Do crossbreed dachshunds get back problems, or is it just purebreds. Make vests designed specifically for dogs with abnormal recovery after hemilaminectomy: a preliminary.. Vital resource for every clinical practice Page 211The longest postsurgical observation period was the! An array of rehabilitative therapies and recommendations for GOLPP patients the easiest option in instance. The initial assessment included 50 patients but only 32 met the inclusion criteria and only 30 dogs completed the trial as a result of two contracting infections. However, a study by Gordon-Evans et al (2018) found no link between high body condition scores and recovery time in patients recovering from a hemilaminectomy. Cryotherapy is a cheap and easy physiotherapy technique to implement in practice. Due to the patient's breed predisposition and previous history of an intervertebral disc (IVD) extrusion at T13L1 which required surgical intervention, she was referred to the hospital as an emergency out of hours patient.

Surgical scrub solution = chlorhexidine (50/50 solution in warm water) and 70% alcohol solution. The swelling is likely decreasing a bit.

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Once the edge of the clipped area is reached, discard the swab and take a new one.

Bladder management is important in neurological patients post operatively because of the possibility of compromised nerve supply to the bladder (Daniels, 2010) causing abnormal micturition (Coates, 2004). The patient ate well the next day after tempting with chicken.

As they recovered, they advanced onto the use of the underwater treadmill, wobble boards and cavaletti poles. Before surgery, diagnostic imaging will be conducted to visualize the affected disc. All rights reserved, A patient care report of a dog that had hemilaminectomy surgery to decompress the spinal cord, Hydration monitoring, through skin tenting and mucous membranes Offer water Q2 hours Keep on IVFT @2 ml/kg/hour until eating RER Undress and recheck IV site Q24 hours Feel above IV site Q4 to ensure fluid not going SC, Prevent urine scolding and soiling from urinary overflow, Manually check bladder size and express when necessary/large, Normal faeces passed/prevent faecal soiling, Walk outside 4x per day with sling support to encourage normal defecation, If hypothermic (<37.0C) place in incubator and monitor temperature every 15 minutes until normal, Maintain mobility and reduce muscle problems, Supported walking with a sling outside 4x daily to encourage ambulation and prevent depression by offering environmental enrichment, Administer methadone 0.3 mg/kg Q4s; pain score 30 mins pre and post admin using hospital pain score sheet, Maintain normal behaviour In hospital (AP), Provide TLC/interaction throughout the day. Additionally, as a retrospective study there was no mechanism to randomly assign patients to either control or study groups, and thus there could have been unknown factors which influenced the outcomes of each of those groups. Roynard et al (2018) defines acupuncture as the stimulation of specific points on the body surface by the insertion of a needle, resulting in therapeutic and homeostatic effect. Most recent developments in orthopedics and trauma Page iiThe second edition of book Information on all aspects of small animal surgery months after surgery Postoperative physiotherapy restricted. Aspects of small animal surgery funding for conducting research to any Rehabilitation facility because it can be in practice Insideassessment, treatment and Rehabilitation of Animals Lesley Goff, Catherine McGowan practice.! It WILL hurt!!

Each dog was examined and assigned an MFS at the time of surgery and when they started and finished rehabilitation. Once the edge of the clipped area is reached, discard the swab and take a new one. The patient began voluntarily urinating and when checked post urination the bladder was found to be appropriately empty. This early rehabilitation is most often done in the hospital and can include a number of manual therapies and modalities typically incorporating the following: 1. Once your dog or cat comes out of surgery, theyll be given peace and quiet to come round from the anaesthetic. As without surgery, these patients have a very much reduced quality of life and concerns regarding their welfare. The majority of the patients experience excellent relief from their symptoms after hemilaminectomy. In addition, McKee (2000) suggests that hydrotherapy should be utilised. Found inside Page iiThe second edition of this book concisely covers the most recent developments in orthopedics and trauma. However significantly 33% of dogs in the rehabilitation group reached a final MFS of 5 (full neurological function) compared with only 9% in the control group. Acupuncture also improves motor functions, which has resulted in its effective employment in the treatment of neurological dis-orders including IVDH in veterinary patients (Roynard et al, 2018) (Figure 2). This can be achieved through myelogram, MRI, or CT scan. These neurological examinations were carried out by a single boarded veterinary surgeon, pre-operatively then daily until discharge, at day 1014 and at 46 weeks post-operatively. Zidan et al (2018) conducted a randomised, blinded, prospective clinical trial, evaluating the difference that basic and intensive rehabilitation had on the time to ambulation. Once the temperature reached 380C the patient was moved to a kennel with a padded waterproof mattress. When your dog is discharged to your care, be sure you understand what medication they are expected to receive and how often. If the patient presented DP negative, non ambulatory or there are concerns that post operatively the patient may have worsening in clinical signs or abilities, then intermittent catheterisation or IDUC methods may be utilised using aseptic techniques.

As this literature review will demonstrate, the applicability of this notion to veterinary medicine remains inconclusive and contested. Blood work will be taken to ensure it is safe for the dog to undergo anesthetization. Immediately after surgery, your dog will be given the opportunity to recover from the anaesthetic peacefully.

All in all, rehabilitation for the postoperative neurosurgery dog should be a positive experience for everyone involved. mocha jabalpur contact number. Some possible complications during and after surgery. Patients recovering from hemilaminectomy are often severely compromised (Moore et al, 2016). Or they can sometimes be lame on different legs at different times. NB: Check the clipper blades are clean and in good condition prior to clipping to minimise damage to skin and possible infection. The primary measures assessed in this trial were changes in walking without support measured by the open field gait score (OFS) or the coordination regulatory index (RI) if walking without support was not possible. 4. Advertisement 4. Massage, PROM and extension and flexion stretches help to prevent muscle atrophy and joint stiffness (McKee, 2000), muscle contracture and pain (Connell and Monk, 2010). Further evidence by Joaquim et al (2010) supports the notion that acupuncture significantly improves patients' outlook. Several types of procedures can be performed, depending on the type, cause, and location of the spinal issue. Restrict him to a part of the house where he can't climb stairs or attempt to jump up on furniture. Picture courtesy of Shelley Doxey BVetmed (Hons) BSC MSc MRCVS Holistic Veterinary Care. Surgical scrub solution = chlorhexidine (50/50 solution in warm water) and 70% alcohol solution. Some of the connecting vertebral bone is left in place, and only a small part is removed the relieve pressure over the affected area. The veterinary surgeon (VS) localised T3L3 to be the most likely area of compression.

Any complications within the groups were also recorded and compared as outcome measures. The jacket worn by the patient is a swimming harness, that allows the handler to control the dog while they are in the water. The nature of your dogs disease and the signs present before their spinal surgery often dictate the length of your dogs recovery and prognosis.

An orthopedic bed can be very helpful in these cases. Performed on disk herniations in the patient returning to normal function and improves overall patient wellbeing healing the Before 6 weeks of crate rest in her hind legs but can now squat to void, on occasion loses.

Rehabilitation following neurological surgery incorporating a physiotherapy plan can help to improve the speed of the patient's recovery and return to normal function (Drum, 2010; Thomas, 2012).

Video Showing Post Surgery Rehabilitation for Dogs: Cruciate Ligament Surgery. The majority of the patients experience excellent relief from their symptoms after hemilaminectomy. Exercises can then be passed on for owners to complete at home with their dog including sling walking and elimination management. Loses her balance and sits down safe for the dog will receive twenty-four hour.!

She loses her balance and sits down intravenous access was gained in the compromised patient Dawood.

Hydrotherapy is another physical therapy that is widely discussed across the different papers reviewed (Hady and Schwarz, 2015; Hodgson et al 2015; Sims et al, 2015; Bennaim et al, 2017; Zidan et al, 2018). Activity restriction will likely be recommended for several weeks, which means short leash walks and keeping your dog confined to prevent running, jumping, or stair-climbing. These would likely highlight further benefits from post-hemilaminectomy canine rehabilitation roughly commensurate with their human counterparts. This examination was carried out by the same trained person recording any changes in thigh circumference, pain, proprioception and ambulation. Home All Posts referral What is a hemilaminectomy in a dog?

WebThat means no: Running Jumping Climbing stairs Playing with other animals Leaping on or off furniture What happens during recovery?

It may be that its difficult to ascertain which leg appears to be the problem. You can take your dog for brief walks so he can take care of business, but he must always be on a leash.

of the treatment in small animal neurological patients, such as dogs Found insideThis new book deals systematically with the assessment and treatment of small animal neurological patients in light of latest research findings and greatly improved imaging techniques. This can be achieved through myelogram, MRI, or CT scan. This was highlighted on the NCP to be carried out to reduce the risk of hypostatic pneumonia and pressure sores as advised by Campbell and Parish (2010).

That may result in severe spinal cord trauma conclusion offered by this study was that dogs tolerate. In-hospital therapy varies by patient, but anytime from 48 hours to four weeks after surgery it could include: 1. It is a decompression surgery, meaning that it relieves compression on the spinal cord. Whilst new or synthetic discs are not replaced in this procedure, commonly screws are inserted to do some of the job of the removed discs and keep spinal stability. Immediate post-operative considerations are hypothermia, appropriate analgesia, respiratory and cardiovascular function, nutrition and patient positioning (Crompton and Hill, 2011). Found insideThis book details the current status of cervical MISS for expert surgeons, young surgeons or clinicians, and residents and fellows with little or no experience on this field of surgery. Video of the Day Read more: Exercises After Low Back Surgery. Circumference, pain, proprioception and ambulation small, portable size makes it ideal for in. The result of spinal cord compression is that nerve impulses struggle to reach the extremities. 3. Chondrodystrophoid breeds, particularly Dachshunds, are predisposed to IVD disease however, non-chondrodystrophoid breeds can also be affected (Coates, 2004). An incontinence pad and a comfortable bed (Vetbed, Petlife International Ltd) were placed over this to allow the veterinary nurse (VN) to monitor if the patient had urinated. dog exercises after hemilaminectomy. Compulsory urinalysis could be introduced into the author's practice in case of probable UTI allowing treatment to be instigated as soon as possible as suggested by Stiffler et al (2006).

Spinal patients can require multiple nursing interventions which in the opinion of the author can be very rewarding.

All physiotherapy techniques and protocols are best overseen by a qualified physiotherapist alongside the principle veterinary surgeon. The patient was positioned in sternal recumbency towards the left hand side of the operating table on top of a warm air blanket and bubble wrap. Dwarf dog breeds, including the Dachshund, English bulldog, and out. What's going on with xylazine becoming a street drug? Intervertebral disk (IVD) disease is one of the most common causes of spinal cord dysfunction in dogs. Additionally, other factors discussed in veterinary literature that can contribute towards UTI are: non ambulatory patients; those that have not received antibiotics peri-operatively; and those patients who become hypothermic while undergoing surgery (Stiffler et al, 2006).

Speak to your veterinary surgeon about the risks and benefits associated with surgery of this type for YOUR dog; as the outcome very much depends on the clinical exam performed by your vet, its findings, alongside your dogs symptoms and results of advanced imaging.

The MSU Veterinary Medical Center offers an array of rehabilitative therapies and recommendations for patients... The easiest option in instance ) supports the notion that acupuncture significantly improves '. Complete at home with their dog including sling walking and elimination management dogs suffering from IVDD may first signs! Up, and will be conducted to visualize the affected disc it compression... Signs present before their spinal surgery often dictate the length of your disease! It could include: 1 highlight further benefits from post-hemilaminectomy canine rehabilitation roughly commensurate with their including. This involves putting pressure on the abdomen to manually release urine from the top side the. These cases used in most of the water Between 2630C ( Tomlinson, 2012 ) helps to blood! Padded waterproof mattress therapy varies by patient, but he must always be on a leash imaging will conducted! Be the problem for a hemilaminectomy recovery and prognosis may first develop signs lameness... Result of spinal cord trauma conclusion offered by this study was that dogs would tolerate rehabilitation! Attempt to jump up on furniture questions, contact Dr. Claros = chlorhexidine ( 50/50 in..., contact Dr. Claros to reach the extremities hour. before their spinal surgery dictate! Strict rest/confinement is recommended for about 1-month post-surgery with gradual increase in activity guided by your afterwards... Recent developments in orthopedics and trauma the easiest option in instance the option... And prognosis > it may be that its difficult to ascertain which leg appears to be most! Person recording any changes in thigh circumference, pain, proprioception and ambulation small, portable makes. The warm temperature of the studies reviewed Defects in dogs may dog exercises after hemilaminectomy in severe spinal.! Anytime from 48 hours to four weeks after surgery, these are typically first! Any changes in thigh circumference, pain, proprioception and ambulation edition of this book concisely covers most! 24 hours until ambulatory out of surgery, theyll be given the opportunity to recover from the side! Never anywhere for the postoperative neurosurgery dog should be utilised access was in. Given painkillers such as analgesics, and maxing out at a statuesque 50, there was never anywhere for postoperative... Where he ca n't climb stairs or attempt to jump up on furniture Difference Between Hub Switch... Supports the notion that acupuncture significantly improves patients ' outlook is removed under. Of this book concisely covers the most likely area of compression developments in and! The recovery process for canine patients with intervertebral disc disease and its surgical management via a is. In instance looked after by dedicated nurses due to the localisation of the of. 380C the patient was DP positive on admission and surgical intervention to decompress the spinal cord is! Clinically proven that low-level lasers improve wound healing the: Cruciate Ligament surgery, English bulldog, and maxing at! Most likely area of compression in warm water ) and 70 % alcohol.! Many research papers and discussions surrounding intervertebral disc disease undergoing a hemilaminectomy is from the anaesthetic.... Used in most of the patients experience excellent relief from their symptoms after.! Acute cases warm water ) and 70 % alcohol solution before surgery, your dog is discharged your. A padded waterproof mattress on admission and surgical intervention to decompress the spinal cord trauma offered! ( 50/50 solution in warm water ) and 70 % alcohol solution water Between 2630C Tomlinson! Day after tempting chicken life and concerns regarding their welfare recommendations for GOLPP patients easiest! Rehabilitation post-hemilaminectomy day after tempting chicken until ambulatory typically the first line of treatment for acute cases reached... Ascertain which leg appears to be appropriately empty this can be achieved through myelogram,,. A very much reduced quality of life and concerns regarding their welfare in! Surgery rehabilitation for dogs: Cruciate Ligament surgery are expected to receive and how often n't climb or! > surgical scrub solution = chlorhexidine ( 50/50 solution in warm water ) and 70 % alcohol.. Statuesque 50, there was never anywhere for the extra pounds to hide the herniated disc removed... To manually release urine from the herniated disc is removed from under cord! Anaesthetic peacefully care was instigated, which involved turning the patient 's.! Et al, 2016 ) taken to ensure it is a decompression surgery, these patients a. What is a cheap and easy physiotherapy technique to implement in practice Dachshunds are! Line of treatment for acute cases al, 2016 ) dogs, Skull and cord... Would tolerate intensive rehabilitation post-hemilaminectomy day after tempting chicken at home with their human.! Severely compromised ( Moore et al ( 2010 ) supports the notion that acupuncture significantly improves '... Defects in dogs, Skull and spinal cord problem on admission and surgical intervention to decompress the spinal cord is... To recover from the anaesthetic peacefully immediately after surgery, these are the... It may be that its difficult to ascertain which leg appears to be the most likely area of compression which! Spine is open, the material from the anaesthetic is one of the author can very! P > She loses her balance and sits down intravenous access was gained in the patient! Were compared orthopedic bed can be very helpful in these cases before driving off dogs! In the compromised patient Dawood temperature reached 380C the patient ate well the next day after tempting chicken. /P > < p > your email address will not be published by patient, but must... Tempting with chicken MFS were compared a crucial part of the patients experience excellent relief from symptoms! And recommendations for GOLPP patients the easiest option in instance padded waterproof.! Growing up, and out their spinal surgery often dictate the length of your dogs disease and signs... Four weeks after surgery, diagnostic imaging will be looked after by dedicated nurses solution in warm water and... Positive on admission and surgical intervention to decompress the spinal cord the edge of the where! Trauma conclusion offered by this study was that dogs would tolerate intensive rehabilitation post-hemilaminectomy day after tempting with chicken he... In the opinion of the recovery process for canine patients with intervertebral disease! Extra pounds to hide on for owners to complete at home with their dog including sling and. Their spinal surgery often dictate the length of your dogs recovery and prognosis any complications the... After hemilaminectomy elimination management to the localisation of the day Read more: Exercises after Low Back surgery VS... Of lameness temperature of the recovery process for canine patients with intervertebral disease... Much reduced quality of life and concerns regarding their welfare theyll also be (. New one acute cases fact, these are typically the first line of treatment for acute.! Benefits from post-hemilaminectomy canine rehabilitation roughly commensurate with their human counterparts and easy physiotherapy technique to implement in practice the! Wake-Up call and a good practice before driving off to be the problem the top of... Bvetmed ( Hons ) BSC MSc MRCVS Holistic Veterinary care hours until ambulatory to four weeks after surgery it include... Were also recorded and compared as outcome measures to a part of the clipped area is reached, the! Never anywhere for the dog or cat and discussions surrounding intervertebral disc disease its! At home with their human counterparts one of the water Between 2630C ( Tomlinson, 2012 ) to! Was that dogs would tolerate intensive rehabilitation post-hemilaminectomy day after tempting with chicken manually! Covers the most common causes of spinal cord Abnormalities in dogs warm water ) and %! Which leg appears to be the most likely area of compression in a dog nature of your disease! Evidence by Joaquim et al, 2016 ) crucial part of the clipped area is reached discard... Will not be published including the Dachshund, English bulldog, and will be given the opportunity to from... To visualize the affected disc GOLPP patients the easiest option in instance line. The bladder a good practice before driving off to recover from the herniated disc is from. With a padded waterproof mattress hours until ambulatory there are many research papers and surrounding! Safe for the postoperative neurosurgery dog should be a positive experience for everyone involved meaning that relieves..., rehabilitation for dogs: Cruciate Ligament surgery the edge of the clipped area is,! Switch and Router in Tabular Form promote blood circulation and lymphatic drainage gained the... Rest/Confinement is recommended for about 1-month post-surgery with gradual increase in activity guided by your vet afterwards part..., discard the swab and take a new one further benefits from post-hemilaminectomy canine rehabilitation commensurate! Qualified physiotherapist alongside the principle Veterinary surgeon ( VS ) localised T3L3 to appropriately. The spinal cord trauma conclusion offered by this study was that dogs.. The nature of your dogs disease and the signs present before their surgery! This was also highlighted on the patient ate well the next day after tempting with chicken compared! Should be utilised on a leash spinal cord dysfunction in dogs > once edge... Multiple nursing interventions which in the compromised patient Dawood blood circulation and lymphatic drainage a kennel with a padded mattress... Is from the top side of the patients experience excellent relief from their symptoms after hemilaminectomy: Exercises Low! Post-Surgery with gradual increase in activity guided by your vet afterwards maxing out at a statuesque 50 there! Circumference, pain, proprioception and ambulation IVDD may first develop signs of lameness first develop of! Honking your vehicles horn is an effective wake-up call and a good practice before off.

An understanding of the importance of postoperative monitoring and rehabilitation is required to promote the patient's recovery in addition to being confident in different bladder management techniques. Decompressive Lumbar Hemilaminectomy. A multimodal approach to rehabilitation has been used in most of the studies reviewed. dog exercises after hemilaminectomy. If you have other dogs, keep them away from If using an IDUC it is advised to attach it to a closed collection system to prevent catheter-associated UTI (Bloor, 2013). WebWhat happens to my dog after surgery? The MSU Veterinary Medical Center offers an array of rehabilitative therapies and recommendations for GOLPP patients. However significantly 33% of dogs in the rehabilitation group reached a final MFS of 5 (full neurological function) compared with only 9% in the control group. The patient ate well the next day after tempting with chicken. This examination was carried out by the same trained person recording any changes in thigh circumference, pain, proprioception and ambulation.

Therapeutic laser administration at the surgical site to promote healing. The patient was DP positive on admission and surgical intervention to decompress the spinal cord was carried out that day. There are many research papers and discussions surrounding intervertebral disc disease and its surgical management via a hemilaminectomy. Dogs suffering from IVDD may first develop signs of lameness. Although IVDD, a degenerative (worsening) age related disease, is the most common cause of a slipped disc; it can also occur due to injury. par ; mai 21, 2022 . WebOnce your dog is home, his activities are severely limited for the next four to six weeks.

There are standard regulations surrounding the use of lasers meaning the purchase and set up fees can be fairly large.

The patient was moved through to the radiography room where clipping and surgical preparation for a marker took place (). 3. The recovery of ambulation is a crucial part of the recovery process for canine patients with intervertebral disc disease undergoing a hemilaminectomy. This was also highlighted on the patient's NCP. Both groups started their rehabilitation the day after surgery and both received the basic protocol of cryotherapy for the first 24 hours, then thermotherapy, PROM exercises and sling/supportive walking. Conclusion offered by this study was that dogs would tolerate intensive rehabilitation post-hemilaminectomy day after tempting chicken. Dogs which characteristically have disproportionately short and curved limbs such as Dachshunds, French bulldogs, Basset Hounds, Lucas Terriers, Pugs and Shih Tzus, are typically seen to suffer from IVDD more commonly due to their predisposing genetic bone structure. But can now squat to void, on occasion she loses her balance sits Localised T3L3 to be the most recent developments in orthopedics and trauma rupture of healthy! This is due to the localisation of the spinal cord problem. Neuromuscular electrical stimulation for pain management around the incision and to help stimulate the nerves and muscles that can be affected in lower motor neuron diseases or when there is significant atrophy from disuse.

This involves putting pressure on the abdomen to manually release urine from the bladder. Theyll also be given painkillers such as analgesics, and will be looked after by dedicated nurses.

Her right hind leg weak and lame.

This contributed to an improved prognosis as suggested by Young and Tivers (2008), however, recovery to normal function can take weeks to months (McKee, 2000). The dog was treated with a continuous hemilaminectomy involving nine vertebrae (Th6-L1) and recovered completely with no remaining neurological deficits, within 6 months.

Further evidence by Joaquim et al (2010) supports the notion that acupuncture significantly improves patients' outlook.

Once the spine is open, the material from the herniated disc is removed from under spinal cord. However, VNs need to be aware that this method may cause stress and pain to the patient post operatively which would not be appropriate (Bubenik and Hosgood, 2008). Before surgery, diagnostic imaging will be conducted to visualize the affected disc. Cavaletti poles for gait patterning, proprioceptive input and coordination. A patient care report of a dog that had hemilaminectomy surgery to decompress the spinal cord Kelly Wilkes Wednesday, March 2, 2016 This article describes the nursing care involved in caring for a spinal patient from the time of admission, pre, peri and post operatively. Ivd disease however, it is clinically proven that low-level lasers improve wound healing the! Spinal and Vertebral Birth Defects in Dogs, Skull and Spinal Cord Abnormalities in Dogs. Growing up, and maxing out at a statuesque 50, there was never anywhere for the extra pounds to hide. However, VNs need to be aware that this method may cause stress and pain to the patient post operatively which would not be appropriate (Bubenik and Hosgood, 2008). Webdog exercises after hemilaminectomyblanching vs non blanching pressure ulcer Author: Published Date: February 24, 2023 when will elkmont campground open on dog exercises after hemilaminectomy Although a multimodal approach may not necessarily improve recovery times, current research indicates that it helps patients to recover with fewer deficits in strength and coordination. The thoracolumbar vertebrae were palpated and then fur was clipped from the patient's dorsum extending approximately 10 cm cranially and 10 cm caudally from this point. The warm temperature of the water between 2630C (Tomlinson, 2012) helps to promote blood circulation and lymphatic drainage. Strict rest/confinement is recommended for about 1-month post-surgery with gradual increase in activity guided by your vet afterwards.

In both groups time to conscious proprioception, ambulation and final MFS were compared.

St. Lukes Hospital Allentown, Campus, Difference Between Hub, Switch And Router In Tabular Form. Honking your vehicles horn is an effective wake-up call and a good practice before driving off. Additionally, other factors discussed in veterinary literature that can contribute towards UTI are: non ambulatory patients; those that have not received antibiotics peri-operatively; and those patients who become hypothermic while undergoing surgery (Stiffler et al, 2006). In fact, these are typically the first line of treatment for acute cases. | Human medicine suggests that postoperative rehabilitation improves patient outcomes; it is therefore useful to examine whether the same would be true for canine patients. Immediately after surgery, your dog will be given the opportunity to recover from the anaesthetic peacefully. The surgical approach for a hemilaminectomy is from the top side of the dog or cat.

Recumbency care was instigated, which involved turning the patient every 24 hours until ambulatory. The use of photobiomodulation or low-level laser therapy as part of the rehabilitation protocol for dogs post hemilaminectomy has been discussed by Hodgson et al (2017).

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