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Pemeriksaan Hematologi Rutin | Pre Analitik , Analitik dan Post Analitik

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Pemeriksaan hematologi merupakan pemeriksaan yang paling sering diminta oleh para klinisi dengan tujuan untuk membantu penegakkan diagnosa. Pada artikel kali ini kami akan memberikan urutan proses pemeriksaan Hematologi Rutin yang biasa kami lakukan.

Proses Pre-Analitik Pemeriksaan Hematologi Rutin

Dalam pemeriksaan hematologi rutin pasien tidak membutuhkan persiapan khusus, namun pasien dapat memberikan informasi kepada klinis atau petugas laboratorium jika sedang mengonsumsi obat-obata tertentu yang akan menggangu hasil pemeriksaan seperti antibiotik dan obat lainnya.

Sampel yang dibutuhkan dalam pemeriksaan hematologi rutin adalah darah utuh dengan antikoagulan Na EDTA. Saat ini, darah yang akan diperiksa biasa di kumpulkan dalam tabung vakum bertutup ungu baik berbahan plastik atau kaca. Proses flebotomi untuk pemeriksaan hematologi rutin dilakukan oleh tenaga ahli bernama Flebotomist yang telah memiliki keahlian khusus dalam tindakan flebotomi. Apakah ATLM dapat melakukan tindakan flebotomi? Dalam beberapa seminar kami mendapat informasi bahwa ATLM juga dapat melakukan flebotomi karena flebotomi sudah melekat dengan ATLM, namun alangkah baiknya ATLM juga dilengkapi dengan sertifikat flebotomi untuk menguatkan secara hukum.

Segera lakukan pemeriksaan jika sudah mendapatkan sampel untuk pemeriksaan hematologi rutin, karena jika tidak segera dilakukan pemeriksaan maka hasil yang dikeluarkan tidak akan sesuai dengan klinis yang terjadi pada pasien.

Proses Analitik Pemeriksaan Hematologi Rutin

Pemeriksaan hematologi rutin setiap institusi akan berbeda tergantung kebijakan yang berlaku pada institusi tersebut. Misal saja, pada sebuah rumah sakit tipe C parameter / jenis pemeriksaan yang termasuk kelompok pemeriksaan hematologi rutin adalah Hemoglobin, Hematokrit, Eritrosit, Leukosit, dan Trombosit.

Selain itu, jika di rumah sakit tipe B atau rumah sakit rujukkan, bisa jadi parameter pemeriksaan hematologi rutin berbeda dengan rumah sakit tipe C. Misal di rumah sakit tibe B, permintaan hematologi rutin  parameter/jenis pemeriksaannya meliputi : hemoglobin, hematokrit, leukosit, trombosit dan indeks eritrosit.

Pemeriksaan Hematologi Rutin Menggunakan Hematologi Autoanalyzer

Saat ini, teknologi laboratorium medik mengalami perkembangan cukup pesat. Proses analitik pada pemeriksaan hematologi rutin sudah dilakukan dengan menggunakan alat canggih seperti hematology analyzer ini. Karena alat sudah canggih, maka hasil pemeriksaan hematologi rutin akan semakin mendekati nilai sebenarnya dan juga lebih cepat daripada melakukan pemeriksaannya secara manual.

Proses Pemeriksaan Hematologi Rutin

  • Nyalakan alat hematologi autoanalyzer
  • Lakukan kontrol setiap akan melakukan pemeriksaan hematologi rutin
  • Homogenkan sampel pemeriksaan hematologi rutin
  • Jika alat sudah siap untuk melakukan pemeriksaan, sedotkan darah pada alat hematologi analyzer
  • Perhatikan layar pemeriksaan, jika tidak ada kelainan print out hasil pemeriksaan
  • Lakukan verifikasi pemeriksaan kemudian validasi hasil hematologi rutin
  • Laporkan segera ke klinisi

Dalam proses verifikasi perlu di periksa lebih teliti apakah ada hasil-hasil yang masuk gawat/kritis. Karena hematologi rutin sangat dibutuhkan dalam membantu pemberian obat kepada pasien, maka seorang ATLM harus selalu berkonsultasi kepada dokter patologi klinik selaku penanggung jawab laboratorium dalam memvalidasi hasil hematologi rutin.

Nilai Normal Hasil Pemeriksaan Hematologi Rutin

Perlu di catat bahwa, setiap hasil pemeriksaan hematologi rutin seperti Hemoglobin (HGB), Hematokrit (HCT), Leukosit (WBC), Trombosit (PLT), Eritrosit (RBC) setiap rumah sakit atau klinik memiliki standarnya sendiri karena hal ini tergantung kepada alat dan reagen yang digunakan.

Proses Post Analitik Hematologi Rutin

Setelah melakukan serangkain proses yang cukup panjang, maka proses yang terakhir adalah proses post analitik. Proses ini meliputi validasi hasil pemeriksaan hematologi rutin. Ketika hasil sudah ,di validasi tetap lakukan lagi kroscek seperti nomor medical record, nama pasien, umur dan juga alamat pasien untuk memastikan bahwa sampel yang diperiksa adalah benar hasil dari spesimen milik pasien tersebut.

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    are controlled. With these hormones managed, fats acquire
    is halted and lean muscle can develop uninhibited. Yes, it is
    usually used in combination with other anabolic steroids in a follow generally identified as “stacking”
    to boost the general effects.
    For males starting the Anavar journey, a really helpful initial dosage
    is 30-50mg per day, adequate for muscle gains and strength enhancement.
    This reasonable begin permits users to assess their body’s
    response and establish a foundation for optimistic outcomes.
    A beginner’s SARM stack typically includes Ostarine (MK-2866) and Ligandrol (LGD-4033).
    This mixture helps with muscle growth and energy while being
    comparatively mild. Diving into their intensive choice, Pure Rawz boasts a
    outstanding vary of SARMs and SARM stacks, providing a flexible toolkit for those embarking
    on their fitness journey. In the bustling marketplace of fitness dietary supplements,
    Pure Rawz stands as a testament to streamlined business practices, with a keen give consideration to delivering a various array of high-quality merchandise.

    We are one of the best place to buy anabolic steroids within the US
    for several reasons. Firstly, we offer reasonably priced prices, so everyone can entry our products.
    Moreover, we provide free consultations with a specialist who may help you choose the
    proper anabolic steroid in your physique kind and targets.

    Our knowledgeable workers offers individualized recommendation and solutions to your questions.
    Anavar (Oxandrolone) holds a particular place in the world of anabolic steroids for its suitability and comparatively delicate nature for feminine users.
    It has gained reputation among ladies looking for performance
    enhancement, physique recomposition, or athletic
    improvement.
    We’ve accomplished the legwork, sifted via the
    litter, and brought it all the method down to the highest eight peptide vendors you should know.
    Security, effectiveness, and legality – we’ve obtained your again, covering all the essentials.
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    Testosterone can improve the anticoagulant action of warfarin.[18] Critical bleeding has been reported in some patients with this drug-drug interplay.
    Though the mechanism is unclear, testosterone may scale back procoagulant
    factors. Reduction of warfarin dosage may be essential if testosterone remedy
    is coadministered. Pharmahub is a distribution community for various pharmaceutical suppliers.

    We additionally provide totally different protection and PCT dietary supplements
    that allow you to to avoid numerous unwanted effects
    of anabolic steroids. Among its vary of anabolic steroids, ZPHC is thought for all kinds that has both newbie bodybuilders and professionals.
    This brand has earned a great name in relation to high quality and
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    wants, ranging from bulk to chopping and every little thing in between. Shopping For peptides on-line usually means missing out on direct medical consultations.

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    with detailed data about substances utilized in one or one other powder.
    They answer fast and appears to all the time be there to
    offer you all the knowledge you might need. China is the go country
    for low priced uncooked materials, however there’s a problem
    with the quality of the powders. Hundreds of individuals
    are complaining that Chinese raw powders are of poor quality, underdosed and even contaminated being a real hazard to your health.

    A typical Anavar cycle should be a short one of between 5 to eight weeks.

    Evaluate shipping insurance policies, like these offered by UK SARMs,
    guaranteeing that your chosen company can ship its treasures to your location. Emerging as a formidable contender within the realm of SARMs, Sports Activities
    Expertise Lab brings a breath of contemporary air to the market, providing
    a haven for those in pursuit of pure and high-quality supplements.
    Transcending the ordinary, Science.Bio stands as a beacon of innovation, offering a various vary of metabolic
    wonders, nootropics brilliance, longevity materials, and top-tier peptides.
    Whereas Swiss Chems excels in product diversity
    and pricing, there is acknowledgment that the firm is actively engaged
    on improving its testing protocols. They are 100 percent genuine and include the appropriate licensing
    and high quality certificates. At BioMed, you do not
    need a prescription to purchase testosterone, nor any product
    we carry.
    These behaviors additional enhance masculine options, i.e., deepening of the voice and development in facial hair
    in addition to physique construct. These manifestations are the outcome of the interplay between steroids and receptors for androgens in numerous tissues that aren’t restricted to muscle tissue only.

    For example, when steroids connect to androgen receptors within the hair follicles they will promote facial hairs.

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    with authorities laws earlier than setting sail with a SARM vendor.
    The capacity to cater to varied research wants showcases a company’s
    commitment to comprehensive help on your fitness endeavors.

    Whereas Amino Asylum shines within the realm of affordability,
    the absence of clear product testing info raises valid considerations.
    Regardless Of this, the brand compensates through strong on-line engagement, fostering a
    vibrant community environment.

    References:

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  • This process also inhibits glucocorticoid hormones, which means catabolic hormones, similar to cortisol,
    are controlled. With these hormones managed, fats acquire
    is halted and lean muscle can develop uninhibited. Yes, it is
    usually used in combination with other anabolic steroids in a follow generally identified as “stacking”
    to boost the general effects.
    For males starting the Anavar journey, a really helpful initial dosage
    is 30-50mg per day, adequate for muscle gains and strength enhancement.
    This reasonable begin permits users to assess their body’s
    response and establish a foundation for optimistic outcomes.
    A beginner’s SARM stack typically includes Ostarine (MK-2866) and Ligandrol (LGD-4033).
    This mixture helps with muscle growth and energy while being
    comparatively mild. Diving into their intensive choice, Pure Rawz boasts a
    outstanding vary of SARMs and SARM stacks, providing a flexible toolkit for those embarking
    on their fitness journey. In the bustling marketplace of fitness dietary supplements,
    Pure Rawz stands as a testament to streamlined business practices, with a keen give consideration to delivering a various array of high-quality merchandise.

    We are one of the best place to buy anabolic steroids within the US
    for several reasons. Firstly, we offer reasonably priced prices, so everyone can entry our products.
    Moreover, we provide free consultations with a specialist who may help you choose the
    proper anabolic steroid in your physique kind and targets.

    Our knowledgeable workers offers individualized recommendation and solutions to your questions.
    Anavar (Oxandrolone) holds a particular place in the world of anabolic steroids for its suitability and comparatively delicate nature for feminine users.
    It has gained reputation among ladies looking for performance
    enhancement, physique recomposition, or athletic
    improvement.
    We’ve accomplished the legwork, sifted via the
    litter, and brought it all the method down to the highest eight peptide vendors you should know.
    Security, effectiveness, and legality – we’ve obtained your again, covering all the essentials.
    Having Paypal as a payment method is an efficient sign that the
    company is legit. Since Paypal requires bill and proof of supply, most of the rip-off company
    will avoid use it. Corporations that declare to produce 1000’s of
    steroid compounds aren’t worth your belief. No company is allowed to manufacture
    an infinite vary of anabolics, nor to provide raw powders and finished compounds in the same manufacturing facility.

    If not, bear this is mind and ask the help staff as
    many questions about producing line.
    Nonetheless, the internet is filled with unreliable sources, which makes
    it essential to choose a good web site that sells reliable merchandise.
    Testosterone can improve the anticoagulant action of warfarin.[18] Critical bleeding has been reported in some patients with this drug-drug interplay.
    Though the mechanism is unclear, testosterone may scale back procoagulant
    factors. Reduction of warfarin dosage may be essential if testosterone remedy
    is coadministered. Pharmahub is a distribution community for various pharmaceutical suppliers.

    We additionally provide totally different protection and PCT dietary supplements
    that allow you to to avoid numerous unwanted effects
    of anabolic steroids. Among its vary of anabolic steroids, ZPHC is thought for all kinds that has both newbie bodybuilders and professionals.
    This brand has earned a great name in relation to high quality and
    success. Their merchandise are designed to deal with totally different
    wants, ranging from bulk to chopping and every little thing in between. Shopping For peptides on-line usually means missing out on direct medical consultations.

    If you get satisfactory solutions, than it may worth
    to go along with that company. A legit company at
    all times have a solution for all of your questions, can provide
    with detailed data about substances utilized in one or one other powder.
    They answer fast and appears to all the time be there to
    offer you all the knowledge you might need. China is the go country
    for low priced uncooked materials, however there’s a problem
    with the quality of the powders. Hundreds of individuals
    are complaining that Chinese raw powders are of poor quality, underdosed and even contaminated being a real hazard to your health.

    A typical Anavar cycle should be a short one of between 5 to eight weeks.

    Evaluate shipping insurance policies, like these offered by UK SARMs,
    guaranteeing that your chosen company can ship its treasures to your location. Emerging as a formidable contender within the realm of SARMs, Sports Activities
    Expertise Lab brings a breath of contemporary air to the market, providing
    a haven for those in pursuit of pure and high-quality supplements.
    Transcending the ordinary, Science.Bio stands as a beacon of innovation, offering a various vary of metabolic
    wonders, nootropics brilliance, longevity materials, and top-tier peptides.
    Whereas Swiss Chems excels in product diversity
    and pricing, there is acknowledgment that the firm is actively engaged
    on improving its testing protocols. They are 100 percent genuine and include the appropriate licensing
    and high quality certificates. At BioMed, you do not
    need a prescription to purchase testosterone, nor any product
    we carry.
    These behaviors additional enhance masculine options, i.e., deepening of the voice and development in facial hair
    in addition to physique construct. These manifestations are the outcome of the interplay between steroids and receptors for androgens in numerous tissues that aren’t restricted to muscle tissue only.

    For example, when steroids connect to androgen receptors within the hair follicles they will promote facial hairs.

    Checking EU SARMs and Euro SARMs can also
    information you to reliable options. In the ever-changing
    landscape of the SARMs trade, legality is a vital issue. Guarantee compliance
    with authorities laws earlier than setting sail with a SARM vendor.
    The capacity to cater to varied research wants showcases a company’s
    commitment to comprehensive help on your fitness endeavors.

    Whereas Amino Asylum shines within the realm of affordability,
    the absence of clear product testing info raises valid considerations.
    Regardless Of this, the brand compensates through strong on-line engagement, fostering a
    vibrant community environment.

    References:

    natural vs steroid body; https://gitea.luckygyl.cn/heatherdyer824,

  • This process also inhibits glucocorticoid hormones, which means catabolic hormones, similar to cortisol,
    are controlled. With these hormones managed, fats acquire
    is halted and lean muscle can develop uninhibited. Yes, it is
    usually used in combination with other anabolic steroids in a follow generally identified as “stacking”
    to boost the general effects.
    For males starting the Anavar journey, a really helpful initial dosage
    is 30-50mg per day, adequate for muscle gains and strength enhancement.
    This reasonable begin permits users to assess their body’s
    response and establish a foundation for optimistic outcomes.
    A beginner’s SARM stack typically includes Ostarine (MK-2866) and Ligandrol (LGD-4033).
    This mixture helps with muscle growth and energy while being
    comparatively mild. Diving into their intensive choice, Pure Rawz boasts a
    outstanding vary of SARMs and SARM stacks, providing a flexible toolkit for those embarking
    on their fitness journey. In the bustling marketplace of fitness dietary supplements,
    Pure Rawz stands as a testament to streamlined business practices, with a keen give consideration to delivering a various array of high-quality merchandise.

    We are one of the best place to buy anabolic steroids within the US
    for several reasons. Firstly, we offer reasonably priced prices, so everyone can entry our products.
    Moreover, we provide free consultations with a specialist who may help you choose the
    proper anabolic steroid in your physique kind and targets.

    Our knowledgeable workers offers individualized recommendation and solutions to your questions.
    Anavar (Oxandrolone) holds a particular place in the world of anabolic steroids for its suitability and comparatively delicate nature for feminine users.
    It has gained reputation among ladies looking for performance
    enhancement, physique recomposition, or athletic
    improvement.
    We’ve accomplished the legwork, sifted via the
    litter, and brought it all the method down to the highest eight peptide vendors you should know.
    Security, effectiveness, and legality – we’ve obtained your again, covering all the essentials.
    Having Paypal as a payment method is an efficient sign that the
    company is legit. Since Paypal requires bill and proof of supply, most of the rip-off company
    will avoid use it. Corporations that declare to produce 1000’s of
    steroid compounds aren’t worth your belief. No company is allowed to manufacture
    an infinite vary of anabolics, nor to provide raw powders and finished compounds in the same manufacturing facility.

    If not, bear this is mind and ask the help staff as
    many questions about producing line.
    Nonetheless, the internet is filled with unreliable sources, which makes
    it essential to choose a good web site that sells reliable merchandise.
    Testosterone can improve the anticoagulant action of warfarin.[18] Critical bleeding has been reported in some patients with this drug-drug interplay.
    Though the mechanism is unclear, testosterone may scale back procoagulant
    factors. Reduction of warfarin dosage may be essential if testosterone remedy
    is coadministered. Pharmahub is a distribution community for various pharmaceutical suppliers.

    We additionally provide totally different protection and PCT dietary supplements
    that allow you to to avoid numerous unwanted effects
    of anabolic steroids. Among its vary of anabolic steroids, ZPHC is thought for all kinds that has both newbie bodybuilders and professionals.
    This brand has earned a great name in relation to high quality and
    success. Their merchandise are designed to deal with totally different
    wants, ranging from bulk to chopping and every little thing in between. Shopping For peptides on-line usually means missing out on direct medical consultations.

    If you get satisfactory solutions, than it may worth
    to go along with that company. A legit company at
    all times have a solution for all of your questions, can provide
    with detailed data about substances utilized in one or one other powder.
    They answer fast and appears to all the time be there to
    offer you all the knowledge you might need. China is the go country
    for low priced uncooked materials, however there’s a problem
    with the quality of the powders. Hundreds of individuals
    are complaining that Chinese raw powders are of poor quality, underdosed and even contaminated being a real hazard to your health.

    A typical Anavar cycle should be a short one of between 5 to eight weeks.

    Evaluate shipping insurance policies, like these offered by UK SARMs,
    guaranteeing that your chosen company can ship its treasures to your location. Emerging as a formidable contender within the realm of SARMs, Sports Activities
    Expertise Lab brings a breath of contemporary air to the market, providing
    a haven for those in pursuit of pure and high-quality supplements.
    Transcending the ordinary, Science.Bio stands as a beacon of innovation, offering a various vary of metabolic
    wonders, nootropics brilliance, longevity materials, and top-tier peptides.
    Whereas Swiss Chems excels in product diversity
    and pricing, there is acknowledgment that the firm is actively engaged
    on improving its testing protocols. They are 100 percent genuine and include the appropriate licensing
    and high quality certificates. At BioMed, you do not
    need a prescription to purchase testosterone, nor any product
    we carry.
    These behaviors additional enhance masculine options, i.e., deepening of the voice and development in facial hair
    in addition to physique construct. These manifestations are the outcome of the interplay between steroids and receptors for androgens in numerous tissues that aren’t restricted to muscle tissue only.

    For example, when steroids connect to androgen receptors within the hair follicles they will promote facial hairs.

    Checking EU SARMs and Euro SARMs can also
    information you to reliable options. In the ever-changing
    landscape of the SARMs trade, legality is a vital issue. Guarantee compliance
    with authorities laws earlier than setting sail with a SARM vendor.
    The capacity to cater to varied research wants showcases a company’s
    commitment to comprehensive help on your fitness endeavors.

    Whereas Amino Asylum shines within the realm of affordability,
    the absence of clear product testing info raises valid considerations.
    Regardless Of this, the brand compensates through strong on-line engagement, fostering a
    vibrant community environment.

    References:

    natural vs steroid body; https://gitea.luckygyl.cn/heatherdyer824,

  • This process also inhibits glucocorticoid hormones, which means catabolic hormones, similar to cortisol,
    are controlled. With these hormones managed, fats acquire
    is halted and lean muscle can develop uninhibited. Yes, it is
    usually used in combination with other anabolic steroids in a follow generally identified as “stacking”
    to boost the general effects.
    For males starting the Anavar journey, a really helpful initial dosage
    is 30-50mg per day, adequate for muscle gains and strength enhancement.
    This reasonable begin permits users to assess their body’s
    response and establish a foundation for optimistic outcomes.
    A beginner’s SARM stack typically includes Ostarine (MK-2866) and Ligandrol (LGD-4033).
    This mixture helps with muscle growth and energy while being
    comparatively mild. Diving into their intensive choice, Pure Rawz boasts a
    outstanding vary of SARMs and SARM stacks, providing a flexible toolkit for those embarking
    on their fitness journey. In the bustling marketplace of fitness dietary supplements,
    Pure Rawz stands as a testament to streamlined business practices, with a keen give consideration to delivering a various array of high-quality merchandise.

    We are one of the best place to buy anabolic steroids within the US
    for several reasons. Firstly, we offer reasonably priced prices, so everyone can entry our products.
    Moreover, we provide free consultations with a specialist who may help you choose the
    proper anabolic steroid in your physique kind and targets.

    Our knowledgeable workers offers individualized recommendation and solutions to your questions.
    Anavar (Oxandrolone) holds a particular place in the world of anabolic steroids for its suitability and comparatively delicate nature for feminine users.
    It has gained reputation among ladies looking for performance
    enhancement, physique recomposition, or athletic
    improvement.
    We’ve accomplished the legwork, sifted via the
    litter, and brought it all the method down to the highest eight peptide vendors you should know.
    Security, effectiveness, and legality – we’ve obtained your again, covering all the essentials.
    Having Paypal as a payment method is an efficient sign that the
    company is legit. Since Paypal requires bill and proof of supply, most of the rip-off company
    will avoid use it. Corporations that declare to produce 1000’s of
    steroid compounds aren’t worth your belief. No company is allowed to manufacture
    an infinite vary of anabolics, nor to provide raw powders and finished compounds in the same manufacturing facility.

    If not, bear this is mind and ask the help staff as
    many questions about producing line.
    Nonetheless, the internet is filled with unreliable sources, which makes
    it essential to choose a good web site that sells reliable merchandise.
    Testosterone can improve the anticoagulant action of warfarin.[18] Critical bleeding has been reported in some patients with this drug-drug interplay.
    Though the mechanism is unclear, testosterone may scale back procoagulant
    factors. Reduction of warfarin dosage may be essential if testosterone remedy
    is coadministered. Pharmahub is a distribution community for various pharmaceutical suppliers.

    We additionally provide totally different protection and PCT dietary supplements
    that allow you to to avoid numerous unwanted effects
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    These behaviors additional enhance masculine options, i.e., deepening of the voice and development in facial hair
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    References:

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    Deca Durabolin may have a gentle antagonistic impact on cholesterol levels.

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    M&F just isn’t endorsing the web sites or products listed on this article.

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    They benefit from the assist of the community and steerage from experienced coaches.
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    Pure contests additionally spotlight the position of genetics like muscle size and
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    References:

    bodybuilders on steroids (Git.Theballs.family)

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