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Archive for the ‘MD’ tag

DR. GREGORY ZAPANTIS OF EAST COAST FERTILITY PRESENTS RESEARCH AT ANNUAL MEETING OF LEADING FERTILITY ORGANIZATION

By Gregory Zapantis, Md

October 27th, 2010 at 7:17 am

Today, Gregory Zapantis, MD, a reproductive endocrinologist and infertility specialist at East Coast Fertility (ECF) in Plainview, NY, presented the results of his new research study—which aims to advance treatments for infertile women undergoing assisted reproductive technology (ART) such as in vitro fertilization (IVF)—to an international audience at the Annual Meeting of the American Society for Reproductive Medicine (ASRM), an organization renowned worldwide as the leader in reproductive medicine.  The 66th annual meeting was held in Denver, October 23-27.  The study was supported by Ferring Pharmaceuticals Inc. and the March of Dimes Foundation.

            “This research was inspired in large part by the many hopeful patients who arrive at our busy infertility practice yearning for a child.  My colleagues and I are determined to offer the latest treatment advances to our patients.  While we strive to provide individualized care and emotional support, we also know the importance of conducting research to optimize our patients’ outcomes,” said Dr. Zapantis.  “We hope our results will lead eventually to more successful pregnancies, not only for our patients but for all women undergoing IVF treatment.” Dr. Zapantis joined East Coast Fertility in 2005 after completing his fellowship at Albert Einstein College of Medicine, where he is currently Assistant Clinical Professor of Obstetrics and Gynecology.

            The new study continues Dr. Zapantis’ investigation of embryo implantation markers in the endometrium as part of an ART treatment.  The study evaluated the transient appearance of nucleolar channel systems (NCSs) in the endometrium before and after ovarian hyperstimulation, with and without vaginal progesterone (Endometrin®*).  Vaginal progesterone supports the implantation of the embryo and early pregnancy in ART.  The results showed that in healthy oocyte donors, NCSs appear earlier than expected following ovarian hyperstimulation, which might be responsible for a reduced implantation on cycle day 21 following embryo transfer in IVF.  This may indicate when the endometrium is receptive to the implantation of a fertilized egg, which could lead to a higher rate of successful pregnancy.

About East Coast Fertility

East Coast Fertility is one of the premier centers for infertility care on Long Island.  Established in 2002 by Dr. David Kreiner, the program at ECF is designed to utilize the most recent developments in reproductive technology while minimizing risks to the patient.  The Single Embryo Transfer program, which helps minimize multiple births, is evidence of ECF’s

commitment to reducing risks to the patient.   The team at ECF is known for delivering high quality care with a personal touch.  This combined with the most competitive pregnancy success rates in the country, and programs available to make fertility care affordable, help distinguish ECF as a center of excellence.   ECF has offices conveniently located throughout Long Island and New York City.  For more information about East Coast Fertility, visit eastcoastfertility.com.

*Endometrin® (progesterone) Vaginal Insert is manufactured by Ferring Pharmaceuticals Inc.

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East Coast Fertility Leads the Way With Few Premature Births

By East Coast Fertility

October 26th, 2010 at 8:51 am

With all of the negative publicity surrounding the fertility industry in the wake of "octomom" and other sensational news stories, it is no wonder public opinion has turned sour towards the doctors and clinics that perform the services. Society now questions the safety, practicality and costs of aggressive treatments that often result in multiple births.

The topic made front page news in the New York Times a few months ago with its article "The Gift of Life and Its Price." So how do infertile couples pursue a more conservative route to parenthood – one that’s safer for them and their baby, still offers high success rates, yet is affordable? Dr. David Kreiner of East Coast Fertility is using his conscience and his expertise to provide a solution. He is the first in the country to offer an In-Vitro Fertilization (IVF) package using Single Embryo Transfers (SET) at one set price to patients.

In a typical IVF cycle, a doctor will transfer two, three and sometimes more embryos back into the uterus, depending on many factors, in order to achieve the highest chance of success. However, this protocol lends itself to a high risk of multiples, making risky pregnancies, long NICU stays, babies with developmental problems and handicaps, and thus extremely high healthcare costs.

With a Single Embryo Transfer, just one embryo is placed back into the woman’s uterus, nearly eliminating the chance of achieving multiples. The remaining embryos are frozen and can be transferred to the woman in future cycles.

While SET is the optimal choice for many women, the current cost structure favors transferring multiple embryos over this method. Because transferring a single embryo has a lower success rate than transferring multiple embryos, a patient may have to undergo several SET cycles before achieving a successful pregnancy. Clinics charge for each additional procedure. The patients are expected to absorb what could add up to $100 million per year in extra costs. Thus, patients and programs are pressured to transfer dangerously high numbers of embryos. The real irony lies in the fact that research has shown that universal adoption of single embryo transfers could save the healthcare system a total of $1 billion in healthcare costs. Yet, the patients who choose SET are expected to foot the bill.

That’s all changing at East Coast Fertility. Their Single Embryo Transfer Program attempts to take the financial incentive out of this push to put "all your eggs in one basket." Dr. Kreiner and his staff are making it cost neutral to transfer only one embryo at a time by offering free cryopreservation, free embryo storage and free embryo transfers until a patient achieves a live birth, all for the cost of a single IVF cycle. ECF absorbs the extra costs in cases where successive transfers are needed. So, the patient can choose the more conservative route without having to worry about the financial implications. Dr. Kreiner believes the benefits to the patient and society are obvious, and he doesn’t feel he is sacrificing the success of his practice. "It is with confidence in our highly successful embryo cryopreservation program that we are able to limit the number of embryos transferred without decreasing the number of births that result from IVF cycles at ECF. We are willing to sacrifice some margin in those cases where patients need successive transfers."

It remains to be seen if other clinics will follow ECF’s lead. Perhaps society should demand that fertility doctors start doing what is best for the patient even if it means having to cut into their profits on occasion. "Hopefully talking about these issues will highlight some of the negative incentives that exist in the world of Reproductive Endocrinology, and bring about change in the industry," says Pamela Madsen, fertility blogger (www.thefertilityadvocate.com) and founder of The American Fertility Association. She continues, "It is refreshing to see Dr. Kreiner as an ethical standout in the fertility world – a patient activist who is not letting greed get in the way of practicing good medicine."

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A Donors Thanks Professor Robert Edwards

By Amy Demma, Jd

October 8th, 2010 at 8:09 am

A few days ago, Dr. Kreiner was inspired to write a blog based on a letter from a recipient mom of donor eggs. At my office, we love it when recipient parents write to us and while it is less frequent that a donor sends a note, when we do hear from donors, my staff and I are especially delighted. This week, I heard from both prospective parents and colleagues about the announcement of Dr. Robert Edwards receiving the Nobel Prize. And I also received the below e-mail from a three-time experienced (and very fertile) donor expressing her gratitude for IVF, as well.

“Dear Amy,

I have been lurking, as I think many anonymous egg donors do, on some of the e-community boards as they discuss the news of Dr. Robert Edwards and the Nobel Prize for perfecting the in-vitro process. What is being said by experienced egg donors on some of the boards would probably interest the people who contact your office needing a donor.

I would imagine that many patients are talking about what IVF offers them in terms of ways to manage their infertility; I wanted to share with you that donors are also grateful to Dr. Edwards. So many people in the media talk about donors who do this for the money. Well, I say, I am one of those women who sees it less as selling my eggs for cash and so much more as a really unique and special way that I can do some good.

As you and I have worked together, you know that it has been important for me to know a little bit about the couple I am cycling for. I need this to be more than a clinical process; I need to have some characteristics of the recipients that I can relate to while doing the shots and everything else. I am doing this from my heart and I need to have the recipients in my heart too.

Since my cycles have been successful, you know the joy and happiness that this news has brought me. This is why I and so many other donors are also thankful not only for Dr. Edwards and his hard work but also that the Nobel Committee has granted him this honor. Of course, the end result of your hard work with the parents and the reason that donors go through all that they do is so that a baby will be born. But if you think about it and trace it back from the delivery date to the match date, even though all of the people involved all wanted to create a baby, without Dr. Edwards, this form of charity could not be.

It seems that I am very fertile; I know that I want to be able to give that fertility to a couple who needs me to have their baby. I thank Dr. Edwards for giving me the opportunity to help someone who has not been able to have a family; there are so many more people who are better off for your in-vitro discovery. And I especially thank the Nobel Committee for giving this award and for saying to the world that IVF is deserving of this level of recognition.”

The letter quoted in the latest blog by Dr. Kreiner was about disclosure of donor conception. As I was reading the above e-mail, basically a thank-you note sent from a donor who appreciates that IVF made it possible for her to help others, I wondered if the recipients who worked with this donor would be more inclined to disclose about donor conception if they understood just how deeply motivated, from the heart, their donor was. I just may pass along the above.

 To learn more about Amy Demma, JD please visit:

www.lawofficesofamydemma.com

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Join Us For A Special Seminar on How Holistic Medicine Can Help You On Your Family Building Journey!

By East Coast Fertility

October 7th, 2010 at 8:58 am

The Berkley Center for Reproductive Wellness at East Coast Fertility invites
you to join us on October 13, 2010 at 7pm for our grand opening, light refreshments and a special presentation.

Featuring:

Dr. David Kreiner, Medical Director and Founder of East Coast Fertility

Mike Berkley – The first acupuncturist in the U.S. to devote his practice solely to the care of those faced with fertility challenges

With a welcome by: Pamela Madsen, Founder of The American Fertility Association and Patient Advocate for East Coast Fertility

East Coast Fertility provides state-of-the-art, high tech fertility care and
The Berkley Center for Reproductive Wellness provides holistic modalities including acupuncture, herbal medicine, and massage. With their proven track records, there is no doubt this team will improve your fertility outcomes,
helping to transform you from patient to parent.

Please join us for our grand opening presentation at our Plainview
office, 245 Newtown Road. After the presentation, we invite you to
take a brief tour of our new holistic center at 1074 Old Country Rd.
Come learn how we can make your dream of family a reality

To reserve your seat at this special presentation or to make an appointment please call (516) 204-7149

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Should Doctors Talk About Money?

By David Kreiner, MD

September 29th, 2010 at 7:14 am

One of the most distressing things I face in practice is when I get negative feedback from a referring physician.  Fortunately, it happens rarely but recently I was shocked about the complaint.  Apparently, his patient was offended that I discussed the finances involved with her treatment.  Her Ob Gyn agreed with her that it was inappropriate for me to discuss the cost of her options.  He told me, “I like you and think East Coast Fertility is an excellent program but I never talk about money directly to patients!  It’s not – I don’t know…seemly!”   “Money issues are discussed with the business office, the doctor only discusses the medicine”.

Perhaps it’s unfortunate that fertility doctors have to be so concerned about their patient’s pocket books unlike other fields of medicine that are usually covered by some measure of insurance.  But in the case of infertility with only a handful of states having some kind of mandated coverage – not everybody in the United States -  mandate or no mandate for infertility  -even has health insurance!  Many fertility patients are in some form or another “cash pay” patients.  One of the most popular places that patients visit when they go to any fertility clinic’s website is the finance page.  This is simply a fact of life.

For this reason I have developed many programs that will create access to fertility care for as many people as possible.  But here is the catch! One program does not fit all. These are simply not over sized tee shirts – each of these programs represent a certain course of  medical care – and each individual and couple needs the assistance of a caring doctor to help them choose the right program that will fit their own particular medical history.  In addition to the NY State DOH Grant Program and our own East Coast Fertility Grant Program, we have the Micro-IVF Program, The Money Back Guarantee Program,  and The Single Embryo Transfer Program.  The most effective treatment and the most efficient is always a full stimulation IVF. However, if someone has insurance coverage for IUI and meds but not IVF then they may prefer to do IUI. If they do not have coverage for IUI either then it may be more cost effective to do the Micro-IVF Program or minimal stimulation IVF at 2-3 x the success of IUI with less risk than gonadotropin IUI and less cost per pregnancy. Yet at a price of $3900 it may be more attractive than a full stimulated IVF. There is also The Single Embryo Transfer Program where we reward patients transferring one embryo at a time by making their cryo, embryo storage and unlimited frozen embryo transfers for free.  Others prefer the insurance of The Money Back Guarantee Program where patients are offered six IVF retrievals and frozen embryo transfers for a fixed fee that is refunded if they do not result in a live birth.   In order to inform patients about our success and programs that make IVF more available to them we offer free consultations.

In today’s world of fertility care – a good doctor will help a patient find not only the right treatment but how to access that care.  In order to do that – a doctor may have to do what some may think is unseemly – and that is to talk about money.

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Understanding How Holistic Medicine Can Support Your Journey to Family

By East Coast Fertility

September 28th, 2010 at 8:50 am

The Berkley Center for Reproductive Wellness at East Coast Fertility invites
you to join us on October 13, 2010 at 7pm for our grand opening, light refreshments and a special presentation.

Featuring:

Dr. David Kreiner, Medical Director and Founder of East Coast Fertility

Mike Berkley – The first acupuncturist in the U.S. to devote his practice solely to the care of those faced with fertility challenges

With a welcome by: Pamela Madsen, Founder of The American Fertility Association and Patient Advocate for East Coast Fertility

East Coast Fertility provides state-of-the-art, high tech fertility care and
The Berkley Center for Reproductive Wellness provides holistic modalities including acupuncture, herbal medicine, and massage. With their proven track records, there is no doubt this team will improve your fertility outcomes,
helping to transform you from patient to parent.

Please join us for our grand opening presentation at our Plainview
office, 245 Newtown Road. After the presentation, we invite you to
take a brief tour of our new holistic center at 1074 Old Country Rd.
Come learn how we can make your dream of family a reality

To reserve your seat at this special presentation or to make an appointment please call (516) 204-7149

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East Coast Fertility to Open the First Holistic Fertility Center on Long Island

By East Coast Fertility

September 22nd, 2010 at 6:32 am

In association with The Berkley Center for Reproductive Wellness, the first complementary medicine Center in the U.S. to specialize in the care and treatment of those faced with fertility challenges, ECF will offer an “East meets West” approach to fertility treatment.  There is current research which shows that by combining holistic medicine with traditional Western medical approaches, outcomes for many may be improved.  The new Center is scheduled to open October 15th, 2010 in Plainview, New York.

ECF’s fertility clinics will continue to provide innovative assisted reproductive technologies, while The Berkley Center will focus on such holistic treatments as acupuncture, herbal medicine, massage, and clinical counseling.  Mike Berkley, the Director of Complementary Medicine Services, is the first acupuncturist in the U.S. to devote his practice solely to fertility care.  It is believed that combining these holistic treatments with advanced medical care can enhance the experience for many patients and help them achieve success.

 

The Center will be called The Berkley Center for Reproductive Wellness at East Coast Fertility, and will hold its grand opening presentation on October 13, 2010 at 7pm.  All are welcome to come and see the new facility and stay for a special presentation titled “Understanding How an East meets West Approach to Care Can Increase Your Odds!’.

Pamela Madsen, Founder of The American Fertility Association and Patient Advocate for East Coast Fertility will welcome you, your partner, and any friend you wish to bring. Mike Berkley will discuss his thoughts about the benefits of holistic fertility care, and  Dr. David Kreiner, Medical Director and Founder of East Coast Fertility, will share his insights.  

Reserve your seat at this special event by calling:  516.204.7149.

 
Dr. Kreiner is eager to offer patients holistic services to compliment their fertility treatments.  “Anything we can offer patients to enhance their experience or make them more comfortable during cycles can contribute to a successful outcome,” says Kreiner.  “It’s also about giving our patients options.  We want them to know they can come to ECF for comprehensive treatment, and holistic therapies are a part of that.”

Mike Berkley adds, “Many patients that use natural fertility techniques during IVF cycles have success.  It’s our job to offer them every possible resource to make their dreams of having a family a reality.”

East Coast Fertility has always focused on giving patients high quality care, and offering them holistic options along with their state-of-the-art medical care will surely be a benefit to all.

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Cross-Border Fertility Care – The Only Option for Some Hopeful Couples

By East Coast Fertility

September 21st, 2010 at 9:28 am

There has been a lot of negative press recently about cross-border fertility care – otherwise known as "reproductive tourism." However, the fact remains that couples struggling to start a family sometimes have no other option but to seek help away from their homes. This is the case for couples in the U.K. who must turn to egg donation as their only hope to conceive. For them, there is a three year wait for donor eggs. This is a huge obstacle for those anxious to start their families and for women already of an age where they can not afford to wait. In the U.S. the wait is much shorter, and one clinic is reaching out to provide donor egg services to these U.K. couples in need.

Dr. David Kreiner of East Coast Fertility reflects on the negative opinion that sometimes surrounds cross-border fertility care. "In an ideal world, patients wouldn’t have to leave their country and their local doctors to get the treatment they need in a timely fashion. But the reality in the UK is that many couples cannot afford to wait until a donor egg becomes available there. At ECF, it is with great sensitivity and care that we are trying to answer their needs, and we try to keep as much of the patient care in the home country as possible."

East Coast Fertility is the premier IVF/Donor Egg program located in New York and offers patients immediate access to hundreds of excellent eggs. Dr. Kreiner is the former director of the Donor Egg program at the Jones Institute, where he was involved with the first successful Donor Egg cases in the U.S from 1985-1988. He has also received awards from the American Society of Reproductive Medicine for his work with IVF-Donor Egg.

The team of professionals at ECF is always available to  answer all questions about the U.S. East Coast Fertility experience for using IVF with a donor egg. It doesn’t matter that we are across the pond with today’s communication technologies!

During a two-day visit to New York, ECF can perform your initial workup and help you select a donor. Their physicians and staff will coordinate your IVF cycle with your U.K. physician. You will revisit ECF for your embryo transfer and then return home to monitor your hormone levels and pregnancy results through your local physician. The average recipient only spends 2-7 days in New York.

The ECF program only requires two short trips to New York City, and since 2002, the clinic has a 75% pregnancy rate per donation cycle including fresh and frozen embryo transfers.

This is simply a trip couples cannot afford to miss.

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East Coast Fertility Continues to Offer High Quality Care with Addition of Dr. Jessica Salas Mann to its Medical Team

By East Coast Fertility

September 15th, 2010 at 7:16 am

East Coast Fertility, (ECF) the premier center for infertility care on Long Island, has always aimed to offer innovative, high quality care to their patients.  With the recent addition of Jessica Salas Mann, MD, FACOG to their medical staff, ECF has raised the bar again, offering their patients a bilingual, female doctor that is highly respected in the field of reproductive medicine. 

Dr Mann was born in Lima, Peru and is fluent in Spanish.  She graduated with a B.S. in Biology and Chemistry, Cum Laude, from Florida International University in Miami, Florida and received her medical degree from the University of Florida School of Medicine. While studying, she was a member and officer of the local chapter of the American Medical Women’s Association, and was awarded an internship at The M.D. Anderson Cancer Center where she investigated neoadjuvant chemotherapy as treatment for early stage breast cancer. She completed her fellowship in Reproductive Endocrinology and Infertility at the University of Connecticut and is board certified in Obstetrics and Gynecology and board eligible in Reproductive Endocrinology. Dr Mann pursued a residency in Obstetrics and Gynecology at NYU/Bellevue Hospital in New York City.

Dr. Mann has dedicated her time to studying the events associated with cytoplasmic human oocyte maturation of both in vivo matured as well as in vitro matured oocytes stimulation protocols of poor responders during fertility treatments.  She has also researched the utilization of single embryo transfer (SET), which ECF is well known for. Her areas of clinical interest and expertise include recurrent pregnancy loss, ovulation induction, in vitro fertilization, polycystic ovarian syndrome, and third party reproduction.

Dr. Mann’s research has not gone unnoticed.  She was awarded Outstanding Resident Paper by the New York Obstetrical Society for her research on Early Serum hCG and In vitro Fertilization.  She has published articles in peer review journals and has presented her research at numerous conferences of the American Society of Reproductive Medicine and the Society for Gynecologic Investigation.  During her residency, she volunteered multiple lectures in Spanish as part of the Latina SHARE series (Self-help for Women with Breast or Ovarian Cancer) to provide support and understanding to Spanish-speaking patients.

Dr. David Kreiner, medical director of East Coast Fertility, is excited about the addition of Dr. Mann to his team.  “Our goal has always been to staff our practice with the best medical professionals,” says Dr. Kreiner.  “Dr. Mann is a well respected fertility doctor, and offers us the added benefit of being bilingual.  She is a real asset to our group.”

Dr. Mann sees patients at ECF’s Mount Sinai, West Islip, and East Patchogue offices, and looks forward to practicing at such a renowned fertility clinic. “I’m proud to be at East Coast Fertility,” says Dr. Mann.  “The staff here is dedicated to quality care, and the focus is on the patient.  I know being part of this team will allow me to help more couples achieve their goal of having a family.”


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East Coast Fertility Leads The Way In Providing Safer, Effective, and Affordable Fertility Treatment!

By East Coast Fertility

September 14th, 2010 at 9:21 am

With all of the negative publicity surrounding the fertility industry in the wake of “octomom” and other sensational news stories, it is no wonder public opinion has turned sour towards the doctors and clinics that perform the services. Society now questions the safety, practicality and costs of aggressive treatments that often result in multiple births. So how do infertile couples pursue a more conservative route to parenthood – one that’s safer for them and their baby, still offers high success rates, yet is affordable? Dr. David Kreiner of East Coast Fertility is using his conscience and his expertise to provide a solution. He is the first in the country to offer an In-Vitro Fertilization (IVF) package using Single Embryo Transfers (SET) at one set price to patients.

In a typical IVF cycle, a doctor will transfer two, three and sometimes more embryos back into the uterus, depending on many factors, in order to achieve the highest chance of success. However, this protocol lends itself to a high risk of multiples, making risky pregnancies, long NICU stays, babies with developmental problems and handicaps, and thus extremely high healthcare costs.

With a Single Embryo Transfer, just one embryo is placed back into the woman’s uterus, nearly eliminating the chance of achieving multiples. The remaining embryos are frozen and can be transferred to the woman in future cycles.

While SET is the optimal choice for many women, the current cost structure favors transferring multiple embryos over this method. Because transferring a single embryo has a lower success rate than transferring multiple embryos, a patient may have to undergo several SET cycles before achieving a successful pregnancy. Clinics charge for each additional procedure. The patients are expected to absorb what could add up to $100 million per year in extra costs. Thus, patients and programs are pressured to transfer dangerously high numbers of embryos. The real irony lies in the fact that research has shown that universal adoption of single embryo transfers could save the healthcare system a total of $1 billion in healthcare costs. Yet, the patients who choose SET are expected to foot the bill.

That’s all changing at East Coast Fertility. Their Single Embryo Transfer Program attempts to take the financial incentive out of this push to put “all your eggs in one basket.” Dr. Kreiner and his staff are making it cost neutral to transfer only one embryo at a time by offering free cryopreservation, free embryo storage and free embryo transfers until a patient achieves a live birth, all for the cost of a single IVF cycle. ECF absorbs the extra costs in cases where successive transfers are needed. So, the patient can choose the more conservative route without having to worry about the financial implications. Dr. Kreiner believes the benefits to the patient and society are obvious, and he doesn’t feel he is sacrificing the success of his practice. “It is with confidence in our highly successful embryo cryopreservation program that we are able to limit the number of embryos transferred without decreasing the number of births that result from IVF cycles at ECF. We are willing to sacrifice some margin in those cases where patients need successive transfers.”

It remains to be seen if other clinics will follow ECF’s lead. Perhaps society should demand that fertility doctors start doing what is best for the patient even if it means having to cut into their profits on occasion. “Hopefully talking about these issues will highlight some of the negative incentives that exist in the world of Reproductive Endocrinology, and bring about change in the industry,” says Pamela Madsen, fertility blogger (www.thefertilityadvocate.com) and founder of The American Fertility Association. She continues, “It is refreshing to see Dr. Kreiner as an ethical standout in the fertility world – a patient activist who is not letting greed get in the way of practicing good medicine.”

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