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Characteristics of body water distribution in healthy adults measured by multi-frequency bioelectrical impedance analysis 多频生物电阻抗分析测定健康成人体内水分分布特征
Q4 Engineering Pub Date : 2019-01-01 DOI: 10.17106/JBR.33.13
M. Ando, N. Shimada, Kenichiro Asano, T. Kikutsuji, Jun-ichi Ono, K. Jikuya, S. Mochizuki
Objective: To investigate the characteristics of the ratio of extracellular water (ECW) to total body water (TBW) volume (ECW/TBW) in a large group of healthy adults, measured by multi-frequency bioelectrical impedance (bioimpedance) analysis (MF-BIA). Subjects and methods: The correlation between ECW and TBW was studied in 957 healthy adults who underwent general medical examinations. Differences between measured and predicted ECW from ECW–TBW correlation equations (ΔECW) were calculated, and possible factors for non-zero ΔECW were explored. To investigate the influence of percent fat mass (%FM) on ECW/TBW, the ECW/TBW values of “lean” and “obese” groups, classified by %FM, were compared. ECW/TBW was also compared between “non-obese” and “obese class I-II” groups, classified by the body mass index for both genders. Results: ECW and TBW showed strong positive correlations in both genders. ΔECW was within ±0.2 L and increased with advancing age; ECW/ TBW also increased. There were no significant differences in ECW/TBW between the “lean” and “obese” groups in either gender, or between the “non-obese” and “obese class I-II” groups in the female group. Conclusions: ECW/TBW measured by MF-BIA was considered to be an index of body water distribution in healthy adults ranging from “lean” to “obese class I-II,” which is not significantly affected by body fat.
目的:通过多频生物阻抗(bioimpedance)分析(bf - bia),探讨健康成人大群体细胞外水(ECW)与全身水(TBW)体积之比(ECW/TBW)的变化特点。研究对象与方法:对957例健康成人进行常规体检,研究了脑外宽与脑外宽的相关性。根据ECW - tbw相关方程(ΔECW)计算实测ECW与预测ECW之间的差异,并探讨非零的可能因素ΔECW。为了研究脂肪质量百分比(%FM)对ECW/TBW的影响,比较以%FM分类的“瘦”组和“胖”组的ECW/TBW值。比较“非肥胖”组和“肥胖I-II级”组之间的ECW/TBW,按男女体重指数进行分类。结果:ECW与TBW在两性中呈显著正相关。ΔECW在±0.2 L以内,随年龄增长而增加;ECW/ TBW也有所增加。男女“瘦”组和“胖”组之间、女性“非肥胖”组和“肥胖I-II级”组之间的ECW/TBW均无显著差异。结论:通过MF-BIA测量的ECW/TBW可以被认为是健康成人从“瘦”到“肥胖I-II级”的身体水分分布指标,该指标不受体脂的显著影响。
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引用次数: 1
Accuracy improvement of centroid coordinates and particle identification in particle tracking technique 粒子跟踪技术中质心坐标与粒子识别精度的提高
Q4 Engineering Pub Date : 2019-01-01 DOI: 10.17106/JBR.33.2
Lester C. Geonzon, S. Matsukawa
We have applied an algorithm to improve the accuracy of particle identification and centroid coordinates for each particle image in particle tracking technique. The algorithm introduced two techniques; 1) cutting off by each threshold at the peak in the pixel intensity distribution for each image of local area around the particle, and 2) calculation of the centroid based on pixel intensities in the original image of the particle instead of binarized data. The former properly cuts the noise in the background for each particle which has large variety in level particle by particle due to fluctuating illuminations and out-of-focus particles in the image, and the latter avoids the loss of accuracy by the commonly used binarization. We have demonstrated that the algorithm significantly improves the accuracy in deter mination of centroid coordinates and the correctness in particle identification. We have also validated the advantage of the algorithm in accuracy by applying the algorithm to a sequence of confocal microscopy images of diffusing particles in a polysaccharide solution. This algorithm will be signifi cantly useful in particle tracking technique for biological systems, especially for fluorescence microscopy observa-tions with considerable obstructive stray fluorescent signals. L org,j I sm,j ( m , n ) pixel intensity indexed by ( m , n ) on the x and y axis of L sm,j m = 1, ..., d s pixel row index of L sm,j n = 1, ..., d s pixel column index of L sm,j I T,j calculated cut off intensity of L sm,j L cut,j cut off image of L sm,j I cut,j ( m , n ) pixel intensity indexed by ( m , n ) on the x and y axis of L cut,j C w,j weighted centroid coordinate of L cut,j
在粒子跟踪技术中,我们应用了一种算法来提高粒子识别的精度和每个粒子图像的质心坐标。该算法引入了两种技术;1)在粒子周围局部区域的每张图像像素强度分布的峰值处用每个阈值截断,2)根据粒子原始图像中的像素强度计算质心,而不是根据二值化的数据。前者能很好地去除由于光照波动和图像中散焦粒子等导致的各粒子水平变化较大的背景噪声,后者则避免了常用二值化方法造成的精度损失。实验证明,该算法显著提高了质心坐标的确定精度和粒子识别的准确性。我们还通过将该算法应用于多糖溶液中扩散颗粒的共聚焦显微镜图像序列,验证了该算法在准确性方面的优势。该算法将在生物系统的粒子跟踪技术中发挥重要作用,特别是在具有相当大的杂散荧光信号的荧光显微镜观察中。L org,j I sm,j (m, n)在L sm的x轴和y轴上以(m, n)为索引的像素强度,j m = 1,…, d s L sm的像素行索引,j n = 1,…, d s L - sm的像素列指数,j I T,j L - sm的计算截断强度,j L - cut,j L - sm的截断图像,j I cut,j (m, n) L - cut的x、y轴上(m, n)索引的像素强度,j C w,j L - cut的加权质心坐标,j
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引用次数: 8
Numerical simulation techniques to predict aneurysm recanalization after coil embolization and their problems 预测动脉瘤栓塞后再通的数值模拟技术及其问题
Q4 Engineering Pub Date : 2019-01-01 DOI: 10.17106/jbr.33.65
S. Fujimura, M. Shojima, S. Nemoto, Yasuyuki Umeda, T. Yamada, Takumi Ishii, F. Wakabayashi
Various coil modeling techniques have been applied for computational fluid dynamics (CFD) analysis to predict recanalization after aneurysm coil embolization. Investigation on the technical difficulties and the effects on CFD analysis results when using the four main coil modeling methods (solid model, porous model, Dynamic Path Planning, finite element method (FEM) structural analysis) revealed that the expertise required for the analysis as well as the time needed for the analysis increased the more the results were realistic. In addition, by applying the four coil modeling methods to cases that actually underwent coil embolization surgery, hemodynamic factors such as blood flow velocity or mass flow rate were reported to have an effect on the occurrence of recanalization. It was also reported that the consideration of hemodynamic factors is useful for predicting recanalization. Although various validations are required, CFD analysis may be a useful tool for predicting recanalization of aneurysms after coil embolization in the future.
各种线圈建模技术已被应用于计算流体动力学(CFD)分析,以预测动脉瘤线圈栓塞后的再通。通过对四种主要线圈建模方法(实体模型、多孔模型、动态路径规划、有限元结构分析)的技术难点和对CFD分析结果的影响的调查发现,分析所需的专业知识和分析所需的时间越多,结果越真实。此外,通过将四种线圈建模方法应用于实际行线圈栓塞手术的病例,报道了血流速度或质量流率等血流动力学因素对再通发生的影响。也有报道称,考虑血流动力学因素对预测再通是有用的。虽然需要各种验证,但CFD分析可能是预测动脉瘤在线圈栓塞后再通的有用工具。
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引用次数: 1
Systematic review of hemodynamic discriminators for ruptured intracranial aneurysms 颅内动脉瘤破裂血流动力学鉴别器的系统综述
Q4 Engineering Pub Date : 2019-01-01 DOI: 10.17106/jbr.33.53
T. Yagi, F. Ishida, M. Shojima, H. Anzai, Souichiro Fujimura, T. Sano, Shun Shinozaki, Yuuma Yamanaka, Yuuto Yamamoto, Y. Okamoto, M. Ohta, Masanori Nakamura
Researchers have aimed to identify unruptured intracranial aneurysms at a higher risk of rupture during follow-up for a long time. Computational fluid dynamics has been used widely to identify a hemodynamic discriminator between ruptured and unruptured aneurysms. However, this method has yet to reach a consensus between groups, which may be due, in part, to the significant degrees of freedom in hemodynamic indexes and computational workflows. The present review aims to characterize the degree of association between ruptured aneurysms and hemodynamic indexes, as well as the degree of variability between groups. A PubMed search identified 588 relevant studies. Thirteen met our criteria, yielding a total of 3,692 aneurysms. The definition of hemodynamic indexes were first carefully assessed and then classified accordingly. The variability of hemodynamic indexes between groups displayed a significant indexdependent nature. Normalizing hemodynamic indexes was an effective measure of reducing variability. Hemodynamic indexes were evaluated for associability and quantifiability. Overall, in an attempt to advance the diagnostic performance of hemodynamic indexes, these results shed light on the poor ability to interpret hemodynamic states pathologically. Future studies should incorporate the pathological significance of hemodynamic states into the design of hemodynamic indexes.
研究人员的目标是在长时间的随访中确定具有较高破裂风险的未破裂颅内动脉瘤。计算流体动力学已被广泛用于确定破裂和未破裂动脉瘤之间的血流动力学鉴别器。然而,该方法尚未在组间达成共识,这可能部分归因于血流动力学指标和计算工作流程的显着自由度。本综述旨在描述动脉瘤破裂与血流动力学指标之间的关联程度,以及组间的差异程度。PubMed检索确定了588项相关研究。13个符合我们的标准,总共产生了3692个动脉瘤。首先仔细评估血流动力学指标的定义,然后进行相应的分类。各组间血流动力学指标的变异性表现出明显的指数依赖性。血流动力学指标正常化是降低变异性的有效措施。评估血流动力学指标的关联性和可量化性。总的来说,为了提高血液动力学指标的诊断性能,这些结果揭示了病理解释血液动力学状态的能力较差。今后的研究应将血流动力学状态的病理意义纳入血流动力学指标的设计。
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引用次数: 3
Understanding of boundary conditions imposed at multiple outlets in computational haemodynamic analysis of cerebral aneurysm 脑动脉瘤血流动力学计算分析中多出口边界条件的理解
Q4 Engineering Pub Date : 2019-01-01 DOI: 10.17106/jbr.33.32
K. Shimano, Shota Serigano, Naoki Ikeda, Tomoki Yuchi, Suguru Shiratori, H. Nagano
Computational fluid dynamics (CFD) is considered to be a promising tool for haemodynamic analysis of the intracranial aneurysm. However, aneurysm CFD is still not regarded as fully reliable mainly because the computational result is influenced by too many factors such as the luminal geometry of the model, spatiotemporal resolutions and boundary conditions. Among the influential factors, this paper focuses on outflow boundary conditions used when the computational domain has multiple outlets. Four outflow strategies found in published articles are reviewed: 1) pre-scription of constant or zero pressure, 2) flow splitting based on the power law, 3) traction-free and zero velocity-gradient conditions and 4) coupling of CFD with a reduced-order model. None of them has proved definitely superior or inferior to others. For accurate quantification of the haemodynamic state in the aneurysm, it is crucial to incorporate the physiologically correct flow splitting ratio in CFD analysis by means of accurate specification of pressure or flow rate at the outlets. A coupling of CFD and a 0-d model (a subtype of the reduced-order model) appears to be the most promising although further study is necessary to achieve accurate estimation of model parameters.
计算流体动力学(CFD)被认为是一种很有前途的颅内动脉瘤血流动力学分析工具。然而,动脉瘤CFD的可靠性仍然不高,主要原因是计算结果受模型腔体几何形状、时空分辨率和边界条件等因素的影响较多。在影响因素中,本文重点研究了计算域有多个出口时的流出边界条件。综述了已发表的四种流出策略:1)定压或零压,2)基于幂律的流动分裂,3)无牵引力和零速度梯度条件,4)CFD与降阶模型的耦合。他们中没有一个被证明绝对比别人优越或低劣。为了准确地量化动脉瘤内的血流动力学状态,在CFD分析中,通过精确指定出口压力或流量,将生理上正确的分流比纳入到CFD分析中至关重要。CFD和0-d模型(降阶模型的一种亚型)的耦合似乎是最有希望的,尽管需要进一步的研究来实现模型参数的准确估计。
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引用次数: 3
Review on the formation and growth of cerebral aneurysms 脑动脉瘤的形成与生长研究进展
Q4 Engineering Pub Date : 2019-01-01 DOI: 10.17106/jbr.33.43
S. Fukuda, Y. Shimogonya, Masanori Nakamura, T. Yamada, Kosuke Suzuki, Yuuto Yamamoto, K. Kanou, N. Okada, Fangjia Pan, T. Okudaira, Shuntaro Kuwahara
A cerebral aneurysm is a vascular condition characterized by local ballooning of an artery in the brain. Although aneurysm formation and growth are thought to be the result of destruction of the blood vessel wall, the details of the etiology are unclear. We review the formation and growth of cerebral aneurysms as follows. In the first part, we summarize the history of theories on the pathogenesis of cerebral aneurysm in chronological order from epidemiological and pathological viewpoints and based on data obtained from animal models of experimentally induced cerebral aneurysms, with a focus on the involvement of hemodynamic stress on the arterial wall. In the second part, we review computational fluid dynamics (CFD) studies on the initiation of cerebral aneurysms with a brief overview of the history of CFD in hemodynamics analysis. Of the hypotheses presented, strong emphasis is placed on that of high wall shear stress and a high wall shear stress gradient. Other leading hypotheses involving hemodynamics-related parameters are also reviewed. In the third part, we review CFD studies on the growth of cerebral aneurysms, in which hemodynamic parameters were compared between growing and stable aneurysms, to highlight the hemodynamic characteristics associated with their growth.
脑动脉瘤是一种以脑动脉局部膨胀为特征的血管疾病。虽然动脉瘤的形成和生长被认为是血管壁破坏的结果,但病因的细节尚不清楚。我们回顾脑动脉瘤的形成和生长如下。在第一部分中,我们从流行病学和病理学的角度,根据实验性脑动脉瘤动物模型的数据,按时间顺序总结了脑动脉瘤发病的理论历史,重点介绍了血流动力学应力对动脉壁的影响。在第二部分中,我们回顾了计算流体动力学(CFD)在脑动脉瘤发生方面的研究,并简要概述了CFD在血流动力学分析中的历史。在提出的假设中,重点强调了高壁剪应力和高壁剪应力梯度的假设。其他主要的假设涉及血流动力学相关参数也进行了审查。第三部分回顾了脑动脉瘤生长的CFD研究,比较了生长动脉瘤和稳定动脉瘤的血流动力学参数,以突出其生长相关的血流动力学特征。
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引用次数: 2
Molecular events regulating the pathogenesis of intracranial aneurysms: Special insight on hemodynamics and chronic inflammation 调节颅内动脉瘤发病机制的分子事件:对血流动力学和慢性炎症的特殊见解
Q4 Engineering Pub Date : 2019-01-01 DOI: 10.17106/jbr.33.28
T. Aoki
Intracranial aneurysm (IA) can cause a lethal subarachnoid hemorrhage after rupture. Thereby, the correct understanding of the pathogenesis of the disease is essential to develop a novel therapeutic strategy to prevent progression. The accumulating evidence from simulation of hemodynamics targeting human cases has implied the role of hemodynamic force in IAs. In another point of view, experimental evidence mainly from animal studies has clarified the crucial role of macrophage-mediated long lasting-inflammation in the pathogenesis. However, how hemody namic stress triggers such molecular events in arterial walls to develop IAs remains unclear. Recent experimental studies have revealed some of the potential machineries regulating hemodynamic stress-triggered IA formation. High walls shear stress activates endothelial cells and induces expression of MCP-1 at the earliest stage of IA formation. At adventitia, mechanical stretch induces MCP-1 expression in fibroblasts as well. MCP-1-mediated infiltration of macrophages into intracranial arterial walls thus occurs. In infiltrating macrophages, EP2 functions to exacerbate inflammation through formation of positive feedback loop, synergistic action with TNF-α and auto-amplification loop among macrophages. Given the nature of IAs as a vascular disease, further studies focused on hemodynamic force-mediated molecular events regulating the pathogenesis are necessary to understand the whole picture of the disease.
颅内动脉瘤(IA)破裂后可引起致命的蛛网膜下腔出血。因此,正确理解疾病的发病机制对于制定新的治疗策略以防止进展至关重要。针对人类病例的血流动力学模拟积累的证据暗示了血流动力学力在IAs中的作用。另一方面,主要来自动物研究的实验证据已经阐明了巨噬细胞介导的持久炎症在发病机制中的关键作用。然而,血流动态应激如何触发动脉壁的分子事件以发展IAs仍不清楚。最近的实验研究揭示了一些调节血流动力学应力触发的IA形成的潜在机制。在IA形成的早期,高壁剪切应力激活内皮细胞并诱导MCP-1的表达。在外膜处,机械拉伸也诱导成纤维细胞中MCP-1的表达。因此,mcp -1介导的巨噬细胞浸润颅内动脉壁。在浸润的巨噬细胞中,EP2通过在巨噬细胞中形成正反馈回路、与TNF-α协同作用、与自身扩增回路等,起到加重炎症的作用。鉴于IAs作为一种血管疾病的性质,进一步研究血流动力学力介导的调节发病机制的分子事件对于了解该疾病的全图是必要的。
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引用次数: 0
Development of patient-specific 1D-0D simulation based on MRI and SPECT data 基于MRI和SPECT数据的患者特异性1D-0D模拟的发展
Q4 Engineering Pub Date : 2018-01-01 DOI: 10.17106/JBR.32.2
Hao Zhang, N. Fujiwara, Masaharuo Kobayashi, S. Yamada, F. Liang, S. Takagi, M. Oshima
The hemodynamics of blood flow in the Circle of Willis (CoW) is considered to be important for the understanding of disease progression in cerebral circulation. In this research, we developed a method by combining 1D-0D model with the medical imaging data of magnetic resonance imaging (MRI) and single photon emission computed tomography (SPECT), in order to investigate the hemodynamics in CoW. The MRI data was used as the arterial geometry parameter for 1D model. The SPECT data was used as the reference data for the flow rates at the efferent arteries of CoW, which indicated if adjustment needed to be made to the peripheral cerebral resistance for 0D model. We applied our method to two patients and compared the simulation results with PC-MRI measurement data. The comparison showed the differences of flow distribution in the afferent arteries between simulation results and measurement data were 0.6–6.0% and 5.7–13.2% respectively in two cases. Both simulations captured the individual difference of flow distribution in the CoW. The results suggested that our method can be used to obtain the hemodynamics information in the CoW for an individual patient.
威利斯循环(CoW)血流动力学被认为是了解脑循环疾病进展的重要因素。本研究提出了一种将1D-0D模型与磁共振成像(MRI)和单光子发射计算机断层扫描(SPECT)医学成像数据相结合的方法来研究奶牛的血流动力学。MRI数据作为1D模型的动脉几何参数。以SPECT数据作为奶牛输出动脉血流速率的参考数据,提示是否需要对0D模型的外周脑阻力进行调整。我们将该方法应用于两例患者,并将模拟结果与PC-MRI测量数据进行了比较。对比结果表明,两种情况下,模拟结果与实测数据的传入动脉血流分布差异分别为0.6 ~ 6.0%和5.7 ~ 13.2%。两种模拟都捕捉到了牛体内流动分布的个体差异。结果表明,我们的方法可用于获得个体患者的血液动力学信息。
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引用次数: 5
Body water balance in hemodialysis patients reflects nutritional, circulatory, and body fluid status 血液透析患者体内水分平衡反映营养、循环和体液状况
Q4 Engineering Pub Date : 2018-01-01 DOI: 10.17106/JBR.32.46
M. Ando, Tomota Suminaka, N. Shimada, Kenichiro Asano, Jun-ichi Ono, K. Jikuya, S. Mochizuki
The ratio of the volumes of extracellular water to total body water (ECW/TBW) obtained by multi-frequency bioelectrical impedance analysis (MF-BIA) indicates body water balance. However, the characteristics of ECW/TBW in hemodialysis (HD) patients have not been fully investigated yet. We evaluated correlations of ECW/TBW with body composition, circulatory and body fluid status, and nutritional status in 60 stable maintenance HD patients using MF-BIA. ECW/TBW increased with increasing age and showed significant positive correlations with volume index (VI), cardiothoracic ratio, and brain natriuretic peptide, all of which are indices of circulatory and body fluid status. Furthermore, there were significant negative correlations between ECW/TBW and serum albumin (Alb), the geriatric nutritional risk index, and the normalized protein catabolic rate, all of which indicate nutritional status. Following multiple regression analysis, the independently related factors for total subjects were age, VI, and Alb. In obese HD patients, ECW/TBW tended to decrease, indicating intravascular dehydration. In conclusion, ECW/TBW in HD patients was shown to increase with age and can reflect circulatory, body fluid, and nutritional status, as well as the difference between predetermined dry weight and “optimal body weight” which may change along with a patient’s nutritional status.
通过多频生物电阻抗分析(MF-BIA)得到的细胞外水体积与体内总水量之比(ECW/TBW)反映了体内水分平衡。然而,血液透析(HD)患者ECW/TBW的特征尚未得到充分的研究。我们使用MF-BIA评估了60例稳定维持性HD患者的ECW/TBW与身体组成、循环和体液状态以及营养状况的相关性。ECW/TBW随年龄的增长而增加,并与容量指数(VI)、心胸比、脑利钠肽呈显著正相关,这些指标都是循环和体液状况的指标。此外,ECW/TBW与血清白蛋白(Alb)、老年营养风险指数和标准化蛋白质分解代谢率呈显著负相关,均反映了营养状况。经多元回归分析,所有受试者的独立相关因素为年龄、VI、Alb。在肥胖HD患者中,ECW/TBW趋于降低,表明血管内脱水。综上所述,HD患者的ECW/TBW随着年龄的增长而增加,可以反映循环、体液和营养状况,以及预定干重与“最佳体重”之间的差异,而这种差异可能会随着患者营养状况的变化而变化。
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引用次数: 6
Half-wave Lissajous curve analysis of tongue pressure while eating gel-like food 进食胶状食物时舌压的半波利萨朱曲线分析
Q4 Engineering Pub Date : 2018-01-01 DOI: 10.17106/JBR.32.39
M. Higashimori, A. Shibata, Akira Ikegami, M. Nakauma, K. Hori, T. Ono
This paper describes a spatiotemporal analysis of tongue behavior while eating a nursing-care gel-like food. First, tongue pressure while eating the gel-like food is measured using a multipoint pressure sensor attached to the palate. By considering a pressure waveform as a half sinusoidal wave, a Lissajous curve drawn with two pressure waveforms measured at two points can be used to analyze tongue behavior. Based on the curve, three feature values can be designed to characterize tongue behavior: pressure level, pressure distribution, and pressure phase difference. Finally, correlations between the feature values and the sensory evaluation of the texture are visualized. The proposed method is a potentially useful tool for investigating the relationship between tongue behavior and the texture of food.
本文描述了在吃护理凝胶状食物时舌头行为的时空分析。首先,使用连接在上颚的多点压力传感器测量吃凝胶状食物时舌头的压力。将压力波形视为半正弦波,用两点测得的两个压力波形绘制的利萨朱曲线可以用来分析舌形。基于该曲线,可以设计三个特征值来表征舌形行为:压力水平、压力分布和压力相位差。最后,将特征值与纹理感官评价之间的相关性可视化。所提出的方法是研究舌头行为和食物质地之间关系的潜在有用工具。
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引用次数: 1
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Journal of Biorheology
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