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Healthcare Information Systems

Section edited by Philip Payne

This section considers manuscripts on the development, use and evaluation of health information technology, health information exchange and electronic health records, as well as studies on barriers to technology acceptance in the healthcare setting

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  1. About 50% of patients with Crohn’s disease (CD) and about 20% of those with ulcerative colitis (UC) undergo surgery at some point during the course of the disease. The diagnostic validity of the Swedish Nation...

    Authors: Anders Forss, Pär Myrelid, Ola Olén, Åsa H. Everhov, Caroline Nordenvall, Jonas Halfvarson and Jonas F. Ludvigsson

    Citation: BMC Medical Informatics and Decision Making 2019 19:217

    Content type: Research article

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  2. The secondary use of electronic health records (EHRs) promises to facilitate medical research. We reviewed general data requirements in observational studies and analyzed the feasibility of conducting observat...

    Authors: Marcel von Lucadou, Thomas Ganslandt, Hans-Ulrich Prokosch and Dennis Toddenroth

    Citation: BMC Medical Informatics and Decision Making 2019 19:202

    Content type: Research article

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  3. The admission, discharge and transfer (ADT) module is used in the hospital information system (HIS) for the purposes of managing appointments, patient admission, daily control of hospital beds, planning surger...

    Authors: Razieh Farrahi, Fatemeh Rangraz Jeddi, Ehsan Nabovati, Monireh Sadeqi Jabali and Reza Khajouei

    Citation: BMC Medical Informatics and Decision Making 2019 19:172

    Content type: Research article

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  4. The increasing complexity and volume of clinical data poses a challenge in the decision-making process. Data visualizations can assist in this process by speeding up the time required to analyze and understand...

    Authors: Andres Ledesma, Niranjan Bidargaddi, Jörg Strobel, Geoffrey Schrader, Hannu Nieminen, Ilkka Korhonen and Miikka Ermes

    Citation: BMC Medical Informatics and Decision Making 2019 19:170

    Content type: Research article

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  5. Electronic health records are now widely adopted in medical and behavioral health settings. While they have the potential to improve the quality of care, the research findings on their impact on clinical pract...

    Authors: Victoria Stanhope and Elizabeth B. Matthews

    Citation: BMC Medical Informatics and Decision Making 2019 19:168

    Content type: Research article

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  6. Electronic health records (EHRs) are an elementary part of the work of registered nurses (RNs) in healthcare. RNs are the largest group of healthcare workers, and their experiences with EHRs and their informat...

    Authors: Tuulikki Vehko, Hannele Hyppönen, Sampsa Puttonen, Sari Kujala, Eeva Ketola, Johanna Tuukkanen, Anna-Mari Aalto and Tarja Heponiemi

    Citation: BMC Medical Informatics and Decision Making 2019 19:160

    Content type: Research article

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  7. Patients generate large amounts of digital data through devices, social media applications, and other online activities. Little is known about patients’ perception of the data they generate online and its rela...

    Authors: Emily Seltzer, Jesse Goldshear, Sharath Chandra Guntuku, Dave Grande, David A. Asch, Elissa V. Klinger and Raina M. Merchant

    Citation: BMC Medical Informatics and Decision Making 2019 19:157

    Content type: Research article

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  8. Falls among older adults are both a common reason for presentation to the emergency department, and a major source of morbidity and mortality. It is critical to identify fall patients quickly and reliably duri...

    Authors: Brian W. Patterson, Gwen C. Jacobsohn, Manish N. Shah, Yiqiang Song, Apoorva Maru, Arjun K. Venkatesh, Monica Zhong, Katherine Taylor, Azita G. Hamedani and Eneida A. Mendonça

    Citation: BMC Medical Informatics and Decision Making 2019 19:138

    Content type: Research article

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  9. Coordination of care, especially after a patient experiences an acute care event, is a challenge for many health systems. Event notification is a form of health information exchange (HIE) which has the potenti...

    Authors: Brian E. Dixon, Ashley L. Schwartzkopf, Vivian M. Guerrero, Justine May, Nicholas S. Koufacos, Andrew M. Bean, Joan D. Penrod, Cathy C. Schubert and Kenneth S. Boockvar

    Citation: BMC Medical Informatics and Decision Making 2019 19:125

    Content type: Study protocol

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  10. Multiple studies have documented bias in medical decision making, but no studies have examined whether this bias extends to medical coding practices. Medical coding is foundational to the US health care enterp...

    Authors: Jacqueline M. Torres, Danielle Hessler-Jones, Carol Yarbrough, Adam Tapley, Raemarie Jimenez and Laura M. Gottlieb

    Citation: BMC Medical Informatics and Decision Making 2019 19:115

    Content type: Research article

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  11. Dengue is a serious problem around the globe, with 3.9 billion people at risk of the disease. Sri Lanka has recently seen unprecedented rates of dengue with 4.3 times more cases than during the same period ove...

    Authors: May O. Lwin, Anita Sheldenkar, Chitra Panchapakesan, Janelle Shaina Ng, Jerrald Lau, Karthikayen Jayasundar, Kasun Horathalge, Vajira Sampath Rathnayake, Adam W. Crawley and Prasad Wimalaratne

    Citation: BMC Medical Informatics and Decision Making 2019 19:111

    Content type: Software

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  12. Disease trajectories for chronic diseases can span over several decades, with several time-dependent factors affecting treatment decisions. Thus, there is a need for long-term predictions of disease trajectori...

    Authors: Eugenio Ventimiglia, Mieke Van Hemelrijck, Lars Lindhagen, Pär Stattin and Hans Garmo

    Citation: BMC Medical Informatics and Decision Making 2019 19:103

    Content type: Research article

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  13. The 2014–2016 West Africa Ebola epidemic highlighted the difficulty of collecting patient information during emergencies, especially in highly infectious environments. Health information systems (HISs) appropr...

    Authors: Shefali Oza, Kevin Wing, Alieu Amara Sesay, Sabah Boufkhed, Catherine Houlihan, Lahai Vandi, Sahr Charles Sebba, Catherine R. McGowan, Rachael Cummings and Francesco Checchi

    Citation: BMC Medical Informatics and Decision Making 2019 19:100

    Content type: Research article

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  14. Data-intensive research in medicine and healthcare such as health-related big data research (HBDR) implies that data from clinical routine, research and patient-reported data, but also non-medical social or de...

    Authors: Katharina Beier, Mark Schweda and Silke Schicktanz

    Citation: BMC Medical Informatics and Decision Making 2019 19:90

    Content type: Debate

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  15. The increased use of electronic medical records (EMRs) in Canadian primary health care practice has resulted in an expansion of the availability of EMR data. Potential users of these data need to understand th...

    Authors: Amanda L. Terry, Moira Stewart, Sonny Cejic, J. Neil Marshall, Simon de Lusignan, Bert M. Chesworth, Vijaya Chevendra, Heather Maddocks, Joshua Shadd, Fred Burge and Amardeep Thind

    Citation: BMC Medical Informatics and Decision Making 2019 19:30

    Content type: Research article

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  16. Frailty is a common clinical syndrome in ageing population that carries an increased risk for adverse health outcomes including falls, hospitalization, disability, and mortality. As these outcomes affect the h...

    Authors: Spyridon Kalogiannis, Konstantinos Deltouzos, Evangelia I. Zacharaki, Andreas Vasilakis, Konstantinos Moustakas, John Ellul and Vasileios Megalooikonomou

    Citation: BMC Medical Informatics and Decision Making 2019 19:25

    Content type: Research article

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  17. The health sector has quickly become a target for cyberattacks. Hospitals are especially sensitive to these sorts of attacks as any disruption in operations or even disclosure of patient personal information c...

    Authors: Salem T. Argaw, Nefti-Eboni Bempong, Bruce Eshaya-Chauvin and Antoine Flahault

    Citation: BMC Medical Informatics and Decision Making 2019 19:10

    Content type: Research article

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  18. Hospitals have increasingly realized that wholesale adoption of electronic medical records (EMR) may introduce differential tangible/intangible benefits to them, including improved quality-of-care, reduced med...

    Authors: Kuang Ming Kuo, Yu Chang Chen, Paul C. Talley and Chi Hsien Huang

    Citation: BMC Medical Informatics and Decision Making 2018 18:135

    Content type: Research article

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  19. Proper logistics management information system in the supply chain improves health outcomes by maintaining accurate and timely information. The purpose of this study was to determine program drugs logistics ma...

    Authors: Kefyalewu Tiye and Tadesse Gudeta

    Citation: BMC Medical Informatics and Decision Making 2018 18:133

    Content type: Research article

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  20. The use of health information technology (HIT) to improve patient safety is widely advocated by governmental and safety agencies. Electronic-prescribing and smart-pump technology are examples of HIT medication...

    Authors: Moninne M. Howlett, Brian J. Cleary and Cormac V. Breatnach

    Citation: BMC Medical Informatics and Decision Making 2018 18:130

    Content type: Research article

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  21. With advancements in information technology, computerized physician order entry (CPOE) and electronic Medical Records (eMR), have become widely utilized in medical settings. The predominant mode of CPOE in Tai...

    Authors: George Linn, Yung-Hsiang Ying and Koyin Chang

    Citation: BMC Medical Informatics and Decision Making 2018 18:109

    Content type: Research article

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  22. The decreasing cost of obtaining high-quality calls of genomic variants and the increasing availability of clinically relevant data on such variants are important drivers for personalized oncology. To allow ra...

    Authors: Johannes Starlinger, Steffen Pallarz, Jurica Ševa, Damian Rieke, Christine Sers, Ulrich Keilholz and Ulf Leser

    Citation: BMC Medical Informatics and Decision Making 2018 18:107

    Content type: Research article

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  23. Researchers paid little attention to understanding the association of organizational and human factors with patients’ perceived security in the context of health organizations. This study aims to address numer...

    Authors: Hamid Reza Peikari, Ramayah T., Mahmood Hussain Shah and May Chiun Lo

    Citation: BMC Medical Informatics and Decision Making 2018 18:102

    Content type: Research article

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  24. Recent decades have seen rapid growth in the implementation of Electronic Medical Records (EMRs) in healthcare settings in both developed regions as well as low and middle income countries. Yet despite substan...

    Authors: Amy O’Donnell, Eileen Kaner, Caroline Shaw and Catherine Haighton

    Citation: BMC Medical Informatics and Decision Making 2018 18:101

    Content type: Research article

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  25. Technology can potentially enable the implementation of a value-based healthcare system, where the impact of quality of care is offered at optimised cost for maximised patient benefit. Technology can deliver v...

    Authors: Edward Meinert, Abrar Alturkistani, David Brindley, Peter Knight, Glenn Wells and Nick de Pennington

    Citation: BMC Medical Informatics and Decision Making 2018 18:100

    Content type: Debate

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  26. Mandates abound to share publicly-funded research data for reuse, while data platforms continue to emerge to facilitate such reuse. Birth cohorts (BC) involve longitudinal designs, significant sample sizes and...

    Authors: Kiran Pohar Manhas, Shawn X. Dodd, Stacey Page, Nicole Letourneau, Carol E. Adair, Xinjie Cui and Suzanne C. Tough

    Citation: BMC Medical Informatics and Decision Making 2018 18:97

    Content type: Research article

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  27. In recent years, inter-municipal cooperation in healthcare services has been an important measure implemented to meet future demographic changes in western countries. This entails an increased focus on communi...

    Authors: Elisabeth Holen-Rabbersvik, Elin Thygesen, Tom Roar Eikebrokk, Rune Werner Fensli and Åshild Slettebø

    Citation: BMC Medical Informatics and Decision Making 2018 18:92

    Content type: Research article

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  28. Pharmacovigilance consists in monitoring and preventing the occurrence of adverse drug reactions (ADR). This activity requires the collection and analysis of data from the patient record or any other sources t...

    Authors: Thibault Ledieu, Guillaume Bouzillé, Frantz Thiessard, Karine Berquet, Pascal Van Hille, Eric Renault, Elisabeth Polard and Marc Cuggia

    Citation: BMC Medical Informatics and Decision Making 2018 18:86

    Content type: Software

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  29. Increased digitalization of healthcare comes along with the cost of cybercrime proliferation. This results to patients’ and healthcare providers' skepticism to adopt Health Information Technologies (HIT). In E...

    Authors: Pantelis Natsiavas, Janne Rasmussen, Maja Voss-Knude, Κostas Votis, Luigi Coppolino, Paolo Campegiani, Isaac Cano, David Marí, Giuliana Faiella, Fabrizio Clemente, Marco Nalin, Evangelos Grivas, Oana Stan, Erol Gelenbe, Jos Dumortier, Jan Petersen…

    Citation: BMC Medical Informatics and Decision Making 2018 18:85

    Content type: Research article

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  30. The objective of this study was to investigate the impact of patient portal adoption on patients’ primary care utilization and appointment adherence.

    Authors: Xiang Zhong, Muxuan Liang, Reynerio Sanchez, Menggang Yu, Pamela R. Budd, Julie L. Sprague and Marvin A. Dewar

    Citation: BMC Medical Informatics and Decision Making 2018 18:84

    Content type: Research article

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  31. Recently, attention has shifted to improving the design of computerized alerts via the incorporation of human factors design principles. The Instrument for Evaluating Human Factors Principles in Medication-Rel...

    Authors: Melissa T Baysari, David Lowenstein, Wu Yi Zheng and Richard O Day

    Citation: BMC Medical Informatics and Decision Making 2018 18:83

    Content type: Research article

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  32. With connected medical devices fast becoming ubiquitous in healthcare monitoring there is a deluge of data coming from multiple body-attached sensors. Transforming this flood of data into effective and efficie...

    Authors: Rahul Krishnan Pathinarupothi, P. Durga and Ekanath Srihari Rangan

    Citation: BMC Medical Informatics and Decision Making 2018 18:78

    Content type: Research article

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  33. The openEHR approach can improve the interoperability of electronic health record (EHR) through two-level modeling. Developing archetypes for the complete EHR dataset is essential for implementing a large-scal...

    Authors: Lingtong Min, Qi Tian, Xudong Lu and Huilong Duan

    Citation: BMC Medical Informatics and Decision Making 2018 18:75

    Content type: Research article

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  34. Portal use has been studied among outpatients, but its utility and impact on inpatients is unclear. This study describes portal adoption and use among hospitalized cancer patients and investigates associations...

    Authors: Duaa Aljabri, Adrian Dumitrascu, M. Caroline Burton, Launia White, Mahmud Khan, Sudha Xirasagar, Ronnie Horner and James Naessens

    Citation: BMC Medical Informatics and Decision Making 2018 18:70

    Content type: Research article

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  35. Informatics for Integrating Biology and the Bedside (i2b2) is an open source clinical data analytics platform used at over 200 healthcare institutions for querying patient data. The i2b2 platform has several c...

    Authors: Kavishwar B. Wagholikar, Pralav Dessai, Javier Sanz, Michael E. Mendis, Douglas S. Bell and Shawn N. Murphy

    Citation: BMC Medical Informatics and Decision Making 2018 18:66

    Content type: Software

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  36. Recent scientific achievements and technological advances have brought forward a massive display of new or updated medical devices, enabled with highly-developed embedded-control functions and interactivity. F...

    Authors: Ignacio Ghersi, Mario Mariño and Mónica Teresita Miralles

    Citation: BMC Medical Informatics and Decision Making 2018 18:63

    Content type: Research article

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  37. Healthcare professionals provide care to patients and during that process, record large quantities of data in patient records. Data in an Electronic Health Record should ideally be recorded once and be reusabl...

    Authors: Erik Joukes, Ronald Cornet, Martine C. de Bruijne, Nicolette F. de Keizer and Ameen Abu-Hanna

    Citation: BMC Medical Informatics and Decision Making 2018 18:54

    Content type: Research article

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  38. Traditional health information systems are generally devised to support clinical data collection at the point of care. However, as the significance of the modern information economy expands in scope and permea...

    Authors: Richard Jackson, Ismail Kartoglu, Clive Stringer, Genevieve Gorrell, Angus Roberts, Xingyi Song, Honghan Wu, Asha Agrawal, Kenneth Lui, Tudor Groza, Damian Lewsley, Doug Northwood, Amos Folarin, Robert Stewart and Richard Dobson

    Citation: BMC Medical Informatics and Decision Making 2018 18:47

    Content type: Software

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  39. Alcohol misuse is an important cause of premature disability and death. While clinicians are recommended to ask patients about alcohol use and provide brief interventions and specialist referral, this is poorl...

    Authors: Shamil Haroon, Darren Wooldridge, Jan Hoogewerf, Krishnarajah Nirantharakumar, John Williams, Lina Martino and Neeraj Bhala

    Citation: BMC Medical Informatics and Decision Making 2018 18:36

    Content type: Research article

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  40. Genomic medicine is emerging into clinical care. Communication of genetic laboratory results to patients and providers is hampered by the complex technical nature of the laboratory reports. This can lead to co...

    Authors: Marc S. Williams, Melissa S. Kern, Virginia R. Lerch, Jonathan Billet, Janet L. Williams and Gregory J. Moore

    Citation: BMC Medical Informatics and Decision Making 2018 18:32

    Content type: Technical advance

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  41. We examined the comparative performance of structured, diagnostic codes vs. natural language processing (NLP) of unstructured text for screening suicidal behavior among pregnant women in electronic medical rec...

    Authors: Qiu-Yue Zhong, Elizabeth W. Karlson, Bizu Gelaye, Sean Finan, Paul Avillach, Jordan W. Smoller, Tianxi Cai and Michelle A. Williams

    Citation: BMC Medical Informatics and Decision Making 2018 18:30

    Content type: Research article

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  42. Health Information Organizations (HIOs) are third party organizations that facilitate electronic health information exchange (HIE) between providers in a geographic area. Despite benefits from HIE, HIOs have s...

    Authors: Sunny C. Lin and Julia Adler-Milstein

    Citation: BMC Medical Informatics and Decision Making 2018 18:28

    Content type: Research article

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  43. There is potential for medical research on the basis of routine data used from general practice electronic health records (GP eHRs), even in areas where there is no common GP research platform. We present a ca...

    Authors: Šefket Šabanović, Majnarić Trtica Ljiljana, František Babič, Michal Vadovský, Ján Paralič, Aleksandar Včev and Andreas Holzinger

    Citation: BMC Medical Informatics and Decision Making 2018 18:24

    Content type: Research article

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  44. Large healthcare databases, with their ability to collect many variables from daily medical practice, greatly enable health services research. These longitudinal databases provide large cohorts and longitudina...

    Authors: Daniel I. Rhon, Derek Clewley, Jodi L. Young, Charles D. Sissel and Chad E. Cook

    Citation: BMC Medical Informatics and Decision Making 2018 18:10

    Content type: Database

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  45. Healthcare work is, to a considerable extent, cognitive. Subsequently, the analysis and the design of supporting technology must be sensitive to the cognitive and adaptive demands of the work and to the cognit...

    Authors: Gavan Lintern and Al Motavalli

    Citation: BMC Medical Informatics and Decision Making 2018 18:3

    Content type: Debate

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  46. The use of health information technology (IT) has been shown to promote patient safety in Labor and Delivery (L&D) units. The use of health IT to apply safety science principles (e.g., standardization) to L&D ...

    Authors: Jennifer Webb, Asta Sorensen, Samantha Sommerness, Beth Lasater, Kamila Mistry and Leila Kahwati

    Citation: BMC Medical Informatics and Decision Making 2017 17:176

    Content type: Research article

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  47. Intensive care information systems (ICIS) are continuously evolving to meet the ever changing information needs of intensive care units (ICUs), providing the backbone for a safe, intelligent and efficient pati...

    Authors: Yanhong Qin, Ranyun Zhou, Qiong Wu, Xiaodi Huang, Xinli Chen, Weiwei Wang, Xun Wang, Hua Xu, Jing Zheng, Siyu Qian, Changqing Bai and Ping Yu

    Citation: BMC Medical Informatics and Decision Making 2017 17:165

    Content type: Research article

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  48. Adequate record keeping of medication adverse events in electronic health records systems is important for patient safety. Events that remain unrecorded cannot be communicated from one health professional to a...

    Authors: Sabine E. M. de Hoon, Karin Hek, Liset van Dijk and Robert A. Verheij

    Citation: BMC Medical Informatics and Decision Making 2017 17:163

    Content type: Research article

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