Mental health and substance use : dual diagnosis最新文献

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Pathways through care for people with dual diagnosis in Europe: results from the Treatment Options for Dual Diagnosis User Zoom instrument 欧洲双重诊断患者的护理途径:双重诊断治疗选择用户变焦仪器的结果
Mental health and substance use : dual diagnosis Pub Date : 2011-06-14 DOI: 10.1080/17523281.2011.578281
T. Greacen, A. Baldacchino, Katarzyna Charzyńska, M. Sorsa, N. Groussard-Escaffre, C. Clancy, C. Lack, E. Hyldager, C. Hodges, L. Merinder, J. Meder, Zoe Henderson, H. Laijarvi, K. Baeck-Moller
{"title":"Pathways through care for people with dual diagnosis in Europe: results from the Treatment Options for Dual Diagnosis User Zoom instrument","authors":"T. Greacen, A. Baldacchino, Katarzyna Charzyńska, M. Sorsa, N. Groussard-Escaffre, C. Clancy, C. Lack, E. Hyldager, C. Hodges, L. Merinder, J. Meder, Zoe Henderson, H. Laijarvi, K. Baeck-Moller","doi":"10.1080/17523281.2011.578281","DOIUrl":"https://doi.org/10.1080/17523281.2011.578281","url":null,"abstract":"Differences in care philosophies between the mental healthcare system and the substance misuse treatment system have a significant impact on treatment options for people with dual diagnosis. The aim of the study was to identify pathways through care for people with dual diagnosis in Europe using the Treatment Options for Dual Diagnosis User Zoom instrument. Declared pathways through care were categorised for 331 subjects with severe dual diagnosis recruited after admission to psychiatric wards at seven European sites and followed up over 9 months. At baseline, more than one in four subjects did not declare using either mental health or substance misuse centres or services. Mental health centres played the major role through follow-up with similar rates of declared use at all sites. By contrast, use of substance misuse treatment centres was half as frequent and varied considerably between sites. Declaring any use of substance misuse centres was generally associated with decreased overall contact with the mental healthcare system for this population of psychotic patients with comorbid substance misuse problems.","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"40 1","pages":"195-210"},"PeriodicalIF":0.0,"publicationDate":"2011-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76411758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Trait-impulsivity moderates the relationship between rumination and number of major depressive episodes among cigarette smokers 特质冲动性调节吸烟者反刍与重度抑郁发作次数之间的关系
Mental health and substance use : dual diagnosis Pub Date : 2011-03-09 DOI: 10.1080/17523281.2011.554326
D. McChargue, Susan Drevo, M. J. Herrera, Neal Doran, S. Salvi, Alicia K. Klanecky
{"title":"Trait-impulsivity moderates the relationship between rumination and number of major depressive episodes among cigarette smokers","authors":"D. McChargue, Susan Drevo, M. J. Herrera, Neal Doran, S. Salvi, Alicia K. Klanecky","doi":"10.1080/17523281.2011.554326","DOIUrl":"https://doi.org/10.1080/17523281.2011.554326","url":null,"abstract":"Background. Despite the high prevalence of major depression among cigarette smokers, little is known about biobehavioral mechanisms that increase smokers' susceptibility to depression. Aims. The present study examined whether trait-impulsivity would moderate the relationship between rumination and number of past major depressive episodes (MDEs) among smokers (N = 128). Method. Data were derived from baseline screening questionnaires and structured diagnostic interviews of two studies examining emotional responses of smokers with a history of major depression compared with smokers without depression histories. Results. As predicted, the interaction between rumination and trait-impulsivity was a significant predictor of MDE recurrence (β = 0.259, p = 0.001, R 2 change = 0.063). Post hoc analyses tested rumination's association with past MDEs among those with high and low levels of impulsivity. Rumination predicted the number of diagnosed past MDEs among those with high levels of impulsivity (β = 0.408, p = ...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"31 1","pages":"96-104"},"PeriodicalIF":0.0,"publicationDate":"2011-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82369303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Turning of the tide: changing systems to address smoking for people with a mental illness 潮流的转变:改变解决精神疾病患者吸烟问题的制度
Mental health and substance use : dual diagnosis Pub Date : 2011-03-09 DOI: 10.1080/17523281.2011.555073
B. Bonevski, J. Bowman, R. Richmond, Jamie Bryant, P. Wye, E. Stockings, K. Wilhelm, T. Butler, Devon Indig, A. Wodak
{"title":"Turning of the tide: changing systems to address smoking for people with a mental illness","authors":"B. Bonevski, J. Bowman, R. Richmond, Jamie Bryant, P. Wye, E. Stockings, K. Wilhelm, T. Butler, Devon Indig, A. Wodak","doi":"10.1080/17523281.2011.555073","DOIUrl":"https://doi.org/10.1080/17523281.2011.555073","url":null,"abstract":"Smoking tobacco is common among people with a mental illness. A number of behavioural and environmental factors underlie the high smoking prevalence rates. Evidence suggests that smokers with mental illness require additional targeted support to help them stop smoking. By using a selective review of the international literature, this article will argue that a systems-level change approach is an appropriate strategy, targeting settings and environments with a number of advantages for reaching smokers with mental illness. Systems-level changes include: (1) implementing a system of identifying and recording smoking status;(2) providing education, resources and feedback to promote staff intervention;(3) dedicating staff to provide tobacco-dependence treatment;(4) promoting organisational policies that support and provide tobacco-dependence services. Three settings will be discussed – mental health services, community social service organisations and prisons. As a result of a history and culture where smoking ...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"3 1","pages":"116-129"},"PeriodicalIF":0.0,"publicationDate":"2011-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79132819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Health behaviour risk factors for coronary heart disease (CHD) in smokers with a psychotic disorder: baseline results 伴有精神障碍的吸烟者冠心病(CHD)的健康行为危险因素:基线结果
Mental health and substance use : dual diagnosis Pub Date : 2011-03-09 DOI: 10.1080/17523281.2011.555088
S. Filia, A. Baker, R. Richmond, D. Castle, F. Kay-Lambkin, Rebecca Sakrouge, C. Gurvich, A. D. Castella, Rachel Taylor, J. Kulkarni
{"title":"Health behaviour risk factors for coronary heart disease (CHD) in smokers with a psychotic disorder: baseline results","authors":"S. Filia, A. Baker, R. Richmond, D. Castle, F. Kay-Lambkin, Rebecca Sakrouge, C. Gurvich, A. D. Castella, Rachel Taylor, J. Kulkarni","doi":"10.1080/17523281.2011.555088","DOIUrl":"https://doi.org/10.1080/17523281.2011.555088","url":null,"abstract":"Background. People with psychotic disorders are more likely to develop and die from coronary heart disease (CHD) than the general population. Aims. This study aimed to explore the level of CHD risk factors (smoking, diet and physical activity) in smokers with psychosis. The second aim was to examine the reasons for smoking/quitting, and the levels of motivation and confidence to change. Method. Forty-three smokers diagnosed with psychosis were assessed using semi-structured interviews and standardised self-report instruments. Carbon monoxide levels, blood pressure, height, weight and hip/waist measurements were assessed. Blood samples were taken for cholesterol and blood sugar levels. CHD risk percentiles were calculated using the Framingham algorithm. Results. Participants smoked heavily (mean 30.8 cigarettes per day ±12.5). The majority reported smoking due to addiction and for stress management and many contemplated quitting, mainly due to health concerns. Participants were on average moderately obese ...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"77 1","pages":"158-171"},"PeriodicalIF":0.0,"publicationDate":"2011-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91318578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 17
Healthy lifestyle intervention for people with severe mental disorders 严重精神障碍患者的健康生活方式干预
Mental health and substance use : dual diagnosis Pub Date : 2011-03-09 DOI: 10.1080/17523281.2011.555086
A. Baker, F. Kay-Lambkin, R. Richmond, S. Filia, D. Castle, Jill M Williams, L. Thornton
{"title":"Healthy lifestyle intervention for people with severe mental disorders","authors":"A. Baker, F. Kay-Lambkin, R. Richmond, S. Filia, D. Castle, Jill M Williams, L. Thornton","doi":"10.1080/17523281.2011.555086","DOIUrl":"https://doi.org/10.1080/17523281.2011.555086","url":null,"abstract":"Cardiovascular disease (CVD) is the largest single cause of death among people with severe mental disorders, such as schizophrenia and bipolar disorder. Smoking rates are very high among people with severe mental disorders, considerably increasing their risk of CVD. In addition, many people with such disorders also suffer from obesity related to inactivity, unhealthy diets, excessive alcohol consumption and some psychiatric medications. Despite increasing recognition of the widespread impact that smoking and other unhealthy behaviours have on increased morbidity and mortality, treatment of physical health problems is often neglected among people with severe mental disorders. Research evaluating interventions seeking to change multiple health behaviours indicates that these are feasible and effective. In this context, studies evaluating the effectiveness of a multi-component healthy lifestyle intervention for smoking and CVD risk behaviours among people with severe mental disorders are needed. A healthy li...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"46 1","pages":"144-157"},"PeriodicalIF":0.0,"publicationDate":"2011-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81531414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
A comparison of accidental and intentional fatal drug overdoses within the drug death population in Scotland: a case of comortality? 苏格兰药物死亡人群中意外和故意致死性药物过量的比较:共死亡案例?
Mental health and substance use : dual diagnosis Pub Date : 2011-01-06 DOI: 10.1080/17523281.2011.533439
A. Baldacchino, S. Walls
{"title":"A comparison of accidental and intentional fatal drug overdoses within the drug death population in Scotland: a case of comortality?","authors":"A. Baldacchino, S. Walls","doi":"10.1080/17523281.2011.533439","DOIUrl":"https://doi.org/10.1080/17523281.2011.533439","url":null,"abstract":"This article considers the social and clinical life circumstances of individuals who succumbed to drug deaths in Scotland in 2003. Specifically, comparisons are made between those who died of accidental and intentional illicit drug overdoses. A cross-linkage process allowed for a comparison of patient notes obtained from general practice, drug treatment services, the Scottish Prison service, the Scottish Criminal Records Office, acute services, non-statutory services and the Procurator Fiscal. Individuals who intentionally overdosed were older, more likely to be females and in a relationship, more likely to be living in their own homes in areas of lower deprivation, to have children and to have sought medical treatment for a psychological condition. They were less likely to have a criminal record or a history of incarceration or substance misuse problems. These findings demonstrate the diversity of the drug death population and may have implications for future prevention policies aimed at individual sub-p...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"20 1","pages":"5-21"},"PeriodicalIF":0.0,"publicationDate":"2011-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79859904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Levels of risk: maternal-, middle childhood-, and neighborhood-level predictors of adolescent disinhibitory behaviors from a longitudinal birth cohort in the United States. 风险水平:来自美国纵向出生队列的青少年去抑制行为的母亲、童年中期和邻居水平预测因子。
Mental health and substance use : dual diagnosis Pub Date : 2011-01-01 DOI: 10.1080/17523281.2011.533445
Katherine M Keyes, Margaret A Keyes, Dana March, Ezra Susser
{"title":"Levels of risk: maternal-, middle childhood-, and neighborhood-level predictors of adolescent disinhibitory behaviors from a longitudinal birth cohort in the United States.","authors":"Katherine M Keyes,&nbsp;Margaret A Keyes,&nbsp;Dana March,&nbsp;Ezra Susser","doi":"10.1080/17523281.2011.533445","DOIUrl":"https://doi.org/10.1080/17523281.2011.533445","url":null,"abstract":"<p><p>OBJECTIVE: Disruptive behavior in adolescence may indicate a broad vulnerability to disinhibition, which begins in childhood and culminates in adult externalizing psychopathology. We utilized prospective birth cohort data to assess childhood predictors of adolescent disinhibition. We also examined the effect of pre-adolescent fluctuation in cognitive ability. METHODS: Data were drawn from the Child Health and Development Study cohort, born 1961-1963; we used the subsample who participated in follow-up through adolescence (n=1752). Six indicators of behavioral disinhibition (BD), reported in adolescence, were analyzed as a count outcome. Predictor variables were drawn from several waves of data collection and included individual-, maternal-, and neighborhood-level measures. Cognitive ability was assessed with the Peabody Picture Vocabulary Test at two time points. Neighborhood characteristics were assessed using census data from 1970. RESULTS: Number of BD indicators was predicted by maternal characteristics at prenatal assessment (maternal age and alcohol consumption) and age-10 assessment (maternal smoking, education, and separation from father). Characteristics of the child that predicted BD included birth order and conduct problems in middle childhood. Neighborhood poverty did not predict BD. Regardless of initial cognitive ability score, movement to a higher quartile by adolescence was associated with lower BD, while movement to a lower quartile was associated with higher BD. CONCLUSION: Risk for adolescent BD exists prenatally and extends through middle childhood. Change in cognitive ability during pre-adolescence emerged as a potentially important factor that merits further investigation. A greater focus on the life course can aid in comprehensively understanding disruptive behavior emergence in adolescence.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"4 1","pages":"22-37"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281.2011.533445","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29808130","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: 13
The community impact of RIOTT, a medically supervised injectable maintenance clinic in south London RIOTT的社区影响,这是一家位于伦敦南部的医学监督注射维持诊所
Mental health and substance use : dual diagnosis Pub Date : 2010-09-15 DOI: 10.1080/17523281.2010.503937
Peter M. Miller, S. McKenzie, N. Lintzeris, Anthea Martin, J. Strang
{"title":"The community impact of RIOTT, a medically supervised injectable maintenance clinic in south London","authors":"Peter M. Miller, S. McKenzie, N. Lintzeris, Anthea Martin, J. Strang","doi":"10.1080/17523281.2010.503937","DOIUrl":"https://doi.org/10.1080/17523281.2010.503937","url":null,"abstract":"Background: One of the major issues facing treatment services for alcohol and other drug users (current or ex-) around the world is community backlash, which has led to the closure of some much-needed drug treatment services. Aims: This study investigates the impact on the local community of a Medically Supervised Injectable Maintenance Clinic (MSIMC) implemented as part of the Randomised Injectable Opioid Treatment Trial (RIOTT), a trial into the effectiveness and efficacy of the provision of injectable opioids versus conventional oral methadone. The clinic model is based around a small number of the most entrenched and refractory patients (approx. 30) being treated by the service at any one time. Methods: The clinic and the trial were conceived primarily over 2002–2005, and the clinic began actual clinical operation in October 2005. The research was conducted between July 2005 and October 2007. Methods involved: pre-trial community key informant interviews; two-year follow-up key informant interviews; a...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"116 1","pages":"248-259"},"PeriodicalIF":0.0,"publicationDate":"2010-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76699221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Group substance abuse treatment for women in secure services 在安全服务机构对妇女进行集体药物滥用治疗
Mental health and substance use : dual diagnosis Pub Date : 2010-09-15 DOI: 10.1080/17523281.2010.506182
C. Long, Barbara Fulton, Kirsty-Ann Fitzgerald, C. Hollin
{"title":"Group substance abuse treatment for women in secure services","authors":"C. Long, Barbara Fulton, Kirsty-Ann Fitzgerald, C. Hollin","doi":"10.1080/17523281.2010.506182","DOIUrl":"https://doi.org/10.1080/17523281.2010.506182","url":null,"abstract":"Background: The treatment of substance abuse in secure settings needs to be informed by gender specific considerations. Aim: To assess the effectiveness of a manualised CBT substance abuse treatment programme designed for women in medium security. Method: Assessment of pre–post changes following treatment using substance-specific and other outcome indicators. Results: Positive outcomes were identified for treatment completers (n = 23) in terms of improved substance-related self-efficacy, lower perceived costs and greater benefits of change. These differences, which were not evident in the non-completer group (n = 11), were paralleled by positive clinical changes on subscale of the BPRS, CANFOR needs and increased general self-efficacy. Conclusions: Treatment was successful in engaging two-thirds of patients to complete treatment in readiness for conditions of lower security and potential exposure to alcohol and other drugs. Differences between completers and non-completers raise issues about the timing an...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"25 1","pages":"227-237"},"PeriodicalIF":0.0,"publicationDate":"2010-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85662712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
Profiles of individuals seeking psychiatric help for psychotic symptoms linked to methamphetamine abuse – baseline results from the MAPS (methamphetamine and psychosis study) 寻求与甲基苯丙胺滥用有关的精神病症状的精神病帮助的个人概况——来自MAPS(甲基苯丙胺和精神病研究)的基线结果
Mental health and substance use : dual diagnosis Pub Date : 2010-09-15 DOI: 10.1080/17523281.2010.504645
T. Lecomte, K. Mueser, W. Macewan, Marie-Christine Laferrière-Simard, A. Thornton, T. Buchanan, E. Goldner, J. Brink, T. Ehmann, D. Lang, Shimi Kang, A. Barr, W. Honer
{"title":"Profiles of individuals seeking psychiatric help for psychotic symptoms linked to methamphetamine abuse – baseline results from the MAPS (methamphetamine and psychosis study)","authors":"T. Lecomte, K. Mueser, W. Macewan, Marie-Christine Laferrière-Simard, A. Thornton, T. Buchanan, E. Goldner, J. Brink, T. Ehmann, D. Lang, Shimi Kang, A. Barr, W. Honer","doi":"10.1080/17523281.2010.504645","DOIUrl":"https://doi.org/10.1080/17523281.2010.504645","url":null,"abstract":"Background: Methamphetamine psychosis (MAP) is commonly encountered in psychiatric emergency rooms (ERs) in North America, and little is known regarding the specific needs of this clientele. Aims: This study aimed at describing the psychiatric and socioeconomic profiles of individuals with co-occurring methamphetamine abuse and psychosis profiles. Method: Two hundred and ninety-five (295) individuals needing psychiatric help for MAP were assessed regarding their socioeconomic situation, their substance abuse patterns, family histories, past psychiatric diagnoses, childhood trauma, and co-occurring disorders of depression, PTSD and antisocial personality disorder. Results: Eighty-seven percent had a family history of mental illness or substance abuse and close to 70% had a previous diagnosis of a mental illness, although only 21% of a psychotic disorder. Antisocial personality disorder, depression, and post-traumatic stress disorder were highly prevalent in our sample. Cluster analyses on methamphetamine (...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"48 2 1","pages":"168-181"},"PeriodicalIF":0.0,"publicationDate":"2010-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87691345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
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