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1.
Pediatrics ; 145(Suppl 2): S186-S194, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32358210

RESUMO

As avid users of technology, adolescents are a key demographic to engage when designing and developing technology applications for health. There are multiple opportunities for improving adolescent health, from promoting preventive behaviors to providing guidance for adolescents with chronic illness in supporting treatment adherence and transition to adult health care systems. This article will provide a brief overview of current technologies and then highlight new technologies being used specifically for adolescent health, such as artificial intelligence, virtual and augmented reality, and machine learning. Because there is paucity of evidence in this field, we will make recommendations for future research.


Assuntos
Saúde do Adolescente , Desenvolvimento Industrial , Adolescente , Saúde do Adolescente/tendências , Serviços de Saúde do Adolescente/tendências , Inteligência Artificial/tendências , Realidade Aumentada , Assistência à Saúde/tendências , Previsões , Promoção da Saúde/tendências , Humanos , Desenvolvimento Industrial/tendências , Aprendizado de Máquina/tendências , Pesquisa/tendências , Estados Unidos , Realidade Virtual
3.
Hawaii J Med Public Health ; 77(8): 203-207, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-30083433

RESUMO

Increasing evidence-based practice (EBP) use in community mental health is a national priority, especially given that one in five youth will suffer from mental health concerns before adulthood. Implementation science offers a unique lens for understanding EBP use that identifies barriers and facilitators of successful adoption. Consumer engagement is often overlooked as an EBP implementation strategy. In this article, we describe the State of Hawai'i Child and Adolescent Mental Health Division's innovative effort to target consumer EBP demand via the Help Your Keiki Website. Feedback from community stakeholders and website analytics converge to suggest that the most helpful content is related to finding help, normalizing concerns, and questions to ask therapists. Future outreach efforts as well as ongoing improvement and enhancement of the website are discussed.


Assuntos
Cuidadores/psicologia , Serviços de Saúde Mental/tendências , Adolescente , Serviços de Saúde do Adolescente/tendências , Adulto , Prática Clínica Baseada em Evidências/métodos , Prática Clínica Baseada em Evidências/tendências , Feminino , Hawaii , Humanos , Masculino , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Saúde Pública/métodos , Saúde Pública/tendências
5.
BMC Psychiatry ; 18(1): 167, 2018 06 04.
Artigo em Inglês | MEDLINE | ID: mdl-29866202

RESUMO

BACKGROUND: Transition from distinct Child and Adolescent Mental Health (CAMHS) to Adult Mental Health Services (AMHS) is beset with multitude of problems affecting continuity of care for young people with mental health needs. Transition-related discontinuity of care is a major health, socioeconomic and societal challenge globally. The overall aim of the Managing the Link and Strengthening Transition from Child to Adult Mental Health Care in Europe (MILESTONE) project (2014-19) is to improve transition from CAMHS to AMHS in diverse healthcare settings across Europe. MILESTONE focuses on current service provision in Europe, new transition-related measures, long term outcomes of young people leaving CAMHS, improving transitional care through 'managed transition', ethics of transitioning and the training of health care professionals. METHODS: Data will be collected via systematic literature reviews, pan-European surveys, and focus groups with service providers, users and carers, and members of youth advocacy and mental health advocacy groups. A prospective cohort study will be conducted with a nested cluster randomised controlled trial in eight European Union (EU) countries (Belgium, Croatia, France, Germany, Ireland, Italy, Netherlands, UK) involving over 1000 CAMHS users, their carers, and clinicians. DISCUSSION: Improving transitional care can facilitate not only recovery but also mental health promotion and mental illness prevention for young people. MILESTONE will provide evidence of the organisational structures and processes influencing transition at the service interface across differing healthcare models in Europe and longitudinal outcomes for young people leaving CAMHS, solutions for improving transitional care in a cost-effective manner, training modules for clinicians, and commissioning and policy guidelines for service providers and policy makers. TRIAL REGISTRATION: "MILESTONE study" registration: ISRCTN ISRCTN83240263 Registered 23 July 2015; ClinicalTrials.gov NCT03013595 Registered 6 January 2017.


Assuntos
Serviços de Saúde do Adolescente , Serviços de Saúde Mental , Saúde Mental , Transferência de Pacientes/métodos , Adolescente , Serviços de Saúde do Adolescente/economia , Serviços de Saúde do Adolescente/tendências , Adulto , Criança , Estudos de Coortes , Análise Custo-Benefício/métodos , Análise Custo-Benefício/tendências , Europa (Continente)/epidemiologia , Feminino , Pessoal de Saúde/economia , Pessoal de Saúde/tendências , Humanos , Masculino , Saúde Mental/economia , Saúde Mental/tendências , Serviços de Saúde Mental/economia , Serviços de Saúde Mental/tendências , Estudos Multicêntricos como Assunto/economia , Estudos Multicêntricos como Assunto/métodos , Transferência de Pacientes/economia , Transferência de Pacientes/tendências , Estudos Prospectivos , Ensaios Clínicos Controlados Aleatórios como Assunto/economia , Ensaios Clínicos Controlados Aleatórios como Assunto/métodos , Inquéritos e Questionários , Revisões Sistemáticas como Assunto
7.
J Pediatr Psychol ; 42(9): 903-909, 2017 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-29046043

RESUMO

This special issue on adolescent and young adult (AYA) health comprises 15 original articles. The special issue recognizes the importance of AYA-focused research, highlights unique issues across the AYA period, and showcases cutting-edge research focused on AYAs. We describe the rationale for focusing on the AYA population, themes of the special issue, and future directions.


Assuntos
Serviços de Saúde do Adolescente/normas , Assistência à Saúde/normas , Pesquisa sobre Serviços de Saúde , Transição para Assistência do Adulto/normas , Adolescente , Serviços de Saúde do Adolescente/organização & administração , Serviços de Saúde do Adolescente/tendências , Assistência à Saúde/organização & administração , Assistência à Saúde/tendências , Feminino , Promoção da Saúde , Humanos , Masculino , Autogestão , Transição para Assistência do Adulto/organização & administração , Transição para Assistência do Adulto/tendências , Adulto Jovem
8.
J Pediatr Health Care ; 31(3): e15-e23, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28341524

RESUMO

With a documented shortage in youth mental health services, pediatric primary care (PPC) providers face increased pressure to enhance their capacity to identify and manage common mental health problems among youth, such as anxiety and depression. Because 90% of U.S. youth regularly see a PPC provider, the primary care setting is well positioned to serve as a key access point for early identification, service provision, and connection to mental health services. In the context of task shifting, we evaluated a quality improvement project designed to assist PPC providers in overcoming barriers to practice-wide mental health screening through implementing paper and computer-assisted clinical care algorithms. PPC providers were fairly successful at changing practice to better address mental health concerns when equipped with screening tools that included family mental health histories, next-level actions, and referral options. Task shifting is a promising strategy to enhance mental health services, particularly when guided by computer-assisted algorithms.


Assuntos
Serviços de Saúde do Adolescente , Algoritmos , Ansiedade/diagnóstico , Serviços de Saúde da Criança , Depressão/diagnóstico , Promoção da Saúde , Programas de Rastreamento/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Adolescente , Serviços de Saúde do Adolescente/tendências , Criança , Orientação Infantil , Serviços de Saúde da Criança/tendências , Feminino , Humanos , Masculino , New England , Atenção Primária à Saúde/tendências , Melhoria de Qualidade , Encaminhamento e Consulta , Recursos Humanos
9.
J Pediatr Health Care ; 31(4): 484-492, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28189399

RESUMO

BACKGROUND: Minority racial/ethnic pediatric populations and those living in poverty are at greater risk of exposure to trauma, development of mental health disorders, and school failure yet are less likely to have access to mental health services (MHS). School-based health centers (SBHCs) staffed with mental health providers may be one strategy for decreasing health care disparities. METHODS: Secondary analysis of the cross-sectional School-Based Health Alliance Census School Year 2010-2011 Report was conducted. Descriptive statistics and chi-square analysis were used to describe differences between SBHCs with and without onsite MHS. RESULTS: A total of 70% of SBHCs offered MHS. SBHCs with more resources, more students, a longer history, and state funding were more likely to offer MHS, and geographic location had no impact on service availability. CONCLUSION: Reviewing SBHC characteristics that enable inclusion of MHS may help stakeholders expand this model of care to address exposure to chronic childhood trauma.


Assuntos
Serviços de Saúde do Adolescente/normas , Vítimas de Crime , Acesso aos Serviços de Saúde/normas , Disparidades em Assistência à Saúde/estatística & dados numéricos , Serviços de Saúde Mental/normas , Serviços de Saúde Escolar/normas , Estudantes/psicologia , Adolescente , Serviços de Saúde do Adolescente/estatística & dados numéricos , Serviços de Saúde do Adolescente/tendências , Criança , Vítimas de Crime/psicologia , Vítimas de Crime/reabilitação , Estudos Transversais , Grupos Étnicos/psicologia , Feminino , Acesso aos Serviços de Saúde/estatística & dados numéricos , Disparidades em Assistência à Saúde/tendências , Humanos , Masculino , Serviços de Saúde Mental/estatística & dados numéricos , Serviços de Saúde Mental/tendências , Formulação de Políticas , Serviços de Saúde Escolar/estatística & dados numéricos , Serviços de Saúde Escolar/tendências , Instituições Acadêmicas , Estados Unidos/epidemiologia , Populações Vulneráveis
10.
J Pediatr Health Care ; 31(1): 57-66, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-26952300

RESUMO

INTRODUCTION: Adolescent obesity is one of the most serious global public health challenges. Social networking sites are currently popular among adolescents. Therefore, the obesity prevention program for Korean American adolescents was developed on the most popular social networking site, Facebook. The purpose of this study was to evaluate the usability of a culturally tailored Facebook-based obesity prevention program for Korean American adolescents (Healthy Teens). METHOD: An explorative descriptive design of usability testing was used. Usability testing employing one-on-one observation, the think-aloud method, audio taping, screen activity capture, and surveys was performed. Twenty participants were recruited from two Korean language schools (mean age, 15.40 ± 1.50 years). Recruitment and user testing was performed between February and April 2014. Content analysis, using the inductive coding approach, was performed by three coders to analyze transcriptions. Descriptive statistics were used to analyze quantitative data including demographic characteristics, perceived usability, eHealth literacy, and health behaviors. RESULTS: Testing revealed several usability issues in content, appearance, and navigation. Participants' comments regarding content were positive. Although the Facebook platform provided limited flexibility with respect to building the site, participants described the program's appearance as appropriate. Most participants did not experience difficulty in navigating the program. DISCUSSION: Our preliminary findings indicated that participants perceived the Healthy Teens program as usable and useful. This program could be used as a robust platform for the delivery of health education to adolescents. Further research is required to assess the effects of Facebook-based programs on adolescent obesity prevention.


Assuntos
Comportamento do Adolescente , Serviços de Saúde do Adolescente , Americanos Asiáticos , Educação em Saúde/métodos , Promoção da Saúde , Obesidade Pediátrica/prevenção & controle , Avaliação de Programas e Projetos de Saúde , Mídias Sociais , Adolescente , Comportamento do Adolescente/psicologia , Serviços de Saúde do Adolescente/estatística & dados numéricos , Serviços de Saúde do Adolescente/tendências , Americanos Asiáticos/psicologia , Competência Cultural , Feminino , Promoção da Saúde/tendências , Humanos , Internet , Masculino , Obesidade Pediátrica/epidemiologia , Desenvolvimento de Programas , Mídias Sociais/estatística & dados numéricos , Estados Unidos/epidemiologia , Interface Usuário-Computador
11.
Glob Public Health ; 12(8): 941-953, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-27109137

RESUMO

Young key populations (ages 10-24) (YKPs) are uniquely vulnerable to HIV infection. Yet they are often underserved, due in part to a limited understanding of their needs. Many successful approaches to understanding YKPs exist but are not widely used. To identify the most useful approaches and encourage their uptake, we reviewed strategic information on YKPs and experiences collecting, analysing, and utilising it from countries in Africa, Asia, and Central and Eastern Europe. As a result, we recommend one central guiding principle - any effort to understand and serve YKPs should include a specific focus on adolescent key populations (AKPs) (ages 10-19) - and three strategies to inform data collection, analysis, and use: tailor recruitment practices to ensure young people's representation, select indicators and research methods based on their ability to inform responsive programming for and give a voice to YKPs, and thoroughly disaggregate data. We demonstrate the utility of each strategy in YKP research and programmes, and in doing so note the particular importance for AKPs. We hope that this paper encourages additional research on YKPs and helps bridge the gap between research and effective programmes to serve the youngest and most vulnerable members of key populations.


Assuntos
Serviços de Saúde do Adolescente/tendências , Coleta de Dados/métodos , Saúde Global , Infecções por HIV/epidemiologia , Planejamento em Saúde , Adolescente , Criança , Feminino , Previsões , Humanos , Masculino , Prevalência
12.
J Pediatr Health Care ; 31(3): 350-361, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28012799

RESUMO

INTRODUCTION: The purpose of this qualitative study was to understand the feasibility and acceptability of implementing eHealth Familias Unidas, an Internet-based, family-based, preventive intervention for Hispanic adolescents, in primary care. METHODS: Semistructured individual interviews with clinic personnel and facilitators (i.e., physicians, nurse practitioners, administrators, and mental health workers; n = 9) and one focus group with parents (n = 6) were audiorecorded, transcribed verbatim, and analyzed using a general inductive approach. RESULTS: Nine major themes emerged, including recommendations to minimize disruption to clinic flow, improve collaboration and training of clinic personnel and the research team, promote the clinic as a trusted setting for improving children's behavioral health, and highlight the flexibility and convenience of the eHealth format. DISCUSSION: This study provides feasibility and acceptability findings, along with important considerations for researchers and primary care personnel interested in collaborating to implement an eHealth preventive intervention in pediatric primary care.


Assuntos
Serviços de Saúde do Adolescente , Hispano-Americanos , Pais/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Serviços Preventivos de Saúde , Atenção Primária à Saúde , Telemedicina , Adolescente , Serviços de Saúde do Adolescente/estatística & dados numéricos , Serviços de Saúde do Adolescente/tendências , Instituições de Assistência Ambulatorial , Prática Clínica Baseada em Evidências , Feminino , Grupos Focais , Hispano-Americanos/psicologia , Humanos , Masculino , Relações Pais-Filho , Projetos Piloto , Serviços Preventivos de Saúde/estatística & dados numéricos , Serviços Preventivos de Saúde/tendências , Pesquisa Qualitativa , Telemedicina/estatística & dados numéricos , Telemedicina/tendências , Estados Unidos/epidemiologia
13.
Buenos Aires; s.n; 2017. 59 p. ilus.
Não convencional em Espanhol | LILACS | ID: biblio-1024951

RESUMO

Ateneo del equipo de residentes de Psicopedagogía del Hospital D. Vélez Sarsfield de la Ciudad de Buenos Aires. Ante la disminución en las demandas de adolescentes por un proceso de Orientación Vocacional Ocupacional, surgieron interrogantes como eje de este trabajo: ¿Por qué son cada vez menos los adolescentes que se acercan al Área Programática del hospital en busca de un proceso de Orientación Vocacional Ocupacional? ¿Cuánta influencia tiene el contexto, los pares y la familia a la hora de elegir una vocación / ocupación? ¿Cuál es el rol de la escuela? ¿Guarda todo esto alguna relación con los tiempos actuales? ¿De qué manera? Incluye bibliografía y los anexos: Compendio de técnicas para Orientación Vocacional, y Encuestas realizadas a jóvenes que se encuentran finalizado o ya han finalizado la escuela secundaria.


Assuntos
Orientação Vocacional/métodos , Orientação Vocacional/organização & administração , Orientação Vocacional/tendências , Adolescente , Serviços de Saúde do Adolescente/provisão & distribução , Serviços de Saúde do Adolescente/tendências , Ocupações/tendências , Internato não Médico
14.
Curr Opin Pediatr ; 28(4): 434-40, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27152620

RESUMO

PURPOSE OF REVIEW: Screening, brief intervention and referral to treatment (SBIRT) offers a practical, integrated model for addressing substance use in primary care settings. This review provides an update of the research on SBIRT for adolescents in primary care, examines current dissemination challenges and suggests future research directions. RECENT FINDINGS: A number of brief screening tools for adolescents have been developed and tested relative to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) substance use disorders. Computerized previsit screening promotes standardization and is a more time-efficient alternative to provider interview. The adolescent brief intervention literature is growing, particularly with respect to technology-based tools, but is still limited, with evidence greatest for alcohol, and for motivational enhancement therapy interventions. Increasing SBIRT implementation in pediatric primary care remains a challenge. Using nonphysician behavioral health providers to deliver SBIRT, and embedding a screener and decision support tool in electronic medical record systems are strategies being investigated to promote SBIRT implementation. SUMMARY: Substance use begins in adolescence, and pediatric SBIRT could help to achieve a population-level reduction of substance use-related harms. With a growing number of available tools, adolescent SBIRT effectiveness and feasibility are increasing, but more studies are needed to grow its evidence base, and elucidate strategies to increase implementation.


Assuntos
Serviços de Saúde do Adolescente , Programas de Rastreamento , Atenção Primária à Saúde , Encaminhamento e Consulta/organização & administração , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Adolescente , Comportamento do Adolescente , Serviços de Saúde do Adolescente/tendências , Técnicas de Apoio para a Decisão , Pesquisa sobre Serviços de Saúde , Humanos , Disseminação de Informação , Programas de Rastreamento/organização & administração , Programas de Rastreamento/tendências , Avaliação de Resultados em Cuidados de Saúde , Atenção Primária à Saúde/organização & administração , Atenção Primária à Saúde/tendências , Encaminhamento e Consulta/tendências , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Transtornos Relacionados ao Uso de Substâncias/terapia
16.
Reprod Health ; 13: 10, 2016 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-26852400

RESUMO

BACKGROUND: Researchers and implementers working in adolescent health, and adolescents themselves question whether government-run health services in conservative and resource-constrained settings can be made adolescent friendly. This paper aims to find out what selected low and middle income country (LMIC) governments have set out to do to improve the quality of health service provision to adolescents; whether their efforts led to measurable improvements in quality and to increased health service-utilization by adolescents. METHODS: We gathered normative guidance and reports from eight LMICs in Asia, Africa, Central and Eastern Europe and the Western Pacific. We analysed national quality standards for adolescent friendly health services, findings from the assessments of the quality of health service provision, and findings on the utilization of health services. RESULTS: Governments of LMICs have set out to improve the accessibility, acceptability, equity, appropriateness and effectiveness of health service provision to adolescents by defining standards and actions to achieve them. Their actions have led to measurable improvements in quality and to increases in health service utilisation by adolescents. CONCLUSIONS: With support, government-run health facilities in LMICs can improve the quality of health services and their utilization by adolescents.


Assuntos
Comportamento do Adolescente , Serviços de Saúde do Adolescente/organização & administração , Equidade em Saúde , Acesso aos Serviços de Saúde , Aceitação pelo Paciente de Cuidados de Saúde , Qualidade da Assistência à Saúde , Adolescente , Serviços de Saúde do Adolescente/normas , Serviços de Saúde do Adolescente/tendências , África , Ásia , Países em Desenvolvimento , Europa (Continente) , Feminino , Órgãos Governamentais , Equidade em Saúde/normas , Equidade em Saúde/tendências , Acesso aos Serviços de Saúde/normas , Acesso aos Serviços de Saúde/tendências , Humanos , Masculino , Ilhas do Pacífico , Áreas de Pobreza , Guias de Prática Clínica como Assunto , Melhoria de Qualidade , Qualidade da Assistência à Saúde/normas , Qualidade da Assistência à Saúde/tendências , Serviços de Saúde Reprodutiva/organização & administração , Serviços de Saúde Reprodutiva/normas , Serviços de Saúde Reprodutiva/tendências , Fatores Socioeconômicos , Organização Mundial da Saúde
17.
J Pediatr Nurs ; 31(3): 255-66, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26783050

RESUMO

UNLABELLED: Measuring the quality of service and user experience is an acknowledged priority for healthcare services; however it seems that healthcare systems have to work very hard to achieve this goal as evidenced by reports of gaps and disparities in the quality of care provided to clients, especially within pediatric and adolescent populations. OBJECTIVES: To identify quality determinants for healthcare services for adolescents and young adults with chronic conditions based on the perceptions and the experiences of adolescents and young adults themselves. METHODOLOGY: A sequential exploratory mixed method design guided this study. The initial qualitative phase employed semi-structured in-depth interviews to elicit the elements and determinants of quality of care as identified by adolescents and young adults living with chronic conditions. The second phase employed a questionnaire developed from the data gathered during the qualitative phase to survey the target population. This was distributed to a larger sample of adolescents and young adults with chronic conditions to determine and confirm the relevance of the identified care elements and quality determinants. RESULTS: The study revealed 4 main determinants: the provision of adolescent friendly information relating to all aspects of living with chronic conditions, services that facilitate and encourage independence, services characterized by structure with the capacity to be both dynamic and responsive, and finally health care professionals knowledgeable and skilled in relation to adolescent specific issues.


Assuntos
Serviços de Saúde do Adolescente/normas , Doença Crônica/terapia , Educação de Pacientes como Assunto/organização & administração , Qualidade da Assistência à Saúde , Adolescente , Comportamento do Adolescente , Saúde do Adolescente , Serviços de Saúde do Adolescente/tendências , Estudos de Avaliação como Assunto , Feminino , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Masculino , Determinação de Necessidades de Cuidados de Saúde , Avaliação de Resultados em Cuidados de Saúde , Pesquisa Qualitativa , Medição de Risco , Inquéritos e Questionários , Adulto Jovem
18.
Eur Child Adolesc Psychiatry ; 25(5): 539-46, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26345326

RESUMO

Adults from black and minority ethnic (BAME) backgrounds are less likely to access mental health services through voluntary care pathways and are more likely to access through compulsory ones. The aim of the present research was to explore the association between ethnicity and care pathway through child and adolescent mental health services (CAMHS), in terms of reason for referral and case closure, in children presenting with emotional problems. A sample of N = 11,592 children from 26 CAMHS was taken from a national routinely collected dataset (56 % female; 7 % aged 0-5 years, 40 % 6-12 years, 53 % 13-18 years, and <1 % 19-25 years). Multinomial logistic regressions showed that BAME children were consistently more likely to be referred to CAMHS through education, social, and other services than primary care, compared to White British children (odds ratio (OR) = 1.52-9.96, p < .001) and they were less likely to end treatment due to child and family non-attendance (OR = 0.59-0.79, p < .05). Similar to adults, children from BAME groups may be more likely to access CAMHS through compulsory than voluntary care pathways.


Assuntos
Serviços de Saúde do Adolescente/tendências , Sintomas Afetivos/etnologia , Sintomas Afetivos/psicologia , Serviços de Saúde da Criança/tendências , Grupos Étnicos/psicologia , Serviços de Saúde Mental/tendências , Adolescente , Serviços de Saúde do Adolescente/estatística & dados numéricos , Adulto , Sintomas Afetivos/terapia , Criança , Serviços de Saúde da Criança/estatística & dados numéricos , Pré-Escolar , Bases de Dados Factuais/tendências , Emoções , Feminino , Acesso aos Serviços de Saúde/tendências , Humanos , Lactente , Masculino , Serviços de Saúde Mental/estatística & dados numéricos , Encaminhamento e Consulta/tendências , Adulto Jovem
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