vaccination

Painless vaccine for Whooping cough/DPT versus Painful vaccine

By Dr.Abhijit Misra (MBBS,MD) on February 13, 2019 17

Painless vaccine for Whooping Cough?

Does this work?Are there painless options for everyone?The answers get interesting.Vaccine and painless? Sounds like an answer to a prayer. Who in their right mind would like to cause pain to babies right?

Updated 2019

Painful vaccine for whooping cough or Painless? If the answer was limited only to the “pain ” factor of the vaccine, I would probably not even bother with this post.

But few things in life are that simple. Being parents mean, you have to take enormous ‘pains’ to make the right choice.The right choice and easy choice are not always best friends. With several types of research over the year, facts about the two types of DPT vaccine has become clear.

Though my aim is to help you take the right decision, you should always consult your pediatrician in case you have difficulty deciding.

What is Painless Vaccine?

The painless vaccine is the popular name of acellular Pertussis ( whooping cough) vaccine.It is generally given as a combination vaccine, DaPT (Diphtheria,acellular-Pertussis, Tetanus).

What is Painful Vaccine?

The painful vaccine is also Pertussis vaccine like the painless vaccine, but it is whole cell vaccine.This too is given as a DwPT combination. So , both these vaccines are Pertussis vaccines, with a few important differentiating factors.

Pros of Painless vaccine for whooping cough

Post-vaccination side effects, like high fever, persistent cry, local site painful swelling, are less common, in this variety than a Painful vaccine.

If a Painless vaccine is available, why the necessity of a Painful vaccine?

Experience with the Painless vaccine in industrialized countries has unfortunately brought forward two important facts:

1) Painful, vaccine (whole-cell) for DPT: Better priming, which means initial sensitization to the antigen (bacteria) is better. Thus antibody production is more and protection is superior.

2) The painless vaccine has a faster period of waning that is the immunity provided by the painless vaccine decreases faster than the painful vaccine. These two reasons are responsible for recent recurrence of whooping cough in many of the countries using only the Painless vaccine.

Why do we need to vaccinate our children against Pertussis?

Pertussis/Whooping cough/Kali Khasi/100 days cough are few of the names of the disease that can occur in all age groups depending on the level of immunity.

It is a bacterial infection of the respiratory tract. Highly contagious, usually manifesting as severe, persistent disturbing cough, lasting for a prolonged period not responsive to antibiotics.

Primary prevention (vaccination), and supportive care during disease are the management protocols. Infants are more at risk of debilitating course of the disease and thus most countries include this vaccine in their immunization schedule.

Current Recommendation for Pertussis vaccine

Indian Academy of Pediatrics recommends DPT vaccination.Give whichever is available. Importance of timely immunization cannot be stressed enough.

Primary immunization: at 6 weeks, 10 weeks and 14 weeks.
Booster dose: at one and a half years and five years.

When can you give Painless vaccine for whooping cough

History of severe adverse effect to the previous dose of painful vaccine.
A child having any neurological problem.
Booster doses at one and a half years and five years.

Best practice:(IAP 2018 December Update)

The painful vaccine is to be preferred in all cases as it gives better protection for a longer duration. A healthy child is a happy child. As parents, we have to make choices which have the potential to change their lives forever. S

The Primary series or first three doses of DPT vaccine can be given with either wP(painful) or aP(painless vaccines). The painful vaccine is definitely superior (as recommended by WHO )to aP vaccine when it comes to level and duration of immunity. But causes a more local, painful reaction. In view of parental anxiety and concern regarding the local and systemic reactions to painful vaccines, the painless vaccine can also be given even in the primary series.

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Vaccines and Immunization

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If you found this article helpful, please share so that you can help someone too.

Disclaimer: This article was written after discussion with Dr.Abhijit Misra MD Pediatrics a.k.a my hubby. It is purely meant for education and information purposes and not to be confused with professional advice.Feel free to write to me with your questions and I promise I will help.Take care, stay healthy.

Also from my Blog

Reference:

The Best of Indian Pediatrics (Part1)
IAP Guide book on immunization
WHO

Baby Vaccination: Everything You Need to Know

By Dr.Abhijit Misra (MBBS,MD) on February 9, 2019 62

Baby vaccination is a critical topic for anyone who’s expecting. Vaccination is important, even though some vaccinations are optional – there are ones that are mandatory in India.

There is no doubt that vaccination is a boon for humanity. It helps save millions of lives and has kept critical medical conditions at bay. However, there is a catch with vaccination – they must be administered with a precise schedule. Vaccination does bring many questions, and the immunization schedule is one of them. In this article, we will talk everything about baby vaccination that you need to know.

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Health of the Nation Report — Apollo Pro Health

What is Immunization?

List of all Vaccines

Why is Vaccination Mandatory?

Things to Remember During Vaccination

Conclusion

What is Immunization?

It is a process of protecting from a certain disease. There are two ways to provide immunization – vaccination or naturally contracting a disease and then recovering from it. A vaccine when administered provides immunity against a disease. It can either be given through an injection or orally.

There are some vaccines which The Indian Government gives to everyone throughout the country in Immunization clinics.( BCG, Hepatitis B, OPV, IPV, DPT, Hib, Japanese Encephalitis, MR vaccine)

There are some which are yet to be implemented by The Government throughout the country but recommended by Indian Academy of Pediatrics as desirable vaccines for every child( Rotavirus vaccine, Pneumococcal vaccine, Typhoid vaccine, Hepatitis A vaccine, Chicken pox vaccine, MMR vaccine, Flu vaccine).

Revised National Immunization Schedule India 2022 2023

Get the checklist by subscribing to the blog now!

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How is the Health of the Nation: The report is an eye-opener!

List of all Vaccines

BCG (Bacillus Calmette-Guerin)

Bacillus Calmette-Guerin (BCG) vaccine is used against tuberculosis. It also prevents TB meningitis in children. Just like other vaccines, BCG contains a live attenuated culture of the Tuberculosis causing bacterium. It is in a weakened form. This means the disease-causing power of the bacteria is removed, but the antigenic property helps in triggering the immune system to get ready.This help protect the child from serious Tuberculosis infection in the future, but not from some of the manifestations of the disease.

Dosage – One dose through injection at birth

IPV (Inactivated Polio Vaccine)

IPV vaccine is administered to prevent polio in the child, and it is a mandatory vaccine for all babies. An inactivated wild strain of poliovirus is given to children which leads to the production of antibodies. It is typically given with the DTP vaccine.

Dosage – Four doses of polio vaccine (IPV) intramuscular injection, though presently Government gives two doses of intradermal injections

OPV (Oral Polio Vaccine)

Oral Polio Vaccine is given orally (OPV). It is made up of an activated non-wild strain of the virus that produces antibodies within the body.

Dosage – Three doses of OPV

Hepatitis A

It protects against the Hepatitis A virus. Hepatitis A virus causes viral hepatitis and liver failure in children.Since this is easily spread through water and food ,protection is much needed.

Dosage – Two or one doses (depending on the type of vaccine).

Hepatitis B

Hepatitis B vaccine helps prevent liver diseases caused by the virus of the same name. The virus can cause liver diseases such as liver cancer, liver failure, and even death.

Dosage – Three or four doses of vaccine depending on schedule

DTaP (Diphtheria, Tetanus, Pertussis)

Prevents baby against Diphtheria, Tetanus, and Pertussis (whooping cough). It is a mandatory vaccine.

Dosage – Three doses, followed by 2 booster doses

Rota V (Rotavirus)

This baby vaccination protects children against rotavirus that can cause severe diarrhoea.

Dosage – Three or 2 doses of vaccine depending on the type.

HiB (Hemophilus Influenza type B)

Protects children against a bacteria called Hemophilus influenza type B – that causes diseases like pneumonia, meningitis, and epiglottitis.

Dosage – Three doses and a booster dose

PCV (Pneumococcal Conjugate Vaccine)

Prevents against bacteria that cause pneumonia of lungs, brain meningitis, infection of blood, and ear infections.

Dosage – Three doses and a booster dose.

MMR (Measles, Mumps, Rubella)

It protects children against measles, mumps, and rubella.

Dosage – Two doses of vaccine

TCV (Typhoid)

Prevents typhoid which is a very common infection in India

Dosage – One dose of the conjugate vaccine of every 3 yearly dose of polysaccharide vaccine.

Why is Vaccination Mandatory?

Vaccination is mandatory because it is the best available method to prevent a deadly disease. It may hurt mothers to see their newborn undergo pain and it surely can ache their heart – however, vaccination is of critical importance to the baby’s health. It’s also important for long term protection against several conditions with very high mortality and life long disability.

Things to Remember During Vaccination

Always follow the recommended schedule and get your child vaccinated as due. Set up a reminder and try not to miss the date prescribed by the pediatrician.
Communicate with the pediatrician and be informed about what to do in situations such as fever diarrhea and cough. Vaccinations are typically not administered if a child has temperature or
After a dose of vaccine, your child may get a fever that can last for two days. If the fever doesn’t go in two days, see the pediatrician
Involving a couple of family members during vaccination can help distract the child and make the process easier.
Be informed about painless vs painful vaccine.

Conclusion

Vaccination is a boon and a marvel of medical sciences. It protects us from critical illnesses and increases life expectancy. Today, vaccination is mandatory across the world. If you are pregnant, it is essential to know all that you can about vaccination and its impact on your child. There are some optional vaccinations too that one should consider – especially in today’s world when infections are so prevalent.

More about Vaccines & Immunity

Disclaimer: This article is meant to help create awareness and spread knowledge. All decisions regarding your health and child’s health should be done after consultation with your doctor. Read my full disclosure here .while all efforts are made to keep articles updated the speed of research in these fields means the information often may change when more research knowledge is available. Healthwealthbridge or the authors should be in no way held responsible in that case.

10 Things you should not let your children play with:Dangerous Toys Alert!

By Dr.Amrita Basu(MBBS,MS) on October 15, 2018 52

Coins, disc battery, battery cars, button batteries, magnets, nuts, buttons,beads,medicine foil, sharp objects are dangerous toys! I am an ENT surgeon. Some of the commonest emergency problems I face are foreign objects in the ear nose or throat.

A foreign body is an object placed in the body where it’s not supposed to be. Children try to eat everything except food sometimes. But problems occur when they swallow coins, button batteries, beads, other play objects. These can get stuck in the esophagus or food pipe. They can also enter the airway.

Or pass to the stomach and pass away in their poop. That’s the better way. If it gets stuck, it will need to be removed. The main problem is timely detection. Button battery is dangerous. If inside the food pipe for more than 3 hours, it can burn the lining of the food pipe and can be life-threatening.

Delayed removal can lead to chemical burn in the food pipe (from the leaching button). Battery cars for kids and other battery toys playtime should be under parental supervision.

Other dangerous objects include: These are things kids aren’t allowed to play with ever !

Safety pins,
Earrings
Magnet
Whistle
Sticky toffee(lozenges)

10 Things you should not let your children play with .While growing up children put a lot of things inside their mouth.It's their way of identifingers objects.The danger lurks here

Battery cars, Battery toys, should be allowed under parental supervision. But sharp objects, button batteries, coins, earrings, magnets should never be play objects.

How to suspect that child may have swallowed any of this?

Difficulty breathing
Drooling
Crying
Vomiting food
Unable to eat

When should you worry and hurry to the nearest hospital emergency and not a clinic

Whistling noise during breathing is a sign of a whistle in the windpipe .

Vomiting
Child turning blue gasping for breath
Hoarse cry
Rush to your nearest emergency. In the case of the last two, the object may be in the airway.

What can you do if you suspect a swallowed object and the child is not able to confirm?

Visit the nearest emergency. The doctor can get an X-ray done of the neck, chest, abdomen. This detects a radio-opaque foreign body like a coin magnet, any metallic object.

For things made of nonmetallic substances, a CT scan may be needed to see the position and find the level of obstruction depending on the symptoms and doctor’s advice.

A child may have a fishbone stuck in the throat. Your ENT doctor will be able to remove this if visible. Chicken or mutton bone need urgent intervention

Precautions parents should take:

Watchful independence of the child.
Always check his/her toys for loose pieces.
Never give them small objects which they can insert in the mouth to play with. This is especially important during the time they are teething.
Never give coins, magnets, safety pins and other objects mentioned in the post above,to play with.
Visit your nearest hospital emergency department,if in doubt. Precious minutes may be lost otherwise.
Treatment may need intervention in the form of a pharyngoscopy or esophagoscopy depending on the location of the foreign body. Sometimes observation is done in case of a definitive diagnosis of the coin in the lower part of the esophagus. All decisions need to be taken on a case-to-case basis according to patient particulars and available resources.

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How is the Health of the Nation: The report is an eye-opener!

Disclaimer :

This information is meant for educational purposes and shouldn’t be taken as professional advice. Consult your doctor for personalized care. Read my full disclaimer here.

Do you have any tips to share?Write in the comments below.

Resource:

https://www.ncbi.nlm.nih.gov/books/NBK459279/

How do you spend Christmas with your children :MondayMommyMoments

By Dr.Amrita Basu(MBBS,MS) on August 31, 2018 43

Growing up I studied at a convent school .Christmas was a big deal at school .

Raising money for Christmas events at the orphanage run by our missionary sisters ,were a part of our school activity.

It earned us extra credit .Also our teachers were strict about not letting parents give the money.

Rather they wanted us to learn the secret of asking people for money and getting it with a smile.

That was my first exposure at working for a cause.

When I tell my daughter about Christmas I try to teach her about this part of Christmas .

About Jesus.How he loved people

How he gave up his life still caring about others.

When we think about others and care for each other ,life becomes more beautiful.

But my daughter is 4 .So all this often leaves her looking wide-eyed at me.

She ends my stories with a hug and plenty of kisses .Telling me she loves me and her father and her granny and Mimi (my little sister ) and all her friends.

Caring about people you don’t know is a concept that’s alien to most .So no wonder a child looks confused.

That’s one thing I want to teach my little girl .

When I started my blog I had one major goal.

I wanted people to embrace a healthy lifestyle while enjoying life.

Now healthy life is impossible if we don’t eat healthy.

That’s why I absolutely love baking cookies with a healthy twist .

Baking with Rai is fun.We have a competition Who can lick the bowl faster!

They are great for her school Tiffin and afternoon snacking.

Plus I got this great idea of gifting friends home-made cookies from Divya.

It’s fun and pocket friendly .

Baking at home and Christmas go hand in hand.

Another thing I absolutely love is decorating the Christmas tree with Rai.

I have a potted fern which we decorate with ornaments that we buy and some that we make.

Love making Christmas garlands to deck up the home.

We are waiting for this little tree to grow up. She's small ,but cute and leafy,waiting eagerly for us to deck her up — We are waiting for this little tree to grow up. She’s small ,but cute and leafy,waiting eagerly for us to deck her up

Christmas is also a time to remember about persistence. About perseverance. About doing things because they are right It’s about family and friends. It’s about selflessness.

It’s about giving .It’s about remembering that giving is always difficult .But receiving may be even more of a problem.

When you give be open to receiving, because for both you need to be ready .

Have a fantastic Christmas and keep shining.

Love yourself because you are a fabulous mommy and those little eyes are looking at you.

Last week for our #MondayMommyMoments Geethica is our winner.

Geethica and her 2 angels are making our #MondayMommyMoments very special

We shared out favourite baby products and hopefully along the way new moms can be helped by these recommendations.

As bloggers and mommies we have a unique opportunity. To spread our knowledge and experience across boundaries to help moms everywhere.

When you write with us its the best way to give a shout out to the brands who are doing great work.

There’s no harm in appreciation and encouragement tight?

Read Geethica’s winning post at thoughtsbygeethica.com

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3 Things you must know about Earache

By Dr.Amrita Basu(MBBS,MS) on August 9, 2018 21

Earache is a very common complaint that children have.A painful ear can make young children cranky with continuous crying, refusing feed and sleeping fitfully.Parents are at a loss, trying to soothe the child.
All parents must have faced at least one such episode of an earache when the child’s pain has brought tears to your eyes.

1. Why does the ear ache?

The Many Causes

Wax
Foreign body
Otomycosis
Otitis externa
Trauma
Herpes zoster
Exostosis
Keratosis obturans
Acute otitis media
Acute mastoiditis
Secretory otitis media
Traumatic perforation
Otitis barotrauma
Haemotympanum
Chronic suppurative otitis media with intracranial complications.

Commonest causes of Earache:

Infected wax

Water entry in the ear causes the wax to swell up .This cause pressure over the tympanic membrane.Child will have blocked ear,decreased hearing and occasionally pain.
The wet wax may also get infected and cause pain.

Children themselves and parents often try to clean their ears with objects like ear buds(often too big ), hair clips , safety pin ,feathers and other risky objects ..This may cause the ear canal to have abrasions which get infected.

Furuncle of the ear canal(most commonly occurs following ear cleaning)

Pain due to causes in the ear canal is a very painful condition called otitis externa.If a child is crying due to otitis externa she/he will not allow you to even touch their ear.Forceful cleaning of ear in that case make condition worse.

Acute otitis media: This starts to occur when children especially preschoolers have repeated prolonged episodes of cough and cold. This causes blockage of the passage between nose and ear(eustachian tube).

Nasal obstruction and the sudden blockage causes the tympanic membrane (ear drum) to become in drawn.This cause excessive secretion in the middle ear which may get infected and form pus.Like pus anywhere it causes pain, pressure over tympanic membrane.Ear discharge with sudden relief of pain may occur following rupture of the infected ear drum.Pain due to this condition may not persist through out the day .It increases often at night.Child will allow examination.Never start ear drops etc without doctors permission as it can cause earache to increase in this condition.

Trauma
Referred pain
From caries tooth, newly erupting tooth, mumps parotitis.different pathologies in oral cavity and oropharynx and larynx
Secretory Otitis media
Children having allergic Rhinitis may have persistent low-grade blockage of the Eustachian canal. This cases retracted eardrum, secretion inside the middle ear cavity(the part of the ear behind the drum), blocked ear, with occasional pain.

Otomycosis(fungal infection of the ear)Initially may not be painful, but later if left untreated causes pain.Needs prolonged course of topical antifungal alone or in combination with other drugs depending on condition.

2.What can you do to relieve the pain?

Hot fomentation (warm compress )over the ear.
Over the counter pain medications like paracetamol and Ibuprofen often available at home and may be given.
Antibiotics will have to prescribed in most cases.
Topical antibiotic eardrop, ointment for furuncle, otitis externa will relieve pain.This needs to be started after consultation with an ENT Surgeon.

Earache is a very painful condition both for children and adults.Though 100%prevention may be difficult you can definitely take some action to prevent most cases.

3.Prevention

Make your child drink water regularly.Hydration status has a role to play in making wax soft and liquid.The more liquid the wax is less chance it will accumulate and get infected.
Consult your doctor in case of cold and nasal discharge does not improve within 3 days.Generally, earache starts after the 5th day of continuous cold and nasal congestion.

Never clean the ear forcibly.It’s better to apply a wax solvent ear drop(4 to 6 drops twice a day for 7 days) every 2 to 3 weeks to avoid built up.

If the child complains of an earache no, eardrop, warm oil etc should be applied before consulting an ENT Surgeon.
If the child suffers from Allergic Rhinitis it should be adequately treated to avoid ear problems.

The ear is one of the 5 important sense organs and it definitely lets us know its importance when it aches.Prevention as always is better.

Do you have an earache?How do you manage?Comment below to let me know.

Updated:August 2018

Disclaimer: This information is meant to spread awareness about health and is not meant as a replacement for Doctors consultation.In the case of emergency ,visit your nearest emergency room for medical care.

Is your Ear Aching ?Part 1

Earache Prevention and Home Remedies

Hello Desserts by Tina Basu: Book review #BlogchatterEbooks

By Dr.Amrita Basu(MBBS,MS) on July 19, 2018 2

Are you a woman?Do you have a sweet tooth?If your answer is yes to both the above and you also are juggling time and workload then this dessert cookbook is a must-read.

I love desserts .but stuck in a small town the availability of quality dessert shops are limited.But what happens when I bake?My hubby has a little bit(no sweet tooth ) my daughter has it at most twice, and I have the rest!

That used to be very bad for my health goals and I ended up feeling guilty.I really wanted small portion dessert options which had tried and tested and np fail

My daughter’s school tiffin box needed fresh bakes and making a regular sized cake made no sense.Entry my family’s favorite two recipes from the cookbook by Tina Basu.

My favorite recipes from the cookbook:

Instant Microwave brownie and Quick Banana Bread Mug Cake.

Tina offers exact tips to get that single or at most double serve cake and muffins made fresh in 2 minutes.They are so easy and no fail that I could make them in the morning itself and send fresh.

Believe me, I never thought this was possible.The best part I can keep a small piece of it for me and not feel guilty.

Packed with quick tips, exact time and hassle free recipes this dessert cookbook is a must have for all dessert loving busy people.
(Moms are you listening?)

The basic theme of the book Hello Desserts

Quick dessert recipes.Many options for single serve baked goods and fruit based summer desserts.

The Writing style:

Friendly and the author Tina Basu understands what you are looking for.Friendly but no-nonsense she gives you exactly what she promises.

Hello Desserts by Tina Basu : Cookbook for busy people with sweet tooth

Who should read the book?

Anyone who wants to explore baking or no baking dessert making from scratch or sometimes with a little help from the store.A must have for busy women who have a sweet tooth but wants to cut down on portions.

For moms exploring indulgent snacks made fresh.

What did I love most?

Tina’s style of presenting the recipes without overwhelming the novice cook.Her exact proportions that made after the book a dream.Mouthwatering pictures.(Though a little heavy and was slow to download )

Fruit based desserts.Great recipes to mention in my book for Picky eaters.

What could be better?(If we have to nit-pick)

More optimized image.The book is a whopping 3.98 MB!Maybe image optimization could be explored here.A few recipes appeared similar. But one understands the author’s intention, of helping new cooks explore creativity with the basic framework.Not a negative as such.But food for thought.

Do I recommend it?

Absolutely .It’s a gem wrapped up with all things sweet.Go download it here.

Tina Basu

Hello Desserts

About The Author: Tina Basu is the voice, chef, and photographer behind the food blog – Twinkling Tina Cooks. A former trade marketing and branding professional, Tina is a freelance writer, author, blogger, graphic designer and a food enthusiast.Tina is a self-confessed food obsessed girl and all her love for food is reflected in her food blog. Food is a big part of her life being brought up in a family who loves to eat and feed people in similar gusto. Desserts make her happy. Tina has a special love for no-bake, cold fuss-free desserts – that doesn’t require too many efforts. The recipes in her blog are made with everyday ingredients and simple equipment so that anyone can follow them. This cookbook has easy yet sinful dessert recipes, from her food blog Twinkling Tina Cooks, that will help you through your dinner parties.

Book Blurb: This cookbook has easy yet sinful dessert recipes, from her food blog Twinkling Tina Cooks, that will help you through your dinner parties. Enjoy!

vaccination

Painless vaccine for Whooping Cough?

What is Painless Vaccine?

What is Painful Vaccine?

Pros of Painless vaccine for whooping cough

If a Painless vaccine is available, why the necessity of a Painful vaccine?

Why do we need to vaccinate our children against Pertussis?

Current Recommendation for Pertussis vaccine

When can you give Painless vaccine for whooping cough

Best practice:(IAP 2018 December Update)

My books to help you choose better

Sharing is good Karma!

Featured post

Contents

What is Immunization?

Get the checklist by subscribing to the blog now!

Featured post

List of all Vaccines

Why is Vaccination Mandatory?

Things to Remember During Vaccination

More about Vaccines & Immunity

Sharing is good Karma!

How to suspect that child may have swallowed any of this?

When should you worry and hurry to the nearest hospital emergency and not a clinic

What can you do if you suspect a swallowed object and the child is not able to confirm?

Precautions parents should take:

Featured post

Sharing is good Karma!

Sharing is good Karma!

1. Why does the ear ache?

The Many Causes

Commonest causes of Earache:

Infected wax

Furuncle of the ear canal(most commonly occurs following ear cleaning)

2.What can you do to relieve the pain?

3.Prevention

Sharing is good Karma!

My favorite recipes from the cookbook:

The basic theme of the book Hello Desserts

Who should read the book?

What did I love most?

What could be better?(If we have to nit-pick)

Do I recommend it?

Tina Basu

Hello Desserts

Sharing is good Karma!

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