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Orthopedic PACS Image Management and Digital Templating System Optimizes Surgeons’ Workflow

By MedImaging International staff writers
Posted on 27 Mar 2013

A new orthopedic picture archiving and communications system (PACS), a comprehensive image management and digital templating solution for orthopedics, provides orthopedic surgeons with access to images captured at multiple locations in a single viewer, diagnose from anywhere 24/7, plan for surgery with digital templating, and securely archive studies.

The new technology fits into and optimizes orthopedic surgeons’ current workflow. Merge Healthcare, Inc. (Chicago, IL, USA), a provider of clinical systems, reported more than 650 orthopedic surgeons at more than 50 practices already have or in the process of implementing Merge OrthoPACS. Furthermore, many of the more than 500 practices that are using legacy technology from Merge plan to upgrade to Merge OrthoPACS in 2013.

“In 2012, we announced the release of Merge OrthoPACS, a comprehensive image management and digital templating solution for orthopedics,” said Jeff Surges, CEO of Merge Healthcare. “With the large number of practices that have already decided to upgrade, it means there are already hundreds of surgeons taking advantage of this new solution. We’re extremely pleased to see this rapid adoption and it successfully demonstrates our large investment and commitment to the orthopedic market.”

OrthoVirginia (Richmond, VA, USA) recently decided to upgrade to the new Merge OrthoPACS. “For us the most important thing was the underlying technology and our ability to quickly and smoothly upgrade,” explained Taylor Mawyer, information technology (IT) manager for OrthoVirginia. “We know that the solution is sound and that Merge has been a leader in imaging for many years. The new, additional functionality was very welcome, but it all came down the ability for Merge to smoothly move us from our Styker Office PACS 4.1 to this next-generation solution.”

The system features (1) Orthopedic-specific workflows that are built into Merge OrthoPACS, from clinic use to the operating room. (2) The Merge OrthoPACS zero-footprint client viewer that can be the only viewer for an orthopedic practice, meaning reading images will be no different whether a surgeon reads from their workstation, their iPad, or another device. (3) The Merge OrthoPACS viewer that also provides access to presurgical templating, including advanced measurements and automated hip templating.

Merge’s enterprise and cloud-based solutions for image intensive specialties provide access to any image, 24/7. Merge also provides health stations, clinical trials software, and other health data and analytics solutions.

Related Links:
Merge Healthcare

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67 (!!!!! 7886.1713409424): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 3747.9400634766): SELECT fid FROM jos_deeppockets WHERE id=294745394 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294745394 AND published='1' LIMIT 1

69 (121.8318939209): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

70 (478.98292541504): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745394 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (292.06275939941): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745394 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (60.081481933594): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (318.05038452148): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 1382.1125030518): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 6424.1886138916): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (!!!!! 10336.875915527): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 1708.984375): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (!!!!! 1214.0274047852): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 1770.9732055664): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (454.18739318848): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 3947.0195770264): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (569.82040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (794.88754272461): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (497.10273742676): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (668.04885864258): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745394 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (398.15902709961): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745394 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (390.05279541016): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (701.904296875): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 3001.2130737305): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 5778.7895202637): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (532.86552429199): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 3269.9108123779): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (535.96496582031): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 1799.8218536377): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (549.7932434082): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (607.96737670898): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (!!!!! 1715.1832580566): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (639.91546630859): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (863.07525634766): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (326.87187194824): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (864.02893066406): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1744.9855804443): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

105 (277.04238891602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

106 (113.01040649414): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294745394 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 1107.931137085): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294745394 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2574.9206542969): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

109 (463.00888061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

110 (632.04765319824): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294745394 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 6144.0467834473): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294745394 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (881.19506835938): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (611.0668182373): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (169.99244689941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

115 (135.89859008789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

116 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

117 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

118 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

119 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

120 (517.84515380859): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 119774.10316467): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (302.07633972168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

123 (221.01402282715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

124 (!!!!! 1404.0470123291): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745394 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745394 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (211.00044250488): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (209.09309387207): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (198.1258392334): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (244.140625): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (221.96769714355): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (217.91458129883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (49.829483032227): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (!!!!! 7210.0162506104): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (424.14665222168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (361.20414733887): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (58.889389038086): SELECT name FROM jos_deeppockets WHERE id=216

136 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=216

137 (615.83518981934): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (643.96858215332): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

140 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

141 (!!!!! 19628.047943115): TRUNCATE TABLE jos_trademed_module

142 (179.05235290527): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294745394 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (761.03210449219): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294745394 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (!!!!! 1166.1052703857): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (550.98533630371): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

147 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

148 (!!!!! 4284.8587036133): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (!!!!! 1572.847366333): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

150 (262.02201843262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

151 (808.0005645752): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745394 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745394 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (53.882598876953): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

153 (43.869018554688): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

154 (388.86070251465): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (799.89433288574): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

156 (303.98368835449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745394 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745394 AND published='1' LIMIT 1

157 (174.04556274414): select jos_twitters.link from jos_twitters where cat=10

158 (50.067901611328): select jos_facebook.link from jos_facebook where cat=10

159 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

160 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

161 (380.9928894043): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1561.8801116943): insert into jos_banners_delta values (14615,'2025-06-18 13:46:45','216.73.216.120','view'),(14202,'2025-06-18 13:46:45','216.73.216.120','view'),(14203,'2025-06-18 13:46:45','216.73.216.120','view')

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