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08 May The purpose of this assignment is to provide students with an opportunity to analyze data that was collected by the New York State Department of

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The purpose of this assignment is to provide students with an opportunity to analyze data that was collected by the New York State Department of Health for all Isolated Coronary Artery Bypass Graft (CABG) procedures that occurred during 2011 thru 2013.  To complete this assignment, do the following:

–   Read the article that is on Canvas as “Adult Cardiac Surgery in New York State 2011-2013”.  Pay particular attention to Table 6 (Page 25) of this article where the data for each surgeon is presented.

–   After you have completed reading the article mentioned above, open up the Excel file that is on Canvas called “Analyzing Cardiac Surgery Data”.  This is essentially the date that you see in the article.  I have removed all surgeons who did less than 10 procedures at any hospital.  I have also removed the category of surgeons called “All Others” which you see in Table 6 of the article referenced above.

–   Based on the data that is presented in “Analyzing Cardiac Surgery Data”, please answer the following questions:

1) How many surgeons who performed 200 or more procedures during the time-period in Question had five or fewer deaths within 30 days of surgery?

 2) Please create a Pivot Table, which summarizes the data, using the Hospital Name as the
Row Label, the Region as the Column Label and the Sum of Cases as the Value. Which Region, Upstate or Downstate, performed more Open Heart Procedures?
 

3) Please create a Pivot Table, which summarizes the data using the Surgeon Name as the
Row Label, the Hospital Name as the second Row Label and the Sum of Cases as the
Value.  You do not need to provide a Column Label. How many surgeons performed Open Heart Procedures in more than one hospital?

Analyzing Open Heart Risk Stratification Data (Continued)
 

4) Does the definition of the Risk Adjusted Mortality Rate (RARM), that is discussed on page 4 of the reading assignment make intuitive sense to you as an observer of this data?
 

5) Does the use of a 30-day window for calculating the Risk Adjusted Mortality Rate seem to you to be a useful metric for rating surgeons and/or hospitals?
 

6) Based on the data presented here, which surgeon and hospital would you advise your 65 year old family member, who had a number of different pre-operative risk factors (see page 13 for discussion of the calculation of a risk-adjusted mortality rate) to perform the isolated CABG procedure?

Data

Hospital Surgeon Cases Deaths OMR EMR RAMR Region
Albany Medical Center Akujuo A 46 0 0.00 2.25 0.00 Upstate
Albany Medical Center Bennett E 65 0 0.00 1.33 0.00 Upstate
Albany Medical Center Britton L 162 1 0.62 1.94 0.48 Upstate
Albany Medical Center Depan H 241 2 0.83 2.17 0.58 Upstate
Albany Medical Center Miller S 177 4 2.26 1.82 1.88 Upstate
Arnot Ogden Medical Center Balsam L 129 1 0.78 0.94 1.24 Upstate
Arnot Ogden Medical Center Deanda A 112 3 2.68 0.81 4.97 Upstate
Arnot Ogden Medical Center Loulmet D 24 1 4.17 1.04 6.05 Upstate
Arnot Ogden Medical Center Nast E 127 1 0.79 1.45 0.82 Upstate
Arnot Ogden Medical Center Raudat C 96 3 3.13 1.58 2.98 Upstate
Bassett Hospital Kelley J 131 2 1.53 1.45 1.59 Upstate
Bassett Hospital Lancey R 92 0 0.00 1.61 0.00 Upstate
Buffalo General Hospital Aldridge J 109 6 5.50 1.45 5.71 Upstate
Buffalo General Hospital Ashraf M 325 6 1.85 1.31 2.13 Upstate
Buffalo General Hospital Grosner G 659 10 1.52 1.40 1.64 Upstate
Champlain Valley Hospital Cahill A 173 3 1.73 1.16 2.25 Upstate
Champlain Valley Hospital El Amir 14 0 0.00 0.78 0.00 Upstate
Ellis Hospital Choumarov K 224 2 0.89 1.26 1.07 Upstate
Ellis Hospital Reich H 110 2 1.82 1.37 2.00 Upstate
Ellis Hospital Singh C 193 1 0.52 1.44 0.54 Upstate
Erie County Medical Center Downing S 154 0 0.00 1.29 0.00 Upstate
Good Samaritan Hospital Lundy E 144 1 0.69 1.62 0.65 Downstate
Good Samaritan Hospital Salenger R 160 2 1.25 1.29 1.46 Downstate
Lenox Hill Hospital Patel N 556 4 0.72 1.22 0.89 Downstate
Lenox Hill Hospital Plestis K 67 3 4.48 1.34 5.05 Downstate
Lenox Hill Hospital Subramanian V 95 2 2.11 2.38 1.34 Downstate
Long Island Jewish Medical Center Graver L 186 3 1.61 1.76 1.38 Downstate
Long Island Jewish Medical Center Palazzo R 167 0 0.00 1.28 0.00 Downstate
Long Island Jewish Medical Center Scheinerman S 135 1 0.74 2.02 0.55 Downstate
Maimonides Medical Center Abrol S 131 1 0.76 2.00 0.58 Downstate
Maimonides Medical Center Crooke G 86 2 2.33 1.81 1.94 Downstate
Maimonides Medical Center Jacobowitz I 269 2 0.74 2.06 0.54 Downstate
Maimonides Medical Center Ribakove G 84 2 2.38 2.24 1.60 Downstate
Maimonides Medical Center Saunders P 50 1 2.00 1.46 2.07 Downstate
Maimonides Medical Center Stephens G 37 0 0.00 1.38 0.00 Downstate
Maimonides Medical Center Vaynblat M 135 1 0.74 1.52 0.73 Downstate
Mercy Hospital Bell-Thomson J 394 7 1.78 1.37 1.95 Upstate
Mercy Hospital Downing S 250 5 2.00 1.50 2.01 Upstate
Mercy Hospital Lico S 342 4 1.17 1.33 1.32 Upstate
Millard Fillmore Hospital Aldridge J 17 0 0.00 1.15 0.00 Upstate
Millard Fillmore Hospital Ashraf M 250 2 0.80 1.46 0.83 Upstate
Montefiore – Weiler Campus Bello R 183 0 0.00 1.40 0.00 Downstate
Montefiore – Weiler Campus Derose J 292 3 1.03 1.17 1.33 Downstate
Montefiore – Weiler Campus Goldstein D 51 0 0.00 1.34 0.00 Downstate
Montefiore Moses Campus Bello R 10 0 0.00 2.36 0.00 Downstate
Montefiore Moses Campus Dallesandro D 216 2 0.93 1.29 1.08 Downstate
Montefiore Moses Campus Derose J 26 0 0.00 2.06 0.00 Downstate
Montefiore Moses Campus Goldstein D 124 2 1.61 1.29 1.89 Downstate
Montefiore Moses Campus Jakobleff W 105 3 2.86 1.28 3.38 Downstate
Montefiore Moses Campus Michler R 83 0 0.00 1.10 0.00 Downstate
Mount Sinai – Beth Israel Campus Geller C 56 0 0.00 1.73 0.00 Downstate
Mount Sinai – Beth Israel Campus Hoffman D 149 2 1.34 1.04 1.94 Downstate
Mount Sinai – Beth Israel Campus Tranbaugh R 250 2 0.80 0.96 1.25 Downstate
Mount Sinai – St Lukes Campus Balaram S 80 1 1.25 2.07 0.91 Downstate
Mount Sinai – St Lukes Campus Swistel D 258 4 1.55 1.82 1.28 Downstate
Mount Sinai Medical Center Adams D 17 0 0.00 0.82 0.00 Downstate
Mount Sinai Medical Center Anyanwu A 48 2 4.17 1.34 4.70 Downstate
Mount Sinai Medical Center Chikwe J 154 2 1.30 1.08 1.81 Downstate
Mount Sinai Medical Center Filsoufi F 269 3 1.12 1.03 1.63 Downstate
Mount Sinai Medical Center Milla F 58 0 0.00 1.04 0.00 Downstate
Mount Sinai Medical Center Reddy R 306 7 2.29 1.30 2.65 Downstate
Mount Sinai Medical Center Stelzer P 44 1 2.27 0.88 3.91 Downstate
Mount Sinai Medical Center Tannous H 56 0 0.00 0.89 0.00 Downstate
Mount Sinai Medical Center Varghese R 46 0 0.00 0.57 0.00 Downstate
North Shore University Hospital Esposito R 267 1 0.37 1.45 0.39 Downstate
North Shore University Hospital Hall M 189 2 1.06 1.74 0.92 Downstate
North Shore University Hospital Hartman A 34 0 0.00 1.33 0.00 Downstate
North Shore University Hospital Kalimi R 78 2 2.56 1.66 2.32 Downstate
North Shore University Hospital Pogo G 162 5 3.09 1.81 2.58 Downstate
North Shore University Hospital Vatsia S 192 5 2.60 1.55 2.53 Downstate
NY Methodist Hospital Gulkarov I 80 0 0.00 1.21 0.00 Downstate
NY Methodist Hospital Tortolani A 135 3 2.22 1.13 2.97 Downstate
NYP-Columbia Presbyterian Argenziano M 185 2 1.08 0.93 1.75 Downstate
NYP-Columbia Presbyterian Naka Y 242 2 0.83 1.27 0.98 Downstate
NYP-Columbia Presbyterian Smith C 136 1 0.74 1.01 1.10 Downstate
NYP-Columbia Presbyterian Stewart A 193 6 3.11 1.93 2.43 Downstate
NYP-Columbia Presbyterian Takayama H 304 7 2.30 1.87 1.86 Downstate
NYP-Columbia Presbyterian Williams M 86 1 1.16 1.54 1.14 Downstate
NYP-Queens Hospital Lang S 286 3 1.05 1.18 1.34 Downstate
NYP-Weill Cornell Girardi L 231 0 0.00 1.34 0.00 Downstate
NYP-Weill Cornell Isom O 12 0 0.00 0.69 0.00 Downstate
NYP-Weill Cornell Krieger K 166 3 1.81 1.13 2.40 Downstate
NYP-Weill Cornell Salemi A 104 2 1.92 1.03 2.83 Downstate
NYU Hospital Center Balsam L B 1 0.00 0.00 0.36 Downstate
NYU Hospital Center Culliford A 60 1 1.67 0.86 2.93 Downstate
NYU Hospital Center Galloway A 58 1 1.72 1.02 2.54 Downstate
NYU Hospital Center Loulmet D 62 0 0.00 0.73 0.00 Downstate
NYU Hospital Center Zias E 149 4 2.68 0.82 4.93 Downstate
Rochester Cheeran D 484 11 2.27 1.72 1.99 Upstate
Rochester Kirshner R 428 12 2.80 1.63 2.60 Upstate
Southside Hartman A 53 1 1.89 2.06 1.38 Upstate
Southside Kalimi R 197 4 2.03 1.95 1.57 Upstate
Southside Manetta F 133 3 2.26 1.96 1.73 Upstate
Southside Singh V A 16 1.00 6.25 1.67 Upstate
St. Elizabeth Medical Center Akujuo A 131 2 1.53 1.20 1.92 Upstate
St. Elizabeth Medical Center El Amir 214 3 1.40 1.53 1.38 Upstate
St. Elizabeth Medical Center Joyce F 265 7 2.64 1.72 2.32 Upstate
St. Francis Hospital Bercow N 381 8 2.10 1.68 1.88 Downstate
St. Francis Hospital Colangelo R 662 9 1.36 1.53 1.34 Downstate
St. Francis Hospital Fernandez H 197 0 0.00 2.22 0.00 Downstate
St. Francis Hospital Lamendola C 285 5 1.75 1.73 1.53 Downstate
St. Francis Hospital Lundy E 24 1 4.17 1.97 3.18 Downstate
St. Francis Hospital Robinson N 292 1 0.34 1.53 0.34 Downstate
St. Francis Hospital Taylor J 186 1 0.54 1.46 0.55 Downstate
St. Josephs Hospital Green G 230 4 1.74 1.64 1.59 Upstate
St. Josephs Hospital Lutz C 107 1 0.93 1.77 0.80 Upstate
St. Josephs Hospital Marvasti M 172 3 1.74 1.80 1.46 Upstate
St. Josephs Hospital Nazem A 312 4 1.28 2.02 0.95 Upstate
St. Josephs Hospital Zhou Z 323 5 1.55 1.84 1.27 Upstate
St. Peters Hospital Bennett E 11 0 0.00 1.07 0.00 Upstate
St. Peters Hospital Canavan T 174 2 1.15 1.62 1.07 Upstate
St. Peters Hospital Edwards N 146 1 0.68 1.12 0.92 Upstate
St. Peters Hospital Saifi J 199 1 0.50 1.49 0.51 Upstate
St. Peters Hospital Terrien C 290 6 2.07 1.39 2.25 Upstate
Staten Island University Hospital Asgarian K 129 1 0.78 0.99 1.18 Downstate
Staten Island University Hospital McGinn J 308 6 1.95 1.34 2.19 Downstate
Staten Island University Hospital Rosell F 272 2 0.74 1.59 0.70 Downstate
Staten Island University Hospital Singh V 10 1 10.00 1.21 12.46 Downstate
Stony Brook Fernandez H 95 1 1.05 1.44 1.10 Downstate
Stony Brook Gupta S 147 2 1.36 1.70 1.21 Downstate
Stony Brook Seifert F 214 3 1.40 1.59 1.33 Downstate
Stony Brook Taylor J 111 0 0.00 1.54 0.00 Downstate
Strong Memorial Hospital Hicks G 208 5 2.40 1.45 2.51 Upstate
Strong Memorial Hospital Knight P 468 14 2.99 1.46 3.09 Upstate
Strong Memorial Hospital Massey H 88 2 2.27 2.01 1.71 Upstate
SUNY Upstate Fink G 191 3 1.57 1.42 1.67 Upstate
SUNY Upstate Lutz C 157 2 1.27 1.57 1.22 Upstate
UHS-Wilson Wong K 225 9 4.00 1.77 3.42 Upstate
UHS-Wilson Yousuf M 233 7 3.00 1.64 2.77 Upstate
Univ. Hospital – Brooklyn Burack J 11 0 0.00 1.07 0.00 Downstate
Univ. Hospital – Brooklyn Lee D 32 1 3.13 2.68 1.76 Downstate
Univ. Hospital – Brooklyn Tak V 123 4 3.25 1.93 2.54 Downstate
Vassar Bhutani A 66 1 1.52 1.26 1.82 Upstate
Vassar Sarabu M 148 0 0.00 1.41 0.00 Upstate
Vassar Shahani R 147 2 1.36 1.76 1.17 Upstate
Vassar Zakow P 201 3 1.49 1.50 1.50 Upstate
Westchester Lafaro R 112 0 0.00 1.46 0.00 Downstate
Westchester Lansman S 62 0 0.00 1.49 0.00 Downstate
Westchester Malekan R 200 3 1.50 1.89 1.19 Downstate
Westchester Spielvogel D 246 3 1.22 1.61 1.14 Downstate
Winthrop Goncalves J 203 3 1.48 1.37 1.62 Upstate
Winthrop Kokotos W 210 3 1.43 1.67 1.29 Upstate
Winthrop Lee W 147 0 0.00 1.73 0.00 Upstate
Winthrop Schubach S 176 0 0.00 1.21 0.00 Upstate

Hospital

Hospital Region
Albany Medical Center Upstate
Arnot Ogden Medical Center Upstate
Buffalo General Hospital Upstate
Champlain Valley Hospital Upstate
Ellis Hospital Upstate
Erie County Medical Center Upstate
Good Samaritan Hospital Downstate
Lenox Hill Hospital Downstate
Long Island Jewish Medical Center Downstate
Bassett Hospital Upstate
Maimonides Medical Center Downstate
Mercy Hospital Upstate
Millard Fillmore Hospital Upstate
Montefiore Moses Campus Downstate
Montefiore – Weiler Campus Downstate
Mount Sinai – Beth Israel Campus Downstate
Mount Sinai Medical Center Downstate
Mount Sinai – St Lukes Campus Downstate
NY Methodist Hospital Downstate
NYP-Columbia Presbyterian Downstate
NYP-Queens Hospital Downstate
NYP-Weill Cornell Downstate
NYU Hospital Center Downstate
North Shore University Hospital Downstate
Rochester Upstate
Southside Upstate
St. Elizabeth Medical Center Upstate
St. Francis Hospital Downstate
St. Josephs Hospital Upstate
St. Peters Hospital Upstate
Staten Island University Hospital Downstate
Strong Memorial Hospital Upstate
UHS-Wilson Upstate
Univ. Hospital – Brooklyn Downstate
Stony Brook Downstate
SUNY Upstate Upstate
Vassar Upstate
Westchester Downstate
Winthrop Upstate

,

Rutgers Department of Health Informatics

School of Health Professions Health Information Management Program

BINF 5520 Health Data Analytics

Analyzing Cardiac Surgery Data New York State 2011 – 2013. 

The purpose of this assignment is to provide students with an opportunity to analyze data that was collected by the New York State Department of Health for all Isolated Coronary Artery Bypass Graft (CABG) procedures that occurred during 2011 thru 2013. To complete this assignment, do the following:

1. Read the article that is on Canvas as “Adult Cardiac Surgery in New York State 2011-2013”. Pay particular attention to Table 6 (Page 25) of this article where the data for each surgeon is presented.

2. After you have completed reading the article mentioned above, open up the Excel file that is on Canvas called “Analyzing Cardiac Surgery Data”. This is essentially the date that you see in the article. I have removed all surgeons who did less than 10 procedures at any hospital. I have also removed the category of surgeons called “All Others” which you see in Table 6 of the article referenced above.

3. Based on the data that is presented in “Analyzing Cardiac Surgery Data”, please answer the following questions:

1) How many surgeons who performed 200 or more procedures during the time-period in Question had five or fewer deaths within 30 days of surgery?

2) Please create a Pivot Table, which summarizes the data, using the Hospital Name as the Row Label, the Region as the Column Label and the Sum of Cases as the Value. Which Region, Upstate or Downstate, performed more Open Heart Procedures?

3) Please create a Pivot Table, which summarizes the data using the Surgeon Name as the Row Label, the Hospital Name as the second Row Label and the Sum of Cases as the Value. You do not need to provide a Column Label. How many surgeons performed Open Heart Procedures in more than one hospital?

Analyzing Open Heart Risk Stratification Data (Continued)

4) Does the definition of the Risk Adjusted Mortality Rate (RARM), that is discussed on page 4 of the reading assignment make intuitive sense to you as an observer of this data?

5) Does the use of a 30-day window for calculating the Risk Adjusted Mortality Rate seem to you to be a useful metric for rating surgeons and/or hospitals?

6) Based on the data presented here, which surgeon and hospital would you advise your 65 year old family member, who had a number of different pre-operative risk factors (see page 13 for discussion of the calculation of a risk-adjusted mortality rate) to perform the isolated CABG procedure?

,

ADULT CARDIAC SURGERY in New York State 2011-2013

Department of Health

September 2016

Members of the New York State Cardiac Advisory Committee

Chair Spencer King III, M.D. Professor of Medicine, Emeritus Emory University School of Medicine Atlanta, GA

Vice Chair Gary Walford, M.D. Associate Professor of Medicine Johns Hopkins Medical Center Baltimore, MD

Members M. Hashmat Ashraf, M.D., FRCS Chief, Department of Cardiothoracic Surgery Kaleida Health Buffalo, NY

Peter B. Berger, M.D. Senior Vice President of Clinical Research and Interventional Cardiologist Professor of Cardiology and Medicine Northwell Health Hofstra – Northwell School of Medicine New Hyde Park, NY

Frederick Bierman, M.D. Director of Graduate Medical Education Westchester Medical Center Valhalla, NY

Jeptha Curtis, M.D. Asst. Professor, Dept. of Internal Medicine Director, Center for Outcomes Research & Evaluation Data Analytic Center Yale University School of Medicine New Haven, CT

Jeffrey P. Gold, M.D. Chancellor University of Nebraska Medical Center Omaha, NE

Alice Jacobs, M.D. Director, Cardiac Catheterization Laboratory & Interventional Cardiology Boston Medical Center Boston, MA

Desmond Jordan, M.D. Associate Professor of Clinical Anesthesiology in Biomedical Informatics NY Presbyterian Hospital – Columbia New York, NY

Thomas Kulik, M.D. Director, Pulmonary Hypertension Program Children’s Hospital Boston Boston, MA

Stephen Lahey, M.D. Chief, Division of Cardiothoracic Surgery University of Connecticut Health Center Farmington, CT

Frederick S. Ling, MD Professor in Medicine (Cardiology) University of Rochester Medical Center Rochester, NY

Ralph Mosca, M.D. Vice Chairman, Department of Cardiac Surgery Director, Congenital Cardiac Surgery NYU Medical Center

New York, NY

Carlos E. Ruiz, M.D., Ph.D. Professor of Cardiology in Pediatrics and Medicine Director, Structural and Congenital Heart Disease Hackensack University Medical Center Heart and Vascular Hospital The Joseph M. Sanzari Children’s Hospital Hackensack, NJ

Samin K. Sharma, M.D. Director, Cardiac Catheterization Laboratory Mount Sinai Medical Center New York, NY

Craig Smith, M.D. Chairman, Department of Surgery NY Presbyterian Hospital – Columbia New York, NY

Nicholas Stamato, M.D. Co-Director, Cardiology Campbell County Memorial Hospital Gilette, WY

Thoralf Sundt, III, M.D. Chief, Cardiac Surgical Division Co-Director, Heart Center and Institute for Heart, Vascular and Stroke Massachusetts General Hospital Boston, MA

James Tweddell, M.D. Surgical Director and Executive Co-Director The Heart Institute Professor of Surgery Cincinnati Children’s Hospital Medical Center Cincinnati, OH

Ferdinand Venditti, Jr., M.D. Executive Vice President for System Care Delivery Hospital General Director Vice Dean for Clinical Affairs Professor of Medicine Albany Medical Center Albany, NY

Andrew S. Wechsler, M.D. Professor and Chair, Department of Cardiothoracic Surgery Drexel University College of Medicine Philadelphia, PA

Consultant Edward L. Hannan, Ph.D. Distinguished Professor Emeritus Department of Health Policy, Management & Behavior Associate Dean Emeritus University at Albany, School of Public Health Rensselaer, NY

Cardiac Surgery Reporting System Subcommittee

Members & Consultants Craig Smith, M.D. (Chair) Chairman, Department of Surgery NY Presbyterian Hospital – Columbia

M. Hashmat Ashraf, M.D., FRCS Chief, Department of Cardiothoracic Surgery Kaleida Health

Jeffrey P. Gold, M.D. Chancellor University of Nebraska Medical Center

Edward L. Hannan, Ph.D. Distinguished Professor Emeritus Department of Health Policy, Management & Behavior Associate Dean Emeritus University at Albany, School of Public Health

Desmond Jordan, M.D. Associate Professor of Clinical Anesthesiology in Biomedical Informatics NY Presbyterian Hospital – Columbia

Stephen Lahey, M.D. Chief, Division of Cardiothoracic Surgery University of Connecticut Health Center

Ralph Mosca, M.D. Vice Chairman, Department of Cardiac Surgery Director, Congenital Cardiac Surgery NYU Medical Center

Carlos E. Ruiz, M.D., Ph.D. Professor of Cardiology in Pediatrics and Medicine Director, Structural and Congenital Heart Disease Hackensack University Medical Center Heart and Vascular Hospital The Joseph M. Sanzari Children’s Hospital

Nicholas J. Stamato, M.D. Co-Director, Cardiology Campbell County Memorial Hospital

Thoralf Sundt, III, M.D. Chief, Cardiac Surgical Division Co-Director, Heart Center and Institute for Heart, Vascular and Stroke Massachusetts General Hospital

James Tweddell, M.D. Surgical Director and Executive Co-Director The Heart Institute Professor of Surgery Cincinnati Children’s Hospital Medical Center

Andrew S. Wechsler, M.D. Professor and Chair, Department of Cardiothoracic Surgery Drexel University College of Medicine

Staff to CSRS Analysis Workgroup – New York State Department of Health Foster C. Gesten, MD Chief Medical Officer Office of Quality and Patient Safety, NYSDOH

Kimberly S. Cozzens, M.A. Program Manager Cardiac Services Program

Ashraf Al-Hamadani, MD, MPH Clinical Record Reviewer Cardiac Services Program

Lori Frazier Project Assistant Cardiac Services Program

Jessica Kincaid Quality Improvement Project Coordinator Cardiac Services Program

Rosemary Lombardo, M.S. CSRS Coordinator Cardiac Services Program

Leahruth Saavedra, MS Clinical Data Coordinator Cardiac Services Program

Zaza Samadashvili, M.D., M.P.H. Research Scientist Cardiac Services Program

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