Patient presented for cystourethroscopy due to lower abdominal pain and possible bladder tumor. Cystoscope was inserted and tumor identified and excised. Surgical path verified the mass was malignant.D41.4R10.30C67.9C67.9, R10.30

Taking a coat from the donated box would be unethical and could potentially harm the people the coats were intended for.

Due to the purpose of the department store's donation being exclusive to those in dire straits, Drew obtaining a coat for personal utilization could block out another individual in necessitating of the same coat.

The ethical doctrine of beneficence must be adhered to by Drew, with him consulting with an administrator at the soup kitchen or the particular governor responsible for the equitable distribution of the fashionable coats in order to make sure that people in acute deprivation receive these article of clothing.

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The basic metabolic panel (BMP) with ionized calcium is a blood test that measures different substances in the blood to evaluate organ function and electrolyte balance.

The basic metabolic panel (BMP) with ionized calcium measures several substances in the blood, including glucose, electrolytes (sodium, potassium, chloride, bicarbonate), blood urea nitrogen (BUN), creatinine, and ionized calcium. These substances can provide important information about the functioning of the kidneys, liver, and other organs, as well as the balance of electrolytes in the body. The test is commonly used to screen for a variety of conditions, such as diabetes, kidney disease, and electrolyte imbalances.

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Atrial Natriuretic Peptide (ANP) is a hormone that is largely synthesised and produced by the cells of the heart's atria (upper chambers).

These cells release ANP in response to increased blood volume and pressure, which occurs when the heart is stretched or overloaded with fluid. The release of ANP helps to regulate blood pressure and fluid balance in the body.ANP acts on the kidneys to increase the excretion of sodium and water, which reduces blood volume and pressure.

It also acts on the blood vessels to promote vasodilation, which further reduces blood pressure. Additionally, ANP inhibits the release of renin and aldosterone, two hormones that promote the retention of sodium and water in the body.Overall, the release of ANP is an important physiological response to maintain fluid and electrolyte balance in the body, and its dysfunction can lead to disorders such as hypertension and heart failure.

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I agree with a humanistic approach that emphasizes the male or female craze through physical hobbies and sociocultural attitudes that promote fairness and inclusion in sporting activities.

A humanistic approach that emphasizes the individual's subjective experience and focuses on informal growth and self-realization through physical activity is an educational philosophy that aligns with my thinking. This method promotes improved physical, emotional and social well-being while recognizing the importance of the mind-body connection.

A sociocultural approach that recognizes the impact of lifestyle, culture and politics on physical tastes and sports is another theory that fascinates me. To improve the overall well-being of people and their communities, this ideology greatly emphasizes the need to promote equity, social justice, and participation in physical education and sport.

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The proportion of unplanned pregnancies in the US varies depending on the source and the population being studied. However, according to data from the Guttmacher Institute, approximately 45% of all pregnancies in the US are unintended.

Unintended pregnancies include both unplanned and mistimed pregnancies. Unplanned pregnancies are those that are completely unexpected and not desired at the time of conception, while mistimed pregnancies are those that occur earlier or later than desired. The proportion of unintended pregnancies is influenced by factors such as access to contraception, education, and socio-economic status.

Various factors contribute to this proportion, including lack of access to contraceptives, inconsistent contraceptive use, and lack of comprehensive sexual education. Efforts to reduce unplanned pregnancies include increasing access to contraception and promoting awareness about family planning.
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Key terms associated with rashes include macule, papule, vesicle, bulla, pustule, plaque, erythema, pruritus, and excoriation.

There are several key terms associated with rashes:

Macule: a flat, discolored spot on the skin that is less than 1 cm in diameter.

Papule: a raised, solid lesion that is less than 1 cm in diameter.

Vesicle: a small, fluid-filled blister that is less than 1 cm in diameter.

Bulla: a large, fluid-filled blister that is more than 1 cm in diameter.

Pustule: a small, raised lesion filled with pus.

Plaque: a raised, flat-topped lesion that is more than 1 cm in diameter.

Erythema: redness of the skin.

Pruritus: itching.

Excoriation: a scratch or abrasion on the skin.

These terms are important for classifying rashes because they help to identify the type of lesion present on the skin, which can provide clues to the underlying cause of the rash.

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The neurotransmitter associated with panic disorder that is located in the Locus Coeruleus is norepinephrine (NE). NE is a hormone and a neurotransmitter that is involved in the body's "fight or flight" response, which is the physiological response to perceived danger or threat.

When a person experiences a panic attack, there is a sudden surge in NE in the Locus Coeruleus, which triggers the body's physiological response.
Research has shown that medications that decrease NE activity in the brain can be effective in treating panic disorder. For example, selective serotonin reuptake inhibitors (SSRIs) are a commonly prescribed class of antidepressants that also work to decrease NE activity in the brain. Additionally, beta blockers, which are used to treat high blood pressure and heart disease, can also be effective in treating panic disorder because they block the effects of NE in the body.
It is important to note that panic disorder is a complex mental health condition, and there is no single cause or cure. However, understanding the role of neurotransmitters like NE in the Locus Coeruleus can help inform treatment options and improve outcomes for those living with this condition.

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The major factor in the development of centriacinar emphysema is cigarette smoking, which causes inflammation and destruction of the air sacs in the lungs, leading to breathing difficulties.

This type of emphysema is typically found in heavy smokers, and the damage to the lungs occurs primarily in the central or proximal portion of the respiratory bronchioles.  When someone inhales cigarette smoke, it causes inflammation in the airways, leading to the release of enzymes that break down the lung tissue.

Over time, this damage accumulates and leads to the formation of air sacs (alveoli) that are larger and less functional, resulting in difficulty breathing.Other factors that may contribute to the development of centriacinar emphysema include exposure to air pollution, occupational dust, and genetic factors.

However, smoking remains the most significant risk factor, and quitting smoking is the most effective way to prevent further damage to the lungs and slow the progression of emphysema. It is important for individuals who smoke or have a history of smoking to undergo regular lung function tests and seek medical attention if they experience symptoms such as coughing, shortness of breath, or wheezing.

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Medically speaking, palpitations are defined as the subjective sensation of an abnormal or irregular heartbeat. This can be described as a fluttering, racing, pounding, or skipping sensation in the chest, neck, or throat. Palpitations may be accompanied by other symptoms, such as dizziness, lightheadedness, shortness of breath, chest pain, or sweating.

Palpitations can be caused by a wide range of factors, including stress, anxiety, physical activity, caffeine or alcohol consumption, medication side effects, hormonal changes, or underlying heart conditions. Some common heart conditions that can cause palpitations include atrial fibrillation, supraventricular tachycardia, ventricular tachycardia, and premature ventricular contractions.

The diagnosis of palpitations typically involves a thorough medical history and physical examination, including an electrocardiogram (ECG) to evaluate the heart rhythm. Additional tests may be ordered based on the underlying cause suspected, such as blood tests, echocardiogram, or Holter monitoring.

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The best way to protect people in the water against propeller strikes is always wear an engine cut-out switch lanyard and a PFD or life jacket at all times.

Propeller strikes can, be avoided. Always have your life jacket on and keep your engine cutoff switch lanyard nearby. Engine shutdown will occur if the lanyard is taken away from the switch. When people are in the water, designate a passenger to watch the vicinity of your boat's propellers.

By warning passengers about dangerous activities near the propeller, instructing them on how to use safety gear, and requiring them to wear Engine cut-off switches (ECOS), boat operators can prevent accidents and fatalities.

Injury from propeller strikes can be reduced with the use of propeller safety gear like "propeller guards." Added safety gear for propellers could consist of: Interlocking stairway. When passengers use the boat's swim platform, these devices can automatically sound an alarm or turn off the engine.

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Common hepatic duct obstructed secondary to impacted cystic duct stone: Mirizzi syndrome

The obstruction of the common hepatic duct due to an impacted cystic duct stone can lead to a medical condition called Mirizzi syndrome. This can cause symptoms such as jaundice, right upper quadrant abdominal pain, fever, chills, and nausea, and can also result in complications such as cholangitis and hepatic abscesses. Treatment typically involves surgical removal of the stone and repair of the bile duct.

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Coronary artery disease (CAD), which is brought on by the accumulation of plaque in the coronary arteries that feed blood to the heart muscle, is the most frequent cause of heart failure in developed nations.

Reduced blood flow to the heart, known as ischemia, can result from this. Over time, this can harm the heart muscle and result in heart failure. Diabetes, cardiomyopathy, valvular heart disease, and hypertension are some additional common causes of heart failure.

Heart failure can occasionally also result from specific treatments, such as chemotherapy, or genetic causes. Breathlessness, exhaustion, swelling in the legs and ankles, and an erratic or rapid heartbeat are all signs of heart failure.

Treatment options include changing one's lifestyle, using drugs to treat symptoms and underlying reasons, and in certain circumstances, using pacemakers or left ventricular assist devices (LVADs) or other devices.

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The contributing factors for localized vulvodynia or vestibulodynia may include physical trauma, chronic infection, hormonal changes, pelvic floor muscle dysfunction, allergies, autoimmune disorders, and psychological factors such as stress, anxiety, and depression which is important for the healthcare provider to assess all possible factors and develop a comprehensive treatment plan for the client.

The contributing factors for a client with a suspected diagnosis of localized vulvodynia or vestibulodynia. Here are the factors that may contribute to these conditions:

1. Hormonal imbalances

2. Nerve injury or irritation

3. Chronic inflammation or infection

4. Genetic predisposition

5. Pelvic floor muscle dysfunction

6. History of sexual abuse or trauma

7. Allergies or sensitivities to certain substances

A healthcare provider will conduct a thorough assessment to determine which factors may be relevant for each specific client.

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The most likely causative organism for a nosocomial infection that is resistant to vancomycin therapy is Methicillin-resistant Staphylococcus aureus (MRSA).

MRSA is a type of Staphylococcus aureus bacteria that has become resistant to several antibiotics, including vancomycin. It is a common cause of healthcare-associated infections such as surgical site infections, bloodstream infections, and pneumonia.

Other possible causative organisms for a vancomycin-resistant nosocomial infection include Enterococcus faecium, a type of bacteria that is often found in the gastrointestinal tract, and Pseudomonas aeruginosa, a type of bacteria that is commonly found in soil and water and can cause infections in people with weakened immune systems.

However, MRSA is the most common cause of vancomycin-resistant nosocomial infections.

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The sympathetic innervation to the testes and ovaries is supplied by the lumbar splanchnic nerves. These nerves originate from the lumbar region of the spinal cord, specifically the levels L1-L4, and join the superior hypogastric plexus. From there, sympathetic fibers are distributed to the reproductive organs.

The sympathetic nervous system plays a role in regulating the blood flow and secretory activity of the gonads, as well as contributing to ejaculation in males. The parasympathetic nervous system also contributes to the regulation of reproductive function, with its fibers originating from the pelvic splanchnic nerves (S2-S4) and traveling to the inferior hypogastric plexus. Together, the sympathetic and parasympathetic nervous systems work to maintain proper reproductive function.

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Humanistic client-centered therapy, also known as person-centered therapy, is a form of psychotherapy that emphasizes the importance of empathy, unconditional positive regard, and authenticity in the therapeutic relationship. It is based on the belief that individuals have an innate capacity for growth and self-actualization.

Research has shown that person-centered therapy can be effective in treating generalized anxiety disorder (GAD). A 2015 study published in the Journal of Humanistic Psychology found that person-centered therapy was effective in reducing symptoms of GAD in a sample of college students.

The therapy approach can be particularly helpful for individuals with GAD who may benefit from a non-judgmental, supportive, and empathetic environment to explore and process their emotions and thoughts.

However, it is important to note that therapy is a highly individualized process, and what works for one person may not work for another. Therefore, it is important to work with a qualified therapist to determine the best treatment approach for your specific needs.

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Viscerosomatic reflex is a type of reflex that occurs between the organs in the body and the muscles in the body. T8-L2 is the area of the spine where these reflexes occur.

This region of the spine is responsible for controlling the muscles in the abdomen and lower back. The reflexes that occur here are important for maintaining the health of the organs in the body. When an organ is not functioning properly, it can send signals to the muscles in this area to try to correct the problem. This reflex can be activated by a number of things, including stress, injury, or illness. By understanding how the viscerosomatic reflex works, healthcare professionals can better diagnose and treat patients who are experiencing problems with their organs or muscles in this area of the body.

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Yes, Mirizzi syndrome increases risk of coincident. Mirizzi syndrome is a condition characterized by the compression or obstruction of the common bile duct due to the presence of gallstones or inflammation in the gallbladder or bile ducts.

Mirizzi syndrome is a condition in which a gallstone becomes impacted in the cystic duct or neck of the gallbladder and causes obstruction of the common bile duct. This can lead to inflammation and destruction of the bile duct wall, which may result in the formation of a fistula between the gallbladder and the common bile duct.

Patients with Mirizzi syndrome are at an increased risk of coincident cholecystitis, choledocholithiasis (stones in the common bile duct), and cholangitis (infection of the bile duct). They may also be at an increased risk of gallbladder cancer, as chronic inflammation and damage to the gallbladder can predispose to malignancy. Therefore, prompt diagnosis and treatment of Mirizzi syndrome is important to prevent these complications.

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Short-term memory (STM) is a type of memory system that holds a limited amount of information for a short period of time. STM is commonly referred to as working memory, as it is involved in the manipulation of information required for various cognitive tasks.

The capacity of STM is limited, and it can hold only a small amount of information for a few seconds to several minutes, depending on the nature of the information and how it is processed. The duration of STM can be increased through rehearsal, which involves repeating the information to be remembered.

Perceptions of STM differ depending on the context and the individual. Some people have better STM capacity than others, and it can also be affected by factors such as age, stress, and fatigue. Additionally, perceptions of STM can vary depending on the type of information being remembered.

For example, remembering a string of numbers might be easier for some people than remembering a list of unrelated words. Overall, STM plays a crucial role in our daily lives, allowing us to perform tasks that require the manipulation of information in real-time.

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The BMI of a person who is 6 feet tall and weighs 150 pounds is approximately 7.38. This is considered to be underweight as a healthy BMI range is typically between 18.5 and 24.9.

To determine the BMI of a person who is 6 feet tall and weighs 150 pounds, we can use the formula for BMI which varies directly with weight and inversely with the square of height.

First, we need to calculate the square of the person's height, which is 6 feet or 72 inches.

72^2 = 5,184

Next, we can use Oliver's BMI formula to find the unknown person's BMI:

26.84 = (137.5 / 5,184) x w

where w is the unknown person's weight.

Simplifying the equation, we get:

w = (26.84 x 5,184) / 137.5

w = 1,014.88 / 137.5

w = 7.38

Therefore, the BMI of a person who is 6 feet tall and weighs 150 pounds is approximately 7.38. This is considered to be underweight as a healthy BMI range is typically between 18.5 and 24.9. It is important to note that BMI is just one factor to consider when assessing one's overall health and should not be the sole indicator.

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Pulmonary capillary wedge pressure (PCWP) is a crucial measurement in assessing heart function, particularly in diagnosing conditions like mitral valve stenosis. PCWP is obtained through a catheter placed in the pulmonary artery, indirectly reflecting left atrial pressure. It helps in evaluating left ventricular function, fluid status, and diagnosing various heart conditions.

In mitral valve stenosis, the narrowing of the mitral valve impedes blood flow from the left atrium to the left ventricle, increasing left atrial pressure. This elevated pressure is transmitted back to the pulmonary veins and pulmonary capillaries, resulting in a higher PCWP.

A normal PCWP value ranges between 6 and 12 mmHg, whereas patients with mitral valve stenosis may have a significantly higher PCWP.

By analyzing PCWP values, healthcare professionals can identify the severity of mitral valve stenosis and determine the appropriate course of treatment.

Elevated PCWP may indicate a need for intervention, such as medication, balloon valvuloplasty, or valve replacement surgery.

Monitoring PCWP is essential for managing the condition and ensuring optimal patient outcomes.

In summary, PCWP is a valuable tool in diagnosing and managing mitral valve stenosis by providing insights into left atrial pressure and guiding treatment decisions.

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Ectropion is a condition where the lower eyelid turns outwards, resulting in exposure of the inner surface of the eyelid. This can cause irritation, dryness, and tearing of the eye. In the case mentioned, the patient had ectropion of both the right and left lower eyelids.

To correct this, a tarsal wedge excision was performed on the right eyelid, which involves removing a small wedge-shaped section of the eyelid to tighten the lid and bring it back into its normal position. For the left eyelid, a suture repair was performed, where the eyelid was tightened and repositioned using sutures.
These procedures are typically performed under local anesthesia and can be done as an outpatient procedure. Recovery time varies depending on the extent of the surgery, but most patients are able to return to their normal activities within a few days to a week. Postoperative care includes the use of eye drops, ointments, and compresses to reduce swelling and promote healing.
It is important to treat ectropion as it can lead to chronic irritation and infection of the eye. If left untreated, it can also cause long-term damage to the cornea, which may result in decreased vision. Patients should seek medical attention if they experience any symptoms of ectropion, such as excessive tearing, dryness, or redness of the eye.

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Based on the presented symptoms, the patient may be diagnosed with vasculitis, which is an inflammation of blood vessels. The presence of p-ANCA suggests the possibility of microscopic polyangiitis, which is a type of vasculitis that affects small blood vessels, causing inflammation and damage to tissues and organs.

The muscle pain, fatigue, and weight loss are also common symptoms of vasculitis, and the livedo reticularis (purplish discoloration of the skin) may indicate blood vessel damage. The left foot drop may be caused by nerve damage or compression due to inflammation. Further tests and imaging may be necessary to confirm the diagnosis and determine the extent of organ involvement.

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Tricuspid valve regurgitation is a condition in which the tricuspid valve does not completely close during systole, causing blood to flow back from the right ventricle to the right atrium.

A patient with tricuspid valve regurgitation may have the following cardiac findings:

1. Systolic murmur most audible at lower left sternal border: The blood flowing from the right ventricle to the right atrium is turbulent, which causes this murmur.

2. The right ventricle may experience a tangible thrill or vibration as a result of the blood's turbulent flow.

3. Tricuspid regurgitation can cause right-sided heart failure, which can show up as ascites, jugular venous enlargement, hepatomegaly, and peripheral edema.

4. Findings from an echocardiogram include the degree of tricuspid regurgitation, the size of the regurgitant jet, and the degree of right ventricular hypertrophy. Echocardiography can confirm the diagnosis of tricuspid regurgitation and provide details on the severity of the problem.

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There is a known association between Colonic angiodysplasia and Aortic stenosis. Colonic angiodysplasia is a condition where abnormal blood vessels form in the colon, which can cause gastrointestinal bleeding. Aortic stenosis is a narrowing of the aortic valve in the heart, which can lead to reduced blood flow to the body's organs.

Both conditions are more common in older adults and may be related to changes in the blood vessels with age. Some studies have suggested that there may be a link between these two conditions, possibly due to shared risk factors such as hypertension and atherosclerosis. However, more research is needed to fully understand the relationship between colonic angiodysplasia and aortic stenosis.

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The viscerosomatic reflex is a neurological response in which an organ in the body communicates with the spine, resulting in a response in a specific area of the body.

T9 refers to the ninth thoracic vertebra in the spine, which is located in the middle of the chest. When there is a problem with an organ located in the vicinity of T9, it can trigger a reflex response in the muscles, bones, and tissues in that area of the body. This can result in symptoms such as pain, discomfort, and tension. Treatment for viscerosomatic reflex involves addressing the underlying organ dysfunction, as well as addressing any musculoskeletal issues that may have developed as a result of the reflex response. Chiropractic adjustments, massage therapy, and other forms of physical therapy can be beneficial in treating this condition.

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To determine if there is a significant difference between the population proportions of high school freshmen and seniors using anabolic steroids in Illinois, we need to conduct a hypothesis test.

In this case, we will perform a two-proportion z-test. We define the following parameters:
- p1: Proportion of high school freshmen using anabolic steroids
- p2: Proportion of high school seniors using anabolic steroids
The null hypothesis (H0) states that there is no significant difference between the population proportions, meaning p1 = p2. The alternative hypothesis (H1) states that there is a significant difference between the population proportions, meaning p1 ≠ p2.

Summary: To answer your question, we need to perform a two-proportion z-test with the null hypothesis (H0) being p1 = p2, and the alternative hypothesis (H1) being p1 ≠ p2. By comparing the test statistic to a critical value or calculating the p-value, we can determine whether there is a significant difference between the population proportions of high school freshmen and seniors using anabolic steroids in Illinois.

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Answer:

Antibiotics are the primary treatment for bacterial infections, such as strep throat. Penicillin is the most common antibiotic used to treat strep throat, but other antibiotics such as amoxicillin, erythromycin, and azithromycin may also be prescribed depending on the individual case. It is important to take antibiotics exactly as prescribed by a healthcare provider and to complete the full course of treatment, even if symptoms improve before the medication is finished. This helps to ensure that the infection is fully treated and reduces the risk of antibiotic resistance.

A biological theorist would likely provide pharmacological treatment for an OCD patient.

Biological theories of OCD suggest that imbalances in neurotransmitters, particularly serotonin, may be the root cause of the disorder. Therefore, medication that increases serotonin levels in the brain, such as selective serotonin reuptake inhibitors (SSRIs), may be effective in reducing OCD symptoms. While biological theorists may also consider other forms of treatment, such as cognitive-behavioral therapy (CBT), their primary focus would be on pharmacological interventions that target the underlying biological factors thought to contribute to OCD.

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The two forms of leprosy are lepromatous leprosy and tuberculoid leprosy. Lepromatous leprosy indicates failed cell-mediated immunity and has a worse prognosis.

A useful mnemonic to remember the difference between the two forms of leprosy is "Many bacilli - Bad prognosis." Lepromatous leprosy is characterized by a high bacterial load, with numerous bacilli present in the skin and other tissues. The immune response is characterized by the presence of large numbers of ineffective immune cells, which fail to control bacterial infection. As a result, lepromatous leprosy is associated with a worse prognosis and a higher risk of complications, such as nerve damage and disfigurement. In contrast, tuberculoid leprosy is characterized by a more effective cell-mediated immune response, which is able to control bacterial infection and limit damage to the affected tissues. As a result, tuberculoid leprosy has a better prognosis and a lower risk of complications.

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