Role of Majja Basti in managing avascular necrosis of femoral head.

a case study

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: A role of majja basti (dashmoola siddha) in the management of avascular necrosis (avn) of femoral head
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a case study

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Author:

Priya Pantel and Swati Nagpal


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: A role of majja basti (dashmoola siddha) in the management of avascular necrosis (avn) of femoral head

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20216-20556

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

Avascular necrosis (AVN) is a serious orthopedic condition characterized by the death of bone tissue due to a lack of blood supply. Commonly affecting the hip joint, AVN can result from various factors, including trauma, steroid use, and alcohol consumption. While conventional treatment methods vary from pain-relief medications to total hip replacement, they often have drawbacks, including prolonged recovery times and complications. This case study explores the application of Ayurvedic principles, particularly the use of Majja Basti, a traditional treatment method, in managing AVN and mitigating its progression.

The Importance of Ayurvedic Treatment

The role of Ayurvedic medicine in managing diseases primarily driven by Vata dosha is highlighted in this case study. The treatment approach for AVN is based on Ayurvedic concepts correlating with the condition, termed Asthimajjagata Vata. This condition refers to a pathology where Vata is vitiated and affects the bone and marrow tissues, leading to degenerative changes. Ayurvedic treatments, especially Basti therapy, are considered highly effective because they enable deep nourishment and healing of the affected tissues while avoiding potential side effects seen in conventional therapies.

Dashmool Siddha Majja Basti

One of the key treatments explored in this study is Dashmool Siddha Majja Basti, which utilizes a medicated oil infused with Dashmoola (a combination of ten roots) and aims to nourish and strengthen the affected areas. This treatment is believed to balance the aggravated Vata dosha, promoting the nourishment of both bone (Asti dhatu) and marrow (Majja dhatu). The oil's properties are conducive to restoring connectivity and circulation within the affected areas, which is crucial for the recovery of blood supply and bone health.

Clinical Observations and Results

In the case study, a 21-year-old male diagnosed with bilateral AVN of the femoral head underwent Dashmool Siddha Majja Basti treatment for 21 days, accompanied by oral Ayurvedic medications. The results showed significant improvement in pain levels, range of motion, and gait stability. The assessment indicated a marked reduction in pain and stiffness, revealing that the conservative Ayurvedic approach could offer substantial relief and improve quality of life for patients suffering from AVN.

Conclusion

The application of Dashmool Siddha Majja Basti demonstrated effective relief from symptoms associated with AVN in the individual case study presented. While this study provides promising insights into Ayurvedic management of AVN, further research involving larger sample sizes and more extended treatment durations is necessary for more comprehensive conclusions. Raising public awareness about Ayurvedic options in treating conditions like AVN could facilitate earlier diagnoses and improved therapeutic outcomes in the future.

FAQ section (important questions/answers):

What is Avascular Necrosis (AVN) and its common causes?

Avascular necrosis (AVN) occurs due to loss of blood supply to the bone, causing bone death. It often results from long-term steroid use, excessive alcohol intake, trauma, or other medical conditions affecting blood flow.

What are the typical symptoms of AVN?

AVN symptoms vary but often include insidious pain in the hip, which may radiate down the thigh, restricted range of motion, and a limping gait. Pain can worsen at night or during weight-bearing activities.

How does Ayurveda approach treating AVN?

Ayurvedic treatment for AVN focuses on holistic therapies. Dashmoola Siddha Majja Basti is highlighted for its effectiveness in relieving symptoms, improving joint function, and preventing disease progression through herbal concoctions.

What was the outcome of the case study on AVN treatment?

The case study showed significant improvement in pain, stiffness, and mobility after Ayurvedic treatment, with a decrease in symptoms and maintenance of AVN stage, suggesting its potential benefit in managing the condition.

What demographics are commonly affected by AVN?

AVN typically affects individuals aged 30 to 50 years, with a higher prevalence in males. It often presents with bilateral symptoms and can be associated with prior steroid use or trauma.

What are the limitations of modern treatments for AVN?

Modern treatments for AVN, such as pain relief medications and surgeries, can involve lengthy recovery periods and complications. Their effectiveness is often limited, prompting interest in alternative approaches like Ayurveda.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Role of Majja Basti in managing avascular necrosis of femoral head.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Pain:
Pain is a crucial symptom in avascular necrosis (AVN), often experienced as gradual, severe hip or groin pain that can radiate along the thigh. Recognizing pain helps healthcare providers gauge the severity of the condition and determine appropriate management strategies, including potential interventions within Ayurvedic practices.

2) Vata:
In Ayurveda, Vata refers to one of the three doshas that govern bodily functions. A vitiated Vata can lead to various disorders, including AVN, affecting the bones and joints. Understanding Vata is essential for creating targeted treatments that balance this dosha and alleviate symptoms associated with AVN.

3) Basti:
Basti is a therapeutic enema in Ayurveda used to treat diseases related to Vata dosha. In treating AVN, Dashmoola Siddha Majja Basti serves as an important intervention that nourishes and strengthens the affected areas. Its application aims to reduce pain and restore proper function through its medicated medicated formulation.

4) Majja:
Majja refers to bone marrow or the essence found within bones in Ayurveda. It plays a critical role in maintaining bone health and is closely linked to conditions like AVN. Treatment strategies aim to enhance Majja quality to support nourishment and improve overall bone integrity.

5) Asthi (Ashthi):
Asthi refers to bone tissue in Ayurvedic terminology. Condition such as AVN primarily affects Asthi, leading to deterioration and pain. Treatment often focuses on restoring the health of Asthi through nutrition and therapies designed to enhance bone density and alleviate discomfort.

6) Priya:
Priya Pantel is one of the principal authors behind the studied case of AVN management using Ayurvedic principles. Her work focuses on integrating traditional practices with modern medical insights to improve the understanding and treatment of AVN, highlighting the efficacy of Dashmoola Siddha Majja Basti.

7) Stiffness:
Stiffness in joints is a prevalent symptom of AVN, indicating reduced mobility and increased discomfort. Recognizing stiffness aids in diagnosing the stage of AVN and determining the effectiveness of treatments. Therapies aim to enhance flexibility and range of motion, crucial for a patient's quality of life.

8) Dhatu:
Dhatus represents the various body tissues recognized in Ayurveda, playing vital roles in health. Their balance and nourishment are critical in managing AVN, emphasizing therapeutic strategies that ensure optimal vitality and tissue integrity.

9) Siddha:
Siddha represents the concept of perfected or accomplished in Ayurveda, often associated with remedies that are well-prepared and potent. Siddha therapies like Dashmoola Siddha Majja Bastis are applied in AVN treatment to enhance efficacy and deliver targeted healing properties to affected tissues.

10) Rasa (Rasha):
Rasa translates to taste or flavor in Ayurveda but also holds therapeutic significance. Different Rasas, especially Tikta and Madhura, contribute to the efficacy of herbal preparations used in management of AVN. They enhance the healing process by promoting nourishment and balancing doshas.

11) Blood:
Blood supply to the bone is critical for maintaining bone health. In AVN, the loss of blood supply leads to cellular death of bone tissue. Understanding the role of blood circulation is essential for diagnosing AVN and developing effective treatment plans to restore blood flow and prevent deterioration.

12) Disease:
Diseases refer broadly to various health conditions, with AVN being one of them. Understanding the classification and pathology of diseases in Ayurvedic terms is critical in shaping holistic treatment approaches to enhance patient outcomes.

13) Sandhi (Shandhi, Samdhi):
Sandhi denotes the joints in Ayurvedic terminology. Since AVN primarily affects joint regions, addressing Sandhi health through therapies is essential for restoring mobility and reducing pain. Therapeutic interventions often focus on improving Sandhi function as part of the holistic treatment approach.

14) Tikta:
Tikta refers to a bitter taste in Ayurvedic medicine, known for its detoxifying and blood-purifying properties. It is significant in formulations like Dashmoola Siddha Majja Basti, which help in alleviating Vata imbalances and promoting nourishment in affected areas of bones and joints.

15) Sign:
Signs in clinical contexts such as AVN refer to observable indicators of the condition, including pain and stiffness. Accurate identification of signs assists practitioners in diagnosis and evaluating treatment efficacy, guiding further interventions within Ayurvedic and conventional frameworks.

16) Study (Studying):
The study referred to in the text examines the role of Dashmoola Siddha Majja Basti in managing AVN. Conducting such studies is vital for validating Ayurvedic treatments, contributing to both academic and clinical understanding of effective management strategies for patients with AVN.

17) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine originating from India that emphasizes holistic treatment of ailments using herbal medicines, dietary practices, and lifestyle modifications. Its principles prove beneficial in managing conditions like AVN by focusing on balancing doshas, promoting overall wellness.

18) Vitiation (Vitiated):
Vitiation indicates the disturbance or imbalance of doshas, leading to health issues. In understanding AVN, recognizing the vitiation of Vata is crucial in developing treatments targeted at rebalancing doshas and alleviating the symptoms of the condition.

19) Table:
In the study, tables are utilized to present data systematically regarding treatment plans, outcomes, and assessments of symptoms. They aid in visualizing results, making comparisons, and evaluating the effectiveness of Ayurvedic treatments for AVN, contributing to better understanding and clarity.

20) Majjadhatu (Majja-dhatu):
Majjadhatu refers exclusively to the bone marrow in Ayurveda and is critical for overall skeletal health. Treatment approaches often target the health and quality of Majjadhatu when managing conditions such as AVN, emphasizing its role in nourishment.

21) Asthimajjan (Asthimajja, Asthi-majjan):
Asthimajja merges the aspects of both bone (Asthi) and marrow (Majja), representing holistic skeletal health. Effective management of AVN recognizes the importance of nourishing both to ensure recovery and maintain joint integrity.

22) Medicine:
Medicines encompass both herbal and pharmaceutical treatments used to manage health conditions. In AVN treatment, a combination of traditional Ayurvedic medicines addresses the underlying causes and symptoms, playing a central role in patient recovery.

23) Vipaka:
Vipaka in Ayurveda refers to the post-digestive effect of foods and medicines, influencing their therapeutic action. Understanding Vipaka is significant in formulating treatments for AVN, ensuring that the resultant properties from herbs enhance healing and balance specifically within affected tissues.

24) Sharman (Sarma, Sharma, Sarman):
Sharma likely refers to the institutional affiliation of the authors or research elements involved in the study on AVN management. This reflects the collaboration between practitioners and academic institutions in advancing the research and understanding of Ayurvedic medicine principles applied to bone health.

25) Dosha (Dosa):
Dosha in Ayurveda refers to the three primary bio-energetic forces—Vata, Pitta, and Kapha—responsible for governing physiological functions. In managing AVN, the identification and balancing of the relevant dosha are essential for customized treatment approaches aimed at alleviating symptoms and promoting healing.

26) India:
India is the birthplace of Ayurveda, an ancient system of medicine that emphasizes holistic treatment practices. The significance of AVN management within the Indian context reflects broader cultural practices of integrating traditional healing systems with modern medical practices to provide effective healthcare.

27) Milk:
Milk plays a crucial role in various Ayurvedic formulations due to its nourishing and rejuvenating properties. In the context of AVN, it may be used in Basti therapies to enhance the effects on Majja and Asthi, providing needed nourishment while adhering to traditional treatment principles.

28) Asthidhatu (Asthi-dhatu):
Asthidhatu encompasses the overall bone tissues and their properties in Ayurveda. In managing AVN, restoring and maintaining the health of Asthidhatu is indispensable, indicating the necessity of targeted treatments that address both strength and nutritional aspects of bone health.

29) Observation:
Observation entails monitoring patient responses and outcomes, especially seen in case studies concerning AVN management. Accurate observation of clinical signs, symptom relief, and treatment efficacy is essential for adapting therapies to meet individualized health needs.

30) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha is a significant component in Ayurvedic philosophy representing energies linked to movement and function within the body. The balance of Vata-dosha is particularly pivotal in the pathophysiology of AVN, adding a focus on treatments to manage and restore Vata balance.

31) Discussion:
Discussion sections in studies provide interpretations and analyses of the data collected throughout the research. It highlights findings relating to the efficacy of Dashmoola Siddha Majja Basti in treating AVN, facilitating a comprehensive understanding of treatment impacts and implications for future research.

32) Substance:
Substances refer to the various herbs, oils, and ingredients utilized in Ayurvedic formulations. Effective AVN management relies on selecting the right combinations of substances to improve health outcomes, ensuring targeted and synergistic actions against the condition.

33) Brimhana (Brmhana):
Brimhana conveys the Ayurvedic principle of nourishment, crucial in restoring health in AVN patients. By focusing on Brimhana actions through appropriate medications, the treatment aims to supplement bone and marrow strength, ultimately promoting enhanced healing and recovery.

34) Rukshata (Ruksata):
Rukshata in Ayurveda signifies dryness, often resulting from Vata imbalances. It plays a critical role in conditions like AVN, as dryness in bones can exacerbate symptoms. Treatments focus on counteracting Rukshata through nourishing and hydrating therapies to ease discomfort and restore balance.

35) Madhura:
Madhura translates to sweetness in Ayurveda and indicates a soothing quality of certain tastes and substances. Treatments involving Madhura aspects are utilized for their nourishing properties in AVN management, contributing positively to overall tissue health and supporting recovery.

36) Sukshma (Suksma, Shukshma):
Sukshma indicates subtlety in Ayurvedic texts, referring to the intricate nature of bodily processes. In AVN treatment, understanding Sukshma enhances the therapeutic approaches taken, allowing clinicians to address deeper issues linked to the condition, particularly in ensuring effective delivery of herbal therapies.

37) Nitamba:
Nitamba often refers to the hip or gluteal region, pertinent to issues of AVN affecting femoral heads. In Ayurvedic treatments, specifically directed therapies aim to alleviate discomfort and improve mobility in this area, addressing localized conditions affecting the patient's quality of life.

38) Quality:
Quality in the context of Ayurvedic treatments pertains to the effectiveness and properties of herbal formulations. Ensuring high-quality preparations of medicines like Dashmoola Siddha Majja Basti is vital for achieving successful outcomes in the management of conditions like AVN.

39) Burning (Burn, Burned, Burnt):
Burning sensations are often reported by patients suffering from AVN, indicating nerve involvement or inflammation. Identifying the presence of burning symptoms allows healthcare providers to tailor interventions that target discomfort and promote effective healing.

40) Dravya:
Dravyas represents the substances used in Ayurvedic medicine, comprised of herbal ingredients, minerals, and other natural materials. The choice of Dravyas is crucial in ensuring effective treatment of AVN, directly influencing therapy efficacy and outcomes.

41) Kapha:
Kapha represents one of the three doshas in Ayurveda associated with water and earth qualities. Its balance is essential in overall health. Understanding Kapha's role in managing conditions like AVN can provide insights into holistic treatment approaches that address underlying imbalances.

42) Sneha:
Sneha, meaning oil or unctuousness, plays a key role in Ayurvedic treatments for Vata-dominant disorders. It nourishes and lubricates tissues, making it particularly useful in managing AVN symptoms by providing essential hydration and ease of movement in the affected joints.

43) Water:
Water is integral to maintaining bodily functions and is often considered in Ayurvedic practices for its nourishing effects on tissues. Adequate hydration is essential in the management of AVN to ensure proper blood circulation and support overall joint health.

44) Guru:
Guru indicates heaviness or density in Ayurveda, which helps in understanding the attributes of certain substances used in treatments. In the context of AVN, Guru properties of specific herbs or preparations can benefit the nourishment of bones and enhance tissue recovery.

45) Katu:
Katu refers to a pungent taste in Ayurveda known for its stimulating and digestive aiding properties. In treatments, Katu elements may enhance the effectiveness of remedies for conditions such as AVN by promoting circulation and aiding in detoxification processes.

46) Yoga:
Yoga refers not only to physical postures but also to holistic practices aimed at improving health. In Ayurvedic treatment of AVN, incorporating appropriate Yoga techniques can enhance physical well-being, flexibility, and circulation, thus aiding recovery.

47) Vayu:
Vayu represents wind and is associated with the Vata dosha in Ayurveda. Proper balance of Vayu is essential for healthy bodily functions, especially in conditions like AVN, where Vata imbalances can exacerbate symptoms, necessitating treatments that restore equilibrium.

48) Guna:
Guna refers to the qualities or characteristics attributed to substances in Ayurveda. Recognizing the Guna of various herbs and ingredients is crucial in developing effective treatments for AVN, allowing practitioners to harness specific properties that promote healing.

49) Male:
Male references the demographic commonly affected by conditions like AVN, which has a higher prevalence in males compared to females. Understanding gender-specific influences in the condition helps tailor effective treatment strategies to cater specifically to affected individuals.

50) Life:
Life refers to the overall well-being and functionality of individuals impacted by AVN. Effective management of this condition is vital for ensuring patients can maintain their daily activities and improve their quality of life through appropriate therapies and interventions.

51) Solanum xanthocarpum:
Solanum xanthocarpum, also known as Yellow Nightshade, is often used in Ayurvedic medicine for its therapeutic properties. Incorporating this herb in treatments for AVN may offer anti-inflammatory and analgesic effects, supporting overall healing and symptom management of the condition.

52) Premna integrifolia:
Premna integrifolia is a medicinal plant frequently employed in traditional Ayurveda, recognized for its various health benefits. In treating AVN, it may support the regeneration of bone tissues and enhance overall therapeutic outcomes.

53) Burning sensation:
Burning sensation often accompanies ailments like AVN, indicating issues with circulation or nerve compression. Identifying and addressing this symptom is crucial in providing comprehensive care that alleviates discomfort and promotes recovery within affected areas.

54) Solanum indicum:
Solanum indicum, commonly recognized as Indian Nightshade, is utilized in Ayurvedic practices for its pharmacological properties. It may aid in managing symptoms of pain and inflammation associated with AVN, contributing positively to therapeutic interventions.

55) Oroxylum indicum:
Oroxylum indicum, known as the ‘Cannonball tree,’ is valued in Ayurveda for its healing properties. Its inclusion in treatments for AVN aims to address underlying imbalances and provide symptomatic relief through its medicinal qualities.

56) Shleshakakapha (Slesakakapha, Shleshaka-kapha):
Shleshaka-kapha refers to a subtype of Kapha dosha integral to lubricating and supporting joint health. In AVN management, addressing Shleshaka-kapha balance can aid in restoring joint mobility and ease discomfort resulting from lack of lubrication.

57) Gmelina arborea:
Gmelina arborea, or Gambhari, is an important herb in Ayurvedic medicine known for its rejuvenating properties. Using Gmelina in treating AVN can enhance strength and support the overall recovery process for affected skeletal structures.

58) Aegle marmelos:
Aegle marmelos, known as the Bael fruit, is frequently used in Ayurvedic formulations for its therapeutic properties. It may play a role in enhancing digestion and supporting overall health, proving beneficial in addressing needs in conditions like AVN.

59) Mamsakshaya (Mamsaksaya, Mamsha-kshaya, Mamsa-kshaya):
Mamsakshaya refers to the wasting of muscle or lean tissue that can occur in chronic conditions like AVN. Recognizing this symptom helps in formulating treatment plans aimed at maintaining or recovering muscular strength during recovery.

60) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha consists of the elements of earth and water, responsible for the structures and stability in the body. Understanding the role of Kapha-dosha in AVN can guide interventions designed to restore balance and improve joint function.

61) Agnimantha (Agni-mantha, Agnimamtha):
Agnimantha, a herbal plant known in Ayurveda, is recognized for its potential health benefits. Incorporating this substance into AVN therapies can provide supportive effects on circulation and healing processes in affected bones and joints.

62) Balakshaya (Balaksaya):
Balakshaya indicates the weakening and loss of vitality in muscles and tissues, often seen in chronic pain conditions like AVN. Effective treatment seeks to combat Balakshaya, focusing on reviving vitality and functionality within affected regions.

63) Vatavyadhi (Vata-vyadhi):
Vatavyadhi denotes diseases primarily associated with Vata dosha imbalances. AVN is considered a Vatavyadhi due to its roots in aggravation of Vata, making it vital for treatments to address Vata balance and rectify symptoms.

64) Tridoshaja (Tridosaja):
Tridoshaja signifies the interplay between the three doshas—Vata, Pitta, and Kapha. Understanding Tridoshaja conditions helps in evaluating AVN, allowing comprehensive treatment strategies that target multiple dimensions of the disease with integrative approaches.

65) Accumulation (Accumulating, Accumulate):
Accumulate reflects the process of collection or gathering of doshas or toxins within the body. In AVN, understanding how imbalances can accumulate contributes to addressing underlying issues and enables effective therapeutic interventions to restore health.

66) Saindhava (Saimdhava):
Saindhava salt, traditionally used in Ayurveda, is known for its mineral-rich properties that aid in enhancing metabolic functions. In AVN treatments, it may play a role in improving nourishment of the affected bones and tissues.

67) Kantakari (Kamtakari):
Kantakari is a traditional herb known in Ayurveda, valued for its medicinal properties. Its applications in AVN may lend support to alleviate pain and inflammation, enhancing the effectiveness of overall treatment protocols.

68) Samprapti:
Samprapti signifies the process of disease development, encompassing the interplay of causes and manifestations in Ayurvedic terminology. A deep understanding of Samprapti aids in diagnosing AVN and formulating appropriate interventions tailored to the patient's needs.

69) Shleshaka (Slesaka):
Shleshaka refers to the specific aspect of Kapha associated with lubrication and joint health. In cases of AVN, addressing Shleshaka can be pivotal in restoring joint functionality and reducing pain by enhancing lubrication within the joints.

70) Dhatvagni (Dhatu-agni):
Dhatvagni represents the metabolic fire that governs the transformation and nourishment of body tissues. In managing AVN, ensuring balanced Dhatvagni is key to promoting effective assimilation of nutrients required for repairing damaged bone and joint structures.

71) Mahabhuta (Maha-bhuta):
Mahabhuta refers to the five great elements (earth, water, fire, air, and space) that structure everything in Ayurveda. Understanding the Mahabhuta framework is essential in treatment to identify imbalances that could contribute to conditions such as AVN.

72) Kashmari (Kasmari):
Kashmari is an Ayurvedic herb known for its therapeutic benefits. Incorporating Kashmari in AVN treatments can enhance the healing potential by providing nourishment and support to bone tissues affected by the condition.

73) Shyonaka (Syonaka):
Shyonaka is another important herb in Ayurvedic practices, recognized for its healing properties. Its use in managing AVN may contribute to alleviating pain and inflammation, thus fostering overall recovery for patients enduring osteonecrosis.

74) Pradhana:
Pradhana signifies the main or primary focus in terms of treatment. In the context of managing AVN, identifying the Pradhana aspect allows clinicians to effectively prioritize interventions that address the most significant factors affecting the patient's condition.

75) Lakshadi (Laksadi, Laksha-adi):
Lakshadi is a traditional Ayurvedic formulation known for its role in enhancing bone health. Its application within AVN management helps nourish and strengthen the joints and bones, ensuring comprehensive care focused on recovery.

[Note: The above list is limited to 75. Total glossary definitions available: 121]

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Discover the significance of concepts within the article: ‘Role of Majja Basti in managing avascular necrosis of femoral head.’. Further sources in the context of Science might help you critically compare this page with similair documents:

Basti, Pain relief, Surgical intervention, Quality of life, Symptomatic treatment, Panchakarma Therapy, Avascular necrosis, Age range, Asthi majja gata vata, Functional improvement, Movement restriction, Hip joint, Long-term recovery, Shaman Yoga.

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