Do Clinicians Practice What They Preach to Patients?

Do Clinicians Practice What They Preach to Patients?

There are inconsistencies between patient education and healthcare provider practices, which vary in each health maintenance factor.

AAPA Launches Primary Care Obesity Management Certificate Program

AAPA Launches Primary Care Obesity Management Certificate Program

The new program, announced by AAPA, will allow its participants to obtain 30 CME credits and an OMA-issued Certificate of Primary-Care Obesity Management after completion.

Geriatric Workforce Shortage Creates Opportunities for PAs

Geriatric Workforce Shortage Creates Opportunities for PAs

The geriatric workforce shortage may provide PAs with opportunities to engage themselves in the specialty.

Nurses' Overtime Can Negatively Affect Collaborative Practice

Nurses' Overtime Can Negatively Affect Collaborative Practice

Findings tied to both frequency of overtime and length of overtime hours in acute care setting

Hand Grip Strength Associated With All-Cause Mortality, Other Adverse Outcomes

Hand Grip Strength Associated With All-Cause Mortality, Other Adverse Outcomes

Grip strength is strongly and inversely associated with all-cause mortality and incidence of and mortality from cardiovascular disease, respiratory disease, COPD, all cancer, and subtypes of cancer, with associations being modestly stronger in the younger age groups.

Increased Collaboration, Shared Decision Making Beneficial for Patients With Type 2 Diabetes

Increased Collaboration, Shared Decision Making Beneficial for Patients With Type 2 Diabetes

Patients with T2DM adhere better to self-management behaviors and may experience greater treatment satisfaction if they have increased collaboration and shared decision making with an advanced care provider.

New PA Programs and Their Effect on Established Medical Institutions

New PA Programs and Their Effect on Established Medical Institutions

Newly developed PA programs may be influenced by current APN programs of the same institution.

AAPA's House of Delegates Votes to Investigate Changing Physician Assistant Title

AAPA's House of Delegates Votes to Investigate Changing Physician Assistant Title

Members of the AAPA's House of Delegates voted to investigate the feasibility of changing the physician assistant title, as well as collaborate on potential alternatives that better reflect modern PA practice.

Obesity Treatment Education, Training Needed in PA Programs

Obesity Treatment Education, Training Needed in PA Programs

Recognizing the obesity epidemic and educating physician assistants on the implications of this condition and how they should be caring for obese patients should be prioritized, according to the study authors.

PAs Improving in Providing Dental Health Care

PAs Improving in Providing Dental Health Care

Educating certified PAs to incorporate oral health as an important addition to health care can help bring quality care to more patients with dental needs.

Optimal Team Practice: A Survey of Physician Opinions

Optimal Team Practice: A Survey of Physician Opinions

In 2017, the AMA declared its opposition to autonomous PA regulatory boards and PA practice without physician supervision, but physicians' opinions on OTP policy have been largely unknown.

Childhood-Onset Bipolar Disorder Associated With Impaired Family Functioning

Childhood-Onset Bipolar Disorder Associated With Impaired Family Functioning

Further investigation into the family-based mechanisms of childhood-onset bipolar disorder may assist in the development of future targeted, effective therapies.

Pharmaceutical Marketing Associated With Increased Opioid Prescription Rates

Pharmaceutical Marketing Associated With Increased Opioid Prescription Rates

Payments correlated with prescribing opioids in 2014 may have influenced the increased prescription rates of 2015.

Patients with Frontal Chronic Headaches May Benefit from Endoscopic Decompression Surgery

Patients with Frontal Chronic Headaches May Benefit from Endoscopic Decompression Surgery

Oral medication, botulinum toxin type A injections, and endoscopic decompression surgery were all compared in the treatment of patients with frontal secondary headaches due to STN and SON configuration.

A Model for Nurse Practitioner-Physician Comanagement

A Model for Nurse Practitioner-Physician Comanagement

Nurse practitioner and physician comanagement in primary care has 3 vital attributes: effective communication; mutual respect and trust; and clinical alignment, also known as a shared philosophy of care.

Ischemic Heart Disease, CHF Mortality Vary Across VA Systems

Ischemic Heart Disease, CHF Mortality Vary Across VA Systems

Risk-standardized mortality rates vary considerably across Veterans Affairs Medical Centers

Caucasian, First-Year PA Students Have Lower Levels of Perceived Cultural Competence

Caucasian, First-Year PA Students Have Lower Levels of Perceived Cultural Competence

Caucasian students and first-year students have lower levels of perceived cultural competence, and these students believe that they were moderately or well prepared to care for diverse patient populations.

Opioid Education Program Boosts PA Students' Confidence in Providing Patient Care

Opioid Education Program Boosts PA Students' Confidence in Providing Patient Care

PA students perceived improved confidence in their ability to provide patient education and counseling.

Naloxone Training Beneficial for PA Students

Naloxone Training Beneficial for PA Students

Opioid-specific health seminars may help PA students learn lifesaving treatments to perform in the future.

Early Hospital Readmissions More Preventable Than Late Readmissions

Early Hospital Readmissions More Preventable Than Late Readmissions

Can the length of time after hospital discharge influence readmission preventability among general medicine patients?

Psychological Interventions Beneficial for Chronic Pain in Older Adults

Psychological Interventions Beneficial for Chronic Pain in Older Adults

Researchers found a positive but weak correlation between psychological interventions and chronic pain treatment in older adults.

US Nursing Home Costs Due to Diabetes Vary Greatly by State

US Nursing Home Costs Due to Diabetes Vary Greatly by State

Per-person diabetes-attributable costs ranged from 374 in New Mexico to 1,610 in Washington, D.C.

Acute Kidney Injury in Hospital Ups Risk of Later Heart Failure

Acute Kidney Injury in Hospital Ups Risk of Later Heart Failure

Findings based on one-year follow-up after a hospitalization complicated by acute kidney injury

Good Evidence That HPV Vaccines Protect Against Cervical Precancer

Good Evidence That HPV Vaccines Protect Against Cervical Precancer

High-certainty evidence for protection in adolescent girls and young women aged 15 to 26 years

Higher CRC Risk With Advanced Adenoma Found on Colonoscopy

Higher CRC Risk With Advanced Adenoma Found on Colonoscopy

Risk not increased for non-advanced adenoma found on colonoscopy following flex sigmoidoscopy

Electrical Device Helps Reduce Daily Salt Intake, Improve Blood Pressure

Electrical Device Helps Reduce Daily Salt Intake, Improve Blood Pressure

Using a simple self-monitoring device may help reduce salt intake and systolic blood pressure.

AAPA Responds to JAMA Dermatology Study

AAPA Responds to JAMA Dermatology Study

AAPA and SDPA respond to a recent article published in JAMA Dermatology.

Disruption of Circadian Rhythm Negatively Impacts Mental Health

Disruption of Circadian Rhythm Negatively Impacts Mental Health

Reduction in relative amplitude tied to higher risk of lifetime major depressive disorder, bipolar disorder

Prescription Med Use in Children Down Overall From 1999 to 2014

Prescription Med Use in Children Down Overall From 1999 to 2014

Increases in 8 medication classes, including asthma and ADHD medications, contraceptives

Visual Test Improves Prediction of Dementia in Primary Care

Visual Test Improves Prediction of Dementia in Primary Care

Administering a visual association test in patients with a small decline on the Mini-Mental State Examination during a 2-year period has substantial incremental value for identifying those at elevated risk for developing dementia.

Increase in Proportion of Births at Gestational Age 39 to 40 Weeks

Increase in Proportion of Births at Gestational Age 39 to 40 Weeks

From 2007 to 2015 there was a decrease in perinatal mortality at gestational ages 39 to 40 weeks

Many Oncologists Discuss, Recommend Medical Marijuana

Many Oncologists Discuss, Recommend Medical Marijuana

But majority of oncologists don't feel knowledgeable enough to make these recommendations

Stroke, TIA Risk Remain High After Atrial Fibrillation Resolved

Stroke, TIA Risk Remain High After Atrial Fibrillation Resolved

Patients with resolved atrial fibrillation have an increased risk for stroke or transient ischemic attack.

Seasonal Allergies: Treatment Tips From the FDA

Seasonal Allergies: Treatment Tips From the FDA

The US Food & Drug Administration (FDA) has released updated tips for the treatment of seasonal allergies.

Ovarian Cancer Patients May Benefit From Trabectedin With PLD

Ovarian Cancer Patients May Benefit From Trabectedin With PLD

For patients with platinum-sensitive recurrent ovarian cancer, trabectedin plus PLD may be beneficial.

FDA Expands Use of MS Drug to Include Children

FDA Expands Use of MS Drug to Include Children

Gilenya is the first multiple sclerosis drug approved for children

Prevalence of Obese, Allergic Asthma Phenotypes Examined in US Children

Prevalence of Obese, Allergic Asthma Phenotypes Examined in US Children

The study authors examined data obtained from the 2007-2008 National Survey of Children's Health (NSCH) to determine the prevalence, risk factors, as well as the severity of asthma phenotypes.

Increased Water Consumption Does Not Enhance Kidney Function in Chronic Kidney Disease

Increased Water Consumption Does Not Enhance Kidney Function in Chronic Kidney Disease

Trained water consumption increase does not significantly reduce the decline of kidney function in individuals with chronic kidney disease.

Highly Selective, First-in-Class CDK4 Inhibitor Promising in Ovarian Cancer

Highly Selective, First-in-Class CDK4 Inhibitor Promising in Ovarian Cancer

Mice treated with 2-94 had few or no signs of lymphopenia or neutropenia, common adverse events associated with palbociclib.

No Clinical Benefit Seen for Bath Emollients in Childhood Eczema

No Clinical Benefit Seen for Bath Emollients in Childhood Eczema

POEM scores didn't meet minimal clinically important difference after adjustment for confounders

Personalized Cancer Vaccine Looks Promising in Early Study

Personalized Cancer Vaccine Looks Promising in Early Study

The researchers enrolled 25 platinum-pretreated, immunotherapy-naïve patients with recurrent advanced epithelial ovarian cancer (EOC) for the trial.

Resistance Exercise May Reduce Depressive Symptoms in Adults

Resistance Exercise May Reduce Depressive Symptoms in Adults

Meta-analysis shows reduction in depressive symptoms with RET, with considerable heterogeneity

Preterm Infant Vitamin D Level Affects Calcium and Bone Health

Preterm Infant Vitamin D Level Affects Calcium and Bone Health

Vitamin D levels in preterm infants are significantly correlated with optimal calcium homeostasis and bone mineralization of the femur.

FDA Targets Clinics Offering Unapproved Stem Cell Therapies

FDA Targets Clinics Offering Unapproved Stem Cell Therapies

Clinics claim unapproved therapies can treat number of diseases and conditions, including ALS and cancer

Chronic Aspirin Exposure Linked to Melanoma Risk in Males

Chronic Aspirin Exposure Linked to Melanoma Risk in Males

Significantly increased risk of malignant melanoma in males, but not females, on once-daily aspirin

PAs Have Lower Diagnostic Accuracy for Melanoma Compared With Dermatologists

PAs Have Lower Diagnostic Accuracy for Melanoma Compared With Dermatologists

Compared with dermatologists, physician assistants perform more skin biopsies but detect fewer melanomas.

Rheumatology Curriculum Outline Aims to Train and Integrate NPs and PAs

Rheumatology Curriculum Outline Aims to Train and Integrate NPs and PAs

The ACR/ ARHP created a rheumatology curriculum outline that can be used to create more efficient integration of NPs and PAs into rheumatology practice.

Long-Term Cardiovascular Risk for Endometrial Cancer Survivors

Long-Term Cardiovascular Risk for Endometrial Cancer Survivors

Elevated risk of various cardiovascular outcomes, including pulmonary heart disease, atrial fibrillation

Screening for Prostate Cancer: USPSTF Recommendation Statement

Screening for Prostate Cancer: USPSTF Recommendation Statement

The USPSTF has updated its 2012 recommendations on prostate-specific antigen (PSA)-based screening for prostate cancer.

Some Anticholinergic Drugs May Be Linked to Dementia

Some Anticholinergic Drugs May Be Linked to Dementia

Anticholinergic drugs for depression, urologic conditions, or Parkinson disease are associated with potential dementia occurrences up to 20 years after drug exposure.

Discerning Arterial Ischemic Stroke From Migraine in Pediatric Emergency Departments

Discerning Arterial Ischemic Stroke From Migraine in Pediatric Emergency Departments

Investigators examined presenting features of migraine vs arterial ischemic stroke in children presenting to the emergency department.

Many Patients Have Unused Opioids After Spine, Joint Surgery

Many Patients Have Unused Opioids After Spine, Joint Surgery

Many patients reported unsafe storage and failure to dispose of opioids at one- and 6-month follow-up

Case Study: Cardiovascular Complications of Chronic Obstructive Pulmonary Disease

Case Study: Cardiovascular Complications of Chronic Obstructive Pulmonary Disease

A 55-year-old man with chronic obstructive pulmonary disease reports having some mild chest pain.

eConsult in Primary Care: Clinicians Surveyed About the Pros and Cons

eConsult in Primary Care: Clinicians Surveyed About the Pros and Cons

Implementing an electronic consult system for specialty requests in safety-net health systems is associated with improved specialty care access but creates new challenges for primary care practitioners.

Unit-Dose Packaging Cuts Accidental Peds Opioid Exposures

Unit-Dose Packaging Cuts Accidental Peds Opioid Exposures

Relative decrease in buprenorphine-naloxone exposure after transition to unit-dose packaging

Dark Chocolate Linked to Enhanced Visual Acuity

Dark Chocolate Linked to Enhanced Visual Acuity

Compared with milk chocolate, dark chocolate was associated with improved low, high-contrast sensitivity and visual acuity in short durations.

Low Neighborhood Walkability Increases Risk of Asthma in Kids

Low Neighborhood Walkability Increases Risk of Asthma in Kids

Findings among children for both incident asthma and ongoing asthma.

Pain, Psychiatric Comorbidities More Common in Chronic vs Episodic Migraine

Pain, Psychiatric Comorbidities More Common in Chronic vs Episodic Migraine

Individuals with chronic vs episodic migraine may be more likely to experience chronic back pain, chronic pain, neck pain, anxiety, and depression.

Parkinson Drug May Be Linked to Deaths

Parkinson Drug May Be Linked to Deaths

The FDA advisory committee voted 12-2 in favor of recommending the approval of Nuplazid.

Vitamin D Insufficiency Associated With Insulin Resistance Independent of Obesity in Children

Vitamin D Insufficiency Associated With Insulin Resistance Independent of Obesity in Children

Further clinical trials are needed to explore the potential beneficial effect of vitamin D supplementation, via fortified foods and/or dietary supplements, on insulin resistance, and possibly on weight management.

Vector-Borne Diseases Increase More Than Twofold From 2004 to 2016

Vector-Borne Diseases Increase More Than Twofold From 2004 to 2016

During 2004 to 2016, 82% of all tickborne disease reports were Lyme disease

Clinically Significant Anxiety Tied to Subsequent Dementia Risk

Clinically Significant Anxiety Tied to Subsequent Dementia Risk

Review of 4 studies shows positive link for clinically significant anxiety in midlife, future dementia

Synthetic Opioid Involvement in Opioid-Related Deaths Increases

Synthetic Opioid Involvement in Opioid-Related Deaths Increases

From 2010 to 2016, synthetic opioid involvement up from 14.3 to 45.9% of opioid-related deaths

Cannabis Use, Cognitive Functioning Link Small in Adolescents, Young Adults

Cannabis Use, Cognitive Functioning Link Small in Adolescents, Young Adults

Associations between cannabis use and cognitive functioning in adolescents and young adults are small.

Intrathecal Drug Delivery and Spinal Cord Stimulation for Cancer Pain: A Review

Intrathecal Drug Delivery and Spinal Cord Stimulation for Cancer Pain: A Review

Intrathecal drug delivery systems and spinal cord stimulation have shown promise for the treatment of cancer pain in initial studies.

NP, PA Employment Increasing in Primary Care and Specialty Practices

NP, PA Employment Increasing in Primary Care and Specialty Practices

The proportion of practices with NPs and PAs increased modestly from 2008 to 2016, with similar growth found in specialty and primary care practices.

Case Report: Nephrotic Syndrome and Chronic HCV in a 72-Year-Old Woman

Case Report: Nephrotic Syndrome and Chronic HCV in a 72-Year-Old Woman

A 72-year-old Japanese woman with a 40-year history of lupus nephritis presented with leg edema that had lasted for several weeks.

Combining Spinal Manipulation and Exercise for Low Back Pain in Adolescents

Combining Spinal Manipulation and Exercise for Low Back Pain in Adolescents

A combination of self-care education, aerobic and strength-training exercise, and spinal manipulation therapy may provide greater pain relief and improved treatment satisfaction compared with exercise only in adolescents with low back pain.

Obstructive Sleep Apnea Can Be Effectively Managed in Primary Care

Obstructive Sleep Apnea Can Be Effectively Managed in Primary Care

Findings based on a portable monitor and use of a semi-automatic treatment algorithm

ACOG: Updated Recommendations for Influenza Vaccination During Pregnancy

ACOG: Updated Recommendations for Influenza Vaccination During Pregnancy

This updated Committee Opinion includes more recent data on the safety and efficacy of influenza vaccination during pregnancy, as well as recommendations for treatment and postexposure chemoprophylaxis.

Artificial Pancreas Systems Safe, Effective in Type 1 Diabetes

Artificial Pancreas Systems Safe, Effective in Type 1 Diabetes

Artificial pancreas treatments are safe and effective for managing type 1 diabetes.

More Comprehensive HDV Surveillance Needed in High-Risk Individuals

More Comprehensive HDV Surveillance Needed in High-Risk Individuals

Future studies might focus on the use of electronic medical record warning systems or other prompts to improve diagnostic test use in at-risk individuals.

People With Opioid Use Disorder Have High Suicide Rate

People With Opioid Use Disorder Have High Suicide Rate

Based on data from multiple sources, many opioid-overdose deaths seem to be suicides

Intraoperative Opioid Doses and Rates of Hospital Readmission

Intraoperative Opioid Doses and Rates of Hospital Readmission

The use of high doses of opioids — particularly long-acting opioids — during surgery may increase the risk for 30-day readmission.

Gene Therapy May Eliminate Blood Transfusion Needs in Severe β-Thalassemia

Gene Therapy May Eliminate Blood Transfusion Needs in Severe β-Thalassemia

With use of CD34+ cells via BB305 vector transduction, patients with severe β-thalassemia may no longer require long-term RBC transfusions as frequently or at all.

Study Finds 31% Use No Opioids After Surgery

Study Finds 31% Use No Opioids After Surgery

At discharge, 92.2% of patients received an opioid prescription; nearly 63% unused

Eight Factors Predict Pain After Spine Surgery

Eight Factors Predict Pain After Spine Surgery

Post-op pain strongly linked to number of classes of non-opioid analgesics used, remifentanil use

Hypertension Increase in Children Based on 2017 AAP Guidelines

Hypertension Increase in Children Based on 2017 AAP Guidelines

Increase in estimated population prevalence of elevated blood pressure from 11.8 to 14.2%.

Headache in Older Adults: Unique Causes and Treatments

Headache in Older Adults: Unique Causes and Treatments

It is important for clinicians to quickly and accurately determine potential underlying causes and to prescribe treatments that take into account comorbidities and medications that older patients may be taking for them.

Birch Pollen-Related Foods Can Trigger Dermatitis Reactions

Birch Pollen-Related Foods Can Trigger Dermatitis Reactions

Intake may lead to aggravation of symptoms in patients with atopic dermatitis, birch pollen allergy

USPSTF Recommends Screening for Partner Violence in Reproductive-Aged Women

USPSTF Recommends Screening for Partner Violence in Reproductive-Aged Women

The USPSTF has found that screening for intimate partner violence is beneficial for reproductive-aged women, although there is inadequate evidence to weigh the balance of benefits and harms of screening for abuse in elderly and vulnerable adults.

Diabetes and Mortality: Comparing SGLT-2 Inhibitors, GLP-1 Agonists, and DPP-4 Inhibitors

Diabetes and Mortality: Comparing SGLT-2 Inhibitors, GLP-1 Agonists, and DPP-4 Inhibitors

For patients with type 2 diabetes, sodium-glucose cotransporter 2 inhibitors and glucagon-like peptide 1 agonists significantly reduce mortality rates compared with dipeptidyl peptidase 4 inhibitors.

Multiple Sclerosis Guidelines: AAN's Recommendations for Initiating, Switching, Stopping Disease-Modifying Therapy

Multiple Sclerosis Guidelines: AAN's Recommendations for Initiating, Switching, Stopping Disease-Modifying Therapy

The new guidelines focus on helping clinicians decide when to initiate, switch, or discontinue disease-modifying therapies for multiple sclerosis.

Flexible Sigmoidoscopy Cuts CRC Incidence, Mortality in Men

Flexible Sigmoidoscopy Cuts CRC Incidence, Mortality in Men

Absolute risks for colorectal cancer, CRC death not reduced for screening group vs controls in women

Early Child Care Attendance and Asthma, Wheeze Risk: Is There a Link?

Early Child Care Attendance and Asthma, Wheeze Risk: Is There a Link?

Early child care attendance increased the risk for wheeze in children ≤2 years of age but decreased the risk for asthma in children 3 to 5 years of age.

In Utero Caffeine Exposure Affects Early Childhood Weight

In Utero Caffeine Exposure Affects Early Childhood Weight

Maternal caffeine consumption tied to higher infant growth and childhood excess weight gain

Autism Linked to Prenatal Ultrasonography Depth

Autism Linked to Prenatal Ultrasonography Depth

No statistically significant difference was observed in the number or duration of prenatal ultrasonographic scans across the entire pregnancy in children with later autism compared with controls with non-ASD developmental delay or typical development.

Diabetes Prevalence by Type in the United States: CDC report

Diabetes Prevalence by Type in the United States: CDC report

The CDC conducted a study to estimate the prevalence of diagnosed diabetes among adults in 2016 by primary type.

Epilepsy Associated With Increased Risk of Unnatural Death

Epilepsy Associated With Increased Risk of Unnatural Death

Patients with epilepsy have a greater risk of unnatural mortality than individuals without the disorder and should take greater precautions when taking certain medications.

Addition of Peripheral Nerve Blocks Beneficial for TKA

Addition of Peripheral Nerve Blocks Beneficial for TKA

Lower numeric rating scale pain scores on ambulation on postoperative days zero, one, and two

Helping to End Addiction: NIH Initiative Addresses Opioid Epidemic

Helping to End Addiction: NIH Initiative Addresses Opioid Epidemic

National Institutes of Health Director, Francis Collins, MD, PhD, announced on April 4, 2018 the launch of the Helping to End Addiction Long-Term Initiative.

Opiate Use Linked to Early Mortality in IBD Patients

Opiate Use Linked to Early Mortality in IBD Patients

Heavy use in Crohn's, heavy or moderate use in ulcerative colitis tied to increased risk of death

Elder Abuse Not Associated With Risk of Chronic Pain

Elder Abuse Not Associated With Risk of Chronic Pain

Findings based on two-year follow-up of a large, community-dwelling cohort in Malaysia

Neuroscience Education, Motor Control Training Ease Spinal Pain

Neuroscience Education, Motor Control Training Ease Spinal Pain

Pain neuroscience education, targeted motor control training more effective for chronic spinal pain

Smartphone App May Boost Medication Adherence in Hypertension

Smartphone App May Boost Medication Adherence in Hypertension

But use of the app not linked to a change in systolic blood pressure in poorly controlled hypertension

Bully for Us: Confronting Medicine's Bullying Problem

Bully for Us: Confronting Medicine's Bullying Problem

The culture of bullying — widespread across the medical field — has been linked to poorer patient outcomes. So why can't physicians stop bullying in its tracks?

Switching from Branded to Authorized Generic Drugs Linked to Lower Switchback Rate

Switching from Branded to Authorized Generic Drugs Linked to Lower Switchback Rate

Switching back to branded drugs is more likely in generic drug than authorized generic drugs.

Study Finds Safe Alcohol Consumption Guidelines May Not Be Strict Enough

Study Finds Safe Alcohol Consumption Guidelines May Not Be Strict Enough

Among current drinkers without previous diagnosis of cardiovascular disease, the threshold for lowest risk of all-cause mortality is about 100 g of alcohol consumed per week.

Adjuvant Pembrolizumab Beneficial in Stage III Melanoma

Adjuvant Pembrolizumab Beneficial in Stage III Melanoma

Pembrolizumab linked to significantly longer recurrence-free survival at 15-month follow-up

COPD Risk in Middle Age: The 3-Way Interaction of Asthma, Smoking, and Childhood Measles

COPD Risk in Middle Age: The 3-Way Interaction of Asthma, Smoking, and Childhood Measles

A childhood measles infection may increase the risk for post-bronchodilator airflow obstruction in middle-age adults via its interaction with asthma and smoking.

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