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Amaro P, Duminil L, Bonneau S, Piardi T, Cousson J, Gabriel R, Graesslin O, Raimond E. Hemorrhagic pancreatic cyst during third trimester of pregnancy: A case-report. Eur J Obstet Gynecol Reprod Biol 2019; 237:137-138. [PMID: 31039487 DOI: 10.1016/j.ejogrb.2019.04.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2019] [Accepted: 04/17/2019] [Indexed: 11/18/2022]
Affiliation(s)
- P Amaro
- Department of Obstetrics and Gynecology, Maison Blanche Hospital, Reims-Champagne-Ardennes University, Reims, France
| | - L Duminil
- Department of Obstetrics and Gynecology, Maison Blanche Hospital, Reims-Champagne-Ardennes University, Reims, France
| | - S Bonneau
- Department of Obstetrics and Gynecology, Maison Blanche Hospital, Reims-Champagne-Ardennes University, Reims, France
| | - T Piardi
- Department of General Surgery, Robert Debré Hospital, Reims-Champagne-Ardennes University, Reims, France
| | - J Cousson
- Department of Reanimation, Robert Debre Hospital, Reims-Champagne-Ardennes University, Reims, France
| | - R Gabriel
- Department of Obstetrics and Gynecology, Maison Blanche Hospital, Reims-Champagne-Ardennes University, Reims, France
| | - O Graesslin
- Department of Obstetrics and Gynecology, Maison Blanche Hospital, Reims-Champagne-Ardennes University, Reims, France
| | - E Raimond
- Department of Obstetrics and Gynecology, Maison Blanche Hospital, Reims-Champagne-Ardennes University, Reims, France.
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Romaru J, Lebrun D, Brunet A, Kheirallah S, Cousson J, Delmer A, Bani-Sadr F. [Isolated digestive localization of Hodgkin lymphoma in an HIV-infected patient, detected after hemophagocytic lymphohistiocytosis]. Med Mal Infect 2019; 49:221-224. [PMID: 30691919 DOI: 10.1016/j.medmal.2019.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 10/05/2018] [Accepted: 01/10/2019] [Indexed: 11/18/2022]
Affiliation(s)
- J Romaru
- Service de médecine interne, maladies infectieuses et immunologie clinique, hôpital Robert-Debré, CHU Reims, avenue Général-Koenig, 51100 Reims, France.
| | - D Lebrun
- Service de médecine interne, maladies infectieuses et immunologie clinique, hôpital Robert-Debré, CHU Reims, avenue Général-Koenig, 51100 Reims, France; Service de médecine interne et maladies infectieuses, centre hospitalier de Charleville-Mézières, 08000 Charleville-Mézières, France
| | - A Brunet
- Service de médecine interne, maladies infectieuses et immunologie clinique, hôpital Robert-Debré, CHU Reims, avenue Général-Koenig, 51100 Reims, France
| | - S Kheirallah
- Laboratoire d'anatomie pathologique, hôpital Robert-Debré, CHU Reims, France
| | - J Cousson
- Unité de réanimation polyvalente, hôpital Robert-Debré, CHU Reims, France
| | - A Delmer
- Service d'hématologie clinique, hôpital Robert-Debré, CHU Reims, France
| | - F Bani-Sadr
- Service de médecine interne, maladies infectieuses et immunologie clinique, hôpital Robert-Debré, CHU Reims, avenue Général-Koenig, 51100 Reims, France
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Quenot JP, Pavon A, Binquet C, Kara F, Martinet O, Ganster F, Navellou JC, Castelain V, Barraud D, Cousson J, Poussel JF, Perez P, Kuteifan K, Noirot A. Predictive and prognostic factors of septic shock of nosocomial origin. Crit Care 2012. [PMCID: PMC3363467 DOI: 10.1186/cc10656] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Rouche O, Wolak-Thierry A, Destoop Q, Milloncourt L, Floch T, Raclot P, Cousson J. Evaluation of sedation using pupilometry in ICUs: a pilot study. Crit Care 2012. [PMCID: PMC3363747 DOI: 10.1186/cc10936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Quenot JP, Pavon A, Binquet C, Kara F, Martinet O, Ganster F, Navellou JC, Castelain V, Barraud D, Cousson J, Poussel JF, Perez P, Kuteifan K. Prognostic factors of septic shock. Crit Care 2012. [PMCID: PMC3363469 DOI: 10.1186/cc10658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Albert O, Toubas D, Strady C, Cousson J, Delmas C, Vernet V, Villena I. Reactivity of (1→3)-β-d-glucan assay in bacterial bloodstream infections. Eur J Clin Microbiol Infect Dis 2011; 30:1453-60. [PMID: 21479838 DOI: 10.1007/s10096-011-1244-8] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2011] [Accepted: 03/21/2011] [Indexed: 10/18/2022]
Abstract
To diagnose invasive fungal infections, the detection of (1 → 3)-β-d-glucan in serum has shown variable specificity, depending on the targeted population. Several circumstances for false-positive results of beta-glucan tests have been identified, among which are severe bacterial infections. In this study, we measured (1 → 3)-β-d-glucan by the Fungitell test in the serum of 62 patients (one serum sample tested per patient) for whom invasive fungal infection was not suspected: 19 control subjects and 43 patients with bacteraemia. The test was interpretable for 58 sera: all 19 control subjects had negative beta-glucan test; among the 39 bacteraemic patients, we report 16 false-positive results. For the 22 patients undergoing bacteraemia due to Gram-negative bacilli, we observed 13 false-positive results (59%). Among the 17 patients with bloodstream infection involving Gram-positive cocci, three false-positive tests were recorded, but none in the eight cases of Streptococcus pneumoniae bacteraemia. Statistical analysis showed that beta-glucan levels were significantly higher in patients with Gram-negative bacilli bloodstream infection in comparison to those with bacteraemia due to Gram-positive cocci. These results were independent from other previously described causes for false-positive beta-glucan tests. These data might help physicians to interpret positive beta-glucan detection when an invasive fungal infection is suspected, especially for patients with bacterial infections.
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Affiliation(s)
- O Albert
- Laboratoire de Parasitologie Mycologie, CHU de Reims, Université Reims Champagne Ardenne, Hôpital Maison Blanche, 45 rue Cognacq Jay, 51092 Reims cedex, France.
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Quenot J, Pavon A, Binquet C, Kara F, Martinet O, Navellou JC, Barraud D, Cousson J, Poussel JF. Septic shock in a cohort of patients from the northeast of France: a preliminary epidemiological study, EPISS group. Crit Care 2011. [PMCID: PMC3066886 DOI: 10.1186/cc9632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Jaussaud R, Servettaz A, Tabary T, Cousson J, Vernet-Garnier V, Delmer A. Déficit immunitaire commun variable et polymorphisme génétique d’IRAK-1 chez un splénectomisé associés à un échec clinique de la vaccination antipneumococcique et de l’antibioprophylaxie. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Cousson J, Bankole E, Floch T, Duval V, Leon A, De Champs C, Vernet-Garnier V. COL8-03 Évaluation de l’antigénurie Streptococcus pneumoniae dans le diagnostic précoce de 333 pneumonies de l’adulte en réanimation. Med Mal Infect 2008. [DOI: 10.1016/s0399-077x(08)73048-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Andréoletti L, Cousson J, Carquin J, Brodard V, Léon A, De Champs C. [A case of influenza A community-acquired pneumonia in an elderly subject hospitalised in intensive care unit]. Ann Biol Clin (Paris) 2005; 63:647-51. [PMID: 16330385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2005] [Accepted: 08/26/2005] [Indexed: 05/05/2023]
Abstract
Influenza pneumonia and influenza-associated severe exacerbation of pre-existing heart and lung disease are responsible for major complications that may require intensive care unit admission. Here, we report the case of a diabetic 70 year-old man hospitalised in the intensive care unit (ICU) of the University Medical Center of Reims (France) for a severe bilateral and alveolar pneumonia requiring mechanical ventilation. This patient had received a classical antibiotic treatment by amoxycillin (3 g/24 hours per os); 48 hours later, he was admitted in ICU for a respiratory failure that evolved rapidly towards an acute respiratory distress syndrome. Because of the context of a winter influenza outbreak, a nasal swabbing sample was tested for the presence of Influenzavirus nucleocapsid-antigens (Immunochromatographic test; BinaxNow Flu A & B, Binax, Portland, USA). This rapid assay revealed the presence of an Influenzavirus A respiratory infection five days after the beginning of the respiratory syndrome. This rapid viral diagnosis will be further confirmed in post mortem by the positive Influenza strain isolation onto lung tissues by classical cell culture techniques (Influenzavirus A strain, H3N2). Influenza pneumonia is a significant cause of morbidity and mortality, especially during influenza epidemics. The use of commercially available rapid diagnostic tests for influenza associated pneumonia, allows the potential use of new specific anti-neuraminidase drugs, which can be efficient during the 30 hours after the beginning of the clinical influenza syndrome.
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Affiliation(s)
- L Andréoletti
- Laboratoire de bactériologie-virologie-hygiène hospitalière, Centre hospitalier universitaire de Reims.
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Cousson J, Floch T, Vernet-Garnier V, Appriou M, Petit JS, Jovenin N, Lamiable D, Hoizey G. Intérêt pharmacodynamique de la perfusion continue vs l'administration intermittente de ceftazidime dans les pneumonies nosocomiales sévères. ACTA ACUST UNITED AC 2005; 53:546-50. [PMID: 16023303 DOI: 10.1016/j.patbio.2005.06.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2005] [Accepted: 06/16/2005] [Indexed: 11/19/2022]
Abstract
GOAL OF THE STUDY It is well known today that the main determinant of beta-lactam antibiotics efficacy is the duration of the time that concentrations remain in excess of the minimum inhibitory concentration (MIC) of susceptible organism over the course of therapy. This prospective study aimed to evaluate the efficacy, in term of pharmacodynamic profile, of continuous infusion versus intermittent administration of ceftazidime in intensive care unit patients with severe nosocomial pneumonia. PATIENTS AND METHODS 16 patients under mechanical ventilation with nosocomial pneumonia were randomised to receive either 60 mg/kg/day ceftazidime by constant rate infusion following a 20 mg/kg loading dose (Group A) or 20 mg/kg every 8 hour by intravenous bolus injection (Group B). In both groups, serial blood samples were collected during 48 hours (12 and 18 samples in Group A and B, respectively) after the start of drug administration. Plasma concentrations of ceftazidime were measured by high performance liquid chromatography. Based on our local bacteriological conditions, the pharmacodynamic profile of ceftazidime was assessed as the duration of time the plasma concentration remained above a desired target concentration of 20 mg/l for each regimen. RESULTS The mean time (expressed as a percentage) for which plasma ceftazidime concentrations were above 20 mg/l was 100% for the continuous infusion group (Group A) and 56+/-33% for the intermittent administration group (Group B). CONCLUSION These findings show that ceftazidime administered by continuous infusion in critically ill patients under mechanical ventilation with nosocomial pneumonia appears to substantially improve the pharmacodynamic profile of this beta-lactam compared to the intermittent regimen.
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Affiliation(s)
- J Cousson
- Service de réanimation polyvalente, hôpital Robert-Debré, CHU de Reims, 45 rue Cognacq-Jay, 51092 Reims cedex, France.
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Andréoletti L, Bouscambert M, Pichenot V, Brodard V, Cousson J, Léon A. [A fatal case of Herpes simplex virus meningoencephalitis in an immunocompetent adult]. Ann Biol Clin (Paris) 2003; 61:585-8. [PMID: 14671757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
Management of herpes simplex virus encephalitis (HSE) has been considerably improved by the development of rapid polymerase chain reaction (PCR) assays and by the use of intravenous acyclovir. However, an absence of early antiviral treatment has been associated to a poor outcome in patients with HSE. In the present report, we described the case of a 53 years-old adult immunompetent patient who was admitted to the emergency department of university medical center of Reims (France). At the time of hospitalisation, he was suffering from a febrile encephalitis syndrome evolving for more than 24 hours. A cerebrospinal fluid (CSF) puncture was performed demonstrating the presence of a lymphocytic meningitidis (42 leukocytes/mm3 which 90% of mononuclear cells; CSF protein = 1650 mg/L) associated with high levels of interferon alpha (75 UI/mL). Specific herpesvirus PCR and hybridisation assays (Herpes Consensus Hybridowell, Argene, France) were positive for the detection of HSV-1 genome on this CSF sample. Despite the intravenous acyclovir treatment (15 mg/kg/8 hours) delivered at the time of hospitalisation, this immunocompetent adult patient will dead 15 days later by a cardiorespiratory failure that was related to extensive HSE lesions. The time delay between the beginning of the clinical syndrome and the instauration of intravenous acyclovir treatment (more than 24 hours) was the only point susceptible to explain the presence of extensive CNS lesions in this patient. Specific Herpesvirus PCR detection assays are powerful tools that are actually used to establish a rapid etiological diagnosis of viral meningo-encephalitis. However, in patients demonstrating clinical signs of encephalitis associated with an aseptic CSF, it remains essential to urgently initiate a presumptive intravenous acyclovir treatment (10-15 mg/kg/8 hours). Actually, this medical practice is the only one susceptible to reduce the morbi-mortality rates linked to HSE.
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Affiliation(s)
- L Andréoletti
- Laboratoire de virologie, Service de microbiologie, Centre hospitalier universitaire de Reims, Université Champagne-Ardenne, Faculté de médecine de Reims, IFR53/EA3309.
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Lepousé C, Mériau G, Delcourt J, Cousson J, Raclot P, Léon A. Procalcitonin, a marker of systemic inflammation response to peritonitis which contribute to therapies strategy. Crit Care 2001. [PMCID: PMC3333239 DOI: 10.1186/cc1119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Lepousé C, Hamou Ouali B, Zohir A, Cousson J, Suinat JL, Léon A. Systemic inflammatory response during ventilator-associated pneumonia. Crit Care 2001. [PMCID: PMC3333237 DOI: 10.1186/cc1117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Le Conte P, Potel G, Clémenti E, Legras A, Villers D, Bironneau E, Cousson J, Baron D. [Administration of tobramycin aerosols in patients with nosocomial pneumonia: a preliminary study]. Presse Med 2000; 29:76-8. [PMID: 10682031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/15/2023] Open
Abstract
OBJECTIVE The aim of this study was to assess renal and respiratory tolerance of aerosolized tobramycin in intubated and mechanically ventilated patients with nosocomial pneumonia. PATIENTS AND METHODS This was a multicenter, randomized, double-blind, placebo controlled study. Thirty-eight mechanically ventilated patients with documented nosocomial pneumonia were included. Patients treated with intravenous betalactam and tobramycin were randomly allocated to receive aerosolized tobramycin (6 mg/kg/day, n = 21) or placebo (n = 17). The aerosol was administered via a pneumatic nebulizer once a day for 5 days. RESULTS Respiratory tolerance was good in all but two patients. No acute renal failure occurred. By day 10, 7 patients in the tobramycin group (35%) had been extubated versus 3 in the placebo group (18.5%, p = 0.18). By day 28, 6 patients had died (2 in the tobramycin group and 4 in the placebo group, p = 0.23). CONCLUSION Aerosolized tobramycin was well tolerated in ventilated patients with documented nosocomial pneumonia.
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Affiliation(s)
- P Le Conte
- Laboratoire d'Antibiologie Expérimentale, Faculté de médecine de Nantes.
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Lepousé C, Hamou Ouali B, Cousson J, Raclot P, Suinat JL, Leon A. Procalcitonin helps to discriminate between septic and non-septic underlying disease at admission in ICU. Crit Care 2000. [PMCID: PMC3332998 DOI: 10.1186/cc794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Glovannini I, Chiarla C, Boldrini G, Castagneto M, Beards SC, Watt T, Edwards JD, Nightingale P, Boyd O, Mackay J, Lamb G, Grounds RM, Bennett ED, Munerato P, Fracasso A, Fantin D, Bortolussi R, Giaimo F, Santantonio C, Lendinez MJ, Lopez J, Cerdeno V, Monjas A, Arce MA, de Lorenzo AG, de la Casa R, Lind L, Mälstam J, Skoog G, Mathìeu D, Nevìere R, Herengt F, Fleyfel M, Wattel F, Meier-Hellmann A, Hannemann L, Specht M, Schaffartzik W, Heiss-Dunlop W, Hassel H, Reinhart K, Silance PG, Vincent JL, Berlot PG, Berlot G, Silance PG, Zhang H, Smolle KH, Kahn RJ, Riera JASI, López EA, Aznarez SB, Renes E, Martín MJJ, Gándara AMD, Prados J, López PA, Rodriguez JG, Varela JP, Léon A, Raclot P, Cousson J, Biotteau C, Suinat JL, Rendoing J, van der Hoeven JG, Waanders H, Compier EA, Meinders AE, Lindner KH, Schümann W, Pfenninger EG, Ahnefeld FW, Strohmenger H, Brinkmann A, Georgieff M, Verde G, Pallavicini FB, Caramella F, Cassini F, Bichisao G, Ferguson C, Withey F, Coakley J, Crane P, Honovar M, Hinds CJ, von Planta I, Wagner O, Ritz R, Planta MV, Groeneveld ABJ, Thijs LG, de Boer JP, Abbink JJ, Creasey AA, Chang A, Roem D, Eerenberg AJM, Hack CE, Taylor FB, Annane D, Raphaël JC, Gajdos P, Bernardin G, Milhaud D, Pradier C, Matlei M, Donati A, Adrario E, Valente M, Orsetti G, Sambo G, Cola L, Giovannini C, Pietropaoli P, Tran DD, Cuesta MA, Schneider AJ, Wesdorp RIC, D’Orio V, Martinez C, Saad G, Mendes P, Marcelle R, Boulain T, Legras A, Perrotin D, Giniès G, Perrotin D, Geroulanos S, Cakmakci M, Schilling J, Staubach KH, Audibert G, Donner M, Lefèvre JC, Stoltz JF, Laxenaire MC, Russo R, Veschi G, Dellino E, Solca M, Aveni R, Colombo A, Iapichino G, Coronet B, Mercatello A, Bret M, Lefrançois N, Dubernard IM, Moskovtchenko JF. Shock I. Intensive Care Med 1992. [DOI: 10.1007/bf03216352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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