• 제목/요약/키워드: T3N0

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식도 및 기도이물의 통계적 고찰 (A Statistical Study of Foreign Bodies in Food and Air Passage)

  • 손영규;양희찬;최정현;신명수;이선철
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
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    • pp.6.2-7
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    • 1982
  • 1976년 9월 1 일부터 1981 년 8월 31 일까지 5년 동안 본원 이비인후과를 내원한 식도 및 기도의 이물환자 270명에 대한 연령 및 성별 분포, 이물의 종류 및 빈도, 각 이물의 개재부위, 그리고 각 이물의 개재기간에 대한 통계적 고찰을 한 결과 다음과 같은 성적을 얻었다. 1) 식도이물은 전체 270 례중 256 례 (94.8%)로 대부분이었고, 기도이물은 14례 (5.2%)로 나타났다. 2) 연령별로는 식도이물에서 5 세이하가 198 례 (77.7%)였다. 또한 이 연령군의 식도이물에서 주화가 175 례 (87.9%), 기도이물에서는 플라스틱 제품이 7 례 (50.0%)로 주종을 이루었고, 40세이상 연령군에서 골판류가 8례 (47.1%), 육괴가 6례 (35.3 %)로 주종을 이루고 있었다. 3) 성별 빈도는 식도이물에서 남자 대 여자의 비가 151 : 105(1.4 : 1) 로 남자가 많았고, 기도이물에서도 남자 대 여자의 비가 10 : 4 ( 2.5 : 1)로 남자가 많았다. 4) 종류별로 보면 식도이물에서는 주화가 199 례 (77.7%)로 가장 많았고 그 다음이 금속류가 15 례(5.9%), 골련 (5.1%), 육괴 (3.9%)순으로 나타났다. 기도이물에서는 플라스틱류가 7례 (50.0%)로 가장 많았다. 5) 개재부위는 식도에서 제 1 협착부가 가창 많았고(93.4%), 기도에서는 기관지가 가장 많았으며 (71.4%) 특히 우측 기관지가 많았다. 6) 개재기간은 식도의 경우 218명 (85.2%)이 24시간이내에 내원하였고 기도에서는 9명 (64.3%)이 24시간이내에 내원하였으며, 5개월후에 내원한 경우도 1례 있었다.

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개 모낭충증에 있어서 약침과 기존 치료의 병용 : 증례 보고 (Injection-Acupuncture Combined by Conventional Treatment in Canine Demodicosis : Case Report)

  • 전형규;한지원;오현욱;이현화;박배근;박성준;조성환;김덕환
    • 한국임상수의학회지
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    • 제24권3호
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    • pp.432-436
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    • 2007
  • 개 모낭충증의 새로운 치료법을 확립하기 위하여 항생제의 약침과 일반 치료의 병행을 이용한 치료 효과를 조사하였다. 본 연구에서는 모낭충으로 진단된 개 3두를 이용하였다. Enrofloxacin의 약침을 폐수(BL13) 위중(BL40), 대추(GV14), 족삼리(ST36), 합곡(LI04), 곡지(LI11) 및 삼음교(SP06)의 혈위에 각각 5주간 실시하였다. 또한 일반 치료법인 invermectin과 0.05% amitraz 약욕을 5주간 추가로 실시하였다. 소양증, 찰과상, 홍반 및 탈모와 같은 임상증상은 약침과 일반치료에 의해서 치료 전에 비하여 현저하게 완화되었다. Case 1은 4주 후에 완치되었고, case 2는 5주 후에 증상이 약간 잔존하였으며, 그리고 case 3은 5주 후에 완치되었다. 혈중 백혈구 수는 치료와 더불어 모든 케이스에서 감소하는 경향을 보였으나, 호중구/림프구 비율은 일정한 경향을 나타내지 않았다. 5주째 병리조직 검사 소견상에서 case 1과 case 3은 뚜렷한 병리조직학적 변화가 관찰되지 않았으나, case 2는 경도의 변화가 관찰되었다. 결론적으로 개 모낭충에 이환된 본 환축들은 항생제 약침과 일반 치료법의 병행으로 양호한 치료반응을 나타낸 증례이었다.

신규 Carbapenem 유도체 CRB 529 및 CRB 550의 생체내 항균효과와 약물동태의 비교 (Comparison of in Vivo Antibacterial Activities and Pharmacokinetics of New Carbapenem Derivatives, CRB 529 and CRB 550, in Mice and Rats)

  • 김준겸;민관기;이주몽;이홍우;김정우
    • 약학회지
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    • 제39권4호
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    • pp.360-366
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    • 1995
  • 1-$\beta$-Methyl carbapenem-2-substituted pyrroudine derivatives. CRB 529 and CRB 550, were synthesized as investigational carbapenem derivatives. It has been reported that the in vitro antibacterial activities of the compounds against G(+) and G(-) bacteria were almost the same or more effective than those of imipenem (IPM) and meropenem (MEPM), and also showed better in vivo efficacy than MEPM and inlipeneni/cilastatin (IPM/CS) against representative G(-) organisms, P. aeruginosa and MRSA organisms, S. aureus. The antibacterial activities, pharmacokinetics and protective efficacy of IPM/CS and CRB 529 and CRB 550 wereconducted after subcutaneous or intravenous administration to mice and rats. The pharmacokinetic parameters of CRB 529 and CRB 550 in mice were as follows: the observed maximal serum concentrations (C$_{max}$) following I.V. administration were 87.5 and 101 $\mu\textrm{g}$/ml for CRB 529 and CRB 550, respectively, and 63.6 $\mu\textrm{g}$/ml for IPM/CS. The half-lives (t$_{1/2}$) were 14.0 and 12.0 n-dn for CRB 529 and CRB 550, respectively, and 14.8 min for IPM/CS. In rats, $C_{max}$ after I.V. administration were 74.0 and 91.8 $\mu\textrm{g}$/ml for CRB 529 and CRB 550, respectively, and 41.2 $\mu\textrm{g}$/ml for IPM/CS. The tissue levels of CRB 529 and CRB 550 and IPM/CS after I.V. administration at a dose of 20 mg/kg decreased by the following order: lung, heart, kindney, liver and spleen for CRB 529, lddney, liver. lung, heart and spleen for CRB 550 and kidney, lung, liver, heart, spleen and brain for IPM/CS. In systemic infection, CRB 529 and CRB 550 showed excellent efficacies against P. aeruginosa and S. aureus (MRSA) at a dose of 5 mg/kg. The PD$_{50s}$ were 0.80, 0.36 mg/kg for CRB 529 and CRB 550, respectively, and 3.22 mg/kg for IPM/CS against P. aeruginosa. The corresponding values against S. aureus (MRSA) were 76.0, 55.3 mg/kg for CRB 529 and CRB 550, respectively, and 146 mg/kg for IPM/CS. In local infection, the antibacterial activities of CRB 529 and CRB 550 were more effective than those of IPM/CS against intrarenal infection with E. coli and P. aeruginosa and also showed as effective as IPM/CS against respiratory tract infection with E. coli and P. aeruginosa at a dose of 5 mg/kg.

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수술환자에 었어서 마약성 진통제의 자가투여 방법과 근육주사 방법의 효과에 대한 비교연구 (A Comparative Study of the Effect of Two Analgesic Administration Methods on Post Operative Pain)

  • 이정화
    • 대한간호학회지
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    • 제27권2호
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    • pp.401-410
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    • 1997
  • An acute pain is the common experience following surgery. Pain is a most miserable experience in person and most preoperative patients have fear o! postoperative pain. In nursing, it is very important to understand and relieve the pain of post oprative patients as much as possible. This study was designed to compare the descriptive patterns of pain between group of Patient Controlled Analgesia and group of traditional Muscular Injection in surgcal patients. This information can be utilited as data of understanding nursing care and treatment planning for pain in surgical patients. The subjects in this study were 45 post-hysterectomy patients in Gynecology ward in C. N. U. H., in Taejon. Data was collected from May 12 to June 27. 1996. The instrumants used for this study were subjective Visual Analog Scale, Objedive nonverbal pain scale composed of Facial Apperance. Vocal Sound Change, and Sweating score. and the Melzack's Mcgill pain Qusetionaire. nine Items of Developmental Pain Intensity Scale by Lee En Ok. Analysis of data was done by using S. P. S. S. percentage, t-test, x²-test. ANOVA, and Repeated measure ANOVA. Results were obtained as follows. 1. Hypothesis 1 : There was very highly statistically significant difference in subjective self-report pain score(Visual Analog Scale) between PCA Group and IM Group(P=0.0001). 2. Hypothesis 2 : There was very highly statistically significant difference in muscle strength score (Visual Analog Scale) between PCA Group and IM group(P0.0001). 3. Hypothesis 3 : There was very highly statistically significant difference in facial appearance score between PCA Group and IM group(P=0.0001). 4. Hypothesis 4 : There was very highly statistically significance difference in vocal sound change score between PCA Group and IM group(P=0.0001). 5. Hypothesis 5 : There was no statistically significant difference sweating scores between PCA group and IM group(F=2.50, P=0.1220). But, postoperation time of 12, 24 was statistically difference between two groups(P=0.0001). So, it was partially supported. 6. Hypothesis 6 : There was very highly statistically significant difference in vocabulary pain score between PCA Group and IM group. 7. Hypothesis 7 : There was very highly statistically significant difference in amounts of total analgesic between PCA Group and IM group. There was very highly statistically significant difference in Visual Analog Pain Score, Facial Appearance Score, Vocal Sound Change Score, Vocabulary Score, amounts of total analgesic between PCA group and IM group. So, It is verified to asses of postoperative pain with VAS, Checklist of facia appearance, vocal sound change, and sweating, and Vocabulary Scale.

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Sperm-Mediated Gene Transfer by Injection of Sperm or Sperm Head into Porcine Oocytes

  • S.Y. Ahn;Lee, H.T.;K. S. Chung
    • 한국동물번식학회:학술대회논문집
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    • 한국동물번식학회 2001년도 춘계학술발표대회
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    • pp.56-56
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    • 2001
  • The exogenous gene transfer by intracytoplasmic sperm injection (ICSI) procedure has been recently used to produce transgenic mice and pigs. Sperm-mediated DNA transfer has the potential to markedly simplify the generation of transgenic animals. This method may serve as an alternative to the pronucleus injection of DNA for the production of transgenic pigs. Therefore, in this study, we investigated the expression of transgene after co-injection of spermatozoon or sperm head with green fluorescent protein (GFP) gene into in vitro matured porcine oocytes. Spermatozoon and sperm head, that was obtained by sonication, were treated with 0.03% Triton X-100 to remove the membrane. They were preincubated with linearized pEGFP-N1 for 1 min, and then embryos cultured NCSU23 medium for 2.5 days after co-injected of sperm and DNA. We monitored expression of GFP in embryos under epifluorescent microscope. The remove of sperm membrane did not alter the developmental competence of embryos after ICSI. At 7 days following injection, the rates of blastocysts following injection of intact sperm (15.0%), and of sperm with disrupted membrane (14.2%) were higher than that following IVF (10.0%). Porcine oocytes injected with sperm which co-cultured with DNA concentration of 1, 0.1, and 0.01 ng were 60, 65.7 and 75% and 18.5, 37.4 and 22.2% for rates of cleavage and GFP expression, respectively. In vitro matured porcine oocytes injected with sperm and isolated sperm head resulted in 69 and 59.7% of cleavage rates, respectively The rates of embryo GFP expressed did not significantly different between sperm (20.4%) and sperm head (20.0%) injection. The transgenic embryos with the clusters of positive blastomeres were observed under fluorescent microscope. Most of embryos expressed GFP gene showed mosaicism. They showed GFP expression at 1/4, 2/4 and 3/4 of blastomeres at the 4-cell stage. Among these 4-cell embryos, the expression rate of 1/4 blastomere group (54.6%) was higher than the other groups (15.3-30.7%). These results indicate that membrane disrupted sperm could attach with exogenous DNA, and that this procedure may be useful to introduce foreign gene into porcine oocytes. Therefore, our data suggest that the ICSI car be a useful tool to efficiently produce transgenic pig as well as other mammals.

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백금산화촉매를 통한 이산화질소(NO2)의 저감 특성에 관한 실험적 연구 (Experimental Investigation on the Reduction Characteristics of Nitric Dioxide(NO2) over Platinum-based Oxidation Catalyst)

  • 김영득;조자윤;이정길;김우승
    • 한국자동차공학회논문집
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    • 제20권4호
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    • pp.142-149
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    • 2012
  • The reduction characteristics of $NO_2$ to NO are experimentally studied over a platinum-based catalyst, especially at lower temperatures below about $200^{\circ}C$. In the present work, two types of steady-state experiments, engine bench and synthetic gas bench tests, are carried out in sequence. Steady-state engine bench tests with the DOC mounted on a light duty 4-cylinder 2.0 liter turbocharged diesel engine are performed and prove that CO plays a major role in $NO_2$ abatement at temperatures below the light-off temperature of CO oxidation, about $200^{\circ}C$. Synthetic gas bench tests are then performed using synthetic gas mixtures with CO, $C_3H_6$, NO, $NO_2$, $O_2$, $H_2O$ and $N_2$ in the $140{\sim}450^{\circ}C$ T-range and show that both CO and $C_3H_6$ are capable of reducing $NO_2$. It is noted that the reaction rate of $NO_2$ with $C_3H_6$ is much higher than that with CO. At temperatures below about $200^{\circ}C$, the reduction of $NO_2$ to NO is promoted with increasing CO concentration and $NO_2$/$NO_X$ ratio and with decreasing $O_2$ concentration, as well as with the presence of $H_2O$.

Turkish Female Academician Self-Esteem and Health Beliefs for Breast Cancer Screening

  • Avci, Ilknur Aydin;Kumcagiz, Hatice;Altinel, Busra;Caloglu, Ayse
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권1호
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    • pp.155-160
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    • 2014
  • Purpose: This study aimed to analyse female academician health beliefs for breast cancer screening and levels of self-esteem. Materials and Methods: This cross-sectional study was conducted between October 2010 and March 2011, covering female academicians working in all faculties and vocational schools at Ondokuz Mayis University, except for the ones in the field of health (n=141). Data was collected using a questionnaire developed by researchers in the light of the related literature, the Champion's Health Belief Model Scale for Breast Cancer, and the Coopersmith Self-Esteem Inventory. Descriptive statistics, the t-test, Mann-Whitney U and correlation analysis were used to analyze the data with the SPSS 13.0 statistical package. Results: 53.8% of the participants were single, 58.6% did not have children, 80.7% had regular menstrual cycles, 28.3% was taking birth control pills, 17.9% were undergoing hormone therapy, 11% suffered breast problems, 8.3% had relatives with breast cancer, 78,6% knew about breast self-examination (BSE), 68.3% was performing BSE, 16.2% were performing BSE monthly, 17.9% had had mammograms, and 30.3% had undergone breast examinations conductedby physicians. The women who had breast physical examinations done by physicians had higher susceptibility, self-efficacy and health motivation, and fewer barriers to mammography than those who did not have breast physical examinations. Conclusions: There was a relationship between the female academician self-esteem and their perceived seriousness of breast cancer, perceived barriers to BSE and health motivation. Our Turksih female academicians had medium levels of self-esteem.

Metabolic Elasticity and Induction of Heat Shock Protein 70 in Labeo rohita Acclimated to Three Temperatures

  • Das, T.;Pal, A.K.;Chakraborty, S.K.;Manush, S.M.;Chatterjee, N.;Apte, S.K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권7호
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    • pp.1033-1039
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    • 2006
  • The metabolic response of Labeo rohita to thermal acclimation was assessed. Advanced fingerlings of L. rohita (average weight $31{\pm}1.4g$) were acclimated to 31, 33 and $36^{\circ}C$ compared with ambient temperatures ($26^{\circ}C$) for 30 days and different enzymes associated with stress response were estimated. Glycolytic enzyme-Lactate dehydrogenase, (LDH, E.C.1.1.1.27), TCA cycle enzyme-Malate dehydrogenase (MDH, E.C.1.1.1.37), Protein metabolizing enzymes-Aspartate amino transferase (AST, E.C.2.6.1.1) and Alanine amino transferase (ALT, E.C.2.6.1.2) of liver, gill and muscle, Gluconeogenic enzymes-Fructose 1,6 Bi phosphatase (FBPase, E.C. 3.1.3.11) and Glucose 6 phosphatase (G6Pase, E.C. 3.1.3.9) of liver and kidney were significantly (p<0.05) different with increasing acclimation temperatures. Heat Shock Protein-70 (HSP-70) was expressed in increasing intensity at 31, 33 and $36^{\circ}C$ but was not expressed at $26^{\circ}C$. Results suggest that higher acclimation temperatures enhance metabolism and L. rohita maintains homeostasis between $26-36^{\circ}C$ via an acclimation episode. Such adaptation appears to be facilitated by resorting to gluconeogenic and glycogenolytic pathways for energy mobilization and induction of HSPs.

3-D Shock Structure of Orion KL Outflow with IGRINS

  • Oh, Heeyoung;Pyo, Tae-Soo;Kaplan, Kyle F.;Koo, Bon-Chul;Yuk, In-Soo;Lee, Jae-Joon;Mace, Gregory N.;Sokal, Kimberly R.;Hwang, Narae;Park, Chan;Park, Byeong-Gon;Jaffe, Daniel T.
    • 천문학회보
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    • 제43권2호
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    • pp.38.3-38.3
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    • 2018
  • We present the results of high-resolution near-IR spectral mapping toward the Orion KL outflow. In this study, we used the Immersion Grating Infrared Spectrometer (IGRINS) on the 2.7 m Harlan J. Smith Telescope at McDonald Observatory. IGRINS's large wavelength coverage over the H & K bands and high spectral resolving power (R ~ 45,000) allowed us to detect over 35 shock-excited ro-vibrational H2 transitions and to measure directly the gas temperature and velocity of the dense outflows. In our previous study toward the H2 peak 1 region in the Orion KL outflow, we identified 31 outflow fingers from a datacube of the H2 1-0 S(1) $2.122{\mu}m$ line and constructed a three-dimensional map of the fingers. The internal extinction (${\Delta}AV$ > 10 mag) and overall angular spread of the flow argue for an ambient medium with a high density (105 cm-3). In this presentation, we show preliminary results of additional mapping toward a remarkable chain of bows (HH 205 - HH 207) farther from the ejection center, and obtain a more clear view of the shock physics of a single isolated bullet that improves on the knowledge gained from observations of the more complex peak 1 region in our earlier study.

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기관지천식에서 기관지폐포세척액내 IL-10과 기도염증정도의 연관성 (Relation of Interleukin-10 in Bronchoalveolar Lavage Fluid and Airway Inflammation in Bronchial Asthma)

  • 이숙영;윤형규;신윤;이상학;김석찬;김관형;문화식;송정섭;박성학
    • Tuberculosis and Respiratory Diseases
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    • 제46권1호
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    • pp.44-52
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    • 1999
  • 연구배경: 기관지천식은 호산구성 기도내 염증반응을 특징으로 하는데 호산구의 침윤에 관여하는 cytokine으로 T 림프구에서 분비되는 IL-3, IL-5, GM-CSF 등이 잘 알려져 있다. 한편 IL-10은 항염증성 cytokine으로 이러한 cytokine 분비를 억제할뿐만아니라, 호산구에 대해서는 직접적으로 자사(apoptosis)를 유도하고 조직내 첨착을 억제하는 기능을 갖고 있다. 본 연구에서는 기관지천식 환자에서의 기관지폐포세척액과 말초 혈액단핵세포에서 분비되는 IL-10을 정상대조군과 비교하고 기도내 염증반응정도와의 연관성을 분석하여 기관지천식에서의 IL-10 역할을 알아보고자 하였다. 방 법: 기관지천식환자 23명, 정상대조군 11명을 대상으로 기관지폐포세척액내와 말초혈액단핵구에서 분비되는 IL-10을 ELISA 방법으로 측정하고, 기도의 염증반응정도는 기관지세포세척액내 총세포수 및 호산구분율과 기관지 생검조직내 호산구 침윤정도, methacholine 기관지유발 검사에서 $PC_{20}$값으로 평가하였다. 결 과: 기관지폐포세척액내 IL-10과 말초혈액단핵구에서 분비되는 IL-10은 기관지천식 환자군과 정상대조군 사이에 통계적으로 유의한 차이는 없었다. 기관지천식환자군에서 기관지폐포세척액내 IL-10은 기관지폐포세척액내 호산구분율 및 기관지 조직내 침윤된 호산구수와는 유의한 역상관관계를 보였고, 메타콜린에 대한 PC20에 따른 차이는 없었다. 말초혈액단핵구에서 분비되는 IL-10은 기관지폐포세척액내 IL-10과 상관 관계가 없었으며, 말초혈액내 호산구수나 eosinophilic cationic protein과도 유의한 상관관계가 없었다. 결 론: 기관지천식 환자군의 기관지폐포세척액내 IL-10은 기관지폐포세척액이나 기관지 조직내 호산구 침윤과 역상관관계를 보였지만, 정상대조군과 비교해서 IL-10 감소가 관찰되지 않았기 때문에 기관지천식에서는 항염증 효과가 있는 IL-10이 중요하게 작용하지 않을 것으로 생각된다.

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