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Methods used for evaluation of psychotherapy treatment 心理治疗评价方法
IF 0.6 Q4 PSYCHIATRY Pub Date : 2022-12-20 DOI: 10.12740/app/151881
Kristina Sesar, Arta Dodaj
One of the goals of research in the field of psychotherapy is to improve knowledge about processes and outcomes of psychotherapeutic treatments. Researchers and professionals have been discussing the best methods for evaluating the effectiveness and efficiency of psychotherapeutic treatments for many years. This paper aims to give an overview of the specifics of quantitative and qualitative research methods, by noting the advantages and disadvantages of these methods in the evaluation of psychotherapeutic treatments. Within the quantitative scientific research, three approaches are described: randomized controlled research, mood enhancement by psychoanalytic and cognitive therapies, and meta-analysis. The most common collection methods (observation, interview, other verbal techniques and visual approaches to data collection) and data analysis (comprehensive process analysis, consensual qualitative research and grounded theory) are described within a qualitative scientific methodology. Finally, an approach related to integration of qualitative and quantitative methodology, as well as this related with application of case studies in the evaluation of psychotherapeutic treatments are described. Scientists and professionals in the field of social sciences should use both quantitative and qualitative research methods, separately or in combination, depending on the goal and problems of the research.
心理治疗领域的研究目标之一是提高对心理治疗过程和结果的了解。多年来,研究人员和专业人士一直在讨论评估心理治疗有效性和效率的最佳方法。本文旨在概述定量和定性研究方法的细节,指出这些方法在评估心理治疗方面的优缺点。在定量科学研究中,描述了三种方法:随机对照研究、通过精神分析和认知疗法增强情绪以及荟萃分析。最常见的收集方法(观察、访谈、其他口头技术和数据收集的视觉方法)和数据分析(综合过程分析、一致的定性研究和基础理论)在定性科学方法论中进行了描述。最后,介绍了一种与定性和定量方法论相结合的方法,以及与案例研究在心理治疗评估中的应用有关的方法。社会科学领域的科学家和专业人员应根据研究的目标和问题,分别或结合使用定量和定性研究方法。
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引用次数: 0
Psychosocial aspects of current civilization challenges from the perspective of a Balint group leader 从巴林特集团领导人的视角看当前文明挑战的心理社会方面
IF 0.6 Q4 PSYCHIATRY Pub Date : 2022-12-16 DOI: 10.12740/app/151540
B. Wasilewski
This study discusses psychosocial aspects of current civilizational changes from the perspective of Balint group leaders. This difficult period of transformation poses difficult challenges for health professionals who require a toolbox of supports, of which an important one is that provided by the Balint movement through its group activities. Leaders, who moderate meetings of health professionals must have an enhanced understanding of the psychosocial aspects of the turbulence within our civilization including those due to the health impact of COVID-19. The author anticipates that some theses may not be fully accepted, because of the relative novelty and complex nature of the material, but it is presented to stimulate critical discussion in the hope that it will facilitate the efforts of Balint group leaders.
本研究从巴林特集团领导人的角度探讨了当前文明变革的社会心理方面。这一艰难的转型期给卫生专业人员带来了严峻的挑战,他们需要一系列支持,其中一个重要的支持是巴林特运动通过其团体活动提供的支持。主持卫生专业人员会议的领导人必须进一步了解我们文明中动荡的心理社会方面,包括新冠肺炎对健康的影响。作者预计,由于材料相对新颖和复杂,一些论文可能不会被完全接受,但它是为了激发批判性讨论,希望它能促进巴林特小组领导人的努力。
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引用次数: 0
Cyberchondria and health anxiety in patients with fibromyalgia 纤维肌痛患者的线粒体与健康焦虑
IF 0.6 Q4 PSYCHIATRY Pub Date : 2022-12-16 DOI: 10.12740/app/150478
aslı kazgan kılıçaslan, S. Yıldız, canan gür, K. Uğur
The purpose of the study is to investigate the cyberchondria attitudes, health anxiety and their correlation with each other in Fibromyalgia Syndrome (FMS) patients.68 patients diagnosed with FMS according to the American College of Rheumatology (ACR) 2010 diagnostic criteria and 68 healthy individuals with similar sociodemographic characteristics and meeting the study criteria were included in the study. Sociodemographic Data Form, Cyberchondria Severity Scale (CSS), Fibromyalgia Impact Questionnaire (FIQ), and Health Anxiety Inventory-Short Version (HAI) were administered to all participants.The sub-dimensions of the CSS total, distress, excessiveness, reassurance, and mistrust of medical professional and the HAI body sub-dimension and total score of the patient group were found to be significantly higher than the scores of the control group (p<0.001). There is a significant positive correlation between HAI total score and FIQ score (p= 0.018) (r=.285). A positive and significant relationship was found between the CSS-total score and the HAI sub-dimensions and total score (p= 0.002, r=.377).Our study shows that health anxiety and cyberchondria are high in patients with FMS and that disease severity and health anxiety increase in direct proportion. Due to these results, it may be wise to periodically check the cyberchondria and health anxiety levels of these patients and to include psychiatric view in the treatment of the patients.Doctors can refer patients who have health concerns and who have comorbid psychiatric symptoms for psychoeducation, as well as protect patients from uncontrolled anxiety by referring them only to reliable and accurate online sites.
本研究的目的是调查网络疑病症的态度,纤维肌痛综合征(FMS)患者的健康焦虑及其相互关系。68名根据美国风湿病学会(ACR)2010年诊断标准诊断为FMS的患者和68名具有相似社会人口学特征并符合研究标准的健康人被纳入研究。对所有参与者进行社会形态数据表、线粒体严重程度量表(CSS)、纤维肌痛影响问卷(FIQ)和健康焦虑量表简版(HAI)。CSS总体、痛苦、过度、保证的子维度,患者组的HAI身体亚维度和总分均显著高于对照组(p<0.001)。HAI总分与FIQ总分呈正相关(p=0.018)(r=.285)。CSS总分与HAI亚维度呈正相关和总分(p=0.002,r=.377)。我们的研究表明,FMS患者的健康焦虑和网络软骨症较高,疾病严重程度和健康焦虑成正比增加。由于这些结果,定期检查这些患者的网络软骨症和健康焦虑水平,并在患者的治疗中纳入精神病学观点可能是明智的。医生可以将有健康问题和共病精神症状的患者转介给他们进行心理教育,并通过只将他们转介到可靠准确的在线网站来保护患者免受不受控制的焦虑。
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引用次数: 0
Temperament as a risk factor for drug addiction in young adults 气质是年轻人吸毒成瘾的危险因素
IF 0.6 Q4 PSYCHIATRY Pub Date : 2022-12-16 DOI: 10.12740/app/147875
Magdalena Chęć, K. Konieczny, Katarzyna Gepert
Aim: The aim of this study was to assess the relationship between temperament and addiction to psychoactive substances in young adults.Methods: 74 young adults participated in the study: 37 with substance use disorder and 37 controls, aged 18-28 years. They completed Rothbart’s Adult Temperament Questionnaire (ATQ) and a socio-demographic survey. The study was conducted in the Center for Treatment, Therapy and Rehabilitation, run by the MONAR Association.Results: Our results indicate significant differences between the test group and the control group in the following temperamental traits (p <0.05): Endogenous Sadness, Visual Discomfort, Inhibitory Control, Attentional Shifting, Sociability and Intense Environmental Pleasure. Compared to controls, persons with substance use disorder scored higher on endogenous sadness and intense environmental pleasure. Greater endogenous sadness suggests they experience more negative emotions and lower mood as a result of disappointment or loss, which promotes development of addiction.Discussion: This study demonstrates differences in the severity of some temperamental traits between persons with substance use disorder and control group.It is suggesting that temperament can be a risk factor for addiction to psychoactive substances.
目的:本研究的目的是评估年轻人的气质与精神活性物质成瘾之间的关系。方法:74名年轻人参与研究:37名物质使用障碍患者和37名对照组,年龄18-28岁。他们完成了罗斯巴特成人气质问卷(ATQ)和一项社会人口调查。这项研究是在由MONAR协会管理的治疗、治疗和康复中心进行的。结果:实验组与对照组在内源性悲伤、视觉不适、抑制控制、注意力转移、社交能力和强烈环境愉悦等气质特征上存在显著差异(p <0.05)。与对照组相比,物质使用障碍患者在内源性悲伤和强烈的环境愉悦方面得分更高。更大的内源性悲伤表明,由于失望或损失,他们经历了更多的负面情绪和更低的情绪,这促进了成瘾的发展。讨论:本研究表明物质使用障碍患者和对照组在某些气质特征的严重程度上存在差异。这表明,性情可能是精神活性物质成瘾的一个风险因素。
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引用次数: 0
Risk factors for suicide in cancer patients and preventive measures: a literature review 癌症患者自杀危险因素及预防措施的文献综述
IF 0.6 Q4 PSYCHIATRY Pub Date : 2022-12-16 DOI: 10.12740/app/152776
Jurgita Kazlauskiene, A. Navickas, S. Lesinskienė, G. Bulotiene
The aim of the study is to identify the main risk factors for suicide and review aspects of suicide prevention. Evidence shows that suicide is higher among cancer patients than in the general population. Lithuania has been in a leading position in suicides worldwide. It is very important to care about cancer patients’ emotional status because advances in health care offer great promise for patients’ physical health.Material and methods: This review was conducted using data sources from the PubMed electronic bibliography published over the past ten years. Articles were selected using the keywords “the risk factors”, “suicides”, and “the patients with cancer”. After selection, seventy-two articles were suitable for the analysis. Results and discussion: The main suicide risk factor was depression; a less frequent factor was other mental pathology. Symptoms such as pain, weakness and decreased physical capacity play an important role in the risk of suicide. Suicide was also affected by the localization of the tumour; a short time elapsed since diagnosis was also important. As in the general population, social, economic, and demographic factors such as male gender, loneliness, age, and low income are important risk factors for suicide among cancer patients. Conclusion: To reduce the risk of suicide in cancer patients, it is appropriate to create a united, practice-friendly suicide risk assessment system and develop psychoeducational training and psychological assistance for medical staff and family members.
本研究的目的是确定自杀的主要危险因素,并回顾自杀预防的各个方面。有证据表明,癌症患者的自杀率高于一般人群。立陶宛在全球自杀事件中一直处于领先地位。关注癌症患者的情绪状态非常重要,因为医疗保健的进步为患者的身体健康带来了巨大的希望。材料和方法:本综述使用了过去十年出版的PubMed电子参考书目中的数据来源。文章选用关键词“危险因素”、“自杀”和“癌症患者”。经过筛选,72篇文章适合进行分析。结果与讨论:抑郁症是自杀的主要危险因素;一个不太常见的因素是其他精神病理。疼痛、虚弱和体力下降等症状在自杀风险中起着重要作用。自杀也受到肿瘤定位的影响;诊断后经过的短时间也很重要。与普通人群一样,社会、经济和人口统计学因素,如男性、孤独、年龄和低收入,是癌症患者自杀的重要风险因素。结论:为了降低癌症患者的自杀风险,建立一个统一的、实用的、友好的自杀风险评估系统,为医务人员和家属开展心理教育培训和心理援助是合适的。
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引用次数: 1
Coexistence of type 1 diabetes mellitus, autism and blindness – narrative review andcase report 1型糖尿病、自闭症和失明共存——述评与病例报告
IF 0.6 Q4 PSYCHIATRY Pub Date : 2022-12-15 DOI: 10.12740/app/154752
K. Cyranka, D. Dudek, M. Pilecki, B. Matejko, Sabina Krzyżowska, M. Małecki, T. Klupa
The paper presents a case of 25 female patient, who is a clinical example of a triplecomorbidity – she was a preterm child in which at the age of 2 autism spectrum disorder (ASD) was diagnosed, and at the age of 3 type 1 diabetes mellitus (T1DM). The described case is special because autism coincides not only with diabetes, but also with blindness due to retinopathy of prematurity. In such a situation, the choice of the right treatment method has become a clinical challenge.Considering the patients’ health status and life conditions (comorbidity of T1DM, autism and blindness, abusive, not engaged father, difficult financial situation) very good treatment results as far as T1DM is concerned were achieved: her HbA1c values available from last 3 years ranged from 6.5-7.3% Also, regardless of many obstacles and life crises, the patient maintains possibly the best in her conditions, psychological well-being.The paper can be a source of knowledge and inspiration, presenting challenges and possibilities in treatment of people with T1DM, autism, and other comorbidities. From the therapeutic point of view, it indicates that well planned, individualized therapy may be the basis for creating optimal conditions for the development and improvement of the quality of life of patients.
本文介绍了一例25岁的女性患者,她是一个三重病的临床例子-她是一个早产儿,在2岁时被诊断为自闭症谱系障碍(ASD),在3岁时被诊断为1型糖尿病(T1DM)。该病例的特殊之处在于,自闭症不仅与糖尿病同时发生,还与早产儿视网膜病变导致的失明同时发生。在这种情况下,选择正确的治疗方法已成为临床的挑战。考虑到患者的健康状况和生活状况(T1DM共病,自闭症和失明,虐待,没有参与的父亲,困难的经济状况),就T1DM而言,取得了非常好的治疗效果:她的HbA1c值从过去3年的6.5-7.3%不等。此外,尽管有许多障碍和生活危机,患者在她的条件下保持了最好的心理健康。这篇论文可以成为知识和灵感的源泉,提出了治疗T1DM、自闭症和其他合并症患者的挑战和可能性。从治疗的角度来看,这表明精心策划的个体化治疗可能是为患者的发展和改善生活质量创造最佳条件的基础。
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引用次数: 0
The role of the attachment relation in the pathogenesis of auditory hallucinations – literature overview 依恋关系在幻听发病机制中的作用——文献综述
IF 0.6 Q4 PSYCHIATRY Pub Date : 2022-10-15 DOI: 10.12740/app/147876
Dawid Subocz
Objective: The purpose of the article is to provide an overview of the literature concerning the role of the attachment relation in the pathogenesis of auditory hallucinations. The article holistically integrates the knowledge about the attachment relation with cognitive and biological factors.Materials and method: The literature overview was compiled using the following databases: EBSCO, PsycINFO, PubMed, Google Scholar. The databases were searched using the following keywords: „secure”, „disorganized”, „epigenetic”, „genetic”, „auditory hallucinations” and the term „monoaminergic system”. These words were combined with the term „attachment style”. Results: The literature analysis suggests that neurobiological and cognitive factors mediate in the pathomechamism affiliating traumatic experience in the attachment relation with auditory hallucinations These include: dysregulation within the monoaminergic systems, atrophy of the temporal areas and cognitive distortions such as source monitoring errors and negative automatic thoughts.Discussion and conclusions: Cognitive dysfunctions along with hereditary genetic susceptibility to auditory hallucinations may constitute factors distorting the correct interpretation of traumatic intrusions of relational experience. Future research should verify to what extent auditory hallucinations are the memory marks of a relational trauma. Verification of these hypotheses will enable better understanding of the role of the attachment styles in the development of auditory hallucinations and the formation of convictions about them.
目的:对依恋关系在幻听发病机制中的作用的相关文献进行综述。本文将依恋关系的相关知识与认知因素和生理因素进行了整体整合。材料与方法:文献综述采用EBSCO、PsycINFO、PubMed、谷歌Scholar数据库。数据库使用以下关键词进行搜索:“安全”、“无组织”、“表观遗传”、“遗传”、“幻听”和术语“单胺能系统”。这些词与“依恋类型”一词结合在一起。结果:文献分析表明,神经生物学和认知因素介导了创伤性依恋经历与幻听相关的病理机制,包括单胺能系统失调、颞区萎缩和源监测错误和消极自动思维等认知扭曲。讨论和结论:认知功能障碍以及对幻听的遗传易感性可能构成扭曲对关系经验创伤性侵入的正确解释的因素。未来的研究应该验证幻听在多大程度上是关系创伤的记忆标记。对这些假设的验证将有助于更好地理解依恋类型在幻听发展和幻听信念形成中的作用。
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引用次数: 0
Comparison of serum IGF1, IGF2 and IGFBP1-6 concentration in the children with different stages of autism spectrum disorders 不同阶段自闭症谱系障碍患儿血清IGF1、IGF2和IGFBP1-6浓度的比较
IF 0.6 Q4 PSYCHIATRY Pub Date : 2022-10-15 DOI: 10.12740/app/144882
F. Mashayekhi, S. Shabani, Z. Salehi
Autism spectrum disorder (ASD) is a neurodevelopmental condition considered by early-onset difficulties in social communication. Insulin-like growth factors (IGFs) play crucial roles in synapse formation. Most of circulating IGFs are bound to IGF-binding proteins (IGFBPs) that modify IGF action. IGFBPs prolong the plasma half-life of IGFs. In this project we studied the association of IGF1/2 and IGFBP1-6 serum concentration with the severity of ASD (Levels 1-3; Mild, Moderate and severe, respectively).A hundred and eighty patients with ASD (Mild; n=69, Moderate; n=58 and Severe; n=53) and 118 controls age matched were used in this project and IGF1/2 and IGFBP1-6 serum concentration were measured by ELISA.The results demonstrated that IGF1, IGF2 and IGFBP1-6 were present in all serum samples. The results showed that the concentration of IGF1 and IGF2 was significantly higher in ASD patients when compared to controls, starting from stages I to III ASD, a significant increase of IGF1 and IGF2 serum concentration was observed. Results obtained also showed that IGFBP1-6 concentration in the ASD group were lower when compared to controls and low serum IGFBP1-6 concentration is associated with advanced stages of ASD.IGFs plays important role in synapse formation and changes in IGFs expression may be important in the pathogenesis of ASD.It is suggested that IGFs and IGFBPs may be involved in the pathogenesis of ASD. Therefore, the detection of serum soluble IGFs and IGFBPs may be useful in classifying ASD.
自闭症谱系障碍(ASD)是一种神经发育疾病,被认为是社会交往中的早发性困难。胰岛素样生长因子(IGFs)在突触形成中起着至关重要的作用。大多数循环IGF与改变IGF作用的IGF结合蛋白(IGFBPs)结合。IGFBPs延长IGFs的血浆半衰期。在这个项目中,我们研究了IGF1/2和IGFBP1-6血清浓度与ASD严重程度(分别为1-3级;轻度、中度和重度)的关系。本项目使用了一百八十名ASD患者(轻度;n=69,中度;n=58和重度;n=53)和118名年龄匹配的对照,并通过ELISA测量了IGF1/2与IGFBP1-6的血清浓度IGF1、IGF2和IGFBP1-6存在于所有血清样品中。结果显示,与对照组相比,ASD患者的IGF1和IGF2浓度显著升高,从I至III期ASD开始,观察到IGF1和胰岛素样生长因子2的血清浓度显著升高。结果还表明,与对照组相比,ASD组的IGFBP1-6浓度较低,血清IGFBP1-6的低浓度与ASD的晚期有关。IGFs在突触形成中起重要作用,IGFs表达的变化可能在ASD的发病机制中发挥重要作用。因此,血清可溶性IGFs和IGFBPs的检测可能有助于ASD的分类。
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引用次数: 0
Temperament and character as a predictor of response to selective serotonin reuptake inhibitors in patients with Major depressive disorder 气质和性格是重度抑郁症患者对选择性血清素再摄取抑制剂反应的预测因素
IF 0.6 Q4 PSYCHIATRY Pub Date : 2022-10-15 DOI: 10.12740/app/145648
Mohammad Nadi Sakhvidi, M. Namdari, Samira Shayegh, F. Hosseini, Golrasteh Kholaseh zadeh, B. Bozorg, Z. Salimi, Fariba Amini, R. Bidaki
Personality is one of the most important factors affecting the treatment course of patients with psychiatric disorders. The present study aimed to find the possible relationship between personality factors and response to selective serotonin reuptake inhibitors treatment for major depression.In the present prospective study, one hundred and seven patients with mild or moderate depression treated with citalopram, sertraline or fluoxetine for two months. Every patients were evaluated by Hamilton depression test (as pre-test and post-test) and Temperament and Character Inventory (as pre-test) and their response to treatment evaluated base on their Hamilton depression test. The collected data were analyzed using ANOVA, chi- square, Pearson's correlation coefficients tests and logistic regression.The mean age of the patients was 39.7 years and most of the population were female (71.9%). The results showed that decrease in RD (OR=0.85, P=0.05) and age (OR=0.93, P=0.003), and increase in CO score (OR=1.32, P<0.001) had a significant effect on the likelihood of being responsive to the treatment.The present study demonstrated that the cooperativeness could be considered as an appropriate predictor of treatment response among responders and non-responders. The investigation of four groups revealed that those with complete response had higher cooperativeness and lower novelty seeking while the non-responsive group had higher Persistence and self-transcendence.Temperament and character or at least some of their traits may predispose response to depression treatment.
人格是影响精神障碍患者治疗过程的最重要因素之一。本研究旨在寻找人格因素与选择性血清素再摄取抑制剂治疗重度抑郁症反应之间的可能关系。在本前瞻性研究中,107名轻度或中度抑郁症患者接受西酞普兰、舍曲林或氟西汀治疗两个月。通过汉密尔顿抑郁测试(作为前测和后测)和气质和性格量表(作为前试)对每位患者进行评估,并根据汉密尔顿抑郁测试评估他们对治疗的反应。采用方差分析、卡方检验、皮尔逊相关系数检验和逻辑回归对收集的数据进行分析。患者的平均年龄为39.7岁,大多数人群为女性(71.9%)。结果表明,RD(OR=0.85,P=0.05)和年龄(OR=0.93,P=0.003)的降低以及CO评分的增加(OR=1.32,P<0.001)对治疗有反应的可能性有显著影响。本研究表明,合作性可以被视为反应者和非反应者治疗反应的适当预测因素。对四组患者的调查显示,完全反应组具有较高的合作性和较低的新颖性,而无反应组具有更高的坚持性和自我超越性。
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引用次数: 0
Editorial 社论
IF 0.6 Q4 PSYCHIATRY Pub Date : 2022-10-15 DOI: 10.12740/app/154925
K. Cyranka
The autumn aura confronts us with the passing of time. The funeral of Queen Elizabeth II has become a symbol of transition for all of us, uniting billions of people around the world in reflection and wistfulness. Changes and integration have been topics that psychiatry and psychotherapy have been facing for centuries. Ability to deal with suffering and pain, illness and loss, but also to be open to changes and novelty, to search for hope and renovation. In our autumn issue of APP, we encourage you to familiarize yourself with the set of as always interesting and innovative publications, in which the authors try to take on these challenges.Sylwia Michałowska discusses essential and sensitive topic of sexual satisfaction, relationship satisfaction, and body image in patients with BRCA mutation after prophylactic mastectomy and/or adnexectomy. She shows that there are relationships between body assessment and sexual satisfaction as well as between body assessment and relationship satisfaction, and that there are differences in these areas between the groups of women who performed preventive mastectomy, adnexectomy, both procedures or non.
随着时间的流逝,秋天的气息使我们面临。英国女王伊丽莎白二世的葬礼已经成为我们所有人过渡的象征,将全世界数十亿人团结在一起,进行反思和渴望。几个世纪以来,精神病学和心理治疗一直面临着变化和融合的话题。能够应对苦难和痛苦、疾病和损失,也能接受变化和新奇,寻找希望和革新。在我们的秋季版APP中,我们鼓励您熟悉一套一如既往有趣和创新的出版物,作者在这些出版物中试图应对这些挑战。Sylwia Michałowska讨论了预防性乳房切除术和/或附件切除术后BRCA突变患者的性满意度、关系满意度和身体形象这一重要而敏感的话题。她表明,身体评估与性满意度之间以及身体评估与关系满意度之间存在关系,并且在这些方面,进行预防性乳房切除术、附件切除术(无论是否进行手术)的女性组之间存在差异。
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引用次数: 0
期刊
Archives of Psychiatry and Psychotherapy
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