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The medical management of lower urinary tract symptoms during the nineteenth century 十九世纪下尿路症状的医学治疗
Continence Reports Pub Date : 2024-09-03 DOI: 10.1016/j.contre.2024.100062
Srusthti Bhat , Jonathan Charles Goddard
{"title":"The medical management of lower urinary tract symptoms during the nineteenth century","authors":"Srusthti Bhat ,&nbsp;Jonathan Charles Goddard","doi":"10.1016/j.contre.2024.100062","DOIUrl":"10.1016/j.contre.2024.100062","url":null,"abstract":"<div><p>Medical management and lifestyle changes rather than surgical interventions, are used for many urological problems. This was also the case in the past. The use of herbal medication for urinary symptoms in the nineteenth century is reviewed as well as the acceptance of herbal medicine at that time. The place of conservative therapy is studied in context of the global management of lower urinary tract symptoms during the nineteenth century. During this time period, lower urinary tract symptoms were still mainly managed with herbal treatments, despite the advances in science and chemistry; anything resembling a modern pharmacopeia postdated the nineteenth century.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"12 ","pages":"Article 100062"},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000164/pdfft?md5=7cf593b84180a8165c2d652bfcef3aca&pid=1-s2.0-S2772974524000164-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142149511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The history of prosthetic devices for postprostatectomy incontinence 前列腺切除术后尿失禁修复装置的历史
Continence Reports Pub Date : 2024-09-02 DOI: 10.1016/j.contre.2024.100063
Juliusz J. Szczesniewski , David E. Díaz , Miguel Virseda-Chamorro , Giordano Polisini , Enrico Ammirati , Alessandro Giammò
{"title":"The history of prosthetic devices for postprostatectomy incontinence","authors":"Juliusz J. Szczesniewski ,&nbsp;David E. Díaz ,&nbsp;Miguel Virseda-Chamorro ,&nbsp;Giordano Polisini ,&nbsp;Enrico Ammirati ,&nbsp;Alessandro Giammò","doi":"10.1016/j.contre.2024.100063","DOIUrl":"10.1016/j.contre.2024.100063","url":null,"abstract":"<div><p>Urinary incontinence has been studied since the Egyptian era of the second millennium BCE. Throughout history, several devices have been developed to address this condition. The prevalence of stress incontinence has increased with the surgical treatment of prostatectomy. Since 1947, numerous devices have been developed for the treatment of this condition. We performed a narrative literature review conducted through PubMed and Google Scholar, aimed at creating a chronological outline of devices developed for managing post-prostatectomy urinary incontinence. The first known compression device introduced in 1910 evolved into advanced systems like the AMS 800 artificial urinary sphincter, key milestones in device technology and surgical techniques. Nowadays, several new devices have been developed, each incorporating an innovative solution. In addition, a new artificial sphincter also had been advanced. The incorporation of electronic sphincter control systems seems to be the next innovation. Through continuous innovation, the field has advanced from basic solutions to sophisticated, customized treatments, providing hope and enhancing the quality of life for affected individuals. The evolution of these devices not only marks a journey through history but also illustrates a future where technological advancements continue to play a pivotal role in stress incontinence after prostatectomy.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"12 ","pages":"Article 100063"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000176/pdfft?md5=750ee7af26fdc1f7f9a968b834d57394&pid=1-s2.0-S2772974524000176-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142229040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Female urethroplasty using urethral diverticulum tissue as a graft 使用尿道憩室组织作为移植物的女性尿道成形术
Continence Reports Pub Date : 2024-09-01 DOI: 10.1016/j.contre.2024.100061
D.O. Gabrielle Yankelevich , Kale Moreland , M.D. Timothy Suek , M.D. Jessica Swaim , M.D. Eric Rovner
{"title":"Female urethroplasty using urethral diverticulum tissue as a graft","authors":"D.O. Gabrielle Yankelevich ,&nbsp;Kale Moreland ,&nbsp;M.D. Timothy Suek ,&nbsp;M.D. Jessica Swaim ,&nbsp;M.D. Eric Rovner","doi":"10.1016/j.contre.2024.100061","DOIUrl":"10.1016/j.contre.2024.100061","url":null,"abstract":"<div><p>Female urethral strictures and urethral diverticula are rare as individual entities and exceedingly rare in combination. To our knowledge, there has not been a report of the use of diverticulum sac tissue for simultaneous female urethral stricture repair. We present a novel procedure with an inverted U-shaped approach with urethral diverticulectomy, then we were able to use the urethral diverticula sac tissue for repair of the stricture. Ultimately, the procedure was successful and the patient is doing well at 10 months postoperatively.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"11 ","pages":"Article 100061"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000152/pdfft?md5=440324906b225a3d1efcd749459b28c3&pid=1-s2.0-S2772974524000152-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The history of surgery of urinary fistula 尿瘘手术史
Continence Reports Pub Date : 2024-08-14 DOI: 10.1016/j.contre.2024.100060
David Castro-Diaz , Justo Hernández
{"title":"The history of surgery of urinary fistula","authors":"David Castro-Diaz ,&nbsp;Justo Hernández","doi":"10.1016/j.contre.2024.100060","DOIUrl":"10.1016/j.contre.2024.100060","url":null,"abstract":"<div><p>Existence of vesicovaginal fistula is known since ancient days and has been considered related to tedious labour. It continues to be a health care issue in those communities where obstetrician and midwifery care are scarce. Initial descriptions of surgical treatment started within the XV century, but the first detailed description of a curative technique was made in 1852. Urethral and perineal fistula are also known since ancient days related to the treatment of urethral stricture or bladder stones in males. The implementation of anaesthesia and antisepsis have been a great aid to the advancement of surgery and relief to urinary fistula patients all over the world.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"11 ","pages":"Article 100060"},"PeriodicalIF":0.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000140/pdfft?md5=ad3b9b3a9a225b53c88882d484e12cb0&pid=1-s2.0-S2772974524000140-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142021502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The history of the pharmacologic treatment of urgency incontinence 急迫性尿失禁的药物治疗历史
Continence Reports Pub Date : 2024-08-10 DOI: 10.1016/j.contre.2024.100059
Charlotte Graugaard Jensen , Caroline Secher , Nanna K. Hvid , Lars Lund
{"title":"The history of the pharmacologic treatment of urgency incontinence","authors":"Charlotte Graugaard Jensen ,&nbsp;Caroline Secher ,&nbsp;Nanna K. Hvid ,&nbsp;Lars Lund","doi":"10.1016/j.contre.2024.100059","DOIUrl":"10.1016/j.contre.2024.100059","url":null,"abstract":"<div><p>Today urgency, according to the International Continence Society, is defined as “the complaint of a sudden compelling desire to pass urine, which is difficult to defer”. The overactive bladder (OAB) is a symptom syndrome defined as the presence urgency with or without urgency incontinence accompanied by frequency and nocturia in the absence of infection or any other obvious aetiology. Treatment is primarily behavioural regulation with reduction in fluid intake, timed voiding, bladder training and pelvic floor muscle training. Pharmacologic treatment of urgency and urgency incontinence is oral medical treatment, e.g. anticholinergics or beta-3 agonists. In resistant cases, the patient will be offered treatment with injection of botulinum toxin A in the submucosa of the bladder. In ancient time, concise definitions were lacking and reports on treatment of urinary incontinence are therefore often a mismatch between treatment modalities of different types of urinary incontinence. This non-systematic review outlines the history of how urinary incontinence were evaluated in western medicine, emphasizing the pharmacologic treatment of urgency incontinence.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"11 ","pages":"Article 100059"},"PeriodicalIF":0.0,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000139/pdfft?md5=6fe2250ba22ba86f1ef924e9fd7bdb23&pid=1-s2.0-S2772974524000139-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141997585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bipedalism and pelvic floor disorders, an evolutionary medical approach 两足行走与盆底障碍,一种进化医学方法
Continence Reports Pub Date : 2024-07-08 DOI: 10.1016/j.contre.2024.100058
Marcos García-Diez , Philip Van Kerrebroeck , Javier C. Angulo
{"title":"Bipedalism and pelvic floor disorders, an evolutionary medical approach","authors":"Marcos García-Diez ,&nbsp;Philip Van Kerrebroeck ,&nbsp;Javier C. Angulo","doi":"10.1016/j.contre.2024.100058","DOIUrl":"https://doi.org/10.1016/j.contre.2024.100058","url":null,"abstract":"<div><p>Evolutionary medicine can help to better understand the basis of pelvic floor disorders. Some evidences of the anthropological literature are reviewed, with emphasis on the paleontological clues and phylogenetic comparison of cephalo-pelvic relations in <em>Homo</em> and non-human primates, is undertaken to elucidate the origin of pelvic floor disturbances in humans. Labor difficulties inherent to bipedal gait and the encephalization process could have started several million years ago with <em>Australopithecus</em> and appear undeniable since Homo heidelbergensis, the precursor of Neanderthals. The mechanisms involved in modern human delivery with fetal rotation into the birth canal could be exclusive of <em>Homo sapiens</em>. Among pre-bipedal non-human primates only squirrel monkey can suffer severe dystocia and spontaneous pelvic organ prolapse. Better understanding of the evolutionary changes regarding the human pelvis and the pelvic floor could help us to better understand pelvic floor disorders and the interventions to avoid this highly prevalent ailment.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"11 ","pages":"Article 100058"},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000127/pdfft?md5=c687d42d336f9af7db9fb05601742f96&pid=1-s2.0-S2772974524000127-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141606508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The evaluation of urinary signs and symptoms in medieval medicine 中世纪医学对泌尿系统症状和体征的评估
Continence Reports Pub Date : 2024-06-22 DOI: 10.1016/j.contre.2024.100057
Javier C. Angulo , Miguel Virseda-Chamoro
{"title":"The evaluation of urinary signs and symptoms in medieval medicine","authors":"Javier C. Angulo ,&nbsp;Miguel Virseda-Chamoro","doi":"10.1016/j.contre.2024.100057","DOIUrl":"https://doi.org/10.1016/j.contre.2024.100057","url":null,"abstract":"<div><p>Medieval medicine established the basis of western sanitary knowledge. In an early period, the medical model was monastic and based mainly on botany. In High Middle Age (1000–1300 AD) classical Greek, Roman and Arabic sources were rescued by manuscript copiers, compilers and translators, especially in the Medical School of Salerno and in Toledo. The Arab and Hebrew knowledge was fundamental for this information recovery, that promoted the creation of the first medical universities in Europe (Montpelier, Bologna, Paris, Oxford, Salamanca) that spread the medical knowledge in Late Middle Ages. A non-systematic review is undertaken to analyze how urinary signs and symptoms were evaluated in medieval medicine, with emphasis in uroscopy and in the description in medical treatises of urinary symptoms; including incontinence, dysuria and retention, and their remedies in the form of oils, syrups and electuaries to restore the humoral balance</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"11 ","pages":"Article 100057"},"PeriodicalIF":0.0,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000115/pdfft?md5=8abc144dc38643b4059fa962b0e4b450&pid=1-s2.0-S2772974524000115-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141484171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges and practical considerations in delivering botulinum neurotoxin to adults with congenital neurogenic lower urinary tract dysfunction with history of genitourinary reconstruction 为有生殖泌尿系统重建史的先天性神经源性下尿路功能障碍成人注射肉毒杆菌神经毒素的挑战和实际考虑因素
Continence Reports Pub Date : 2024-06-20 DOI: 10.1016/j.contre.2024.100054
Johnny S. Su, Rose Khavari
{"title":"Challenges and practical considerations in delivering botulinum neurotoxin to adults with congenital neurogenic lower urinary tract dysfunction with history of genitourinary reconstruction","authors":"Johnny S. Su,&nbsp;Rose Khavari","doi":"10.1016/j.contre.2024.100054","DOIUrl":"https://doi.org/10.1016/j.contre.2024.100054","url":null,"abstract":"<div><h3>Purpose:</h3><p>While intradetrusor botulinum neurotoxin (BoNT) injection is a well-established treatment of neurogenic detrusor overactivity, its administration in individuals with complex genitourinary (GU) reconstruction can be difficult. The objective of this report is to highlight our institution’s experience with challenges and practical solutions in delivering BoNT to this unique patient population.</p></div><div><h3>Materials and Methods:</h3><p>We performed a retrospective review of our institution’s database of adults with congenital neurogenic lower urinary tract dysfunction (NLUTD) with history of complex GU reconstruction who received intradetrusor BoNT injections performed by a single surgeon between 2016 and 2023. In patients with multiple injections, the most recent procedure was used as the index case for analysis.</p></div><div><h3>Results:</h3><p>A total of 17 patients were included, with a mean age of 27 years (range 21–46). The most common diagnosis was myelomeningocele (n=13), followed by sacral agenesis (n=2), Williams syndrome (n=1), and urethral atresia (n=1). The most common GU reconstruction was augmentation cystoplasty (n=11). 75% (12/16) of the patients had a continent catheterizable channel (CCC) and 31% (5/16) had undergone prior bladder neck reconstruction or closure.</p></div><div><h3>Conclusion:</h3><p>Additional considerations and instruments are required for safe and effective BoNT injections in individuals with congenital NLUTD and reconstruction. Adequate preparation by the staff and the provider may be needed. Our recommendation generally favors the utilization of a flexible cystoscope or a rigid scope with a smaller sheath size to minimize trauma to the CCC, bladder neck, or urethra. Additionally, it is advisable to consider reconstituting BoNT in higher concentrations to enable the administration of fewer injections. Furthermore, performing these procedures in the operating room under anesthesia allows for the development of a well-considered strategy prior to any attempts in the office setting We hope that this manuscript sparks discussion between pediatric urologists and adult urologist to expand our knowledge on strategies needed for delivering BoNT to individuals with complex and restricting GU surgeries.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"11 ","pages":"Article 100054"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000085/pdfft?md5=0af5912814bce5c56118cb095546c8db&pid=1-s2.0-S2772974524000085-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does pelvic floor morphometry change in women with pelvic organ prolapse after a short period of supine lying? 患有盆腔器官脱垂的妇女在短时间仰卧后,盆底形态是否会发生变化?
Continence Reports Pub Date : 2024-06-14 DOI: 10.1016/j.contre.2024.100055
Lori B. Forner, Marie-Pierre Cyr, Paul W. Hodges, Michelle D. Smith
{"title":"Does pelvic floor morphometry change in women with pelvic organ prolapse after a short period of supine lying?","authors":"Lori B. Forner,&nbsp;Marie-Pierre Cyr,&nbsp;Paul W. Hodges,&nbsp;Michelle D. Smith","doi":"10.1016/j.contre.2024.100055","DOIUrl":"10.1016/j.contre.2024.100055","url":null,"abstract":"<div><h3>Introduction:</h3><p>Advice for women with pelvic organ prolapse (POP) often includes lying down to decrease the effects of gravity on the pelvic floor. The aim of this study was to compare pelvic floor morphometry before and after 30 min of supine lying in women with symptomatic POP.</p></div><div><h3>Methods:</h3><p>Pelvic floor morphometry was assessed in vaginally parous, premenopausal women with symptomatic POP <span><math><mo>≥</mo></math></span> stage 1. The modified Pelvic Organ Prolapse Quantification system was used in supine to assess points Ba (anterior vaginal wall), Bp (posterior vaginal wall), and C (cervix). Transperineal ultrasound imaging was used in supine and standing to assess the following measures at rest and bearing down: bladder neck position, bladder position, rectal ampulla position, levator plate angle, anorectal angle, levator anteroposterior distance, and levator hiatal area. Measures taken before and after 30 min of supine lying were compared.</p></div><div><h3>Results:</h3><p>Twenty-one women (median (range) age: 39 (29–50) years) with varied stages of POP (33% stage 1, 57% stage 2, and 10% stage 3) were included. Most measures of pelvic floor morphometry were unchanged after 30 min of supine lying compared to before lying. Participants had greater resting levator hiatal area in supine and levator anteroposterior distance at rest and bearing down in supine after lying down (p <span><math><mo>≤</mo></math></span> 0.001), suggesting reduced pelvic floor muscle activity.</p></div><div><h3>Conclusion:</h3><p>Findings suggest that a 30-min period of supine lying does not improve support of the pelvic organs.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"11 ","pages":"Article 100055"},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000097/pdfft?md5=dc7256e8e1c6e91f9addd166c8b21c85&pid=1-s2.0-S2772974524000097-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141413090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Urinary catheters and urinals throughout history 历史上的导尿管和小便池
Continence Reports Pub Date : 2024-06-04 DOI: 10.1016/j.contre.2024.100053
{"title":"Urinary catheters and urinals throughout history","authors":"","doi":"10.1016/j.contre.2024.100053","DOIUrl":"10.1016/j.contre.2024.100053","url":null,"abstract":"<div><p>Emptying an overfilled bladder has been a severe medical problem in mankind since ancient times. This review presents highlights the main historical milestones in the development and use of urine catheters. Some of the most famous designers and makers are also commented. Besides, the historic role of urinals, both as sanitary elements and sometimes as therapeutic devices for male incontinence, is presented.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":"11 ","pages":"Article 100053"},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772974524000073/pdfft?md5=570704425fde375091c78d74ce3a13ee&pid=1-s2.0-S2772974524000073-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141410789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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