage and grade in patients with BC.

Material And Methods: The study group consists of 55 patients whose transurethral resection of bladder (TUR-B) has been performed due to BC and the control group consists of 12 patients with normal bladder mucosa. Read More

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Interventional benefit of Pilates using Oov and mat on middle-aged women with lower urinary tract symptoms: emphasis on abdominal muscle thickness and muscular function.

J Exerc Rehabil 2021 Jun 30;17(3):192-197. Epub 2021 Jun 30.

School of Global Sport Studies, Korea University, Sejong, Korea.

Lower urinary tract symptoms (LUTS) have been considered as clinically prevalent symptom in women, and can be ameliorated by the change of abdominal muscles and pelvic floor muscle (PFM). This study investigated the efficacy of Pilates program using Oov and mat on the change of abdominal muscle thickness, PFM function, and LUTS clinical score. 53 women experiencing LUTS were randomly assigned to Oov Pilates exercise group (OPEG) (n=20), mat Pilates exercise group (MPEG) (n= 16), and symptomatic control group (SCG) (n=17), respectively, and two groups using Oov and mat participated in 8-week Pilates program. Read More

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Fluoroscopy-Guided Transforaminal versus Caudal Epidural Steroid Injection for Chronic Pain After Spinal Surgery: A Retrospective Mid-Term Comparative Study.

J Pain Res 2021 13;14:2129-2138. Epub 2021 Jul 13.

Department of Physical Medicine & Rehabilitation, Sanggye Paik Hospital, Inje UniversityCollege of Medicine, Seoul, Republic of Korea.

Introduction: This study is to compare advantages, safety and mid-term effects of fluoroscopy (FL)-guided transforaminal (TF) to caudal (CA) epidural steroid injection (ESI) for chronic pain after spinal surgery (CPSS) by assessing pain relief and improvement of functionality.

Methods: Patients with radicular pain in CPSS who received FL-guided CA (n = 21) or TF (n = 28) ESI were included in this retrospective study. Complication frequencies, adverse events, treatment effects, and functional improvements for each procedure were compared at 1, 3, and 6 months following the last injection. Read More

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Lipid profiling suggests species specificity and minimal seasonal variation in Pacific Green and Hawksbill Turtle plasma.

PLoS One 2021 19;16(7):e0253916. Epub 2021 Jul 19.

Department of Biology, Purdue University-Fort Wayne, Fort Wayne, IN, United States of America.

In this study, we applied multiple reaction monitoring (MRM)-profiling to explore the relative ion intensity of lipid classes in plasma samples from sea turtles in order to profile lipids relevant to sea turtle physiology and investigate how dynamic ocean environments affect these profiles. We collected plasma samples from foraging green (Chelonia mydas, n = 28) and hawksbill (Eretmochelys imbricata, n = 16) turtles live captured in North Pacific Costa Rica in 2017. From these samples, we identified 623 MRMs belonging to 10 lipid classes (sphingomyelin, phosphatidylcholine, free fatty acid, cholesteryl ester, phosphatidylserine, phosphatidylinositol, phosphatidylglycerol, phosphatidylethanolamine, ceramide, and triacylglyceride) and one metabolite group (acyl-carnitine) present in sea turtle plasma. Read More

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Safety of laparoscopic local resection for gastrointestinal stromal tumors near the esophagogastric junction.

Surg Today 2021 Jul 19. Epub 2021 Jul 19.

Division of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.

Purpose: Laparoscopic local resection for gastrointestinal stromal tumors (GISTs) near the esophagogastric junction (EGJ) increases the risk of injuring the EGJ. We investigated the safety of laparoscopic local resection for GISTs near the EGJ according to the distance from the EGJ to the tumor edge.

Methods: We retrospectively evaluated 40 patients who had undergone laparoscopic local resection for GISTs near the EGJ between January 2009 and December 2019. Read More

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Eye Tracking-An Innovative Tool in Medical Parasitology.

J Clin Med 2021 Jul 4;10(13). Epub 2021 Jul 4.

Chair and Department of Biology and Genetics, Medical University of Lublin, 20-093 Lublin, Poland.

The innovative Eye Movement Modelling Examples (EMMEs) method can be used in medicine as an educational training tool for the assessment and verification of students and professionals. Our work was intended to analyse the possibility of using eye tracking tools to verify the skills and training of people engaged in laboratory medicine on the example of parasitological diagnostics. Professionally active laboratory diagnosticians working in a multi-profile laboratory (non-parasitological) ( = 16), laboratory diagnosticians no longer working in this profession ( = 10), and medical analyst students ( = 56), participated in the study. Read More

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Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) for the detection of dementia within a general practice (primary care) setting.

Cochrane Database Syst Rev 2021 Jul 19;7:CD010771. Epub 2021 Jul 19.

Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.

Background: The IQCODE (Informant Questionnaire for Cognitive Decline in the Elderly) is a commonly used questionnaire based tool that uses collateral information to assess for cognitive decline and dementia. Brief tools that can be used for dementia "screening" or "triage" may have particular utility in primary care / general practice healthcare settings but only if they have suitable test accuracy. A synthesis of the available data regarding IQCODE accuracy in a primary care setting should help inform cognitive assessment strategies for clinical practice; research and policy. Read More

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Factors Associated with In-Hospital Death in Patients with Killip Class 3 Acute Myocardial Infarction.

Int Heart J 2021 Jul 17. Epub 2021 Jul 17.

Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University.

The clinical outcomes in acute myocardial infarction (AMI) patients with Killip class 3 are often inconsistent with those in the literature, and the factors associated with poor outcomes have not been sufficiently investigated. The purpose of this study was to identify factors associated with in-hospital death in AMI patients with Killip class 3. We included 205 AMI patients with Killip class 3, and divided them into a survived group (n = 189) and in-hospital death group (n = 16). Read More

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Mandibular skeletal posterior anatomic limit for molar distalization in patients with Class III malocclusion with different vertical facial patterns.

Korean J Orthod 2021 Jul;51(4):250-259

Department of Orthodontics, Dankook University College of Dentistry, Cheonan, Korea.

Objective: The aim of this study was to compare the differences in mandibular posterior anatomic limit (MPAL) distances stratified by vertical patterns in patients with skeletal Class III malocclusion by using cone-beam computed tomography (CBCT).

Methods: CBCT images of 48 patients with skeletal Class III malocclusion (mean age, 22.8 ± 3. Read More

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Clinical value of contrast-enhanced ultrasonography in focal hypoechogenic lesions of thyroid.

Eur Arch Otorhinolaryngol 2021 Jul 18. Epub 2021 Jul 18.

Department of Ultrasonic Diagnosis, The First Affiliated Hospital of China Medical University, Nanjingbei Street 155#, Shenyang, Liaoning, People's Republic of China.

Objective: The objectives of this study were to analyze the accuracy of contrast-enhanced ultrasonography (CE-US) in diagnosing focal hypoechogenic lesions of the thyroid (FHLT), and to explore the clinical value of CE-US in the diagnosis of FHLT.

Methods: Patients undergoing CE-US and ultrasound-guided fine needle aspiration (US-FNA) of FHLT at First Hospital of China Medical University between January 2017 and December 2018 were selected for the study; this included patients with papillary thyroid carcinoma (PTC), subacute thyroiditis (SAT) and focal Hashimoto thyroiditis (FHT). All patients underwent color Doppler ultrasonography (CD-US) after which thyroid image reporting and data system (TI-RADS) grading were done. Read More

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Using Mobile Health to Improve Asthma Self-Management in Early Adolescence: A Pilot Randomized Controlled Trial.

J Adolesc Health 2021 Jul 15. Epub 2021 Jul 15.

Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, Florida.

Purpose: Early adolescence is an important developmental period where youth take primary responsibility for asthma self-management. Helpful caregiver support during this time is pivotal in determining whether early adolescents successfully develop asthma self-management behaviors. AIM2ACT is a dyadic mobile health intervention designed to increase helpful caregiver support as early adolescents engage in asthma self-management behaviors. Read More

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The Effect of Dentin Bonding and Material Thickness on the Flexural Properties of a Lithium-Disilicate Glass-Ceramic.

J Adhes Dent 2021 Jul;23(4):309-318

Purpose: Thanks to adhesive techniques and strengthened glass ceramics, ultrathin bonded occlusal veneers have been recently introduced. However, since a universally accepted thickness limit for ultrathin ceramics has yet to be established, their resistance to fracture needs to be better investigated. The purpose of this in vitro study was to evaluate the effect of dentin bonding on the flexural properties (ie, fracture load and flexural strength) of a lithium-disilicate (LD) glass ceramic when used in thicknesses equal to or less than the manufacturer's recommendations for occlusal restorations. Read More

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Major component causing neurological toxicity in acute glufosinate ammonium poisoning: determination of glufosinate, 1-methoxy-2-propanol, and ammonia in serum and cerebrospinal fluid.

Clin Toxicol (Phila) 2021 Jul 16:1-7. Epub 2021 Jul 16.

Department of Emergency Medicine and Research Institute of Hyperbaric Medicine and Science, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.

Objective: To determine the primary contributor to neurotoxicity in patients with glufosinate ammonium (GLA) poisoning, by quantifying glufosinate, 1-methoxy-2-propanol, and ammonia in serum and the cerebrospinal fluid (CSF).

Materials And Methods: We collected and analysed data from confirmed cases of GLA poisoning between May 2018 and August 2020. Based on the occurrence of neurological complications (mental change, seizure, and central apnoea), patients were assigned to one of two groups: those with complications (NCx) and without (non-NCx) complications. Read More

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Anxiety Is Associated With DPPIV Alterations in Children With Selective Mutism and Social Anxiety Disorder: A Pilot Study.

Front Psychiatry 2021 29;12:644553. Epub 2021 Jun 29.

Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.

Both selective mutism (SM) and social anxiety disorder (SAD) are severe pediatric anxiety disorders with the common trait of behavioral inhibition (BI). The underlying pathophysiology of these disorders remains poorly understood, however converging evidence suggests that alterations in several peripheral molecular pathways might be involved. In a pilot study, we investigated alterations in plasma molecular markers (dipeptidyl peptidase-4 [DPPIV], interleukin-6 [IL-6], tumor necrosis factor-β [TNF-β] and neuropeptide-Y [NPY]) in children with SM, SAD, and healthy controls, as well as the correlation of these markers to symptom severity. Read More

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Serum cortisol is a biomolecular biomarker for severity of diabetic retinopathy.

Mol Vis 2021 3;27:429-437. Epub 2021 Jul 3.

Eye Institute, Saint Louis University, Saint Louis, MO.

Purpose: Cortisol and prolactin are multifunctional hormones essential for various metabolic processes in the human body. This study evaluated for the first time the association between serum cortisol and prolactin levels and severity of diabetic retinopathy (DR) and their role as biomolecular biomarkers for disease progression.

Methods: A tertiary care center-based cross-sectional study was conducted. Read More

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Forearm muscle mitochondrial capacity and resting oxygen uptake: Relationship to symptomatic fatigue in persons with multiple sclerosis.

Mult Scler J Exp Transl Clin 2021 Apr-Jun;7(2):20552173211028875. Epub 2021 Jun 24.

Program in Exercise Science, Department of Physical Therapy, Marquette University, Milwaukee, WI, USA.

Background: Mitochondrial dysfunction has been implicated in the pathogenesis of multiple sclerosis (MS). Whether mitochondrial alterations are a function of ambulatory dysfunction or are of a non-ambulatory systemic nature is unclear.

Objective: To compare oxidative capacity, and rest muscle oxygen consumption (mVO) in the upper limb of persons with multiple sclerosis (PwMS) to a control group (CON), whereby an upper limb would be comparatively independent of ambulation or deconditioning. Read More

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Characteristics of Gut Microbiota in Children With Biliary Atresia After Liver Transplantation.

Front Physiol 2021 29;12:704313. Epub 2021 Jun 29.

Department of Gastroenterology and Hepatology, The First Medical Center, Chinese PLA General Hospital, Beijing, China.

Background And Aims: Biliary atresia (BA) is an idiopathic neonatal cholestasis and is the most common indication in pediatric liver transplantation (LT). Previous studies have suggested that the gut microbiota (GM) in BA is disordered. However, the effect of LT on gut dysbiosis in patients with BA has not yet been elucidated. Read More

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Prospective study of the effect of ERAS on postoperative recovery and complications in patients with gastric cancer.

Cancer Biol Med 2021 Jul 14. Epub 2021 Jul 14.

Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China.

Objective: To study the efficacy of the enhanced recovery after surgery (ERAS) program on postoperative recovery and complications in patients with gastric cancer.

Methods: Eighty patients in the perioperative period with radical gastrectomy were enrolled and randomly divided into 2 groups, the ERAS group and the non-ERAS group. The differences between the 2 groups in terms of postoperative recoveries and complications rate were determined. Read More

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Prevalence of restless leg syndrome in Mongolian adults: Mon-TimeLine study.

J Integr Neurosci 2021 Jun;20(2):405-409

Department of Neurology, School of Medicine, Mongolian National University of Medical Sciences, 13270 Ulaanbaatar, Mongolia.

We conducted an epidemiologic study based on survey neuroscience screening for restless leg syndrome in the Mongolian to determine the prevalence of restless leg syndrome. We used baseline data from the Mon-TimeLine study, a multidisciplinary, prospective, population-based cohort study. The total number of participants (n = 1572) ranged from 18 to 65 years of age. Read More

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Durability of a right superior pulmonary vein isolation after an inevitably interrupted single short freeze during cryoballoon ablation.

J Cardiovasc Electrophysiol 2021 Jul 13. Epub 2021 Jul 13.

Cardiovascular Center, Tsuchiura Kyodo Hospital, Tsuchiura, Ibaraki, Japan.

Background: In cryoballoon ablation, applications for right superior pulmonary veins (RSPVs) inevitably need to be interrupted for some safety reasons. We retrospectively investigated the RSPV isolation durability after single interrupted short freezes.

Methods: Data from 30 patients who underwent repeat procedures 8. Read More

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Improvement in Lung Cancer Survival: 6-Year Trends of Overall Survival at Hungarian Patients Diagnosed in 2011-2016.

Pathol Oncol Res 2021 30;27:603937. Epub 2021 Apr 30.

Ist Department of Pulmonology, National Korányi Institute of Pulmonology, Semmelweis University, Budapest, Hungary.

Lung cancer is one of the most common cancers worldwide and its survival is still poor. The objective of our study was to estimate long-term survival of Hungarian lung cancer patients at first time based on a nationwide review of the National Health Insurance Fund database. Our retrospective, longitudinal study included patients aged ≥20 years who were diagnosed with lung cancer (ICD-10 C34) between January 1, 2011 and December 31, 2016. Read More

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Effects of an Injury Prevention Program in CrossFit Athletes: A Pilot Randomized Controlled Trial.

Int J Sports Med 2021 Jul 12. Epub 2021 Jul 12.

Faculty of Sport Sciences, Universidad Europea de Madrid, Spain.

The present study aimed to assess the effects of an injury prevention program in CrossFit athletes. Thirty-two CrossFit athletes were randomized to either an intervention group (n=16), that performed mobility and stability exercises during the warm-up of all CrossFit sessions for a 10-week period or to a control group (n=16) that kept performing their usual warm-up. Incidence of injuries (primary outcome) as well as average training loads, fatigue and pain perception were registered during the study. Read More

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An Analysis of Prehospital Trauma Registry: After-Action Reviews on Airway Interventions in Afghanistan.

Med J (Ft Sam Houst Tex) 2021 Apr-Jun(PB 8-21-04/05/06):32-37

Brooke Army Medical Center; US Army Institute of Surgical Research, JBSA Fort Sam Houston, TX; and Uniformed Services University of the Health Sciences, Bethesda, MD.

Background: Failed airway management is the second leading cause of preventable death on the battlefield. The prehospital trauma registry (PHTR) after action-review (AAR) allows for unique perspectives and an enhanced analysis of interventions performed. We analyzed AAR comments related to airway interventions performed in deployed settings to examine and identify trends in challenges related to airway management in combat. Read More

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[Improvement of oncologic results of transurethral resection in the treatment of non-muscle-invasive bladder cancer].

Urologiia 2021 Jun(3):110-113

Department of Urology named after E.N. Sitdykov, Kazan State Medical University, Kazan, Russia.

Aim: To evaluate the efficiency of additional methods of intraoperative control during transurethral resection (TUR) for the treatment of non-muscle invasive bladder cancer.

Material And Methods: A total of 138 patients (92 men and 46 women) with non-muscle-invasive bladder cancer (Ta-T1N0M0) were treated in the urological clinic of Kazan State Medical University. The median age was 59 years. Read More

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[Diagnosis of infected kidney cysts in patients with autosomal dominant polycystic kidney disease and end-stage renal disease].

Urologiia 2021 Jun(3):50-55

City clinical hospital No 52, Moscow Healthcare Department, Moscow, Russia.

Aim: to improve the differential diagnosis of infected cysts in patients with ADPKD and to reduce false-positive rate of MR-urography.

Materials And Methods: a total of 33 patients with ADPKD who underwent bilateral nephrectomy from 2015 to 2020 were included in the retrospective single-center study. In the group 1 (n=17) patients with histologically confirmed infected cyst (s) were included, while in the group 2 (n=16) there were patients without infected cysts. Read More

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Clinical Characteristics and Treatment Outcomes Among Patients With Gastrointestinal Phytobezoars: A Single-Institution Retrospective Cohort Study in Korea.

Front Surg 2021 24;8:691860. Epub 2021 Jun 24.

Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.

To describe our experience with phytobezoars, evaluate risk factors on treatment, and analyze whether previous gastric surgery affects treatment outcomes. Medical records of 51 patients with phytobezoars between 2000 and 2019 were retrospectively evaluated. We compared endoscopic and surgical treatment groups and evaluated risk factors using multivariate logistic regression analysis. Read More

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