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  1. AU="Fogg, Ryan"
  2. AU="Viviane M. Parra"
  3. AU="Kushner, Adam"
  4. AU="Claude Pasquier"
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  6. AU=van der Donk Lieve E H
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  1. Artikel ; Online: Surgical Management of Extravaginal Testicular Torsion in a 16-Year-Old Male: A Case Report.

    Namugosa, Mary / Parham, Kevin J / Matthew, Ashley N / Wilson, Brandon / Fogg, Ryan / Nelson, Eric D

    Urology

    2024  

    Abstract: Extravaginal torsion (EVT) is a rare type of testicular torsion that usually occurs in neonates. The primary type of testicular torsion that occurs in adolescents is intravaginal torsion. In this case report, we describe the first case of EVT reported in ...

    Abstract Extravaginal torsion (EVT) is a rare type of testicular torsion that usually occurs in neonates. The primary type of testicular torsion that occurs in adolescents is intravaginal torsion. In this case report, we describe the first case of EVT reported in a 16-year-old male with a contralateral bell clapper deformity and subsequent surgical management using a tunica vaginalis flap and bilateral orchiopexy. In discussion of this case, we examine possible anatomical causes of EVT and suggestions for appropriate surgical management.
    Sprache Englisch
    Erscheinungsdatum 2024-03-28
    Erscheinungsland United States
    Dokumenttyp Case Reports
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2024.03.027
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel: Non-cutaneous presentation of mycosis fungoides involving the penile corpora: Case report and review of current literature.

    Kodama, Sarah / Matthew, Ashley N / Wilson, Brandon / Fogg, Ryan / Krzastek, Sarah C

    Urology case reports

    2023  Band 51, Seite(n) 102606

    Abstract: Mycosis fungoides involvement of genitalia is rare. We present a 63-year-old man with history of cutaneous T cell lymphoma with large cell transformation status post multiple electron beam radiation cycles who presented with a new, enlarging penile mass. ...

    Abstract Mycosis fungoides involvement of genitalia is rare. We present a 63-year-old man with history of cutaneous T cell lymphoma with large cell transformation status post multiple electron beam radiation cycles who presented with a new, enlarging penile mass. He underwent ultrasound, MRI, and excisional biopsy. Pathological results indicated hematogenous spread of T cell lymphoma with large cell transformation. Peri-operative radiation was performed, and the patient had significant reduction in penile mass size but some subsequent erectile dysfunction. In discussion of this case, we examine management of penile mycosis fungoides.
    Sprache Englisch
    Erscheinungsdatum 2023-10-30
    Erscheinungsland United States
    Dokumenttyp Case Reports
    ZDB-ID 2745459-9
    ISSN 2214-4420
    ISSN 2214-4420
    DOI 10.1016/j.eucr.2023.102606
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Characterization of Cystoscopy Performance and Reporting Practices at Academic Urology Centers.

    Namugosa, Mary / Matthew, Ashley N / Fogg, Ryan / Klausner, Adam P / Krzastek, Sarah C

    Urology practice

    2023  Band 11, Heft 2, Seite(n) 249–253

    Mesh-Begriff(e) Humans ; Cystoscopy ; Urology ; Urinary Bladder Neoplasms
    Sprache Englisch
    Erscheinungsdatum 2023-12-28
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ISSN 2352-0787
    ISSN (online) 2352-0787
    DOI 10.1097/UPJ.0000000000000511
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Distress, Depression, and the Effect of ZIP Code in Pancreaticobiliary Cancer Patients and Their Significant Others.

    Yeo, Theresa P / Cannaday, Shawnna / Thompson, Richard E / Fogg, Ryan / Nevler, Avinoam / Lavu, Harish / Yeo, Charles J

    Journal of the American College of Surgeons

    2022  Band 236, Heft 2, Seite(n) 339–349

    Abstract: Background: Distress screening of cancer patients is mandated by the American College of Surgeons Commission on Cancer. Clinical implementation remains limited, particularly in surgical oncology settings in individuals with pancreaticobiliary cancers.!## ...

    Abstract Background: Distress screening of cancer patients is mandated by the American College of Surgeons Commission on Cancer. Clinical implementation remains limited, particularly in surgical oncology settings in individuals with pancreaticobiliary cancers.
    Study design: This study evaluated differences in mean distress scores based on the National Comprehensive Cancer Network Distress Thermometer & Problem List for patients with pancreaticobiliary cancers, benign pancreatic conditions, and for their significant others (SOs). The distress screening was conducted at the first office visit and postoperatively in a subset of those who had surgery. Distress Thermometer (DT) scores were dichotomized at ≤5 vs >5 and at ≥7 and correlated with Problem List items. The US ZIP Code database was used to correlate income range, percent poverty, and unemployment in the patient's self-identified ZIP code. Regression models were fitted to identify independent predictors of distress.
    Results: A total of 547 patients and 184 SOs were evaluated. Thirty percent of patients had DT scores >5, with pancreatic adenocarcinoma patients reporting the highest levels of distress. SOs of pancreatic adenocarcinoma patients reported even greater distress than the patients themselves. As the number of pre-existing medical problems increased; so did DT scores. Distress correlated with physical and emotional problems and worry about insurance coverage and transportation. Higher income level predicted higher DT scores, although poverty predicted lower DT scores. Depression was present in 12% of the patients. Distress improved in those undergoing surgery.
    Conclusions: Distress and depression in pancreaticobiliary cancer patients and SOs are prevalent. The findings of this study have multiple actionable implications and require diagnosis, treatment, and referral to supportive care resources.
    Mesh-Begriff(e) Humans ; Depression/diagnosis ; Depression/epidemiology ; Depression/etiology ; Stress, Psychological/etiology ; Adenocarcinoma ; Pancreatic Neoplasms/diagnosis ; Pancreatic Neoplasms/surgery ; Neoplasms ; Gastrointestinal Neoplasms ; Surveys and Questionnaires ; Pancreatic Neoplasms
    Sprache Englisch
    Erscheinungsdatum 2022-11-08
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1181115-8
    ISSN 1879-1190 ; 1072-7515
    ISSN (online) 1879-1190
    ISSN 1072-7515
    DOI 10.1097/XCS.0000000000000469
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: The Imperative of Assessing Quality of Life in Patients Presenting to a Pancreaticobiliary Surgery Clinic.

    Yeo, Theresa P / Fogg, Ryan W / Shimada, Ayako / Marchesani, Nicole / Lavu, Harish / Nevler, Avinoam / Hegarty, Sarah / Brody, Jonathan R / Yeo, Charles J

    Annals of surgery

    2021  Band 277, Heft 1, Seite(n) e136–e143

    Abstract: Objective: The objective of this study was to determine baseline health-related quality of life (QoL) in patients with pancreatic adenocarcinoma, periampullary cancers, and benign pancreaticobiliary (PB) conditions at the time of the first visit to a PB ...

    Abstract Objective: The objective of this study was to determine baseline health-related quality of life (QoL) in patients with pancreatic adenocarcinoma, periampullary cancers, and benign pancreaticobiliary (PB) conditions at the time of the first visit to a PB surgery clinic, and to explore the relationship between QoL, demographics, clinical parameters, complications, and survival.
    Summary background data: Few studies have examined baseline QoL measures, the impact of comorbidities, age, sex, and smoking on subsequent postoperative complications and survival in patients with pancreatic adenocarcinoma, related PB cancers, and with benign PB conditions.
    Methods: Data were collected from scheduled patients at a PB surgery clinic between 2013 and 2018. The Brief Pain Inventory, Fact-Hepatobiliary Scale, and Facit-Fatigue questionnaires were administered. QoL parameters were compared between PB cancer patients and those with benign disease.
    Results: A total of 462 individuals with PB cancers and benign diseases exhibited baseline physical well-being, functional well-being, fatigue, and overall QoL at or below the 75th percentile of wellness at the time of the first office visit. Younger age, smoking, and mental health comorbidities contributed significantly to decreased QoL. PA patients were 7 times more likely to die in the follow-up period than the benign disease group. Black patients had higher pain scores and were 3 times more likely to have a postsurgery complication. Sex differences were identified regarding fatigue, pain, and overall QoL.
    Conclusions: This large cohort of PB cancer and benign disease patients exhibited significantly impaired baseline QoL. GI problems, weight loss, smoking, cardiovascular, pulmonary disease, and history of anxiety and depression contributed significantly to reduced QoL. The study sheds a cautionary light on the burden of PB disease at the time of surgical evaluation and its relationship to diminished QoL.
    Mesh-Begriff(e) Humans ; Male ; Female ; Quality of Life/psychology ; Adenocarcinoma/surgery ; Pancreatic Neoplasms/surgery ; Gastrointestinal Neoplasms/complications ; Pain/etiology ; Fatigue ; Surveys and Questionnaires
    Sprache Englisch
    Erscheinungsdatum 2021-07-02
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000005049
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: The sexual dysfunction of Louis XVI: a consequence of international politics, anatomy, or naïveté?

    Fogg, Ryan N / Boorjian, Stephen A

    BJU international

    2010  Band 106, Heft 4, Seite(n) 457–459

    Mesh-Begriff(e) Famous Persons ; France ; History, 18th Century ; Humans ; Male ; Phimosis/history ; Politics ; Sex Education/history ; Sexual Dysfunction, Physiological/history ; Sexual Dysfunctions, Psychological/history
    Sprache Englisch
    Erscheinungsdatum 2010-08
    Erscheinungsland England
    Dokumenttyp Biography ; Historical Article ; Journal Article ; Portraits
    ZDB-ID 1462191-5
    ISSN 1464-410X ; 1464-4096 ; 1358-8672
    ISSN (online) 1464-410X
    ISSN 1464-4096 ; 1358-8672
    DOI 10.1111/j.1464-410X.2010.09491.x
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Artikel ; Online: Impact of an Expanded Definition of Family History on Outcomes of Active Surveillance for Prostate Cancer.

    Schneider, Adam C / Chandrasekar, Thenappan / Bowler, Nicholas / Fogg, Ryan / Leong, Joon Yau / Gusev, Andrew / Rodgers, Linda H / McCormick, Shelley R / Dahl, Douglas M / Efstathiou, Jason A / Blute, Michael L / Zietman, Anthony L / Wu, Chin-Lee / Smith, Matthew R / Van Allen, Eliezer M / Feldman, Adam S / Salari, Keyan

    The Journal of urology

    2023  Band 209, Heft 6, Seite(n) 1112–1119

    Abstract: Purpose: Despite family history being an established risk factor for prostate cancer, the role of a broader definition of family history inclusive of not just prostate cancer but other genetically related malignancies has not been investigated in the ... ...

    Abstract Purpose: Despite family history being an established risk factor for prostate cancer, the role of a broader definition of family history inclusive of not just prostate cancer but other genetically related malignancies has not been investigated in the active surveillance population. Here, we evaluate the impact of an expanded definition of family history on active surveillance outcomes.
    Materials and methods: Patients undergoing active surveillance for prostate cancer at Massachusetts General Hospital from 1997-2019 with detailed data available on family cancer history were identified. Primary outcome was biopsy progression-free survival, and secondary outcomes were treatment-free survival, adverse pathological features at prostatectomy, and biochemical recurrence after treatment. Statistical analyses were conducted using the Kaplan-Meier method and Cox regression.
    Results: Among 855 evaluable patients, 300 (35.1%) patients had any family history of prostate cancer, and 95 (11.1%) had a family history of related malignancies suggestive of a hereditary cancer syndrome. Family history of prostate cancer alone was not associated with biopsy progression, whereas family history suggestive of a hereditary cancer syndrome was associated with a significantly increased risk of biopsy progression (HR 1.43, 95%CI 1.01-2.02), independent of other known clinicopathological risk factors in multivariable analysis. Similarly, family history suggestive of a hereditary cancer syndrome was associated with significantly lower treatment-free survival (HR 1.58, 95%CI 1.14-2.18) in multivariable analysis. No significant association was found between family history and adverse features on surgical pathology or biochemical recurrence.
    Conclusions: An expanded family history suggestive of a hereditary cancer syndrome is an independent predictor of biopsy progression during active surveillance. Men with such a family history may still be offered active surveillance but should be counseled regarding the higher risk of disease progression.
    Mesh-Begriff(e) Male ; Humans ; Watchful Waiting/methods ; Retrospective Studies ; Prostatic Neoplasms/pathology ; Prostatectomy ; Risk Factors ; Neoplasm Grading ; Prostate-Specific Antigen
    Chemische Substanzen Prostate-Specific Antigen (EC 3.4.21.77)
    Sprache Englisch
    Erscheinungsdatum 2023-03-09
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 3176-8
    ISSN 1527-3792 ; 0022-5347
    ISSN (online) 1527-3792
    ISSN 0022-5347
    DOI 10.1097/JU.0000000000003396
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel ; Online: How Hugh Hampton Young's treatment of President Woodrow Wilson's urinary retention and urosepsis affected the resolution of World War I.

    Fogg, Ryan / Kutikov, Alexander / Uzzo, Robert G / Canter, Daniel

    The Journal of urology

    2011  Band 186, Heft 3, Seite(n) 1153–1156

    Abstract: Purpose: President Woodrow Wilson was never able to gain ratification of the Treaty of Versailles, the peace accord to end World War I. Before he could convince the American people of the importance of ratification, Wilson suffered a stroke followed by ... ...

    Abstract Purpose: President Woodrow Wilson was never able to gain ratification of the Treaty of Versailles, the peace accord to end World War I. Before he could convince the American people of the importance of ratification, Wilson suffered a stroke followed by life threatening urinary sepsis due to urinary retention, and was treated by the father of modern urology, Hugh Hampton Young. The effects of these health problems are examined in the context of their implications on international affairs.
    Materials and methods: Biographical sources and primary documentation of Wilson's physicians were reviewed to determine the effect of Wilson's stroke on his voiding habits. Hugh Hampton Young's evaluation and decision making is examined in depth.
    Results: In the fall of 1919 President Wilson was recovering from a stroke. Shortly after the stroke his preexisting voiding dysfunction progressed to urinary retention from which urinary sepsis developed. Hugh Hampton Young advised on Wilson's case and counseled patience over surgery. The President began voiding spontaneously and recovered from sepsis. The illness left him severely weakened and unable to mount an aggressive campaign to persuade the U.S. Senate of the importance of ratifying the Treaty of Versailles. His personal physician, Admiral Cary T. Grayson, stated that the President was mentally never the same after the sepsis.
    Conclusions: Wilson's voiding dysfunction contributed to his inability to win approval for the Treaty of Versailles and the League of Nations. As a result, the United States returned to a policy of isolationism and Europe plunged into 2 decades of upheaval, leading to World War II.
    Mesh-Begriff(e) Famous Persons ; History, 20th Century ; United States ; Urinary Retention/therapy ; Urinary Tract Infections/therapy ; World War I
    Sprache Englisch
    Erscheinungsdatum 2011-09
    Erscheinungsland United States
    Dokumenttyp Biography ; Historical Article ; Journal Article ; Portraits
    ZDB-ID 3176-8
    ISSN 1527-3792 ; 0022-5347
    ISSN (online) 1527-3792
    ISSN 0022-5347
    DOI 10.1016/j.juro.2011.04.074
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  9. Artikel ; Online: Prescribing of Opioids and Benzodiazepines Among Patients With History of Overdose.

    Griggs, Christopher / Wyatt, Stephen / Wally, Meghan K / Runyon, Michael / Hsu, Joseph R / Seymour, Rachel B / Beuhler, Michael / Bosse, Michael J / Fogg, Ryan / Gibbs, Michael / Haas, Eric / Jarrett, Steven / Leas, Daniel / Saha, Animita / Schiro, Sharon / Watling, Bradley

    Journal of addiction medicine

    2019  Band 13, Heft 5, Seite(n) 396–402

    Abstract: Objectives: Addiction and overdose related to prescription drugs continues to be a leading cause of morbidity and mortality in the United States. We aimed to characterize the prescribing of opioids and benzodiazepines to patients who had previously ... ...

    Abstract Objectives: Addiction and overdose related to prescription drugs continues to be a leading cause of morbidity and mortality in the United States. We aimed to characterize the prescribing of opioids and benzodiazepines to patients who had previously presented with an opioid or benzodiazepine overdose.
    Methods: This was a retrospective chart review of patients who were prescribed an opioid or benzodiazepine in a 1-month time-period in 2015 (May) and had a previous presentation for opioid or benzodiazepine overdose at a large healthcare system.
    Results: We identified 60,129 prescribing encounters for opioids and/or benzodiazepines, 543 of which involved a patient with a previous opioid or benzodiazepine overdose. There were 404 unique patients in this cohort, with 97 having more than 1 visit including a prescription opioid and/or benzodiazepine. A majority of prescriptions (54.1%) were to patients with an overdose within the 2 years of the documented prescribing encounter. Prescribing in the outpatient clinical setting represented half (49.9%) of encounters, whereas emergency department prescribing was responsible for nearly a third (31.5%).
    Conclusions: In conclusion, prescribing of opioids and benzodiazepines occurs across multiple locations in a large health care system to patients with a previous overdose. Risk factors, such as previous overdose should be highlighted through clinical decision support tools in the medical record to help prescribers identify patients at higher risk and to mobilize resources for this patient population. Prescribers need further education on factors that place their patients at risk for opioid use disorder and on alternative therapies to opioids and benzodiazepines.
    Mesh-Begriff(e) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Analgesics, Opioid/therapeutic use ; Benzodiazepines/therapeutic use ; Drug Overdose/epidemiology ; Drug Prescriptions/statistics & numerical data ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Male ; Middle Aged ; Opioid-Related Disorders/drug therapy ; Practice Patterns, Physicians' ; Prescription Drug Misuse/statistics & numerical data ; Prescription Drugs/therapeutic use ; Retrospective Studies ; Risk Factors ; United States/epidemiology ; Young Adult
    Chemische Substanzen Analgesics, Opioid ; Prescription Drugs ; Benzodiazepines (12794-10-4)
    Sprache Englisch
    Erscheinungsdatum 2019-03-07
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ISSN 1935-3227
    ISSN (online) 1935-3227
    DOI 10.1097/ADM.0000000000000513
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  10. Artikel ; Online: Familiarity and self-reported compliance with American Urological Association best practice recommendations for use of thromboembolic prophylaxis among American Urological Association members.

    Sterious, Steve / Simhan, Jay / Uzzo, Robert G / Gershman, Boris / Li, Tianyu / Devarajan, Karthik / Canter, Daniel / Walton, John / Fogg, Ryan / Ginzburg, Serge / Corcoran, Anthony / Smaldone, Marc C / Kutikov, Alexander

    The Journal of urology

    2013  Band 190, Heft 3, Seite(n) 992–998

    Abstract: Purpose: Thromboprophylaxis with subcutaneous heparin or low molecular weight heparin is now an integral part of national surgical quality and safety assessment efforts, and has been incorporated into the current AUA Best Practice Statement. We ... ...

    Abstract Purpose: Thromboprophylaxis with subcutaneous heparin or low molecular weight heparin is now an integral part of national surgical quality and safety assessment efforts, and has been incorporated into the current AUA Best Practice Statement. We evaluated familiarity and compliance with the AUA Best Practice Statement, assessed practice patterns in terms of perioperative thromboprophylaxis and specifically examined self-reported compliance in high risk patients undergoing radical cystectomy.
    Materials and methods: An electronic survey was sent to AUA members with valid e-mail addresses (10,966). Associations between AUA Best Practice Statement adherence and factors such as urological specialty, graduation year and guideline familiarity were assessed using chi-square analyses and generalized estimating equations.
    Results: With 1,210 survey responses the largest group of respondents was urological oncologists and/or laparoscopic/robotic specialists (26.0%). This group was more likely to use thromboprophylaxis than nonurological oncologists and/or laparoscopic/robotic specialists in high risk patients (OR 1.3, CI 1.1-1.5). Respondents aware of the AUA Best Practice Statement guidelines (50.7%) were more likely to use thromboprophylaxis (OR 1.4, CI 1.2-1.6). Although 18.1% of urological oncologists and/or laparoscopic/robotic specialists and 34.2% of nonurological oncologists and/or laparoscopic/robotic specialists avoided routine thromboprophylaxis in patients undergoing radical cystectomy, the former were more likely to use thromboprophylaxis (p <0.0001) than other respondents. Urologists graduating after the year 2000 used thromboprophylaxis in high risk patients undergoing radical cystectomy more often than did earlier graduates (79.2% vs 63.4%, p <0.0001).
    Conclusions: Although younger age and self-reported urological oncologist and/or laparoscopic/robotic specialist status correlated strongly with thromboprophylaxis use, self-reported adherence to AUA Best Practice Statement was low, even in high risk cases with clear AUA Best Practice Statement recommendations such as radical cystectomy. These data identify opportunities for quality improvement in patients undergoing major urological surgery.
    Mesh-Begriff(e) Adult ; Cross-Sectional Studies ; Female ; Guideline Adherence/standards ; Heparin, Low-Molecular-Weight/administration & dosage ; Heparin, Low-Molecular-Weight/standards ; Humans ; Injections, Subcutaneous ; Internet ; Male ; Middle Aged ; Practice Guidelines as Topic/standards ; Practice Patterns, Physicians'/standards ; Practice Patterns, Physicians'/trends ; Self Report ; Societies, Medical ; Surveys and Questionnaires ; United States ; Urologic Surgical Procedures/adverse effects ; Urologic Surgical Procedures/methods ; Venous Thromboembolism/prevention & control
    Chemische Substanzen Heparin, Low-Molecular-Weight
    Sprache Englisch
    Erscheinungsdatum 2013-03-26
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 3176-8
    ISSN 1527-3792 ; 0022-5347
    ISSN (online) 1527-3792
    ISSN 0022-5347
    DOI 10.1016/j.juro.2013.03.076
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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