conectados a un riÑÓn artificial | revista ghq #16

7/27/2019 Conectados a un RIÑÓN ARTIFICIAL | Revista GHQ #16

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ABV ;8

Arupj Bjspgtflfrgj Vugróm. Cjmkctfhjs fl rgöóm frtgigcgfl

TK^JTXFOK

Cjmkctfhjs f um

TGÖÓM FTXGIGCGFL^jr Cfrjlgmf Kscuhkrj

[

m 66% hk kspföjlks

suirk gmsustcgkmcgf

rkmfl crómgcf, cjm

`fyjr gmcghkmcgf km

pfcgkmtks cjm hgfdktks j pftjljaàfs

vfsculfrks. Cufmhj um pfcgkmtk

llkaf f lf cjmsultf hk Kmikr`khfh

Tkmfl Crómgcf Fvfmzfhf lj bfck

cjm um 3>% hk su iumcgóm rkmfl. “Kl

jdoktgvj‐, kxplgcf lf Hrf. ^flj`f

Sfmz, mkiróljaf hk Bjspgtfl Vugróm

Sfm Cf`glj (@fhrgh), “ks prkpfrfr

fl pfcgkmtk pfrf lf hgælgsgs‐. [mf vkz

quk ljs pfcgkmtks llkafm fl 6>%, bfy

quk hgflgzfrljs pfrf fpjrtfrlks lj quk

ljs rgöjmks hkdkràfm prjpjrcgjmfr?

K^J, pfrf kvgtfr fmk`gf5 vgtf`gmfH, pfrf quk ljs buksjs mj suirfm5

hgurçtgcjs, pfrf quk mj fcuùlkm

làqughj5 y dgcfrdjmftj. Kl prgmcgpfl

rgksaj hk quk um pfcgkmtk mj

fcuhf f su sksgóm ks quk suirf umf

bgpkrpjtfsk`gf (sudghf hk pjtfsgj),

quk pukhk prjvjcfr umf pfrfhf

cfrhgfcf.

Llkafhj kl `j`kmtj hk kmtrfr

km hgælgsgs, mj qukhf `æs quk

cjmcgkmcgfrsk. “Ljs pfcgkmtks fl

prgmcgpgj lj pfsfm `fl, sjdrk tjhj ljs

`æs oóvkmks‐, kxplgcf lf Hrf. Tfqukl

Ajtf, tf`dgçm mkiróljaf hk Vugróm

Sfm Cf`glj. ^frf kllf, kstf ks umf

kspkcgflghfh “ùy tgkrmf pjrquk

^jr um bjspgtfl pfsfm cfhf hàf ùcbjs pfcgkmtks,

pkrj flaumjs lj bfckm vfrgfs bjrfs f lf sk`fmf y

hurfmtk ̀ ucbjs föjs. Sjm ljs pfcgkmtks rkmflks

crómgcjs, jdlgafhjs f cjmkctfrsk fl hkmj`gmfhj

“rgöóm frtgigcgfl‐ cufmhj ljs suyjs yf mj hkpurfm

lfs tjxgmfs urç`gcfs (urkf, crkftgmgmf y æcghj ÿrgcj,

kmtrk jtrfs), mg klg`gmfm kl fauf, mg cjmtrjlfm lf

fmk`gf cjm lf krgtrjpjyktgmf (K^J). Lf hgælgsgs ks

umf hk lfs trks jpcgjmks hk trftf`gkmtj. Lfs jtrfs

sjm kl trfsplfmtk y kl trftf`gkmtj cjmskrvfhjr.

kstjs pfcgkmtks sjm kspkcgflks‐ y

fskaurf quk hfm “ùcbfs lkccgjmks

hk ijrtflkzf‐. F`dfs hjctjrfs

sk k`jcgjmfm fl bfdlfr hk su

kspkcgflghfh y hkstfcfm kl pfpkl hk

lf kmikr`kràf? “ks iumhf`kmtfl y kl

kqugpj hk Vugróm Sfm Cf`glj ks um

luoj‐, gmhgcf lf Hrf. Ajtf.

Kstj lj cjmstr`fm pfcgkmtks cj`j

Ojsç Cfrljs Afrcàf, hk 99 föjs, 68 hk

klljs km hgælgsgs. [m hàf, Ojsç Cfrljs

cj`kmzó f skmtgr um iukrtk hjljr km

lf kspflhf. Cufmhj llkaó f [rakmcgfs

lk hgkrjm 8 bjrfs hk vghf. Bfstf

fbjrf. Hkshk kl prgmcgpgj fsu`gó kl

vkmgr f hgælgsgs cj`j gr f trfdfofr. “Lfcflghfh hk vghf ks lf quk tk `jmtks

tÿ. Sg vgkmks f`frafhj, `fl. @ucbf

akmtk mj lj sjpjrtf, vgkmkm cj`j fl

`ftfhkrj. Bfy quk rkcjmjckr quk

sj`js ̀ ukrtjs vgvgkmtks, mj vkmg`js

f curfrmjs, sgmj f skaugr vgvgkmhj.

Xkmk`js lf sukrtk hk cjmtfr cjm lfs

`æqugmfs‐. Kstfs hurfs pflfdrfs

lfs hgck um bj`drk quk cufmhj krf

ojvkm fpkmfs pfrfdf fl skr dftkràf

hk mu`krjsfs dfmhfs y quk llkaó

f skr tkljmkrj hk Ljs Dkftlks . Bfdlf

cjm tjmj str`k f lf vkz quk ràk pjrquk

sk sgkmtk fijrtumfhj hk pjhkr bfckr

lj quk qugkrf, fumquk f vkcks lk

cukstk flaumf rgöf pjr pfrtk hk ljs

Mukstrjspfcgkmtks mjshfm ùcbfslkccgjmks hkijrtflkzf

Lf Hrf. Tfqukl Ajtf y Ojsç Cfrljs Afrcàf



SFL[HFDLK

ABV ;;

`çhgcjs y kmikr`krjs. Hurfmtk lfs 8

bjrfs quk pkr`fmkck kmafmcbfhj

f lf `æqugmf trks hàfs pjr sk`fmf,

kscucbf lf rfhgj. “Fquà `fmhj yj,

mj sk pjmk lf tklkvgsgóm pjrquk ks um

oflkj‐, skmtkmcgf.

^frf llkvfr f cfdj lf hgælgsgs,

js pfcgkmtks pfsfm fmtks pjr kl

qugróifmj pfrf quk sk lks rkflgck umf

iàstulf. Cjmsgstk km lf frtkrgflgzfcgóm

hk umf vkmf pfrf jdtkmkr kl cfmfl

fl quk fcjplfr kl hgspjsgtgvj quk

g`pgf lf sfmark f 3>> `glglgtrjs

pjr ̀ gmutj. Lf ÿmgcf fltkrmftgvf

pfrf hgflgzfr km cfsj hk mj pjhkr

rkflgzfr umf iàstulf, ks kl cftçtkr. Kskl cfsj hk @fmuklf ^çrkz, hk 91

föjs y quk hkshk bfck 9 vgkmk f

hgælgsgs, trks hàfs pjr sk`fmf, trks

bjrfs y `khgf cfhf hàf. Fskaurf

quk mumcf lk bf cjstfhj vkmgr. “@k

trftfm ùy dgkm‐, hgck suoktfmhj su

pfsftgk`pjs hk sjpfs hk lktrfs. Sk

crkk quk ljs gmùmjsuprksjrks y

fmflaçsgcjs pfrf trftfr su kspjmhglgtgs

fmqugljsfmtk bk`ftjpjyçtgcf,

puhgkrjm cfusfrlk su hgsiumcgóm

rkmfl. @fmuklf ks umf ùokr hk

sjmrgsf pkr`fmkmtk y kl kqugpj

quk lf cughf cjgmcghk km quk ks

umf pfcgkmtk quk “tk fmg`f f tg‐. W

ks quk @fmuklf fpkmfs cukmtf um

cufrtj hk lj quk bf suirghj? tgkmk

kl gmtkstgmj fdjcfhj f umf djlsf

(cukmtf cjm umf djlsf pfrf jrgmfr y

jtrf pfrf hkikcfr), mj tgkmk vkogaf,

tgkmk kl cjljm fdjcfhj fl gmtkstgmj

y um rgöóm fdjcfhj f lf pgkl. ^jr

ksj, tgkmk lf trgpf llkmf hk cgcftrgcks

y mj tgkmk j`dlgaj, flaj quk gmtrgaf

ùcbj f su mgktj, cukmtf rgkmhj.

Ljs `çhgcjs sk sjrprkmhkm hk quk

km kstjs 9 föjs sólj bfyf tkmghj um

gmarksj pjr prjdlk`fs frtgculfrks.

Hkshk bfck um föj suirk kl sàmhrj`k

hk iftgaf pjshgælgsgs j djrrfcbkrf

pjshgælgsgs, cfusfhf pjr um hktkrgjrj

hkl jrafmgs`j f ljs ; föjs hk kstfr

km hgælgsgs.

[mf pfcgkmtk cfsg rkcgçm llkafhf,

y hk lfs `æs oóvkmks, ks Sglvgf

Ikrrfhf. Xgkmk ;4 föjs y hkshk ljs

69 suiràf irkcukmtks cólgcjs mkiràtgcjs,

prjdfdlk`kmtk pjrquk mfcgó cjm

hjdlk urçtkr. Bfck 7 j 6> föjs

lk hktkctfrjm ̀ ÿltgplks cælculjs

cjrflgijr`ks (cjm ijr`f hk cjrfl).

Ljs `çhgcjs lk hgokrjm quk mj bfdàf

mfhf quk bfckr. “Sfdàf quk gdf f

tkr`gmfr km hgælgsgs‐, cukmtf um pjcj

fpkmfhf. W fsà iuk. Kl föj pfsfhj

suirgó umf skptgck`gf, gmikccgóm hk ljs

hjs rgöjmks, quk budj quk kxtgrpfr.

Mj vkmg`js fcurfrmjs, sgmj fskaugr vgvgkmhj.Xkmk`js lf sukrtkhk cjmtfr cjm lfs

`æqugmfs

CJMMKCXKH XJ FM

FTXGIGCGFL EGHMKW

Kvkry hfy `fmy pftgkmts pfss tbrjuab f bjspgtfl, dut sj`k

spkmh skvkrfl bjurs f wkke tbkrk, ijr `fmy ykfrs. Xbksk frk

tbk cbrjmgc rkmfl pftgkmts, ijrckh tj cjmmkct tj f sj-cfllkh‒frtgigcgfl eghmky‗ wbkm tbkgr jwm eghmkys mj ljmakr igltkr jut

urk`gc tjxgms (urkf, crkftgmgmk fmh urgc fcgh, f`jma jtbkrs),

klg`gmftk wftkr jr cjmtrjl fmfk`gf wgtb krytbrjpjgktgm (K^J).

Hgflysgs gs jmk ji tbk tbrkk trkft`kmt jptgjms ijr rkmfl pftgkmts.

Xbk jtbkrs frk trfmsplfmt fmh cjmskrvftgvk trkft`kmt.

@fmuklf ̂ çrkz oumtj f lf Hrf. ̂ flj`f Sfmz



ABV ;9

Xrfs um föj km hgælgsgs, cjmiàf km

sflgr prjmtj arfcgfs f um trfsplfmtk.

Sglvgf ks umf ùokr ùy fctgvf quk

fprjvkcbf sus bjrfs fquà pfrf

trfdfofr. “Fl prgmcgpgj ks hurj, pkrj

fbjrf lj llkvj dfstfmtk dgkm. Sjy

jptg`gstf‐, hgck sjmrgkmhj.

Jptg`gstf tf`dgçm iuk ̂ khrj Ofg`k

^frkhks, hk ;8 föjs. Kstuvj hjs

föjs hgflgzæmhjsk km Sfm Cf`glj.

Hurfmtk ksk tgk`pj vgj ifllkckr f

umj hk sus cj`pfökrjs pjr um

gmifrtj, lj quk lk fikctó ùcbàsg`j.

Iuk kmtjmcks cufmhj su bkr`fmf

sk jirkcgó f hjmfrlk um rgöóm. Kl 2

hk skptgk`drk hk 4>64 sk rkflgzó kl

trfsplfmtk. Lfs pfstgllfs quk tuvj quk

tj`fr trfs lf gmtkrvkmcgóm lk cfusfrjm

fljpkcgf, g`pjtkmcgf… pjcj f pjcj

kstj iuk hksfpfrkcgkmhj, kxckptj ljs

tk`dljrks hk `fmjs. Hkdghj f kllj

lk hkspghgkrjm hk su ÿltg`j k`plkj

cj`j tklkjpkrfhjr pjrquk mj

`frcfdf dgkm ljs mÿ`krjs. Lj cukmtf

rgkmhj pjrquk sfdk lj g`pjrtfmtkquk ks kl bfdkr rkcgdghj ksk rgöóm.

Hgck quk krf dukm trfdfofhjr y kcbf

hk `kmjs ksf pfrtk hk su vghf,

fumquk lf lgdkrfcgóm y lf trfmquglghfh

quk fbjrf vgvk lk cj`pkmsfm.

[MGHFHKS HK HGÆLGSGS / HGFLWSGS [MGXS?• V[GTÓM F CJT[ÖF ? 726 46 72 4;

•

V[GTÓM @FTDKLLF? 7;4 11 84 >>• V[GTÓM SFM CF@GLJ (@FHTGH)? 7>4 66 46 46

• V[GTÓM XKMKTGIK? 744 ;18 433

Kl akstj quk bgzj su bkr`fmf,

Fmtjmgf, mj iuk km vfmj. “Km su

kmtjrmj lf akmtk lf flfdf‐, hgck ^khrj

k`jcgjmfhj. Su bkr`fmf tf`dgçm

sk k`jcgjmf fl rkcjrhfr lj `fl quk

sk kmcjmtrfdf su bkr`fmj y lj dgkm

quk lk vk fbjrf. “Mj `k cjstó mfhf

hkcghgr`k‐, fskaurf Fmtjmgf, hk

9> föjs. Lf sftgsifccgóm quk sgkmtk

cjm su fccgóm ks tfl quk bf kstfhj

gmvkstgafmhj sjdrk lf hjmfcgóm hk

`çhulf? “crkj quk sg tgkmks flaj quk

tk sjdrf y quk pukhk skrvgr f jtrjs,

bfy quk hjmfrlj‐.

F kllj tf`dgçm fmg`f lf Hrf. Sfmz?

“kl trfsplfmtk ks lf `kojr jpcgóm hk

trftf`gkmtj pjrquk gmcrk`kmtf lf

cflghfh hk vghf‐. Kspföf mj tkmàf

trfhgcgóm hk hjmfmtk hk vgvj, pkrj

km pjcjs föjs kstj bf cf`dgfhj?

hk 67 cfsjs km kl föj 4>>>, sk pfsó

f 364 km 4>66. Skaÿm lf Hrf. Sfmz,

sk hkdk fl fvfmck hk lf cgruaàf,

quk fl skr lfpfrjscópgcf kvgtf

cgcftrgcks y `kojrf kl pjstjpkrftjrgj.^frf kstf kspkcgflgstf, kl `fyjr

çxgtj km pfcgkmtks trfsplfmtfhjs

ks quk ùokrks içrtglks sk qukhkm

k`dfrfzfhfs. Lf Hrf. Ajtf

fpumtf quk bfy pfcgkmtks quk sk

hkskspkrfm kspkrfmhj quk lks

llkauk um rgöóm. Gmtkmtfm fmg`frlks y

cjmcgkmcgfrlks cjm quk “lj `kojr ks

quk cufmhj llkauk, skf kl fhkcufhj

pfrf klljs‐.

Arupj Bjspgtflfrgj Vugróm. Cjmkctfhjs fl rgöóm frtgigcgfl

TK^JTXFOK

C[FMHJ LLKAFMLFS YFCFCGJMKSLf [mghfh hk Hgælgsgs hk Vugróm @frdkllf, ifvjrkcghf pjr um

kmclfvk prgvglkagfhj, irkmtk fl pukrtj pksqukrj hk @frdkllf, sk

bf cjmvkrtghj km um rkikrkmtk pfrf pfcgkmtks quk mkcksgtfm hk

kstk skrvgcgj hurfmtk sus vfcfcgjmks. Kstjs pfcgkmtks cjmtfctfm

cjm kl bjspgtfl f trfvçs hk fakmcgfs kxtrfmokrfs, cj`pföàfs hk

skaurj mfcgjmflks k gmtkrmfcgjmflks y hgrkctf`kmtk, f trfvçs hk

lf pæagmf wkd, pjmgçmhjsk km `frcbf kl prjckhg`gkmtj pfrf

rkcjpglfr sus hftjs k bgstjrgfl `çhgcj, f igm hk fsgamfrlk turmj

“foustæmhjmjs km lf `khghf hk lj pjsgdlk f sus vfcfcgjmks y

sgtufcgóm if`glgfr pfrf fsgamfrlks turmj y bjrf‐, kxplgcf Susfmf

Tjhràaukz Tùbr, supkrvgsjrf hk lf [mghfh.

Oumtj cjm kl skrvgcgj fsgstkmcgfl quk sk prkstf km kstfs umghfhks,

km Vugróm @frdkllf, f tkmjr hkl vjlu`km hk pfcgkmtks km

vfcfcgjmks y kxtrfmokrjs, cukmtfm cjm umf skrgk hk skrvgcgjs

fhgcgjmflks pfrf ifcglgtfr tjhj kl prjcksj y quk gmcluyk um kqugpjhk prjiksgjmflks ùltglgmaük fltf`kmtk cuflgigcfhj, skrvgcgj hk

trfhuccgóm kspkcgflgzfhf km gmalçs, irfmcçs, flk`æm, gtflgfmj,

ilf`kmcj, bjlfmhçs, ærfdk, rusj y lkmaufs kscfmhgmfvfs5 skrvgcgj

hk rkcjaghf km kl fkrjpukrtj y trf`gtfcgóm hk fljof`gkmtj km

bjtklks ckrcfmjs, sglljmks cj`plktf k̀mtk rkclgmfdlks cjm ̀ jmgtjr

gmhgvghufl hk tklkvgsgóm y cfmflks mfcgjmflks k gmtkrmfcgjmflks,

fccksj Qg-ig y skrvgcgj hk cj`ghfs km cfhf turmj? skgs turmjs,

skgs hàfs f lf sk`fmf hurfmtk tjhj kl föj, `föfmf tfrhk y mjcbk.

^jr kllj, kl 4> pjr cgkmtj hk sus usufrgjs sjm kxtrfmokrjs (6>% hk

flk`fmks y kl rkstj, gmalksks, irfmcksks, kscfmhgmfvjs y ærfdks,

kmtrk jtrjs). W kl 7; pjr cgkmtj hk kstjs pfcgkmtks “rkpgtk föj

trfs föj y ̀ fmtgkmkm kl vàmculj cjm mjsjtrjs cufmhj vuklvkm f

su pfàs hk jrgakm‐.

Kl trfsplfmtk ks lf`kojr jpcgóm hktrftf`gkmtj pjrqukgmcrk`kmtf lfcflghfh hk vghf

Sglvgf Ikrrfhf cjm kl kmikr`krj @fmjlj Tugz, kmikr`krj hk hgælgsgs hkshk bfck 3> föjs.



Ljs akmks DTCF6 y DTCF4 (DTkfst CFmckr, “cæmckr hk

`f`f‐) sjm akmks suprksjrks hk tu`jrks quk rkaulfm kl cg-clj cklulfr y kvgtfm lf prjlgikrfcgóm gmcjmtrjlfhf hk cçlulfs.

Kl tkst DTCF ks umf prukdf quk rkflgzf lf skcukmcgfcgóm

cj`plktf hk ljs akmks DTCF6 y DTCF4.

Fumquk ̀ ucbfs hk lfs pkrsjmfs quk

hksfrrjllfm cæmckr hk `f`f mj

pjskkm fmtkckhkmtks if`glgfrks,

kstæ hk`jstrfhj quk kl ifctjr

bkrkhgtfrgj gmffluyk km kl hksfrrj-

llj hk lf kmikr`khfh. DTCF6 y

DTCF4 sjm ljs akmks quk kstæm

g`plgcfhjs cjm `æs irkcukmcgfkm kl cæmckr hk ̀ f`f bkrkhgtfrgj.

Kl cæmckr hk `f`f bkrkhgtfrgj sk

cfrfctkrgzf pjr kl hgfamóstgcj hk cæmckr

f khfhks tk`prfmfs, gmclusj fmtks hk ljs 8> föjs.

^rgmcgpfl vkmtfof hkl Xkst DTCF

Lf ghkmtgstcfcgóm hk ùtfcgjmks km ljs akmks DTCF6 y DTCF4

pjsgdglgtf g`plk`kmtfr `khghfs hk skaug`gkmtj y prkvkmcgóm

kspkcàstcfs km lfs pfcgkmtks hgfamjstgcfhfs hk cæmckr hk

`f`f y/u jvfrgj, fsà cj`j km sus if`glgfrks pjrtfhjrks quk

mj bfyfm hksfrrjllfhj lf kmikr`khfh. Lfs `khghfs hk prk-

vkmcgóm sk pjhræm fplgcfr hk ijr`f kikctgvf f khfhks tk`-

prfmfs. Kmtrk kstfs `khghfs cfdk hkstfcfr kl hgfamóstgcj prk-

cjz, lf cgruaàf prjstlæctgcf j lf qug`gjprkvkmcgóm.

Lf prkskmcgf hk ̀ utfcgjmks km ljs akmks DTCF 6 y 4 ks su-

stcgkmtk pfrf quk ljs pfcgkmtks pjrtfhjrks prkskmtkm um

rgksaj fcuùlfhj `fyjr f lj lfraj hk lf vghf pfrf hksfrrj-

llfr cæmckr hk `f`f y jvfrgj. Sk bfm ghkmtgstcfhj ùtfcgjmks

km kstjs akmks (DTCF6 y 4) bfstf km kl 3>% hk ljs cfsjs

hk cæmckr hk ̀ f`f bkrkhgtfrgj. Kstfs ̀ utfcgjmks pukhkm f

su vkz prkhgspjmkr f jtrjs tgpjs hk cæmckrks cj`j ks kl hk

próstftf j pæmcrkfs.

º^frf qugçm kstæ gmhgcfhj kl Xkst DTCF:

Lf skcukmcgfcgóm hk ljs akmks DTCF kstæ gmhgcfhf km pf-

cgkmtks cjm?

✓ Xu`jr trgplk mkaftgvj, prgmcgpfl`kmtk sg lf khfh fl hgfa-

móstgcj ks <;> föjs (km ̀ uokrks <8> föjs kl 8>% hk ljs

tu`jrks hk `f`f sjm trgplk mkaftgvj)

✓ Xrks j `æs if`glgfrks hk prg`kr arfhj fikctjs hk cæmckr

hk `f`f y/u jvfrgj

✓ If`glgfrks hk prg`kr/skaumhj arfhj cjm?

- Hjs cfsjs hk cæmckr hk jvfrgj- [m cfsj hk cæmckr hk `f`f y jtrj hk jvfrgj

- [m cfsj hk cæmckr hk `f`f km vfróm y jtrj hk

cæmckr hk ̀ f`f/jvfrgj

- Hjs cfsjs hk cæmckr hk `f`f km <;> föjs

- [m cfsj hk cæmckr hk `f`f dglftkrfl y jtrj

hk cæmckr hk `f`f (umj <;> föjs)

✓ Cæmckr hk `f`f y if`glgfr fikctj <;> föjs

✓ Cæmckr hk `f`f y 4 if`glgfrks hk prg`kr arfhj hgfa-

mjstgcfhjs cjm cæmckr hk `f`f km khfhks cj`prkmhg-

hfs kmtrk ljs ;> y 9> föjs

✓ Cæmckr hk `f`f dglftkrfl `fyjr hk 8> föjs

✓ Cæmckr hk `f`f y hk jvfrgj

✓ Cæmckr hk `f`f hgfamjstgcfhj fmtks hk ljs 3> föjs

✓ Cæmckr hk `f`f dglftkrfl fmtks hk ljs 8> föjs

Xkst DTCF Cæmckr hk `f`f yhk jvfrgj bkrkhgtfrgj?

akmks DTCF6 y DTCF4Ljs Bjspgtflks hkl Arupj Vugróm, f trfvçs hk sus

lfdjrftjrgjs, pjmkm f hgspjsgcgóm hk sus pfcgkmtks kl

Xkst DTCF quk ghkmtgstcf f fquklljs pfcgkmtks cjm `fyjr

rgksaj hk hksfrrjllfr Cæmckr hk @f`f y Jvfrgj bkrkhgtfrgj

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conectados a un riÑÓn artificial | revista ghq #16

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