如果你身在英國需要回港,
怎樣可以在英國取得香港政府要求的
「新型冠狀病毒核酸檢測陰性結果証明」,
用以登上回港航班?
我目前身在倫敦,
今天做了一些資料搜集。
以下是非常長文,
心急人可直接跳到末段結論及建議 🙏🏻
先講背景資料。
昨天(9月24日)香港政府公佈,由10月1 日起,從英國回港人士,必須提供以下文件,向航空公司展示,方可登機:
//(一)一份由化驗所或醫療機構發出的中文或英文報告,當中載有相關到港人士姓名(所載有的姓名須與相關到港人士的有效旅遊證件所示姓名相同),並顯示以下資料:
(a)相關到港人士已接受一項2019冠狀病毒病核酸檢測,而檢測樣本是在飛機的預定起飛時間前72小時內,取自相關到港人士的;
(b)對該樣本進行檢測的是2019冠狀病毒病核酸測試;及
(c)相關到港人士的2019冠狀病毒病的檢測結果呈陰性;及
(二)如相關報告並非採用中文或英文或並無載有上述所有資料,須額外提交一份由該化驗所或醫療機構發出的中文或英文確認書,載有相關到港人士姓名(所載有的姓名須與相關到港人士的有效旅遊證件所示姓名相同)及全部上述資料,並與報告一併呈交;及
(三)一份中文或英文的證明文件,以顯示該化驗所或醫療機構屬ISO 15189認可,或獲所在的地方的政府的有關主管當局承認或核准;及
(四)相關到港人士在香港酒店預訂房間的中文或英文確認書,其租住期間為自相關到港人士抵達香港當日起計的不少於14日。//
▶️ https://www.info.gov.hk/gia/general/202009/24/P2020092400425.htm
而英國NHS公佈,由明日(9月26日)起,不提供該測試:
//Get a test
This service will be temporarily unavailable from 11.59pm on 25 September 2020//
▶️ https://www.gov.uk/get-coronavirus-test
另,NHS一直指明,除非有癥狀,否則即使是學校,僱主或旅行社要求,亦不會提供檢測:
// You cannot get a free NHS test unless you have symptoms, have been asked to by your local authority, live in England and have been told to by your hospital, or are taking part in a government pilot project.
This applies even if:
• you live with someone who has coronavirus
• you've had close contact with someone who has coronavirus
• you've come to the UK from a high risk country
• you're planning to leave the country
• your employer or school has asked you to get a test
You can pay for a private test. Do not use this service.//
▶️ https://www.gov.uk/get-coronavirus-test
最後一句,指NHS不提供檢測,只可以做私家檢測。
然而,在哪裡做檢測,有甚麼途徑做?
英國的Superdrug (香港和黃集團旗下) 有提供「抗體測試」套裝,售價69英磅,但「抗體測試」與港府要求的「核酸測試」並不相同:
//Superdrug has launched a COVID-19 antibody blood test, available through its online doctor service. The COVID-19 antibody home sampling kit, which costs £69 and is on sale from today (May 20)//
▶️ https://www.chemistanddruggist.co.uk/news/superdrug-launches-covid-19-antibody-test
「抗體測試」和「核酸測試」有何不同?
▶️ https://www.nhs.uk/conditions/coronavirus-covid-19/testing-and-tracing/antibody-test-to-check-if-youve-had-coronavirus/
至於英國在本年2月實行的drive through test,即自行駕車到指定NHS地點作檢測的服務,亦只限NHS轉介個案:
//The NHS is making available services to test people for coronavirus, including a new service in west London, offering ‘drive through’ coronavirus testing.
The service, provided by Central London Community Healthcare NHS Trust in Parsons Green, is only accessed through a referral from NHS 111//
最後一個可行性,是在英國找GP做檢測。
而在英國約見私家醫生(GP),必先向私家醫生診所作登記,但GP極可能拒絕新登記,因為以下原因:
//A GP practice may refuse to register you because:
• it has no capacity to take on new patients
• it may not be accepting patients that do not live within its practice boundary
• in your particular circumstances, it may not be appropriate for you to register with a practice that's a long way from where you live//
▶️ https://www.nhs.uk/using-the-nhs/nhs-services/gps/how-to-register-with-a-gp-practice/
而在英國的檢測,最快48小時有結果。
終於跳到結論:
在9月30日抵港者,近乎無可能在登機前在英國取得香港政府要求的,ISO 15189認可,2019冠狀病毒病的核酸測試結果呈陰性的証明文件。
除非:
登機者能夠直接在合資格化驗所作檢測(72小時內),趕及取得相關報告(48小時後),呈陰性,並已做好其他証明文件,包括預訂香港的隔離酒店。
故此,需要從英國回港的朋友,目前有三個選擇:
一, 更改或購買機票,於9月29日前登機回港
二, 取道另一國家作中途站,需出境及逗留,再返回香港
三, 停留在英國,直至可以在英國做檢測,或香港取消相關措施
非常長文,希望就我所知通知各位。
如有更新資訊或我以上所說有錯漏,請指正交流。
↪️↪️ 9/25 更新資訊:
以下是網友提供,目前在英國,可提供核酸檢測服務的GP / 醫生 / 服務中心:
https://doctap.co.uk/services/coronavirus-test/
https://privateharleystreetclinic.com/pages/travel-testing
https://www.citydoc.org.uk/covid-19-pcr-swab-testing/
https://midlandhealth.co.uk/tests-and-diagnostics/covid-19/
https://www.pallmallmedical.co.uk/tests-scans-and-diagnostics/coronavirus-test/
https://walkin-clinic.co.uk/blood-tests/covid19-testing
https://www.doctorcall.co.uk/private-gp-services/coronavirus--covid-19--testing
同時也有4部Youtube影片,追蹤數超過7,470的網紅HimeChar 曉玲,也在其Youtube影片中提到,曉玲中英雙語遊玩恐怖驚悚《直到黎明:血腥突襲》實況紀錄標準難度全破關。以恐怖冒險遊戲《直到黎明》世界觀設定為基礎的大型電玩風格射擊遊戲。搭上駭人的瘋狂雲霄飛車,透過身歷其境的虛擬實境,進入眾多熟悉的黑木森林場景,面對迎面而來的恐怖威脅! Char trolls Until Dawn: Rush of...
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【保健知多D】一字之差?魚油 vs 魚肝油?(一)
〈魚油同魚肝油有咩分別?〉
有時候,一字之差往往可以「差之毫釐,謬之千里」,帶出很多好美麗的誤會。
舉例說,「魚油」、「魚肝油」便是一對活生生的例子。
根據經驗,很多人往往經常會將「魚油」看成「魚肝油」或者將「魚肝油」說成「魚油」。所以如果是第一次買魚油或者魚肝油的話,藥罐子大多都會不厭其煩問清楚對方所指的到底是魚油還是魚肝油。
那兩者其實到底又有什麼分別呢?
首先說到魚油,便不得不提魚油的歷史:
其實人們之所以會對魚油感興趣,主要源於一種自相矛盾的怪現象。
這種怪現象徹底打破了一般人一種根深蒂固的觀念,跌破了很多人的眼鏡……
這種怪現象便是……
理論上,根據一般人的認知,脂肪的攝取量愈多,患上心血管病症的風險自然便會愈大。
簡單說,攝取大量脂肪固然可能會增加肥胖的風險,同時還可能會增加患上心血管病症的風險,例如冠心病(Coronary Heart Disease, CHD),對吧?
不過有一種人偏偏就是例外。
這種人便是……
愛斯基摩人(Eskimo)!
首先愛斯基摩人長年住在北極這種天寒地凍、冰天雪地的極北之地,面對這片寸草不生的不毛之地,人們不能耕種,只能狩獵為生,主要是魚、海豹、鯨魚。
當然同是北極,這些獵物當然不懂穿羽絨,不過體內卻會屯積大量脂肪來隔溫保暖,面皮……不、不、不,應該是皮下脂肪一般較厚,所以這些愛斯基摩人的餐單裡自然離不開大量脂肪,不過這類人偏偏就是較少患上心血管病症,例如心臟病發。
好奇怪,對吧?
後來人們發現這些脂肪蘊含豐富的奧米加3脂肪酸(Omega-3 Fatty Acids)這種多元不飽和脂肪酸(Polyunsaturated Fatty Acids, PUFAs),或許能夠解釋這個現象。
實際上,魚油同樣蘊含豐富的奧米加3脂肪酸,其中較重要的主要有二十二碳六烯酸(Docosahexaenoic Acid, DHA)、二十碳五烯酸(Eicosapentaenoic Acid, EPA)兩種。
對,這就是我們經常掛在嘴邊的DHA、EPA。所以與其說二十……這兩個冗長的中文,倒不如直接說英文好了。
實際上,藥罐子相信大家可能聽過DHA、EPA,不過未必真的聽過「二十二碳六烯酸」、「二十碳五烯酸」這兩個化學名吧?
真的要說的話,DHA、EPA各有長短。
其中相較DHA而言,EPA較能降低極低密度脂蛋白膽固醇(Very-low-density Lipoprotein Cholesterol, VLDL-C)、低密度脂蛋白膽固醇(Low-density Lipoprotein Cholesterol, LDL-C)(俗稱「壞膽固醇」)、三酸甘油脂(Triglycerides)的水平,同時還可能會增加高密度脂蛋白膽固醇(High-density Lipoprotein Cholesterol, HDL-C)(俗稱「好膽固醇」)的水平。[1]
這就是說,理論上,魚油可能會改善體內的膽固醇,所以可能會紓緩高脂血症(Hyperlipidemia),從而可能會減少出現心血管病症的風險。
不過暫時還是言之尚早,所以美國食品藥物管理局(U.S. Food and Drug Administration, FDA)暫時只容許魚油產品作出以下類似意思的聲稱,例如:
"Consuming EPA and DHA combined may reduce blood pressure and reduce the risk of hypertension, a risk factor for CHD (coronary heart disease). However, FDA has concluded that the evidence is inconsistent and inconclusive.……"[2]
話雖如此,實際上,只要改良魚油並進化成為Omega-3 Fatty Acid Ethyl Ester,這種升級版的魚油便會從「保健品」升為一種「藥品」,用於治療高三酸甘油脂血症(Hypertriglyceridemia)。[1][3]
至於相較EPA而言,DHA或許較能抗凝血[4]、降血壓[5]。
在副作用上,魚油看來一般安全。
不過說到魚,自然離不開魚腥味;說到油,自然離不開油膩膩的口感,兩者同樣可能會影響依從性。
同時,市面上的魚油大多源自深海魚,所以偶爾會稱為「深海魚油」,海床愈深,光源便會愈少,溫度便會愈低,脂肪便會愈厚,DHA、EPA自然便會愈多,同時因為這些深海魚大多位居食物鏈的高層,所以一些污染物便可能會沿著食物鏈層層遞進進入這些深海魚裡面,例如汞(Mercury)、多氯聯苯(Polychlorinated Biphenyl, PCB)、二噁英(Dioxin)。
當然不用問,這條食物鏈的最高層當然是人類。
所以當人們服用這些魚油的時候,這些污染物便可能會沿著這條食物鏈進入人體,日積月累,便可能會構成毒性,從而可能會增加中毒的風險。
還有,因為魚油可能會抗凝血,所以較可能會加強一些抗凝血藥的功效,例如華法林(Warfarin),從而可能會增加出血的風險。[6]
當然,除此之外,其他西藥例如亞士匹靈(Aspirin)或者中藥例如當歸、丹參同樣可能會跟魚油產生這種相互作用,從而可能會增加出血的風險。
所以如果正在服用這些中、西藥的話,一般建議服用魚油前首先應該諮詢醫生的專業意見。
最後,魚油是魚油,不是魚肝油,這點,千萬不要弄錯。
(如欲了解更多用藥資訊,歡迎看看「小小藥罐子」網誌。)
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著作➡️藥事知多D、用藥知多D、藥房事件簿、家居用藥攻略(各大書店有售)
Reference:
1. McKenney JM, Sica D. Role of prescription omega-3 fatty acids in the treatment of hypertriglyceridemia. Pharmacotherapy. 2007;27:715-728.
2. U.S. Food and Drug Administration, Food, News & Events from CFSAN, CFSAN Constituent Updates, FDA Announces New Qualified Health Claims for EPA and DHA Omega-3 Consumption and the Risk of Hypertension and Coronary Heart Disease, available at https://www.fda.gov/food/cfsan-constituent-updates/fda-announces-new-qualified-health-claims-epa-and-dha-omega-3-consumption-and-risk-hypertension-and (Accessed 9 Sep 2020)
3. McKenney JM, Sica D. Prescription omega-3 fatty acids for the treatment of hypertriglyceridemia. Am J Health Syst Pharm. 2007;64:595-605.
4. Woodman RJ, Mori TA, Burke V, et al. Effects of purified eicosapentaenoic acid and docosahexaenoic acid on platelet, fibrinolytic and vascular function in hypertensive type 2 diabetic patients. Atherosclerosis. 2003;166:85-93.
5. Mori TA, Bao DQ, Burke V, et al. Docosahexaenoic acid but not eicosapentaenoic acid lowers ambulatory blood pressure and heart rate in humans. Hypertension. 1999;34:253-260.
6. Buckley MS, Goff AD, Knapp WE, et al. Fish oil interaction with warfarin. Ann Pharmacother. 2004;38:50-52.
high blood中文 在 陳冠廷 Kuan-Ting Chen Facebook 的最佳解答
I have recently perused Nicholas Kristof’s NYT piece “China’s Man in Washington, Named Trump”(https://nyti.ms/3h2JXh8). One paragraph in particular caught my attention: “A joke in China suggests that Trump’s Chinese name is Chuan Jianguo, or “Build-the-Country Trump.” That’s because Build-the-Country is a common revolutionary name among Communist patriots, and it’s mockingly suggested that Trump’s misrule of the United States is actually bolstering Xi’s regime.”
Kristoff also avows that since Trump’s ascension to presidency, the American nation became highly polarized. This is reflected in the current administration’s policies on climate change, foreign relations with established U.S. allies, and COVID-19 prevention, all of which are rather ineffective. It also seems like Mr. Trump and his team diverged from the traditional priorities, including promoting free trade, human rights, and other quintessentially American values. As described thoroughly by John Bolton, all these factors contributed to the declining standing of the U.S. in global politics.
What is more, many people fall prey to CCP’s propaganda and its interpretations of Trump’s actions, which only enhances China’s reputation.
But that might not exactly be the case.
The CCP apparently failed to utilize the window of opportunity created by the ineptness of the Trump administration, as China could have grown to the position of a leader by filling in the void left by the U.S.
During the 2016 APEC Ministerial Meeting in Lima, Peru, Xi Jinping and his team actively supported the plans to establish the Regional Comprehensive Economic Partnership (RCEP) and a Free Trade Area of the Asia Pacific, or FTAAP. In contrast, the United States withdrew its signature from the Trans-Pacific Partnership (TPP) in early 2017. Coupled with China’s Belt and Road Initiative (BRI) and the establishment of the Asian Infrastructure and Investment Bank (AIIB), this move bolstered China’s capacity to influence global investments and trade, high-tech mergers and acquisitions, and, overall, expand its geostrategic influence on the entire globe.
At the same time, various propaganda films about great power competition, military industry, and science and technology surged all at once, and gained remarkable following around the world.
All this provided a window of opportunity for the CCP to slowly change its course. Around the same time, the distrust for POTUS among U.S. allies’ reached its apex. According to polls conducted by the Pew Research Center, the distrust for the U.S. president in the U.K. reached 75%, 72% in Japan, 70% in Australia, and stunning 86% in France.
Had the C.C.P,. begun to open up at that time, or at least resumed the governance style of the Hu-Wen administration, it could have reaped the benefits of promoting liberalism where the U.S. failed to deliver. It was the time for Beijing to gradually enhance freedom of speech domestically, pursue sustainable infrastructural projects, gradually reform unfair barriers to trade, transform its S.O.E.s, strengthen protections for private ownership, and vitalize its start-ups and enterprises.
Moreover, were China to cease the genocide in East Turkestan and refrain from cracking down on Hong Kong's semi-autonomy, it would have greatly enhanced its global international image. Additionally, if paired with slow but steady reforms, Beijing’s respect for sovereignty of its peoples would have attracted a large amount of foreign investment, which in turn would have continued to buttress the country’s growth.
It is China prerogative to remain idle.
It might still be possible for Chinese “Dream” to come true.
Yet, a historic window of opportunity is now closed.
Xi assumed the tools of proscribing and stalling, which are completely antithetical to the aforementioned window of opportunity.
Today, China is more authoritarian, less flexible, and fully deprived of horizontal accountability. Its reliance on wolf warrior diplomacy backfired: for example, the Swedish parliament sought to expel the Chinese ambassador to Stockholm. Also, Prague, the capital of Czechia, terminated its sister-city agreement with Shanghai and instead signed a new one with Taipei. Last but not least, we ought not to forget about the recent fiasco in the relations with the United States who ordered the shutdown of China’s consulate in Houston. All of this took its toll on China’s reputation.
Its international standing and inability to replace the U.S. as the major global power are not the only issues China is currently facing.
As it experiences multiple domestic and international shocks, China struggles to combat the COVID-19 pandemic and tame the disastrous floods of Yangtze River. The swarm of locusts of biblical proportions is also crippling Beijing’s institutional capacity and may soon lead to food shortages. In fact, the precarity of food supply further diminishes the level of trust for Chinese authorities.
In 2019, the Pew Research Center conducted a public opinion survey to examine the international views of China. In the U.S., Argentina, the U.K., Canada, Germany, and Ukraine, only about 30% of respondents claim a favorable view of China.
As the COVID-19 pandemic rages in the U.S., as many as 73% of U.S. respondents view China unfavorably.
Recently, the C.C.P. is losing its focus by continuously shifting targets. In fact, I believe there is no need for the C.C.P.to rely on nationalistic appeals, since in this new century values, business relations, and fair competition are all far more important than greater than delusive blood ties.
China lies only 130 kilometers away from us. Of course, we welcome dialogue and seek to avoid misjudgments. But we also distinguish between the C.C.P. and China. While we do welcome dialogue, but we will not be coerced to talk under unjust preconditions or in fear.
The only fair prerequisites are those of reciprocity, mutual respect as well as fairness and openness with respect for the rule of law.
Source: Pew Research Center
最近看到紐約時報中文版的一篇文章
<美國的川普,中國的「川建國」>,其中一小段是這樣的
「在中國,人們戲稱川普的中文名字是川建國。那是因為建國是共產黨愛國者中一個普遍的革命人名。它在諷刺地暗示川普對美國的治理不當實際上是在鞏固習近平的政權。」
裡面也提到,川普在任的幾年,國家更分裂,對於氣候變遷,傳統美國盟友,乃至於疫情處理等都相當拙劣,對於美國傳統的自由貿易、人權等價值也基本上都沒有太大興趣。這些方針,導致美國在世界的評價降低,波頓的新書也多有描述。
除此之外,許多不幸相信中共宣傳,又或者是中共圈養的小粉紅,特別故意愛宣傳川普增強中國的威望。
但這不是真的。
中共完全沒有掌握美國做得不夠好的地方,去增強其在世界的領導力。
在2016年時,秘魯的亞太峰會舉行期間,習近平政權爭取(RCEP)及亞太自由貿易區(FTAAP)談判;對比2017年初,美國剛宣布退出TPP,加上中國到「一帶一路」和亞洲基礎設施投資銀行,中國當時在世界全面發揮投資貿易、高科技併購還有其地緣戰略的影響力。
也是那個時候,各種的大國崛起、大國軍工、大國科技的宣傳影片此起彼落,似乎正準備要在世界舞台發光發熱。
這曾經是中共慢慢轉向的一個機會之窗。彼時(2017)美國盟友對美國總統的不信任度達到歷史新高,根據皮尤研究中心的資訊,英國對於美國總統的不信任度達到75%、日本72% 澳洲70% 法國更高達86%
如果那時中共開始有限度的改革,對內放寬言論自由,或者至少維持在胡溫當時的水中,對外追求有責任的基礎建設,逐步緩慢減低不公平的貿易壁壘,對於國有企業改革,增強私營企業、新創企業的活力。
停止對新疆迫害,不干預香港自治,不僅國際形象會大幅改善,哪怕是緩慢但是穩健的改革,也會讓大量吸引外資,讓中國的活力持續前進。
哪怕是什麼都不做也好
那或許有這麽一點可能性,中國「夢」是可以前行的
但是歷史機緣的大門已經關上。
習、禁、停、放棄了這個機會之窗,徹底的走向相反的方向。
更專制、更沒有彈性,更沒有任何制衡的力量。各種戰狼外交,讓瑞典議員提案驅逐中國大使,捷克布拉格市長與台北簽訂姊妹是,就解散上海與該市關係、被美國關閉領事館、各種讓中國形象低下的事情,中共都沒有少做。
中共不但完全沒有辦法取代美國,在多重國內外的衝擊之下,又是瘟疫,又是超大水患,緊接著蝗害,還有進來的糧食不足問題,正在面臨巨大的瓶頸。
而糧食的命脈,卻恰恰又在對他最不信任,對中共價值最反對的國家聯盟
根據皮尤研究中心:Pew Research Center2019調查各國對中國的喜好度,美國、阿根廷、英國、加拿大、德國、烏克蘭等,對於中國的喜好度都在30%上下
而2020疫情後美國對於中國的不信任度,更高達73%。
最近中共在演習,又要玩轉移目標的手段,對於中共,其實不必再有民族主義的同情,因為新的世紀,價值、商業模式、公平競爭的制度大於血緣幻想。
中國離我們只有130公里的距離,我們當然歡迎對話,避免誤判。但我們同時也區分中共與中國,歡迎對話,但不在前提、條件、恐懼之下對話。
如果真的要有前提,那就是對等、尊重,還有公平公開法治的方式會晤。
資料來源:皮尤研究中心:Pew Research Center
(美國著名的民調機構和智庫機構,https://www.pewresearch.org/)
high blood中文 在 HimeChar 曉玲 Youtube 的最佳貼文
曉玲中英雙語遊玩恐怖驚悚《直到黎明:血腥突襲》實況紀錄標準難度全破關。以恐怖冒險遊戲《直到黎明》世界觀設定為基礎的大型電玩風格射擊遊戲。搭上駭人的瘋狂雲霄飛車,透過身歷其境的虛擬實境,進入眾多熟悉的黑木森林場景,面對迎面而來的恐怖威脅!
Char trolls Until Dawn: Rush of Blood (Bilingual, VR, Comedy). All cleared on normal difficulty. From the warped minds of the team behind PS4™ horror classic Until Dawn, comes Until Dawn: Rush of Blood – a virtual reality experience to strike fear into the hearts of every trigger-happy arcade shooter fan.
-- More Char Plays VR at http://bit.ly/2dYCPVE 更多虛擬實境影片集
If you enjoyed the video "LIKE" and Subscribe! 喜歡影片請按讚及訂閱
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high blood中文 在 HimeChar 曉玲 Youtube 的精選貼文
《Until Dawn: Rush of Blood》、《初音未來:VR Future Live》、《DRIVECLUB™ VR》。曉玲的新手中英雙語試玩首發三款 PS VR虛擬實境 遊戲實況紀錄
First time PS VR Game Demo: Until Dawn: Rush of Blood, Hatsune Miku: VR Future Live, and DRIVECLUB™ VR. Char Trolls PS VR Game Demos (Bilingual, VR, Comedy).
-- More game demos at http://bit.ly/2alFnNO 更多試玩影片集
If you enjoyed the video please Like & Subscribe! 喜歡影片請按讚及訂閱
-- Live http://twitch.tv/himechar 實況
-- Like http://facebook.com/himechar 粉專
-- Follow http://twitter.com/himechar 推特
-- Photos http://instagram.com/himechar 照片
-- Funding http://bit.ly/chartip 贊助
-- TWD http://bit.ly/paychar 台幣
-- Games http://www.kinguin.net/7en/3fz (3% off: HIME) 遊戲
high blood中文 在 [email protected] Youtube 的最佳解答
Sleep Apnea - Dr. Hung Che Wai Terry@FindDoc.com
Source: https://www.finddoc.com/en
Background: Mr. Luk, regular build, often snores when he sleeps. He gets tired and sleepy easily during the day.
(1) For Mr. Luk’s continuous snoring, can it be “Sleep Apnea”? 0:21
(2) How can “Sleep Apnea” be diagnosed? 0:47
(3) What treatments are available for “Sleep Apnea”? 4:00
瀏覽中文版本短片:
http://youtu.be/HnnhAnS2PKI
Search Doctor information:
https://www.finddoc.com/
Let's Connect:
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