Happy 100 -Walter Reed Army Medical Center!

April 28, 2009 · Filed Under This & That · 4 Comments 

 happy-birthday-balloonsHAPPY BIRTHDAY! Walter Reed Army Medical Center is celebrating its’ centennial!

This week Walter Reed Army Medical Center is celebrating 100 years of service to our nation!

 Walter Reed Centennial History Symposium – April 29, 2009 commentaries 

 

Hallowed by War: Walter Reed and the Civil War

A Tradition of Caring: The Army Nurse Corps at Walter Reed

The Red Cross at Walter Reed

Life of an Army Surgeon has Changed Little in More Than 100 years

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 media 

Photos back to the 1920s!

 This Week in WR History

 

 For more information: Karen Estrada, MS   militaryhealthmatters.org [Graphics designed by Karen Estrada, MS]

Visit Walter Reed Army Medical Center’s Web Site

 walterreed100

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Swine Flu Resources-be informed-not afraid!

April 28, 2009 · Filed Under This & That · Comment 

RSS FEED    Get the latest *facts* and resources for Swine Flu.   Site

hand-hygieneOther Articles: COVER YOUR COUGH (excellent … with activities, posters, useful stuff for health care providers, professionals and educators, KIDS STUFF!! too).

SWINE FLU/INFLUENZA FULL TEXT PDFS  

 There is so much information out there on Swine Flu (are you on information overload?). I provide resources, brief updates, updated several times daily. YOU chose which resources are most helpful to you and your family!

Karen Proud Army Airborne Mom!

505dui

 

“H-Minus”

(*Site is updated several times daily, irrelevant info is removed (but resources (relevant) are kept on site).

Physical Training in high temperatures-know the essentials!

April 24, 2009 · Filed Under This & That · Comment 
fire

CDC-NIOSH:Heatstroke 24Apr09

Physical Training in high temperatures-know the essentials!

A vital part of a Soldier’s ability to perform his or her mission effectively, especially in the harsh climates of Iraq and Afghanistan is physical training (also known as PT).

Regular physical training not only provides strength and endurance, it can also be a morale booster and stress reducer!

Safety considerations for physical exertion in hot climates.

During the summer, temperatures in Iraq and Afghanistan can rise to over 120F; add to that a few pounds of gear, body armor and such.

Soldiers should get or have:

  • proper hydration, essential for preventing heat injuries.
  • consume a proper mixture of water and drinks that replenish electrolytes to avoid a condition called hyponatremia.
  • proper rest on a regular basis (difficult in 24/7 combat zones).
  • avoid dependence on energy drinks and caffeine as a substitute for proper rest; in the long run these drinks draw fluids from your body rather than replenish.
  • avoid over-working out and turning to supplements for performance enhancement. Supplement use can cause a metabolic imbalance increasing the likelihood of suffering a heat injury.

Proper diet-nutrition

Severe heat can reduce the appetite; combined with high levels of physical activity can result in unhealthy weight loss. The best scenario is moderate exercise done on a regular basis.

PT Surge- the practice of working out extremely hard after being sedentary for a prolonged period of time can be particularly dangerous in high temperatures.

The summer months are approaching, Soldiers need to use common sense when conducting PT (physical training) whether in combat zones or here at home.

From the CDC:

Heat-related illnesses include:

• Heatstroke – a life-threatening illness in which body temperature may rise above 106° F in minutes; symptoms include dry skin, rapid, strong pulse and dizziness

• Heat exhaustion – an illness that can precede heatstroke; symptoms include heavy sweating, rapid breathing and a fast, weak pulse

• Heat cramps – muscle pains or spasms that happen during heavy exercise

• Heat rash – skin irritation from excessive sweating

For more information:

Journal of Athletic Training Publishes Systematic Review of Treatment Options for Hyperthermia Caused by Physical Exertion and Exercise. (FEB 2009) Systematic review of treatment options [pdf].

Click here for multi-media image (Mayo Clinic)

HOOAH 4 HEALTH: general health and welfare.

Heat Exhaustion, First Aid – Information for adults

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CLICK to view Free Text (pdf or html) on supplement use in the Military (published 2008).

Heat injuries, active component, U.S. Armed Forces, 2008

March 2009

  • Between 2004 and 2008, heat-related injuries were diagnosed at > 300 medical facilities worldwide.
  • 14 facilities treated at least 200 cases each, approximately 60% of all cases.
  • Since 2005, rates of heat stroke have been fairly stable, heat exhaustion rates have slightly declined.
  • In recent years, annual numbers of hospitalized cases (the most clinically severe) of both heat stroke and heat exhaustion have been stable.

Military activities in hot and humid environments are persistent, significant threats to the health and operational effectiveness of service members. Of all service members, the youngest and most inexperienced are at highest risk of heat related injuries — including life threatening heat-associated conditions such as heat stroke, exertional hyponatremia, and exertional rhabdomyolysis. Medical Surveillance Monthly Report

REFERENCE:

http://usachppm.amedd.army.mil/hioupdate/hioweeklyupdate04102009.htm#_Toc227118577 accessed 23Apr2009.

Karen PAAM

“All the Way!”

505dui

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Army approves new suicide prevention plan

April 24, 2009 · Filed Under This & That · 2 Comments 

army-suicide-soldier

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The Army is unveiling a new plan, approved by Army Vice Chief of Staff Gen. Peter W. Chiarelli after recent visits to a half dozen American military bases where he spoke to commanders and staff who care for soldiers and their families.

The new plan would include:

  • Hiring more mental health workers.
  • Tightening drug testing and health screening protocols.
  • Putting back in place other long-standing procedures that haven’t been enforced during recent years because of the wars in Afghanistan and Iraq.

Suicide statistics-January through March, 2009

Suicides rose to a reported 56 — 22 confirmed and 34 (under investigation/pending confirmation. These figures compare with 140 for all of last year, also a record at the time.

The new plan includes regular conference calls with commanders around the world who would report on suicides in their region and discuss intervention tools in order to learn how they might prevent more suicides.

Current Army suicide prevention program:

Mission

Improve readiness through the development and enhancement of the Army Suicide Prevention Program policies designed to minimize suicide behavior; thereby preserving mission effectiveness through individual readiness for Soldiers, their Families, and Department of the Army civilians.

Army suicide awareness and prevention [pdf]

Contact Suicide Prevention

Suicide prevention resources -

“Shoulder to Shoulder: No Soldier Stands Alone”, a Suicide Prevention video is available.  (AKO Login/Access required)

Veterans Benefits by State

Military OneSource 1-800-342-9647

Suicide Prevention Lifeline (.org) – 1-800-273-TALK (8255)

NAVY –Suicide Prevention Program

Tips on how to help.

ACT

Risk Factors

Suicide and Depression

Warning Signs


MARINES

Resources- to help Marines and their families handle problems before they become overwhelming issues. While they may not seem directly related to suicide prevention, they are! The number one issue among suicidal Marines is a personal relationship problems, along with financial and legal problems. By attending classes and utilizing resources listed here Marines and family members can learn how to take control of their problems and get back on track, before suicide seems like the only answer.

National Guard Virtual Armory- Suicide Prevention Mission

To improve readiness through the development and enhancement of the Army National Guard Suicide Prevention Program policies designed to minimize suicide behavior; thereby preserving mission effectiveness through individual readiness for Soldiers, DA civilians and their families.
AIR FORCE- Air Force Suicide Prevention Program

Karen,   PAAM!

“Airborne, All the Way!”

505dui

mhm-orange50

mTBI – ‘stealth’ brain trauma

April 22, 2009 · Filed Under This & That · Comment 

 

Unlike all other wars, body armor has kept most soldiers alive, improvised explosive devices (known as IEDs) cause up to 60% of American military injuries in Iraq. ied-blast

Multiple IED blast exposures. What does that mean? Improvised (made up…) explosives, clusters of anti-tank explosives jolting a Humvee off the road; buried IEDs; IED propelled shrapnel, nails, objects; RPGs (rocket-propelled grenade).

Symptoms of a mild Traumatic Brain injury: (with or without PTSD): concussion, headaches, nausea, garbled hearing, insomnia, memory lapses. Concussion symptoms usually supposed to clear up in a few weeks or months, but can continue on one, two, three years later and more.

Statistics, during 2006 – among the 2,500 soldiers who returned from 12 month tours, 62 % reported 2 or >2 explosions (blasts), 2 %, suffered gunshot wounds.

Researchers have been looking at an unaccounted-for mechanism in the blast itself that appears to be causing hidden brain injuries.

Ibolja Cernak, neuroscientist and medical director, Johns Hopkins University’s Applied Physics Laboratory believes that blasts have more effect than only to the head. In a blast, shock waves also compress the torso causing pressure waves to ripple through blood vessels …rushing into the brain and damaging tissue.

Colonel Geoffrey Ling, Army neurologist, concurs there is probably more to war-zone head trauma than the blunt forces that occur similarly during an automobile accident or football collision. His theory pinpoints specifically, electromagnetic pulses as one possible culprit. Dr. Ling contends that blasts emit intense magnetic fields that may damage brain cells.

In 2008 the National Institutes of Neurological Disorders and Stroke called together more than 100 doctors, neuroscientists, physicists and biomechanical engineers to review ‘blast-related’ brain injuries.

The Defense Advanced Research Projects Agency, or Darpa, has been investigating blast brain injuries and their effects, led by Col. Ling, from chemical and structural alterations to the resulting behavioral symptoms.

The question in debate … does damage to the head, whether direct or indirect result in long-term neurological problems? There are so many young vital lives waiting for us to uncover the answers.

LEARN MORE ABOUT TRAUMATIC BRAIN INJURIES, MILD TRAUMATIC BRAIN INJURIES:

**all links will open in a new window.

Understanding Traumatic Brain Injury:

This 29-minute video, introduced by General Colin L. Powell, USA (Ret.), offers an introduction to TBI, a health issue affecting at least 1.4 million Americans each year. It features the recovery journeys of several service personnel and their families. VIDEO TRANSCRIPT [pdf]


fulltext1CLICK Here to view NEW References! 


epoint “The Wounds Within” Dept. of Defense Video - War Trauma (PTSD/TBI). 

WARNING: The video contains real combat footage which some viewers may find disturbing! 

 CLICK HERE TO VIEW VIDEO CLIP **THIS WILL TAKE YOU OUT OF THE PARENTS ZONE SITE.   


yellow-82nd-ribbon Karen, Proud Army Airborne Mom

“H-Minus”

Karen Estrada, MS  

Military Health Matters Resource Center

 

 

April 20, 2009 · Filed Under Honor Their Service, Some Soldier's Mom · Comment 

dd-logo

Dunkin’ Donuts announced a special “Iced Coffee Day” event for April 21, when Dunkin’ stores throughout the country will sell small iced coffees for the reduced price of only 50 cents. Five cents from each cup sold will go to Homes for Our Troops, a national, non-profit organization that builds specially adapted homes for severely injured veterans.

Dunkin’ Donuts is also launching a nationwide call to recruit one million new volunteers to support Homes for Our Troops’ efforts. The first 200 people to sign up as volunteers will receive free Dunkin’ coffee for one month.
Not only is Homes for Our Troops one of my favorite charities, DD is (and has been) a favorite of mine and my family since I was in HIGH SCHOOL (and that was a long time ago!!) In fact, every morning of high school from sophomore year on (when we got our driver’s licenses and cars :-) my twin sister and I and our friends went to the DD in Wheeling, IL and had 2 long johns and coffee before school EVERY DAY! and sometimes on the weekends as well!

So let’s all support Homes for Our Troops… every little bit helps!

x-posted at Some Soldier’s Mom

“Mommy, where is my daddy?” April is Military Child Month.

April 17, 2009 · Filed Under Military Parents, Military Resource, This & That · 4 Comments 

militarychildmonth-Apr My grandson will turn three in June, he frequently is asking now: “Where’s Daddy?” “When is Daddy going to take me swimming?” “I miss Daddy”. “Mommy, why isn’t Daddy here?”

When my daughter-in-law told me this, it broke my heart. She tries very hard not to cry in front of the baby because she knows he’s too little to understand how much mommies miss daddies too. She is also worried how they should handle yet another good-bye when my son has to return back to Iraq after R&R.

What is the right thing to do? Take him to the airport so he can give his Daddy one more hug? Leave him at home with Grandmom and Grandpop taking away one more precious Daddy and son moment?

One of the most moving photographs I have of them was taken the morning my son left to Iraq (last deployment) back in 2006. My daughter-in-law, holding the baby (then only 3 months old) sleeping peacefully, my son crisp in a brand new ACU, hair freshly cut, paratrooper fade, scarlet airborne beret in one hand and his other hand gently touching the baby’s head with a look on his face that still brings tears to my eyes today.

How do you explain the complexities of the world to a young child? Base after base, in every branch of the armed services, this same picture appears in the photo albums of all military families. It doesn’t matter the child’s age; every phase of childhood development presents a challenge to the military family.

sesame street kids

Military children face many challenges, additionally increased stress related to deployments, less time spent with a parent or sometimes both and frequent moves.

A few weeks ago I wrote an article about the Sesame Street Program on military families. Below, you will find an annotated list of resources, each was examined and annotated (author’s notes and additions].

I would like to thank my fellow blogger “militaryhealth” (DoD, Military Health System Website) for the website I based this list on and dug in deeper for even more sources. These resources will give you tools and valuable information on what you can do to help your child overcome the unique challenges associated with military life. This post will be abbreviated(otherwise it would be way too long for the blog) and graphics reduced in size. You may view the complete/list plus my additions on my page in examiner.com (I am the Military Health Examiner, Miami) or on my blog (”military health matters, the blog”) or the “Families and Children” Page on Military Health Matters Resource Center.) Some of the descriptions have been taken from the US Department of Defense, Military Health System, “Kids Corner” Web page, some I have added/annotated, others I have abbreviated for the purpose of this post].

For Kids:kids.gov

Kids.gov – An official U.S. government kids’ portal that provides resources to children and parents, and contains a variety of interesting and educational content for kids. Kids.gov links to over 1,200 web pages from government agencies, schools, and educational organizations.

America Supports You – Kids Take Action – Find out how kids like you are supporting our American troops.

CIA’s Parents & Teachers Page – This section gives you additional resources, lesson plans, and discussion points for you and your children/students to learn more about the CIA and its history of intelligence. [There are other CIA pages for Grades: K-5th and Grades 6th - 12th).]

FBI Working Dogs – The FBI has some very special working dogs. Power is the newest addition to the group of Working Dogs at FBI Headquarters. His job as a Chemical Explosives Dog is to sniff out bombs, explosion debris, firearms, and ammunition. Other FBI Working Dogs find drugs, money, and people. Just how do they do it? There are additional pages, Grades K-5 and Grades 6-12.

Special Needs – Military Homefront – Resources for special needs children from military families — newsletter subscription, mentoring groups, Webinars, resources, checklists, advocates, support programs and more.

Veterans History Project – (Library of Congress) – The Veterans History Project relies on volunteers to collect and preserve stories of wartime service. You can browse the first-hand accounts from veterans of some of the wars America fought in. (Also has Youth Resources Pages).

MTOM – MTOM for Kids provides information to help children successfully make the transition when their family moves. The site covers saying goodbye, how to move and being a kid. Sections are divided for younger children and teens.

mtom-mil Deployment Kids – Deployment Kids offers children’s activities related to deployment, including downloads, a distance calculator, journals and games. Really Cool downloads!!

Wacky Grownups! A great section for kids to understand how grown-ups feel during their loved ones deployment.

VA Kids – VA Kids offers a variety of games, resources, scholarship information and links for students in grades K through fifth and sixth through twelfth. Information is also provided for teachers, grades K-5, 6-12.

For Parents:

pediatricAMassoc2 pediatricAMassoc American Academy of Pediatrics - The American Academy of Pediatrics Military Youth Deployment Support Web site has been designed to support military youth, families, and the youth serving professionals caring for this population.

Our Military Kids – Provides support to the children of deployed and severely injured National Guard and Military Reserve service members. The site provides activities and tutoring that nurture and sustain children while their parents serve.

National Military Family Association – The NMFA educates military families about their rights, benefits and services available to them, and provides information regarding the issues that affect their lives. Excellent, information for all age children, teens, and spouses.

opmilkids

  • Operation Military Kids – Operation Military Kids is the U.S. Army’s collaborative effort with America’s communities to support children and youth impacted by deployment.
  • Excellent, with podcasts and YouTube presentations.
  • podcast
  • Military Child – Military Child Education Coalition is a non-profit organization that identifies and addresses the challenges facing the highly mobile military child.

Excellent resource: Publications : SchoolQuest; Military Parent Information; Child and Student Programs; Education, Training, and Resources; Coalition Partnerships; Blogs

Connect For Kids – Connect for Kids gives its Web site visitors the information and tools they need to learn about issues affecting children, families, and communities.

Transforming Kids’ Lives Through Free Arts Programs: Founded in 2001, ARTS is a 501(c)(3) non-profit organization driven by people who believe in the power of the arts to heal, inspire and empower **check this site, has a form for children to communicate with their deployed fathers.

Substance Abuse and Mental Health Services Administration – SAMHSA focuses on building resilience and facilitating recovery for people with or at risk for mental or substance use disorders.

For Professionals:

Zero to Three – Zero to Three informs, trains and supports professionals, policymakers and parents in their efforts to improve the lives of infants and toddlers. ZERO TO THREE Fact Sheet >Alerts of new content in the Zero to Three Journal

Military K-12 Partners – References and information for K-12 military education partners. Be sure to check out References & Guides and provides additional excellent resources! Military Life & Culture (2nd set of resources on page), includes studies and reports, legislative information, and a section on Grants & Funding.

Karen- Proud Army Airborne Mom!!

H-Minus! aa

 

 

Military Health Matters Resource Center,

Military Health Matters – “the blog”,

 

All children are precious, military children are precious angels.

Sending Music – Operation Happy Note

April 17, 2009 · Filed Under Care Packages, LAW, deployment · Comment 

guitar
Chief emailed me today and  alerted me to this group. Now he loves music – plays guitar, is trying to learn the bagpipes (oh, the dog LOVED that one… howled in a descant!) and the mandolin, plays harmonica… and when he saw Operation Happy Note, he was intrigued. Then he saw – they are from Fergus Falls Minnesota, so there’s a “home state” connection for us.

The Baker’s, from Fergus Falls MN sent their son and a friend of his guitars when they were deployed in 2005.  Since then, they set up Operation Happy Note, and have been sending all kinds of instruments, guitars, violins, banjos, mandolins, harmonicas to deployed troops.  They have help from manufacturers, but the shipping costs – are up to OHN and can be quite high (as you and I know from sending our care packages!) It’s hard to know that there are instruments waiting to be sent to someone who could use that escape that can be found in making music, because of postage!

If you are feeling in the giving mood – think about Operation Happy Note

Hello, from a proud Army Airborne Mom…

April 15, 2009 · Filed Under This & That · 3 Comments 

Hi LAW, thank you for such a warm welcome! I am happy to be blogging with you all and hope my posts will provide information, inspiration and some humor. 

My eldest is a SFC (mortars) in the 82nd ABN, currently in the OIF Sandbox…4th deployment (3 Iraq, 1 Afghanistan, 1 New Orleans). My younger son, a SPC currently Med Boarding out. What I will tell you is ‘Airborne Holding’ is far worse than med boarding!

I have run a support group for 3rd BCT, 82nd Airborne families since the 3rd BCT was formed (Army unit reformations, 2006). Prior I was co-moderator of 82nd Airborne “Family & Friends” Group (2003).  Since my son’s enlistment I have provided medical /health information to military health care professionals, family members and soldiers/military members themselves both stateside and deployed. I started “militaryhealthmatters”, an on-line resource that provides information and resources on a variety of health issues affecting our service men and women. (this is not a ‘per click site’, I pay to have the site hosted (no advertisements). The resource site also has an accompanying blog (I call it ‘information lite’) and I write for examiner.com (military health).  

The areas I am most concerned with are PTSD, TBI and mild TBI. We are only beginning to see the ‘tip of the iceberg’ of this issue, as time goes on I believe (based upon studies/research on concussion/brain injuries in athletes) the multiple ‘mild’ brain injuries sustained throughout multiple deployments will manifest themselves three-fold as our current military force ‘ages’. I have written several articles already on mTBI, suicide and PTSD and will share this information with you on this blog too. Currently I am writing a set of articles for the Sarah Jane’s Brain Project from both perspectives, as a military ‘mom’ and as a researcher/analyst.  For those of you familiar with the SJBP you may be wondering about the relationship between ‘pediatric’ brain injuries and our military. Studies and research have shown the brain does not completely finish development until around 25 years of age. Think about the ‘average’ age (more/less) of our service men/women who are serving in combat?

 It is up to each and every one of us …to make sure the attention to this issue and other military health issues does not go ‘away’ for the convenience of a ‘fickle’ public moving on to the next headline.  We need to speak out for those who cannot speak for themselves. 

I do have to share the ‘humorous’ on-line chat/conversation I had with the AKO (Army Knowledge On-line) help desk person earlier this evening (I have a sponsored account, set to expire April 17th). Prior to the account’s expiration your sponsor is notified via AKO e-mail so they can ‘extend’ their sponsorship. Guess where my sponsor is? 

Part A (95%):  the help desk person gives me someone else’s password BUT then proceeds to tell me she ‘could not give me my son’s password” (I didn’t ask for it…), and that “he would need to call or go on-line to give them his ‘permission’ to change/extend the expiration date”.

Normally I might have typed in “duh” but thought better of it …wasn’t it obvious if he could ACCESS a CAC computer he would have just responded to the ‘reminder’ e-mail and extended it! In fact, (I told her)… he can’t even change his password because he can’t access a “CAC” computer!  I think someone in the battalion was supposed to submit ‘paperwork’ to make them all “CAC Exempt” (deployment).  That was probably the same person who ‘mis-placed’ an entire company’s paperwork (the same papers my daughter-in-law needed to submit for base housing), that would probably also be the same person … who didn’t bother sorting the mail two weeks prior to their last deployment (keeping the mailroom locked up as well). 

Part B (4%): Finally getting the AKO help-desk person to let me know what my younger son needed to do in order to ‘approve’ my sponsorship.  

Part C (1%) (after typing thank you, have a very nice evening…  ”DU….” :-)

Off to write “Wednesday’s on the Web”     -     Any ideas? What web site would you like me to highlight?

Karen

505dui

Marine Corps – Making Warriors

April 14, 2009 · Filed Under Proud Mom 3, This & That · Comment 

logousmc1

Predeployment Training: Making Warriors

LCpl Honda is currently training for an upcoming deployment. Since I am always interested in what he is doing, I decided to ask him some questions and get his take on the training he is receiving.

Predeployment training is very intense and designed to teach the Marines what conditions could arise on a combat deployment. Marines train in realistic towns with actual Iraqi people playing citizens and terrorists alike. These “actors” prepare the Marines to react a certain way when they are deployed to places like Iraq and Afghanistan. It is vital that the Marines learn how to interact and in turn to watch reactions of the people playing these parts in order to ensure the most utmost safety conditions.

Marines learn how to conduct raids under live fire-like conditions. They learn the safest ways of securing a town or building. One technique is using buddy rushing by running and covering each other while advancing on a target. A squad may start out together but end split up into two “buddies” teams.

Jumping out of helicopters is another vital training exercise because that might be the only means of getting the Marines to a location. Marines are trained to slide down a fast rope and be able to land without injuring themselves on the ground. They are instructed on how to deal with the rotor wash air coming down from the rotors and the brown out dirt that is kicked up from the ground. LCpl Honda says that the instructors are very good at helping the Marines to jump successfully.

LCpl Honda says that the most important thing about the training is working together. This has been emphasized since the Marines were recruits in Boot Camp. “You have to look out for the guy next to you and he has the do the same.” said LCpl Honda. The training is really a dress rehearsal for the actual theater.

The Marines have no idea what will happen during training. There could be a riot, a sniper on a roof or terrorist hold up in a building. The element of surprise prepares them to expect anything during deployment. Better to make a mistake during training than during actual combat situations.

I asked LCpl Honda if he felt he was ready for deployment. “Well,” he said, “I am not through with training yet so not quite.” but he continued, “I will be.” He also said that most of the Marines feel the same way as him.

He closed with, “We get the best training possible.” and more importantly, he added, “Our leaders and instructors prepare all of us to come home.”

Proud Mom 3

We will all keep LCpl Honda in our thoughts that he comes home safely. LAW

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