Base de dados : MEDLINE
Pesquisa : N01.400.388 [Categoria DeCS]
Referências encontradas : 257 [refinar]
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[PMID]:29215512
[Au] Autor:Gibbs Pickens CM; Kramer MR; Howards PP; Badell ML; Caughey AB; Hogue CJ
[Ad] Endereço:Department of Epidemiology, Rollins School of Public Health, and Laney Graduate School and the Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, School of Medicine, Emory University, Atlanta, Georgia; and the Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon.
[Ti] Título:Term Elective Induction of Labor and Pregnancy Outcomes Among Obese Women and Their Offspring.
[So] Source:Obstet Gynecol;131(1):12-22, 2018 Jan.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate whether elective induction of labor between 39 through 41 weeks of gestation, as compared with expectant management, is associated with reduced cesarean delivery and other adverse outcomes among obese women and their offspring. METHODS: We conducted a retrospective cohort study using the 2007-2011 California Linked Patient Discharge Data-Birth Cohort File of 165,975 singleton, cephalic, nonanomalous deliveries to obese women. For each gestational week (39-41), we used multivariable logistic regression models, stratified by parity, to assess whether elective induction of labor or expectant management was associated with lower odds of cesarean delivery and other adverse outcomes. RESULTS: At 39 and 40 weeks of gestation, cesarean delivery was less common in obese nulliparous women who were electively induced compared with those who were expectantly managed (at 39 weeks of gestation, frequencies were 35.9% vs 41.0%, respectively [P<.05]; adjusted odds ratio [OR] 0.82, 95% CI 0.77-0.88). Severe maternal morbidity was less frequent among electively induced obese nulliparous patients (at 39 weeks of gestation, 5.6% vs 7.6% [P<.05]; adjusted OR 0.75, 95% CI 0.65-0.87). Neonatal intensive care unit admission was less common among electively induced obese nulliparous women (at 39 weeks of gestation, 7.9% vs 10.1% [P<.05]; adjusted OR 0.79, 95% CI 0.70-0.89). Patterns were similar among obese parous women at 39 weeks of gestation (crude frequencies and adjusted ORs [95% CIs] were as follows: for cesarean delivery, 7.0% vs 8.7% [P<.05] and 0.79 [0.73-0.86]; for severe maternal morbidity, 3.3% vs 4.0% [P<.05] and 0.83 [0.74-0.94]; for neonatal intensive care unit admission: 5.3% vs 7.4% [P<.05] and 0.75 [0.68-0.82]). Similarly, elective induction at 40 weeks of gestation was associated with reduced odds of cesarean delivery, maternal morbidity, and neonatal intensive care unit admission among both obese nulliparous and parous patients. CONCLUSION: Elective labor induction after 39 weeks of gestation was associated with reduced maternal and neonatal morbidity among obese women. Further prospective investigation is necessary.
[Mh] Termos MeSH primário: Cesárea/estatística & dados numéricos
Procedimentos Cirúrgicos Eletivos
Saúde do Lactente
Trabalho de Parto Induzido/métodos
Obesidade/complicações
Resultado da Gravidez
[Mh] Termos MeSH secundário: Adulto
Índice de Massa Corporal
Estudos de Coortes
Feminino
Idade Gestacional
Seres Humanos
Recém-Nascido
Trabalho de Parto
Modelos Logísticos
Análise Multivariada
Obesidade/diagnóstico
Razão de Chances
Gravidez
Estudos Retrospectivos
Medição de Risco
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002408


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[PMID]:29223211
[Au] Autor:Phillips C; Boyd MP
[Ti] Título:Perinatal and Neonatal Implications of Sickle Cell Disease.
[So] Source:Nurs Womens Health;21(6):474-487, 2017 Dec.
[Is] ISSN:1751-486X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Sickle cell disease is the genetic disorder most commonly detected with state-mandated newborn screening. Women with sickle cell disease struggle with psychosocial, emotional, and physical challenges throughout their lives. Pregnancy for women with sickle cell disease brings greater risk for maternal and fetal morbidity and mortality and increased likelihood of hospitalization for complications, including sickle cell pain crisis. Chronic maternal opioid use for pain can place newborns at risk for neonatal abstinence syndrome. Care of a pregnant woman with sickle cell disease requires a collaborative, multidisciplinary team addressing the medical, social, and emotional needs of the woman and her family.
[Mh] Termos MeSH primário: Anemia Falciforme/etiologia
Anemia Falciforme/fisiopatologia
Gerenciamento Clínico
Educação Continuada em Enfermagem
[Mh] Termos MeSH secundário: Adulto
Anemia Falciforme/genética
Feminino
Aconselhamento Genético
Seres Humanos
Saúde do Lactente/normas
Recém-Nascido
Manejo da Dor
Assistência Perinatal/métodos
Assistência Perinatal/normas
Gravidez
Complicações Hematológicas na Gravidez/prevenção & controle
Complicações Hematológicas na Gravidez/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171211
[St] Status:MEDLINE


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[PMID]:29223208
[Au] Autor:Brogan J; Rapkin G
[Ti] Título:Implementing Evidence-Based Neonatal Skin Care With Parent-Performed, Delayed Immersion Baths.
[So] Source:Nurs Womens Health;21(6):442-450, 2017 Dec.
[Is] ISSN:1751-486X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:There has been a recent trend toward delaying newborn baths because of mounting evidence that delayed bathing promotes breastfeeding, decreases hypothermia, and allows for more parental involvement with newborn care. A multidisciplinary team from a maternal-new-born unit at a military medical center designed and implemented an evidence-based practice change from infant sponge baths shortly after birth to delayed immersion baths. An analysis of newborn temperature data showed that newborns who received delayed immersion baths were less likely to be hypothermic than those who received a sponge bath shortly after birth. Furthermore, parents reported that they liked participating in bathing their newborns and that they felt prepared to bathe them at home.
[Mh] Termos MeSH primário: Banhos/métodos
Saúde do Lactente/normas
Pais/educação
Higiene da Pele/métodos
Fatores de Tempo
[Mh] Termos MeSH secundário: Aleitamento Materno/métodos
Aleitamento Materno/tendências
Feminino
Seres Humanos
Hipotermia/prevenção & controle
Imersão
Cuidado do Lactente/métodos
Cuidado do Lactente/tendências
Recém-Nascido
Estudos Retrospectivos
Higiene da Pele/tendências
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171211
[St] Status:MEDLINE


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[PMID]:29390471
[Au] Autor:Niu G; Yuan LJ; Gong FQ; Yang J; Zhu CX; Shen HW
[Ad] Endereço:Department of Gynecology and Obstetrics.
[Ti] Título:Early pregnancy following multidrug regimen chemotherapy in a gestational trophoblastic neoplasia patient: A case report.
[So] Source:Medicine (Baltimore);96(51):e9221, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Gestational trophoblastic neoplasia is a group of rare tumors that can be cured using chemotherapy. The use of artificial contraception for at least 1 year is recommended not only due to the high recurrence rate in the first year after treatment, but also because of the unclear genetic toxic effects of multidrug regimen chemotherapy on reproductive cells. There is no consensus about the contraception duration, but most patients want to have children. PATIENT CONCERNS: This case involved a 33-year-old female suffering from gestational trophoblastic neoplasia and 5-fluorouracil + actinomycin-D chemotherapy. She became pregnant 1 month after finishing the chemotherapy. DIAGNOSIS: Gestational trophoblastic neoplasia. INTERVENTIONS: No treatment during pregnancy. OUTCOMES: The patient had a full-term normal delivery, and the baby showed normal development and growth after a follow-up of 48 months. LESSONS: Pregnancy soon after chemotherapy can be viable with rigorous prenatal care.
[Mh] Termos MeSH primário: Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico
Doença Trofoblástica Gestacional/tratamento farmacológico
Complicações Neoplásicas na Gravidez/tratamento farmacológico
Resultado da Gravidez
[Mh] Termos MeSH secundário: Adulto
Gonadotropina Coriônica/sangue
Dactinomicina/administração & dosagem
Relação Dose-Resposta a Droga
Esquema de Medicação
Feminino
Desenvolvimento Fetal/fisiologia
Fluoruracila/administração & dosagem
Idade Gestacional
Doença Trofoblástica Gestacional/diagnóstico
Seres Humanos
Saúde do Lactente
Recém-Nascido
Masculino
Gravidez
Complicações Neoplásicas na Gravidez/diagnóstico
Cuidado Pré-Natal/métodos
Nascimento a Termo
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Chorionic Gonadotropin); 1CC1JFE158 (Dactinomycin); U3P01618RT (Fluorouracil)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009221


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[PMID]:29266069
[Ti] Título:ACOG Practice Bulletin No. 188 Summary: Prelabor Rupture of Membranes.
[So] Source:Obstet Gynecol;131(1):187-189, 2018 Jan.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Preterm delivery occurs in approximately 12% of all births in the United States and is a major factor that contributes to perinatal morbidity and mortality (1, 2). Preterm prelabor rupture of membranes (also referred to as premature rupture of membranes) (PROM) complicates approximately 3% of all pregnancies in the United States (3). The optimal approach to clinical assessment and treatment of women with term and preterm PROM remains controversial. Management hinges on knowledge of gestational age and evaluation of the relative risks of delivery versus the risks of expectant management (eg, infection, abruptio placentae, and umbilical cord accident). The purpose of this document is to review the current understanding of this condition and to provide management guidelines that have been validated by appropriately conducted outcome-based research when available. Additional guidelines on the basis of consensus and expert opinion also are presented.
[Mh] Termos MeSH primário: Ruptura Prematura de Membranas Fetais/prevenção & controle
Ruptura Prematura de Membranas Fetais/terapia
Trabalho de Parto Prematuro/prevenção & controle
Guias de Prática Clínica como Assunto
Resultado da Gravidez
[Mh] Termos MeSH secundário: Comitês Consultivos
Feminino
Idade Gestacional
Seres Humanos
Saúde do Lactente
Recém-Nascido
Gravidez
Medição de Risco
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002449


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[PMID]:29274634
[Ti] Título:The Multi-Generational Impacts of Medicaid.
[So] Source:Natl Bur Econ Res Bull Aging Health;(4):3, 2017.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Peso ao Nascer
Efeito de Coortes
Saúde do Lactente
Saúde Materna
Medicaid
[Mh] Termos MeSH secundário: Definição da Elegibilidade
Feminino
Seres Humanos
Recém-Nascido
Cobertura do Seguro
Gravidez
Resultado da Gravidez
Determinantes Sociais da Saúde
Fatores Socioeconômicos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:171225
[St] Status:MEDLINE


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[PMID]:29206986
[Au] Autor:Wilson A; Chiu YM; Hsu HL; Wright RO; Wright RJ; Coull BA
[Ti] Título:Potential for Bias When Estimating Critical Windows for Air Pollution in Children's Health.
[So] Source:Am J Epidemiol;186(11):1281-1289, 2017 Dec 01.
[Is] ISSN:1476-6256
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Evidence supports an association between maternal exposure to air pollution during pregnancy and children's health outcomes. Recent interest has focused on identifying critical windows of vulnerability. An analysis based on a distributed lag model (DLM) can yield estimates of a critical window that are different from those from an analysis that regresses the outcome on each of the 3 trimester-average exposures (TAEs). Using a simulation study, we assessed bias in estimates of critical windows obtained using 3 regression approaches: 1) 3 separate models to estimate the association with each of the 3 TAEs; 2) a single model to jointly estimate the association between the outcome and all 3 TAEs; and 3) a DLM. We used weekly fine-particulate-matter exposure data for 238 births in a birth cohort in and around Boston, Massachusetts, and a simulated outcome and time-varying exposure effect. Estimates using separate models for each TAE were biased and identified incorrect windows. This bias arose from seasonal trends in particulate matter that induced correlation between TAEs. Including all TAEs in a single model reduced bias. DLM produced unbiased estimates and added flexibility to identify windows. Analysis of body mass index z score and fat mass in the same cohort highlighted inconsistent estimates from the 3 methods.
[Mh] Termos MeSH primário: Poluição do Ar/efeitos adversos
Saúde do Lactente
Exposição Materna/efeitos adversos
Material Particulado/efeitos adversos
Resultado da Gravidez/epidemiologia
[Mh] Termos MeSH secundário: Viés
Boston/epidemiologia
Simulação por Computador
Fatores de Confusão (Epidemiologia)
Feminino
Seres Humanos
Lactente
Modelos Lineares
Masculino
Gravidez
Trimestres da Gravidez
Estações do Ano
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Particulate Matter)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171213
[Lr] Data última revisão:
171213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.1093/aje/kwx184


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[PMID]:29016491
[Au] Autor:Swartz JJ; Hainmueller J; Lawrence D; Rodriguez MI
[Ad] Endereço:Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon; and the Department of Political Science, the Immigration Policy Laboratory, and the Graduate School of Business, Stanford University, Stanford, California.
[Ti] Título:Expanding Prenatal Care to Unauthorized Immigrant Women and the Effects on Infant Health.
[So] Source:Obstet Gynecol;130(5):938-945, 2017 Nov.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To measure the effect of access to prenatal care on unauthorized and low-income, new legal permanent resident immigrant women and their offspring. METHODS: We used a difference-in-differences design that leverages the staggered rollout of Emergency Medicaid Plus by county from 2008 to 2013 as a natural experiment to estimate the effect on health service utilization for women and health outcomes for their infants. Regular Medicaid pregnancies were used as an additional control in a triple difference design. RESULTS: Our sample included pregnancies covered by Emergency Medicaid (35,182), Emergency Medicaid Plus (12,510), and Medicaid (166,054). After expansion of access to prenatal care, there was an increase in prenatal visits (7.2 more visits, 95% CI 6.45-7.96), receipt of adequate prenatal care (28% increased rate, CI 26-31), rates of diabetes screening (61% increased rate, CI 56-66), and fetal ultrasonograms (74% increased rate, CI 72-76). Maternal access to prenatal care was also associated with an increased number of well child visits (0.24 more visits, CI 0.07-0.41), increased rates of recommended screenings and vaccines (0.04 increased probability, CI 0.002-0.074), and reduced infant mortality (-1.01/1,000, CI -1.42 to -0.60) and rates of extremely low birth weight (less than 1,000 g) (-1.33/1,000, CI -2.44 to -0.21). CONCLUSION: Our results provide evidence of increased utilization and improved health outcomes for unauthorized immigrants and their children who are U.S. citizens after introduction of prenatal care expansion in Oregon. This study contributes to the debate around reauthorization of the Children's Health Insurance Program in 2017.
[Mh] Termos MeSH primário: Saúde do Lactente/estatística & dados numéricos
Medicaid/estatística & dados numéricos
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Cuidado Pré-Natal/estatística & dados numéricos
Imigrantes Indocumentados/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Emigrantes e Imigrantes/estatística & dados numéricos
Feminino
Acesso aos Serviços de Saúde/estatística & dados numéricos
Seres Humanos
Lactente
Mortalidade Infantil
Recém-Nascido
Oregon
Pobreza/estatística & dados numéricos
Gravidez
Resultado da Gravidez
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171111
[Lr] Data última revisão:
171111
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002275


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[PMID]:28991422
[Au] Autor:Ngo NS
[Ti] Título:Emission Standards, Public Transit, and Infant Health.
[So] Source:J Policy Anal Manage;36(4):773-89, 2017.
[Is] ISSN:0276-8739
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Transit buses are an integral part of urban life. They reduce externalities generated from private vehicles and increase geographic mobility. However, unlike most private vehicles in the United States, they use diesel fuel and emit higher amounts of toxic pollutants. The U.S. Environmental Protection Agency set emission standards for transit buses starting in 1988 that have been continually updated, but their public health and economic impacts are unclear due to scarce emissions data. I construct a novel panel dataset for the New York City (NYC) Transit bus fleet between 1990 and 2009 and examine the impact of bus pollution on infant health by using bus vintage as a proxy for emissions. I exploit the variation in vintage as older buses are retired and replaced with newer, lower-emitting buses forced to adhere to stricter emission standards. I then assign maternal exposure to bus vintage at the census block level. Findings suggest that maternal exposure to the oldest, unregulated buses is associated with modest reductions in birth weight and gestational age relative to newer buses that abide by emissions policies. I then conduct a back-of-the-envelope cost-benefit calculation and find net economic benefits of $53.3 million resulting from improved emission standards for the 2009 birth cohort in NYC. Since the treatment in this study clearly maps to federal emissions policies, these results are the first to provide credible evidence that transit bus emission standards had a positive effect on infant health.
[Mh] Termos MeSH primário: Poluentes Atmosféricos/efeitos adversos
Poluentes Atmosféricos/normas
Poluição do Ar/efeitos adversos
Saúde do Lactente/estatística & dados numéricos
Veículos Automotores/normas
Óxidos de Nitrogênio/efeitos adversos
Emissões de Veículos
[Mh] Termos MeSH secundário: Índice de Apgar
Peso ao Nascer
Idade Gestacional
Seres Humanos
Lactente
Saúde do Lactente/tendências
Cidade de Nova Iorque
Transportes/normas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Air Pollutants); 0 (Nitrogen Oxides); 0 (Vehicle Emissions)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE


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[PMID]:28991421
[Au] Autor:Buckles K; Guldi M
[Ti] Título:Worth the Wait? The Effect of Early Term Birth on Maternal and Infant Health.
[So] Source:J Policy Anal Manage;36(4):748-72, 2017.
[Is] ISSN:0276-8739
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Early term birth is defined as birth at 37 or 38 weeks gestation. While infants born early term are not considered premature, the medical literature suggests that they have an increased risk of serious adverse health outcomes compared to infants born at term (39 or 40 weeks). Despite these known harms, we document a rise in early term births in the United States from 1989 to the mid-2000s, followed by a decline in recent years. We posit that the recent decline in early term births has been driven by changes in medical practice advocated by the American College of Obstetricians and Gynecologists, programs such as the March of Dimes' "Worth the Wait" campaign, and by Medicaid policy. We first show that this pattern cannot be attributed to changes in the demographic composition of mothers, and provide some evidence that efforts to reduce early term elective deliveries (EEDs) through Medicaid policy were effective. We next exploit county-level variation in the timing of these changes in medical practice to examine the effect of early term inductions (our proxy for EEDs) on infant and maternal health. We find that early term inductions lower birth weights and increase the risks of precipitous labor, birth injury, and required ventilation. Our results suggest that reductions in early term inductions can explain about one-third of the overall increase in birth weights between 2010 and 2013 for births at 37 weeks gestation and above.
[Mh] Termos MeSH primário: Saúde do Lactente/estatística & dados numéricos
Recém-Nascido de Baixo Peso
Recém-Nascido Prematuro
Saúde Materna/estatística & dados numéricos
Trabalho de Parto Prematuro/prevenção & controle
Nascimento Prematuro/prevenção & controle
[Mh] Termos MeSH secundário: Feminino
Previsões
Política de Saúde
Seres Humanos
Saúde do Lactente/tendências
Recém-Nascido
Trabalho de Parto Induzido/efeitos adversos
Saúde Materna/tendências
Medicaid
Gravidez
Governo Estadual
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE



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