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France to reimburse patients’ remote monitoring costs

06/07/2023

France has become the first European country to reimburse the costs associated with remote monitoring of patients with chronic medical conditions. The initiative aims to reduce hospitalizations and enhance patient well-being. Starting from July 1, the country's health insurance scheme, Assurance Maladie, has begun refunding the expenses incurred during these remote checks, which are sometimes conducted through video calls. What is medical remote monitoring? Medical remote monitoring, known as "télésurveillance médicale" in French, involves the use of video or biomedical devices to allow healthcare professionals to monitor a patient's condition. This can include devices such as glycemic monitors, pacemakers, or other biomedical tools. It's important to note that télésurveillance médicale differs from téléconsultation, which refers to doctor appointments conducted via video. However, video calls may be incorporated into medical remote monitoring if necessary. Distance monitoring eliminates the need for patients to make frequent in-person visits to healthcare practitioners or rush to the hospital in case of an issue. Instead, patients may need to perform specific regular tasks at home and report the results to their doctor. For instance, they might be required to measure their blood pressure, monitor their weight, and complete a brief questionnaire every week, with the data being sent to their doctor. One patient, Jean-Louis Bernard, aged 74 from Caen, shared his experience with Le Monde, stating, "When you have a chronic illness, your condition can rapidly deteriorate, and if you're not careful, you may end up in the emergency room, even after consuming a meal that's too salty. Thanks to this tool, medical teams can respond to even the slightest alert and advise me remotely." His wife, Michelle, emphasized the invaluable assistance provided by remote monitoring, as it has prevented Jean-Louis from being hospitalized since he started using it, whereas hospitalizations were previously frequent. Why has reimbursement been extended to all individuals in need? The decision to make remote monitoring reimbursements accessible to all aims to achieve the following objectives: - Enhance the quality of care for patients undergoing distance monitoring. - Reduce hospitalizations and emergency room admissions by enabling patients to receive care at home. - Update healthcare processes and enhance care organization. - Improve patients' quality of life and overall comfort. Which conditions are eligible for distance monitoring? Since 2014, remote medical monitoring has been covered on an experimental basis under the ETAPES program (Experiments de télémédecine pour l'amélioration des parcours en santé) for the following five conditions: - Chronic respiratory failure - Chronic heart failure - Chronic renal failure - Diabetes Cardiac arrhythmia requiring cardiac prostheses The ETAPES program has now concluded, and distance monitoring can be implemented for any patients whose healthcare professionals determine the necessity, particularly for those who are at risk of hospitalization or health complications. The Ministry of Health has emphasized that patients must be fully informed about the process and provide their consent for monitoring. Which healthcare professionals can offer télésurveillance? According to Assurance Maladie, any doctor can refer a patient for remote monitoring. However, only healthcare professionals "whose specialities are referred to in the ministerial decrees registering telemonitoring activities, whatever their sector of practice and their place of practice” are authorized to carry out remote medical monitoring. These professionals can operate from general practitioner surgeries, nursing homes, health centers, hospitals, or clinics. *Photo by John Valette via Pexels

Reducing salt intake by just 1g per day can reduce heart disease risk

17/08/2022

Reducing salt intake by just 1g per day can significantly lower a person's risk of heart disease, a new study has found. According to the Chinese study, published in BMJ Nutrition, Prevention, & Health, almost 9 million cardiovascular events could be prevented each year by 2030 if people cut their salt intake by just 1g per day. Despite the World Health Organization recommending people to eat a maximum of 5g of salt per day, the researchers noted that China has one of the highest daily salt intakes in the world with an average consumption of 11 grams per day – more than twice the WHO recommended amount. Furthermore, around 40 per cent of all deaths in China are associated with or because of cardiovascular disease. Specifically, the researchers found that reducing salt by 1g per day could lower the average systolic blood pressure by 1.2 mm/Hg, potentially preventing 9 million cardiovascular disease events and stroke cases by 2030 – of which 4 million would be fatal. “While this study focused on the salt intake in China, the benefits of salt reduction in an American diet are well established,” Dr. Jeffrey Tyler, a cardiologist with Providence St. Joseph Hospital in California, told Healthline. “People who are middle or older age, diabetic, with kidney disease… benefit, even more, when reducing salt intake.” *Image by Bruno /Germany from Pixabay

Herbs, spices can reduce blood pressure, research finds

16/11/2021

The United States Centers for Disease Control and Prevention (CDC) says nearly half of American adults are living with high blood pressure (hypertension). Left untreated, this hypertension can lead to serious cardiovascular conditions, such as heart attack, stroke and heart failure. Individuals with hypertension are often advised to reduce their salt intake, as doing so can help reduce blood pressure levels. Now, a group of researchers from Pennsylvania State University has decided to investigate the health effects of herbs and spices, particularly whether they can benefit people with hypertension. The researchers conducted a randomized, controlled trial to look at the effect of longer-term consumption of herbs and spices on risk factors for cardiovascular disease. They found that a higher level of herbs and spices in food reduced 24-hour blood pressure readings. The findings appear in the American Journal of Clinical Nutrition. Speaking to Medical News Today, Prof. Penny Kris-Etherton, one of the lead authors of the study, said: “Indeed, the blood pressure-lowering effects of herbs and spices in an average Western diet were surprising to me. “We [already know] about the effects of many lifestyle factors, especially dietary factors, that can increase blood pressure — such as sodium, alcohol, and caffeine — and others that can decrease blood pressure, such as potassium, magnesium, and calcium, […] weight loss, physical activity, and some vitamins, including folate and vitamin D when intake is low, but the blood pressure-lowering effects of herbs and spices are new!” *Image by monicore from Pixabay

Cutting salt intake is 'immensely beneficial'

25/02/2020

We recently wrote about how avoiding five specific bad habits can significantly extend your life. Now, a new meta-analysis published in The BMJ adds further weight to the argument for eating less salt and being healthier. According to the meta-analysis of 133 clinically randomised trials, lowering salt intake reduces blood pressure – even in individuals who are not yet at risk of hypertension-related conditions. This is important because heart disease is the number one global killer and high blood pressure is the leading cause of heart disease. Furthermore, hypertension is also the leading cause of stroke, heart failure and kidney disease, highlighting how potentially beneficial a low slat diet could be for many people. Interestingly, the research found that the greater the reduction in salt intake, the greater the benefit to blood pressure. At present, U.S. government guidelines advise Americans to not consume more than 2,300 milligrams (mg) of salt per day as part of a healthy eating pattern. However, the vast majority of U.S. adults are eating more sodium than they should -- average of more than 3,400 mg each day. One of the biggest problems is the amount of salt that is contained in manufactured foods, which is usually added to enhance flavour, texture and colour, as well as improve longevity. So even if you don’t reach for the salt shaker at every mealtime, you could still be consuming too much. It’s good to get into the habit of checking the foods you buy to see how much they all contain. After all, just a small reduction could significantly improve your health and reduce your risk of early mortality. Speaking about the findings of the research, lead author Feng He, a researcher at Queen Mary University of London, said: “The totality of evidence in the JACC review and this latest BMJ research shows that reducing our salt intake will be immensely beneficial.”

Blood pressure pills are more effective at bedtime

24/10/2019

People who take daily blood pressure medication should take it just before bedtime to get the most out of it, researchers say. Writing in the European Heart Journal, the researchers say that while it may sound like a very simple tip, it’s one that could save lives. The reason why taking such medication at bedtime is more beneficial is because our body clocks alter the way our bodies respond to it. At night, our blood pressure is typically lower than it is during the day. However, if for some reason our blood pressure does not dip and remains consistently high, our chances of having a stroke or heart attack significantly increase. The study found that patients who took their daily blood pressure medication before bedtime had significantly lower average blood pressure both at night and during the day than those who took their medication in the morning. Their blood pressure also dipped more at night. Lead researcher Prof Ramon Hermida, from the University of Vigo in Spain, said doctors should consider recommending their patients take their daily blood pressure medication at night going forward – especially as it’s “totally cost-free. It might save a lot of lives. “Current guidelines on the treatment of hypertension do not recommend any preferred treatment time. Morning ingestion has been the most common recommendation by physicians based on the misleading goal of reducing morning blood pressure levels. “The results of this study show that patients who routinely take their anti-hypertensive medication at bedtime, as opposed to when they wake up, have better-controlled blood pressure and, most importantly, a significantly decreased risk of death or illness from heart and blood vessel problems.” The next step is to determine whether the findings of the study apply to different brands of blood pressure medication. Lifestyle factors that have an impact on blood pressure: Smoking Drinking too much alcohol Being overweight Not doing enough exercise Eating too much salt

Why whales never develop cancer (and why we should care)

16/05/2019

Despite some species living for over 200 years and carrying an abundance of blubber for most of their life, whales - the world’s largest mammals – have incredibly low rates of cancer. The same also goes for elephants and porpoises. But why and could these animals’ resistance help us better understand the disease and how to combat it? Well, according to a new study by a team of researchers from Northern Arizona University, in Flagstaff; the Arizona State University, in Tempe; and other collaborating institutions, the answer may lie in these aquatic mammals' genes. Publishing their findings in the journal Molecular Biology and Evolution, the researchers say certain genomic loci had evolved at a faster rate in whales than they had in other mammals. More importantly, these were loci containing genes that regulate the maintenance process of healthy cells. The team discovered this by analysing samples taken from Salt, a female humpback whale. Salt was the perfect research candidate because she has been being followed since the 1970s and scientists have a wealth of data about her. Speaking about the findings of the research, Marc Tollis, Ph.D., an assistant professor at Northern Arizona University and leader of the research team, said: “This suggests that whales are unique among mammals, in that in order to evolve their gigantic sizes, these important 'housekeeping' genes, that are evolutionarily conserved and normally prevent cancer, had to keep up in order to maintain the species' fitness. “We also found that despite these cancer-related parts of whale genomes evolving faster than [in] other mammals, on average, whales have accumulated far fewer DNA mutations in their genomes over time, compared to other mammals, which suggests they have slower mutation rates.”

Is your diet killing you?

04/04/2019

Our daily diets are bigger killers than smoking and account for one in five deaths around the world. In other words, the food you eat could be sending you to an early grave. But which diets are the worst? Well, according to an influential study in The Lancet, salt – whether it be in bread, processed meals or soy sauce – shortens the most lives. The Global Burden of Disease Study used estimates of different countries’ eating habits to determine which diets were shortening the most lives. Here are the three most dangerous diets: Too much salt - three million deaths Too few whole grains - three million deaths Too little fruit - two million deaths Low levels of seeds, nuts, vegetables, fibre and omega-3 from seafood were the other major killers. Speaking to the BBC, Prof Christopher Murray, the director of the Institute for Health Metrics and Evaluation at the University of Washington, said: “We find that diet is one of the dominant drivers of health around the world, it's really quite profound.” Salt is such a big problem because it significantly increases a person’s blood pressure, which in turn increases their chances of heart attacks and strokes. Around 10 million out of the 11 million diet-related deaths were because of cardiovascular disease, highlighting why diets containing too much salt are such a problem.

Some meat substitute products saltier than Atlantic seawater, study finds

25/10/2018

A significant proportion of meat-free burgers, sausages and mince contain unacceptable levels of salt, a campaign group has found. According to Action on Salt, 28% of the 157 meat substitute products studied by them did not meet Public Health England (PHE) voluntary salt targets. In some cases, products were found to be saltier than Atlantic seawater, the report says. Action on Salt is calling on PHE to take “urgent action” to make food manufacturers adhere to maximum recommended salt levels. Out of all the meat-free products investigated by Action on Salt, only three were found to be low in salt. Tofurky's Deli Slices Hickory Smoked and Tesco's Meat Free Bacon Style Rashers were the saltiest meat substitutes studied, containing, 3.5g and 3.2g of salt per 100g respectively. PHE's salt target for meat-free bacon is 1.88g of salt per 100g. For comparison, seawater has around 2.5g of salt per 100g. While their meat-free bacon was found to be extremely high in salt, Tesco’s Meat-Free Mince had one of the lowest salt levels of all the products analysed – just 0.2g of salt per 100g. Speaking about the findings of the study, Mhairi Brown, nutritionist at Action on Salt, said: “The food industry has ensured greater availability of meat-free alternatives, but now they must do more to ensure that meat-free alternatives contain far less salt - at the very least lower than their meat equivalents. “This survey drives home the urgent need for Public Health England to reinvigorate the UK's salt reduction strategy.”

Major study finds eating processed meat raises risk of breast cancer

04/10/2018

A major study has found that eating processed meat, like bacon and sausages, may raise the risk of breast cancer in women. According to the review of studies involving more than one million women, eating higher levels of processed meat could result in a 9% greater risk of developing breast cancer. The research by a team from Harvard University’s T H Chan School of Public Health reviewed 15 related studies. It supports previous findings by the World Health Organisation (WHO) which suggest processed meats cause cancer. However, while the study has identified a potential link between processed meat and breast cancer, there is no clear evidence to show these types of foods are actually the cause. Furthermore, as outlined by the study authors in the International Journal of Cancer, their findings only relate to processed meat, not red meat. Bacon, sausages, salami, ham, hot dogs and corned beef are all examples of processed meat. And while it is not fully known why these foods are associated with a greater risk of cancer, it is thought that preservatives, like salt, may react with protein in the meat turning it carcinogenic. But rather than eliminating processed meat from your diet completely, the advice is simply to cut down. At present, current NHS guidelines recommend eating no more than 70g of red and processed meat a day. If you’re eating more than that on a regular basis, maybe it’s time to make some dietary changes.

Some Chinese takeaway meals contain as much salt as five Big Macs

14/03/2018

Do you know how much salt you consume on a daily basis? If you’re a fan of Chinese takeaway meals, it could be far more than you ever imagined, according to a campaign group. For their research, Action on Salt analysed more than 150 Chinese takeaway dishes from both restaurants and supermarkets. They found that most contained way too much salt – almost half the average person’s recommended daily amount of salt (6g) in some cases. When it comes to the saltiest meals, dishes like beef in black bean sauce topped the list. If a person adds a portion of egg fried rice, their salt intake could rise by as much as 5.3g in one meal. In fact, one portion of beef in black bean sauce and a side of vegetable noodles was found to contain as much salt as five Big Macs. While it’s vastly more difficult with Chinese takeaway food, Action on Salt recommends people check the nutritional information on supermarket bought food to see how much salt it contains. The campaign group says that many Chinese takeaway meals should carry health warnings because of the amount of salt they contain. Too much salt can lead to increased blood pressure, which can in turn increase a person’s risk of heart attack and stroke. Public Health England (PHE) has been encouraging the food industry to reduce the amount of salt found in food. Dr Alison Tedstone, chief nutritionist for PHE, said: "A loaf of bread has 40% less than it used to. "However, some products are still too high in salt and we know this can be reduced further. "We've been very clear with the food industry on the importance of meeting the 2017 salt targets. "We'll report on their progress this year and on any necessary advice to government on the next steps." So, the next time you reach to grab your favourite Chinese takeaway meal from the supermarket, just have a quick read of the nutritional information. What you discover might just make you choose something else instead.  

One in 10 men aged 50 have the heart of a 60-year-old

05/09/2017

A study by Public Health England looking at the heart health of the nation has found that thousands of men face early death at the hands of a heart attack or stroke. In fact, according to the analysis of 1.2 million people, one in 10 British men has a heart age that’s a decade older than their actual age. Heart disease is the main cause of death among men and the second among women. Public Health England says that 7,400 people will die from heart disease or stroke this month alone. However, most of these deaths are preventable and Public Health England says that just a few small lifestyle changes can have a positive impact. One of the suggestions made was for over 50s to get their blood pressure regularly checked as high blood pressure can be an early sign of a potentially life-threatening condition. Public Health England’s head of cardiovascular disease, Jamie Waterall, urged people not to only start considering their heart health later in life. "Addressing our risk of heart disease and stroke should not be left until we are older", he said. How to improve your heart health: Give up smoking Get active Manage your weight Eat more fibre Eat five portions of fruit and vegetables per day Cut down on saturated fat Cut down on salt Drink less alcohol

Marmite yeast extract may help to boost brain function - study

06/04/2017

The slogan for British yeast extract Marmite is 'You either love it or hate it'. And while many people in America may not have even heard of it, a new study will come as good news for lovers of the popular food stuff. A by-product of beer brewing, Marmite is a sticky, almost black coloured food paste with a very distinctive, powerful, salty flavour. People in the UK usually eat it in sandwiches or on toast. According to a study conducted by researchers from the University of York in the UK, Marmite could help boost brain function. The study found that participants who ate one teaspoon of Marmite every day displayed a reduced response to visual stimuli - an indicator of increased levels of gamma-aminobutyric acid (GABA) in the brain. Simply put, GABA "clams" the human brain and helps restore the optimal balance of neuronal activity required for healthy brain functioning. Low GABA levels have previously been linked with anxiety, depression, epilepsy, and autism. That's why researchers have been looking at ways to increase GABA levels in the brain. Speaking about the findings of the research, Senior author Dr. Daniel Baker, of the Department of Psychology at York, said: "Since we've found a connection between diet and specific brain processes involving GABA, this research paves the way for further studies looking into how diet could be used as a potential route to understanding this neurotransmitter." The study serves as a great reminder of how diet has the ability to alter brain processes.

Night-time toilet trips linked to salt intake - study

28/03/2017

Do you ever wake up in the middle of the night with an urge to go to the toilet? A new study from Japan suggests that it could be linked with the amount of salt you consume. For the study, researchers from Nagasaki University analysed more than 300 volunteers. They found that a reduced salt intake caused people to urinate less in the middle of the night. The problem - called nocturia - is thought to mainly affect people over the age of 60. It disrupts sleep and can have a significant impact on people's lives. Presenting their findings at the European Society of Urology congress in London, the researchers said that a sensible diet could help to improve the symptoms of nocturia. During the study, patients with a high salt intake were advised to cut back. Instead of needing the toilet more than twice a night their trips dropped to just one. As a result, their quality of life also improved. To add extra weight to the study's findings, 98 volunteers were asked to eat more salt than normal. They found they went to the toilet more often at night time. Study author Dr Matsuo Tomohiro said that while larger studies were needed to confirm the link, the results could still offer help for older people. "This work holds out the possibility that a simply dietary modification might significantly improve the quality of life for many people," he said.

Malnutrition now being fuelled by obesity

21/06/2016

We recently told you about how obesity rates in the US continue to rise, despite significant sums of money having been spent to try and curb the trend. But now a new report has worryingly revealed that malnutrition across the world is being fuelled by obesity, and not just starvation. The 2016 Global Nutrition Report, which includes data from 129 countries, says that 44% are experiencing "very serious levels" of both under-nutrition and obesity. In other words, one in three people suffers from malnutrition even in this day and age. In fact, the report's authors said that malnutrition is now "the new normal", and while a lot of great work has been done to combat the problem of malnutrition stemming from starvation, there is a "staggering global challenge" presented by rising obesity levels needs urgently addressing. The report outlined how hundreds of millions of people are malnourished because they are obese. Many also have too much sugar, salt and cholesterol in their blood. Professor Corinna Hawkes, who co-chaired the research, said that the report should serve to highlight how the traditional image of malnutrition is changing, and it's no longer just something that is linked to starvation. "Malnutrition literally means bad nutrition - that's anyone who isn't adequately nourished," she said.

Low-salt diets could be bad for your heart, says study

24/05/2016

It's been widely accepted for some time that a high-salt diet may increase a person's risk of having a stroke or a heart attack. But now a new study has found that a low-salt diet may also be just as dangerous. Published in The Lancet, the findings of the study suggest that people who have a low salt or sodium intake may be increasing their risk of cardiovascular disease, compared to those who have an average intake. In fact, the study, which was conducted by researchers at McMaster University and Hamilton Health Sciences, says that the only people who should look to reduce their salt consumption are those with high blood pressure. Furthermore, the researchers say that current salt consumption guidelines may be too low, and should be reviewed going forward. At present, it is recommended that Americans consume no more than 2,300mg of salt each day, which is about 1 teaspoon. However, around 90% of US adults exceed this recommendation on a regular basis, according to a report from the Centers for Disease Control and Prevention (CDC) released earlier this year. On the other hand, the World Health Organisation (WHO) recommends people eat between 5 and 6g of salt each day. The lead author of the study, Andrew Mente, said: "While our data highlights the importance of reducing high salt intake in people with hypertension, it does not support reducing salt intake to low levels." Despite the study focusing on 130,000 people across 49 countries, its methods have been criticised by experts, while others have questioned the study's findings. The bottom line? Salt should be consumed in moderation, and people with high blood pressure should seek specific medical advice to find out what is best for them.

WHO: Processed Meats Do Cause Cancer

27/10/2015

People have talked about the possible negative effects of processed meat for a long time and numerous studies linking high consumption of red and processed meats with higher risk of colorectal cancer have even influenced public health recommendations in some countries. But now a report compiled on behalf of the World Health Organisation by a working group of 22 experts from 10 countries around the world has concluded that there is an association with eating processed meats and colorectal cancer risks. The findings, published recently in The Lancet Oncology, said that 50g of processed meat a day, which is equivalent to less than two slices of bacon, increased a person’s chances of developing colorectal cancer by 18%. Furthermore, the study said that red meats were “probably carcinogenic, but there was limited evidence to comment further. However, despite these findings, the WHO also emphasised that there are still health benefits associated with eating meat. Cancer Research UK’s advice is that people should cut down on their consumption of red and processed meats, rather than give them up completely. In fact, the organisation said that the occasional bacon sandwich would do little harm. Processed meat is meat that has had its shelf life extended or its taste changed by means of smoking, curing, or adding preservatives or salt. Bacon, sausages, hotdogs, corned beef, salami, ham, beef jerky and other canned meats are all considered “processed”. Chemicals used during the processing of the meats are thought to be carcinogenic catalysts, as is high-temperature cooking such as on a barbecue. Dr Kurt Straif from the WHO said: “For an individual, the risk of developing colorectal (bowel) cancer because of their consumption of processed meat remains small, but this risk increases with the amount of meat consumed.”    

Cystic Fibrosis Patients Offered Hope with New Drug Combination

21/05/2015

Doctors say that a “ground-breaking” cystic fibrosis therapy could dramatically improve the quality of life for sufferers of the condition. Patients usually die before they reach the age of 40 as they’re left prone to infection from the mucus that clogs and damages their lungs. But now, a major clinical trial on some 1,108 patients, the results of which were published in the New England Journal of Medicine, revealed that a combination of drugs had the ability to bypass the genetic errors that caused the condition and increase life expectancy as a result. In the UK alone, one in every 2,500 babies are born with cystic fibrosis and the Cystic Fibrosis Trust believes the new findings could “improve the lives of many”. A genetic condition, the DNA of cystic fibrosis sufferers contains an error which means the individual is unable to control salt and water levels in their lungs. A thick mucus forms and inexorably damages the lungs. Antibiotics have been used historically to prevent infection, but nothing has been developed to address the underlying problem for most sufferers. Lumacaftor and ivacaftor are the two drugs which when combined, improved the lung function of those patients that received them over the course of a 24-week trial. It was also reported that patients gained weight during the trial, something which was attributed to the mucus lining in the gut being affected too. Professor Stuart Elborn, who headed up the Queen’s University, Belfast part of the trial, said: “It is not a cure, but it is as remarkable and effective a drug as I have seen in my lifetime.”   Photo credits: Discover magazine, The New York Time Magazine  

Recover from Surgery in Charente-Maritime

03/07/2014

This stunning region of France is probably best known for its miles of sandy beaches, charming French villages, beautiful islands and great weather. In fact, it’s supposedly the second sunniest region of France after the Cote D’Azur! But unlike the Cote D’Azur this area has a much more laid-back vibe. It’s easy to escape the hustle and bustle of the bigger towns for a quieter spot on the coast, or in one of the quaint essential French villages’ further inland. Regarded by many as the prettiest town in France, La Rochelle began as a small fishing village but soon expanded to become an important port in the 13th Century, mainly due to its large trade in wine and salt. Nowadays it’s a lively university town with plenty to see and do. And at certain times of year La Rochelle is host to many large-scale events including Francofolies, the International Film Festival and the Grand Pavois. Just a short distance from La Rochelle connected by a 3km bridge is the charming Ile de Ré. An authentic jewel of an island situated just off the Atlantic coast. Every summer many of the Paris elite head to this little island for sun, sea, sand and to sample the delights of its cuisine. But it’s not all about glamour. With over 100kms of cycle paths, white sandy beaches, and being a bird-lovers paradise, this little island really does cater to all. Of course the Charente-Maritime is not all beach life and wildlife watching. Move inland and you stumble upon village after village filled with white washed buildings, blue shutters and friendly locals. If you’re looking for a region full of sunshine, good food, plenty of activities and beautiful scenery, the Charente-Maritime could be the perfect location to help you recover after surgery.  

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