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Хлопчику з Умані, у якого була вроджена відсутність ануса лікарі «Охматдиту» завершили багатоетапне хірургічне лікування

17 Серпня, 2023 Новини Comments (506)

Дитині ліквідували ентеростому і зʼєднали товсту кишку аби процес випорожнення міг відбуватися природньо.

Тепер Віталія чекає шлях реабілітації, який триватиме не один рік. Зараз вага хлопчика – 8 кг. Під час першої операції вага становила 6 кг. Цифра зупинилася на позначці 6 і набрати вагу хлопчик до втручання не міг.

«Все що ми мали зробити – ми усе зробили. Зараз він має рости, розвиватися. З часом його мають вчити користуватися горщиком. У діток без такої патології це відбувається біля одного року. У нього це буде трохи пізніше. Зараз головне реабілітація. Дитина має відчути цей природній рефлекс. Весь цей час ми будемо з ним на звʼязку та за необхідності будемо проводити контрольні огляди», – розповів завідувач клініки «Хірургія Плюс» львівського «Охматдиту» Роман Стеник.

Нагадаємо, кілька місяців тому Віталія прооперували в «Охматдиті» у віці 9-ти місяців. Другу операцію провели дитині у нашому шпиталі у рік. Атрезію ануса у дитинки виявили ще у пологовому будинку одразу після народження. Перший етап оперативного лікування виконано в Черкаській обласній лікарні – дитині було накладено колостому, через яку відбувається опорожнення кишківника, тому дитинка може їсти і поправлятися.

Після дообстеження з’ясувалося, що у хлопчика також є нориця – вроджений хід від кишківника до сечових шляхів, через що у дитини було постійне запалення нирок. Також хлопчик не набирав вагу через довготривалу інфекцію та антибактеріальну терапію. Відтак, ніхто із медиків не погоджувався робити втручання дитинці із такою малою вагою.

Оперативні втручання хлопчику проводила команда медиків: завідувач клініки «Хірургія Плюс» Стеник Роман, завідувач операційно-ендоскопічного відділення Содома Олег, лікар хірург дитячий Микита Микола, лікар-інтерн, хірург дитячий Катринець Тетяна. Анестезіологічне забезпечення – Приймакова Віра і Галина Коваленко.

Бажаємо хлопчику міцного здоров’я!

506 thoughts on “Хлопчику з Умані, у якого була вроджена відсутність ануса лікарі «Охматдиту» завершили багатоетапне хірургічне лікування”

  502. If you’re just beginning, think about a full body or upper/lower break up.
    These choices provide a solid foundation for building muscle and improving power.
    As you progress, you might experiment with more specialized splits, like
    Push/Pull/Legs or a Bro cut up, to fine-tune your coaching.

    Many lifters really feel that using dumbbells is gentler on the shoulder joint and
    offers extra comfort than barbells.
    “If you’re coaching five or six occasions per week, a body-part cut up is greatest to be able to permit enough restoration of each muscle group between exercises,” Tumminello says.
    You want to practice every physique part no less than two occasions every week and get 10 to twenty units per muscle group per week
    for finest outcomes. For instance, many chest workout routines, like push-ups or bench presses, also have interaction the shoulders and triceps as
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    For those that are more novice stage, go
    with a three day split or 4 day break up. And if
    you are an intermediate lifter (say, 1-3 years of training), a four or 5 day split must be perfectly efficient.
    If you may have sufficient training experience, you’ll find a way
    to raise 6 days per week (7 days is just an overkill for most people, including high tier athletes).

    If that sounds intense and like it’s lots, that’s because it is!
    Working out 6 days per week puts you in the identical
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    This method not only reduces the chance of burnout but in addition supports better performance in each exercise,
    making certain you get the most out of each set. This method prevents
    anybody muscle group from changing into overly fatigued
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    balanced pairings, you build a well-rounded physique and enhance total performance.
    Focusing on complementary or opposing muscle teams ensures that either
    side of a joint or physique space are equally trained.
    This keeps your exercise depth high with out prolonged relaxation periods.

    The intensity at which we train is the ultimate word think
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    You have to problem your muscle groups, then permit them the right time to recuperate
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    One huge benefit of this explicit cut up is that the biceps and
    triceps, smaller muscle teams that get well extra shortly, get trained twice over the break up.
    This is a great strategy should you’re looking for serious arm growth.

    Rise until you’re as close to your knees as
    potential after which return to the beginning position. Starting with the weights down by
    your sides, slowly lift till your thumbs are near your shoulders and your elbows are bent at a ninety-degree angle.
    If you’re new to weightlifting, you could need to have a private coach or extra experienced lifter nearby to identify you.
    Take the barbell off the rack and hold it together with your palms shoulder-width aside and facing the ceiling.
    As you’ll have the ability to see, some of these muscular tissues have proximity to a minimum of one another
    that lends itself naturally to larger groupings.
    We present the nutrients you should power your active way of life.
    Your vitamin will play a giant function in figuring out when you succeed with this program;
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    a exercise any given week, exceptions can be made.
    Don’t forget to include correct warm-ups and cool-downs to take care of flexibility and stop damage.
    You can combine it up with completely different curl variations,
    like hammer curls or focus curls, to hit the muscle from varied angles.
    Biacromial distance or width is just the width of your shoulders.

    This makes it ideal for many who journey or have unpredictable schedules.

    Another mistake is choosing a cut up that doesn’t align along with your
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    You can download it and use it as a workout tracker and common strength coaching app – and all fundamental performance is free eternally.
    4 sets of 6–8 reps must be enough to fry the again of your legs.
    The difficult lower-body part of the exercise might
    be over, but the pushing continues with the incline
    dumbbell press.
    Many exercises, such because the pushup or bench press, will target these muscle tissue
    together. Like, what number of workouts for
    my chest or for my biceps ought to I do on their workout days, or if I
    ought to bother to coach my forearm muscles. You won’t be doing
    any pushing workout routines at all while you’re on your back/biceps or legs’ days.
    So you see, it makes sense from a sports science perspective to work your shoulders &
    triceps on chest training day, again and biceps on again day, squats and leg curls on leg day, etc.

    Popular options embrace Push/Pull/Legs, Upper/Lower, Full Physique, and Bro Splits, each
    with its professionals and cons. The secret is choosing a cut up
    that allows consistent development and suits individual restoration wants.
    Many people swear by bro splits, but I don’t suppose they’re as bad as they’re made
    out to be. Positive, science says coaching a muscle twice a week
    is “optimal,” however let’s be real—tons of bodybuilders have built insane physiques
    hitting each muscle as quickly as per week. I’d somewhat see
    somebody crush chest on Monday and take the remainder of the week to recover properly than half-ass it each different day.
    When designing a training cut up, focus on a couple of key ideas.
    These principles ensure that your workouts are efficient and that you can get well properly.

    This way, your chest muscular tissues have time to get well while you’re working
    your biceps. As a result, you’ll be able to carry more weight and get higher outcomes.

    So, when you’re planning your workout routine, ensure
    to mix up the different muscle teams that you’re working with.

    Progressive overload involves gradually increasing the intensity of your exercises over the course of your coaching interval.
    By doing this, you shall be able to construct
    muscle or energy as a result of your muscles might be adequately confused for continual adaptation. As you
    presumably can see, on the two week scale, you’ve educated every muscle group three instances.
    So, the “6 Day Bro Split” allows for somewhat greater muscle frequency than the
    more standard 5 day bro split, but it still permits for
    loads of rest time between each muscle group.
    Whether you’re new to working out or have been doing it for
    years, knowing the way to arrange your workouts issues.
    This technique enables you to tailor your coaching to suit your targets and how briskly you get well.
    By choosing the right muscle teams, you’ll find a way to work out totally without getting too tired.

    First up after the bench press is the incline dumbbell press, for 3 units of 8 reps.
    The incline dumbbell presses complement the bench press by focusing on the higher portion of your chest more.
    Additionally, the dumbbells will allow you to uncover and proper any side-to-side asymmetries you might have.
    The bench press is at the similar time elegantly easy
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    Load up the bar, press it for reps, and repeat frequently – every time attempting to add somewhat little bit of
    weight to the bar, or one other rep to your set. Nevertheless,
    this training these muscular tissues together is efficient and effective.

    Some people might even expertise a loss of intercourse
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    Understanding what muscle groups to work out collectively so you make the most out of your treasured fitness center time.

    The best workout plans will ensure you hit the most important
    muscle groups—chest, back, abs, legs, shoulders, and arms—each week, says Peloton teacher Ben Alldis.

    That may sound like extra physique parts than you
    might have days within the week to work out,
    but with strategic pairing and intention, you
    can hit all of them with ease. It’s an especially nice split if you’re aiming to hit the health club four
    times per week. For example, coaching chest on day one, shoulders on day
    two, and triceps on days three is a nasty selection. Those are all pushing muscle groups,
    that means they hit a few of the identical muscle tissue,
    specifically the higher pecs, anterior delts, and triceps.
    Doing them on consecutive days defeats the aim of building in extra recovery time and can limit how exhausting you probably can work.

    As a result, you are stimulating muscle growth numerous instances
    every week for every muscle group. Additionally, you will have to do much less volume
    for every muscle group in a single training session so you should be succesful of practice with the next level of intensity.
    The best way to keep away from overtraining is to decide
    on the best exercise break up that works along with your life-style.
    And when you do decide to do a 6 day workout split, then take 1-2 weeks off
    from coaching each 8-12 weeks.
    “Personally, I like to split my week of workouts up by upper-body push muscles, upper-body pull muscular tissues after which two leg days,” she says.
    “However should you’re training for a particular sport or event, the perfect combinations may differ.”
    For example, pairing chest and triceps allows you to perform heavy bench
    presses followed by tricep-focused workout routines, capitalizing on the synergy between these
    muscle tissue in urgent motions.
    Feel free to do the dumbbell shoulder press as an alternative choice to the barbell variant.
    Bear In Mind, these preliminary units aren’t meant to tire you out however to make you’re feeling
    ready and motivated for the main workout. StrengthLog’s Push-Pull Workout Routine is
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    If you really want to spark development, the Push/Pull/Legs or the “Bro” split are
    your finest bet.
    The concept is to focus on a selected body
    half every session, train it with the best depth, and “cause as much harm” as
    attainable. It was believed that extra harm to the muscle would lead
    to larger growth. We know this is not exactly true, but it’s
    nonetheless used heavily today, particularly by bodybuilders.
    Full-body coaching splits are precisely as they sound; you prepare the complete physique each session.
    Do a bicep train, a triceps workout and at last a core transfer.
    For occasion, do a whole set of the bicep curls adopted
    by one for triceps kickbacks and then do a plank hold.

    You can even do a bicep barbell curls, overhead extensions of the triceps and again the
    reverse. The again and chest muscle tissue are giant and are generally known as
    antagonistic muscle tissue, implying that the muscles
    move the bones in several directions. When you pair chest exercises along with the back exercises, you permit one group of muscle tissue to rest because the others work.

    I would say get your chin to the bar, roughly, after which, especially within the backside two-thirds, really milk that
    eccentric,’ says Israetel. Lastly, an important side of any exercise
    regime is consistency. Common exercises, mixed
    with proper diet and rest, are important for reaching and maintaining
    results. It’s not about intense, sporadic exercises but quite
    about steady, ongoing dedication.
    Understanding the means to manipulate volume is significant for
    maximizing gains. If you discover stagnation, contemplate
    adjusting the variety of units or reps, and even the sort of workouts you perform.
    The benefits of incorporating full-body exercises can range from time saved to fat loss
    to higher recovery. Yet, while you suppose your workout could
    also be absolutely hitting everything required to be functionally
    fit, you may be inadvertently omitting certain key actions.
    Few workout routines improve your energy in as many muscle teams because
    the deadlift. One of the most well-liked strength-training workout routines on the planet, in addition to a competitive lift in powerlifting, the deadlift holds
    a novel place in the pull part of a push-pull routine.
    Use a light enough weight to take care of management of the motion always,
    carry out four sets of 10–12 reps, and feel the burn.
    When you are selecting which break up commit to so you’ll be able to tackle all your
    muscle groups, do not overthink it. When focusing on particular muscle target groups,
    contemplate the sort of training that may benefit every.
    The right exercises for muscle teams permit your muscles
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    Many in style break up workouts specify 3 sets of 10 reps for every movement.

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  504. As beforehand mentioned, Anavar is an expensive steroid as a end result of BTG monopolizing the market and driving the value up, costing patients $3.75–$30 per day, depending on the dose required. Nonetheless, I wasn’t diligent sufficient to take fish oil and liver help. I took a break and pulled blood again, and my lipids had improved significantly. Despite the above protocol being effective, DHEA is the official medical treatment prescribed to ladies for low androgen ranges. Users’ genetic make-up will determine the extent of hair loss they may expertise. Or, extra particularly, how delicate they are to dihydrotestosterone. There is not a vast amount of data regarding the connection between anabolic steroid use and kidney injury.
    Winstrol is much harsher on the liver in comparison with Anavar, even though they’re each oral steroids. This aspect impact alone will be sufficient for lots of women to steer the choice to Anavar over Winstrol. Accurate and unbiased Anavar evaluations are exhausting to find on-line so its best to first perceive what this androgen basically is.
    However although it’s delicate, Anavar still has its place as top-of-the-line steroids for cutting due to how effective it is at preserving muscle mass whereas you’re making an attempt to lose fat. Most of those unwanted effects are manageable and could be minimized by adhering to correct cycle lengths, taking breaks between cycles, and utilizing the really helpful dosage. It’s all the time a good suggestion to seek the guidance of with a healthcare skilled earlier than beginning any new complement, significantly one that impacts hormone ranges. In the realm of bodybuilding and strength training, the search for the optimal supplement to enhance efficiency, muscle achieve, and recovery is perpetual. Among the plethora of options, Anavar by Hi-Tech Prescribed Drugs stands out as a noteworthy contender.
    A widespread addition to an Anavar chopping cycle is Trenbolone Acetate. 400mg weekly of Trenbolone Acetate for eight weeks will compound substantially on the outcomes of Anavar. 100mg of testosterone enanthate weekly for 12 weeks is adequate to assist the conventional perform of the hormone.
    If you eat a heavy dosage of Anavar for an extended time frame, you might be certainly risking your liver well being. One of probably the most vital advantages of Anavar is that it merely amplifies power. This is barely sudden for most people since it is a slicing steroid and does little to achieve muscle or weight. Nevertheless, this drug began getting a lot of unhealthy press since it was being used by athletes and bodybuilders to get an edge over other players or rivals in various competitions.
    These could be some of the most debilitating and physique-ruining unwanted aspect effects of steroid use and include bloating or water retention and gynecomastia. You can count on good dry positive aspects with out estrogenic unwanted effects unless you include different aromatizing steroids in your Anavar stack. Anavar is hugely in style with feminine customers, but ladies do not require the kind of post-cycle therapy that men do after an Anavar cycle. This is only a simple example cycle for women utilizing Anavar and mixing it with other quality compounds. Anavar is desirable for fat loss, so your diet shall be a prime priority when using this steroid, and it will make or break your outcomes irrespective of how efficient Anavar is as a steroid. As I mentioned, Anavar is likely considered one of the few steroids girls can confidently use.
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    How much you’ll find a way to carry depends on every individual, but as a proportion, you presumably can expect to be lifting 20% heavier or much more. That doesn’t mean pushing it until you’re injured – common sense guidelines should nonetheless apply, and further attention should be paid to relaxation between sets. I used three tablets per day for the first 2-3 weeks as directed on the label, but then I kicked it to four pills/day and ran the bottle out. 2 bottles of Anvarol is all you’d want, but when you are going to use 4 pills/day for the whole eight weeks, then I suppose you’d need three of those in that case.
    Girls can gain in the 10lbs range, whereas males are probably to see smaller gains underneath 10lbs. The basic rule when planning a cycle is that the upper the Anavar dose is, the shorter the cycle you need to be doing. Some like to reside on the edge, whereas there are those of us who need to stability the advantages and dangers.
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  505. Subsequently, as little as 200mg weekly, as much as 400mg weekly is beneficial. An 8-week slicing cycle with Equipoise is beneficial, together with in case you are doing an extended cycle with other compounds; use EQ for the first eight weeks. Halotestin will increase vitality and strength, and all this occurs because it will increase your pink blood cell measurements.
    So you probably can draw an opinion that results are solely dependent on a person to person, identical to with medicines, not every drugs fits all people, related is the case with Anavar. They are solely sharing their own good/bad experiences for the good thing about the community. Someone who trains hard on Anavar will amplify the fat-burning results of this steroid, as will an individual who eats in a small calorie deficit (-500). You must look no additional than Anvarol by CrazyBulk if you’re looking for a safer and more healthy various to Anavar for women. If you experience any critical side effects while taking Anavar, you need to cease taking the medication and talk to your healthcare provider instantly.
    It is more androgenic than Deca, resulting in moderate lean muscle gains and a few fat loss. Testosterone is prone to increase levels of cholesterol and improve blood pressure. This is of particular concern to people with a history of decreased LDL or high HDL ranges. However, compared to different anabolic steroids, testosterone is the least cardiotoxic based on our sphygmomanometry tests. Anavar (oxandrolone) is an oral anabolic steroid usually used in chopping cycles to scale back fat and construct muscle. Thus, when Anavar is taken in moderate dosages in an affordable cycle, we record a mild reduction in testosterone.
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    Ready for this to naturally occur is not an choice as a result of low testosterone is significantly debilitating. Signs could be widespread and serious and may embody fatigue, despair, low libido, loss of muscle, and fats achieve, to name only a few. Improvement of acne and oily pores and skin are the other androgenic side effects to watch out for. Again, these will develop shortly and severely in some folks, whereas others won’t have pimples. This can also be thought to be genetics, so if you’ve been acne-prone in the past, there’s a excessive probability you’ll develop this aspect impact when using Anavar.
    The high proper or left space is the gluteus maximus muscle and will be the least painful location. Sustaining frequent sense hygiene and safety practices ensures you won’t be risking your well being with any infection when injecting steroids. Understanding the half-life of a steroid you’re taking makes it easy to plan your cycles and know which steroids to use and the way long you should use them. Since each muscle or muscle group recovers sooner after being worked on, you presumably can goal each muscle much more often because these recovery instances are considerably shortened.
    Winstrol poses a better liver toxicity and side effect danger than Anavar, so we will hold this stack quick. Doses are round half that of what we’d normally use for each compound because they are each oral steroids. For additional strength positive aspects, mix with SARMs such as Ostarine at 12.5mg per day for the primary 5 weeks, then increase it to 25mg a day for weeks 6-8. Unlike males, ladies don’t have to do PCT, so there’s nothing else to do once the cycle ends. The best testosterone esters are Testosterone Enanthate or Testosterone Cypionate, with once-weekly injections.
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    For girls Anavar customers (14) it’s advised to start on a lot decrease amounts. The Anavar cycle will also be shorter (4-6 weeks) in comparability with the male cycle which may probably last for as much as 16 weeks. Like the men (see above) the dosages may be elevated, although not as high, for instance 20mg per day could be at a peak degree earlier than pulling the again right down to cycle off.

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  506. Now you probably can think about the results you’d get in case your Anavar have been changed with Dianabol – and it’s even worse for females as a result of anything aside from Anavar just isn’t going to be as tolerable. Hopefully, nobody out there thinks you can take a steroid and then sit back together with your ft up, eating chocolate cake all day, anticipating to transform into Vin Diesel magically. As lengthy as you’re prepared to work for it, Anavar can and does deliver satisfying results in most cases. I used three pills per day for the primary 2-3 weeks as directed on the label, but then I kicked it to 4 pills/day and ran the bottle out. 2 bottles of Anvarol is all you’d want, but when you are going to use 4 pills/day for the complete eight weeks, then I suppose you’d need three of these in that case. There are a large number of risks to long-term well being, some of which we might not notice until a lot later in life.
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    Anavar adds to the vascularity and clear definition of muscular tissues, which makes muscles look tight and clearly outlined. It provides optimum help for women prepared for competitors or eager to look higher. Hardened muscular tissues and good vascularity add to the chiseled and athletic look. Anavar is taken into account one of the least harmful steroids—due to its low androgenic results.
    If you’re seeking to bulk up, you might have heard of Winstrol as a preferred steroid for cutting cycles. Despite the truth that Anavar doesn’t cause significant weight acquire, it does considerably improve strength. This might be plenty of enjoyable for women who get pleasure from heavy lifting and wish to improve their private information on massive lifts. Anavar is also an effective fats burner as a end result of its ability to increase T3 levels in the physique. Gentle muscle positive aspects will be obtained, allowing you to extend your muscularity without appearing cumbersome. High-intensity interval coaching (HIIT) may be done regularly to assist decrease blood strain while additionally aiding in fat burning. Females, however, should monitor their cholesterol levels to make sure that their blood strain doesn’t rise dangerously.
    I enjoyed feeling nice all day long, but it might need been because of the stark contrast with the darkish days I was in before that. I felt better than ever after the cycle ended, nevertheless it might’ve been because of weight loss as properly. As lengthy as you keep training onerous and watch your food plan, you might be likely to maintain outcomes from an Anavar cycle even whenever you come off it. This is unlike other anabolic steroids that can lead to a crash after the cycle ends. For ladies, stacking Anavar with other slicing steroids such as Winstrol just isn’t a good idea both because it again, will increase the danger of virilization. Given the check outcomes from years of research, some of the recommendable steroid for attaining most of those targets with least unwanted aspect effects, is Anavar.
    It’s essential to work intently with a healthcare professional who can assess your specific needs, monitor your hormone ranges, and adjust dosages as necessary to optimize your TRT and Anavar routine. After six months, you can then re-evaluate your testosterone ranges and see if they have increased. Elements similar to your individual objectives, schedule, and response to the drug can affect the optimal timing for you.
    Testosterone will suppress endogenous testosterone manufacturing post-cycle, doubtlessly causing hypogonadism. We find it takes 1-4 months for natural testosterone ranges to recover, depending on the dose, size of cycle, and how often the person uses steroids. Nonetheless, our patients usually make the most of a PCT to shorten this time, which additionally advantages them psychologically (improving their well-being). Endogenous testosterone restoration is not guaranteed if a person abuses the steroid long-term.
    To put it merely, Anvarol is simpler when it comes to cutting down the time wanted by your muscle tissue to recuperate. Just as important you don’t need to put up with water retention, plus the gains are everlasting. To start with, Anvarol side effects are zero, whereas anavar cycling comes with plenty of potential unwanted effects that might make the complete expertise unpleasant. Anavar and Primobolan are the most typical steroids used by ladies wanting to keep away from virilization.
    This assumes you are not using excessive doses of Anavar and not utilizing it frequently over a long period. In those cases, you possibly can count on a lot larger stress on the liver, possibly causing permanent injury. Liver support supplements might help present some protection to your liver when using Anavar or other steroids.

    References:

    how to get a prescription for steroids – http://www.fcviktoria.cz/media_show.asp?id=2924&id_clanek=2467&media=0&type=1&url=https://wiki.fc00.ru/index.php?title=5_Best_Anavar_Stacks:_An_Overview_Of_Potential_Combinations,

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