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  1. Article: Risk perception, but also political orientation, modulate behavioral response to COVID-19: A randomized survey experiment.

    Torrente, Fernando / Low, Daniel / Yoris, Adrian

    Frontiers in psychology

    2022  Volume 13, Page(s) 900684

    Abstract: Prior work has shown that accurately perceiving the risk for COVID-19 is associated with higher adherence to protective health behaviors, like face mask use, and more acceptance of governmental restrictive measures such as partial or complete banning of ... ...

    Abstract Prior work has shown that accurately perceiving the risk for COVID-19 is associated with higher adherence to protective health behaviors, like face mask use, and more acceptance of governmental restrictive measures such as partial or complete banning of indoor activities and social gatherings. In this study we explored these associations at the beginning of the second wave of COVID-19 in Argentina through a national representative probabilistic survey that evaluated personal and contextual risk perception, self-reported compliance with protective health behaviors, attitude to governmental restrictive measures, and political orientation and psychological distress as potential modulators. Also, going beyond measures of association, here we sought to test whether messages highlighting potential risks increased acceptance of restrictive measures. Three types of messages were randomized to the participants. Two messages conveyed risk-related content (either through emotional arousal or cognitive appraisal) and the third a prosocial, altruistic content. Between March 29th and 30th, 2021, 2,894 participants were recruited (57.57% female). 74.64% of those surveyed evaluated the current health situation as "quite serious" or "very serious" and 62.03% estimated that the situation will be "worse" or "much worse" in the following 3 months. The perception of personal risk and the level of adherence to protective behaviors gradually increased with age. Through a regression model, age, perceived personal risk, and contextual risk appraisal were the variables most significantly associated with protective behaviors. In the case of the acceptance of restrictive measures, political orientation was the most associated variable. We then found messages aimed at increasing risk perception (both emotionally or cognitively focused) had a significantly greater effect on increasing the acceptance of restrictive measures than the prosocial message, mainly for government supporters but also for non-supporters. However, the level of response was also modulated by the political orientation of the participants. We propose a mechanism of "ideological anchoring" to explain that participants were responsive to risk modulation, but within the limits established by their pre-existent political views. We conclude that messages highlighting risk can help reinforce the acceptance of restrictive measures even in the presence of polarized views, but must be calibrated by age and political orientation.
    Language English
    Publishing date 2022-08-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2022.900684
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Behavioural insights (BI) for childhood development and effective public policies in Latin America: a survey and a randomised controlled trial.

    Tomio, Andrea A / Dottori, Martin / Hesse, Eugenia / Torrente, Fernando / Flichtentrei, Daniel / Ibanez, Agustin M

    BMJ open

    2021  Volume 11, Issue 8, Page(s) e047925

    Abstract: Objectives: We developed (a) a survey to investigate the knowledge of childhood health experts on public policies and behavioural insights (BI), as well as its use in Latin American and the Caribbean countries (LACs), and (b) an intervention (randomised ...

    Abstract Objectives: We developed (a) a survey to investigate the knowledge of childhood health experts on public policies and behavioural insights (BI), as well as its use in Latin American and the Caribbean countries (LACs), and (b) an intervention (randomised controlled trial) to test the influence of nudges on the effect of a simulated public health programme communication.
    Participants and settings: A total of 2003 LACs childhood health professionals participated in the study through a Hispanic online platform.
    Primary and secondary outcomes: We used regression models analysing expertise-related information, individual differences and location. We extracted several outcome variables related to (a) 'Public Policy Knowledge Index' based on the participants' degree of knowledge on childhood health public policies and (b) BI knowledge, perceived effectiveness and usefulness of a simulated public programme communication. We also analysed a 'Behavioural Insights Knowledge Index' (BIKI) based on participants' performance in BI questions.
    Results: In general, health professionals showed low BI knowledge (knowledge of the term BI: χ
    Conclusions: Our findings provide relevant knowledge about BI in health professionals to inform governmental and non-governmental organisations' decision-making processes related with childhood public policies and BI designs.
    MeSH term(s) Government ; Health Behavior ; Humans ; Latin America ; Public Policy ; Surveys and Questionnaires
    Language English
    Publishing date 2021-08-09
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2020-047925
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Colaboración entre psiquiatras y psicólogos: revisión de la literatura.

    Torrente, Fernando

    Vertex (Buenos Aires, Argentina)

    2006  Volume 17, Issue 68, Page(s) 278–284

    Abstract: The aim of this paper is to review the empirical literature concerning the collaborative relationship between psychiatrists and psychologists. Despite the scarcity of published studies about this topic, three main areas of interest could be identified: 1. ...

    Title translation Collaborative relationship between psychiatrists and psychologists: a literature review.
    Abstract The aim of this paper is to review the empirical literature concerning the collaborative relationship between psychiatrists and psychologists. Despite the scarcity of published studies about this topic, three main areas of interest could be identified: 1. Literature regarding combined treatments (psychotherapy plus medication); 2. The development of therapeutic programs for specific conditions within a biopsychosocial framework; 3. The discussion about the team role in the approach of difficult cases. In general terms, it could be stated that collaborative treatments are a valid and effective option in mental health settings.
    MeSH term(s) Combined Modality Therapy ; Humans ; Interdisciplinary Communication ; Interprofessional Relations ; Mental Disorders/therapy ; Patient Care Team ; Psychiatry ; Psychology
    Language Spanish
    Publishing date 2006-07
    Publishing country Argentina
    Document type English Abstract ; Journal Article ; Review
    ISSN 0327-6139
    ISSN 0327-6139
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mental health symptoms in Latin America during the first year of COVID-19 pandemic: a meta-analysis of prevalence and potential moderator variables

    Torrente, Fernando / Ailan, Delfina / Del Cerro, Emilia / Del Negro, Julieta / Gorodetzky, Barbara / Slonimschik, Delfina / Cetkovich-Bakmas, Marcelo / Lopez, Pablo

    medRxiv

    Abstract: This meta-analysis examines the impacts of the COVID-19 pandemic on mental health in Latin America during its first year, using data from 71 studies with 231,441 participants. To address knowledge gaps in the existent literature we considered the type of ...

    Abstract This meta-analysis examines the impacts of the COVID-19 pandemic on mental health in Latin America during its first year, using data from 71 studies with 231,441 participants. To address knowledge gaps in the existent literature we considered the type of study design, country of origin, effects of lockdown, and several potential moderating factors. We found prevalence rates of 31% for depression symptoms and 36% for anxiety symptoms. These estimates were higher than those observed in studies from the northern hemisphere. Longitudinal studies showed that depressive symptoms persisted over time, and lockdowns were associated with mildly increased anxiety levels. Female gender was associated with higher rates of depressive symptoms. Our analyses revealed high statistical heterogeneity, and moderating factors such as pandemic duration, COVID-19 cases and deaths, and lockdown stringency did not explain observed mental health symptoms. Methodological limitations include an overreliance on cross-sectional studies and a lack of pre-pandemic parameters that may lead to an overestimation of mental health symptom rates. Overall, this study provides valuable insights into mental health symptoms in Latin America during the first year of the COVID-19 pandemic, highlighting the need for improved epidemiological research and mental health support in the region.
    Keywords covid19
    Language English
    Publishing date 2023-02-19
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2023.02.18.23286126
    Database COVID19

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  5. Article: Psychological symptoms, mental fatigue and behavioural adherence after 72 continuous days of strict lockdown during the COVID-19 pandemic in Argentina.

    Torrente, Fernando / Yoris, Adrian / Low, Daniel / Lopez, Pablo / Bekinschtein, Pedro / Vázquez, Gustavo H / Manes, Facundo / Cetkovich, Marcelo

    BJPsych open

    2021  Volume 8, Issue 1, Page(s) e10

    Abstract: Background: An early and prolonged lockdown was adopted in Argentina during the first wave of COVID-19. Early reports evidenced elevated psychological symptoms.: Aims: To explore if the prolonged lockdown was associated with elevated anxiety and ... ...

    Abstract Background: An early and prolonged lockdown was adopted in Argentina during the first wave of COVID-19. Early reports evidenced elevated psychological symptoms.
    Aims: To explore if the prolonged lockdown was associated with elevated anxiety and depressive symptoms; if mental fatigue was associated with lockdown adherence (a phenomenon called 'behavioural fatigue'); and if financial concerns were associated with lockdown adherence and emotional symptoms.
    Method: The survey included standardised questionnaires to assess depressive (PHQ-9) and anxious (GAD-7) symptoms, mental fatigue, risk perception, lockdown adherence, financial concerns, daily stress, loneliness, intolerance to uncertainty, negative repetitive thinking and cognitive problems. LASSO regression analyses were carried out to predict depression, anxiety and lockdown adherence.
    Results: The survey reached 3617 adults (85.2% female) from all provinces of Argentina after 72 days of lockdown. Data were collected between 21 May 2020 and 4 June 2020. In that period, Argentina had an Oxford stringency index of 85/100. Of those surveyed, 45.6% and 27% met the cut-offs for depression and anxiety, respectively. Mental fatigue, cognitive failures and financial concerns were correlated with psychological symptoms, but not with adherence to lockdown. In regression models, mental fatigue, cognitive failures and loneliness were the most important variables to predict depression, intolerance to uncertainty and lockdown difficulty were the most important for anxiety, and perceived threat was the most important for predicting lockdown adherence.
    Conclusions: During the extended lockdown, psychological symptoms increased, being enhanced by mental fatigue, cognitive difficulties and financial concerns. We found no evidence of behavioural fatigue. Thus, feeling mentally fatigued is not the same as being behaviourally fatigued.
    Language English
    Publishing date 2021-12-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2829557-2
    ISSN 2056-4724
    ISSN 2056-4724
    DOI 10.1192/bjo.2021.1065
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Third Argentine Consensus statement on management Bipolar Disorders. Section 2 B

    Cetkovich-Bakmas, Marcelo / Abadi, Andrea / Camino, Sebastián / García Bonetto, Gerardo / Herbst, Luis / Marengo, Eliana / Torrente, Fernando / Maresca, Tomás / Bustin, Julián / Morra, Carlos / Corral, Ricardo / Sotelo, Daniel / Strejilevich, Sergio / Pessio, Julián / Vilapriño, Juan José / Vilapriño, Manuel / Vázquez, Gustavo / Corrales, Alejo

    Vertex (Buenos Aires, Argentina)

    2023  Volume 34, Issue 160, abr.-jun., Page(s) 25–53

    Abstract: This document constitutes the second section B of the Third Argentine Consensus on the Management of Bipolar Disorders, focused on synthesizing the most updated evidence on therapeutic approaches for adult patients. The scope of this section is to ... ...

    Title translation Tercer Consenso Argentino sobre el manejo de los Trastornos Bipolares. Segunda Parte B.
    Abstract This document constitutes the second section B of the Third Argentine Consensus on the Management of Bipolar Disorders, focused on synthesizing the most updated evidence on therapeutic approaches for adult patients. The scope of this section is to provide therapeutic recommendations for managing bipolar disorders in adults, (i) acute mania (ii) bipolar depression (iii) mixed stated (iv) suicidality and (vi) psychological interventions. In addition, the current manuscript outlines the assessment and management of side effects of pharmacotherapeutic treatments.
    MeSH term(s) Humans ; Bipolar Disorder ; Consensus ; Argentina ; Retrospective Studies
    Language Spanish
    Publishing date 2023-07-10
    Publishing country Argentina
    Document type English Abstract ; Journal Article
    ISSN 0327-6139
    ISSN 0327-6139
    DOI 10.53680/vertex.v34i160.459
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Third Argentine Consensus statement on management Bipolar Disorders. Section3: Bipolar Disorder in the context of special situations

    Cetkovich-Bakmas, Marcelo / Abadi, Andrea / Camino, Sebastián / García Bonetto, Gerardo / Herbst, Luis / Marengo, Eliana / Torrente, Fernando / Maresca, Tomás / Bustin, Julián / Morra, Carlos / Corral, Ricardo / Sotelo, Daniel / Strejilevich, Sergio / Pessio, Julián / Vilapriño, Juan José / Vilapriño, Manuel / Vázquez, Gustavo / Corrales, Alejo

    Vertex (Buenos Aires, Argentina)

    2023  Volume 34, Issue 161, jul.-sept., Page(s) 87–110

    Abstract: This document constitutes the third and last part of the Third Argentine Consensus on the Management of Bipolar Disorders carried out by the Argentine Association of Biological Psychiatry (AAPB). Continuing with the initial objective, this section of the ...

    Title translation Tercer Consenso Argentino sobre el manejo de los Trastornos Bipolares. Tercera parte: Manejo de los Trastornos Bipolares en el contexto de situaciones especiales.
    Abstract This document constitutes the third and last part of the Third Argentine Consensus on the Management of Bipolar Disorders carried out by the Argentine Association of Biological Psychiatry (AAPB). Continuing with the initial objective, this section of the Consensus on the Management of Bipolar Disorders is focused on the management of bipolar disorders in special populations. This section constitutes a comprehensive review and expert consideration of the scientific evidence on: a) the management of bipolar disorders in treatment-resistant patients; b) the management of bipolar disorder in childhood and adolescence; c) the management of bipolar disorders in women during their perinatal period and, d) the management of bipolar disorders in older adults.
    MeSH term(s) Pregnancy ; Female ; Humans ; Bipolar Disorder ; Consensus ; Argentina ; Retrospective Studies
    Language Spanish
    Publishing date 2023-10-10
    Publishing country Argentina
    Document type English Abstract ; Journal Article
    ISSN 0327-6139
    ISSN 0327-6139
    DOI 10.53680/vertex.v34i161.488
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Third Argentine Consensus statement on management Bipolar Disorders. Section 2 A: Comprehensive treatment of the bipolar disorders in adults

    Cetkovich-Bakmas, Marcelo / Abadi, Andrea / Camino, Sebastián / García Bonetto, Gerardo / Herbst, Luis / Marengo, Eliana / Torrente, Fernando / Maresca, Tomás / Bustin, Julián / Morra, Carlos / Corral, Ricardo / Sotelo, Daniel / Strejilevich, Sergio / Pessio, Julián / Vilapriño, Juan José / Vilapriño, Manuel / Vázquez, Gustavo / Corrales, Alejo

    Vertex (Buenos Aires, Argentina)

    2023  Volume 34, Issue 159, ene.-mar.

    Abstract: This document constitutes the second section A of the Third Argentine Consensus on the Management of Bipolar Disorders, focused on synthesizing the most updated evidence on therapeutic approaches for adult patients. The aim of this section (2A) is to ... ...

    Title translation Tercer Consenso Argentino sobre el manejo de los Trastornos Bipolares. Segunda Parte A: Tratamiento integral de los trastornos bipolares en el adulto.
    Abstract This document constitutes the second section A of the Third Argentine Consensus on the Management of Bipolar Disorders, focused on synthesizing the most updated evidence on therapeutic approaches for adult patients. The aim of this section (2A) is to provide therapeutic recommendations for managing bipolar disorders in adults. In addition, the scope of this current manuscript outlines recommendations on the use of treatment guidelines, levels of evidence available to support these recommendations, general considerations for the treatment of bipolar disorders, the so-called pseudoresistance and adherence to treatment, general considerations on psychological therapies, as well as long term treatment of bipolar disorders.
    MeSH term(s) Adult ; Humans ; Bipolar Disorder/drug therapy ; Antipsychotic Agents/therapeutic use
    Chemical Substances Antipsychotic Agents
    Language Spanish
    Publishing date 2023-04-10
    Publishing country Argentina
    Document type English Abstract ; Journal Article
    ISSN 0327-6139
    ISSN 0327-6139
    DOI 10.53680/vertex.v34i159.367
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A two-stage epidemiological study of eating disorders and muscle dysmorphia in male university students in Buenos Aires.

    Compte, Emilio J / Sepulveda, Ana R / Torrente, Fernando

    The International journal of eating disorders

    2015  Volume 48, Issue 8, Page(s) 1092–1101

    Abstract: Objective: Studies using traditional screening instruments tend to report a lower prevalence of eating disorders (EDs) in men than is observed in women. It is therefore unclear whether such instruments are valid for the assessment of ED in males. Lack ... ...

    Abstract Objective: Studies using traditional screening instruments tend to report a lower prevalence of eating disorders (EDs) in men than is observed in women. It is therefore unclear whether such instruments are valid for the assessment of ED in males. Lack of a formal diagnostic definition of muscle dysmorphia syndrome (MD) makes it difficult to identify men at risk. The study aimed to assess the prevalence of ED and MD in male university students of Buenos Aires.
    Method: A cross-sectional, two-stage, representative survey was of 472 male students from six different schools in Buenos Aires, mostly aged between 18 and 28 years. The first stage involved administration of self-report questionnaires (Eating Attitude Test-26; scores ≥15 indicate "at risk" status). In Stage 2 students at risk of developing EDs were evaluated with a clinical interview, the Eating Disorder Examination (EDE; 12th edition). Two control students were interviewed for every at risk student.
    Results: The prevalence of EDs among university male students was 1.9% (n = 9). All participants with an ED presented with illness classified as eating disorder not otherwise specified (EDNOS). Using the Drive for Muscularity Scale (DMS) with a 52-point threshold we identified possible MD in 6.99% (n = 33) of the sample.
    Discussion: The prevalence of ED detected in this study is comparable with previous findings in male populations, and below that observed in female populations. However, the prevalence of possible cases of MD resembles the total rate of EDs in women. Characteristics associated with EDs and MD in men are also discussed.
    MeSH term(s) Adolescent ; Adult ; Argentina/epidemiology ; Cross-Sectional Studies ; Epidemiologic Studies ; Feeding and Eating Disorders/complications ; Feeding and Eating Disorders/epidemiology ; Humans ; Male ; Muscular Diseases/epidemiology ; Muscular Diseases/etiology ; Prevalence ; Risk Factors ; Self Report ; Students/statistics & numerical data ; Universities ; Young Adult
    Language English
    Publishing date 2015-12
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 603170-5
    ISSN 1098-108X ; 0276-3478
    ISSN (online) 1098-108X
    ISSN 0276-3478
    DOI 10.1002/eat.22448
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Effect of a Social Norm Email Feedback Program on the Unnecessary Prescription of Nimodipine in Ambulatory Care of Older Adults: A Randomized Clinical Trial.

    Torrente, Fernando / Bustin, Julián / Triskier, Fabian / Ajzenman, Nicolás / Tomio, Ailin / Mastai, Ricardo / Lopez Boo, Florencia

    JAMA network open

    2020  Volume 3, Issue 12, Page(s) e2027082

    Abstract: Importance: Nimodipine is a highly prescribed drug for the treatment of cognitive impairment and dementia in Argentina. There is little evidence to support the use of nimodipine for cognitive impairment and dementia.: Objective: To test the ... ...

    Abstract Importance: Nimodipine is a highly prescribed drug for the treatment of cognitive impairment and dementia in Argentina. There is little evidence to support the use of nimodipine for cognitive impairment and dementia.
    Objective: To test the effectiveness of a behavioral intervention based on social norm feedback to reduce prescription of nimodipine for cognitive impairment in Argentina.
    Design, setting, and participants: This pragmatic parallel-group randomized clinical trial included 2 arms with a 1:1 allocation ratio. General practitioner physicians in the national health care system for older adults in Argentina (INSSJP-PAMI) with history of high nimodipine prescription rate were enrolled. The study was conducted from May 2019 to October 2019, and data were analyzed from November 2019 to February 2020.
    Interventions: The treatment group received 2 emails with evidence-based information about nimodipine plus the individual's level of nimodipine prescription compared with their peers. The control group received 2 emails with general information about the risks of overprescription in older adults.
    Main outcomes and measures: The primary outcome was the cumulative number of nimodipine prescriptions per 1000 prescriptions of all drugs made by the targeted physicians during the 6 months of the study. Secondary outcomes included annual monetary savings attributable to the intervention and physicians' qualitative perceptions of the acceptability of the procedure.
    Results: Of 1811 physicians enrolled, 906 physicians (354 [39.1%] women; mean [SD] age, 57.10 [10.73] years) were randomized to treatment and 905 participants (331 [36.6%] women; mean [SD] age, 56.49 [10.47] years) to the control group. Physicians in the treatment group wrote a mean of 93.25 (95% CI, 89.27 to 97.24) prescriptions of nimodipine, compared with 98.99 (95% CI, 95.00 to 102.98) prescriptions among practitioners in the control group during the half-year of the intervention (mean difference, -5.73 [95% CI, -11.38 to -0.10] prescriptions; P = .046), which meant a 5.79% reduction. Regression analysis revealed a significant association of the group condition with number of prescriptions per 1000 total prescriptions when controlling for baseline prescriptions (B = -0.312 [95% CI, -0.465 to -0.160]; P < .001). The observed difference corresponds to a 4.48% reduction in nimodipine prescriptions per 1000 prescriptions of all drugs made by physicians in the treated group compared with the control group. Physicians who effectively opened the email in the treatment group (427 physicians [47.1%]) prescribed the drug 11.3% less compared with the control group (426 physicians) (mean difference, -10.78 [95% CI, -18.53 to -3.03] prescriptions; P = .006). Expenditures were 7.18% lower in the treatment group, resulting in an estimated annual net cost benefit of US $234 893.35 (95% CI, $225 565.35 to $237 112.30).
    Conclusions and relevance: In this randomized clinical trial, the social norm email feedback program showed an effect on curbing the nonrecommended prescription of nimodipine. It was highly cost-effective and well accepted by participants.
    Trial registration: ISRCTN.org identifier: ISRCTN17823729.
    MeSH term(s) Adult ; Aged ; Ambulatory Care ; Argentina ; Cognitive Dysfunction/drug therapy ; Drug Misuse/prevention & control ; Drug Misuse/statistics & numerical data ; Drug Prescriptions/statistics & numerical data ; Electronic Mail ; Female ; Formative Feedback ; Humans ; Male ; Middle Aged ; Nimodipine/therapeutic use ; Practice Patterns, Physicians'/statistics & numerical data ; Social Norms ; Vasodilator Agents/therapeutic use
    Chemical Substances Vasodilator Agents ; Nimodipine (57WA9QZ5WH)
    Language English
    Publishing date 2020-12-01
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2020.27082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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