Pub Date : 2023-09-01DOI: 10.21608/mjcu.2023.326242
L. R. E. M. SOHA SAMI, M.D.; MAY METAWEE MOHAMED,, R. E. M. AMIRA H. RADWAN, M.D.; MAHMOUD
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{"title":"Idiopathic Granulomatous Mastitis: How to identify by Imaging Features?","authors":"L. R. E. M. SOHA SAMI, M.D.; MAY METAWEE MOHAMED,, R. E. M. AMIRA H. RADWAN, M.D.; MAHMOUD","doi":"10.21608/mjcu.2023.326242","DOIUrl":"https://doi.org/10.21608/mjcu.2023.326242","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"163 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.21608/mjcu.2023.325790
N. H. MOHAMED I. SANHOURY, N. N. M. RANIA F. ELNAHAS, M.D.*; SOHA KHOLEIF,
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{"title":"Descriptive Study of the Different Phenotypes of Congenital Heart Disease in a Cohort of Egyptian Patients Diagnosed with Down Syndrome","authors":"N. H. MOHAMED I. SANHOURY, N. N. M. RANIA F. ELNAHAS, M.D.*; SOHA KHOLEIF,","doi":"10.21608/mjcu.2023.325790","DOIUrl":"https://doi.org/10.21608/mjcu.2023.325790","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.21608/mjcu.2023.325792
H. G. M. FATMA EL ZAHRAA MOSTAFA, M.Sc.;
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{"title":"Impact of Hyperuricemia on Left Ventircular Function in Hypertensive Patients Presented to Ain Shams University Hospitals","authors":"H. G. M. FATMA EL ZAHRAA MOSTAFA, M.Sc.;","doi":"10.21608/mjcu.2023.325792","DOIUrl":"https://doi.org/10.21608/mjcu.2023.325792","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.21608/mjcu.2023.325786
M. S. O. M. NORHAN M. ELGHANDOR, M.Sc.*; MAGDA
Background: About Thirty-five percent of women have severe low back pain after delivery. Phonophoresis is effective in treating acute and chronic back pain. Aim of Study: This study was conducted to compare between the efficacy of Phonophoresis and Transcutaneous electrical nerve stimulation (TENS) on low back pain after delivery. Patients and Methods: This study was carried out on Forty multiparous women suffering from severe Low back Pain For at Least 3 months after delivery. They were selected randomly from the outpatient clinic of orthopedic of Zagazig University Hospitals. Their ages were ranged from 25-35 years old; their body mass index (BMI) didn’t exceed 30 kg/m 2 and their parity was ranged from (2-4) children. All participants were experienced normal delivery or cesarean section. All patients were divided randomly into 2 groups equal in number, group (A) & group (B). Group (A) received Ketoprofen phonophoresis on her lower back for 10 minutes, 3 times/week for 8 weeks, while group (B) received transcutaneous electrical nerve stimulation on her lower back (With frequency 80-120 HZ, pulse width 200 us with low intensity) for 30 minutes, 3 times/week for 8 weeks. Low back pain was evaluated by visual analogue scale (VAS) and serotonin level in blood plasma before and after treatment. Results: The results of this study revealed that, both groups (A&B) showed statistically ( p -value <0.001) significant decrease in VAS scores and increase in serotonin level in blood plasma after treatment, but the percent of decrease in pain sensation and percentage of increase in serotonin level were more pronounced and more noticeable in (group A) when compared to group (B). This means that, phonophoresis was more effective than TENS in relieving low back pain after delivery. Conclusion: Phonophoresis is more effective than TENS treating low back pain after delivery.
背景：约有 35% 的妇女在分娩后会出现严重的腰背疼痛。音波治疗对治疗急性和慢性腰痛有效。研究目的本研究旨在比较音波治疗和经皮神经电刺激（TENS）对产后腰背痛的疗效。患者和方法：研究对象为 40 名产后至少 3 个月患有严重腰背痛的多产妇。她们是从扎加齐格大学医院骨科门诊中随机挑选出来的。她们的年龄介于 25-35 岁之间，体重指数 (BMI) 不超过 30 kg/m 2，胎次介于 (2-4) 胎之间。所有参与者均经历过顺产或剖腹产。所有患者被随机分为人数相等的两组：A 组和 B 组。A组患者在腰部接受酮洛芬音波治疗，每次10分钟，每周3次，共8周；B组患者在腰部接受经皮神经电刺激（频率80-120 HZ，脉宽200 us，强度较低），每次30分钟，每周3次，共8周。通过视觉模拟量表（VAS）和治疗前后血浆中的血清素水平对腰痛进行评估。研究结果研究结果表明，两组（A 组和 B 组）治疗后 VAS 评分和血浆中血清素水平均有显著下降（P 值均小于 0.001），但与 B 组相比，A 组疼痛感下降的百分比和血清素水平上升的百分比更明显、更显著。这说明，音波治疗在缓解产后腰痛方面比 TENS 更有效。结论音波疗法比 TENS 更能有效治疗产后腰痛。
{"title":"Phonophoresis Versus TENS on Low Back Pain after Delivery","authors":"M. S. O. M. NORHAN M. ELGHANDOR, M.Sc.*; MAGDA","doi":"10.21608/mjcu.2023.325786","DOIUrl":"https://doi.org/10.21608/mjcu.2023.325786","url":null,"abstract":"Background: About Thirty-five percent of women have severe low back pain after delivery. Phonophoresis is effective in treating acute and chronic back pain. Aim of Study: This study was conducted to compare between the efficacy of Phonophoresis and Transcutaneous electrical nerve stimulation (TENS) on low back pain after delivery. Patients and Methods: This study was carried out on Forty multiparous women suffering from severe Low back Pain For at Least 3 months after delivery. They were selected randomly from the outpatient clinic of orthopedic of Zagazig University Hospitals. Their ages were ranged from 25-35 years old; their body mass index (BMI) didn’t exceed 30 kg/m 2 and their parity was ranged from (2-4) children. All participants were experienced normal delivery or cesarean section. All patients were divided randomly into 2 groups equal in number, group (A) & group (B). Group (A) received Ketoprofen phonophoresis on her lower back for 10 minutes, 3 times/week for 8 weeks, while group (B) received transcutaneous electrical nerve stimulation on her lower back (With frequency 80-120 HZ, pulse width 200 us with low intensity) for 30 minutes, 3 times/week for 8 weeks. Low back pain was evaluated by visual analogue scale (VAS) and serotonin level in blood plasma before and after treatment. Results: The results of this study revealed that, both groups (A&B) showed statistically ( p -value <0.001) significant decrease in VAS scores and increase in serotonin level in blood plasma after treatment, but the percent of decrease in pain sensation and percentage of increase in serotonin level were more pronounced and more noticeable in (group A) when compared to group (B). This means that, phonophoresis was more effective than TENS in relieving low back pain after delivery. Conclusion: Phonophoresis is more effective than TENS treating low back pain after delivery.","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.21608/mjcu.2023.326216
M. R. M. BASMA M. ALKALAAWY, M.D.*; OMNIA
Background: Breast cancer is a heterogenous disease with different molecular subtypes. Each molecular subtype has its own prognosis and management. Identifying this molecular subtype is necessary to allow individualized patient treatment. CESM has the potential to non-invasively differentiate the various molecular subtypes of breast cancer. In this manner it can provide information about the tumoras a wholenot just the biopsied part of the tumor. Aim of Study: Assess Contrast enhanced spectral mammography as a non-invasive imaging tool in predicting molecular subtypes of breast cancer and tumor grade. Patients and Methods: This study includes 95 female patients with 98 breast lesions in the time period from January 2021 to February 2022. All breast lesions were assessed by Digital mammography and ultrasound, followed by contrast mammography. Biopsy was then performed (BIRADS 4&5) to identify the pathologic type and tumor grade followed by immunohistochemistry to identify the molecular subtype of each tumor. The dominant feature of each molecular subtype on contrast mammography was recorded regarding lesion morphology (mass/distortion/asymmetry/pathological microcal-cification/lesion margins) and pattern of enhancement. Results: Chi square ( x 2) test shows a significant association between lesion margins and the various molecular subtypes of breast cancer ( p =0.014). It also shows a significant association between molecular subtype and tumor grade ( p =0.018). However, the enhancement pattern didn't reflect a significant association to the molecular subtypes ( p =0.101 for mass enhancement and 0.419 for NME)
背景：乳腺癌是一种具有不同分子亚型的异质性疾病。每种分子亚型都有自己的预后和治疗方法。要对患者进行个体化治疗，就必须确定这种分子亚型。CESM 具有无创区分乳腺癌各种分子亚型的潜力。这样，它就能提供有关肿瘤整体而不仅仅是肿瘤活检部分的信息。研究目的评估对比增强型光谱乳腺 X 线照相术作为一种非侵入性成像工具在预测乳腺癌分子亚型和肿瘤分级方面的作用。患者和方法：本研究包括 95 名女性患者，98 例乳腺病变，时间段为 2021 年 1 月至 2022 年 2 月。所有乳腺病变均通过数字乳腺 X 线照相术和超声波检查进行评估，然后进行对比乳腺 X 线照相术。然后进行活检（BIRADS 4&5），确定病理类型和肿瘤等级，再通过免疫组化确定每个肿瘤的分子亚型。对比乳腺造影术记录了每种分子亚型在病变形态（肿块/变形/不对称/病理微钙化/病变边缘）和增强模式方面的主要特征。结果：Chi square ( x 2) 检验表明，病灶边缘与乳腺癌的各种分子亚型之间存在显著关联 ( p =0.014)。此外，分子亚型与肿瘤分级之间也存在明显关联（P =0.018）。然而，增强模式与分子亚型并无明显关联（肿块增强的 p =0.101，NME 的 p =0.419）。
{"title":"Contrast Enhanced Mammography for the Non-Invasive Differentiation of Breast Cancer Molecular Subtypes and Tumor Grade","authors":"M. R. M. BASMA M. ALKALAAWY, M.D.*; OMNIA","doi":"10.21608/mjcu.2023.326216","DOIUrl":"https://doi.org/10.21608/mjcu.2023.326216","url":null,"abstract":"Background: Breast cancer is a heterogenous disease with different molecular subtypes. Each molecular subtype has its own prognosis and management. Identifying this molecular subtype is necessary to allow individualized patient treatment. CESM has the potential to non-invasively differentiate the various molecular subtypes of breast cancer. In this manner it can provide information about the tumoras a wholenot just the biopsied part of the tumor. Aim of Study: Assess Contrast enhanced spectral mammography as a non-invasive imaging tool in predicting molecular subtypes of breast cancer and tumor grade. Patients and Methods: This study includes 95 female patients with 98 breast lesions in the time period from January 2021 to February 2022. All breast lesions were assessed by Digital mammography and ultrasound, followed by contrast mammography. Biopsy was then performed (BIRADS 4&5) to identify the pathologic type and tumor grade followed by immunohistochemistry to identify the molecular subtype of each tumor. The dominant feature of each molecular subtype on contrast mammography was recorded regarding lesion morphology (mass/distortion/asymmetry/pathological microcal-cification/lesion margins) and pattern of enhancement. Results: Chi square ( x 2) test shows a significant association between lesion margins and the various molecular subtypes of breast cancer ( p =0.014). It also shows a significant association between molecular subtype and tumor grade ( p =0.018). However, the enhancement pattern didn't reflect a significant association to the molecular subtypes ( p =0.101 for mass enhancement and 0.419 for NME)","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"207 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.21608/mjcu.2023.326232
I. A. A. M. M. HANY ELNEMR, M.D.; MOHAMED M.A.
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{"title":"Functional Outcome of Microscopic Lumbar Discectomy for the Treatment of Lumbar Disc Prolapse","authors":"I. A. A. M. M. HANY ELNEMR, M.D.; MOHAMED M.A.","doi":"10.21608/mjcu.2023.326232","DOIUrl":"https://doi.org/10.21608/mjcu.2023.326232","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.21608/mjcu.2023.325794
M. A. S. M. AHMED I.M. ELTOHAMY, M.Sc.; BAHAA
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{"title":"Central Venous to Arterial pCO2 Difference as Complementary Tool for Goal Directed Therapy in Septic Shock","authors":"M. A. S. M. AHMED I.M. ELTOHAMY, M.Sc.; BAHAA","doi":"10.21608/mjcu.2023.325794","DOIUrl":"https://doi.org/10.21608/mjcu.2023.325794","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"808 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.21608/mjcu.2023.325778
H. S. A. M. A. MOHANAD M. ABD EL JALIL, M.Sc.;
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{"title":"Criteria for Using a Cervicothoracic Approach in Huge Retrosternal Goiter: Systematic Review and Meta-Analysis","authors":"H. S. A. M. A. MOHANAD M. ABD EL JALIL, M.Sc.;","doi":"10.21608/mjcu.2023.325778","DOIUrl":"https://doi.org/10.21608/mjcu.2023.325778","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.21608/mjcu.2023.326239
N. A. T. MANAL O. EL-HAMSHARY
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{"title":"Could Artificial Oocyte Electro -Activation Timing Affect the Fertilization Rate in Post-Intracytoplasmic Sperm Injection (ICSI)?","authors":"N. A. T. MANAL O. EL-HAMSHARY","doi":"10.21608/mjcu.2023.326239","DOIUrl":"https://doi.org/10.21608/mjcu.2023.326239","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.21608/mjcu.2023.326223
O. D. GABALI, M.D.
Background: Malaria is a major health threat in Yemen, and it is the most common and widely prevalent life-threatening infectious disease in tropical and subtropical regions where it causes high rates of morbidity and mortality. Aim of Study: This study aimed to describe the clinical and demographic profile, and outcome of patients with malaria including complicated Cases with focusing on cerebral malaria, hepatic and renal impairment admitting in Al-Gamhouria Teaching Hospital and attending a private clinic Aden City in Southwest Yemen. Patients and Methods: It was a prospective study, a total of 30 malaria patients >15 years of age who presented in Al Gamhouria Teaching Hospital and a private clinic in Aden City Southwest of Yemen, over a period of one year, Between (June 2022to June 2023), rapid diagnostic test used for malaria diagnosis, clinical examination and other laboratory tests to identify severe malaria complications with focusing on cerebral malaria, hepatic and renal impairment were performed at the hospital and the clinic. Results: During the study period, 30 patients were enrolled, (83%) of cases were male while (17%) being female, mean age was (30 – 15.2) years, (50%) of patients belonging to the age group of (26-35) years, (80%) came from rural area while (20%) came from urban area, Fever was the most common symptoms of malaria (93%) cerebral malaria was the most common complication (30%), recovered patients was (83%) while dead patients (17%). Conclusion: This study concluded that the majority of patients were male and came from rural area, fever was the most common symptoms while cerebral malaria was the most common complication.
{"title":"Clinical and Demographic Profile and Outcome of Adult Patients with Malaria Including Complicated Cases with Focusing on Cerebral Malaria, Hepatic and Renal Impairment Admitted in Al Gamhouria Teaching Hospital and Attending a Private Clinic in Aden City - Southwest Yemen","authors":"O. D. GABALI, M.D.","doi":"10.21608/mjcu.2023.326223","DOIUrl":"https://doi.org/10.21608/mjcu.2023.326223","url":null,"abstract":"Background: Malaria is a major health threat in Yemen, and it is the most common and widely prevalent life-threatening infectious disease in tropical and subtropical regions where it causes high rates of morbidity and mortality. Aim of Study: This study aimed to describe the clinical and demographic profile, and outcome of patients with malaria including complicated Cases with focusing on cerebral malaria, hepatic and renal impairment admitting in Al-Gamhouria Teaching Hospital and attending a private clinic Aden City in Southwest Yemen. Patients and Methods: It was a prospective study, a total of 30 malaria patients >15 years of age who presented in Al Gamhouria Teaching Hospital and a private clinic in Aden City Southwest of Yemen, over a period of one year, Between (June 2022to June 2023), rapid diagnostic test used for malaria diagnosis, clinical examination and other laboratory tests to identify severe malaria complications with focusing on cerebral malaria, hepatic and renal impairment were performed at the hospital and the clinic. Results: During the study period, 30 patients were enrolled, (83%) of cases were male while (17%) being female, mean age was (30 – 15.2) years, (50%) of patients belonging to the age group of (26-35) years, (80%) came from rural area while (20%) came from urban area, Fever was the most common symptoms of malaria (93%) cerebral malaria was the most common complication (30%), recovered patients was (83%) while dead patients (17%). Conclusion: This study concluded that the majority of patients were male and came from rural area, fever was the most common symptoms while cerebral malaria was the most common complication.","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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