keyword
https://read.qxmd.com/read/38415812/early-enteral-nutrition-support-for-patients-with-acute-pancreatitis-in-the-inpatient-setting-a-best-practice-implementation-project
#21
JOURNAL ARTICLE
Jieying Xie, Yuhan Cai, Huiying Xu, Yang Peng, Alexa McArthur
INTRODUCTION: Acute pancreatitis is a major disease that endangers the health and lives of people. Historically, clinical therapy has recommended that patients with acute pancreatitis remain nil by mouth. As one of the therapies recommended in recent guidelines, early enteral nutrition support reduces the incidence of infectious complications and reduces the risk of severe conditions. However, early enteral nutrition support has not been optimally implemented within clinical practice for acute pancreatitis inpatients...
February 29, 2024: JBI evidence implementation
https://read.qxmd.com/read/38400945/the-management-of-biliary-disease-in-patients-with-severe-obesity-undergoing-metabolic-and-bariatric-surgery-an-international-expert-survey
#22
JOURNAL ARTICLE
Mohammad Kermansaravi, Scott Shikora, Bruno Dillemans, Marina Kurian, Teresa LaMasters, Ramon Vilallonga, Gerhard Prager, Sonja Chiappetta
OBJECTIVE: This study aimed to survey international experts in metabolic and bariatric surgery (MBS) to improve and consolidate the management of biliary disease in patients with severe obesity undergoing MBS. BACKGROUND: Obesity and rapid weight loss after MBS are risk factors for the development of gallstones. Complications, such as cholecystitis, acute cholangitis, and biliary pancreatitis, are potentially life-threatening, and no guidelines for the proper management of gallstone disease exist...
February 24, 2024: Obesity Surgery
https://read.qxmd.com/read/38400822/the-risk-of-developing-splanchnic-vein-thrombosis-in-acute-pancreatitis-increases-3%C3%A2-days-after-symptom-onset-a-systematic-review-and-meta-analysis
#23
JOURNAL ARTICLE
Ruben Zsolt Borbély, Eszter Ágnes Szalai, Bryan Mangalath Philip, Dalma Dobszai, Brigitta Teutsch, Ádám Zolcsák, Dániel Sándor Veres, Bálint Erőss, Bálint Gellért, Péter Jenő Hegyi, Péter Hegyi, Nándor Faluhelyi
BACKGROUND: Splanchnic vein thrombosis is a complication of acute pancreatitis (AP) and is likely often underdiagnosed. OBJECTIVES: We aimed to understand the time course and risk factors of splanchnic vein thrombosis in the early phase of AP. METHODS: A systematic search was conducted using the PRISMA guidelines (PROSPERO registration CRD42022367578). Inclusion criteria were appropriate imaging techniques in adult AP patients, studies that reported splanchnic vein thrombosis data from the early phase, and reliable information on the timing of imaging in relation to the onset of pancreatitis symptoms or hospital admission...
February 24, 2024: United European Gastroenterology Journal
https://read.qxmd.com/read/38387024/assessment-of-appropriate-use-of-amylase-and-lipase-testing-in-the-diagnosis-of-acute-pancreatitis-at-an-academic-teaching-hospital
#24
JOURNAL ARTICLE
Valerie Ryholt, Julie Soder, Janet Enderle, Rajkumar Rajendran
OBJECTIVE: Despite evidence-based guidelines stating that lipase alone should be used in the diagnosis of suspected acute pancreatitis, health care providers continue to order amylase or amylase and lipase together. The purpose of this study was to assess the utilization of appropriate laboratory testing related to the diagnosis of acute pancreatitis. METHODS: The study used a retrospective cross-sectional design. The timeframe was from January 1, 2020, to December 31, 2020...
February 22, 2024: Laboratory Medicine
https://read.qxmd.com/read/38327910/understanding-the-landscape-the-emergence-of-artificial-intelligence-ai-chatgpt-and-google-bard-in-gastroenterology
#25
JOURNAL ARTICLE
Rajmohan Rammohan, Melvin V Joy, Sai Greeshma Magam, Dilman Natt, Sai Reshma Magam, Leeza Pannikodu, Jiten Desai, Olawale Akande, Susan Bunting, Robert M Yost, Paul Mustacchia
Introduction Artificial intelligence (AI) integration in healthcare, specifically in gastroenterology, has opened new avenues for enhanced patient care and medical decision-making. This study aims to assess the reliability and accuracy of two prominent AI tools, ChatGPT 4.0 and Google Bard, in answering gastroenterology-related queries, thereby evaluating their potential utility in medical settings. Methods The study employed a structured approach where typical gastroenterology questions were input into ChatGPT 4...
January 2024: Curēus
https://read.qxmd.com/read/38312303/a-location-based-anatomic-classification-system-for-acute-pancreatic-fluid-collections-roadmap-for-optimal-intervention-in-the-step-up-era
#26
JOURNAL ARTICLE
Clancy J Clark, Jonathan W Ray, Swati Pawa, Darius Jahann, MaryAlyce McCullough, Preston Miller, Nathan Mowery, Michael Miller, Ted Xiao, Nicholas Koutlas, Rishi Pawa
Walled-off pancreatic necrosis (WOPN) is a local complication of acute necrotizing pancreatitis frequently requiring intervention. Treatment is typically through the coordinated efforts of a multidisciplinary team. Current management guidelines recommend a step-up approach beginning with minimally invasive techniques (percutaneous or transmural endoscopic drainage) followed by escalation to more invasive procedures if needed. Although the step-up approach is an evidence-based treatment paradigm for management of pancreatic fluid collections, it lacks guidance regarding optimal invasive technique selection based on the anatomic characteristics of pancreatic fluid collections...
March 2024: Surgery open science
https://read.qxmd.com/read/38305682/endoscopic-management-of-pancreatic-collections-endoscopic-ultrasound-group-from-the-spanish-society-of-digestive-endoscopy-gseed-use-clinical-guidelines
#27
JOURNAL ARTICLE
Mariano González-Haba Ruiz, María Teresa Betés Ibáñez, Belén Martínez Moreno, Alejandro Repiso Ortega, Carlos de la Serna Higuera, Julio Iglesias García, Oriol Sendino García, María Moris Felgueroso, Belén Agudo Castillo, José Miguel Esteban López-Jamar, Mayra Dalila Lindo Ricce, María Teresa Soria San Teodoro, Eloísa Moya Valverde, Diego Muñoz López, Laura Uribarri González, Sergio Sevilla Ribota, José Lariño Noia, Manuel Pérez Miranda, José Ramón Aparicio Tormo, Juan José Vila Costas, Enrique Vázquez Sequeiros, José Carlos Subtil Íñigo, Enrique Pérez-Cuadrado-Robles, Andrés Sánchez Yagüe, Jorge Antonio Núñez Otero, José Ramón Foruny Olcina
Acute pancreatitis is associated with significant morbidity and mortality. It can develop complications such as fluid collections and necrosis. Infection of necrosis occurs in about 20-40% of patients with severe acute pancreatitis, and is associated with organ failure and worse prognosis. In the past years, the treatment of pancreatic collections has shifted from open surgery to minimally invasive techniques, such as endoscopic ultrasound guided drainage. These guidelines from a selection of experts among the Endoscopic Ultrasound Group from the Spanish Society of Gastrointestinal Endoscopy (GSEED-USE) have the purpose to provide advice on the management of pancreatic collections based on a thorough review of the available scientific evidence...
February 2, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38304193/a-retrospective-study-investigating-the-clinical-significance-of-body-mass-index-in-acute-pancreatitis
#28
JOURNAL ARTICLE
Yuanzhen Bai, Guanwen Gong, Reziya Aierken, Xingyu Liu, Wei Cheng, Junjie Guan, Zhiwei Jiang
BACKGROUND: Acute pancreatitis is an unpredictable and potentially fatal condition for which no definitive cure is currently available. Our research focused on exploring the connection between body mass index, a frequently overlooked risk factor, and both the onset and progression of acute pancreatitis. MATERIAL/METHODS: A total of 247 patients with acute pancreatitis admitted to Jiangsu Provincial Hospital of Chinese Medicine from January 2021 to February 2023 were retrospectively reviewed...
2024: PeerJ
https://read.qxmd.com/read/38183236/canadian-association-of-radiologists-gastrointestinal-imaging-referral-guideline
#29
JOURNAL ARTICLE
Candyce Hamel, Barb Avard, Catherine Belanger, Avi Chatterjee, Angus Hartery, Howard Lim, Sivaruban Kanagaratnam, Christopher Fung
The Canadian Association of Radiologists (CAR) Gastrointestinal Expert Panel consists of radiologists, a gastroenterologist, a general surgeon, a family physician, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 20 clinical/diagnostic scenarios, a systematic rapid scoping review was undertaken to identify systematically produced referral guidelines that provide recommendations for one or more of these clinical/diagnostic scenarios. Recommendations from 58 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) for guidelines framework were used to develop 85 recommendation statements specific to the adult population across the 20 scenarios...
January 6, 2024: Canadian Association of Radiologists Journal
https://read.qxmd.com/read/38169967/incidental-diagnosis-of-williams-syndrome-in-an-adult-with-recurrent-hypercalcemia
#30
Seth Tersteeg, Vladimer Bakhutashvili, Margaret Crook, Heather A Ferris
Williams syndrome (WS) is a rare genetic disorder with multisystem involvement associated with hypercalcemia. The cause of this hypercalcemia is poorly understood and while primarily associated with WS children, it is also observed in adults. A 51-year-old woman with intellectual disability, renal insufficiency, recurrent pancreatitis, and intermittent hypercalcemia despite partial parathyroidectomy presented with hypercalcemia to 14 mg/dL (3.49 mmol/L; normal 8.6-10.5 mg/dL [2.12-2.62 mmol/L]) at routine follow-up...
January 2024: JCEM Case Rep
https://read.qxmd.com/read/38169174/espen-practical-guideline-on-clinical-nutrition-in-acute-and-chronic-pancreatitis
#31
JOURNAL ARTICLE
Marianna Arvanitakis, Johann Ockenga, Mihailo Bezmarevic, Luca Gianotti, Željko Krznarić, Dileep N Lobo, Christian Löser, Christian Madl, Remy Meier, Mary Phillips, Henrik Højgaard Rasmussen, Jeanin E Van Hooft, Stephan C Bischoff
Both acute and chronic pancreatitis are frequent diseases of the pancreas, which, despite being of benign nature, are related to a significant risk of malnutrition and may require nutritional support. Acute necrotizing pancreatitis is encountered in 20 % of patients with acute pancreatitis, is associated with increased morbidity and mortality, and may require artificial nutrition by enteral or parenteral route, as well as additional endoscopic, radiological or surgical interventions. Chronic pancreatitis represents a chronic inflammation of the pancreatic gland with development of fibrosis...
February 2024: Clinical Nutrition
https://read.qxmd.com/read/38161091/association-of-high-risk-stigmata-and-worrisome-features-with-advanced-neoplasia-in-intraductal-papillary-mucinous-neoplasms-ipmn-a-systematic-review
#32
REVIEW
Eizaburo Ohno, Alberto Balduzzi, Susumu Hijioka, Matteo De Pastena, Giovanni Marchegiani, Hironari Kato, Mamoru Takenaka, Shin Haba, Roberto Salvia
BACKGROUND: This systematic review aimed to assess the diagnostic accuracy of the International Consensus Fukuoka Guidelines (ICG2017) in identifying high-risk lesions of Intraductal Papillary Mucinous Neoplasms (IPMNs). METHODS: The ICG2017 revision committee conducted a comprehensive literature review to establish evidence-based statements on IPMNs. The review focused on articles examining the diagnostic value of imaging features (e.g., cyst or main pancreatic duct diameter), clinical symptoms associated with IPMN, and serum biomarkers...
February 2024: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
https://read.qxmd.com/read/38152049/current-status-and-therapeutic-strategy-of-acute-acalculous-cholecystitis-japanese-nationwide-survey-in-the-era-of-the-tokyo-guidelines
#33
JOURNAL ARTICLE
Takanori Morikawa, Masanori Akada, Kenji Shimizu, Yasunori Nishida, Junko Izai, Hiroki Kajioka, Takayuki Miura, Masaharu Ishida, Michiaki Unno
PURPOSE: This study aimed to clarify the incidence, therapeutic modality, and prognosis of acute acalculous cholecystitis and to reveal its optimal treatment strategy. METHODS: As a project study of the Japanese Society for Abdominal Emergency Medicine, we performed a questionnaire survey of demographic data and perioperative outcomes of acute acalculous cholecystitis treated between January 2018 and December 2020 from 42 institutions. RESULTS: In this study, 432 patients of acute acalculous cholecystitis, which accounts for 7...
December 28, 2023: Journal of Hepato-biliary-pancreatic Sciences
https://read.qxmd.com/read/38138279/performance-of-european-and-american-societies-of-gastrointestinal-endoscopy-guidelines-for-prediction-of-choledocholithiasis-in-patients-with-acute-biliary-pancreatitis
#34
JOURNAL ARTICLE
Žan Peter Černe, Nejc Sever, Luka Strniša, Samo Plut, Jan Drnovšek, Jurij Hanžel, Darko Siuka, Borut Štabuc, David Drobne
Background and Objectives: Up to one-third of patients with acute biliary pancreatitis also present with choledocholithiasis. Guidelines from the European Society of Gastrointestinal Endoscopy (ESGE) and the American Society for Gastrointestinal Endoscopy (ASGE) for investigating suspected choledocholithiasis suggest endoscopic retrograde cholangiopancreatography in patients with high-likelihood (ESGE)/high-probability (ASGE) predictors and endoscopic ultrasound in those with intermediate-likelihood (ESGE)/intermediate-probability (ASGE) predictors...
December 15, 2023: Medicina
https://read.qxmd.com/read/38135551/combining-preoperative-c-reactive-protein-values-with-the-tokyo-guidelines-2018-grading-criteria-can-enhance-the-prediction-of-surgical-difficulty-in-early-laparoscopic-cholecystectomy-for-acute-cholecystitis
#35
JOURNAL ARTICLE
Kohei Mishima, Yoshiki Fujiyama, Taiga Wakabayashi, Atsuko Tsutsui, Nobuhiko Okamoto, Jacques Marescaux, Yuko Kitagawa, Go Wakabayashi
BACKGROUND: Early laparoscopic cholecystectomy (ELC) is the standard treatment for acute cholecystitis (AC). However, predicting the difficulty of this procedure remains challenging. The present study aimed to develop an improved prediction model for surgical difficulty during ELC, surpassing the current Tokyo Guidelines 2018 (TG18) grading system. METHODS: We analyzed data from 201 consecutive patients who underwent ELC for AC between 2019 and 2021. Surgical difficulty was defined as the failure to achieve the critical view of safety (non-CVS)...
December 12, 2023: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://read.qxmd.com/read/38127992/crawling-toward-obsolescence-the-extended-lifespan-of-amylase-for-pancreatitis
#36
JOURNAL ARTICLE
Naga Sasidhar Kanaparthy, Andrew J Loza, Ronald George Hauser
The correlation between hyperamylasemia and acute pancreatitis was discovered in 1929, yet another test, lipase, was shown to provide better diagnostic performance in the late 1980s and early 1990s. Subsequent studies demonstrated co-ordering amylase with lipase did not provide additional benefit, only added cost. We sought to investigate the impact of studies advocating for the obsolescence of amylase on its clinical demand. We reviewed 1.3 million reportable results for amylase over 14 years (2009-2022). The trend in utilization of amylase over this period declined by 66% along a linear trajectory (R2 = 0...
2023: PloS One
https://read.qxmd.com/read/38115294/effectiveness-and-safety-of-probiotics-on-patients-with-severe-acute-pancreatitis-a-systematic-review-and-meta-analysis
#37
JOURNAL ARTICLE
Zhiling Gao, Shuomiao Yin, Kui Jin, Weiqun Nie, Longmei Wang, Ling Cheng
BACKGROUND: This meta-analysis aimed to assess the efficacy and safety of probiotics in conjunction with early enteral nutrition for the treatment of severe acute pancreatitis (SAP). This study focused on multiple clinical endpoints, including mortality rate, risk of organ failure, and duration of hospital stay. METHODS: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The study adhered to the Patient, Intervention, Comparison, Outcome framework and utilized randomized controlled trials to examine the impact of probiotics on patients with SAP...
December 15, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/38092809/discharge-protocol-in-acute-pancreatitis-an-international-survey-and-cohort-analysis
#38
JOURNAL ARTICLE
Rita Nagy, Klementina Ocskay, Zoltán Sipos, Andrea Szentesi, Áron Vincze, László Czakó, Ferenc Izbéki, Natalia V Shirinskaya, Vladimir L Poluektov, Alexandr N Zolotov, Yin Zhu, Liang Xia, Wenhua He, Robert Sutton, Peter Szatmary, Rajarshi Mukherjee, Isobel Saffron Burridge, Emma Wauchope, Elsa Francisco, David Aparicio, Bruno Pinto, António Gomes, Vitor Nunes, Vasile Marcel Tantau, Emanuela Denisa Sagau, Alina Ioana Tantau, Andra Iulia Suceveanu, Cristina Tocia, Andrei Dumitru, Elizabeth Pando, Piero Alberti, Arturo Cirera, Xavier Molero, Hong Sik Lee, Min Kyu Jung, Eui Joo Kim, Sanghyub Lee, María Lourdes Ruiz Rebollo, Reyes Busta Nistal, Sandra Izquierdo Santervas, Dusan Lesko, Marek Soltes, Jozef Radonak, Hubert Zatorski, Ewa Małecka-Panas, Adam Fabisiak, M Susak Yaroslav, V Maksymenko Mykhailo, A Tkachenko Olekcandr, Giedrius Barauskas, Vytautas Simanaitis, Povilas Ignatavicius, Mariana Jinga, Vasile-Daniel Balaban, Cristina Patoni, Liang Gong, Kai Song, Yunlong Li, T Cúrdia Gonçalves, Marta Freitas, Vítor Macedo, Marlies Vornhuelz, Sarah Klauss, Georg Beyer, Aydin Seref Koksal, Mukaddes Tozlu, Ahmet Tarik Eminler, Nuria Torres Monclús, Eva Pijoan Comas, Juan Armando Rodriguez Oballe, Łukasz Nawacki, Stanisław Głuszek, Alberto Rama-Fernández, Marco Galego, Daniel de la Iglesia, Umut Emre Aykut, Deniz Güney Duman, Rahmi Aslan, Adriana Gherbon, Lihui Deng, Wei Huang, Qing Xia, Goran Poropat, Anja Radovan, Luka Vranić, Claudio Ricci, Carlo Ingaldi, Riccardo Casadei, Ionut Negoi, Cezar Ciubotaru, Florin Mihail Iordache, Gabriel Constantinescu, Vasile Sandru, Engin Altintas, Hatice Rizaoglu Balci, Júlio Constantino, Débora Aveiro, Jorge Pereira, Suleyman Gunay, Seda Misirlioglu Sucan, Oleksiy Dronov, Inna Kovalska, Nikhil Bush, Surinder Singh Rana, Serge Chooklin, Serhii Chuklin, Ionut Adrian Saizu, Cristian Gheorghe, Philipp Göltl, Michael Hirth, Radu Bogdan Mateescu, Geanina Papuc, Georgi Angelov Minkov, Emil Tihomirov Enchev, Laura Mastrangelo, Elio Jovine, Weiwei Chen, Quping Zhu, Anita Gąsiorowska, Natalia Fabisiak, Mihailo Bezmarevic, Andrey Litvin, Martina Cattani Mottes, Eun Kwang Choi, Peter Bánovčin, Lenka Nosáková, Mila Dimitrova Kovacheva-Slavova, Ali Kchaou, Ahmed Tlili, Marco V Marino, Katarzyna Kusnierz, Artautas Mickevicius, Marcus Hollenbach, Pavol Molcan, Orestis Ioannidis, Mark Valerievich Tokarev, Ali Tüzün Ince, Ivan Albertovich Semenenko, Shamil Galeev, Elena Ramírez-Maldonado, Ville Sallinen, Petr Pencik, Judit Bajor, Patricia Sarlós, Roland Hágendorn, Szilárd Gódi, Imre Szabó, József Czimmer, Gabriella Pár, Anita Illés, Nándor Faluhelyi, Péter Kanizsai, Tamás Nagy, Alexandra Mikó, Balázs Németh, József Hamvas, Barnabás Bod, Márta Varga, Imola Török, János Novák, Árpád Patai, János Sümegi, Csaba Góg, Mária Papp, Bálint Erőss, Szilárd Váncsa, Brigitta Teutsch, Katalin Márta, Péter Jenő Hegyi, Tamás Tornai, Balázs Lázár, Tamás Hussein, Dorottya Tarján, Mónika Lipp, Beáta Kovács, Orsolya Urbán, Emese Fürst, Edina Tari, Ibolya Kocsis, Pál Maurovich-Horvát, Balázs Tihanyi, Orsolya Eperjesi, Zita Kormos, Pál Ákos Deák, Andrea Párniczky, Péter Hegyi
There are several overlapping clinical practice guidelines in acute pancreatitis (AP), however, none of them contains suggestions on patient discharge. The Hungarian Pancreatic Study Group (HPSG) has recently developed a laboratory data and symptom-based discharge protocol which needs to be validated. (1) A survey was conducted involving all members of the International Association of Pancreatology (IAP) to understand the characteristics of international discharge protocols. (2) We investigated the safety and effectiveness of the HPSG-discharge protocol...
December 13, 2023: Scientific Reports
https://read.qxmd.com/read/38066631/cesena-guidelines-wses-consensus-statement-on-laparoscopic-first-approach-to-general-surgery-emergencies-and-abdominal-trauma
#39
JOURNAL ARTICLE
Giacomo Sermonesi, Brian W C A Tian, Carlo Vallicelli, Fikri M Abu-Zidan, Dimitris Damaskos, Michael Denis Kelly, Ari Leppäniemi, Joseph M Galante, Edward Tan, Andrew W Kirkpatrick, Vladimir Khokha, Oreste Marco Romeo, Mircea Chirica, Manos Pikoulis, Andrey Litvin, Vishal Girishchandra Shelat, Boris Sakakushev, Imtiaz Wani, Ibrahima Sall, Paola Fugazzola, Enrico Cicuttin, Adriana Toro, Francesco Amico, Francesca Dal Mas, Belinda De Simone, Michael Sugrue, Luigi Bonavina, Giampiero Campanelli, Paolo Carcoforo, Lorenzo Cobianchi, Federico Coccolini, Massimo Chiarugi, Isidoro Di Carlo, Salomone Di Saverio, Mauro Podda, Michele Pisano, Massimo Sartelli, Mario Testini, Andreas Fette, Sandro Rizoli, Edoardo Picetti, Dieter Weber, Rifat Latifi, Yoram Kluger, Zsolt Janos Balogh, Walter Biffl, Hans Jeekel, Ian Civil, Andreas Hecker, Luca Ansaloni, Francesca Bravi, Vanni Agnoletti, Solomon Gurmu Beka, Ernest Eugene Moore, Fausto Catena
BACKGROUND: Laparoscopy is widely adopted across nearly all surgical subspecialties in the elective setting. Initially finding indication in minor abdominal emergencies, it has gradually become the standard approach in the majority of elective general surgery procedures. Despite many technological advances and increasing acceptance, the laparoscopic approach remains underutilized in emergency general surgery and in abdominal trauma. Emergency laparotomy continues to carry a high morbidity and mortality...
December 8, 2023: World Journal of Emergency Surgery: WJES
https://read.qxmd.com/read/38058055/critical-evaluation-of-established-risk-prediction-models-for-acute-respiratory-distress-syndrome-in-adult-patients-a-systematic-review-and-meta-analysis
#40
JOURNAL ARTICLE
Tao Wei, Siyi Peng, Xuying Li, Jinhua Li, Mengdan Gu, Xiaoling Li
AIM: To assess the performance of validated prediction models for acute respiratory distress syndrome (ARDS) by systematic review and meta-analysis. METHODS: Eight databases (Medline, CINAHL, Embase, The Cochrane Library, CNKI, WanFang Data, Sinomed, and VIP) were searched up to March 26, 2023. Studies developed and validated a prediction model for ARDS in adult patients were included. Items on study design, incidence, derivation methods, predictors, discrimination, and calibration were collected...
December 6, 2023: Journal of Evidence-based Medicine
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