May 2018 Briefing - Psychiatry

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Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for May 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

ASHP: SVP, Injectable Opioid Shortages Threaten Patient Care

THURSDAY, May 31, 2018 (HealthDay News) -- The widespread shortages of injectable opioids and small-volume parenteral (SVP) solutions are jeopardizing patient care and placing a strain on hospital operations, according to a report published by the American Society of Health-System Pharmacists (ASHP).

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Prompts May Up Goals-of-Care Dialogues at Outpatient Visits

THURSDAY, May 31, 2018 (HealthDay News) -- A patient-specific preconversation communication-priming intervention targeting patients and clinicians is associated with an increase in goals-of-care discussions among patients with serious illness, according to a study published online May 26 in JAMA Internal Medicine.

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Tighter Alcohol Policies Cut Alcohol-Related Crash Deaths

WEDNESDAY, May 30, 2018 (HealthDay News) -- Strengthening state alcohol policies can reduce alcohol-related crash fatalities, according to a study published online May 29 in JAMA Internal Medicine.

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AACAP: Severe National Shortages of Child, Teen Psychiatrists

TUESDAY, May 29, 2018 (HealthDay News) -- There are severe national shortages of child and adolescent psychiatrists, according to updated maps published by the American Academy of Child & Adolescent Psychiatry.

Workforce Maps

Teens' Self-Esteem, Peer Status Tied to Later Eating Disorders

TUESDAY, May 29, 2018 (HealthDay News) -- Self-perception of attractiveness and peer status in early adolescence are significant predictors of eating disorders in young adults, according to a study published online April 27 in the International Journal of Eating Disorders.

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Babies of Adolescents in CPS Care More Likely to Be Taken Into Care

TUESDAY, May 29, 2018 (HealthDay News) -- Teen mothers who are in the care of child protection services (CPS) when they gave birth have more than a seven times higher likelihood that their child will be taken into care before age 2 years, compared to teen mothers not in CPS, according to a study published online May 29 in Pediatrics.

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Insomnia Found to Be Common but Mild in Older Adults

TUESDAY, May 29, 2018 (HealthDay News) -- Insomnia is common in older community-dwelling adults, but usually mild, according to a study published online May 21 in the Journal of the American Geriatrics Society.

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Antidepressant Prescribing Linked to Lasting Weight Gain

FRIDAY, May 25, 2018 (HealthDay News) -- Antidepressant prescribing is associated with long-term increased risk of weight gain, according to a study published online May 23 in The BMJ.

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Laws Allowing Service Denial to Sexual Minorities Tied to Distress

FRIDAY, May 25, 2018 (HealthDay News) -- Laws permitting denial of services to same-sex couples are associated with an increase in sexual minority adults experiencing mental distress, according to a study published online May 23 in JAMA Psychiatry.

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Early-Life Weight Associated With Cognitive Factors

FRIDAY, May 25, 2018 (HealthDay News) -- Early-life weight status has an inverse association with some cognitive abilities in children, according to a study published online May 23 in Obesity.

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Congress Approves Bill Expanding Private Care for VA Patients

THURSDAY, May 24, 2018 (HealthDay News) -- Patients served by the beleaguered Veterans Affairs health system may have wider access to private care, thanks to a bill approved Wednesday by the Senate. President Donald Trump is known to support the bill, which now awaits his signature.

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Rising Fatal Drug Overdoses Linked to Years of Life Lost

THURSDAY, May 24, 2018 (HealthDay News) -- For non-Hispanic whites, rising fatal drug overdose rates are associated with increases in the mortality rate and years of potential life lost from 1999 to 2015, according to a study published online May 22 in the American Journal of Preventive Medicine.

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Social Isolation Tied to Worse Heart Failure Outcomes

THURSDAY, May 24, 2018 (HealthDay News) -- Greater perceived social isolation is associated with an increased risk of death and health care use among patients with heart failure, according to a study published online May 23 in the Journal of the American Heart Association.

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Major Depression in Males May Lower Chances of Conception

THURSDAY, May 24, 2018 (HealthDay News) -- Active major depression (MD) in the male partner may lower the likelihood of pregnancy, according to a study published in the May issue of Fertility & Sterility.

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Global Variation in Personal Health Care Access and Quality

THURSDAY, May 24, 2018 (HealthDay News) -- There is considerable global variation in personal health care access and quality, according to a study published online May 23 in The Lancet.

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12 County-Level Factors Affect Individual Well-Being in U.S.

WEDNESDAY, May 23, 2018 (HealthDay News) -- Twelve county-level factors, including social and economic, clinical care, and physical environment, explain the majority of variation in resident well-being in the United States, according to a study published online May 23 in PLOS ONE.

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AAP: Congress Urged to Act to Prevent Firearm Deaths

WEDNESDAY, May 23, 2018 (HealthDay News) -- Pediatricians are joining the call for action to prevent firearm deaths and injuries, according to a letter published by the American Academy of Pediatrics.

Letter

Increase in Pediatric ADHD Meds Exposures from 2000 to 2011

TUESDAY, May 22, 2018 (HealthDay News) -- From 2000 through 2011 there was an increase in pediatric attention-deficit/hyperactivity disorder (ADHD) medication exposures reported to U.S. poison control centers, according to a study published online May 21 in Pediatrics.

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Post-Surgical Readmissions Higher Among Homeless Veterans

TUESDAY, May 22, 2018 (HealthDay News) -- Readmissions are higher in homeless veterans discharged to the community after surgery, compared to housed veterans, according to a study published in the June issue of Medical Care.

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CDC: No Change in Level of Uninsured in U.S. in 2017

TUESDAY, May 22, 2018 (HealthDay News) -- Overall, 9.1 percent of individuals in the United States were uninsured in 2017, which was not significantly different from the level in 2016, according to a report published online May 22 by the U.S. Centers for Disease Control and Prevention's National Centers for Health Statistics.

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Age-Related Racial Disparity Examined in Childhood Suicide

TUESDAY, May 22, 2018 (HealthDay News) -- For childhood suicide, there is a significant age-related racial disparity, according to a research letter published online May 21 in JAMA Pediatrics.

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Moral Distress for Docs Providing Emergency-Only Hemodialysis

TUESDAY, May 22, 2018 (HealthDay News) -- Clinicians who provide emergency-only hemodialysis (EOHD) to undocumented immigrants experience moral distress and professional burnout, according to a study published online May 22 in the Annals of Internal Medicine.

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Patterns of Potential Misuse Help Assess Risk of Opioid Overdose

MONDAY, May 21, 2018 (HealthDay News) -- Patterns of potential opioid misuse are positively associated with subsequent opioid overdose, according to a study published online May 22 in the Annals of Internal Medicine.

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Depression-Heart Rate Variability Link Is Bidirectional

MONDAY, May 21, 2018 (HealthDay News) -- There is a bidirectional association between depression and heart rate variability (HRV), according to a study published online May 16 in JAMA Psychiatry.

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Social, Communication Delays With False-Negative on M-CHAT

MONDAY, May 21, 2018 (HealthDay News) -- Children who pass the Modified Checklist for Autism in Toddlers (M-CHAT) screening at 18 months but later receive diagnoses of autism spectrum disorder (ASD) exhibit delays in social, communication, and motor skills, according to a study published online May 21 in Pediatrics.

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Risk of Dementia Up for Older Adults With Lowest Wealth

MONDAY, May 21, 2018 (HealthDay News) -- The risk of dementia is increased for adults in the lowest versus the highest wealth quintile, according to a study published online May 16 in JAMA Psychiatry.

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Language Used in Medical Record Can Affect Patient Care

FRIDAY, May 18, 2018 (HealthDay News) -- Stigmatizing language used in medical records to describe patients can influence medical students and residents in terms of their attitudes towards the patient and their clinical decision-making, according to a study published in the May issue of the Journal of General Internal Medicine.

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FDA Approves Non-Opioid Treatment for Opioid Withdrawal

THURSDAY, May 17, 2018 (HealthDay News) -- Lucemyra (lofexidine hydrochloride) has been approved by the U.S. Food and Drug Administration to treat symptoms of opioid withdrawal.

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Aerobic + Strength Exercise Doesn't Slow Cognitive Decline

THURSDAY, May 17, 2018 (HealthDay News) -- An aerobic and strength exercise program does not slow cognitive impairment among people with mild-to-moderate dementia, according to a study published online May 16 in The BMJ.

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Nonprofit Manufacturer Could Keep Generic Drug Costs Down

WEDNESDAY, May 16, 2018 (HealthDay News) -- A nonprofit manufacturer could help keep generic drug prices down and maintain their supply, according to a perspective piece published in the May 17 issue of the New England Journal of Medicine.

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Suicide Ideation, Attempts Increasing Among U.S. Children

WEDNESDAY, May 16, 2018 (HealthDay News) -- From 2008 to 2015 there was an increase in encounters for suicide ideation (SI) and suicide attempts (SAs) among U.S. children, according to a study published online May 16 in Pediatrics.

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Disruption of Circadian Rhythm Negatively Impacts Mental Health

WEDNESDAY, May 16, 2018 (HealthDay News) -- Circadian disruption and lower relative amplitude are both associated with higher risk of susceptibility to mental health issues, according to a study published online May 15 in The Lancet Psychiatry.

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Fetal Growth, Maternal Anger Impact Infant Regulation

WEDNESDAY, May 16, 2018 (HealthDay News) -- Poor prenatal growth and higher postnatal anger have indirect effects on infant reactivity and regulation (RR), according to a study published in the March/April issue of Child Development.

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Best Practices Developed for Use of EHR to Enhance Patient Care

WEDNESDAY, May 16, 2018 (HealthDay News) -- Best practices have been developed for using electronic health records (EHRs) to enhance patient-centered care, according to an article published online in Medical Economics.

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Prescription Med Use in Children Down Overall From 1999 to 2014

TUESDAY, May 15, 2018 (HealthDay News) -- From 1999 to 2014 there was a decrease in prescription medication use overall among children and adolescents, according to a study published in the May 15 issue of the Journal of the American Medical Association.

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ECT Effective for Treatment-Resistant Depression

MONDAY, May 14, 2018 (HealthDay News) -- Electroconvulsive therapy (ECT) may be effective and cost-effective for U.S. patients with treatment-resistant depression, according to research published online May 10 in JAMA Psychiatry.

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Anxiety Levels Tied to Bone Mineral Density Post-Menopause

MONDAY, May 14, 2018 (HealthDay News) -- Anxiety levels are associated with bone mineral density (BMD) and fracture risk in the lumbar spine and femoral neck among postmenopausal women, according to a study published online May 7 in Menopause.

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Rates of Major Depression Up Among U.S. Insured, Esp. Youth

MONDAY, May 14, 2018 (HealthDay News) -- Diagnoses of major depression have increased since 2013, particularly among adolescents and millennials, according to a report published May 10 by Blue Cross Blue Shield (BCBS).

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Study IDs Factors Linked to Quality of Life With Dementia

MONDAY, May 14, 2018 (HealthDay News) -- Good relationships, social engagement, better every day functioning, good physical and mental health, and high-quality care are linked to better quality of life (QoL) for patients with dementia, according to a review published online May 8 in Psychological Medicine.

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Tobacco Cessation Support Lacking in Mental Health Facilities

FRIDAY, May 11, 2018 (HealthDay News) -- Many patients in mental health and substance abuse treatment facilities are not screened for tobacco use or offered treatments to facilitate tobacco cessation, according to research published in the May 11 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Emotion Regulation Program Cuts Risky Sex Behaviors in Youth

FRIDAY, May 11, 2018 (HealthDay News) -- An emotion regulation intervention reduced sexual risk behaviors among at-risk middle school students, according to a study published online May 10 in Pediatrics.

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Resistance Exercise May Reduce Depressive Symptoms in Adults

FRIDAY, May 11, 2018 (HealthDay News) -- Resistance exercise training (RET) is associated with reduced depressive symptoms among adults, according to a meta-analysis published online May 9 in JAMA Psychiatry.

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Low-Dose Vaginal Estradiol Improves Menopause-Linked QOL

THURSDAY, May 10, 2018 (HealthDay News) -- For menopausal women with moderate-severe vulvovaginal symptoms, treatment with low-dose vaginal estradiol is associated with improved menopause-related quality of life, according to a study published online May 7 in Menopause.

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Age of First Football Tackles Tied to Neuro Symptom Onset

THURSDAY, May 10, 2018 (HealthDay News) -- Younger age of exposure to tackle football predicts earlier neurobehavioral symptom onset among players with chronic traumatic encephalopathy (CTE), according to a study published online April 30 in the Annals of Neurology.

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Lymphoma, Leukemia Survivors Have Increased Health Care Use

WEDNESDAY, May 9, 2018 (HealthDay News) -- Survivors of lymphoma and chronic lymphocytic leukemia (CLL) have increased use of health care services versus a normative population, according to a study published online April 26 in Cancer.

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Depressive Symptoms Tied to Memory, Aging of the Brain

WEDNESDAY, May 9, 2018 (HealthDay News) -- Greater depressive symptoms are associated with episodic memory and markers of brain aging in older Caribbean Hispanic patients, according to a study published online May 9 in Neurology.

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Psychological Therapies May Help Older Adults With Chronic Pain

WEDNESDAY, May 9, 2018 (HealthDay News) -- For older adults with chronic pain, psychological interventions have small benefits, including reducing pain and catastrophizing beliefs, according to a review published online May 7 in JAMA Internal Medicine.

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Regulatory Requirements Drive Dissatisfaction With EHRs

TUESDAY, May 8, 2018 (HealthDay News) -- Regulatory requirements are likely to be an important aspect of physician dissatisfaction with electronic health records (EHRs) that is driving burnout, according to an Ideas and Opinions piece published online May 8 in the Annals of Internal Medicine.

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Approaches to Firearms for Persons With Dementia Discussed

TUESDAY, May 8, 2018 (HealthDay News) -- Approaches to addressing the potential complications of owning firearms for persons with dementia (PWD) are presented in an article published online May 8 in the Annals of Internal Medicine.

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Evidence Lacking for Impact of PDMPs on Drug Overdoses

TUESDAY, May 8, 2018 (HealthDay News) -- There is insufficient evidence available for examining the correlation between prescription drug monitoring programs (PDMPs) and non-fatal or fatal overdoses, according to a review published online May 8 in the Annals of Internal Medicine.

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High Number of Years of Life Lost Due to Police Violence in U.S.

TUESDAY, May 8, 2018 (HealthDay News) -- The number of years of life lost (YLLs) due to police violence in the United States is substantial and disproportionately impacts young people of color, according to a study published online May 7 in the Journal of Epidemiology & Community Health.

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Risk of Pediatric Mental Illness Up After Injury Hospitalization

TUESDAY, May 8, 2018 (HealthDay News) -- Medicaid-insured children are at increased risk for mental health diagnoses and psychotropic prescriptions after hospitalization for an injury compared with pre-hospitalization, according to a study published online May 7 in The Journal of Pediatrics.

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After-School Activities Beneficial for Children With ADHD

TUESDAY, May 8, 2018 (HealthDay News) -- For children with attention-deficit/hyperactivity disorder (ADHD), participation in after-school activities (ASA) is associated with reduced odds of moderate-to-severe ADHD and having seven or more missed school days, according to a study presented at the annual meeting of the Pediatric Academic Societies, held from May 5 to 8 in Toronto.

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Mild TBI Linked to Increased Dementia Risk in Veterans

MONDAY, May 7, 2018 (HealthDay News) -- Even mild traumatic brain injury (TBI) without loss of consciousness (LOC) is associated with increased risk of dementia among veterans, according to a study published online May 7 in JAMA Neurology.

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Parenting Fears Harm Well-Being of Women With Metastatic Cancer

MONDAY, May 7, 2018 (HealthDay News) -- Among women with metastatic cancer and dependent children, parenting concerns negatively impact health-related quality of life (HRQOL), according to a study published online May 7 in Cancer.

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Early Intervention Services Best for Early-Phase Psychosis

MONDAY, May 7, 2018 (HealthDay News) -- Early intervention services (EIS) are better than treatment as usual (TAU) for early-phase psychosis across meta-analyzable outcomes, according to a review published online May 2 in JAMA Psychiatry.

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Many Organizations Not Meeting Trial Reporting Requirements

FRIDAY, May 4, 2018 (HealthDay News) -- Many organizations are not meeting the trial registration and results reporting requirements clarified by "The Final Rule," which had a compliance date of April 18, 2017, according to a study published online May 1 in BMC Medicine.

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Emotional Intelligence Predictors in Radiation Therapists ID'd

FRIDAY, May 4, 2018 (HealthDay News) -- Some factors that predict radiation therapists' emotional intelligence (EI) can be addressed, according to a study published online April 23 in the Journal of Medical Radiation Sciences.

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Psychiatric Diagnosis Common in Medicaid-Insured Children

FRIDAY, May 4, 2018 (HealthDay News) -- About 20 percent of Medicaid-insured children receive a psychiatric diagnosis by age 8 years, according to a study published online April 30 in JAMA Pediatrics.

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Midlife Transition Tied to Decreasing Stress in Women

THURSDAY, May 3, 2018 (HealthDay News) -- Self-reported stress decreases for most women as they transition through midlife, according to a recent study published in Women's Midlife Health.

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MDMA-Assisted Psychotherapy Reduces PTSD Symptoms

WEDNESDAY, May 2, 2018 (HealthDay News) -- For veterans and first responders with posttraumatic stress disorder (PTSD), receipt of 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy is effective and well tolerated for reducing symptoms, according to a study published online May 1 in The Lancet Psychiatry.

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Synthetic Opioid Involvement in Opioid-Related Deaths Up

TUESDAY, May 1, 2018 (HealthDay News) -- Synthetic opioid involvement in opioid-related overdose deaths increased significantly from 2010 to 2016, according to a research letter published in the May 1 issue of the Journal of the American Medical Association.

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Practices Should Be Aware of Correct Way to Fire Employees

TUESDAY, May 1, 2018 (HealthDay News) -- Physicians should be aware of the correct protocol for, as well as the laws involved in, firing employees, according to a report published in Medical Economics.

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Anesthesia Before Age 3 Not Linked to Intelligence Deficits

TUESDAY, May 1, 2018 (HealthDay News) -- Multiple exposures to anesthesia before the age of 3 years may have neuropsychological impacts, though intelligence does not appear to be affected, according to a study published online April 18 in Anesthesiology.

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Clinically Significant Anxiety Tied to Subsequent Dementia Risk

TUESDAY, May 1, 2018 (HealthDay News) -- Clinically significant anxiety in midlife is associated with increased subsequent dementia risk over an interval of at least 10 years, according to a review published online April 30 in BMJ Open.

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