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Causes and circumstances of maternal death: a secondary analysis of the Community-Level Interventions for Pre-eclampsia (CLIP) trials cohort.

Annet M Aukes, Kristina Arion, Jeffrey N Bone, Jing Li, Marianne Vidler, Mrutyunjaya B Bellad, Umesh Charantimath, Shivaprasad S Goudar, Zahra Hoodbhoy, Geetanjali Katageri, Salésio Macuacua, Ashalata A Mallapur, Khátia Munguambe, Rahat N Qureshi, Charfudin Sacoor, Esperança Sevene, Sana Sheikh, Anifa Valá, Gwyneth Lewis, Zulfiqar A Bhutta, Peter von Dadelszen, Laura A Magee, ,

<h4>Background</h4>Incomplete vital registration systems mean that causes of death during pregnancy and childbirth are poorly understood in low-income and middle-income countries. To inform global efforts to reduce maternal mortality, we compared physician review and computerised analysis of verbal autopsies (interpreting verbal autopsies [InterVA] software), to understand their agreement on maternal ... Read more >>

Lancet Glob Health (The Lancet. Global health)
[2021, 9(9):e1242-e1251]

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Role of community engagement in maternal health in rural Pakistan: Findings from the CLIP randomized trial.

Zahra Hoodbhoy, Sana Sadiq Sheikh, Rahat Qureshi, Javed Memon, Farrukh Raza, Mai-Lei Woo Kinshella, Jeffrey N Bone, Marianne Vidler, Sumedha Sharma, Beth A Payne, Laura A Magee, Peter von Dadelszen, Zulfiqar A Bhutta, ,

<h4>Background</h4>Community-based strategies to promote maternal health can help raise awareness of pregnancy danger signs and preparations for emergencies. The objective of this study was to assess change in birth preparedness and complication readiness (BPCR) and pregnant women's knowledge about pre-eclampsia as part of community engagement (CE) activities in rural Pakistan ... Read more >>

J Glob Health (Journal of global health)
[2021, 11:04045]

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Feasibility of task-sharing with community health workers for the identification, emergency management and referral of women with pre-eclampsia, in Mozambique.

Esperança Sevene, Helena Boene, Marianne Vidler, Anifa Valá, Salésio Macuacua, Orvalho Augusto, Quinhas Fernandes, Cassimo Bique, Eusébio Macete, Mohsin Sidat, Peter von Dadelszen, Khátia Munguambe, ,

<h4>Background</h4>Maternal mortality is an important public health problem in low-income countries. Delays in reaching health facilities and insufficient health care professionals call for innovative community-level solutions. There is limited evidence on the role of community health workers in the management of pregnancy complications. This study aimed to describe the feasibility ... Read more >>

Reprod Health (Reproductive health)
[2021, 18(1):145]

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Blood pressure thresholds in pregnancy for identifying maternal and infant risk: a secondary analysis of Community-Level Interventions for Pre-eclampsia (CLIP) trial data.

Jeffrey N Bone, Laura A Magee, Joel Singer, Hannah Nathan, Rahat N Qureshi, Charfudin Sacoor, Esperança Sevene, Andrew Shennan, Mrutyunjaya B Bellad, Shivaprasad S Goudar, Ashalata A Mallapur, Khátia Munguambe, Marianne Vidler, Zulfiqar A Bhutta, Peter von Dadelszen, ,

<h4>Background</h4>Blood pressure measurement is a marker of antenatal care quality. In well resourced settings, lower blood pressure cutoffs for hypertension are associated with adverse pregnancy outcomes. We aimed to study the associations between blood pressure thresholds and adverse outcomes and the diagnostic test properties of these blood pressure cutoffs in ... Read more >>

Lancet Glob Health (The Lancet. Global health)
[2021, 9(8):e1119-e1128]

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The ability and safety of community-based health workers to safely initiate lifesaving therapies for pre-eclampsia in Ogun State, Nigeria: An analysis of 260 community treatments with MgSO4 and/or methyldopa.

Akinmade A Adepoju, Marianne Vidler, Adebayo A Akadri, Ebun Jaiyesimi, Chimaobi C Nwankpa, Oluwafayokemi O Odubena, Sumedha Sharma, Larry Li, Domena Tu, Sharla Drebit, Beth Payne, David O Akeju, Zulfiqar Bhutta, Laura A Magee, Hannah L Nathan, Andrew H Shennan, John Sotunsa, Olalekan O Adetoro, Peter von Dadelszen, Olukayode A Dada, Olaokun Soyinka, ,

<h4>Objectives</h4>To evaluate community-based health workers' ability to identify cases of hypertension in pregnancy, safely deliver methyldopa and magnesium sulphate and make referrals when appropriate.<h4>Study design</h4>This was part of Nigeria Community-Level Interventions for Pre-eclampsia (CLIP) cluster randomized controlled trial (NCT01911494). Community-based Health Workers (CHW) recruited pregnant women from five Local Government ... Read more >>

Pregnancy Hypertens (Pregnancy hypertension)
[2021, 25:179-184]

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Economic and cost-effectiveness analysis of the Community-Level Interventions for Pre-eclampsia (CLIP) trials in India, Pakistan and Mozambique.

Jeffrey N Bone, Asif R Khowaja, Marianne Vidler, Beth A Payne, Mrutyunjaya B Bellad, Shivaprasad S Goudar, Ashalata A Mallapur, Khatia Munguambe, Rahat N Qureshi, Charfudin Sacoor, Esperanca Sevene, Geert W J Frederix, Zulfiqar A Bhutta, Craig Mitton, Laura A Magee, Peter von Dadelszen, ,

<h4>Background</h4>The Community-Level Interventions for Pre-eclampsia (CLIP) trials (NCT01911494) in India, Pakistan and Mozambique (February 2014-2017) involved community engagement and task sharing with community health workers for triage and initial treatment of pregnancy hypertension. Maternal and perinatal mortality was less frequent among women who received ≥8 CLIP contacts. The aim of ... Read more >>

BMJ Glob Health (BMJ global health)
[2021, 6(5):]

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Pregnancy Outcomes and Blood Pressure Visit-to-Visit Variability and Level in Three Less-Developed Countries.

Laura A Magee, Jeffrey Bone, Salwa Banoo Owasil, Joel Singer, Terry Lee, Mrutunjaya B Bellad, Shivaprasad S Goudar, Alexander G Logan, Salésio E Macuacua, Ashalata A Mallapur, Hannah L Nathan, Rahat N Qureshi, Esperança Sevene, Andrew H Shennan, Anifa Valá, Marianne Vidler, Zulfiqar A Bhutta, Peter von Dadelszen, ,

[Figure: see text]. ... Read more >>

Hypertension (Hypertension (Dallas, Tex. : 1979))
[2021, 77(5):1714-1722]

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Impact of Free Maternity Services on Outcomes related to Hypertensive Disorders of Pregnancy at Moi Teaching and Referral Hospital in Kenya: a retrospective analysis

Marie Buitendyk, Wycliffe Kosgei, Julie Thorne, Heather Millar, Joy Marsha, Vincent Kibet, Christian Ochieng Bernard, Beth Payne, Caitlin Bernard, Astrid Christoffersen-Deb,

<h4>Background: </h4> Preeclampsia is a major contributor to maternal and neonatal mortality worldwide. Ninety-nine percent of these deaths occur in resource limited settings. One of the greatest barriers to women seeking medical attention remains the cost of care. Kenya implemented a nation-wide policy change in 2013, offering free maternity services ... Read more >>

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Acceptability and preferences for self-collected screening for cervical cancer within health systems in rural Uganda: A mixed-methods approach.

Angeli Rawat, Catherine Sanders, Nadia Mithani, Catherine Amuge, Heather Pedersen, Ruth Namugosa, Beth Payne, Sheona Mitchell-Foster, Jackson Orem, Gina Ogilvie, Carolyn Nakisige,

<h4>Objective</h4>To understand the knowledge, preferences, and barriers for self-collected cervical cancer screening (SC-CCS) and follow-up care at the individual and health system level to inform the implementation of community-based SC-CCS.<h4>Methods</h4>Surveys and focus group discussions (FGDs) with women and FGDs with healthcare providers were conducted in Uganda. Survey data were analyzed ... Read more >>

Int J Gynaecol Obstet (International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics)
[2021, 152(1):103-111]

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Retrospective validation study of miniPIERS prediction model in Zanzibar.

Elleke van der Meij, Tanneke Herklots, Suhaila Yussuf, Tarek Meguid, Arie Franx, Beth A Payne, Benoit Jacod,

<h4>Objective</h4>To perform a retrospective external validation of miniPIERS in Zanzibar's referral hospital.<h4>Methods</h4>From February to December 2017, data were collected retrospectively on all cases of hypertensive disorders of pregnancy (HDP) admitted to Mnazi Mmoja Hospital, Zanzibar, Tanzania. The primary outcome was the predictive performance of miniPIERS by examining measures of discrimination, ... Read more >>

Int J Gynaecol Obstet (International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics)
[2021, 153(2):300-306]

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Placental growth factor for the prognosis of women with preeclampsia (fullPIERS model extension): context matters.

U Vivian Ukah, Beth A Payne, Jennifer A Hutcheon, Lucy C Chappell, Paul T Seed, Frances Inez Conti-Ramsden, J Mark Ansermino, Laura A Magee, Peter von Dadelszen, ,

<h4>Background</h4>The fullPIERS risk prediction model was developed to identify which women admitted with confirmed diagnosis of preeclampsia are at highest risk of developing serious maternal complications. The model discriminates well between women who develop (vs. those who do not) adverse maternal outcomes. It has been externally validated in several populations. ... Read more >>

BMC Pregnancy Childbirth (BMC pregnancy and childbirth)
[2020, 20(1):668]

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Pregnancy cohorts and biobanking in sub-Saharan Africa: a systematic review.

Jeffrey N Bone, Kelly Pickerill, Mai-Lei Woo Kinshella, Marianne Vidler, Rachel Craik, Lucilla Poston, William Stones, Esperanca Sevene, Marleen Temmerman, Angela Koech Etyang, Anna Roca, Donna Russell, Rachel M Tribe, Peter von Dadelszen, Laura A Magee, ,

<h4>Background</h4>Technological advances and high throughput biological assays can facilitate discovery science in biobanks from population cohorts, including pregnant women. Biological pathways associated with health outcomes differ depending on geography, and high-income country data may not generalise to low-resource settings. We conducted a systematic review to identify prospective pregnancy cohorts in ... Read more >>

BMJ Glob Health (BMJ global health)
[2020, 5(11):]

Cited: 1 time

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Economic analysis of the CLIP Trials in India, Pakistan and Mozambique

Jeffrey Bone, Asif Khowaja, Marianne Vidler, Beth Payne, Mrutyunjaya Bellad, Shivaprasad Goudar, Ashalata Mallapur, Khatia munguambe, Rahat Qureshi, Charfudin Sacoor, Esperança Sevene, Geert Frederix, Zulfiqar Bhutta, Craig Mitton, Laura Magee, Peter von Dadelszen,

<h4>Background: </h4> The Community-Level Interventions for Pre-eclampsia (CLIP) Trials (NCT01911494) in India, Pakistan, and Mozambique (February 2014-7) involved community engagement and task-sharing with community health workers for triage and initial treatment of pregnancy hypertension. Maternal and perinatal mortality was less frequent among women who received ≥8 CLIP contacts. The aim ... Read more >>

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Population-level data on antenatal screening for proteinuria; India, Mozambique, Nigeria, Pakistan.

Laura A Magee, Sumedha Sharma, Esperança Sevene, Rahat N Qureshi, Ashalata Mallapur, Salésio E Macuácua, Shivaprasad Goudar, Mrutunjaya B Bellad, Olalekan O Adetoro, Beth A Payne, John Sotunsa, Anifa Valá, Jeffrey Bone, Andrew H Shennan, Marianne Vidler, Zulfiqar A Bhutta, Peter von Dadelszen, ,

<h4>Objective</h4>To estimate the prevalence and prognosis of proteinuria at enrolment in the 27 intervention clusters of the Community-Level Interventions for Pre-eclampsia cluster randomized trials.<h4>Methods</h4>We identified pregnant women eligible for inclusion in the trials in their communities in four countries (2013-2017). We included women who delivered by trial end and received ... Read more >>

Bull World Health Organ (Bulletin of the World Health Organization)
[2020, 98(10):661-670]

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Placental Growth Factor for the Prognosis of Women with Preeclampsia (fullPIERS model extension): Context matters

Vivian Ukah, Beth Payne, Jennifer Hutcheon, Lucy Chappell, Paul Seed, Frances Inez Conti-Ramsden, Mark Ansermino, Laura Magee, Peter von Dadelszen,

<h4>Background: </h4> The fullPIERS risk prediction model was developed to identify which women admitted with confirmed diagnosis of preeclampsia are at highest risk of developing serious maternal complications. The model discriminates well between women who develop (vs. those who do not) adverse maternal outcomes. It has been externally validated in ... Read more >>

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Community-level interventions for pre-eclampsia (CLIP) in Pakistan: A cluster randomised controlled trial.

Rahat N Qureshi, Sana Sheikh, Zahra Hoodbhoy, Sumedha Sharma, Marianne Vidler, Beth A Payne, Imran Ahmed, J Mark Ansermino, Jeffrey Bone, Dustin T Dunsmuir, Tang Lee, Jing Li, Hannah L Nathan, Andrew H Shennan, Joel Singer, Domena K Tu, Hubert Wong, Laura A Magee, Peter von Dadelszen, Zulfiqar A Bhutta, ,

<h4>Objectives</h4>To reduce all-cause maternal and perinatal mortality and major morbidity through Lady Health Worker (LHW)-facilitated community engagement and early diagnosis, stabilization and referral of women with preeclampsia, an important contributor to adverse maternal and perinatal outcomes given delays in early detection and initial management.<h4>Study design</h4>In the Pakistan Community-Level Interventions for ... Read more >>

Pregnancy Hypertens (Pregnancy hypertension)
[2020, 22:109-118]

Cited: 6 times

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The Community-Level Interventions for Pre-eclampsia (CLIP) cluster randomised trials in Mozambique, Pakistan, and India: an individual participant-level meta-analysis.

Peter von Dadelszen, Zulfiqar A Bhutta, Sumedha Sharma, Jeffrey Bone, Joel Singer, Hubert Wong, Mrutyunjaya B Bellad, Shivaprasad S Goudar, Tang Lee, Jing Li, Ashalata A Mallapur, Khátia Munguambe, Beth A Payne, Rahat N Qureshi, Charfudin Sacoor, Esperança Sevene, Marianne Vidler, Laura A Magee, ,

<h4>Background</h4>To overcome the three delays in triage, transport and treatment that underlie adverse pregnancy outcomes, we aimed to reduce all-cause adverse outcomes with community-level interventions targeting women with pregnancy hypertension in three low-income countries.<h4>Methods</h4>In this individual participant-level meta-analysis, we de-identified and pooled data from the Community-Level Interventions for Pre-eclampsia (CLIP) ... Read more >>

Lancet (Lancet (London, England))
[2020, 396(10250):553-563]

Cited: 8 times

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Community level interventions for pre-eclampsia (CLIP) in India: A cluster randomised controlled trial.

Mrutunjaya B Bellad, Shivaprasad S Goudar, Ashalata A Mallapur, Sumedha Sharma, Jeffrey Bone, Umesh S Charantimath, Geetanjali M Katageri, Umesh Y Ramadurg, J Mark Ansermino, Richard J Derman, Dustin T Dunsmuir, Narayan V Honnungar, Chandrashekhar Karadiguddi, Avinash J Kavi, Bhalachandra S Kodkany, Tang Lee, Jing Li, Hannah L Nathan, Beth A Payne, Amit P Revankar, Andrew H Shennan, Joel Singer, Domena K Tu, Marianne Vidler, Hubert Wong, Zulfiqar A Bhutta, Laura A Magee, Peter von Dadelszen, ,

<h4>Objectives</h4>Pregnancy hypertension is associated with 7.1% of maternal deaths in India. The objective of this trial was to assess whether task-sharing care might reduce adverse pregnancy outcomes related to delays in triage, transport, and treatment.<h4>Study design</h4>The Indian Community-Level Interventions for Pre-eclampsia (CLIP) open-label cluster randomised controlled trial (NCT01911494) recruited pregnant ... Read more >>

Pregnancy Hypertens (Pregnancy hypertension)
[2020, 21:166-175]

Cited: 6 times

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Maternal Risk Modeling in Critical Care-Development of a Multivariable Risk Prediction Model for Death and Prolonged Intensive Care.

Nicholas B Simpson, Manu Shankar-Hari, Kathryn M Rowan, Maurizio Cecconi, Peter von Dadelszen, Emily Y-S Huning, Laura A Magee, Beth A Payne, Audrey C Quinn, David A Harrison,

<h4>Objectives</h4>We aimed to develop and validate an accurate risk prediction model for both mortality and a combined outcome of mortality and morbidity for maternal admissions to critical care.<h4>Design</h4>We used data from a high-quality prospectively collected national database, supported with literature review and expert opinion. We tested univariable associations between each ... Read more >>

Crit Care Med (Critical care medicine)
[2020, 48(5):663-672]

Cited: 2 times

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Harnessing the PRECISE network as a platform to strengthen global capacity for maternal and child health research in sub-Saharan Africa.

Meriel Flint-O'Kane, Peter von Dadelszen, Prestige Tatenda Makanga, Esperança Sevene, Anna Roca, Peter Dukes, Saba Hinrichs-Krapels, Rachel Craik, Laura A Magee, Marleen Temmerman, ,

It is widely acknowledged across the global health sector that research programmes need to be designed and implemented in a way that maximise opportunities for strengthening local capacity. This paper examines how the United Kingdom Research and Innovation (UKRI) Grand Challenges Research Fund (GCRF) funded PRECISE (PREgnancy Care Integrating translational ... Read more >>

Reprod Health (Reproductive health)
[2020, 17(Suppl 1):52]

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The PRECISE (PREgnancy Care Integrating translational Science, Everywhere) Network's first protocol: deep phenotyping in three sub-Saharan African countries.

Peter von Dadelszen, Meriel Flint-O'Kane, Lucilla Poston, Rachel Craik, Donna Russell, Rachel M Tribe, Umberto d'Alessandro, Anna Roca, Hawanatu Jah, Marleen Temmerman, Angela Koech Etyang, Esperança Sevene, Paulo Chin, Joy E Lawn, Hannah Blencowe, Jane Sandall, Tatiana T Salisbury, Benjamin Barratt, Andrew H Shennan, Prestige Tatenda Makanga, Laura A Magee, ,

<h4>Background</h4>The PRECISE (PREgnancy Care Integrating translational Science, Everywhere) Network is a new and broadly-based group of research scientists and health advocates based in the UK, Africa and North America.<h4>Methods</h4>This paper describes the protocol that underpins the clinical research activity of the Network, so that the investigators, and broader global health ... Read more >>

Reprod Health (Reproductive health)
[2020, 17(Suppl 1):51]

Cited: 2 times

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Risk factors for postpartum sepsis: a nested case-control study.

Samina Bakhtawar, Sana Sheikh, Rahat Qureshi, Zahra Hoodbhoy, Beth Payne, Iqbal Azam, Peter von Dadelszen, Laura Magee,

<h4>Background</h4>The Majority (99%) of maternal deaths occur in low and middle-income countries. The three most important causes of maternal deaths in these regions are postpartum hemorrhage, pre-eclampsia and puerperal sepsis. There are several diagnostic criteria used to identify sepsis and one of the commonly used criteria is systematic inflammatory response ... Read more >>

BMC Pregnancy Childbirth (BMC pregnancy and childbirth)
[2020, 20(1):297]

Cited: 0 times

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Community-level interventions for pre-eclampsia (CLIP) in Mozambique: A cluster randomised controlled trial.

Esperança Sevene, Sumedha Sharma, Khátia Munguambe, Charfudin Sacoor, Anifa Vala, Salésio Macuacua, Helena Boene, J Mark Ansermino, Orvalho Augusto, Cassimo Bique, Jeffrey Bone, Dustin T Dunsmuir, Tang Lee, Jing Li, Eusébio Macete, Joel Singer, Hubert Wong, Hannah L Nathan, Beth A Payne, Mohsin Sidat, Andrew H Shennan, Corssino Tchavana, Domena K Tu, Marianne Vidler, Zulfiqar A Bhutta, Laura A Magee, Peter von Dadelszen, ,

<h4>Objectives</h4>Pregnancy hypertension is the third leading cause of maternal mortality in Mozambique and contributes significantly to fetal and neonatal mortality. The objective of this trial was to assess whether task-sharing care might reduce adverse pregnancy outcomes related to delays in triage, transport, and treatment.<h4>Study design</h4>The Mozambique Community-Level Interventions for Pre-eclampsia ... Read more >>

Pregnancy Hypertens (Pregnancy hypertension)
[2020, 21:96-105]

Cited: 7 times

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Risk factors for postpartum sepsis: A nested case-control study

Samina Bakhtawar, Sana Sheikh, Rahat Qureshi, Zahra Hoodbhoy, Beth Payne, Iqbal Azam, Peter von Dadelszen, Laura Magee,

<h4>Background: </h4> The Majority (99%) of maternal deaths occur in low and middle-income countries. The three most important causes of maternal deaths in these regions are postpartum hemorrhage, pre-eclampsia and puerperal sepsis. There are several diagnostic criteria used to identify sepsis and one of the commonly used criteria is systematic ... Read more >>

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PRECISE pregnancy cohort: challenges and strategies in setting up a biorepository in sub-Saharan Africa.

Rachel Craik, Donna Russell, Rachel M Tribe, Lucilla Poston, Geoffrey Omuse, Patricia Okiro, David Chege, Mathurin Diatta, Abdul Karim Sesay, Inocencia Cuamba, Carla Carrilho, Esperança Sevene, Meriel Flint-O'Kane, Peter von Dadelszen, ,

<h4>Background and objective</h4>PRECISE is a population-based, prospective pregnancy cohort study designed for deep phenotyping of pregnancies in women with placenta-related disorders, and in healthy controls. The PRECISE Network is recruiting ~ 10,000 pregnant women in three countries (The Gambia, Kenya, and Mozambique) representing sub-Saharan Africa. The principal aim is to improve ... Read more >>

Reprod Health (Reproductive health)
[2020, 17(Suppl 1):54]

Cited: 1 time

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