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Volumn 36, Issue 2, 2009, Pages 184-191

The improvement of wound-associated pain and healing trajectory with a comprehensive foot and leg ulcer care model

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; COMMUNITY HEALTH NURSING; COMPRESSION GARMENT; EPIDEMIOLOGY; EVALUATION; FEMALE; HOME CARE; HOSPITALIZATION; HUMAN; LEG ULCER; MALE; METHODOLOGY; MIDDLE AGED; MODEL; NURSING; NURSING ASSESSMENT; NURSING EVALUATION RESEARCH; ORGANIZATION AND MANAGEMENT; PAIN; PAIN ASSESSMENT; PATIENT CARE; PROSPECTIVE STUDY; SKIN CARE; TREATMENT OUTCOME; VALIDATION STUDY; WOUND HEALING;

EID: 67651068900     PISSN: 10715754     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.WON.0000347660.87346.ed     Document Type: Article
Times cited : (35)

References (58)
  • 1
    • 0032201271 scopus 로고    scopus 로고
    • Pain associated with venous ulcers in injecting drug users
    • 60-67
    • Pieper B, Rossi R, Templin T. Pain associated with venous ulcers in injecting drug users. Ostomy Wound Manage. 1998; 44(11):54-58, 60-67.
    • (1998) Ostomy Wound Manage , vol.44 , Issue.11 , pp. 54-58
    • Pieper, B.1    Rossi, R.2    Templin, T.3
  • 2
    • 1542635979 scopus 로고    scopus 로고
    • Understanding venous leg ulcer pain: Results of a longitudinal study
    • Nemeth KA, Harrison MB, Graham ID, Burke S. Understanding venous leg ulcer pain: results of a longitudinal study. Ostomy Wound Manage. 2004;50(1):34-36.
    • (2004) Ostomy Wound Manage , vol.50 , Issue.1 , pp. 34-36
    • Nemeth, K.A.1    Harrison, M.B.2    Graham, I.D.3    Burke, S.4
  • 3
    • 34547982937 scopus 로고    scopus 로고
    • A systematic review on the impact of leg ulceration on patients' quality of life
    • Herber OR, Schnepp W, Rieger MA. A systematic review on the impact of leg ulceration on patients' quality of life. Health Qual Life Outcomes. 2007;5:44.
    • (2007) Health Qual Life Outcomes , vol.5 , pp. 44
    • Herber, O.R.1    Schnepp, W.2    Rieger, M.A.3
  • 4
    • 27144468693 scopus 로고    scopus 로고
    • The views of patients living with healed venous leg ulcers
    • 80, 82-83 passim
    • Flaherty E. The views of patients living with healed venous leg ulcers. Nurs Stand. 2005;19(45):78, 80, 82-83 passim.
    • (2005) Nurs Stand , vol.19 , Issue.45 , pp. 78
    • Flaherty, E.1
  • 5
    • 0034263423 scopus 로고    scopus 로고
    • The lived experience of having a pressure ulcer: A qualitative analysis
    • Langemo DK, Melland H, Hanson D, Olson B, Hunter S. The lived experience of having a pressure ulcer: a qualitative analysis. Adv Skin Wound Care. 2000;13(5):225-235.
    • (2000) Adv Skin Wound Care , vol.13 , Issue.5 , pp. 225-235
    • Langemo, D.K.1    Melland, H.2    Hanson, D.3    Olson, B.4    Hunter, S.5
  • 7
    • 33846974309 scopus 로고    scopus 로고
    • Pressure ulcers and their treatment and effects on quality of life: Hospital inpatient perspectives
    • Spilsbury K, Nelson A, Cullum N, Iglesias C, Nixon J, Mason S. Pressure ulcers and their treatment and effects on quality of life: hospital inpatient perspectives. J Adv Nurs. 2007;57(5):494-504.
    • (2007) J Adv Nurs. , vol.57 , Issue.5 , pp. 494-504
    • Spilsbury, K.1    Nelson, A.2    Cullum, N.3    Iglesias, C.4    Nixon, J.5    Mason, S.6
  • 8
    • 16644391635 scopus 로고    scopus 로고
    • The importance of pain reduction through dressing selection in routine wound management: The MAPP study
    • Meaume S, Teot L, Lazareth I, Martini J, Bohbot S. The importance of pain reduction through dressing selection in routine wound management: the MAPP study. J Wound Care. 2004; 13(10):409-413.
    • (2004) J Wound Care , vol.13 , Issue.10 , pp. 409-413
    • Meaume, S.1    Teot, L.2    Lazareth, I.3    Martini, J.4    Bohbot, S.5
  • 9
    • 0035194906 scopus 로고    scopus 로고
    • Pain and cognitive status among nursing home residents in Canada
    • Proctor WR, Hirdes JP. Pain and cognitive status among nursing home residents in Canada. Pain Res Manag. 2001;6(3):119-125.
    • (2001) Pain Res Manag , vol.6 , Issue.3 , pp. 119-125
    • Proctor, W.R.1    Hirdes, J.P.2
  • 11
    • 33847039144 scopus 로고    scopus 로고
    • The impact of venous ulcer pain: What can the patient teach us?
    • Stevens H. The impact of venous ulcer pain: what can the patient teach us? Br J Community Nurs. 2006;11(12)(suppl): 27-30.
    • (2006) Br J Community Nurs. , vol.11 , Issue.12 SUPPL. , pp. 27-30
    • Stevens, H.1
  • 13
    • 39049178305 scopus 로고    scopus 로고
    • Living with venous leg ulceration: Issues concerning adherence
    • Mudge E, Holloway S, Simmonds W, Price P. Living with venous leg ulceration: issues concerning adherence. Br J Nurs. 2006;15(21):1166-1171.
    • (2006) Br J Nurs. , vol.15 , Issue.21 , pp. 1166-1171
    • Mudge, E.1    Holloway, S.2    Simmonds, W.3    Price, P.4
  • 14
    • 38449086120 scopus 로고    scopus 로고
    • Pain and quality of life in patients with vascular leg ulcers: An Italian multicentre study
    • Guarnera G, Tinelli G, DiPetro C, Abeni D, Sampogna F, Tabolli S. Pain and quality of life in patients with vascular leg ulcers: an Italian multicentre study. J Wound Care. 2007;16(8):347-351.
    • (2007) J Wound Care , vol.16 , Issue.8 , pp. 347-351
    • Guarnera, G.1    Tinelli, G.2    Dipetro, C.3    Abeni, D.4    Sampogna, F.5    Tabolli, S.6
  • 15
    • 33750700824 scopus 로고    scopus 로고
    • Do clinical and social factors predict quality of life in leg ulceration?
    • Franks PJ, Moffatt CJ. Do clinical and social factors predict quality of life in leg ulceration? Int J Low Extrem Wounds. 2006;5(4):236-243.
    • (2006) Int J Low Extrem Wounds , vol.5 , Issue.4 , pp. 236-243
    • Franks, P.J.1    Moffatt, C.J.2
  • 16
    • 17844376795 scopus 로고    scopus 로고
    • Measuring the impact of venous leg ulcers on quality of life
    • Hareendran A, Bradbury A, Budd J, et al. Measuring the impact of venous leg ulcers on quality of life. J Wound Care. 2005;14(2):53-57.
    • (2005) J Wound Care , vol.14 , Issue.2 , pp. 53-57
    • Hareendran, A.1    Bradbury, A.2    Budd, J.3
  • 17
    • 0141429947 scopus 로고    scopus 로고
    • Living with a chronic leg ulcer: An insight into patients' experiences and feelings
    • Douglas V. Living with a chronic leg ulcer: an insight into patients' experiences and feelings. J Wound Care. 2001;10(9):355-360.
    • (2001) J Wound Care , vol.10 , Issue.9 , pp. 355-360
    • Douglas, V.1
  • 19
    • 1842781795 scopus 로고    scopus 로고
    • Venous leg ulcer patients: A review of the literature on lifestyle and pain-related interventions
    • Heinen MM, VanAchterberg T, Op Reimer WS, Van de Kerkhof PC, De Laat E. Venous leg ulcer patients: a review of the literature on lifestyle and pain-related interventions. J Clin Nurs. 2004;13(3):355-366.
    • (2004) J Clin Nurs. , vol.13 , Issue.3 , pp. 355-366
    • Heinen, M.M.1    Vanachterberg, T.2    Op Reimer, W.S.3    Van De Kerkhof, P.C.4    De Laat, E.5
  • 20
    • 23844488020 scopus 로고    scopus 로고
    • Quality of life of individuals with chronic venous ulcers
    • Yamada BFA, de Gouveia Santos VLC. Quality of life of individuals with chronic venous ulcers. Wounds. 2005;17(7):178-189.
    • (2005) Wounds , vol.17 , Issue.7 , pp. 178-189
    • Yamada, B.F.A.1    De Gouveia Santos, V.L.C.2
  • 21
    • 0035240092 scopus 로고    scopus 로고
    • A longitudinal, quality of life study comparing four layer bandaging and superficial venous surgery for the treatment of venous leg ulcers
    • Loftus S. A longitudinal, quality of life study comparing four layer bandaging and superficial venous surgery for the treatment of venous leg ulcers. J Tissue Viability. 2001;11(1):14-19.
    • (2001) J Tissue Viability , vol.11 , Issue.1 , pp. 14-19
    • Loftus, S.1
  • 23
    • 33645999984 scopus 로고    scopus 로고
    • The prevalence and occurrence of diabetic foot ulcer pain and its impact on healthrelated quality of life
    • Ribu L, Rustøen T, Birkeland K, et al. The prevalence and occurrence of diabetic foot ulcer pain and its impact on healthrelated quality of life. J Pain. 2006;7(4):290-299.
    • (2006) J Pain , vol.7 , Issue.4 , pp. 290-299
    • Ribu, L.1    Rustøen, T.2    Birkeland, K.3
  • 24
    • 3042613605 scopus 로고    scopus 로고
    • Practical treatment of pain in patients with chronic wounds: Pathogenesis-guided management
    • Freedman G, Entero H, Brem H. Practical treatment of pain in patients with chronic wounds: pathogenesis-guided management. Am J Surg. 2004;188(suppl 1A):31-35.
    • (2004) Am J Surg. , vol.188 , Issue.SUPPL. 1A , pp. 31-35
    • Freedman, G.1    Entero, H.2    Brem, H.3
  • 25
    • 1642526733 scopus 로고    scopus 로고
    • Wound pain: A challenge for the patient and the wound care specialist
    • Propescu A, Saleido RS. Wound pain: a challenge for the patient and the wound care specialist. Adv Skin Wound Care. 2004;17(1):14-20.
    • (2004) Adv Skin Wound Care , vol.17 , Issue.1 , pp. 14-20
    • Propescu, A.1    Saleido, R.S.2
  • 26
    • 0031092343 scopus 로고    scopus 로고
    • Wound care pain management
    • 131, 134-136
    • Rook JL. Wound care pain management. Nurse Pract. 1997;22(3):122-126, 131, 134-136.
    • (1997) Nurse Pract. , vol.22 , Issue.3 , pp. 122-126
    • Rook, J.L.1
  • 27
    • 0033429729 scopus 로고    scopus 로고
    • Pain management of wound care
    • Senecal SJ. Pain management of wound care. Nurs Clin North Am. 1999;34(4):847-860.
    • (1999) Nurs Clin North Am , vol.34 , Issue.4 , pp. 847-860
    • Senecal, S.J.1
  • 28
    • 84977320617 scopus 로고
    • Healing determinants in older people with leg ulcers
    • Johnson M. Healing determinants in older people with leg ulcers. Res Nurs Health. 1995;18(5):395-403.
    • (1995) Res Nurs Health , vol.18 , Issue.5 , pp. 395-403
    • Johnson, M.1
  • 29
    • 34047096528 scopus 로고    scopus 로고
    • Venous leg ulcers in the elderly patient: Associated stress, social support, and coping
    • Snyder RJ. Venous leg ulcers in the elderly patient: associated stress, social support, and coping. Ostomy Wound Manage. 2006;52(9):58-68.
    • (2006) Ostomy Wound Manage , vol.52 , Issue.9 , pp. 58-68
    • Snyder, R.J.1
  • 31
    • 33645498722 scopus 로고    scopus 로고
    • Pain and wound healing in surgical patients
    • McGuire L, Heffner K, Glaser R, et al. Pain and wound healing in surgical patients. Ann Behav Med. 2006;31(2):165-172.
    • (2006) Ann Behav Med , vol.31 , Issue.2 , pp. 165-172
    • McGuire, L.1    Heffner, K.2    Glaser, R.3
  • 32
    • 33745521263 scopus 로고    scopus 로고
    • Pain and quality of life for patients with venous leg ulcers: Proof of concept of the efficacy of Biatainibu, a new pain reducing wound dressing
    • Jørgensen B, Friis G, Gottrup P. Pain and quality of life for patients with venous leg ulcers: proof of concept of the efficacy of Biatainibu, a new pain reducing wound dressing. Wound Repair Regen. 2006;14(3):233-239.
    • (2006) Wound Repair Regen , vol.14 , Issue.3 , pp. 233-239
    • Jørgensen, B.1    Friis, G.2    Gottrup, P.3
  • 33
    • 34047194036 scopus 로고    scopus 로고
    • A pilot (real-life) randomised clinical evaluation of a pain-relieving foam dressing: (ibuprofen-foam versus local best practice)
    • Sibbald RG, Coutts P, Fierheller M, Woo K. A pilot (real-life) randomised clinical evaluation of a pain-relieving foam dressing: (ibuprofen-foam versus local best practice). Int Wound J. 2007;4(suppl 1):16-23.
    • (2007) Int Wound J. , vol.4 , Issue.SUPPL. 1 , pp. 16-23
    • Sibbald, R.G.1    Coutts, P.2    Fierheller, M.3    Woo, K.4
  • 34
    • 34047220617 scopus 로고    scopus 로고
    • Less pain with Biatain-Ibu: Initial findings from a randomised, controlled, double-blind clinical investigation on painful venous leg ulcers
    • Gottrup F, Jorgensen B, Karlsmark T, et al. Less pain with Biatain-Ibu: initial findings from a randomised, controlled, double-blind clinical investigation on painful venous leg ulcers. Int Wound J. 2007;4(suppl 1):24-34.
    • (2007) Int Wound J. , vol.4 , Issue.SUPPL 1 , pp. 24-34
    • Gottrup, F.1    Jorgensen, B.2    Karlsmark, T.3
  • 35
    • 33845483217 scopus 로고    scopus 로고
    • Best practice recommendations for preparing the wound bed: Update 2006
    • Sibbald RG, Orsted HL, Coutts PM, Keast DH. Best practice recommendations for preparing the wound bed: update 2006. Wound Care Can. 2006;4(1):R6-R18.
    • (2006) Wound Care Can , vol.4 , Issue.1
    • Sibbald, R.G.1    Orsted, H.L.2    Coutts, P.M.3    Keast, D.H.4
  • 37
    • 0034334675 scopus 로고    scopus 로고
    • Preparing the wound bed-debridement, bacterial balance, and moisture balance
    • Sibbald RG, Williamson D, Orsted HL, et al. Preparing the wound bed-debridement, bacterial balance, and moisture balance. Ostomy Wound Manage. 2000;46(11):14-35.
    • (2000) Ostomy Wound Manage , vol.46 , Issue.11 , pp. 14-35
    • Sibbald, R.G.1    Williamson, D.2    Orsted, H.L.3
  • 38
    • 0036593171 scopus 로고    scopus 로고
    • Pain in older persons with cognitive impairment
    • Woo K. Pain in older persons with cognitive impairment. Perspectives. 2002;26(2):4-9.
    • (2002) Perspectives , vol.26 , Issue.2 , pp. 4-9
    • Woo, K.1
  • 39
    • 33746705077 scopus 로고    scopus 로고
    • Depression in patients with chronic venous ulceration
    • Jones J, Barr W, Robinson J, Carlisle C. Depression in patients with chronic venous ulceration. Br J Nurs. 2006;15(11):S17-S23.
    • (2006) Br J Nurs. , vol.15 , Issue.11
    • Jones, J.1    Barr, W.2    Robinson, J.3    Carlisle, C.4
  • 40
    • 27344458828 scopus 로고    scopus 로고
    • Pain severity in diabetic peripheral neuropathy is associated with patient functioning, symptom levels of anxiety and depression, and sleep
    • Gore M, Brandenburg NA, Dukes E, Hoffman DL, Tai KS, Stacey B. Pain severity in diabetic peripheral neuropathy is associated with patient functioning, symptom levels of anxiety and depression, and sleep. J Pain Symptom Manage. 2005;30(4):374-385.
    • (2005) J Pain Symptom Manage , vol.30 , Issue.4 , pp. 374-385
    • Gore, M.1    Brandenburg, N.A.2    Dukes, E.3    Hoffman, D.L.4    Tai, K.S.5    Stacey, B.6
  • 41
    • 32044470237 scopus 로고    scopus 로고
    • Does the clinical examination predict lower extremity peripheral arterial disease?
    • Khan NA, Rahim SA, Anand SA, Simel DL, Panju A. Does the clinical examination predict lower extremity peripheral arterial disease? JAMA. 2006;295(5):536-546.
    • (2006) JAMA , vol.295 , Issue.5 , pp. 536-546
    • Khan, N.A.1    Rahim, S.A.2    Anand, S.A.3    Simel, D.L.4    Panju, A.5
  • 42
    • 34547418244 scopus 로고    scopus 로고
    • 'It really hurts when i walk'! Arterial disease-differential diagnosis and treatment
    • Worley CA. 'It really hurts when I walk'! Arterial disease-differential diagnosis and treatment. Dermatol Nurs. 2007; 19(3):286-288.
    • (2007) Dermatol Nurs. , vol.19 , Issue.3 , pp. 286-288
    • Worley, C.A.1
  • 43
    • 70349360847 scopus 로고    scopus 로고
    • An Open Randomized Crossover Investigation Assessing Perceived Pain at Dressing Change Comparing A Soft Silicone Dressing, Mepilex® Border, with a Adhesive hydrocellular polyurethane dressing, Allevyn® Adhesive in Subjects with chronic ulcer
    • Poster presented at: Glasgow, Scotland
    • Woo K, Price P, Harding K, et al. An Open Randomized Crossover Investigation Assessing Perceived Pain at Dressing Change Comparing A Soft Silicone Dressing, Mepilex® Border, with a Adhesive hydrocellular polyurethane dressing, Allevyn® Adhesive in Subjects with chronic ulcer. Poster presented at: European Wound Management Association; 2007; Glasgow, Scotland.
    • (2007) European Wound Management Association
    • Woo, K.1    Price, P.2    Harding, K.3
  • 44
    • 70349345379 scopus 로고    scopus 로고
    • Pain during dressing change: A pilot study
    • Poster presented at: Montreal, Quebec, Canada
    • Woo K. Pain during dressing change: a pilot study. Poster presented at: Canadian Association of Wound Care; 2004; Montreal, Quebec, Canada.
    • (2004) Canadian Association of Wound Care
    • Woo, K.1
  • 45
    • 0141652858 scopus 로고    scopus 로고
    • Effects of adhesive dressings on the stratum corneum of the skin
    • Dykes PJ, Heggie R, Hill SA. Effects of adhesive dressings on the stratum corneum of the skin. J Wound Care. 2001;10(2):7-10.
    • (2001) J Wound Care , vol.10 , Issue.2 , pp. 7-10
    • Dykes, P.J.1    Heggie, R.2    Hill, S.A.3
  • 46
    • 0034906792 scopus 로고    scopus 로고
    • The validity of the clinical signs and symptoms used to identify localized chronic wound infection
    • Gardner SE, Frantz RA, Doebbeling BN. The validity of the clinical signs and symptoms used to identify localized chronic wound infection. Wound Repair Regen. 2001;9(3):178-186.
    • (2001) Wound Repair Regen , vol.9 , Issue.3 , pp. 178-186
    • Gardner, S.E.1    Frantz, R.A.2    Doebbeling, B.N.3
  • 47
    • 33846942107 scopus 로고    scopus 로고
    • Increased bacterial burden and infection: The story of NERDS and STONES
    • Sibbald RG, Woo K, Ayello EA. Increased bacterial burden and infection: the story of NERDS and STONES. Adv Skin Wound Care. 2006; 19(8):447-461.
    • (2006) Adv Skin Wound Care , vol.19 , Issue.8 , pp. 447-461
    • Sibbald, R.G.1    Woo, K.2    Ayello, E.A.3
  • 48
    • 39049183780 scopus 로고    scopus 로고
    • Results of a comprehensive hospital-based wound survey
    • Mahe E, Langolis G, Baron G, et al. Results of a comprehensive hospital-based wound survey. J Wound Care. 2006;15(9):381-384.
    • (2006) J Wound Care , vol.15 , Issue.9 , pp. 381-384
    • Mahe, E.1    Langolis, G.2    Baron, G.3
  • 49
    • 4644236204 scopus 로고    scopus 로고
    • Wound care pain in hospitalized adult patients
    • Stotts NA, Puntillo K, Bonham Morris A, et al. Wound care pain in hospitalized adult patients. Heart Lung. 2004;33(5): 321-332.
    • (2004) Heart Lung. , vol.33 , Issue.5 , pp. 321-332
    • Stotts, N.A.1    Puntillo, K.2    Bonham Morris, A.3
  • 50
    • 0027550403 scopus 로고
    • Comparison of selected pain assessment tools for use with the elderly
    • Herr KA, Mobily PR. Comparison of selected pain assessment tools for use with the elderly. Appl Nurs Res. 1993;6(1): 39-46.
    • (1993) Appl Nurs Res. , vol.6 , Issue.1 , pp. 39-46
    • Herr, K.A.1    Mobily, P.R.2
  • 51
    • 0042309814 scopus 로고    scopus 로고
    • Pain intensity assessment: A comparison of selected pain intensity scales for use in cognitively intact and cognitively impaired African American older adults
    • Taylor LJ, Herr K. Pain intensity assessment: a comparison of selected pain intensity scales for use in cognitively intact and cognitively impaired African American older adults. Pain Manag Nurs. 2003;4(2):87-95.
    • (2003) Pain Manag Nurs. , vol.4 , Issue.2 , pp. 87-95
    • Taylor, L.J.1    Herr, K.2
  • 52
    • 28244453096 scopus 로고    scopus 로고
    • Improving accuracy of wound measurement in clinical practice
    • Flanagan M. Improving accuracy of wound measurement in clinical practice. Ostomy Wound Manage. 2003;49(10):28-40.
    • (2003) Ostomy Wound Manage , vol.49 , Issue.10 , pp. 28-40
    • Flanagan, M.1
  • 53
    • 0027466220 scopus 로고
    • Planimetric rate of healing in venous ulcers of the leg treated with pressure bandage and hydrocolloid dressing
    • Margolis DJ, Gross EA, Wood CR, Lazarus GS. Planimetric rate of healing in venous ulcers of the leg treated with pressure bandage and hydrocolloid dressing. J Am Acad Dermatol. 1993;28:418-421.
    • (1993) J Am Acad Dermatol , vol.28 , pp. 418-421
    • Margolis, D.J.1    Gross, E.A.2    Wood, C.R.3    Lazarus, G.S.4
  • 54
    • 0035262688 scopus 로고    scopus 로고
    • Assessing the population with leg and foot ulcers regional planning study
    • Graham ID, Harrison MB, Friedberg E, et al. Assessing the population with leg and foot ulcers. Regional planning study. Can Nurse. 2000;97(2):18.
    • (2000) Can Nurse , vol.97 , Issue.2 , pp. 18
    • Graham, I.D.1    Harrison, M.B.2    Friedberg, E.3
  • 57
    • 0031814468 scopus 로고    scopus 로고
    • Venous leg ulcers: Is pain a problem?
    • Noonan L, Burge SM. Venous leg ulcers: is pain a problem? Phlebology. 1998;13:14-19.
    • (1998) Phlebology , vol.13 , pp. 14-19
    • Noonan, L.1    Burge, S.M.2
  • 58
    • 24944440896 scopus 로고    scopus 로고
    • Improved healing rates for chronic venous leg ulcers: Pilot study results from a randomized controlled trial of a community nursing intervention
    • Edwards H, Courtney M, Finlayson K, Lewis C, Lindsay E, Dumble J. Improved healing rates for chronic venous leg ulcers: pilot study results from a randomized controlled trial of a community nursing intervention. Int J Nurs Pract. 2005; 11(4):169-176.
    • (2005) Int J Nurs Pract. , vol.11 , Issue.4 , pp. 169-176
    • Edwards, H.1    Courtney, M.2    Finlayson, K.3    Lewis, C.4    Lindsay, E.5    Dumble, J.6


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