21 results on '"T. Younan"'
Search Results
2. Valeur des stratégies de référence pour le diagnostic de la spondyloarthrite axiale chez les patients ayant une Lombalgie chronique suspecte
- Author
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T. Younan, A. Maroof, L. El Kibbi, A. Adnan, A. Abogamal, Basel Masri, N. Abdallah, Xenofon Baraliakos, A. Abi Najm, D. Yasiry, Bassel Elzorkany, Nelly Ziade, S. Saad, H. Ashour, S. AlEmadi, N. Abdullateef, K. Tawk, T. Witte, A. Al Ansari, and Thurayya Arayssi
- Subjects
Rheumatology - Published
- 2021
3. Two New Cases of Symptomatic Discal Calcifications in Adults
- Author
-
T, Younan, primary, S, Assaf, additional, M, Sammour, additional, L, Bleibel, additional, and S, Slaba, additional
- Published
- 2020
- Full Text
- View/download PDF
4. Une variante anatomique inhabituelle des branches de l'artère poplitée: quatre axes jambiers par division précoce de l'artère péronière
- Author
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J. Nassar-Slaba, T. Younan, S. Khoury, S. Slaba, C. Kheir, and S. Abi Khalil
- Subjects
Dorsum ,Peroneal Artery ,medicine.artery ,medicine ,Tibioperoneal trunk ,Normal level ,Anatomy ,Biology ,Cardiology and Cardiovascular Medicine ,Popliteal artery ,Lower limb - Abstract
Embryonic development of arteries of the lower limb results from the union of dorsal and ventral systems, explaining many variations at different levels. Some of these are important to recognize during the radiological exam because they can affect therapeutic management. These variations are most often bilateral and symmetrical predominating at the popliteal and subpopliteal levels. Lippert classified them into three types: normal level of popliteal arterial branching, high division of popliteal artery, hypoplastic or aplastic branching with altered distal supply. The length of the tibioperoneal trunk may also vary, rarely measuring more than 5 cm. We report a case combining three variations, two of them previously described in the literature and the third one not yet reported: our patient presented four arteries due to early bifurcation of the peroneal artery.
- Published
- 2007
5. Un cas de kyste hydatique paravertébral, se présentant sous forme d’une spondylodiscite infectieuse
- Author
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C. Kheir, T. Younan, S. Slaba, and S. Sfeir
- Subjects
Spondylodiscitis ,Echinococcoses ,medicine.anatomical_structure ,Radiological and Ultrasound Technology ,business.industry ,medicine ,Radiology, Nuclear Medicine and imaging ,Hydatid cyst ,medicine.disease ,business ,Nuclear medicine ,Spondylitis ,Vertebra - Published
- 2009
6. [Unusual variation of popliteal arterial branches: 4 axes by early division of the peroneal artery]
- Author
-
S, Slaba, S, Abi Khalil, T, Younan, J, Nassar-Slaba, S, Khoury, and C, Kheir
- Subjects
Male ,Leg ,Foot ,Angiography ,Humans ,Popliteal Artery ,Arteries ,Middle Aged - Abstract
Embryonic development of arteries of the lower limb results from the union of dorsal and ventral systems, explaining many variations at different levels. Some of these are important to recognize during the radiological exam because they can affect therapeutic management. These variations are most often bilateral and symmetrical predominating at the popliteal and subpopliteal levels. Lippert classified them into three types: normal level of popliteal arterial branching, high division of popliteal artery, hypoplastic or aplastic branching with altered distal supply. The length of the tibioperoneal trunk may also vary, rarely measuring more than 5 cm. We report a case combining three variations, two of them previously described in the literature and the third one not yet reported: our patient presented four arteries due to early bifurcation of the peroneal artery.
- Published
- 2007
7. [Arteriovenous fistula following femoral angioplasty]
- Author
-
S, Slaba, T, Younan, P, Karam, H, Samarani, R, Karam, T, Smayra, and N, Atallah
- Subjects
Femoral Artery ,Male ,Radiography ,Arteriovenous Fistula ,Humans ,Arterial Occlusive Diseases ,Balloon Occlusion ,Middle Aged ,Ultrasonography, Doppler, Color ,Angioplasty, Balloon - Abstract
We describe a case of arteriovenous fistula developing at the site of balloon dilatation immediately after percutaneous transluminal angioplasty of the superficial femoral artery. This occurred during an otherwise uncomplicated angioplasty. The fistula was treated by inflating a slightly larger balloon with a good clinical result as confirmed by color Doppler ultrasound. This uncommon complication of angioplasty is not widely recognized.
- Published
- 2000
8. [Endovascular treatment of arteriovenous vertebro-vertebral fistula]
- Author
-
S, Slaba, T, Younan, L, Menassa, S, Haddad, N, Aoun, and N, Atallah
- Subjects
Male ,Neck Injuries ,Radiography ,Adolescent ,Arteriovenous Fistula ,Neuroleptanalgesia ,Humans ,Wounds, Stab ,Embolization, Therapeutic ,Vertebral Artery ,Veins - Abstract
Vertebral arteriovenous fistulae are relatively rare, with limited experience in most centers. We report our experience in the treatment of a vertebral arteriovenous fistula treated by interventional method. A review of the literature is made and the etiology, presentation and treatment of this unusual lesion are discussed. The endovascular occlusion is now the treatment of choice of vertebral fistulae.
- Published
- 1999
9. Resultats a long terme du traitement par resection percutanee et photo-coagulation au laser interstitiel des osteomes osteoides
- Author
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B. Hamzé, R. Porcher, F. Roqueplan, T. Younan, Valérie Bousson, Jean-Denis Laredo, and L. Zouari
- Subjects
Radiological and Ultrasound Technology ,Radiology, Nuclear Medicine and imaging - Abstract
Objectifs Evaluer l’efficacite et les complications de deux traitements percutanes des osteomes osteoides, resection a la trephine et photocoagulation au laser. Materiels et methodes Etude retrospective de 127 patients ayant un osteome osteoide traite par resection percutanee (26 patients) ou par laser (101 patients) sous controle scanographique, suivis de 6 a 99 mois. Resultats Dans le groupe traite par resection, 92 % de succes a 6 mois et 88 % a 24 mois ont ete obtenus, avec 3(11%) complications transitoires (1 meralgie, 2 brulures cutanees). L’incidence des echecs etait plus elevee (p 12 mois). L’incidence des echecs etait plus elevee (p = 0.02) chez les moins de 18 ans, et tendait a etre plus elevee (p = 0.11) pour les osteomes > 10 mm. Conclusion Les traitements percutanes des osteomes osteoides sont une bonne alternative a la chirurgie.
- Published
- 2005
10. Ectopic hepatocellular carcinoma, an unexpected diagnosis of a retroperitoneal mass: A case report and literature review.
- Author
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Rida M, Chalhoub M, Mansour M, Younan T, Chahine G, Nassar J, and Slaba S
- Abstract
Ectopic hepatocellular carcinoma (HCC) is defined as HCC arising from hepatic parenchyma located in an extrahepatic organ or tissue without any communication with the mother liver. It is very rare and difficult to diagnose by imaging alone. We report a case of a rare ectopic HCC mimicking a right para-aortic retroperitoneal mass and present a review of the literature. It is about a 79-year-old female patient, who presented with a progressive enlarged right paraaortic retroperitoneal mass, thought first to be leiomyosarcoma of vena cava on imaging. Subsequently, high alpha-fetoprotein (AFP) level and biopsy allowed the diagnosis of primary extrahepatic hepatocellular carcinoma., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
- Published
- 2024
- Full Text
- View/download PDF
11. What is the best referral strategy for axial spondyloarthritis? A prospective multicenter study in patients with suspicious chronic low back pain.
- Author
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Ziade N, Maroof A, Elzorkany B, Abdullateef N, Adnan A, Abogamal A, Saad S, El Kibbi L, Alemadi S, Ansari A, Abi Najm A, Younan T, Kharrat K, Sebaaly A, Rachkidi R, Witte T, and Baraliakos X
- Subjects
- Adult, Humans, Aged, Back Pain diagnosis, HLA-B27 Antigen, Prospective Studies, Referral and Consultation, Anti-Inflammatory Agents, Non-Steroidal, Low Back Pain diagnosis, Spondylarthritis diagnosis, Axial Spondyloarthritis
- Abstract
Objective: To assess the value of referral strategies for axial spondyloarthritis (axSpA) in patients with suspicious chronic inflammatory low back pain (LBP), to estimate the value of inflammatory back pain (IBP) for referral, and to identify the predictive factors of the final diagnosis of axSpA in Middle Eastern Arab countries., Methods: The study was multicentric, prospective, and conducted in LBP first-line clinics (rheumatology, internal, family medicine, orthopedic surgery, neurosurgery, and neurology). Consecutive adult patients aged under 45years were included in case of LBP suspicious of inflammatory nature according to the first-line physician. The rheumatologist's final diagnosis was the gold standard. The diagnostic properties of ten referral strategies (Brandt I, II, III, Hermann, RADAR, RADAR 2/3, MASTER, Braun, CAFASPA, and ASAS) and of IBP were calculated. A multivariable logistic regression identified the clinical predictive factors of axSpA., Results: In 515 referred patients, axSpA was confirmed in 48%, refuted in 43%, and diagnosis remained inconclusive in 9%. The optimal referral strategy was the MASTER (PLR 3.3), which comprises IBP, good response to NSAIDs, positive HLA-B27, and SpA family history. Considering strategies without HLA-B27, the RADAR 2/3 had a PLR of 2.9 (IBP, good response to NSAIDs, any extra-musculoskeletal manifestation). The predictive factors for axSpA were MRI sacroiliitis, positive HLA-B27, high CRP, psoriasis, IBP, and longer symptom duration. Of all patients, 35% were self-referred, 16% were referred by primary care physicians, and 15% by neuro/orthopedic surgeons., Conclusion: Optimizing physicians' awareness of these clinical features may enhance referral in axSpA., (Copyright © 2023 Société française de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.)
- Published
- 2023
- Full Text
- View/download PDF
12. Osteitis fibrosa cystica mimicking bone tumor, a case report.
- Author
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Nasser ML, Medawar S, Younan T, Abboud H, and Trak-Smayra V
- Subjects
- Diagnosis, Differential, Humans, Male, Middle Aged, Parathyroid Hormone, Parathyroidectomy, Bone Neoplasms diagnostic imaging, Hyperparathyroidism diagnosis, Hyperparathyroidism surgery, Osteitis Fibrosa Cystica diagnostic imaging, Osteitis Fibrosa Cystica etiology
- Abstract
Background: We report a case of osteitis fibrosa cystica, a rare benign resorptive bone lesion caused by hyperparathyroidism, that presented on imaging as an aggressive bone tumor., Case Presentation: The patient is a 51-year-old male complaining of severe sustained pain of the right hip region. Imaging studies were suspicious for a malignant tumor of the right iliac bone. Biopsy under CT guidance was performed and showed remodeled bone trabeculae with numerous osteoclasts, excluding bone tumor and raising the possibility of osteitis fibrosa cystica. Complementary tests disclosed elevated blood level of parathyroid hormone and a partially cystic enlarged left inferior parathyroid gland consistent with adenoma. After parathyroidectomy, the clinical symptoms were relieved and the radiological findings were significantly improved, which confirmed the diagnosis., Conclusions: Metabolic diseases-associated bone lesions should always be considered in the differential diagnosis of bone tumors, to avoid unnecessary surgeries and treatments.
- Published
- 2021
- Full Text
- View/download PDF
13. Atypical Unilateral Sacroiliitis Secondary to Mechanical Stress Injury.
- Author
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Younan-Farah T, Zibawi M, Abs L, and Fayad F
- Subjects
- Adult, Buttocks, Diagnosis, Differential, Humans, Magnetic Resonance Imaging, Male, Pain etiology, Stress, Mechanical, Tomography, X-Ray Computed, Physical Exertion, Sacroiliac Joint diagnostic imaging, Sacroiliitis diagnostic imaging, Sacroiliitis etiology
- Abstract
We report for the first time a case of atypical unilateral sacroiliitis secondary to mechanical stress injury. Unilateral sacroiliitis can be caused by a variety of etiologies. The first diagnosis to rule out is infection since it requires urgent treatment to avoid its serious consequences. Spondyloarthritis can be manifested by unilateral sacroiliitis in its early stage. Sacral fractures should always be looked for on the imaging modalities performed. In our case, no signs of infection or systemic disease were found. No fracture was seen on the imaging examinations and we had negative cultures on the computed tomography-guided biopsy realized. A history of mechanical stress was the only clue found suggesting the diagnosis of a probable stress related sacroiliitis. A thorough review of the literature will be provided stating the different causes of sacroiliitis described till now, with discussion of this new reported entity., (Copyright Journal of Radiology Case Reports.)
- Published
- 2020
- Full Text
- View/download PDF
14. Clinical effect of computed guided pudendal nerve block for patients with premature ejaculation: a pilot study.
- Author
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Aoun F, Mjaess G, Assaf J, Chemaly AK, Younan T, Albisinni S, Absil F, Roumeguère T, and Bollens R
- Subjects
- Adult, Humans, Male, Nerve Block adverse effects, Pilot Projects, Prospective Studies, Treatment Outcome, Young Adult, Nerve Block methods, Premature Ejaculation therapy, Pudendal Nerve, Therapy, Computer-Assisted, Tomography, X-Ray Computed
- Abstract
Background: Premature ejaculation has a complex etiology, and its pathophysiology is still unclear, with penile hypersensitivity being the most accepted hypothesis. The aim was to investigate the efficacy and safety of a computed tomography-guided pudendal nerve block at the level of the sacrospinous ligament and the Alcock's canal in patients with premature ejaculation refractory to conventional pharmacological treatment. Methods: This is a prospective pilot study involving five patients suffering from premature ejaculation refractory to standard treatment and clinical features of pudendal nerve entrapment. A CT-guided infiltration of ropivacaine and methylprednisone was done at the levels of sacrospinous ligament and Alcock's canal. Intra-vaginal ejaculatory latency time (IELT) was recorded several times for each patient before and after infiltration. International Index of Erectile Function (IIEF-5), Premature Ejaculation Diagnostic Tool (PEDT) and Sexual Quality of Life-Male version (SQoL-M) questionnaire were also evaluated before and after infiltration. Results: Overall IELT differed significantly before and after treatment (21.94 vs 215.42 s; p = 0.039). IIEF-5, PEDT and SQoL-M also differed significantly before and after treatment. No complications for the CT-guided infiltration were recorded. Conclusion: CT-guided pudendal nerve block at the sacrospinous ligament and the Alcock's canal was effective in improving premature ejaculation. Therefore, pudendal nerve entrapment may be a curable cause of sensory premature ejaculation.
- Published
- 2020
- Full Text
- View/download PDF
15. A Large Rice Body-Containing Cyst Mimicking Infection following Total Hip Arthroplasty: A Case Report.
- Author
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Bayoud W, Rizkallah M, Georges S, Younan T, and Haykal G
- Abstract
Introduction: Soft tissue mass following total hip arthroplasty raises several differential diagnoses not limited to infection, hematoma, wear debris, malignancy, and bursitis. Rice body formation in the hip region is an uncommon process denoting a chronic inflammation. We report here the second case of its kind in the medical literature of a wide symptomatic rice-like body cyst complicating a total hip arthroplasty., Case Presentation: This is the case of an 82-year-old white female, presenting with a warm, red, and inflated groin five years after revision of right total hip arthroplasty. Surgical intervention reveals a large well circumscribed cyst containing well-organized rice-like bodies. This eventuality was never reported in differential diagnosis of hip periprosthetic soft tissue masses before., Conclusion: This case report helps widening the array of the differential diagnosis in patients presenting with a slow growing soft tissue mass following total hip arthroplasty, making rice-like bodies cyst a valid one to consider.
- Published
- 2017
- Full Text
- View/download PDF
16. Joint replacement and hip fracture readmission rates: impact of discharge destination.
- Author
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Riggs RV, Roberts PS, Aronow H, and Younan T
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Hospitals, Urban, Humans, Los Angeles, Male, Middle Aged, Multivariate Analysis, Postoperative Care rehabilitation, Skilled Nursing Facilities, Young Adult, Arthroplasty, Replacement, Hip rehabilitation, Hip Fractures rehabilitation, Patient Discharge, Patient Readmission statistics & numerical data
- Abstract
Objective: To determine if discharge destination after hospitalization for hip replacement or repair influences the hospital readmission rate., Design: A retrospective cohort study that included consecutive patients with a primary diagnosis of hip replacement or repair who were discharged from the acute hospital in a 3-year period., Setting: Urban academic nonprofit hospital., Patients: Data for 606 orthopedic patients discharged alive from the acute hospital between January 2004 and September 2006 were abstracted from the University Health-System Consortium (UHC) Clinical DataBase/Resource Manager clinical database for the study hospital., Main Outcome Measures: Unplanned readmission rate to the study-site hospital within 180 days after discharge after hip replacement or repair., Results: Unplanned readmission within 180 days occurred at a rate of 8.3% and varied significantly by discharge destination: home 5.1%, home with home health care services 10.5%, skilled nursing facility 12.3%, inpatient rehabilitation 4.2%, and other 42.9%. Variables from the surgical admission that were significantly associated with higher risk of readmission included admission severity, burden of comorbidities, any days in the intensive care unit, long length of stay, and cost. When controlling for multiple independent risk factors, discharge to inpatient rehabilitation (P = .015) remained a significant independent predictor of lower risk of readmission within 180 days., Conclusion: Discharge to acute inpatient rehabilitation was associated with a lower risk of hospital readmission. Identification of patients with orthopedic procedures who may benefit from inpatient rehabilitation and further medical management before discharge from the acute hospital may be an important strategy in prevention of hospital readmission., (Copyright © 2010 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.)
- Published
- 2010
- Full Text
- View/download PDF
17. Long-term results of percutaneous resection and interstitial laser ablation of osteoid osteomas.
- Author
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Roqueplan F, Porcher R, Hamzé B, Bousson V, Zouari L, Younan T, Parlier-Cuau C, and Laredo JD
- Subjects
- Adolescent, Adult, Aged, Bone Neoplasms diagnostic imaging, Child, Female, Humans, Longitudinal Studies, Male, Middle Aged, Neoplasm Recurrence, Local diagnostic imaging, Osteoma, Osteoid diagnostic imaging, Retrospective Studies, Tomography, X-Ray Computed, Treatment Outcome, Young Adult, Bone Neoplasms surgery, Laser Therapy, Neoplasm Recurrence, Local surgery, Osteoma, Osteoid surgery
- Abstract
To evaluate the efficiency and complication rate of two percutaneous treatments of osteoid osteomas, percutaneous trephine resection (PR) and interstitial laser ablation (ILA). Ethical review board was obtained for the retrospective study. One hundred and 26 patients were treated by PR (n = 26) or ILA (n = 100) under CT, with a median follow-up of 113 months for the PR group and 47 months for the ILA group. In the group treated by PR, the clinical success rate was 96% at 6-month and 95% at 24-month follow-up, with 12% (3/26) transient complications (one meralgia, two skin burns). One patient experienced immediate failure, and none had delayed failure. In the group treated by ILA, the clinical success rate was 96% at 6-month and 94% at 24-month follow-up, with 4% (4/100) transient complications (one common fibular nerve contusion, one hematoma, one infection and one tendinitis). Four ILA procedures were repeated, one because of initial failure and three because of recurrence (at 6.5, 15 and 32 months). Two were successful and two failed again. Failure was more frequent (p = 0.0094) in patients less than 18 years old, and in lesions with a nidus size of 12 mm or larger (p = 0.0022).
- Published
- 2010
- Full Text
- View/download PDF
18. [Infectious spondylodiscitis as a presentation for paravertebral hydatid cyst].
- Author
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Younan T, Sfeir S, Kheir C, and Slaba S
- Subjects
- Aged, Albendazole therapeutic use, Anticestodal Agents therapeutic use, Bone Transplantation, Diagnosis, Differential, Discitis diagnostic imaging, Echinococcosis diagnostic imaging, Echinococcosis drug therapy, Echinococcosis surgery, Female, Humans, Magnetic Resonance Imaging, Spinal Diseases diagnostic imaging, Spinal Diseases drug therapy, Spinal Diseases surgery, Tomography, X-Ray Computed, Discitis diagnosis, Echinococcosis diagnosis, Spinal Diseases diagnosis, Thoracic Vertebrae
- Published
- 2009
- Full Text
- View/download PDF
19. [Unusual variation of popliteal arterial branches: 4 axes by early division of the peroneal artery].
- Author
-
Slaba S, Abi Khalil S, Younan T, Nassar-Slaba J, Khoury S, and Kheir C
- Subjects
- Angiography, Arteries embryology, Foot blood supply, Humans, Leg blood supply, Male, Middle Aged, Popliteal Artery diagnostic imaging, Popliteal Artery abnormalities
- Abstract
Embryonic development of arteries of the lower limb results from the union of dorsal and ventral systems, explaining many variations at different levels. Some of these are important to recognize during the radiological exam because they can affect therapeutic management. These variations are most often bilateral and symmetrical predominating at the popliteal and subpopliteal levels. Lippert classified them into three types: normal level of popliteal arterial branching, high division of popliteal artery, hypoplastic or aplastic branching with altered distal supply. The length of the tibioperoneal trunk may also vary, rarely measuring more than 5 cm. We report a case combining three variations, two of them previously described in the literature and the third one not yet reported: our patient presented four arteries due to early bifurcation of the peroneal artery.
- Published
- 2007
- Full Text
- View/download PDF
20. [Arteriovenous fistula following femoral angioplasty].
- Author
-
Slaba S, Younan T, Karam P, Samarani H, Karam R, Smayra T, and Atallah N
- Subjects
- Arterial Occlusive Diseases diagnostic imaging, Arterial Occlusive Diseases therapy, Arteriovenous Fistula diagnostic imaging, Arteriovenous Fistula therapy, Balloon Occlusion, Humans, Male, Middle Aged, Radiography, Ultrasonography, Doppler, Color, Angioplasty, Balloon adverse effects, Arteriovenous Fistula etiology, Femoral Artery diagnostic imaging
- Abstract
We describe a case of arteriovenous fistula developing at the site of balloon dilatation immediately after percutaneous transluminal angioplasty of the superficial femoral artery. This occurred during an otherwise uncomplicated angioplasty. The fistula was treated by inflating a slightly larger balloon with a good clinical result as confirmed by color Doppler ultrasound. This uncommon complication of angioplasty is not widely recognized.
- Published
- 1999
21. [Endovascular treatment of arteriovenous vertebro-vertebral fistula].
- Author
-
Slaba S, Younan T, Menassa L, Haddad S, Aoun N, and Atallah N
- Subjects
- Adolescent, Arteriovenous Fistula diagnostic imaging, Arteriovenous Fistula etiology, Humans, Male, Neck Injuries complications, Neuroleptanalgesia, Radiography, Veins, Wounds, Stab complications, Arteriovenous Fistula therapy, Embolization, Therapeutic, Vertebral Artery diagnostic imaging
- Abstract
Vertebral arteriovenous fistulae are relatively rare, with limited experience in most centers. We report our experience in the treatment of a vertebral arteriovenous fistula treated by interventional method. A review of the literature is made and the etiology, presentation and treatment of this unusual lesion are discussed. The endovascular occlusion is now the treatment of choice of vertebral fistulae.
- Published
- 1998
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