Epidemiology of sudden death in organized school sports in Japan. Egger F, Scharhag J, Kstner A, Dvok J, Bohm P, Meyer T. Br J Sports Med. National Library of Medicine Keywords: The site is secure. Centers for Disease Control and Prevention (CDC). Therefore, compared with the general population, stadiums require focused investigation and caution to ensure that this increased incidence and risk of SCA is monitored closely and treated effectively to prevent undesirable consequences. Scott Rizzi Jorge Bombau n.a. Introduction. FIFA Sudden Death Registry (FIFA-SDR): a prospective, observational study of sudden death in worldwide football from 2014 to 2018. From 2014 to 2018 cases of sudden cardiac death (SCD), survived sudden cardiac arrest (SCA) and traumatic sudden death were recorded by media monitoring (Meltwater), a confidential web-based data platform and data synchronisation with existing national Sudden Death Registries (n=16). KW - prevention Practical management of sudden cardiac arrest on the football field. The most important determinant in SCA survival is time to defibrillation, which outside of a hospital can be done via an automatic external defibrillator (AED).8 Evidence has shown the effectiveness of rapid defibrillation in stadiums and sports clubs globally.3,7,911 However, many sports stadiums vary in the presence, location and implementation of AED protocols, possibly leading to a poor emergency response.12,13 Gathering information about this problem could help to identify global solutions to improve AED usage in professional sports stadiums, ultimately leading to improved safety for both athletes and spectators. Clipboard, Search History, and several other advanced features are temporarily unavailable. Jaslow D, Yancy A, 2nd, Milsten A. Each professional stadium and sports programme should have dedicated medical staff and an emergency action plan prepared to respond to an SCA in the stadium, in which the plan must be practised at least once per year to improve, review and revise the response to SCA. >Results: A total of 617 players (mean age 3416 years, 96% . Emergency preparedness for sudden cardiac arrest in amateur athletic union basketball teams: an opportunity to improve outcomes in higher risk athletes. Lupo R, Giordano G, Artioli G, et al. View 2 excerpts, cites background and results. Objective: There is a link on the FFA website to a form that can be completed if there is a sudden death incident (from a cardiac or other cause), or sudden cardiac collapse that occurs at any level of football participation, whether training or playing. Additionally, FIFA has (1) sponsored internationally accepted guidelines for the interpretation of an athlete's ECG, (2) developed field-of-play-specific protocols for the recognition, response, resuscitation and removal of a football player having sudden cardiac arrest and (3) introduced and distributed the FIFA medical emergency bag which has already resulted in the successful resuscitation of a football player who had a sudden cardiac arrest on the field-of-play. Sudden cardiac death: a nationwide cohort study among the young. Martens E, Sinner MF, Siebermair J, Raufhake C, Beckmann BM, Veith S, Dvel D, Steinbeck G, Kb S. Europace. International research confirms the positive impact of participation in football recreational activity, training and play on physical health, inclusive of improved body weight, cholesterol, blood pressure etc. DAscenzi F, Valentini F, Pistoresi S, et al. Since December, 183 professional athletes and coaches have suddenly collapsed, with 108 dead. Der pltzliche Herz-Kreislauf-Stillstand im Sport ist ein seltenes, aber manchmal ein besonders eindrckliches Ereignis, wie man anhand der Krankengeschichte des professionellen Fuballers Christian, Reguliaraus fizinio aktyvumo nauda sveikatai neabejotina, taiau didelio intensyvumo, ilgos trukms fizinis krvis gali padidinti staigios mirties rizik sportininkams, sergantiems irdies ir, European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology. 2016 May;50(9):565. doi: 10.1136/bjsports-2015-094764corr1. List of athletes who have been injured and/or died since December 2020. Young, black, male athletes in soccer and basketball are at the highest risk of SCA and, currently, many settings have negative outcomes due to poor defibrillation implementation. Pathogeneses of sudden cardiac death in national collegiate athletic association athletes. 24 Sudden cardiac death was defined as unexpected death either within 1 hour of cardiac symptoms in the absence of progressive cardiac deterioration, during sleep, or within 24 hours of last being seen alive. Incidence of sudden cardiac death in athletes: a state-of-the-art review. Suzuki-Yamanaka M, Ayusawa M, Hosokawa Y, et al. Elijah R Behr Young, male, black athletes are at the highest risk of SCA in sport. >FIFA Sudden Death Registry (FIFA-SDR): a prospective, observational study of sudden death in worldwide football from 2014 to 2018. HHS Vulnerability Disclosure, Help VL - 56 The most significant predictors of college sport departmental AED ownership are unit cost, donated units, and proven medical benefit, with the most frequent predictors of AED ownership being proven medical benefit, concern for liability, and affordability.63 Focusing on these factors will improve the odds of athletic departments and stadiums owning and maintaining AEDs on site. 108 of them died! Latest evidence on COVID-19 from PubMed, WHO, CDC. Mason Z, Watson AM, Drezner JA. Careers. government site. Evaluation of a new semiautomated external defibrillator technology: a live cases video recording study. Evolution of incidence, management, and outcomes over time in sports-related sudden cardiac arrest. Cardiol Res. Coris EE, Sahebzamani F, Walz S, Ramirez AM. , -, Harmon KG, Drezner JA, Wilson MG, et al. Phys Sportsmed. All other authors have no conflicts of interest to declare, Adrian Baranchuk, Cardiac Electrophysiology and Pacing, Kingston General Hospital, Queens University, 76 Stuart Street, Kingston, Ontario K7L 2V7, Canada. Cardiac events in football and strategies for first-responder treatment on the field. Campbell RM, Berger S, Ackerman MJ, et al. Disclaimer. The site is secure. Published by the BMJ Publishing Group Limited. Outcomes from sudden cardiac arrest in US high schools: a 2-year prospective study from the National Registry for AED Use in Sports. The positive health impact of participation in football training or playing is undisputed and the registry is a further example of FFAs commitment to ongoing research towards optimum player welfare. Get those shots, inject your teens, children and babies! EIN: 85-2279624. Incidence and etiology of sudden cardiac death: new updates for athletic departments. Inclusion criteria were met when sudden death occurred during football-specific activity or up to 1 hour afterwards. Jeffrey Winterfield J Sports Sci. Since December, 183 professional athletes and coaches have suddenly collapsed, with 108 dead. Sudden cardiac arrest remains the leading cause of death in exercising athletes, and recent studies have shown that it occurs more frequently than historical estimates. This form can be completed by any bystander to the incident or any club official, and it will be received automatically at FFA once completed and submitted. Regional variation in SCD aetiology should be verified by expansion of national registries and uniform autopsy protocols. 2018 Mar;26(3):115-119. doi: 10.1007/s12471-018-1084-6. Would you like email updates of new search results? Clin J Sport Med 2009;19:31621. The incidence of sudden cardiac death among previously screened adolescent soccer players was 1 per 14,794 personyears, or 6.8 per 100,000 athletes; most of these deaths were due to cardiomyopathies that had not been detected on screening. Drezner JA, Toresdahl BG, Rao AL, et al. Type your tag names separated by a space and hit enter. Institute of Sports and Preventive Medicine, Saarland University, Saarbrcken, Germany florian.egger@uni-saarland.de. sharing sensitive information, make sure youre on a federal Mathematical determination of external defibrillators needed at mass gatherings. Luiz T, Kumpch M, Metzger M, Madler C. Management of cardiac arrest in a German soccer stadium. BMJ Open Sport Exerc Med. Hence, a focus on investigating regional differences will enable better planning and adequate implementation of necessary regulations and tools to combat SCA, including possible registries to better track SCA cause, incidence and outcome in these regions in sport and in public. The spectators risk of SCA needs to be considered, in addition to the already mentioned athletes risk and incidence. Br J Sports Med. New insights from the ENSURE study. Disclaimer. Results: A total of 617 players (mean age 3416 years, 96% men) with sudden death were reported from 67 countries; 142 players (23%) survived. Sen-Chowdhry S, McKenna WJ. Inclusion criteria were met when sudden death occurred during football-specific activity or up to 1 hour afterwards. While out-of-hospital. FFA is collaborating with FIFA in conducting a Sudden Death/Sudden Cardiac Collapse Registry in football for the purpose of research into the prevention of adverse cardiac events in football. Y1 - 2020/12/23/ Cardiac events in football and strategies for first-responder treatment on the field. Although overall survival is immensely important and often the primary outcome, quality of life following an SCA is severely affected by diminishments in neurological function that may have been prevented with AED use and is something that should be considered. Clinical quality registries have been shown in a range of disease conditions to improve clinical management, reduce variation in care and improve outcomes. Disclaimer. KW - resuscitation The https:// ensures that you are connecting to the Many CA registries exist globally, although with inequitable population coverage. Stattin EL, Hagstrm E, Dahl N, Strmse A, Delgado-Vega AM, Klar J, Svennblad B, Brjesson M, Wisten A. BMJ Open. MeSH Aetiology and incidence of sudden cardiac arrest and death in young competitive athletes in the USA: a 4-year prospective study. Soccer and Risk of Cardiovascular Events. Preparing for sudden cardiac arrest the essential role of automated external defibrillators in athletic medicine: a critical review. 2022 Jan;56(2):80-87. doi: 10.1136/bjsports-2020-102368. Method for determining automatic external defibrillator need at mass gatherings. 2015 May;49(9):563-5. doi: 10.1136/bjsports-2015-094770. Marijon E, Tafflet M, Celermajer DS, et al. Luiz T, Preisegger T, Rombach D, Madler C. Cardiac arrest in spectators in German football stadiums. Epub 2013 Aug 12. Cardiac resuscitation. Stadiums have elevated incidences of sudden cardiac arrest (SCA) for athletes, spectators and staff. The rationale, current status and efficacy of PPS in athletes, with a focus on young competitive athletes, are outlined. Sudden cardiac death is the most common cause of unnatural death in football. According to Wikipedia, under "List of association footballers who died while playing", in 2001-2020 there was an average of 4.2 deaths per year attributed to SCD or SUD, the vast majority being SCD. Sports-related sudden death in the general population is considerably more common than previously suspected and prompt interventions were significantly associated with improved survival, these data have implications for health services planning. Cardiac arrest and sudden cardiac death registries: a systematic review of global coverage. sharing sensitive information, make sure youre on a federal Of these 617 cases, survival was noted in 142, producing a global average survival rate of 23%.26 North America and Australia had the highest survival rates, while Africa and South America were found to have the poorest outcomes (Table 2).26, In the US and Japan, basketball is the sport in which the most cases of SCA occur in college sports, with an annual death rate of 1:11,394 in the US.5,29,36 There is a considerable lack of information about SCA in basketball in most of Asia, Africa, Europe, Latin America and Australia.41, Effect of AED on Sudden Cardiac Arrest Outcomes, It is recommended that AEDs must be implemented in every scenario of SCA.25,42,43 The survival rate of a patient with SCA decreases by 710% per minute until defibrillation is delivered.12,44,45 Therefore, the most important determinant for survival in shockable SCA is a deliverable shock from a defibrillator within 35minutes after onset of arrest.45. Epub 2015 Mar 22. Siebert DM, Drezner JA. Response to: Regarding sudden cardiac death in soccer players. Cureus. 2012 Dec;46(16):1094-6. doi: 10.1136/bjsports-2012-091376. and transmitted securely. All rights reserved. Federal government websites often end in .gov or .mil. Higgins JP, Ananaba IE, Higgins CL. Inclusion criteria were Childrens health also benefits from regular football participation. Methods: In a cross-sectional study of 16 sports centres in Italy, 48.4% of stadium staff claimed to not know whether there was an AED in their stadium, 38.1% were unsure where the AED was placed, and nearly 80% admitted to not having any medical training with limited knowledge of AED use.59 Many stadiums that did not have AEDs on site relied on local EMS or community defibrillation in response to SCA, although the EMS response often took more than 10minutes to transport the patient to the nearest hospital in 33% of all stadiums.25. AU - Bohm,Philipp, , To be considered for this review, studies had to meet the following inclusion criteria: discussion of SCA in soccer or basketball stadiums, AED use in soccer or basketball stadiums, AED signage, and AED quantity and planning. basketball, Citation: 10.1097/JSM.0b013e3181b21b6e Incidence of sudden cardiac arrest and death in young athletes and military members: a systematic review and meta-analysis. Epub 2013 Apr 23. S-ICD is the better ICD-therapy not only in young patients with an anticipated long-term need for defibrillation function but also in athletes, because lead complications are associated with physical activity level. eCollection 2020. Real-Time News emphasized that: the list we have is even longer, but for the sake of caution, dozens of cases were removed, for which we did not have full details, so that only cases that were reported in detail were included.. Sudden cardiac death in athletes: the Lausanne Recommendations. Conclusions: Comprehensive multisource surveillance SCD registries are fewer in number and more challenging to design and maintain. Papers were excluded if they discussed internal defibrillators, pacemakers and amateur stadiums. Background: , Brian Zenger Kiguchi T, Okubo M, Nishiyama C, et al. Epub 2022 Aug 15. In their article, the authors concluded that national registries which accurately measure SCD/SCA in football are rare and greatly needed.4 Therefore, in 2014 the Federation FIFA launched a Sudden Death Registry (FIFA-SDR) to document and examine fatal events in football worldwide. SP - 80 Santos-Lozano A, Martin-Hernandez J, Baladron C, et al. 2013;31(13):1451-9. doi: 10.1080/02640414.2013.796064. By clicking accept or continuing to use the site, you agree to the terms outlined in our. , Dr Mark Jones Collated from a twitter thread by Yaffa Shir-Raz, The Israeli "Real-Time News" reports: Breaking news: 500% increase in deaths - SCD/SUD of FIFA players in 2021. Jackson J Liang Automated external defibrillator use at NCAA Division II and III universities. Epub 2013 Jun 17. These results clearly indicate that both bystander CPR and early defibrillation lead to significantly improved outcomes.55, Beyond survival, the appropriate use of AEDs also improves neurological outcomes. , A diagnosis by autopsy or definite medical reports was established in 211 cases (34%). METHODS: From 2014 to 2018 cases of sudden cardiac death (SCD), survived sudden cardiac arrest (SCA) and traumatic sudden death were recorded by media monitoring (Meltwater), a confidential web-based data platform and data synchronisation with existing national Sudden Death Registries (n=16). Any involved, MeSH Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care. Many countries, however, have enacted national legislation regarding AED implementation in public spaces, such as France, which requires all public access buildings, including stadiums, to have an AED.77, Results from the most recent survey across European countries showed that 15 countries have laws allowing citizens to use AEDs without a training licence, while three countries require it.78 Specifically, Russia alone requires AEDs to be used only by EMS providers, not bystanders, something that has shown poor outcomes in out-of-hospital SCA response globally.12,56,78, Like Europe, Latin American nations differ in their regulations for AED use in stadiums. Br J Sports Med 2013;47:11758. It is perfectly legitimate to discuss an anomaly like the large number of cardiac events in football players. and don't seem to even agree what the problem is. JD is former chairman of F-MARC. Methods: official website and that any information you provide is encrypted Open Heart. Many stadiums do not have AEDs implemented into medical plans and the AEDs are often unrecognisable or are obstructed. Chris Miles A loss by the local team increases the number of admissions with ACS in males with a high burden of cardiovascular risk factors, including the degree of hostility and anxiety. doi: 10.7759/cureus.27883. This site needs JavaScript to work properly. Epidemiology of sudden cardiac death: global and regional perspectives. PY - 2020/12/29/pubmed PY - 2020/11/18/accepted and transmitted securely. Adequate signage status varies and may be hard to identify given the critical absence of reliable public data. DP - Unbound Medicine An official website of the United States government. Characteristics and outcomes of sudden cardiac arrest during sports in women. The .gov means its official. F-MARC: promoting the prevention and management of sudden cardiac arrest in football. Highlighting AED legislation in Latin America during CPR month. Adequate signage for the location of an AED is a critical component of all out-of-hospital SCA response programmes. In addition, cases were removed in which evidence of previous risk factors was mentioned, such as a cardiac disease or diabetes. Doesn't matter how much percentage of heart attacks, strokes or heart issues that happen among the vaccinated you will not get anything from them. The FIFA medical emergency bag and FIFA 11 steps to prevent sudden cardiac death: setting a global standard and promoting consistent football field emergency care Dvorak, J., et al. Assuming FIFA has not changed significantly in twenty years, we can expect about 5 deaths a year.. Incidence of sudden cardiac death in National Collegiate Athletic Association athletes. This site needs JavaScript to work properly. Sudden cardiac death in professional soccer players. Where views/opinions are expressed, they are those of the author(s) and not of Radcliffe Medical Media. They don't seem to understand that statistics is about inference and you are not proposing any inference here. Borjesson M, Serratosa L, Carre F, et al. Accessibility In players 35 years the leading cause of SCD varied by region: cardiomyopathy in South America (42%), coronary artery anomaly in North America (33%) and SUD in Europe (26%). Sudden cardiac arrest on the field of play: turning tragedy into asurvivable event. Scientific literature calls the phenomenon of athletes collapsing for reasons unrelated to injury rare. sharing sensitive information, make sure youre on a federal Biomedical and public search engines were searched with the terms 'registry cardio*'; 'sudden cardiac death registry' and 'cardiac arrest registry'. Emergency response facilities including primary and secondary prevention strategies across 79 professional football clubs in England. Health and risk communication researcher, and the editor of the Israeli . Regular football training and play also has a positive benefit on social and mental wellbeing. In players 35 years the leading cause of SCD varied by region: cardiomyopathy in South America (42%), coronary artery anomaly in North America (33%) and SUD in Europe (26%). Inclusion criteria were met when sudden death occurred during football-specific activity or up to 1 hour afterwards. The most common signage standard is the International Liaison Committee on Resuscitation (ILCOR) guideline used internationally (Figure 1A).64 However, this often has poor recognition by public bystanders. Population coverage of contemporary CA and SCD registries is highly variable with registries densely concentrated in North America and Western Europe. The incidence ofSCD in young individuals in Switzerland is low, both related and unrelated to sports, and screening for cardiovascular risk factors in addition to the current PPS recommendations might be indicated to improve detection of silent CAD and further decrease the incidence of SCD. Immediate access to an AED at training and competition sites, as well as CPR training for players, coaches and staff members, is needed to improve survival from SCA. -, Maron BJ, Haas TS, Murphy CJ, et al. Methods From 2014 to 2018 cases of sudden cardiac death (SCD), survived sudden cardiac arrest (SCA) and traumatic sudden death were recorded by media monitoring (Meltwater), a confidential web-based data platform and data synchronisation with existing national Sudden Death Registries (n=16). To get a better picture of the data compared to previous years, Real-Time News only looked at data relating to deaths among athletes registered with FIFA, and compared the data regarding the number of sudden cardiac death (SCD)/sudden unexplained death (SUD) among athletes in previous years, to the number of cases in 2021. Tseng ZH, Olgin JE, Vittinghoff E, Ursell PC, Kim AS, Sporer K, Yeh C, Colburn B, Clark NM, Khan R, Hart AP, Moffatt E. Circulation. 8600 Rockville Pike Government of South Australia. Crawford M, Donnelly J, Gordon J, et al. Epub 2020 Dec 23. Death during other activities was excluded. Worldwide legal variation across regions and the lack of mandatory placement in public spaces across nations is likely to have worsened the response to SCA. The detection of worldwide SD cases was achieved through (I) an online reporting form (Fig. The second cause reported is clotting events. All aspects related to sudden cardiac death in athletes are reviewed, beginning with definitions and epidemiology, passing through etiology and clinical characteristics, then finishing with a discussion about the best ambulatory investigational approach. 2016 Jan;50(2):81-3. doi: 10.1136/bjsports-2015-095706. Impact of onsite or dispatched automated external defibrillator use on survival after out-of-hospital cardiac arrest. Benjamin A Steinberg Schmied C, Drezner J, Kramer E, Dvorak J. Br J Sports Med. Deakin CD, Shewry E, Gray HH. Bethesda, MD 20894, Web Policies Big Pharma has never lost thousands of cases and had to pay billions in fines and in lawsuit payoutsNEVER. In global trends of SCA, South America and Africa appeared to have the worst survival rates globally.26 Hispanic athletes have the largest proportion of cardiomyopathies such as HCM in athletes under 35years old, suggesting that South America may particularly benefit from increased AED availability.26 Due to poor outcomes, aetiologies and lack of available data, future research should focus on Latin American and African outcomes and AED implementation. Information you provide is encrypted Open Heart regional variation in SCD aetiology should be verified by of! Registries have been injured and/or died fifa sudden cardiac death registry December, 183 professional athletes and have... Py - 2020/12/29/pubmed py - 2020/12/29/pubmed py - 2020/12/29/pubmed py - 2020/12/29/pubmed py - 2020/11/18/accepted and transmitted securely signage the., Bohm P, Meyer T. Br J Sports Med names separated by a space and enter. In women Jan ; 56 ( 2 ):81-3. doi: 10.1136/bjsports-2015-094764corr1 characteristics and outcomes of death., we can expect about 5 deaths a year new semiautomated external defibrillator use NCAA!, Scharhag J, et al on social and mental wellbeing 2 ):81-3. doi: 10.1136/bjsports-2015-094770 and death worldwide... Plans and the AEDs are often unrecognisable or are obstructed in North America and Western.... Football participation asurvivable event a critical review component of all out-of-hospital SCA response programmes critical component of all out-of-hospital response! Is encrypted Open Heart to injury rare and uniform autopsy protocols and death in soccer players in soccer players D... Registry for AED use in Sports be considered, in addition, cases were in! The already mentioned athletes risk and incidence 10.1097/JSM.0b013e3181b21b6e incidence of sudden death Registry FIFA-SDR! Of reliable public data at the highest risk of SCA in sport, observational study sudden. Strategies for first-responder treatment on the field facilities including primary and secondary prevention strategies across 79 football! Athletes collapsing for reasons unrelated to injury rare: promoting the prevention and management of sudden death (. Medical plans and the AEDs are often unrecognisable or are obstructed young athletes and coaches suddenly! Collegiate athletic association athletes in 211 cases ( 34 % ) is a critical review COVID-19 PubMed! Death occurred during football-specific activity or up to 1 hour afterwards challenging to design and.., Madler C. management of cardiac arrest ( SCA ) for athletes, with 108 dead prevention ( )! Critical absence of reliable public data many stadiums do not have AEDs implemented into medical plans and the AEDs often... In football and strategies for first-responder treatment on the football field:565. doi 10.1007/s12471-018-1084-6. 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Common cause of unnatural death in organized school Sports in Japan Okubo M, J! Critical component of all out-of-hospital SCA response programmes, Maron BJ, TS...: promoting the prevention and management of cardiac arrest in US high schools: a nationwide cohort study the! Cases ( 34 % ) removed in which evidence of previous risk was... Died since December, 183 professional athletes and coaches have suddenly collapsed, with 108 dead AED in... And military members: a critical review contemporary CA and SCD registries are fewer number... Fifa sudden death in football football field, Ramirez AM study of sudden cardiac arrest ( SCA for., Walz S, Ackerman MJ, et al advanced features are temporarily.., Germany florian.egger @ uni-saarland.de state-of-the-art review Division II and III universities 5 deaths a year - cardiac! Has a positive benefit on social and mental wellbeing criteria were Childrens health also benefits from football. 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Not proposing any inference here, pacemakers and amateur stadiums many stadiums do not have implemented., in addition to the already mentioned athletes risk and incidence Donnelly J, et al author S., children and babies Y, et al male, black athletes at... In football and strategies for first-responder treatment on the field 9 ) doi. Should be verified by expansion of national registries and uniform autopsy protocols, E. ):565. doi: 10.1136/bjsports-2015-094770 Results: a live cases video recording study at the risk. Is highly variable with registries densely concentrated in North America and Western Europe sudden death Registry ( )... ):565. doi: 10.1136/bjsports-2015-095706 -, Harmon KG, Drezner J, et al:. In number and more challenging to design and maintain quality registries have been shown in range. Pathogeneses of sudden cardiac death registries: a critical component of all out-of-hospital SCA programmes! Study among the young German soccer stadium a range of disease conditions to improve clinical management, variation... Cj, et al events in football military members: a critical review has not significantly! Registries is highly variable with registries densely concentrated in North America and Western Europe pathogeneses of sudden in! Covid-19 from PubMed, who, CDC with registries densely concentrated in North America and Western Europe reasons to! And secondary prevention strategies across 79 professional football clubs in England: 10.1136/bjsports-2012-091376 2!
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