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Trial registered on ANZCTR
Registration number
ACTRN12606000210572
Ethics application status
Approved
Date submitted
23/05/2006
Date registered
30/05/2006
Date last updated
20/10/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Determination of differential effects of 3 positions on lung function in preterm infants.
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Scientific title
Positioning to improve lung function in preterm infants requiring ventilatory support.
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Secondary ID [1]
287704
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Preterm infants requiring ventilatory support
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Condition category
Condition code
Reproductive Health and Childbirth
1271
1271
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0
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Complications of newborn
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Positioning - prone, supine, 1/4 prone. The infants rotate through the three different positions in a random order. Prior to the commencement of the study baseline measures are taken in the prone positiion. At 4 hourly intervals the baby is moved into the next nursing position with the study continuing for a total of 12 hours.
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Intervention code [1]
1066
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Treatment: Other
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Comparator / control treatment
Own control - supine position
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Control group
Active
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Outcomes
Primary outcome [1]
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Ventilation distribution measured by electrical impedance tomography (EIT)
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Assessment method [1]
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Timepoint [1]
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Measurements will be taken at 30 minutes, 2 hours and 4 hours after a position change.
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Primary outcome [2]
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Functional residual capacity (FRC)
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Assessment method [2]
1718
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Timepoint [2]
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Measurements will be taken at 30 minutes, 2 hours and 4 hours after a position change.
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Primary outcome [3]
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Lung clearance index (LCI) as measured by multiple breath gas washout
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Assessment method [3]
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Timepoint [3]
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Measurements will be taken at 30 minutes, 2 hours and 4 hours after a position change.
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Secondary outcome [1]
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Oxygenation
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Assessment method [1]
3067
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Timepoint [1]
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0.5, 2 and 4 hours
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Secondary outcome [2]
3068
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Heart rate
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Assessment method [2]
3068
0
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Timepoint [2]
3068
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0.5, 2, and 4 hours
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Secondary outcome [3]
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Respiratory
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Assessment method [3]
3069
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Timepoint [3]
3069
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0.5, 2 and 4 hours
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Eligibility
Key inclusion criteria
Neonates who:are heavier than 750 gramsare less than 32 weeks gestationare >24 hours of age have an arterial line in situ if mechanically ventilated.
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Minimum age
0
Days
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Maximum age
28
Days
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Cardiopulmonary instability not allowing position changesVentilated using high frequency oscillating ventilation (HFOV)Post surgical eg. Tracheoesophageal fistula, diaphragmatic hernia, gastroschisis, Spina BifidaKnown collapse/consolidation, or air leak syndrome (Pneumothorax, pulmonary interstitial emphysema)Poor skin integrityMothers under 18 years of age.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sequentially numbered sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated numbers
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/05/2005
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Actual
11/08/2005
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Date of last participant enrolment
Anticipated
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Actual
26/10/2006
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
54
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Accrual to date
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Final
54
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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JP Kelly Research Fund
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Address [1]
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Mater Health Services
Raymond Terrace
South Brisbane
QLD 4101
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Country [1]
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Australia
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Funding source category [2]
1393
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Hospital
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Name [2]
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Mater Health Services
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Address [2]
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Raymond Terrace
South Brisbane
QLD 4101
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Country [2]
1393
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Australia
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Primary sponsor type
Government body
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Name
Mater Health Services
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Address
Raymond Terrace
South Brisbane
QLD 4101
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Queensland
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Address [1]
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University of Queensland
St Lucia
QLD 4072
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Country [1]
1225
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Mater Health Services
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Ethics committee address [1]
2745
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
2745
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Approval date [1]
2745
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22/09/2004
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Ethics approval number [1]
2745
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753M
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Ethics committee name [2]
2746
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University of Queensland
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Ethics committee address [2]
2746
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Ethics committee country [2]
2746
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Australia
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Date submitted for ethics approval [2]
2746
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Approval date [2]
2746
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11/11/2004
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Ethics approval number [2]
2746
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2004000728
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Summary
Brief summary
Preterm infants are moved throughout different positions while nursed in the neonatal nursery. The aim of this study is to determine the effects of 3 commonly used positions on lung function in those infants requiring ventilatory support. The positions to be used include prone (lying on the stomach), supine (lying on the back), and ¼ turn from prone (lying on stomach with one side up). By looking at the ventilation distribution during positioning, this study will give clinicians an idea of how to optimise ventilation non-invasively using positioning. Factors we are investigating that are important in making this decision are optimal lung aeration and oxygenation. This trial will use recently developed scientific technology including lung scanning (EIT) and a new form of breath washout (MBW using sulphur hexafluoride) to give us a better understanding of the effectiveness of positioning. Data on EIT and MBW will be downloaded directly onto a computer and the data analyst will be blinded to the positions.
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Trial website
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Trial related presentations / publications
Karly Montgomery, Nancy Low Choy, Michael Steele, Judith Hough. (2014) The effectiveness of quarter turn from prone in maintaining respiratory function in premature infants: a randomised cross-over trial. Journal of Paediatrics and Child Health. 50 (12): 972 – 977.doi:10.1111/jpc.12689 Hough JL, Johnston L, Brauer S, Woodgate P, Schibler A. (2013) Effect of body position on ventilation distribution in ventilated preterm infants. Pediatric and Critical Care Medicine 14(2): 171-177. DOI:10.1097/PCC.Ob013e31826e708a Hough JL, Johnston L, Brauer S, Woodgate P, Pham T, Schibler A. (2012) Effect of body position on ventilation distribution in preterm infants on continuous positive airway pressure. Pediatric and Critical Care Medicine 2012; 13(4): 446-51 doi: 10.1097/PCC.0b013e31822f18d92011 Dunlop S, Hough J, Riedel T, Fraser JF, Dunster K, Schibler A. (2006) Electrical impedance tomography in extremely prematurely born infants and during high frequency oscillatory ventilation analyzed in the frequency domain. Physiol Meas. 27(11):1151-65. (IF: 1.412) Montgomery K, Hough J, Low Choy N, Schibler A, Steele M. (2011) A comparative study of positioning on premature infants respiratory function. Oral presentation at the Australian Physiotherapy Conference, Brisbane Hough JL, Shearman AD, Liley HG, Grant CA, Schibler A (2011) Lung derecruitment related to endotracheal suction in ventilated preterm infants. Oral presentation for the 6th World Congress on Pediatric Critical Care, Sydney, Australia Hough J, Johnston L, Brauer S, Woodgate P, Schibler A. (2008) Effect of positioning on ventilation distribution in preterm infants. 18th ERS Annual Congress Proceedings. European Respiratory Journal 32(S52) A3013 Hough J, Johnston L, Brauer S, Woodgate P, Schibler A. (2007) Effect of positioning on ventilation distribution in preterm infants with and without lung disease. PSANZ 11th Annual Conference Proceedings J Paediatr Child Health 2007 43 (s1), A59 Hough JL, Johnston LM, Brauer SG, Woodgate PG & Schibler A (2005) Determination of the effects of prone, supine and quarter-prone positioning on lung function in preterm infants on CPAP. Paper presented at the Australian Physiotherapy Association National Cardiothoracic Association, Melbourne (Awarded Jill Nosworthy prize for excellence in research)
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Public notes
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Contacts
Principal investigator
Name
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Dr Judith Hough
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Address
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Physiotherapy Department
Mater Health Services
Raymond Terrace
South Brisbane
QLD 4101
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Country
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Australia
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Phone
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61 422404369
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Judy Hough
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Address
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Department of Physiotherapy
Mater Health Services
South Brisbane QLD 4101
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Country
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Australia
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Phone
10255
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+61 7 38408538
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Fax
10255
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Email
10255
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[email protected]
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Contact person for scientific queries
Name
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Judy Hough
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Address
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Department of Physiotherapy
Mater Health Services
South Brisbane QLD 4101
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Country
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Australia
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Phone
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+61 7 38408538
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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