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  1. Artikel ; Online: Assessment of pre-extubating recurrent laryngeal nerve palsy using ultrasound in postoperative patients with esophageal cancer: a prospective observational study.

    Kaneko, Tomomi / Kato, Takao / Shiko, Yuki / Kawasaki, Yohei / Koyama, Kaoru

    Journal of anesthesia

    2024  Band 38, Heft 3, Seite(n) 347–353

    Abstract: Purpose: Ultrasound performed after extubation has been suggested to be useful for the diagnosis of recurrent laryngeal nerve (RLN) paralysis. However, the use of ultrasound for this purpose before extubation has not been examined. The aim of this study ...

    Abstract Purpose: Ultrasound performed after extubation has been suggested to be useful for the diagnosis of recurrent laryngeal nerve (RLN) paralysis. However, the use of ultrasound for this purpose before extubation has not been examined. The aim of this study was to examine the versatility (interrater reliability) and usefulness of ultrasound for evaluating the movement of vocal cords before extubation.
    Methods: The subjects were 30 patients who underwent radical surgery for esophageal cancer from August 2020 to December 2021. An experienced examiner performed an ultrasound examination before and after elective extubation on the day after surgery to evaluate RLN paralysis and record videos. Bronchoscopy was then performed to make a definite diagnosis. Three anesthetists blinded to the diagnosis also evaluated the cases using the videos, and the versatility of the examination was determined using a kappa test.
    Results: The diagnostic accuracies of the examiner and three anesthetists were 76.7%, 50.0%, 53.3%, and 46.7%, respectively, and the kappa coefficients for the examiner with the anesthetists were 0.310, 0.502, and 0.169, respectively. The sensitivity, specificity, positive predictive value and negative predictive value for diagnosis of RLN paralysis by the examiner using ultrasound before extubation were 0.57, 0.95, 0.80, and 0.87, respectively.
    Conclusion: These results indicate a lack of versatility of the ultrasound examination based on the low kappa coefficients. However, with an experienced examiner, ultrasound can serve as a non-invasive examination that can be performed before extubation with high accuracy and specificity for diagnosis of postoperative RLN paralysis.
    Mesh-Begriff(e) Humans ; Prospective Studies ; Male ; Female ; Esophageal Neoplasms/surgery ; Vocal Cord Paralysis/diagnostic imaging ; Vocal Cord Paralysis/etiology ; Aged ; Middle Aged ; Ultrasonography/methods ; Airway Extubation/methods ; Reproducibility of Results ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/diagnosis ; Recurrent Laryngeal Nerve/diagnostic imaging ; Sensitivity and Specificity
    Sprache Englisch
    Erscheinungsdatum 2024-03-02
    Erscheinungsland Japan
    Dokumenttyp Journal Article ; Observational Study
    ZDB-ID 1107821-2
    ISSN 1438-8359 ; 0913-8668
    ISSN (online) 1438-8359
    ISSN 0913-8668
    DOI 10.1007/s00540-024-03315-7
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  2. Artikel ; Online: Urine collection using a 3-way urethral catheter for PuO

    Kato, Takao / Shiko, Yuki / Koyama, Kaoru

    Journal of anesthesia

    2023  Band 38, Heft 2, Seite(n) 284–285

    Mesh-Begriff(e) Urine Specimen Collection ; Urinary Catheters ; Oxygen
    Chemische Substanzen Oxygen (S88TT14065)
    Sprache Englisch
    Erscheinungsdatum 2023-10-31
    Erscheinungsland Japan
    Dokumenttyp Letter
    ZDB-ID 1107821-2
    ISSN 1438-8359 ; 0913-8668
    ISSN (online) 1438-8359
    ISSN 0913-8668
    DOI 10.1007/s00540-023-03276-3
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  3. Artikel ; Online: Thumb Pronation Angle in Thumb Opposition Evaluated by the Nail Tip Angle of Thumb-Ring Finger Opposition.

    Taniguchi, Shinji / Matsuura, Yusuke / Takehara, Tatsuya / Yamada, Ayae / Shiko, Yuki / Nakagawa, Koichi / Ohtori, Seiji

    Hand (New York, N.Y.)

    2024  , Seite(n) 15589447241236249

    Abstract: Background: This study aimed to devise the method for the evaluation of the thumb pronation angle and calculate its reference value.: Methods: The study was conducted from October 2021 to March 2022, and 600 hands of 300 healthy volunteers were ... ...

    Abstract Background: This study aimed to devise the method for the evaluation of the thumb pronation angle and calculate its reference value.
    Methods: The study was conducted from October 2021 to March 2022, and 600 hands of 300 healthy volunteers were included in this study. The participants were divided into 6 age groups with 50 participants each. In study 1, 12 participants from group 1 were randomly selected, which included 6 male and 6 female participants. We measured the thumb pronation angle using FASTRAK system and the nail tip angle of thumb-ring finger opposition (T-R angle) and also evaluated the relation between them. In study 2, we measured the T-R angle of 600 hands of 300 healthy volunteers. The T-R angle mean (SD) and 95% confidence interval (CI) of each age group were calculated as reference values.
    Results: The thumb pronation angle was correlated with the T-R angle. The T-R angle mean (SD) and 95% CI of the 6 groups were as follows: group 1, 142.5° (12.4) and 117.7 to 167.3; group 2, 139.9° (10.1) and 119.7 to 160.1; group 3, 142.3° (9.7) and 122.9 to 160.5; group 4, 140.2° (12.6) and 115.0 to 165.4; group 5, 138.3° (11.9) and 114.5 to 162.1; and group 6, 135.4° (13.0) and 109.4 to 161.4. The 95% CI tended to decrease with an increasing age.
    Conclusions: The T-R angle was a suitable evaluation method for the thumb pronation angle, and it should be evaluated by age groups.
    Sprache Englisch
    Erscheinungsdatum 2024-03-16
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2277325-3
    ISSN 1558-9455 ; 1558-9447
    ISSN (online) 1558-9455
    ISSN 1558-9447
    DOI 10.1177/15589447241236249
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  4. Artikel ; Online: Protocolized oxytocin infusion for elective cesarean delivery: a retrospective before-and-after study.

    Nagai, Azusa / Shiko, Yuki / Noguchi, Shohei / Ikeda, Yusuke / Kawasaki, Yohei / Mazda, Yusuke

    Journal of anesthesia

    2024  

    Abstract: Purpose: To elucidate the clinical impact of the novel oxytocin protocol using a syringe pump with a stratified dose compared with the conventional practice of putting oxytocin into the bag.: Methods: This is a retrospective cohort study. We ... ...

    Abstract Purpose: To elucidate the clinical impact of the novel oxytocin protocol using a syringe pump with a stratified dose compared with the conventional practice of putting oxytocin into the bag.
    Methods: This is a retrospective cohort study. We collected the data of the patients who underwent elective cesarean delivery under neuraxial anesthesia between June 2019 and May 2020. The patients were allocated to two groups according to oxytocin administration methods; the control group (the attending anesthesiologist put oxytocin 5-10 units in the infusion bag and adjusted manually after childbirth) and the protocol group (the oxytocin protocol gave oxytocin bolus 1 or 3 units depending on the PPH risk, followed by 5 or 10 unit h
    Results: During the study period, 262 parturients were included. Oxytocin doses of intraoperative and postoperative were significantly lower in the protocol group (9.7 vs. 11.7 units, intraoperative, 15.9 vs. 18 units, postoperative). The subgroup analyses showed that the impact was more remarkable in the low PPH risk than in the high PPH risk. The multivariate linear regression analyses also confirmed the difference. The groups had no significant difference in blood loss, requirement of additional uterotonics, and other adverse events.
    Conclusions: Our oxytocin infusion protocol significantly reduced oxytocin requirements in elective cesarean delivery under neuraxial anesthesia without increasing blood loss. However, we could not find other clinical benefits of the novel protocol.
    Sprache Englisch
    Erscheinungsdatum 2024-03-22
    Erscheinungsland Japan
    Dokumenttyp Journal Article
    ZDB-ID 1107821-2
    ISSN 1438-8359 ; 0913-8668
    ISSN (online) 1438-8359
    ISSN 0913-8668
    DOI 10.1007/s00540-024-03329-1
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  5. Artikel ; Online: Three-dimensional non-contrast magnetic resonance lymphography severity stage for upper extremity lymphedema.

    Kageyama, Takashi / Shiko, Yuki / Kawasaki, Yohei / Miyazaki, Toko / Sakai, Hayahito / Tsukuura, Reiko / Yamamoto, Takumi

    Magnetic resonance imaging

    2024  Band 107, Seite(n) 24–32

    Abstract: Purposes: Non-contrast magnetic resonance lymphography (NMRL) has recently shown the capability of evaluating anatomical fluid distribution in upper extremity lymphedema (UEL). However, there is still a lack of knowledge about the correlation between ... ...

    Abstract Purposes: Non-contrast magnetic resonance lymphography (NMRL) has recently shown the capability of evaluating anatomical fluid distribution in upper extremity lymphedema (UEL). However, there is still a lack of knowledge about the correlation between the characteristic three-dimensional (3D) NMRL findings and the indocyanine green lymphography (ICG-L) findings. Our goal was to clarify the relationship between the 3D NMRL findings and the ICG-L findings.
    Methods: Medical charts of patients with secondary UEL who underwent NMRL and ICG-L between January 2018 to October 2021 were reviewed. The upper extremities were divided into 6 regions; the hand, elbow, and the radial and ulnar aspects of the forearm and the upper arm. We investigated the prevalence of characteristic 3D NMRL patterns (Mist/Spray/Inky) in each region based on the ICG-L stage. We also examined the association between the 3D NMRL stage which we proposed and the ICG-L stage, and other clinical factors.
    Results: A total of 150 regions of 25 patients with upper extremities lymphedema were enrolled in the study. All of the characteristic patterns increased significantly as the ICG-L stage advanced (p < 0.001, < 0.001, and < 0.001, respectively). The predominant NMRL patterns changed significantly from the Early pattern (Mist pattern) to the Advanced pattern (Inky/Spray pattern) as the ICG-L stage progressed (p < 0.001). The higher Stage of 3D NMRL was significantly associated with the progression of the ICG-L stage (r
    Conclusions: Characteristic 3D NMRL patterns and the 3D NMRL Stage had a significant relationship with the ICG-L stage and other clinical parameters. This information may be an efficient tool for a more precise and objective evaluation of various treatments for UEL patients.
    Mesh-Begriff(e) Humans ; Lymphography/methods ; Retrospective Studies ; Indocyanine Green ; Lymphedema/diagnostic imaging ; Upper Extremity/diagnostic imaging ; Magnetic Resonance Spectroscopy
    Chemische Substanzen Indocyanine Green (IX6J1063HV)
    Sprache Englisch
    Erscheinungsdatum 2024-01-03
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article
    ZDB-ID 604885-7
    ISSN 1873-5894 ; 0730-725X
    ISSN (online) 1873-5894
    ISSN 0730-725X
    DOI 10.1016/j.mri.2023.12.007
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  6. Artikel ; Online: Progression of fluid infiltration on non-contrast magnetic resonance imaging in breast cancer-related lymphedema: A comparative analysis with indocyanine green lymphography.

    Kageyama, Takashi / Shiko, Yuki / Kawasaki, Yohei / Miyazaki, Toko / Sakai, Hayahito / Tsukuura, Reiko / Yamamoto, Takumi

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2024  Band 92, Seite(n) 225–236

    Abstract: Background: Non-contrast magnetic resonance imaging (NMRI) has been reported as valuable for the assessment of lymphedema. However, the correlation between NMRI findings and indocyanine green lymphography (ICG-L) findings remains elusive.: Methods: ... ...

    Abstract Background: Non-contrast magnetic resonance imaging (NMRI) has been reported as valuable for the assessment of lymphedema. However, the correlation between NMRI findings and indocyanine green lymphography (ICG-L) findings remains elusive.
    Methods: This single-center retrospective study included 26 patients diagnosed with breast cancer-related lymphedema. We examined the prevalence of fluid infiltration in eight regions of the upper extremity, the type of fluid distribution, and the dominant segment of edema on NMRI in comparison to the ICG-L stage. Statistical analysis was performed using the Cochran-Armitage trend test, Spearman's rank correlation test, and Fisher's exact test.
    Results: The regional fluid infiltration significantly increased with the progression of the ICG-L stage (hand, forearm, elbow, and upper arm: p = 0.003, <0.001, <0.001, and <0.001, respectively). The fluid distribution significantly advanced with the progression of the ICG-L stage as follows (r
    Conclusions: Fluid infiltration observed on NMRI exhibited distinct patterns with the progression of the ICG-L stage. We believe that anatomical information regarding fluid distribution would potentially contribute to optimizing surgical efficacy.
    Mesh-Begriff(e) Humans ; Indocyanine Green ; Female ; Lymphography/methods ; Retrospective Studies ; Middle Aged ; Magnetic Resonance Imaging/methods ; Aged ; Disease Progression ; Adult ; Coloring Agents ; Breast Neoplasms/complications ; Breast Cancer Lymphedema/etiology ; Breast Cancer Lymphedema/diagnosis ; Lymphedema/diagnostic imaging ; Lymphedema/etiology ; Upper Extremity
    Sprache Englisch
    Erscheinungsdatum 2024-03-24
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article ; Comparative Study
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2024.03.016
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  7. Artikel ; Online: A Descriptive Study of the Characteristics of Homicide-Suicide in Forensic Autopsy Cases.

    Oya, Yukiko / Ishihara, Kenji / Shiko, Yuki / Kawasaki, Yohei / Iwase, Hirotaro

    Journal of interpersonal violence

    2023  Band 39, Heft 7-8, Seite(n) 1473–1495

    Abstract: Homicide followed by suicide (HS) is a tragic event with varied characteristics across countries and regions. Compared to Western countries, there are limited studies on HS in Asian countries. Therefore, this study aimed to clarify the characteristics of ...

    Abstract Homicide followed by suicide (HS) is a tragic event with varied characteristics across countries and regions. Compared to Western countries, there are limited studies on HS in Asian countries. Therefore, this study aimed to clarify the characteristics of recent HS cases by examining forensic autopsy records from 2008 to 2020 collected from the Department of Legal Medicine, Chiba University, in Japan. A total of 77 HS cases were identified, involving 77 perpetrators (52 completed suicides, 25 attempted suicides), with 28 perpetrator and 89 victim autopsies. Our findings showed that older adults accounted for nearly half of the victims; victims were mostly females, whereas most perpetrators were male. The most common HS relationship was that between a parent and a child. Autopsy findings showed that the most common cause of death was strangulation, and illegal drugs were detected only in a few cases; however, psychotropic drugs were detected in child victims. No obvious evidence of past child physical abuse by caregivers was found. In contrast, intimate partner violence (IPV) was present, with a history of IPV found in half of HS cases involving adult intimate partner relationships. Notably, gender differences in age and relationship to the victim were identified. Likewise, some perpetrators may have expressed their plans and intentions for HS before the event, which may represent an important sign for HS prevention. However, to accurately reveal the course of HS, nationwide integrated statistics, forensic autopsies, including toxicological analyses of the deceased; and forensic psychiatric perspectives, including psychological autopsy, are required.
    Mesh-Begriff(e) Child ; Female ; Humans ; Male ; Aged ; Homicide ; Autopsy ; Child Abuse ; Forensic Medicine ; Suicide, Attempted
    Sprache Englisch
    Erscheinungsdatum 2023-10-27
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2028900-5
    ISSN 1552-6518 ; 0886-2605
    ISSN (online) 1552-6518
    ISSN 0886-2605
    DOI 10.1177/08862605231207616
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  8. Artikel ; Online: A Double-Blind, Randomized, Placebo-Controlled Trial of the Effect of 1-Kestose on Defecation Habits in Constipated Kindergarten Children: A Pilot Study.

    Takahashi, Mayuko / Kadota, Yoshihiro / Shiko, Yuki / Kawasaki, Yohei / Sakurai, Kenichi / Mori, Chisato / Shimojo, Naoki

    Nutrients

    2023  Band 15, Heft 14

    Abstract: Constipation is common in children and can significantly affect quality of life. Prebiotics are reportedly helpful for constipation in adults, but few studies have examined their use in young children. In this study, the effect of 1-kestose (kestose), ... ...

    Abstract Constipation is common in children and can significantly affect quality of life. Prebiotics are reportedly helpful for constipation in adults, but few studies have examined their use in young children. In this study, the effect of 1-kestose (kestose), which has excellent bifidobacterial growth properties, on constipation in kindergarten children (
    Mesh-Begriff(e) Adult ; Humans ; Child ; Child, Preschool ; Defecation ; Pilot Projects ; Double-Blind Method ; Quality of Life ; Constipation/drug therapy ; Constipation/microbiology ; Feces/microbiology ; Treatment Outcome
    Chemische Substanzen 1-kestose (02LN7O412C)
    Sprache Englisch
    Erscheinungsdatum 2023-07-24
    Erscheinungsland Switzerland
    Dokumenttyp Randomized Controlled Trial ; Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu15143276
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  9. Artikel ; Online: Clinical outcomes of surgical treatment for end-stage ankle osteoarthritis in patients aged ≥ 75 years: a multicenter, retrospective study.

    Amaha, Kentaro / Yamaguchi, Satoshi / Teramoto, Atsushi / Kawasaki, Yohei / Shiko, Yuki / Kitamura, Nobuto

    Journal of orthopaedic surgery and research

    2023  Band 18, Heft 1, Seite(n) 244

    Abstract: Background: This study aimed to clarify the clinical outcomes of surgical treatment for end-stage ankle osteoarthritis in patients aged ≥ 75 years and compare these outcomes with those of patients aged < 75 years.: Methods: A total of 148 patients, ... ...

    Abstract Background: This study aimed to clarify the clinical outcomes of surgical treatment for end-stage ankle osteoarthritis in patients aged ≥ 75 years and compare these outcomes with those of patients aged < 75 years.
    Methods: A total of 148 patients, including 65 who underwent total ankle arthroplasty and 83 who underwent ankle arthrodesis, were retrospectively surveyed. Clinical outcomes were assessed preoperatively and at the last follow-up using the Japanese Society for Surgery of the Foot Hindfoot Scale and a self-administered foot evaluation questionnaire (SAFE-Q). Patient characteristics, including age, sex, body mass index, radiographic severity, and follow-up period, were also assessed. The patients were divided into older (≥ 75 years) and younger (< 75 years) age groups. Improvements in outcomes were then compared between age groups using univariate analysis and analysis of covariance adjusted for patient characteristics. Total ankle arthroplasty and ankle arthrodesis were analyzed separately.
    Results: All clinical outcome scores improved postoperatively in the older age groups for both procedures. Scores for the pain and pain-related subscale of the SAFE-Q improved by 37 points (p < 0.001) in post-total ankle arthroplasty patients and by 35 points in post-ankle arthrodesis patients (p < 0.001). Furthermore, multivariate analysis showed that the improvements observed in all scores were not different between the older and younger age groups for both post-total ankle arthroplasty and post-ankle arthrodesis patients, except for the SAFE-Q physical functioning subscale score for post-ankle arthrodesis patients. The clinical outcomes improved significantly in post-total ankle arthroplasty and post-ankle arthrodesis patients aged ≥ 75 years. Moreover, these improvements were similar to those observed in patients aged < 75 years.
    Conclusions: Surgical treatment of end-stage ankle osteoarthritis can be a viable treatment option, even in elderly patients, and can be expected to improve similarly to younger patients.
    Mesh-Begriff(e) Aged ; Humans ; Retrospective Studies ; Ankle/surgery ; Ankle Joint/diagnostic imaging ; Ankle Joint/surgery ; Treatment Outcome ; Osteoarthritis/diagnostic imaging ; Osteoarthritis/surgery ; Arthroplasty, Replacement, Ankle/methods ; Arthrodesis/methods ; Pain/surgery
    Sprache Englisch
    Erscheinungsdatum 2023-03-25
    Erscheinungsland England
    Dokumenttyp Multicenter Study ; Journal Article
    ZDB-ID 2252548-8
    ISSN 1749-799X ; 1749-799X
    ISSN (online) 1749-799X
    ISSN 1749-799X
    DOI 10.1186/s13018-023-03734-4
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  10. Artikel ; Online: Randomised controlled trial on the effect of video-conference cognitive behavioural therapy for patients with schizophrenia: a study protocol.

    Katsushima, Masayuki / Nakamura, Hideki / Hanaoka, Hideki / Shiko, Yuki / Komatsu, Hideki / Shimizu, Eiji

    BMJ open

    2023  Band 13, Heft 9, Seite(n) e069734

    Abstract: Introduction: Cognitive behavioural therapy for psychosis (CBTp) has demonstrated effectiveness in reducing positive symptoms, improving depression, enhancing coping skills and increasing awareness of illness. However, compared with cognitive ... ...

    Abstract Introduction: Cognitive behavioural therapy for psychosis (CBTp) has demonstrated effectiveness in reducing positive symptoms, improving depression, enhancing coping skills and increasing awareness of illness. However, compared with cognitive behavioural therapy for depression and anxiety, the spread of CBTp in clinical practice is minimal. The present study designed a randomised controlled trial (RCT) research protocol to evaluate whether real-time remote video-conference CBTp (vCBTp) could facilitate access to psychosocial interventions and effectively improve symptoms compared with usual care (UC) for patients with schizophrenia.
    Methods and analysis: This exploratory RCT will consist of two parallel groups (vCBTp+UC and UC alone) of 12 participants (n=24) diagnosed with schizophrenia, schizoaffective disorder or paranoid disorder, who remain symptomatic following pharmacotherapy. Seven 50-min weekly vCBTp interventions will be administered to test efficacy. The primary outcome will be the positive and negative syndrome scale score at week 8. The secondary outcome will be the Beck Cognitive Insight Scale to assess insight, the Patient Health Questionnaire-9 to assess depression, the Generalised Anxiety Disorder-7 to assess anxiety, the 5-level EuroQol 5-dimensional questionnaire to assess quality of life and the Impact of Event Scale-Revised to assess subjective distress about a specific stressful life event. We will take all measurements at 0 weeks (baseline) and at 8 weeks (post-intervention), and apply intention-to-treat analysis.
    Ethics and dissemination: We will conduct this study in the outpatient department of Cognitive Behavioral Therapy Center at Chiba University Hospital. Further, all participants will be informed of the study and will be asked to sign consent forms. We will report according to the Consolidated Standards of Reporting Trials.
    Trial registration number: UMIN000043396.
    Mesh-Begriff(e) Humans ; Schizophrenia/therapy ; Outpatients ; Psychotic Disorders/therapy ; Anxiety/therapy ; Cognitive Behavioral Therapy ; Randomized Controlled Trials as Topic
    Sprache Englisch
    Erscheinungsdatum 2023-09-11
    Erscheinungsland England
    Dokumenttyp Clinical Trial Protocol ; Journal Article ; 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-2022-069734
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