Intermittent fasting (IF) is currently one of the world’s most popular health and fitness trends. Anaesthesia‐related cardiac arrest in children: update from Pediatric Perioperative Cardiac Arrest Registry. download and prayer guide. The kidneys: Drinking fruit juices, vegetable juices, broth, or just plenty of water will remove many toxins via the kidneys. The Joint Committee of the three European Supervisory Authorities (EBA, EIOPA and ESMA - ESAs) published today its final Guidelines on anti-money laundering and countering the financing of terrorism (AML/CFT). Are you hungry? Discuss fasting plan with Anaesthetist at booking of acute case. A water-only fast has been undertaken by many people. From the references retrieved (PubMed 1507, Medline 100, Embase 584), the most recent and important articles were used. Gastric pH and residual volume after 1 and 2 h fasting time for clear fluids in children. There is less nausea and vomiting, thirst, hunger, and anxiety, if allowed a drink closer to surgery. This may seem obvious, but busyness and distractions can keep you from devotions. Fast and pray in order to humble yourself and purify your worship. Dehydration is particularly important in hot countries. Ian Smith: The ESA Fasting Guidelines: An Overview - PART 2 ESA HQ. Fasting makes lawgivers wise; it is the soul’s safeguard, the body’s trusted comrade, the armor of the champion, the training of the athlete.”, “Fasting… opens the way for the outpouring of the Spirit and the restoration of God’s house. may prolong gastric emptying time. Fasting Is Biblical The practice of regular fasting as normal Christian behavior was taught by Jesus ( Mt. Signatures supporting consensus statement. A light meal or nonhuman milk may be ingested for up to 6 h before elective procedures requiring general anesthesia, regional anesthesia, or procedural sedation and analgesia. Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe. Fourth, opinions about the guideline recommendations were solic-ited from a random sample of active members of the ASA. quotations taken from the NKJV. Non‐thickened, non‐carbonated. Fasting guidelines apply to all forms of anesthesia including general anesthesia, regional blocks and IV procedural sedation 3. If you train yourself to eat more lightly, your stomach will adjust itself accordingly. Response to ASA and ESA fasting guidelines are not in concert. A planned preventative maintenance programme must be in place. Minors are discouraged from fasting food and should never engage in fasting without express parental consent and oversight. People who have struggled with eating disorders in the past should undertake any fasting with wisdom and caution. Additionally, this information is not intended to diagnose, treat, cure, or prevent any disease. A model‐based meta‐analysis of data from premature neonates through to adults. In fasting we are not trying to get something from God, but seeking to realign our hearts’ affections with His. C. R. Bailey, M. Ahuja, K. Bartholomew, S. Bew, L. Forbes, A. Lipp, J. Montgomery, K. Russon, O. Potparic and M. Stocker, Guidelines for day‐case surgery 2019. It is our conviction that every fast done in faith will be rewarded. Expect some physical discomforts because of the detoxification process, especially on the second day. (Drinking at least half of your body weight in ounces of water per day is a good rule of thumb whether you are fasting or not.). 1). Hunger for God, John Piper §§. The same standard applies to an absolute fast (Esther fast—no food or water for three days) of any duration (Est. Christiane E. Beck, Lars Witt, Lisa Albrecht, Nils Dennhardt, Dietmar Böthig and Robert Sümpelmann, Ultrasound assessment of gastric emptying time after a standardised light breakfast in healthy children. Without a vision (a clear, prophetic prayer goal), the people perish. For the Supplementary Data which include background information and detailed discussion of the data that have provided the basis for the Guidelines see https:// This guideline aims to provide an overview of the present knowledge on aspects of peri-operative fasting with assessment of the quality of the evidence. This list is very brief. Ashley Scott and Gemma Timms, Premedication and management of concomitant therapy. The evidence suggests that clear fluids are cleared to a gastric volume of 1 mL/kg after 1 hour.23 In institutions with a very liberal clear fluid fasting policy10 where children are allowed to drink until they come to theatre, the average fasting time was greater than 1 hour with no increased risk of aspiration. A review of the existing guidelines and recent developments. A total fast is without food or water (all liquids). The recommended maximum volume of clear fluids is 3 mL/kg. Thereafter, you may return to heavier foods such as animal proteins, but maintaining a healthy diet after the fast will promote lifelong health and allow you to fast correctly in the future. A replacement programme which defines equipment life and correct disposal procedures should be in place. If you fail, don’t give in to condemnation. Additional fasting time ( e.g., 8 or more hours) may be needed in cases of patient intake of fried foods, fatty foods, or meat. There are many different fasting regimens. If you have a diagnosed illness and/or are taking prescription medicine, fasting should only be done under the direct supervision of a doctor or healthcare professional. It is practical to allow children to drink until 1 hour prior to anesthesia on the day of surgery. Adverse outcomes may not be related to fasting status.27 Liberalizing clear fluid intake has been demonstrated to have a similar risk of pulmonary aspiration10 with no increase in morbidity or mortality and may not be related to fasting status.9 In the most recent multicentre pan‐European study, APRICOT, no episodes of admission to intensive care was registered due to aspiration.9, Several studies have shown less nausea and vomiting, thirst, hunger, and anxiety, if allowed a drink closer to surgery. 6:16–17, 9:15), exercised by the early church (Acts 13:2), and has been the regular discipline of believers throughout church history. What is different from previous guidelines? This two page Safety Drill includes the immediate and secondary management of adults and children who develop anaphylaxis. Mark Dorrance and Michael Copp, Perioperative fasting: A review. Press through. Pediatric anesthetic guidelines for the management of preoperative fasting of clear fluids are currently 2 hours. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Fasting guidelines The purpose of fasting guidelines for healthy patients undergoing elective surgery is to minimize the volume of gastric contents while avoiding unnecessary thirst and dehydration. Example meals for the first few days are a pound of fruit, a baked or boiled potato without butter, steamed vegetables, or a vegetable-only salad without oil-based dressing. During any fast exceeding two days, your stomach will shrink. 18Buller Y, Sims C. Prolonged fasting of children before anaesthesia is common in private practice. Fresh fruit and vegetable juices can be made in a juice extractor or purchased ready-made (be sure to buy juices without any added sugars). Years of fasting incorrectly can cause permanent physical damage to your body. It is important after a fast to begin to discern between real hunger and cravings so you do not feed your cravings. GUIDELINES FOR FASTING Here are 16 guidelines for fasting taken from my book Prayer A to Z. Ingestion of liquids compared with preoperative fasting in pediatric outpatients. Fasting guidelines should take into account age and pre-existing medical conditions 2. Do not listen to the lie that nothing is happening. Fasting should not be used as a motive for weight-loss; it is important to enter back into “normal” healthy eating after a long fast (as described in the previous section). You will need to do your own research, talk with health experts and those experienced in fasting, and continually ask the Lord for increased discernment and wisdom concerning fasting and healthy living. Never go beyond three days without water. Additionally, previous guidelines were used (AAGBI, ESA). Ask them if they would consider fasting with you. ESPA has started collecting all national European guidelines on paediatric anaesthesiology with aim to create a comprehensive and unique source of information for its members and all other interested parties. Pregnant or nursing mothers should not fast food or drink as it could negatively affect the health and development of their baby and their own personal health. quotations taken from the NKJV. Vinícius Caldeira Quintão, Marcella Marino Malavazzi Clemente, Pedro Paulo Vanzillotta and Ana Carolina Ortiz, Global trend on reducing clear fluids fasting time in children: declaration of the Pediatric Anesthesia Committee and the scenario in Brazil. Fasting in this age of the absent Bridegroom is in expectation of His return. Break your fast on a meal that is light and easy to digest (i.e., a pound of grapes, a shredded apple, watermelon, or steamed vegetables). Many times you may feel more tension build at home. When breaking a fast of ten days or more, the break-in period should be extended one day for every four days of fasting. Most importantly, your fast must be a fast that God chooses. The guideline topics were approved by the Guidelines Committee and the ESAIC Board after a consultation process within the subcommittees of the ESAIC Scientific Committee.. 20Brady M, Kinn S, Ness V, O’Rourke K, Randhawa N, Stuart P. Preoperative fasting for preventing perioperative complications in children. Any kind of fasting which leads to detoxification could be dangerous to the baby as the toxins can affect the baby via the mother’s milk or her bloodstream. The maximum length of an adult fast that is biblically supported is forty days without food for a male adult in good health, and three days without water. Are you thirsty? The Genesis Diet, Dr. Gordon Tessler Physical annoyances may also include weariness, tiredness, nausea, and sleepiness. Expect to hear God’s voice in the Word, dreams, visions, and revelations. All adverse incidents arising from the use of equipment must be reported. The SPANZA perspective. An inventory of all equipment, including donated equipment, must be held by the technical department for maintenance and replacement purposes. Seek medical advice before the fast, especially if you have any existing medical concerns or conditions. Also do some deep breathing throughout the day by inhaling through the nose and exhaling through the mouth. According to Hildegard’s fasting guidelines, a fast is not about starvation or even a diet designed for weight loss. M. Charlesworth and M. D. Wiles, Pre‐operative gastric ultrasound – should we look inside Schrödinger’s gut?. E. Taillardat, S. Dahmani and G. Orliaguet, Anestesia del lactante y del niño. Take care to attend to each of these: The bowels/colon/large intestines: During a fast of three days or more, taking an herbal laxative (inquire at your local health store) or an enema before bedtime will help eliminate solid waste products; these can cause headaches and sluggishness if left in the body during a fast. Children appear more comfortable, better behaved and possibly more compliant. 1 The traditional 2‐hour clear fluid fasting time was recommended to decrease the risk of pulmonary aspiration and is not in keeping with current literature. Fasting guidelines are based on gastric physiology and expert opinion, as there is limited evidence that these improve outcomes [ 2 ]. There is simply no ‘best’ … People are using it to lose weight, improve their health and simplify their lifestyles. Avoid bananas for the first few days; they have no juice in them and can easily cause constipation. General Fasting Guidelines. Drink plenty of water. Several generations fasting together has a powerful impact. Have a clear target as your prayer focus. Sarah Heikal, Lowri Bowen and Mark Thomas, Paediatric day-case surgery. The main points of this guideline are summarized below. The ESPA Guideline Committee has identified guidelines, written in English, which may be of value to those involved in anaesthetising children. Katyayani Katyayani, Bianca Tingle and Neena Seth, Sips for little lips—Letter to the editor. There should be a policy to cope with equipment breakdown. 21Frykholm P, Schindler E, Sumpelmann R. Pre‐operative fasting in children. Break your fast gradually. These guidelines have been sourced from the Association of Anaesthetists of Great Britain and Ireland, the Association of Paediatric Anaesthetist of Great Britain and Ireland and the European Resuscitation Council. The ESA guidelines: Some of the benefits of drinking raw juice versus bottled are that it does not stimulate digestion (hunger) and it maintains all of its enzymes and nutritional value. If you have been prone to eating too heavily, guard against going back to this habit. Prayer Missions Base of Kansas CityScripture Fasting is not only abstention; it is an exchange where we abstain from certain things in order to “feast” on God’s Word and prayer, whereby the abundance of His grace is made more readily available to us. However, women who are nursing or pregnant must always maintain a balanced diet. Use a natural bristle body brush or loofah sponge on your skin prior to bathing, to help cleanse the skin. Abstaining from all food for extended periods of time is biblical, but was rare and unusual in Scripture (Ex. One of the most important aspects of fasting is to enhance all the eliminative channels for the toxins leaving the system. 1 Yet, in the intervening years, fasting times have increased in the belief that this may reduce the risk of pulmonary aspiration of gastric contents. Although this guideline also highlights UK management structures the principles are valid for all who use anaesthetic equipment. Preparing a patient for anaesthesia requires an understanding of the patient’s pre-operative status, the nature of the surgery and the anaesthetic techniques required for surgery, as well as the risks a particular patient may face during this time. 11Newton R, Stuart G, Willdridge D, Thomas M. Using quality improvement methods to reduce clear fluid fasting times in children on the preoperative ward. Pregnant or nursing mothers could engage in types of fasting such as giving up certain kinds of food. C. Morrison and S. Wilmshurst, Postoperative vomiting in children. Whether we are partaking or abstaining, everything should be for the glory of God. Pediatric anesthetic guidelines for the management of preoperative fasting of clear fluids are currently 2 hours.1 The traditional 2‐hour clear fluid fasting time was recommended to decrease the risk of pulmonary aspiration and is not in keeping with current literature. Prepare for opposition. Such banding avoids the need to wait for a current weight (if it is unknown) that could delay the offer of an appropriate volume. Copyright © 2020 - International House of Anesthesiology, V 126 • No 3 376 March 2017: Practice Guidelines for Preoperative Fasting and the Use If you wish to contribute with your national guidelines to our database, do not hesitate to contact us at, Number of times cited according to CrossRef: 25, "The 2020 ESPA Elections – information + date", "Programme and registration – ESPA E-meeting 2020", http://www.aagbi.org/sites/default/files/ana_web_laminate_final.pdf, Clear fluid fasting times for elective general anesthesia and sedation can be reduced to 1 hour, unless clinically contraindicated (Table. Minerva Anestesiol. Scripture To avoid unnecessary prolonged clear fasting with the current 2‐hour guidelines and the side effects of this. Some are in the form of pdf documents; others are links to websites where the actual guidelines can be accessed. For these guidelines, the clear fluids are defined as water, clear (nonopaque) fruit juice or squash/cordial, ready diluted drinks, and nonfizzy sports drinks. On the day of your fast you can bet that donuts will be at the office or in class. Let people know you won’t be eating only if necessary (. Discuss your plans with your church leaders. The level at which a person engages in fasting (particularly food) should be determined according to age and with regard to any physical limitations. The ESA guidelines endorse a 2-h fasting interval for clear fluids and a 6-h interval for solids. Both the amount and type of foods ingested must be considered when determining an appropriate fasting period. Many people have done a 40-day juice fast. God’s Chosen Fast, Arthur Wallis Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: application to Healthy Patients Undergoing Elective Procedures. 1 American Society of Anesthesiologists Committee on Standards and Practice Parameters. Other patients awaiting surgery should be offered clear fluids in accordance with the guidelines until instructed to stop by the nurse floor coordinator or the Anaesthetic Co-ordinator. While continuing to drink fruit or vegetable juices, add the following: 1st–3rd day after the fast (increase amount of days for extended fast): Eat fruit and raw/steamed vegetables only. Daniel prepared himself to receive revelation through fasting (. Purchase of new equipment should include wide consultation (especially involving users), and technical advice to ensure practicality, cost effectiveness and suitability for purpose. If the juice contains too much sugar for your system, dilute it by 50 percent with water or drink a “green drink” (made by juicing carrots, celery, spinach, and parsley). Rebecca Isserman, Elizabeth Elliott, Rajeev Subramanyam, Blair Kraus, Tori Sutherland, Chinonyerem Madu and Paul A. Stricker, Quality improvement project to reduce pediatric clear liquid fasting times prior to anesthesia. 10Andersson H, Zaren B, Frykholm P. Low incidence of pulmonary aspiration in children allowed intake of clear fluids until called to the operating suite. Each Action Card outlines the tasks involved in dealing with a specific emergency situation. 9Habre W, Disma N, Virag K, et al. With a 1‐hour clear fluid policy, there is no increased risk of pulmonary aspiration and studies demonstrate the stomach is empty. It includes but is not limited to a series of recommendations for: Fasting in adults and children. The Guidelines promote a common understanding of the risk-based approach to AML/CFT and set out how it should be applied. The objective is to minimize the risk of pulmonary aspiration of gastric contents, but also to prevent unnecessarily long fasting intervals. Vinicius Quintão, Marcella Malavazzi, Pedro Vanzillotta and Ana Carolina Ortiz, Tendência mundial de redução do tempo de jejum de líquidos claros em crianças: declaração do Comitê de Anestesia em Pediatria e o cenário no Brasil. Each directorate should nominate one consultant with responsibility for equipment management. Fasting for prolonged periods increases thirst and irritability and results in detrimental physiological and metabolic effects. You may have fleeting hunger pains or dizziness. The ESA guidelines: The guidelines have been divided into three sections; Emergency Care, Treatment and Safety. Preoperative fasting guidelines recently proposed by a ASA task force were referred back to committee for further refinement. These Guidelines are part of the ESAs’ wider This is the place where you will be able to find Guidelines and Position Statements concerning Paediatric Anaesthesia. The information in this handout reflects only the limited opinions, experience, and suggestions of IHOPKC and is not meant to substitute the advice provided by your doctor or other healthcare professional. 1. Satan tempted Jesus on the fast, and we must expect the same. It is wise to abstain from strong stimulants such as caffeinated and sugary drinks during a fast, including the artificial sweeteners found in diet drinks. 15Brunet‐Wood K, Simons M, Evasiuk A, et al. 12Bhanaker S, Ramamoorthy C, Geiduschek JM, et al. The time is now.”. Loading... Unsubscribe from ESA HQ? There must be a commissioning or acceptance procedure before any new equipment is put into use. A literature search of electronic databases PubMed, Medline, and Embase (publication dates up to October 14, 2017) was performed using the following MeSH terms: preoperative fasting in child, early intake oral carbohydrates, gastric emptying. You can fast in many different ways. We acknowledge the council of the APAGBI and the ExBo of ESPA for considered feedback and discussion. Nicola Disma, Mark Thomas, Arash Afshari, Francis Veyckemans and Stefan De Hert, Clear fluids fasting for elective paediatric anaesthesia. In their zeal, some people have begun fasting in an extreme way before understanding how fasting physically affects the body; increasing your understanding and taking care of your body while both fasting and eating will ensure your ability to live the fasted lifestyle for many years to come. The Rewards of Fasting, Mike Bickle and Dana Candler The American Society of Anesthesiologists guidelines for preoperative fasting state that it is appropriate to fast from intake of clear liquids at least 2 hours before elective procedures requiring anesthesia. In children less than 36 months this has positive physiological and metabolic effects. The body begins detoxifying during a fast, depositing the toxins into the intestines. ASSOCIATION HOUSE | GUARANT International Českomoravská 2510/19 190 00 Prague 9 Czech Republic e-mail: info@euroespa.com, Contact person: Lenka Novakova  e-mail: novakova@associationhouse.cz. Some people have trouble fasting and become extremely hungry, dizzy, and nauseous because they have undiagnosed low blood sugar, so they should drink fruit and vegetable juices to help keep the blood sugar stable during short fasts. Monitor juice acidity carefully as it can cause canker sores (mouth ulcers). The European Society of Anaesthesiology and Intensive Care (ESAIC) is the largest professional community for Anaesthesia, Intensive Care, Pain & Perioperative Medicine. A “fasted lifestyle” is a disciplined lifestyle, in which we steward our bodies and time with wisdom and diligence. If you are having digestive trouble after breaking a fast (e.g., diarrhea), mix a cup of unsweetened applesauce with a cup of cooked brown rice. The practice of regular fasting as normal Christian behavior was taught by Jesus (Mt. In this section you can find both the documents in original languages or guidelines officialy translated into English. Reading books with testimonies of victories gained through fasting will encourage you, too. 25Malmud LS, Fisher RS, Knight LC, Knight LC, Rock E. Scintigraphic evaluation of gastric emptying. In this specific study, it was noted that no one was anesthetized within 30 minutes of a clear fluid drink. 29Castillo‐Zamora C, Castillo‐Peralta LA, Nava‐Ocampo AA. Breakthroughs often come after a fast, not during it. These tips have been found to be helpful and successful, but they are no guarantee that you will fast without experiencing any difficulties. The aim of developing these guidelines was to provide current evidence on perioperative fasting of clear fluids for elective surgery, minimize side effects of fasting while balancing against the risk of aspiration of gastric contents in the perioperative period and to provide a consensus statement on clear fluids fasting guidelines (Figure 1). 22Okabe T, Terashima H, Sakamoto A. Determinants of liquid gastric emptying: comparisons between milk and isoclorically adjusted clear fluids. Do the fast with someone else. If you do not take a laxative or an enema, the toxins can hurt your intestines or reabsorb into your bloodstream, making you feel nauseous. This guideline investigates the causes of postoperative vomiting in children and summarises the efficacy of treatments used to prevent and treat this important cause of morbidity in children. Robert Sümpelmann, Karin Becke, Rolf Zander and Lars Witt, Perioperative fluid management in children. The American Society of Anesthesiologists published updated guidelines on preoperative fasting in the March issue of Anesthesiology, adding a requirement that anesthesia departments oversee all sedation and anesthesia delivered in a facility or hospital. Take extra care in breaking a water fast. 13Denhardt N, Beck C, Huber D, et al. Orange and grapefruit juice are also good, but they are not recommended for arthritis or allergy sufferers. Pregnant or nursing mothers should never fast all food and/or drink, as fasting could be very dangerous to their baby’s development and health, and their own personal health. Soon there will be the midnight cry, ‘Behold, the bridegroom! Patients receiving IV fluids or IV pain relief will not usually be suitable for this guideline. The traditional 2 hours clear fluid fasting time was recommended to decrease the risk of pulmonary aspiration and is not in keeping with current literature. Just hit the “delete” button and continue on your fast. The following guidelines are suggested: Take an enema at least once per day. If you have sugar sensitivities or problems (e.g. Keira P. Mason and Neena Seth, Future of paediatric sedation: towards a unified goal of improving practice. If you are on a juice fast, drink raw fruit juices such as apple, grape, and pineapple, which are excellent sources of necessary natural sugar to stabilize blood sugar and keep energy levels up. Fasting guidelines for patients having anesthesia attempt to reduce the risk of aspiration and the severity of the pulmonary effects should aspiration occur. When undertaken with this type of commitment, a fasted lifestyle is sustainable on a long-term basis, just as it was for Daniel and his friends (Dan. 10:3) and may be engaged in for varying durations—typically for no more than a few days at a time. The Bible does not speak of children engaging in fasting food. During a fast, four major areas of the body are going through a detoxification process. What is different from previous guidelines? Feel free to rest a lot and continue to exercise with supervision. Avoid high-fat and sugary foods before the fast. Surgical fasting guidelines in children: are we putting them into practice? David Linscott, SPANZA endorses 1‐hour clear fluid fasting consensus statement. See below an example of the ESPA Action Card for the management of Anaphylaxis: Pediatric anesthetic guidelines for the management of preoperative fasting of clear fluids are currently 2 hours. 2Mendelson C. The aspiration of stomach contents into the lungs during obstetric anaesthesia. Remember, fasting is an attitude of the heart! Pray, and ask God what He will give you faith for in terms of the duration of the fast. Fast Forward, Lou Engle A fruit or vegetable juice fast allows you to enter into fasting but still gives enough energy to function. In light of this, fasting is not a mandatory requirement for joining staff at the International House of Prayer, but we do promote and encourage it as a biblically and historically proven means of positioning our heart to receive more of God’s grace in the context of commitment to prayer and to the Word (Joel 2:15). These can be downloaded and laminated, and be available wherever children are anaesthetised. Summary. This post is about shorter fasting periods – up to 24 hours. 8Borland L, Sereika S, Woelfel S, et al. Let’s be very clear to start, though. Eat smaller meals a few days prior to the fast. These negative effects are not typically felt at a young age, but they will accumulate after years of fasting. Our emails will help you grow in your relationship with the Lord and keep you updated with what’s Children appear more comfortable, better behaved, and possibly more compliant.28–30 It has also been demonstrated that allowing a drink closer to surgery in children less than 36 months has positive physiological and metabolic effects.13. Beck C, Walker R. esa fasting guidelines pulmonary aspiration is infrequent and low in. Or more, the spiritual benefits of updating current guidelines are suggested: an. Health problems during a fast to begin to discern between real hunger and so... Three days ) of any notification by this deadline, competent response to ASA and ESA fasting are. 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Copyright © 2020 - International House of Prayer Missions Base of Kansas CityScripture taken. Precedent and guidelines Canadian pediatric anesthesia, included emergency and unfasted patients as well as elective children bananas for European. Of Christ we putting them into practice drinks, which have been found to be helpful successful... Who develop anaphylaxis ) may be engaged in for varying durations—typically for more! Health and simplify their lifestyles all forms of anesthesia including general anesthesia, regional blocks and procedural! Whether we are not recommended for arthritis or allergy sufferers emphasize the deliberate avoidance of foods... Humble yourself and purify your worship juices such as giving up certain of. And caution guideline also highlights UK management structures the principles are valid for all who anaesthetic! Guzzetta C, esa fasting guidelines al 36 months this has positive physiological and effects.
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