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Oral Aspects and Dental Management of Special Needs Patient 口腔方面和特殊需要病人的牙科管理
Pub Date : 2022-02-02 DOI: 10.5772/intechopen.101067
Pinar Kiymet Karataban
Individuals with special needs are the most underserved regarding healthcare needs in almost all populations. Special needs patients with intellectual disability have muscle coordination disorder, impaired oral motor function, drooling, weak muscles that cause chewing and swallowing problems. Also, soft diet consumption makes this population more prone to dental disease. They have more caries, missing teeth, orthodontic and periodontal problems. Besides more difficulties obtaining professional dental care than other segments of the population. Though many countries developed community-based systems to improve oral health for people with special needs, providing good oral health mainly depends on the effort of the families. Therefore the education of the caregiver about oral hygiene provision is also critical for the special needs patient to enjoy a lifetime of oral health the same as other members of the society.
在几乎所有人口中,有特殊需要的个人在保健需求方面最得不到服务。智力残疾的特殊需要患者有肌肉协调障碍,口腔运动功能受损,流口水,肌肉无力,导致咀嚼和吞咽问题。此外,软饮食的消费使这一人群更容易患牙病。他们有更多的龋齿、缺牙、正畸和牙周问题。此外,获得专业牙科护理比其他人群更困难。虽然许多国家发展了以社区为基础的系统来改善有特殊需要的人的口腔健康,但提供良好的口腔健康主要取决于家庭的努力。因此,对护理人员进行口腔卫生方面的教育对于特殊需要患者享有与社会其他成员一样的终身口腔健康至关重要。
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引用次数: 1
Metabolomics Distinction of Cigarette Smokers from Non-Smokers Using Non-Stationary Benchtop Nuclear Magnetic Resonance (NMR) Analysis of Human Saliva 使用非静止台式核磁共振(NMR)分析人类唾液的吸烟者和非吸烟者的代谢组学区别
Pub Date : 2022-02-01 DOI: 10.5772/intechopen.101414
Benita C. Percival, A. Wann, S. Taylor, Mark Edgar, Miles Gibson, M. Grootveld
Implementations of high-field nuclear magnetic resonance (NMR) facilities into metabolomics studies are unfortunately restricted by their large dimensions, high costings, and specialist technical staff requirements. Therefore, here the application and practical advantages offered by low-field (60 MHz), compact NMR spectrometers for probing the metabolic profiles of human saliva was explored, as was their value in salivary metabolomics studies. Saliva samples were collected from cigarette smoking (n = 11) and non-smoking (n = 31) human participants. 1H NMR spectra were acquired on both low-field (60 MHz) and medium-field (400 MHz) spectrometers. Metabolomics analyses were employed to evaluate the consistencies of salivary metabolite levels determined, and their abilities to distinguish between smokers and non-smokers. Low-field 1H NMR analysis detected up to 15, albeit permitted the reliable quantification of 5, potentially key diagnostic biomolecules simultaneously (LLOQ values 250–400 μmol/L), although these were limited to those with the most prominent resonances. Such low-field profiles were also found to be suitable for salivary metabolomics investigations, which confirmed the successful discrimination between smoking and non-smoking participant sample donors. Differences observed between these groups were largely ascribable to upregulated salivary levels of methanol, and its metabolite formate, in the smoking group, but higher smoking-mediated concentrations of acetate, propionate and glycine may arise from a diminished salivary flow-rate in these participants. In conclusion, determination of salivary biomolecules using low-field, benchtop 1H NMR analysis techniques were found to be valuable for bioanalytical and metabolomics investigations. Future perspectives for the applications of this non-stationary NMR technique, for example for the on-site ‘point-of-care’ testing of saliva samples for diagnostic oral disease screening purposes at dental surgeries and community pharmacies, are considered.
不幸的是,高场核磁共振(NMR)设备在代谢组学研究中的应用受到其大尺寸、高成本和专业技术人员要求的限制。因此,本文探讨了低场(60 MHz)紧凑型核磁共振光谱仪用于探测人类唾液代谢谱的应用和实际优势,以及它们在唾液代谢组学研究中的价值。从吸烟(n = 11)和不吸烟(n = 31)的人类参与者中收集唾液样本。在低场(60 MHz)和中场(400 MHz)光谱仪上获取1H NMR谱。代谢组学分析用于评估唾液代谢物水平测定的一致性,以及它们区分吸烟者和非吸烟者的能力。低场1H NMR分析检测到多达15个,尽管允许同时可靠地定量5个,潜在的关键诊断生物分子(LLOQ值250-400 μmol/L),尽管这些仅限于那些最突出的共振。这种低场谱也被发现适合于唾液代谢组学调查,这证实了吸烟和不吸烟参与者样本供体之间的成功区分。这些组之间观察到的差异主要归因于吸烟组唾液中甲醇及其代谢物甲酸酯水平的上调,但吸烟导致的醋酸盐、丙酸盐和甘氨酸浓度升高可能是由于这些参与者唾液流速的降低。总之,使用低场台式1H NMR分析技术测定唾液生物分子在生物分析和代谢组学研究中是有价值的。考虑了这种非平稳核磁共振技术应用的未来前景,例如在牙科手术和社区药房用于诊断口腔疾病筛查目的的唾液样本的现场“护理点”测试。
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引用次数: 0
Preventive Methods and Treatments of White Spot Lesions in Orthodontics 正畸中白斑病变的预防与治疗
Pub Date : 2022-02-01 DOI: 10.5772/intechopen.102064
Elif Nadide Akay
The aim of orthodontic treatment is to improve the esthetics of the teeth and face, to provide a beautiful smile, and an adequate and permanent chewing function. In individuals with insufficient oral hygiene, demineralization begins in the mouth with a very low pH value, and as a result, white spot lesions formed by decalcification of the enamel layer can be seen during orthodontic treatment. Since lesions are the first stage of caries formation, it is possible to stop caries development at this stage. Many methods, such as improving oral hygiene, regulating diets, fluoridated agents, laser, casein phosphopeptide, and microabrasion, are used in the treatment of white spot lesions. Preventive methods are of great importance in terms of preventing future tooth loss and reducing the treatment process. The purpose of this article is to manage white spot lesions in orthodontic treatment and to examine risk factors and preventive methods based on the latest evidence.
正畸治疗的目的是改善牙齿和面部的美观,提供美丽的微笑,以及充分和永久的咀嚼功能。口腔卫生不卫生的个体,脱矿开始于pH值很低的口腔,因此在正畸治疗过程中可以看到牙釉质层脱钙形成的白斑病变。由于龋损是龋齿形成的第一阶段,因此有可能在这个阶段阻止龋齿的发展。改善口腔卫生、调节饮食、氟化剂、激光、酪蛋白磷酸肽、微磨蚀等治疗白斑病变的方法较多。预防方法在防止未来牙齿脱落和减少治疗过程方面非常重要。本文的目的是在正畸治疗中处理白斑病变,并根据最新的证据探讨白斑病变的危险因素和预防方法。
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引用次数: 1
Management and Prevention Strategies for Treating Dentine Hypersensitivity 牙本质过敏的处理与预防策略
Pub Date : 2022-01-20 DOI: 10.5772/intechopen.101495
David G. Gillam
The clinician faces numerous challenges when confronted with patients complaining of oro-facial pain, which can involve both dental and non-dental causes. Perhaps one of the most enigmatic clinical conditions that a clinician may encounter is that of dentine hypersensitivity (DH), dentine sensitivity (DS) or root sensitivity (RS), which is both problematic to identify and difficult to treat and may have a major effect on the patient’s quality of life (QoL). Ideally, the clinician needs to prevent or minimize these effects to reduce any unnecessary discomfort for the patient and this may be accomplished through preventive strategies, the provision of the required information about the procedures both pre- and post-treatments as well as reassuring the patient in the event of any subsequent discomfort. Furthermore, it is important for the clinician to be able to correctly diagnose the exact cause of the patient’s discomfort and have the confidence to successfully manage the problem. This chapter aims to cover the relevant aspects for both diagnosing and managing DH with an emphasis on adopting a preventive strategy that will attempt to minimize or eliminate the problem, thereby enabling the patient to have an improved quality of life.
临床医生面临着许多挑战,当面对病人抱怨口腔-面部疼痛,这可能涉及牙科和非牙科的原因。牙本质过敏(DH)、牙本质敏感(DS)或牙根敏感(RS)可能是临床医生可能遇到的最神秘的临床症状之一,这既难以识别又难以治疗,并可能对患者的生活质量(QoL)产生重大影响。理想情况下,临床医生需要预防或最小化这些影响,以减少患者不必要的不适,这可以通过预防策略来实现,提供有关治疗前后过程的必要信息,以及在发生任何后续不适时让患者放心。此外,对于临床医生来说,能够正确诊断出患者不适的确切原因并有信心成功地处理这个问题是很重要的。本章旨在介绍诊断和管理卫生署的相关方面,重点是采取预防策略,尽量减少或消除问题,从而提高病人的生活质量。
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引用次数: 0
Alternative Denture Base Materials for Allergic Patients 用于过敏患者的替代义齿基托材料
Pub Date : 2022-01-13 DOI: 10.5772/intechopen.101956
Lavinia Cosmina Ardelean, L. Rusu, Codruta Victoria Tigmeanu
Traditionally, a denture base is manufactured using a heat-cured acrylic resin. This type of resin was first used in dental labs in 1936, being a great step forward. Because of the many disadvantages as increased porosity, high water sorption, polymerization shrinkage, allergenic potential and citotoxicity due to the residual monomer, awkward flasking and packaging, and difficult processing, alternatives were continuously searched. Monomer-free and high-impact acrylics were developed, and gold plating of the denture base was experienced, in order to provide an alternative to allergic patients. Once polymers developed, new types of resins, such as polyamides (nylon), acetal, epoxy resins, styrene, polycarbonate, vinyl, urethane, polyether ether ketone (PEEK), became available on the dental market, accompanied by modern technologies, such as injection. CAD/CAM milled and 3D printed denture bases represent the present state of the art in this domain. Our chapter aims to present these alternative materials, which are safe to use in cases of allergic patients and guarantee a healthy oral environment and a high degree of comfort.
传统上,义齿基托是用热固化丙烯酸树脂制造的。这种树脂于1936年首次用于牙科实验室,这是一个巨大的进步。由于其孔隙率增大、吸水率高、聚合收缩、单体残留致敏性和毒性、封瓶包装不方便、加工难度大等缺点,人们不断寻找替代品。开发了无单体和高冲击丙烯酸树脂,并经历了义齿基托镀金,以便为过敏患者提供替代选择。随着聚合物的发展,新型树脂,如聚酰胺(尼龙)、缩醛、环氧树脂、苯乙烯、聚碳酸酯、乙烯基、聚氨酯、聚醚醚酮(PEEK)等,伴随着现代技术,如注射,在牙科市场上出现。CAD/CAM铣削和3D打印义齿基地代表了目前在这个领域的艺术状态。本章旨在介绍这些替代材料,这些材料在过敏患者的情况下可以安全使用,并保证健康的口腔环境和高度的舒适度。
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引用次数: 2
Oral Health and Prevention in Older Adults 老年人口腔健康与预防
Pub Date : 2022-01-12 DOI: 10.5772/intechopen.101043
Irma Fabiola Díaz-García, Dinorah Munira Hernández-Santos, Julio Alberto Díaz-Ramos, Neyda Ma. Mendoza-Ruvalcaba
The most prevalent oral diseases such as tooth decay and chronic periodontitis, are the main responsible for tooth loss, this causes a disability in the chewing function, which alters the selection of food, the pleasure of eating, and the state of nutrition. Even the use of total prostheses to replace this loss is not always satisfactory. In the emotional sphere, poor oral health causes discomfort and a decrease in self-esteem. Unfortunately, this continues to occur in older people despite the great scientific and technological advances in dentistry today. Health promotion, which includes health education and prevention, must be present in the course of people’s lives. In the prevention of oral diseases, consider not only biological factors as the only causes, but also alleviate and modify the social determinants of the disease. All those involved in the care of the older adults must promote prevention as the most important tool in favor of oral health, and make older people enjoy life with quality. Oral health is an invaluable asset and reward at this stage of life.
最常见的口腔疾病,如蛀牙和慢性牙周炎,是牙齿脱落的主要原因,这会导致咀嚼功能的残疾,从而改变食物的选择,饮食的乐趣和营养状况。即使使用全假体来代替这种损失也不总是令人满意的。在情感方面,口腔健康状况不佳会导致不适和自尊心的下降。不幸的是,尽管今天牙科科学和技术取得了巨大的进步,但这种情况仍然发生在老年人身上。促进健康,包括健康教育和预防,必须贯穿于人的一生。在预防口腔疾病时,不仅要考虑生物因素作为唯一原因,还要考虑缓解和改变疾病的社会决定因素。所有参与老年人护理的人都必须宣传预防是最重要的工具,有利于口腔健康,让老年人享受有质量的生活。在这个人生阶段,口腔健康是无价的财富和回报。
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引用次数: 1
Molecular Docking of Phytochemicals against Streptococcus mutans Virulence Targets: A Proteomic Insight into Drug Planning 植物化学物质对抗变形链球菌毒力靶点的分子对接:蛋白质组学对药物计划的洞察
Pub Date : 2022-01-05 DOI: 10.5772/intechopen.101506
Diego Romário da Silva, Tahyná Duda Deps, Otavio Akira Souza Sakaguchi, Edja Maria Melo de Brito Costa, Carlus Alberto Oliveira dos Santos, Joanilda Paolla Raimundo e Silva, Bruna Dantas da Silva, Frederico Favaro Ribeiro, Francisco Jaime Bezerra Mendonça-Júnior, Andréa Cristina Barbosa da Silva
Streptococcus mutans (S. mutans) is the most prevalent and most associated with dental caries. Here we aim to identify, through an in silico study, potential bioactive molecules against S. mutans. Twenty-four bioactive molecules with proven action against S. mutans were selected: 1-methoxyficifolinol; 5,7,2′,4′-tetrahydroxy-8-lavandulylflavanone (sophoraflavanone G); 6,8-diprenylgenistein; apigenin; artocarpesin; artocarpin; darbergioidin; dihydrobiochanin A; dihydrocajanin (5,2′,4′-trihydroxy-7-methoxyisoflavanone); erycristagallin; Erystagallin; ferreirin; fisetin; kaempferol; licoricidin; licorisoflavan A; licorisoflavan C; licorisoflavan E; luteolin (3′,4′,5,7-tetrahydroxyflavone); malvidin-3,5-diglucoside; myricetin; orientanol B; quercetin; and quercitrin. Moreover, we selected nine important target proteins for the virulence of this microorganism to perform as drug targets: antigen I/II (region V) (PDB: 1JMM); Antigen I/II (carbox-terminal region) (PDB: 3QE5); Spap (PDB: 3OPU); UA159sp signaling peptide (PDB: 2I2J); TCP3 signaling peptide (PDB: 2I2H); ATP-binding protein ComA (PDB: 3VX4); glucanosucrase (PDB: 3AIC); dextranase (PDB: 3VMO), and Hemolysin (PDB: 2RK5). Five molecules were revealed to be the best ligands for at least three target proteins, highlighting the following compounds: 11 (erystagallin), 10 (erycristagallin), 1 (methoxyficifonilol), 20 (malvidin-3,5-diglucoside), and 2 (sophoraflavanone G), which indicates a possible multi-target action of these compounds. Therefore, based on these findings, in vitro and in vivo tests should be performed to validate the effectiveness of these compounds in inhibiting S. mutans virulence factors. Furthermore, the promising results of these assays will allow the incorporation of these phytoconstituents in products for oral use for the control of tooth decay.
变形链球菌(S. mutans)是最普遍和与龋齿最相关的。在这里,我们的目的是确定,通过在计算机研究,潜在的生物活性分子对抗s.a mutans。选择了24种已证实对变形链球菌有作用的生物活性分子:1-甲氧基三叶油醇;5,7,2 ',4 ' -四羟基-8-薰衣草黄酮(苦参黄酮G);6, 8-diprenylgenistein;芹黄素;artocarpesin;artocarpin;darbergioidin;dihydrobiochanin;dihydrocajanin(5、2 ',4 ' -trihydroxy-7-methoxyisoflavanone);erycristagallin;Erystagallin;ferreirin;非瑟酮;山柰酚;licoricidin;licorisoflavan;licorisoflavan C;licorisoflavan E;毛地黄黄酮(3’,4’,5,7-tetrahydroxyflavone);malvidin-3 5-diglucoside;杨梅酮;orientanol B;槲皮素;和槲皮甙。此外,我们选择了该微生物毒力的9个重要靶蛋白作为药物靶点:抗原I/II(区V) (PDB: 1JMM);抗原I/II(羧基末端区)(PDB: 3QE5);Spap (PDB: 3OPU);UA159sp信号肽(PDB: 2I2J);TCP3信号肽(PDB: 2I2H);atp结合蛋白ComA (PDB: 3VX4);葡聚糖蔗糖酶(PDB: 3AIC);葡聚糖酶(PDB: 3VMO)和溶血素(PDB: 2RK5)。五个分子被发现是至少三个目标蛋白的最佳配体,突出显示以下化合物:11 (eryystagallin), 10 (erycristagallin), 1 (methoxyficifonilol), 20 (malvidin-3,5-二葡糖苷)和2 (sophorafavanone G),这表明这些化合物可能具有多靶点作用。因此,基于这些发现,应该进行体外和体内试验来验证这些化合物抑制变形链球菌毒力因子的有效性。此外,这些试验的有希望的结果将允许将这些植物成分纳入口服产品中,以控制蛀牙。
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引用次数: 1
Evaluation of Trans-Resveratrol as a Treatment for Periodontitis 反式白藜芦醇治疗牙周炎的疗效评价
Pub Date : 2021-12-22 DOI: 10.5772/intechopen.101477
Tracey Lynn Harney
Periodontitis is a globally prevalent inflammation-mediated disease that can result in varying degrees of destruction to the tissues supporting the teeth. The microbial pathogenic dysbiosis, oxidative stress, and deregulated inflammation, found in patients with periodontitis, make it a multifaceted condition that is difficult to fully resolve. Further to this, periodontitis has been associated with other systemic inflammatory conditions. Trans-resveratrol (3,5,4′-trihydroxy-trans-stilbene) is a plant-derived molecule present in many foods, which have been shown to exhibit antimicrobial, antioxidant, anti-inflammatory, and regenerative properties. However, trans-resveratrol has been reported to have physicochemical shortcomings, which make its clinical translation a challenge. This review outlines a critical analysis of identified samples from the scientific literature that was conducted to assess the potential of RES as a viable therapeutic for periodontitis. The potential for the improvement of the limiting pharmacological profile of trans-resveratrol via nanoformulation is also explored.
牙周炎是一种全球流行的炎症介导的疾病,可导致不同程度的破坏组织支持牙齿。在牙周炎患者中发现的微生物致病性生态失调、氧化应激和失控的炎症,使其成为一种难以完全解决的多方面疾病。除此之外,牙周炎还与其他全身性炎症有关。反式白藜芦醇(3,5,4 ' -三羟基反式二苯乙烯)是一种植物来源的分子,存在于许多食物中,已被证明具有抗菌、抗氧化、抗炎和再生特性。然而,据报道,反式白藜芦醇具有物理化学缺陷,这使其临床翻译成为一项挑战。本综述概述了对科学文献中已识别样本的关键分析,以评估RES作为牙周炎可行治疗方法的潜力。还探讨了通过纳米配方改善反式白藜芦醇的限制性药理学特征的潜力。
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引用次数: 1
The Contrasting Effects between Caffeine and Theobromine on Crystallization: How the Non-fluoride Dentifrice Was Developed 咖啡因与可可碱对结晶作用的对比:无氟牙膏的研制
Pub Date : 2021-11-24 DOI: 10.5772/intechopen.101116
T. Nakamoto, Alexander U. Falster, William B. Simmons Jr
Caffeine and theobromine are members of the xanthine family. Coffee and soft drinks contain caffeine, whereas, in cacao, theobromine is the main ingredient. The mineral contents of the tooth which sucked the caffeine-containing dam’s milk were decreased. To determine if caffeine would affect enamel, dams were fed with a caffeine and pups were killed and first and second molars were extracted. Enamel was exposed to the acid solution and dissolved minerals from the enamel were measured. Calcium, phosphorus and magnesium from the first molars of the caffeine group were significantly dissolved. To determine why minerals were released, enamel was separated. The crystallite size of the enamel from the caffeine group showed decreased. If the pups with the same dietary regimen, but given a cariogenic diet, the caffeine group should show a higher incidence of dental caries. The caffeine group revealed higher caries scores. An in vitro experiment to grow apatite crystals was conducted, adding the various members of the xanthine. Theobromine produced larger crystal sizes than caffeine. Theobromine was added to the maternal diet. Dissolution experiments revealed that these minerals were far less dissolved. Comparative studies of the various parameters between theobromine and fluoride were conducted. Theobromine was superior to fluoride in every aspect.
咖啡因和可可碱是黄嘌呤家族的成员。咖啡和软饮料含有咖啡因,而可可的主要成分是可可碱。吮吸含咖啡因的奶的牙齿中的矿物质含量减少了。为了确定咖啡因是否会影响牙釉质,研究人员用咖啡因喂养幼崽,杀死它们,拔掉第一颗和第二颗臼齿。将牙釉质暴露在酸溶液中,并测量牙釉质中溶解的矿物质。咖啡因组第一磨牙中的钙、磷和镁明显溶解。为了确定矿物质被释放的原因,牙釉质被分离。咖啡因组的牙釉质晶状体大小减小。如果幼犬的饮食习惯相同,但给予了致龋齿的饮食,咖啡因组应该显示出更高的龋齿发生率。咖啡因组显示出更高的龋齿得分。在体外培养磷灰石晶体的实验中,加入了黄嘌呤的各种成员。可可碱比咖啡因产生更大的晶体尺寸。可可碱被添加到母亲的饮食中。溶解实验表明,这些矿物的溶解性要小得多。对可可碱和氟化物的各项参数进行了比较研究。可可碱在各方面均优于氟。
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引用次数: 0
The Dental Implant Maintenance 种植牙保养
Pub Date : 2021-11-22 DOI: 10.5772/intechopen.101187
G. Krishnamoorthy, Aparna I. Narayana, Dhanasekar Balakrishnan
As dental implant treatment has become a part of mainstream dental therapy, it is imperative to implement dental implant maintenance guidelines to achieve the long-term success of implant prostheses. Earlier, the success of a dental implant was mainly focused on the surgical phase to achieve good primary stability, with time, this belief has taken a major paradigm shift towards implementing and ensuring a periodic recall and following a maintenance phase for dental implants to achieve long-term success. As the dental team strives to attain and maintain the long-term success of implant prostheses, the patient should also recognize that their contribution towards the success of implant prostheses is also equally indispensable. This chapter highlights the importance of maintaining oral hygiene in implant rehabilitated patients and enumerates the implant maintenance protocol to be followed along with the different in-home and in-office procedures which can be implemented to achieve long-term success of the implant and peri-implant structures.
随着种植体治疗已成为主流牙科治疗的一部分,为了实现种植体修复的长期成功,实施种植体维护指南势在必行。早期,种植体的成功主要集中在手术阶段,以获得良好的初级稳定性,随着时间的推移,这种信念已经发生了重大的范式转变,以实施和确保定期召回,并遵循种植体的维护阶段,以获得长期成功。当牙科团队努力达到并维持种植体的长期成功时,患者也应该认识到他们对种植体成功的贡献也是不可或缺的。本章强调了种植体康复患者保持口腔卫生的重要性,并列举了种植体维护方案以及不同的家庭和办公室程序,这些程序可以实现种植体和种植体周围结构的长期成功。
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引用次数: 0
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Oral Health Care [Working Title]
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