![]() While discussing these issues might be embarrassing, living with them can be painful. ![]() These conditions are mainly caused due to some sort of overgrowth or abnormal growth of tissues in the anus and rectum region. Fissurectomy surgery is typically recommended for patients at high risk of incontinence, elderly people, multiparous women, patients with normal anal tone, and patients with a history of anorectal surgery.Anorectal refers to conditions related to the anus or rectum.Laser Sphincterotomy treatment is suggested to treat a chronic Anal Fissure.What are the Treatment Options for Anal Fissure? This may involve considering symptoms, physical examination findings, and additional tests if necessary. This procedure allows for a closer evaluation of the fissure and helps rule out other underlying conditions.ĭifferential Diagnosis: Since the symptoms of anal fissures can overlap with other conditions like hemorrhoids, the doctor may perform a differential diagnosis to differentiate between these conditions. This involves using a small, flexible tube with a light source to examine the inside of the anal canal and rectum. They may use a gloved finger to examine the area and assess the degree of tenderness or muscle spasms.Īnoscopy or Proctoscopy: In some cases, a procedure called anoscopy or proctoscopy may be performed. Physical Examination: The doctor will perform a physical examination of the anal area to check for visible signs of a fissure, such as a tear or crack in the skin. Medical History: The doctor will ask about your symptoms, including pain, bleeding, and any relevant medical conditions or factors that may contribute to the development of anal fissures, such as constipation or diarrhea. Infection: In rare cases, anal infections can lead to the formation of fissures. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis, which are types of inflammatory bowel disease, can increase the likelihood of developing anal fissures. Straining during Bowel Movements: Straining during bowel movements due to factors like prolonged sitting on the toilet, excessive pushing, or heavy lifting can put pressure on the anal canal, increasing the risk of fissures.Īnal Spasms: Involuntary spasms of the anal sphincter muscles can occur, leading to increased pressure on the anal canal and potentially causing fissures. Trauma or Injury: Physical trauma or injury to the anal area, such as during childbirth or from anal intercourse, can cause tears in the anal lining and lead to fissures. Muscle spasms in the anal sphincter, which can cause discomfort or difficulty in passing stools.ĭiscomfort or pain that may last for hours after a bowel movement.Ĭonstipation: One of the most common causes of anal fissures is chronic constipation, which leads to the passage of hard and large stools that can stretch and tear the anal canal lining during bowel movements.ĭiarrhea: Persistent diarrhea can also contribute to the development of anal fissures by causing frequent, loose stools that irritate and damage the delicate tissues in the anal area. Persistent pain during and after bowel movements, often described as a sharp or burning sensation.īright red blood on the toilet paper or in the toilet bowl after a bowel movement.Ī visible tear or crack in the skin near the anus. Years of experience performing this type of surgery and will ensure that you receive the highest quality care. Typically reserved for more severe cases and may be necessary if laser surgery is not appropriate. Traditional anal fissure surgery, which involves the removal of the fissure using a scalpel. Due to an attack of fissure, this noduleĮnlarges and becomes a cause of worry for patients. Skin tags leave behind a small nodule that is known as sentinel pile. The disease is generally associated with the skin tags, and is mistakenly called piles. If you are interested in laserįissure surgery, you can book a doctor\'s appointment with our clinic to discuss your options.įissure with the skin tags leads to painful bleeding, owing to a small cut at anal This method is highlyĮffective and has a lower risk of complications compared to traditional surgery. Uses a high-energy laser to precisely and safely remove damaged tissue and promote healing. Laser fissure surgery is a minimally invasive procedure that Medical professionals will work with you to determine the best course of treatment for your specific needs and Including laser fissure surgery and anal fissure surgery. At Chirag Hospital, we offer a range of treatment options for anal fissures,
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To learn more about how and for what purposes Amazon uses personal information (such as Amazon Store order history), please visit our Privacy Notice. You can change your choices at any time by visiting Cookie Preferences, as described in the Cookie Notice. Click ‘Customise Cookies’ to decline these cookies, make more detailed choices, or learn more. If you're heavy-handed, Gibson recommends using a blush makeup brush to blend the color-depositing dye to make sure you're not pressing too hard when blending. Overall Pick Akstore 28' 70cm Fashion Wigs Long Wavy Curly Hair Cosplay Wig & Wig Cap (Blue) 2 Piece Set 11,012 300+ bought in past month 1199 (11.99/Count) List: 24. Third parties use cookies for their purposes of displaying and measuring personalised ads, generating audience insights, and developing and improving products. : Blue Hair Wigs 1-48 of over 20,000 results for 'blue hair wigs' Results Price and other details may vary based on product size and color. This includes using first- and third-party cookies, which store or access standard device information such as a unique identifier. ![]() If you agree, we’ll also use cookies to complement your shopping experience across the Amazon stores as described in our Cookie Notice. We also use these cookies to understand how customers use our services (for example, by measuring site visits) so we can make improvements. ![]() 2.High quality Swiss lace, strong and soft, never hurt skin,comfortable and durable. Lace Color:Light Brown Color Hair Density:180 Heavy Density Hair Length:24 Inch Hair Weight: 300-320g Features 1.Soft, long last, no shed, no tangle, no lice, no bad smell. FREE delivery Wed, 4 Oct on your first eligible order to UK or Ireland. Hair Style: Fashion Light Blue Color Silky Straight Hair Wig. 99 (£9.99/count) Save 5 on any 4 qualifying items. ![]() We use cookies and similar tools that are necessary to enable you to make purchases, to enhance your shopping experiences and to provide our services, as detailed in our Cookie Notice. Wig and Sunglasses - Light Blue Bob Wig, Short Light Blue Wig, Light Blue Wigs for Women, Light Blue Bob Wig with Fringe, Wigs for Women. ![]() International Fibromyalgia Awareness Day is May 12. "It may come and go and people can suddenly feel drained of all energy - as if someone just 'pulled the plug'." Fibromyalgia and irritable bowel syndrome: Is there a link Research suggests there is a connection between fibromyalgia and IBS. "The fatigue ranges from feeling tired, to the exhaustion of a flu-like illness. The lack of objective markers of the illness has been a persistent problem in FMS research, clinical management, and social recognition of the disease. 2 In the literature, the audiological findings of fibromyalgia patients are contradictory, and the tests used to evaluate the vestibular system are limited. Widespread means the pain and tenderness are on both sides of the body, above and below the waist, including the axial spine (usually the paraspinal. JNew research has shown that many of the symptoms in fibromyalgia syndrome (FMS) are caused by antibodies that increase the activity of pain-sensing nerves throughout the body. Various neurological symptoms such as tinnitus, ear fullness, vertigo, and dizziness may also be associated, regardless of the disease severity. Chronic indicates the pain and tenderness have been present continuously for at least 3 months. "It may also change location, usually becoming more severe in parts of the body that are used the most. Abstract Fibromyalgia syndrome (FMS) is a chronic illness characterized by widespread pain and other clinical and emotional symptoms. By definition, fibromyalgia is a disorder of chronic, widespread pain and tenderness. "It may be worse at some times than at others. In many cases it appears to be triggered by a physically emotional or stressful event such as an injury, childbirth, an operation, a break-up or the death of a loved one.įibromyalgia Action UK says of the condition: "The pain tends to be felt as diffuse aching or burning, often described as head to toe. The team surrounding Professor Martin Diers and Benjamin Mosch analyzed the magnetic resonance imaging data of 23 female patients with fibromyalgia and 21 healthy control subjects. The NHS adds: "It's also suggested that some people are more likely to develop fibromyalgia because of genes inherited from their parents." 8, 2023 Researchers have found differences in the gut microbiomes of people with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) compared to healthy controls. This study adds three new findings to the FM fall and balance literature: 1. They also scored more poorly on balance confidence. FM patients had significantly impaired balance in all components of the BESTest compared to controls. The cause is thought to be related to abnormal levels of certain chemicals in the brain and changes in the way the central nervous system processes pain messages carried around the body. The Fibromyalgia Impact Questionnaire (FIQ) was used to assess FM severity. ![]() Treatment for fibromyalgia includes medication such as antidepressants and painkillers, talking therapies, exercise and relaxation techniques. Links to the town centre strengthened with two primary pedestrian points. Trails and paths - Significant realignment of the Werribee River Shared Trail away from trees including width of path and lighting, along with initiatives to improve pedestrian circulation.Angling Club Building – Investigate options with the Werribee & District Angling Club to refurbish or redevelop the existing building to activate the area adjacent to Bungies Hole for the whole community.Werribee Outdoor Pool – retain and provide necessary upgrades to support operational requirements improve pedestrian access to the facility and establish a drop off/pick up point.Lawn Bowls - replace existing north turf green with an undercover synthetic green, new bowling club pavilion to replace existing club facility including new maintenance/equipment storage and water tanks.Tennis - retain 2 x existing en tout cas tennis courts and replace 2 x hard court acrylic surface with synthetic grass, new LED court lighting, upgrade/refurbish to improve building façade, disabled access and building surrounds.Australian Rules Football/Cricket venue - circuit path around the oval, spectator hardstand areas, new under-cover spectator viewing area, renewed perimeter security fencing, new players, coaches and officials shelters, locations for temporary event seating, new ticket booth/public toilets and plaza area, and reconfiguration of existing car park adjacent to the pavilion.The Draft Chirnside Park Master Plan proposes (please see the full Master Plan for complete details: It builds on the principles of the Wyndham Sports Strategy 2045. The Chirnside Park Draft Master Plan will guide the potential future development of the reserve over the coming ten years. We want to hear from you on the redevelopment of the sport, recreation, open space and community infrastructure facilities at the park to enhance its appeal, community use and functionality. Help shape the long-term strategy for the future use, management and development of Chirnside Park.Ĭhirnside Park is a valued open space area for a diverse range of community needs spanning sport, recreation and community activities, and the adjacent Werribee River is a place for the community to connect with nature and the environment.Ĭouncil has prepared the Chirnside Park Master Plan to guide the potential future improvement and development of the reserve over the next ten years (2020 – 2030). ![]() See document library for the final master plan. The master plan was adopted by Council on 5 May. Simply running past the Suicider doesn't guarantee it will blow up and running head on into it is, well. It will build up and explode giving you time to get a safe distance while killing the enemies directly surrounding it. When they are found in a group, run towards the Suicider, brushing it as you pass. ![]() Suiciders can be found alone or amongst a group of enemies. He's your personal mobile explosive device and is always ready for action. Submitted by: snowman_rjk23 Kill a Suicider Without Using Weaponsįirst of all, The Suicider is your friend. Behind the painting on the back wall in the room behind the dies are three photos of a partially nude woman.You have to knock the painting down to see them. Head to the mayor's office in City Hall in Act 2 (before the zombie attack). The Shock Mod is a reward from the "Black Hawk Down" main story quest. ![]() The Torch Mod is the first you'll come across as a reward from the "Counsel of Despair" side quest. Submitted by: manoahmaelstrom Easy 'Steam Punk' Achievement/TrophyĪny weapon created using either the Shock Mod or Torch Mod will unlock this achievement. Shoot anything in the distance so that they come to you. You can run around the area quickly to find more, then go back. Use a pistol from far off to aggro zombies and jump onto a car or truck. There are multiple other places throughout the city to get this as well. Run back and stand on top of the ambulance to get a group of 10, then drop your Molotov on top of them. Head across it and aggro those zombies and the few at the end of the bridge as well. During Act 2 you can exit the church and see an ambulance on a bridge to the right. Throwing a Meat Bait out will easily group them and keep them off you. Using a Molotov is likely your best bet here. Submitted by: manoahmaelstrom Easy 'Light my fire' Achievement/Trophy You can also load Chapter 18 in a NG+ as well, there will be a handful lying there in the beginning. You can start a new game and grab the one in the bathroom of the first room in the Prologue, use it and reload the checkpoint to farm this. The best option for this is to use whatever cash you have after completing the game to buy the remainder of what you need and use them all in a row while standing in some fire. Continued abuse of our services will cause your IP address to be blocked indefinitely.Medkits will be scarce throughout the entirety of the game. Please fill out the CAPTCHA below and then click the button to indicate that you agree to these terms. If you wish to be unblocked, you must agree that you will take immediate steps to rectify this issue. If you do not understand what is causing this behavior, please contact us here. If you promise to stop (by clicking the Agree button below), we'll unblock your connection for now, but we will immediately re-block it if we detect additional bad behavior. Overusing our search engine with a very large number of searches in a very short amount of time.Using a badly configured (or badly written) browser add-on for blocking content.Running a "scraper" or "downloader" program that either does not identify itself or uses fake headers to elude detection. ![]() Using a script or add-on that scans GameFAQs for box and screen images (such as an emulator front-end), while overloading our search engine.There is no official GameFAQs app, and we do not support nor have any contact with the makers of these unofficial apps. Continued use of these apps may cause your IP to be blocked indefinitely. This triggers our anti-spambot measures, which are designed to stop automated systems from flooding the site with traffic. Some unofficial phone apps appear to be using GameFAQs as a back-end, but they do not behave like a real web browser does.Using GameFAQs regularly with these browsers can cause temporary and even permanent IP blocks due to these additional requests. If you are using the Brave browser, or have installed the Ghostery add-on, these programs send extra traffic to our servers for every page on the site that you browse, then send that data back to a third party, essentially spying on your browsing habits.We strongly recommend you stop using this browser until this problem is corrected. The latest version of the Opera browser sends multiple invalid requests to our servers for every page you visit.The most common causes of this issue are: Your IP address has been temporarily blocked due to a large number of HTTP requests. (Hard) - 2 Blue + 1 White, 2 Pump, 1 disk. Often people can be seen in world 2 saying, “buying x item 60/40* * this usually means that they are offering 60% cash and 40% junk.įor a long period after the grand exchange was introduced, party hats, half wines and even crackers were sold for a mixture of junk and cash. A buyer may agree with the seller that they will pay 50% cash and 50% junk. This is often seen with Halloween masks when they are crashing, and also many treasure trail items. Some items can be sold for a mixture of junk and cash. This may happen if the item has been bought out and its price has been increased far beyond its normal price. Junk items are items which are very hard to sell in the GE. When an item has street value, it can be sold with junk for cash. When a large merchant clan buys out an item onyx (which takes about 56 hours to obtain) If there is a very small supply of the item, e.g. When the item has just been released into the game, e.g. Street price may occur in the following instances: Discontinued items often have street prices due to the fact that no new ones are coming into the game – if everyone wants it, the item becomes “bought-out” on the GE. Items generally have a street price if the demand for that item is far higher than the supply. It should give you more of an idea as to where the item’s price is heading. This way you can see how the item has been doing over the last 30 days, 90 days and 180 days. It is a good idea to open a separate window to view prices on the Grand Exchange database. ![]() Auto-win, it means the person who offers that, I'll take immediately. What does AW mean when looking at other forums to buy items? Easy way to see what a items adds up to is looking at other items prices and adding up tell your around the same street price of the item your looking at. What would - be for - item trade over value in this item? It means that item is Bought/Sold within GE price ranges and it has no street value. It never hurts to double check with other players on price mark up's. If a price changes and you know about it, please post the item’s new value so I can look into it.īe careful when looking at the price list and make sure it’s up-to-date! IMPORTANT: READ BEFORE USING THIS STREET PRICE GUIDE!! HbA1c test does not require fasting or any other special preparation. It is one of the essential tests during pregnancy. Pregnant women should do this test to ensure a safe and healthy pregnancy. Though it is temporary and affects only during the pregnancy, it negatively affects health. During pregnancy: Many women have the problem of gestational diabetes.During other medical conditions, Doctors recommend Blood sugar and HbA1c to ensure that blood sugar is within the permissible range and under control. During diabetes: Doctors recommend an HbA1c test for people with type 1 (Insufficient insulin production by the pancreas) and type 2 (problem with glucose processing) diabetes.The following conditions during which the patient should take the HbA1C test after consulting with the doctor. ![]() Women with a history of polycystic ovary syndrome (PCOS): The PCOS ovary syndrome may cause low haemoglobin levels.ĭue to its importance in diabetes diagnosis, it is often included in diabetes checkup tests.Women over 45 years: As women grow older, they develop low haemoglobin levels.Physical inactivity: Persons doing a sitting job should regularly check their HbA1c levels.Family history of diabetes: Those persons who have some diabetic family members need to consult HbA1c testing.History of heart disease: Heart disease patients should undergo HbA1c testing. ![]()
![]() I just recently received my Hastens mattress. I think this is a known thing, but it is "not an issue" when the mattress is well "taken care of." The question is, did you get all that information when the mattress was sold/delivered to you or not? If I was trying to splash out and get something special I wouldn't look twice at S brands or Tempur. I feel like if I was just trying to get a foam block to sleep on I'd cheap out or DIY rather than spend those huge premiums. In the other case it's just a plastic foam block. In the Tempur case you're paying a big overhead to cover returns and exchanges, while Hastens doesn't really have these policies since it's all made to order.īoth seem very overpriced to me but in one case it seems like you're at least getting something a bit special. In both cases you're paying a huge premium for insurance (warranty). In both cases you're paying a ton of extra money for the name brand and marketing. Can't say for sure without seeing price/cost breakdowns but spending 3-5 thousand dollars for a slab of petroleum foam sets off my "rip off" alert a little more than spending even 10 or 20 thousand dollars on something handmade using solid wood, horse hair, wool, etc. Visit us online at, at our store located at 1030 SW 8th Street in Miami or give us a call at 30 for more information on Hästens mattresses or other brands.Can't believe I'm defending Hastens pricing here but I could imagine an argument that Hastens is no more overpriced than Tempur or S brands. With more than eight years of working in the bedding industry, we pride ourselves on being your premium quality sleep center in Miami-Dade County. We also have a broad selection of bedroom furniture and accessories. We offer a sterling selection of mattresses including organic & natural latex, as well as handcrafted beds and innerspring mattresses. We sell luxury beds and the world’s top mattresses brands: VISPRING Luxury Beds and mattresses, Hästens Since 1852, and CARPE DIEM BEDS OF SWEDEN. The bed creates a scenario where two people can rest together in the same bed and move around independently without affecting the other. The hand-fitted springs respond separately to pressure to ensure the utmost comfort and support regardless of how much movement you decide to do. The advanced spring system featured in the Hästens Herlewing utilizes the same innovative design found in the super comfortable Hästens 2000T. The Hästens Herlewing easily elevates your sleep efficiency with several interacting spring systems along with several hand-wrapped layers of premium all-natural material. As the artisans created the Hästens Herlewing, that was a primary objective. Imagine a feeling of weightlessness where you don’t have to strain a single muscle because the whole body is in complete harmony. With the right balance during the night, you can look forward to a balanced day. The Hästens Herlewing (meaning “waking up” in Afrikaans), several joint spring systems together support the body and maintain superb balance even when a sleeping partner moves around, they extend to grab their phone, or if they leave the bed entirely to use the restroom or get something to drink in the middle of the night. ![]() What is a gumbo limbo tree? Gumbo limbo ( Bursera simaruba) is an especially popular species of the genus Bursera. Keep reading to learn more gumbo limbo info, including gumbo limbo care and how to grow gumbo limbo trees. These trees are popular in hot climates as specimen trees, and especially for lining streets and sidewalks in urban settings. Kenneth Setzer is writer and editor at Fairchild Tropical Botanic Garden.Gumbo limbo trees are big, very fast growing, and interestingly shaped natives of southern Florida. Natural predators seem to have reduced this whitefly, though it can still be found feeding from gumbo limbo, so avoid planting the tree near pools, driveways or patios that may suffer from staining. ![]() The whitefly’s honeydew excretion causes the sooty black mold that stains sidewalks, patios, cars and anything under the affected trees. Though immune to most pests, the gumbo limbo was recently a favorite of the rugose spiraling whitefly (Aleurodicus rugioperculatus). It’s been valued as incense by pre-Columbian, Mesoamerican cultures for centuries. The Burseraceae family has a long history, indeed prehistory, involving its resin and human cultures. The resin has also been used in varnishes and glue. I won’t go into the medicinal practices, but will say that different parts of these trees - resin, sap, leaves, bark, fruit, wood and their various extracts - have been used to treat inflammation, parasites, digestive issues and just about everything else. The gumbo limbo belongs to the Burseraceae family, also known as the torchwood or frankincense family, which has loads of ethnobotanical, medicinal and cultural uses. It’s a good candidate for habitat restoration because it is fast-growing (though non-invasive) and can tolerate most soil types. Once established, it requires no irrigation at all, nor additional nutrition. While it won’t tolerate longterm saltwater inundation, it does have a moderate tolerance to salt air, making it a great coastal tree. Gumbo limbo obviously thrives in our poor, alkaline soil. Some researchers claim that trees grown from seed survive hurricane winds more often than those grown from cuttings. The small red berries appear in clusters and are an important food for many birds, including winter migrants, not to mention squirrels. Their fruit, however, is much more showy, and equally important for wildlife. Flowers may appear all year, and though not necessarily attractive to us, bees rely on them as an important food source. The gumbo limbo’s flowers grow abundantly along panicles, but are small, greenish and inconspicuous. It may seem odd to see a bare tree in South Florida, but this is normal for the gumbo limbo in late fall or spring, and the leaf shedding is usually not complete. Gumbo limbos are semi-evergreen, regenerating leaves seasonally or during drought conditions. Stocky, older individuals develop a massive trunk several feet in diameter that swells after lots of rain, three or four thick lower limbs, and a canopy nearly as wide as the tree is tall. It can attain heights of about 50 feet or more. It is found in northern South America, the Caribbean and - in its northernmost range - here in Southeast Florida. Gumbo limbo (Bursera simaruba) belongs to a family of mostly tropical trees. Though it’s a common tree in most South Florida neighborhoods, gumbo limbo is one of the most important members of our hammock ecosystem and has an interesting tale to tell. It’s easy to dismiss that which is all around us, but ask anyone from outside South Florida what a gumbo limbo is, and chances are they’ll think it’s a Cajun soup. ![]() To make matter worse, these trails can fade over time. This process is so dull, even with the help of your best bud beagle it’s tricky to find the very subtle paw prints, blood trail for even animal poo so you can get the hunt started. First you find an animal to track, which can take literal hours of hunting around for the clues and tracks. Unfortunately, it’s the moment to moment gameplay that lets the game down. The hunting mechanics are all there, the weapons are there, beautiful locations to explore and a friendly canine companion to keep you company. Fines are issued if you take too many shots for example, or bizarrely for a game of this nature you get fined if you partake in unethical treatment of animals. You will also need some cash to pay fines. As you can imagine there is a hell of a lot of weapons on offer too, from rifles to shotguns to the trusty bow. The In-game money isn’t just for buying licenses. This loop, in theory at least, should make the player want to go out and hunter bigger and more prize-worthy animals but in reality, its just such a darn slow slog. In order to purchase new licenses, you will need to complete smaller hunts, and sell your ‘trophies’ to make some cash. ![]() You need licenses for each of the animals you hunt. ![]() To hunt these animals, it’s not simply a case of heading out into the wilderness and unloading a few rounds on an unsuspecting deer. As you would imagine each of these areas, along with their beauty provide different sorts of animals for you to hunt. There are three open-world areas fo you do explore – Colorado, Texas, and Europe – each having two maps to explore. It’s just you, your gun and your trusty companion, and the wide-open countryside at your disposal. You wake up, or in this case, just appear in a cabin with a voice-over telling you what to do. It portrays the sheer boredom of the ‘sport’ within the first five minutes. Once you have the basics out of the way you’ll soon realise halfway through the tutorial that Hunting Simulator 2 does one thing very accurately. They couldn’t just have had a kennel, could they? These sidekicks are arguably the best part of the game, it’s just a little disturbing that you have to walk over to a skinned animal rug in your super swanky lodge to choose which dog you want to take on each hunt. There are different breeds, ranging from said beagle to a Labrador or a German Shepard. ![]() The best part is that your beloved companion can be upgraded if you praise the dog during hunts. Hunting Simulator 2 starts off with a tutorial that teaches you the basics and introduces you to your new best friend – A hunting beagle companion who will help you sniff out different wildlife and track them for you. There is tracking your pray, licenses, money, trophies, and more variety of guns than you know what to do with. Shocker! It’s not just about point and shooting your gun however, it’s far more involved than that. Is this the game that could change my mind?Īs you might have guessed from the name, Hunting Simulator 2 is a first-person game that’s all about hunting. Despite ‘Divisiongate’ (In which I was accused of shooting a harmless Dog while playing The Division) I don’t like the killing of animals at all, even in video games – but here we have Hunting Simulator 2 to test my resolve. Hunting Simulator 2 replicates the 'fun' of hunting, right down to the boredom between firing your weapon. |
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