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Prevalence and Pattern of Musculoskeletal Injuries among Recreational Wightlifters in Nnewi, Nigeria 尼日利亚奈威市娱乐性举重运动员肌肉骨骼损伤的患病率和模式
Pub Date : 2021-10-31 DOI: 10.23937/2469-5718/1510202
Muonwe Chidile, Nwobi Samuel Chidiebere, Alumona Chiedozie James, Okeke Chukwuebuka, Nwanne Chiamaka Ann, Nwosu Ifeoma Blessing, Amaechi Ifeoma Adaigwe, Okonkwo Christian Arinze, Umeonwuka Ogochukwu, Ekediegwu Ezinne Chika, Akobundu Uzoamaka Nwakaego, Maduagwu Stanley M
Background: Weightlifters are prone to musculoskeletal injury. However, studies on the prevalence and pattern of musculoskeletal injuries among weightlifters in Nigeria are not available. Therefore, this study investigated the prevalence and pattern of musculoskeletal injury among recreational weightlifters in Nnewi, Nigeria and explored the association between the prevalence of injury and sociodemographic, and training characteristic variables. Method: Ninety-one recreational weightlifters participated in this cross-sectional survey. An adapted, content-validated and pilot-tested self-administered questionnaire which captured information on participants’ socio-demographics, training characteristics, injury prevalence and patterns during weightlifting in the past 6 months was used. Data were summarized using descriptive statistics and analyzed using Chi-square with alpha level at 0.05. Results: The prevalence of musculoskeletal injury was 47.3% and the most injured body part was the shoulder (41.8%). There was significant association between the prevalence of injury and lack of supervision (p = 0.01), and between the prevalence of injury and training multiple times a day (p = 0.03). Conclusion: Musculoskeletal injury is quite prevalent among recreational weightlifters with the shoulder being the most injured body parts. Training multiple times a day and lack of supervision were associated with the prevalence of injury.
背景:举重运动员容易发生肌肉骨骼损伤。然而,关于尼日利亚举重运动员肌肉骨骼损伤的患病率和模式的研究还没有。因此,本研究调查了尼日利亚Nnewi休闲举重运动员肌肉骨骼损伤的患病率和模式,并探讨了损伤患病率与社会人口统计学和训练特征变量之间的关系。方法:对91名业余举重运动员进行横断面调查。采用了一份经过改编、内容验证和试点测试的自我管理问卷,该问卷收集了参与者在过去6个月举重期间的社会人口统计学、训练特征、受伤发生率和模式等信息。资料采用描述性统计进行汇总,采用卡方分析,α水平为0.05。结果:骨骼肌损伤发生率为47.3%,肩关节损伤发生率最高(41.8%)。受伤发生率与缺乏监督之间存在显著相关性(p = 0.01),受伤发生率与每天多次训练之间存在显著相关性(p = 0.03)。结论:休闲举重运动员肌肉骨骼损伤较为普遍,肩关节损伤最为严重。每天多次训练和缺乏监督与受伤的发生率有关。
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引用次数: 1
Progressive Upper Compartment Functional Strength Training on Postural Muscle Force: In Volleyball Players 渐进式上隔室功能力量训练对体位肌肉力量的影响:排球运动员
Pub Date : 2021-10-31 DOI: 10.23937/2469-5718/1510201
Kahraman Yeliz
Objectives: Postural muscle force leads to a increase in functional movement and associated ability of strength. The author examined changes in shoulder and humerus strength, maximum isometric joint angular degree force after functional upper strength training in volleyball players. They evaluated isometric joint angular force degree as predictors of functional strength. Materials and methods: Twenty four participant (average to 19.03 ± 1.54 age) were randomized to a 4-wk upper compartment functional strength program or control group. Results: Functional strength group increased significantly (p < 0.05) for all angular strength. Compared with controls, to functional strength led to greater at 45° angular strength (p = 0.011) dominant hand, non-dominant hand angular strength (p = 0.001), greater 90° angular strength (p = 0.014) dominant hand, non-dominant hand angular strength (p = 0.001). Shoulder and humerus muscle-tendon isometric strength were good predictors of functional strength. Conclusion: The authors concluded functional strength training in strength development is a important factor for shoulder-humerus postural force and a key target for upper compartment functional interventions.
目的:体位肌力导致功能性运动和相关力量能力的增加。本文研究了排球运动员功能性上肢力量训练后肩、肱骨力量、关节最大等距角度力的变化。他们评估了等距关节角力度作为功能强度的预测指标。材料和方法:24名参与者(平均年龄为19.03±1.54岁)随机分为4周上筋室功能强度组和对照组。结果:功能强度组各角强度均显著升高(p < 0.05)。与对照组相比,功能强度导致优势手在45°角强度(p = 0.011)、非优势手的角强度(p = 0.001)、优势手在90°角强度(p = 0.014)、非优势手的角强度(p = 0.001)较大。肩关节和肱骨肌-肌腱等长强度是功能强度的良好预测指标。结论:力量发展中的功能性力量训练是影响肩关节-肱骨位力的重要因素,是上隔室功能干预的关键目标。
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引用次数: 0
Exertional Rhabdomyolysis: A Case Report of an Exceptionally Elevated Serum Creatine Kinase (CK) Level 劳力性横纹肌溶解:一例异常升高的血清肌酸激酶(CK)水平报告
Pub Date : 2021-10-31 DOI: 10.23937/2469-5718/1510203
Kyriakides Jonathon, K. Aria, K. Rahul
Serum Creatinine Kinase (CK) is used as a diagnostic and prognostic marker in rhabdomyolysis. We present 32-year-old male with exertional rhabdomyolysis following a spin cycling class, with a peak serum CK level of 332,200 U/L. He was admitted for intravenous fluid therapy and then followed-up in the outpatient setting; renal function remained stable throughout. We review the literatures and explain why a combination of patient and environmental factors are important in the pathogenesis of exertional rhabdomyolysis. Despite a markedly elevated level of serum CK, and a correlation between serum CK and the risk of renal dysfunction being well-documented in the literature, normal renal function was noted in our case throughout. Although there is no clear consensus as to whether an elevated serum CK in the absence of renal failure warrants inpatient management, we propose that there could be a cohort of patients who could be managed in the outpatient setting with follow-up.
血清肌酐激酶(CK)被用作横纹肌溶解的诊断和预后指标。我们报告一名32岁男性患者,在进行旋转单车训练后出现劳力性横纹肌溶解,血清CK峰值为332,200 U/L。他入院接受静脉输液治疗,然后在门诊进行随访;整个过程中肾功能保持稳定。我们回顾文献,并解释为什么患者和环境因素的结合是重要的发病机制劳力横纹肌溶解。尽管血清CK水平明显升高,且血清CK与肾功能障碍风险之间的相关性在文献中得到了充分的记载,但在我们的病例中,始终注意到肾功能正常。虽然没有明确的共识,是否血清CK升高在没有肾衰竭需要住院治疗,我们提出,可以有一个队列的患者谁可以管理在门诊设置随访。
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引用次数: 0
Feasibility of a Six Week High Intensity Interval Training Program in Patients with Non- Small Cell Lung Cancer: A Randomized Pilot Study 非小细胞肺癌患者六周高强度间歇训练计划的可行性:一项随机试验研究
Pub Date : 2021-09-22 DOI: 10.23937/2469-5718/1510200
Walsh Emily, Hajj-Boutros Guy, Bastarache Guillaume, Faust Andréa, Comtois Alain-Steve
High Intensity Interval Training (HIIT) has become a mainstream, frequently investigated form of exercise training and has been used as a modality for physical activity in cancer patients. The objective of this study was to determine the feasibility of advanced Non-Small Cell Lung Cancer (NSCLC) patients performing a program of HIIT. To our knowledge, this is the first study to investigate a HIIT program for these patients. Ten participants were recruited for this study. Five were controls and five were in the intervention group. The HIIT program took place twice a week for six weeks. Measurements of physical fitness were determined at baseline and six weeks (six-minute walk test, musculoskeletal tests and a balance test). HIIT was performed on an ergocycle. Training consisted of a five-minute warm up, followed by repeated intervals of 10 seconds of high intensity and 60 seconds of low intensity, ending with a three-minute cool down. Rating of Perceived Exertion (RPE) was measured using the Borg scale. During HIIT, participants progressed in the number of intervals performed. Intensity as measured in watts more than doubled during the program. The RPE did not significantly change. Advanced NSCLC patients are able to do HIIT. They show progression in intensity and number of intervals. RPE was maintained, suggesting that participants were capable of maintaining an elevated exercise intensity at every training session. Results show that HIIT produces physiological improvements. Thus, HIIT is feasible and is well received as a training modality by advanced NSCLC patients. It is safe with good compliance, and more interestingly demonstrated muscle power improvement in a short six-week period of intervention.
高强度间歇训练(HIIT)已成为一种主流的、经常被研究的运动训练形式,并已被用作癌症患者身体活动的一种方式。本研究的目的是确定晚期非小细胞肺癌(NSCLC)患者实施HIIT计划的可行性。据我们所知,这是第一个针对这些患者的HIIT项目的研究。这项研究招募了10名参与者。5人是对照组,5人是干预组。HIIT项目每周进行两次,持续六周。在基线和六周时测定身体健康(六分钟步行测试、肌肉骨骼测试和平衡测试)。HIIT在循环单车上进行。训练包括5分钟的热身,然后是10秒高强度和60秒低强度的重复间歇,最后是3分钟的冷却。使用Borg量表测量感知用力等级(RPE)。在HIIT期间,参与者进行的间歇次数有所增加。在这个项目中,以瓦为单位的强度增加了一倍多。RPE无明显变化。晚期非小细胞肺癌患者可以进行HIIT。它们显示了强度和间隔次数的变化。RPE得到了维持,这表明参与者能够在每次训练中保持较高的运动强度。结果表明,HIIT产生生理改善。因此,HIIT作为一种训练方式在晚期非小细胞肺癌患者中是可行的,并且很受欢迎。它是安全的,具有良好的依从性,更有趣的是,在短短六周的干预期间,肌肉力量得到了改善。
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引用次数: 0
Non-Traumatic First Rib Fracture in University Wrestler 大学摔跤运动员非外伤性第一肋骨骨折
Pub Date : 2021-06-05 DOI: 10.23937/2469-5718/1510193
Allen Thomas Wesley
The first rib is well situated to be fully protected from external trauma as it is surrounded by soft tissue, muscles, and bony structures. It is rarely fractured by external trauma. However, two reports of non-traumatic first rib fractures have recently been reported: One in a basketball player and the other in a cheerleader. We present a third case of a non-traumatic first rib fracture, one that occurred in a collegiate wrestler secondary to cervical muscle contraction.
第一肋骨被软组织、肌肉和骨结构所包围,可以完全保护它免受外部创伤。它很少因外部创伤而骨折。然而,最近有两例非创伤性第一肋骨骨折的报道:一例发生在篮球运动员身上,另一例发生在啦啦队长身上。我们提出了第三例非创伤性第一肋骨骨折,其中一例发生在大学摔跤运动员继发于颈椎肌肉收缩。
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引用次数: 0
Influence of Physical Activity in Patients with Prostate Cancer Undergoing Radiotherapy and/or Hormonal Deprivation Therapy: Integrative Literature Review 运动对接受放疗和/或激素剥夺治疗的前列腺癌患者的影响:综合文献综述
Pub Date : 2021-06-05 DOI: 10.23937/2469-5718/1510192
Silva Caio Augusto de Ávila, Monteiro Gabriel Dias, Freitas Gustavo Pereira, Oliveira João Vitor Coppola, Abdalla Douglas Reis
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引用次数: 0
The Effect of Remote Training during Covid-19 Quarantine on Body Composition Changes in Collegiate Football Players 新冠肺炎隔离期间远程训练对高校足球运动员身体成分变化的影响
Pub Date : 2021-01-01 DOI: 10.23937/2469-5718/1510199
L. Stowers, J. R. Fernández
Background: Previous research has shown that following a structured training plan can result in significant changes in body composition in elite football players. However, the effect on body composition changes after athletes complete the same training plan remotely with limited resources needs further investigation. Aim: The purpose of this study is to determine if body composition changes in collegiate football players differ after training remotely during COVID-19 quarantine compared to training on campus during a routine off-season training period. Methods: This study was conducted as a secondary analysis of routine data collection in a southeastern collegiate athletic department. Body composition data was collected during off-season training in two separate groups of collegiate football players. Group 1 data was collected before and after the COVID-19 quarantine forced athletes to replicate their training remotely. Group 2 data was collected before and after a typical off-season training program on campus. Changes in body composition over the training period were calculated for each group and analyzed for statistical differences. Results: Anova was used to analyze the changes in weight, body fat, muscle mass, and BMI changes between groups. Results showed a significant change in muscle mass between groups 1 and 2 (F = 2.53, p = 0.0012). Conclusion: These results suggest that training remotely may not be as effective in building muscle mass when compared to traditional on campus training. Additionally, on campus resources such as coaches, support staff, nutrition, and community training may influence training results.
背景:先前的研究表明,遵循结构化的训练计划可以导致精英足球运动员身体成分的显著变化。然而,在资源有限的情况下,运动员远程完成相同的训练计划对身体成分变化的影响还需要进一步研究。目的:本研究的目的是确定大学橄榄球运动员在COVID-19隔离期间远程训练后的身体成分变化与常规休赛期校园训练相比是否有所不同。方法:本研究对东南某大学体育系的日常资料收集进行二次分析。在休赛期训练期间收集了两组独立的大学橄榄球运动员的身体成分数据。第一组数据是在COVID-19隔离迫使运动员远程复制训练之前和之后收集的。第二组的数据是在一个典型的校园淡季训练项目之前和之后收集的。计算各组在训练期间身体成分的变化,并分析统计差异。结果:采用方差分析分析组间体重、体脂、肌肉质量和BMI变化。结果显示,1组和2组肌肉质量变化显著(F = 2.53, p = 0.0012)。结论:这些结果表明,与传统的校园训练相比,远程训练在增强肌肉质量方面可能没有那么有效。此外,校园资源,如教练、支持人员、营养和社区培训可能会影响培训结果。
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引用次数: 1
Analysis of Blood Pressure after and of Exercise Training Competitor 运动训练后及运动员血压分析
Pub Date : 2021-01-01 DOI: 10.23937/2469-5718/1510198
Rubem Machado Filho, Leonardo Amado Sohr Cardoso, Fábio de Albuquerque Gonçalves
Are called concurrent training programs that combine strength training and aerobic endurance in the same training session. This study aimed to verify the behavior of blood pressure during and after a training session competitor. We studied 10 subjects aged 30.8 ± 12.8 (19 to 53 years) (4 hypertensive and normotensive 6) of both genders (5 men and 5 women). The statistical analysis was performed using software (Primer for Windows, version 4.0.0.0, McGraw-Hill, USA) using paired t-test, giving the significance level of p < 0.05 for SBP and DBP. The results obtained in this study indicate HPE for 60 minutes when performed concurrent training in question and suggests a reduction in BP similar to aerobic training, but with a slightly greater reduction in DBP.
称为并行训练计划,将力量训练和有氧耐力训练结合在一起。本研究旨在验证运动员训练期间和训练后的血压变化。我们研究了10例年龄30.8±12.8(19 ~ 53岁)的男女(5男5女),其中高血压4例,正常6例。统计学分析采用Primer for Windows, version 4.0.0.0, McGraw-Hill, USA)软件,采用配对t检验,收缩压和舒张压的显著性水平p < 0.05。本研究获得的结果表明,当进行相关的同时训练时,HPE持续60分钟,并且表明血压的降低与有氧训练相似,但舒张压的降低略大。
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引用次数: 0
Evaluation of Educational Advancement following a Sports Medicine Rotation 运动医学轮转后的教育进步评估
Pub Date : 2021-01-01 DOI: 10.23937/2469-5718/1510196
R. Edward, Cracchiolo Allison, Keating Patrick, Hefferan Kate, Chaoyang Chen, Lemos Stephen
Background: The competency in orthopaedic surgery and sports medicine has been reported as a deficiency. Sports medicine clinical rotations may improve both medical students’ and residents’ musculoskeletal knowledge, but none have evaluated the knowledge and skills a resident may gain during the rotation in sports medicine. Objective: The purpose of this study is to determine (1) The knowledge gained by residents at varying levels after rotating within our sports medicine program and (2) The performance of residents in a standardized sports medicine test at the start and end of each resident’s rotation in sports medicine. Methods: Total of 136 residents and fellows participated in this study following the Model Curriculum and Guidelines for Orthopaedic Surgery Sports Medicine Fellowship Training created by the American Orthopaedic Society for Sports Medicine Accreditation Council of Graduate Medical Education. Multiple modalities training program were administered, including clinical rotation, laboratory research project, covering professional sport team training, and conference presentation. Their performances were assessed and compared by preand post-rotation tests with statistical analysis to determine the improvement of their orthopaedic knowledge. Results: The residents at the fifth of Post-Graduate-Year (PGY 5) scored the highest followed by fellows. PGY5 had the lowest percent change between preand post-test. PGY 2 and PGY3 residents scored the lowest overall while having the largest percent change before and after the rotation thereby showing the most improvement. Conclusions: Multiple modalities training program improved residents and fellows’ performance and knowledge in sports medicine. Introduction The musculoskeletal complaint is one of the most common reasons for visiting a physician and accounts for 92.1 million cases annually [1] with approximately 30% of visits to primary care physicians and 20% of visits to the Emergency Department (ED) [2,3]. Despite the prevalence of musculoskeletal disorders, competency in musculoskeletal medicine including sports medicine has still been reported as a deficiency in medical education in the USA [4-9]. This deficiency is well documented through studies at both the undergraduate and graduate medical education levels [7,8,10-12]. This deficiency is noted even among orthopedic surgery residents [12]. Residents have failed to demonstrate basic competency in musculoskeletal medicine, revealing medical school preparation regarding this topic is inadequate. Because of this deficiency of knowledge and skills at all levels of medical education, more than half of residents did not feel they had adequate training in musculoskeletal medicine [13]. It has been reported that sports medicine clinical rotations improve both medical students’ and residents’ musculoskeletal knowledge [7,14-17] but none have tried to evaluate the knowledge and skills a resident may gain during his/her rotation in sports medicine.
背景:据报道,骨科外科和运动医学的能力不足。运动医学临床轮转可以提高医学生和住院医生的肌肉骨骼知识,但没有人评估住院医生在运动医学轮转期间可能获得的知识和技能。目的:本研究的目的是确定(1)不同水平的住院医师在我们的运动医学项目中轮转后获得的知识和(2)住院医师在每个住院医师轮转开始和结束时的标准化运动医学测试中的表现。方法:共有136名住院医师和研究员参与了由美国骨科学会运动医学研究生教育认证委员会制定的骨科外科运动医学研究员培训示范课程和指南。多种形式的训练计划,包括临床轮转,实验室研究项目,涵盖专业运动队训练和会议演讲。通过旋转前后的测试和统计分析来评估和比较他们的表现,以确定他们的骨科知识的提高。结果:研究生五年级住院医师得分最高,其次为研究员。PGY5在测试前后的变化百分比最低。pgy2和PGY3居民的总体得分最低,但在轮换前后的百分比变化最大,因此改善最大。结论:多模式培训方案提高了住院医师和研究员在运动医学方面的表现和知识。肌肉骨骼疾病是就诊最常见的原因之一,每年约有9210万例病例[1],其中约30%的患者就诊于初级保健医生,20%的患者就诊于急诊科(ED)[2,3]。尽管肌肉骨骼疾病普遍存在,但据报道,包括运动医学在内的肌肉骨骼医学能力仍然是美国医学教育中的一个缺陷[4-9]。通过对本科和研究生医学教育水平的研究,这一缺陷得到了充分的证明[7,8,10-12]。即使在骨科住院医师中也存在这种缺陷[12]。住院医师未能展示肌肉骨骼医学的基本能力,这表明医学院对这一主题的准备不足。由于各级医学教育的知识和技能的缺乏,超过一半的住院医生认为他们没有得到足够的肌肉骨骼医学培训[13]。据报道,运动医学临床轮转可以提高医学生和住院医生的肌肉骨骼知识[7,14-17],但没有人试图评估住院医生在他/她的运动医学轮转中可能获得的知识和技能。我们假设,除了观察住院医师的预测因素,或者像以前的研究[7,1417]中显示的骨科手术委员会考试的成功,有必要量化知识和技能(ISSN: 2469-5718 DOI: 10.23937/2469-5718/1510196 Rozek等)。国际体育运动医学杂志2021,7:196•第2页6•覆盖职业球队的比赛,包括底特律老虎队(MLB)和底特律红翼队(NHL)。除了比赛报道,SM的同事们还前往并参加了春训、训练营和季前赛的体检。他们与医生一起报道体育赛事和外联活动,包括底特律自由新闻马拉松、底特律大奖赛和其他由DMC运动医学赞助的赛事。他们还与内科医生合作,全年覆盖业余高中球队。学术会议报告住院医师和研究员在每周的研究员会议上发表学术演讲,以及在每月的DMC运动医学访问讲座系列和每月的期刊俱乐部上发表病例报告。他们参加了骨科住院医师会议和其他当地运动医学骨科会议。所有的运动医学研究员都参加了一年一度的美国运动医学矫形学会(AOSSM)会议以及密歇根矫形学会秋季和春季会议。运动医学研究员还参加了当地、地区和国家的各种关节镜课程。所有的运动医学研究员都展示了他们的研究成果,并参加了7月为期两天的活动,邀请了来自底特律大都会地区的演讲者和全国主题演讲者。所有DMC运动医学骨科奖学金的校友、现任研究员和即将进入的研究员都被邀请参加,以使研究员相互之间和项目保持联系。 住院医师和研究员每周参加生物技能实验室的培训,重点是提高肩、肘、腕、髋、膝和踝关节的关节镜检查技能。生物技能实验室也有一个肌肉骨骼超声组件进行培训。生物技能实验室的12周轮换计划确保研究员参与并掌握技能,使研究员能够在奖学金年度的最后一个季度为住院医生和学生教授实验室。
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引用次数: 0
Persistent Pain after Clay Shoveler's Fracture Delayed Union: The Role for Ultrasound-Guided Corticosteroid Injection 克雷铲骨骨折延迟愈合后持续疼痛:超声引导皮质类固醇注射的作用
Pub Date : 2021-01-01 DOI: 10.23937/2469-5718/1510189
Hasley Ike B., Gruner Marc P., Soma David B., Sellon Jacob L.
Clay shoveler’s fracture is an avulsion fracture of the lower cervical or upper thoracic spinous processes. This injury can be seen in trauma and sports-related activity, and usually responds to rest from painful activity. Patients with persistent pain may be treated with surgical excision of the avulsion fragment. We describe the case of a 14 year-old competitive swimmer whose desire to return to sport after failed initial treatment led to pursuit of an ultrasound-guided anesthetic/corticosteroid injection of the avulsion fracture interval. This led to rapid symptom relief and return to sport. Such an injection may be useful for diagnostic and potentially therapeutic purposes prior to surgical excision in the cases of delayed union or non-union clay shoveler’s fractures.
铲泥骨折是一种颈椎下突或胸椎上突的撕脱性骨折。这种损伤可以在创伤和运动相关活动中看到,并且通常对疼痛活动的休息有反应。持续疼痛的患者可以通过手术切除撕脱碎片来治疗。我们描述了一名14岁的竞技游泳运动员,在最初治疗失败后,他希望重返运动,于是在撕脱骨折间隙接受超声引导下的麻醉/皮质类固醇注射。这导致症状迅速缓解并恢复运动。对于延迟愈合或不愈合的铲泥骨折,在手术切除前,这种注射可能有助于诊断和潜在的治疗目的。
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引用次数: 0
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International journal of sports and exercise medicine
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