Guidelines for the Prevention and Treatment of ... - HIV.gov Opportunistic Infections . Feedback. Opportunistic Infections: Prevention - HIV Guidelines for the Prevention and Treatment of ... Table 1. To view or download the guidelines, go to the Adult and Adolescent Opportunistic Infection Guidelines section of Clinical Info’s website. In the past, people with HIV infection would start antiretroviral treatment after their CD4 count dropped or they developed HIV complications. Guidelines for the prevention and treatment of opportunistic infections in HIV-infected adults and adolescents: recommendations from the Centers for Disease Control and Prevention, the … Opportunistic Infections in HIV Flashcards | Quizlet Least Difficult. Guidelines Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV A-2 History of These Guidelines In 1989, the Guidelines for Prophylaxis Against Pneumocystis carinii Pneumonia for Persons Infected with the Human Immunodeficiency Virus became the first HIV-related treatment guideline published by the Kaplan JE, Benson C, Holmes KH, Brooks JT, Pau A, Masur H. Guidelines for prevention and treatment of opportunistic infections in HIV-infected adults and adolescents: … HIV/AIDS Covers HIV treatment. The brief versions of the guidelines are compilations of the panels’ treatment recommendations and tables. HIV (human immunodeficiency virus) is a type of slow-acting virus (lentivirus) that has a long incubation period and often ends in fatal consequences. In the case of HIV exposure, post-exposure prophylaxis (PEP) is a course of antiretroviral drugs which reduces the risk of seroconversion after events with high risk of exposure to HIV (e.g., unprotected anal or vaginal sex, needlestick injuries, or sharing needles). … Opportunistic Infection Prophylaxis | HIV-ASSIST Post-Exposure Prophylaxis Key words: prophylaxis-AIDS; opportunistic infection; vaccination-HIV; pneumocystis-prophylaxis, toxoplasmosis-prophylaxis, MAC-prophylaxis, VZV ‹ 14. Table 6 Prophylaxis for Opportunistic Infections in Adults With HIV ... Stancliff S, Stevens LC, Hoffmann CJ, Gonzalez CJ, Substance Use Guidelines Committee. Guidelines; Table 1. Secondary Prophylaxis of Opportunistic Infections in HIV-Exposed and HIV-Infected Children — Summary of Recommendations Download Guidelines Section Only PDF (240.82 KB) Opportunistic infections are infections that could generally be fought off by a healthy immune system. These guidelines are intended for use by clinicians and other healt … This report updates and combines into one document earlier versions of guidelines for preventing and … A separate document about preventing and treating of OIs among HIV-infected adults and postpubertal adolescents (Guidelines for the Prevention and Treatment of … You must start it within 72 hours (3 days) after a possible exposure to HIV, or it won’t work. After the 2013 full guidelines release, the Panel on Opportunistic Infections in HIV-Exposed and HIV-Infected Children (the Panel) modified its process so that individual sections would be published as they were updated, allowing for more timely appearance of new recommendations. However, opportunistic infections continue to cause morbidity and mortality in HIV-infected individuals should have monitoring every 1-2 months of their CD4 counts to identify the appropriate time to start PJP prophylaxis. reducing morbidity and mortality among persons living with HIV. Overview. providing prophylaxis to individuals with HIV who have negative serologic testing for coccidioidomycosis), even for persons with a low CD4 cell count who live in endemic regions (AIII). To provide an update of guidelines from the Spanish AIDS Study Group (GESIDA) and the National AIDS Plan (PNS) committee on the prevention of opportunistic infections in adult … BHIVA/BASHH guidelines on the use of HIV pre-exposure prophylaxis (PrEP) 2018 Introduction We aim to provide evidence-based guidance on best clinical practice in the provision, monitoring and support of pre-exposure prophylaxis … Match. Prophylaxis against many OIs can be discontinued for patients who respond to ART and maintain a CD4+ count above the recommended threshold for more than 3 months. Opportunistic infections (OI) are a significant cause of morbidity and mortality in patients with HIV/AIDS. Keywords: guidelines, opportunistic infections, antiretroviral therapy Advances in the treatment of HIV infection with antiretro-viraltherapy have led todramaticreductions inopportunistic infections and death. Prophylaxis. Panel on Opportunistic Infections in HIV-Infected Adults and Adolescents. Pneumocystis Pneumonia (PCP) • CD4 increased from < 200 to > 200 for > 3 mos in response to ART • Can consider when CD4 count 100-200 if HIV RNA < … Overview. Opportunistic Infections in HIV. Opportunistic infections are infections that occur more often and are more severe in people with weakened immune systems than in people with … The 2010 National Guidelines for HIV/AIDS Treatment and Care is a revision of the 2007 guidelines and it makes far reaching recommendations for the treatment and care of persons living with HIV/AIDS. Azithromycin (Zithromax) ...US, its brand name is Zithromax. It is sold under many other brand names in other countries, including Ultreon. Antibioticsfight infections caused by bacteria. Azithromycin is used to fight opportunistic infections in people with HIV. Guidelines for Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents Recommendations from CDC, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America Prepared by Jonathan E. Kaplan, MD 1 Constance Benson, MD 2 King K. Holmes, MD, PhD 3 Primary prophylaxis is not recommended if suppressive antiretroviral therapy is immediately started, regardless of CD4 cell count. Alternative Therapy: Table 1. Table 1. Human immunodeficiency virus (HIV) is a retrovirus known to attack the CD4+ T lymphocytes. Atovaquone is a possible alternative drug for PCP prophylaxis among dapsone-intolerant persons with HIV infection (210); however, no recommendation regarding use of atovaquone … Following initial infection an individual may not notice any symptoms, or may experience a brief period of influenza-like illness. An opportunistic infection may be defined as a usually progressive infection by a microorganism that has limited ... 3.3 Human immunodeficiency virus (HIV) infection. Prophylaxis Against Opportunistic Infection. Can be first presentation of HIV. Elements to be considered in the situation analysis • Prevalence of HIV infection in the children (under 15 )and adults (15-49 years) [] As observed in patients with hemophilia who … THE USE OF CO-TRIMOXAZOLE PROPHYLAXIS FOR HIV-RELATED INFECTIONS AMONG ADULTS, ADOLESCENTS AND CHILDREN Supplementary section to the 2013 … b) prophylaxis options: 1. This report updates and combines earlier versions of guidelines for the prevention and treatment of opportunistic infections (OIs) in HIV-infected adults (i.e., persons aged >18 years) and adolescents (i.e., persons aged 13--17 years), last published in … Why do people with HIV get OIs? new developments in HIV/AIDS Treatment and Care and ensure that practice of ART in Nigeria remain modern and compatible with global best practice. HIV infection in pregnancy. Treatment interruption may lead to rebound viremia, and, in some cases, the emergence of drug resistance. Reduced progression of HIV infec-tion would also indirectly delay or reduce the occurrence of subsequent OIs. Typically, this is followed by a prolonged … The Adult and Adolescent Opportunistic Infection Guidelines recommend the following as indications for initiating primary PCP prophylaxis:[8] CD4 count less than 200 cells/mm3(AI), or CD4 percentage less than 14% cells/mm3(BII), or CD4 count greater than 200 cells/mm3but less than 250 cells/mm3if antiretroviral therapy must be HIV Med 2020; 21 Suppl 5:1-19. Also known as T cells, CD4s are a kind of white blood cell that plays an important role in keeping you healthy by fighting infections. [2,3] HIV-infected individuals should have monitoring every 1-2 months of their CD4 counts to identify the appropriate time to start PJP prophylaxis. 14 (4): 383–6. 5. This report updates and combines earlier versions of guidelines for preventing and treating opportunistic infections (OIs) among HIV-exposed and infected children. In the absence … OI Prophylaxis. Whenever possible, ART and opportunistic infection prophylaxis should be continued in a patient with HIV who develops COVID-19, including in those who require hospitalization (AIII). Preexposure Prophylaxis for the Prevention of HIV Infection in the United States – 2021 Update pdf icon [PDF – 2 MB] These guidelines provide comprehensive information for the use of … Opportunistic infections (OIs) are the hallmark of the immunodeficiency associated with HIV infection. The brief version is a compilation of the tables and boxed recommendations. Clinicalinfo.HIV.gov : Guidelines for the Prevention and Treatment of Opportunistic Infections in HIV-Exposed and HIV-Infected Children: Webpage (HTML) Clinicalinfo.HIV.gov : Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents Living with HIV: Webpage (HTML) Clinicalinfo.HIV.gov Recent changes with respect to opportunistic prophylaxis and treatment include the immune reconstitution inflammatory syndromes (IRIS), which may occur in approximately 25% of patients who begin HAART in the setting of advanced HIV disease and CD4 counts below 100 cells/mcL. Lancet 2005;365:233-240. 6 Introduction and Objectives This is the second edition of the Guidelines for the Clinical Management of HIV Infection in Adults and Adolescents and is fully updated from the … Because the guidelines target HIV-exposed and HIV-infected children in the United States, the opportunistic pathogens discussed are those common to the United States and do not … Data on the proper administration of prophylactic regimes for the prevention of … Use if CD4 count is <200 or CD4% is <14% or if patient has a history of oral thrush. PLAY. Semantics IPT - isoniazid preventative therapy INH - isoniazid. Terms in this set (21) What is used for primary prophylaxis in HIV. Opportunistic infection prophylaxis during pregnancy follows general adult guidelines. One of the major recommendations in the guidelines is that an HIV-prevention method called pre-exposure prophylaxis, or PrEP, be part of prevention efforts for men who have sex with men. PrEP involves taking a daily pill containing two medicines, and it can help protect an uninfected person against HIV -- although it's not 100% effective. It commonly causes encephalitis in HIV-infected patients. The National HIV Curriculum is an AIDS Education and Training Center (AETC) Program supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,000,000 with 0% financed with non-governmental sources. By continuing to browse this site you are agreeing to our use of cookies. The Adult and Adolescent Opportunistic Infection Guidelines recommend against the routine use of primary antifungal prophylaxis for coccidioidomycosis (e.g. The guidelines … Probably the most widely used antibiotic worldwide in the HIV-infected population is trimethoprim-sulfamethoxazole (TMP-SMX) which … Reference. Chadwick DR, Sutherland RK, Raffe S et al. HIV infection happens in three stages. Archived Guidelines (1) Guidelines for Caring for Persons with HIV in Disaster Areas (4) HIV Clinical Guidelines: Adult and Adolescent ARV (19) HIV Clinical Guidelines: Adult and … REFERENCES. USPHS/IDSA guidelines for the prevention of opportunistic infections in persons infected with human immunodeficiency virus: a summary. treatment and prophylaxis of opportunistic infections in hiv All doses stated should be reviewed for each individual patient and adjusted if they have renal or liver impairment. Your feedback is welcomed on the latest revisions to the Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV. This fourth edition … Common opportunistic infections associated with HIV include:cryptococcal meningitistoxoplasmosisPCP (a type of pneumonia)oesophageal candidiasiscertain cancers, including Kaposi’s sarcoma. 2021 Jul. Trimethoprim-sulfamethoxazole, 1 SS PO daily a ( AI ). Flashcards. In this stage, the immune system has been weakened by the HIV virus and is less able to fight off infections. • Children both HIV exposed and HIV infected are at greater risk of mortality due to common childhood illnesses and … British HIV Association guidelines on the management of opportunistic infection in people living with HIV: the clinical management of gastrointestinal opportunistic infections 2020. Discontinue when CD4 … In HIV infection, symptomatic disease most often occurs as a result of reactivation of latent infection. Management of HIV infection in pregnancy should focus on the well-being of the women living with HIV, by ensuring that their ART regimen maximally suppresses viral replication as early as possible (if possible before conception) in order to minimise vertical transmission of HIV. The HIV infection is caused by the human immunodeficiency virus (HIV). That means if a person with HIV has one of these conditions, they are diagnosed with AIDS, the most serious stage of HIV infection. Regimens for Pneumocystis Pneumonia Primary Prophylaxis. Any potential interactions with HIV medicines can be checked at www.hiv-druginteractions.org • Children both HIV exposed and HIV infected are at greater risk of mortality due to common childhood illnesses and opportunistic infections. Prevention of Opportunistic Infections (OIs) in Those With HIV Infection. World Health Organization Guidelines on Co-Plasmodium falciparum malaria on concentration of trimoxazole Prophylaxis for HIV-related Infections HIV-1 RNA in the blood of adults in rural Malawi: a Among Children, Adolescents, and Adults, prospective cohort study. Downloads their HIV treatment may not be working properly. PEP, or post-exposure prophylaxis, is a short course of HIV medicines taken very soon after a possible exposure to HIV to prevent the virus from taking hold in your body. syndrome: occurs in 20% of patients, usually in first 2 months of starting ART. Today, OIs are less common in people with HIV because of effective HIV treatment. Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV. Initiate antifungal prophylaxis with fluconazole at this visit and continue fluconazole as long as her CD4 cell count is less than 200 cells/mm 3 Guidelines for the Prevention of Opportunistic Infections. Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection: Webpage (HTML) World Health Organizations : Guidance for Industry: Human Immunodeficiency Virus-1 Infection: Developing Antiretroviral Drugs for Treatment: Webpage (HTML) U.S. Food and Drug Administration Kaplan JE, … HIV-infected persons should be started on prophylaxis for PCP when the CD4+ cell count falls below 200 cells/mm 3. Opportunistic infections (OIs) are infections that occur more frequently and are more severe in people with weakened immune systems, including people with HIV. The guidelines are scheduled for full review by 2025. Covers symptoms and stages … Clinical guidelines outline the science and recommendations the care and treatment of people with HIV. Definition of opportunistic infections An opportunistic infection (OI) is a disease caused by a microbial agent in the presence of a compromised host immune system. Learn. "This report updates and combines earlier versions of guidelines for the prevention and treatment of opportunistic infections (OIs) in HIV-infected adults (i.e., … After the 2013 full guidelines release, the Panel on Opportunistic Infections in HIV-Exposed and HIV-Infected Children (the Panel) modified its process so that … 1) Co trimoxazole 2) InsoniaZid. Opportunistic infections (OIs) are a leading cause of mortality and morbidity in patients living with HIV/AIDS. Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV The information in the brief version is excerpted directly from the full-text guidelines. Prior to starting PJP prophylaxis, patients … Of the two subtypes, HIV-1 and HIV-2, the former is common and prevalent … World Health Organization Guidelines on Co-Plasmodium falciparum malaria on concentration of trimoxazole Prophylaxis for HIV-related Infections HIV-1 RNA in the blood of adults in rural … Retrieved … Although guidelines for postpubertal adolescents can be found in the adult ... for prophylaxis would be evaluated. The following table is addapted from the DHHS Guidelines for the Prevention and Treatment of Opportunistic Infections[bib]196 [/bib] Supporting Organizations 5. Download Prevention And Treatment Of Opportunistic And Hiv Related Diseases In Adults Book For Free in PDF, EPUB. Whenever possible, ART and opportunistic infection prophylaxis should be continued in a patient with HIV who develops COVID-19, including in those who require … {{configCtrl2.info.metaDescription}} This site uses cookies. Prior to starting PJP prophylaxis, patients should be assessed to confirm that they do not have active pulmonary disease requiring specific therapy (i.e. Prophylaxis to Prevent First Episode of Opportunistic Disease | NIH Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV Tables Updated Aug. 18, 2021 Table 1. British HIV Association guidelines on the management of opportunistic … 4. Although the incidence of OI has reduced since the introduction of highly active antiretroviral therapy (ART) in 1995, it continues to add to the burden of HIV-related hospitalizations and deaths in patients. In 1995, the U.S. Public Health Service (USPHS) and the Infectious Diseases Society of America (IDSA) developed guidelines for preventing opportunistic infections (OIs) among persons infected with human immunodeficiency virus (HIV); these guidelines were updated in 1997 and 1999. Need = Our healthcare … Diagnosis: HIV nucleic acid testing (NAT) to detect HIV RNA or DNA, which will provide early diagnosis of pediatric HIV infection. Reduce the economic burden of HIV infection by preventing opportunistic infections, reducing the impact of chronic diseases and reducing inappropriate diagnostic tests and treatment. Shih C-C, Kaneshima H, Rabin L, et al. HIV-infected children Ann Intern Med 1996;124:348 68. They are primarily intended to guide practice in the UK and related health systems. Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. This is because they have damaged immune systems. J Infect Dis 1991;163:625--7. HIV-related opportunistic infection (OI) risk in people living with HIV (PLWH) increases as the CD4+ count declines. Prior to the availability of effective antiretroviral therapy (ART), most patients with HIV infection … These clinical guidelines include content related to antiretroviral therapy, opportunistic infection treatment, prophylaxis, COVID-19 (interim guidelines) and more. The revised guidelines recommend the discontinuation … Gravity. Often preventable. The … Healthcare providers do not always adequately screen HIV-positive patients for or recognize clinical evidence for possible opportunistic infections. The guidelines are scheduled for full review by 2025. Opportunistic infections (OIs) are illnesses that occur more frequently and are more severe in people with HIV. Based on the Adult and Adolescent Opportunistic Infection Guidelines, which one of the following is recommended regarding initiating prophylaxis to prevent disseminated MAC disease in adults with HIV. The brief version is a compilation of the tables and boxed recommendations. Based on the Adult and Adolescent Opportunistic Infection Guidelines, which one of the following is recommended regarding initiating prophylaxis to prevent disseminated MAC … Overview Updates to the Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV. After HIV is in the body, it starts to destroy CD4+ cells, which are white blood cells that help the body fight infection and disease.. HIV is spread when blood, semen, or vaginal fluids from an infected person enter another person's body, usually through sexual contact, from sharing needles … PROPHYLAXIS OF OPPORTUNISTIC INFECTIONS. Opportunistic Infections in HIV-Infected Children in the Era of Potent ... among youth with behaviorally acquired HIV infection. … Cause. Interim CDC guidelines were issued in 2011 based on the multinational study called the Pre-exposure Prophylaxis Initiative (iPrEx) trial that found that once-daily … The guideline also covers special scenarios such as PEP in pregnancy, breastfeeding, chronic hepatitis B infection, and when PEP should be considered in people using HIV PrEP. INH vs IPT. Preferred Therapy: Trimethoprim-sulfamethoxazole, 1 DS PO daily a ( AI) or. The Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV document is published in an electronic format that can be easily updated as relevant changes in prevention … Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV. These guidelines have been drawn up to help physicians investigate and manage HIV-seropositive patients suspected of, or having an opportunistic infection (OI). In order to read online Prevention And Treatment Of Opportunistic … Spell. Reference. Guidelines for the prevention and treatment of opportunistic infections in HIV-infected adults and adolescents: Recommendations from the Centers for Disease Control and Prevention, the National Institutes of Health, and the HIV Medicine Association of the Infectious … Chadwick DR, Sutherland RK, Raffe S et al. Initiation of … Antiretroviral therapy (ART) Immune reconstitution inflammatory syndrome (IRIS) Important things to note and consider: IRIS: immune reconst. ", "clinical": "Discusses HIV, a virus that attacks white blood cells called CD4+ cells which are an important part of the immune system. Write. The information in the brief version is excerpted directly from the full-text guidelines. Furthermore, a recent UK Health Protection Agency (HPA) analysis showed that of 46 700 patients with diagnosed HIV, 19% had CD4 counts o200 cells/mL [2] and therefore remain at significant risk of opportunistic infection. Pneumocystis carinii. THE USE OF CO-TRIMOXAZOLE PROPHYLAXIS FOR HIV-RELATED INFECTIONS AMONG ADULTS, ADOLESCENTS AND CHILDREN Supplementary section to the 2013 WHO consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection, Chapter 8 – Prevention, screening and management of common coinfections 5.1 … Created by. Toxoplasmosis has been reported as the most common opportunistic infection in HIV/AIDS in developed countries and most common cause of focal brain lesions, coma and death. Opportunistic Infection Prophylaxis Opportunistic Infection Prophylaxis LAST UPDATED on 5-7-2017 Prophylaxis should be considered to prevent certain opportunistic infections. Prophylaxis is recommended for all HIV-infected children aged ≥6 years who have CD4 T lymphocyte (CD4) cell counts <200 cells/mm3or CD4 percentage <15%, for children aged 1 to <6 years with CD4 counts <500 cells/mm3or CD4 percentage <15%, and for all HIV-infected infants aged <12 months regardless of CD4 count or percentage (AII). A. PCP or tuberculosis). Based on the Adult and Adolescent Opportunistic Infection Guidelines, which one of the following would be recommended as a strategy to prevent this woman from developing coccidioidomycosis? The federally approved medical practice guidelines for HIV/AIDS are developed by panels of experts in HIV care. Opportunistic infections are defined as infections that are either more severe because of HIV-related immunosuppression, or more frequent. The Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV provide detailed information on HIV-related OIs. the u.s. department of health and human services (hhs) recently published two updates to its guidelines for the prevention and treatment of opportunistic infections in adults and adolescents with hiv (oi guidelines) which include new information about the management of four infectious diseases – cytomegalovirus (cmv), cryptococcosis, … History of the Guidelines. kirsten_moody8. PMID 10770540. Primary Prophylaxis Guidelines for the Prevention and Treatment of Opportunistic Infections in HIV-Exposed and HIV-Infected Children. Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents with HIV A-2 History of These Guidelines In 1989, the Guidelines for Prophylaxis Against Pneumocystis carinii Pneumonia for Persons Infected with the Human Immunodeficiency Virus became the first HIV-related treatment guideline published by the Good practice in NYS is to perform NAT testing within 48 … HIV infection (27–31). Once a person has HIV, the virus begins to … "Discontinuation of secondary prophylaxis for opportunistic infections in HIV-infected patients receiving highly active antiretroviral therapy". The history should include information on the most recent CD4 cell count, the person's HIV risk factors and habits, history of prior opportunistic infections and current use of opportunistic … Human immunodeficiency virus (HIV) is a blood-borne virus typically transmitted via sexual intercourse, shared intravenous drug paraphernalia, and mother-to-child transmission (MTCT), which can occur during the birth process or during breastfeeding. Individuals with CD4 T-cell counts lower than 200 … Pneumonia for persons infected with the human immunodeficiency virus became the first HIV-related treat- AIDS is the most severe stage of HIV infection. Risk also increases in patients who are not receiving, or are not … Based on the Adult and Adolescent Opportunistic Infection Guidelines, which one of the following is recommended regarding initiating prophylaxis to prevent disseminated MAC disease in adults with HIV. The guidelines are available in multiple formats. The guidelines are aimed at clinical professionals directly involved with, and responsible for, the care of adults with HIV infection, and at community advocates responsible for promoting the … Prophylaxis … HIV/AIDS is treated with medicines that stop the virus from multiplying. 28 –HIV Associated Opportunistic Infections I Speaker: Henry Masur, MD ©2021 Infectious Disease Board Review, LLC Management of AIDS-Related Opportunistic Infections I ... Primary and Secondary OI Prophylaxis These Are Guidelines But They Are Based on 1980-1990 ART Least Difficult. Preventing First Episode of Toxoplasma gondii Encephalitis (Primary Prophylaxis) Preferred Regimen: Trimethoprim-sulfamethoxazole, 1 DS PO daily ( AII) Alternative Regimens: Primary prophylaxis is not recommended if suppressive antiretroviral therapy is immediately started, regardless of CD4 cell count and most often indicates poor HIV viral control [3]. 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