13th European Postgraduate Course

in Neonatal and Pediatric

Intensive Care Medicine
March 14-16, 2019
University Children’s Hospital, Inselspital, Bern, Switzerland
Endorsed by ESPNIC – The European Society of
Paediatric and Neonatal Intensive Care

2nd Bedside Ultrasound Workshop

in Pediatric Emergency, Neonatal and
Intensive Care Medicine
March 12-13, 2019
Hosted by the Children’s University Hospital of Philadelphia
and the Children’s University Hospital of Bern

Accreditation for CME

Final program
Table of contents

Welcome address Page   2

Organization and Accreditation Page   3

Faculty Page   5

Scientific program March 14, 2019 Page   9

Scientific program March 15, 2019 Page 12

Scientific program March 16, 2019 Page 15

Workshop, March 12-13, 2019 Page 16

General Information Page 18

Sponsors Page 21

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019
Welcome address

Welcome to Bern and great to see you at the 13th European Postgraduate Course
in Neonatal and Pediatric Intensive Care Medicine, which follows a significant
number of previous courses organized by Prof. Jürg Pfenniger and PD Bendicht
Wagner on our campus.

In 2019 we touch again on different and important topics in our field of practice –
from the neonatal to the adolescent patient. The international course faculty, a fine
mixture of speakers from different parts of the world, will be complemented by a
number of short and interesting cases presented by physicians from our local
University Children’s Hospital and perspectives from our colleagues in the adult
intensive care medicine setting.

We have one industry sponsored symposium (Berlin Heart GmbH, Berlin, Germany
and Mussler Medical Supply, Lausanne, Switzerland) which will be held on Friday
evening (a light dinner will be served).

Please fill out the evaluation forms – and it would be very helpful if you could
provide topics or speakers for future courses. We would be very pleased to see you
again in 2021 (mark your calendar: April 16 – 18, 2021).

Thank you again for coming, I hope you enjoy the lectures and discussions – and
with your active participation you will move the course to an even higher level.

Best,

Tilman Humpl
Course Chairman

Head, Pediatric Intensive Care and Neonatology

Children’s Hospital, University of Bern
Inselspital, 3010 Bern
Switzerland

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Organization and Accreditation

Scientific Secretariat: Loraine M. Cajipe

Departement of Pediatric Intensive Care
University Children’s Hospital
Inselspital
CH-3010 Bern
Phone: +41 31 632 97 39
Fax: +41 31 632 07 84
e-mail: [email protected]
www.intensivecarecourse.com

Administrative Secretariat: BBS Congress GmbH

Rabbentalstr. 83
CH-3013 Bern
Phone: +41 31 331 82 75
Fax: +41 31 332 98 79
e-mail: [email protected]
www.bbscongress.ch

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Organization and Accreditation

International Accreditation
The accreditation of the 13th European Postgraduate Course in Neonatal and
Pediatric Intensive Care Medicine by the European Accreditation Council for
Continuing Medical Education (EACCME) is pending.

The accreditation of the 2nd Bedside Ultrasound Workshop in Pediatric Emergency

Medicine, Neonatal and Intensive Care Medicine (Bern, Switzerland, March 12–13,
2019) by the European Accreditation Council for Continuing Medical Education
(EACCME) is pending.

National Accreditation
The Course (March 14-16, 2019) is accredited by the following national societies:
Swiss Society of Paediatrics (SGP/SSP): 18 Credits
Swiss Society for Emergency and Rescue Medicine (SGNOR/SSMUS): 10 Credits

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Faculty

Course Faculty and Session Chairs:

Agyeman, Philipp MD Consultant, Pediatric Infectious Diseases,

Inselspital, Bern University Hospital, CH

Ahrens, Olaf MD Attending Physician, Division of Neonatology,

Inselspital, Bern University Hospital, CH

Berg, Robert MD Professor, Division Chief, Critical Care Medicine,

PICU, The Children’s Hospital of Philadelphia,
USA

Berger, David, MD Senior Consultant, Department of Intensive Care

Medicine, Inselspital, Bern University Hospital, CH

Berger, Markus MD Senior Consultant Neonatology, Inselspital, Bern

University Hospital, CH

Bubl, Benedikt MD Attending Physician, Division of Neonatology,

Inselspital, Bern University Hospital, CH

Budäus, Sonja MD Attending Physician, Pediatric Intensive Care

Unit, Inselspital, Bern University Hospital, CH

Dabek, Martin MD Attending Physician, Pediatric Intensive Care

Unit, Inselspital, Bern University Hospital, CH

Fusch, Christoph MD Professor, Chief Physician, Klinik für Jugend-

liche, Kinder und Neugeborene, Klinikum
Nürnberg, DE

Goldman, Allan MD Chief of Service – Body, Bones + Mind, Group

Director – Medicines, Therapies + Tests Directo-
rates, Great Ormond Street Hospital for Children
NHS Foundation Trust, London, UK

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Faculty

Hänggi, Matthias MD Senior Attending Specialist, Intensive Care

Medicine, Inselspital, Bern University Hospital, CH

Hoffman, George MD Professor, Medical Director and Chief,

Anesthesiology and Cardiac Critical Care,
Children›s Hospital / Medical College of
Wisconsin, Milwaukee, USA

Jakob, Stephan MD, PhD Professor, Director and Chief Physician,

Department of Intensive Care Medicine,
Inselspital, Bern University Hospital, CH

Jankov, Robert MD Professor, Neonatologist / Senior Scientist,

Children›s Hospital of Eastern Ontario, University
of Ottawa, CAN

Kreicbergs, Ulrika PhD, RN Professor, Palliative Research Centre, Ersta

Sköndal Bräcke University, Stockholm, SWE

McDougall, Jane Acting Head, Senior Consultant Neonatology,

MB ChB FAAP Inselspital, Bern University Hospital, CH

Medina, Alberto MD, PhD Consultant PICU, Hospital Universitario Central

de Asturias (Oviedo), ESP

Mendonca, Malaika MD Attending Physician, Pediatric Intensive Care

Unit, Inselspital, Bern University Hospital, CH

Mérat, Michèle MD Senior Attending Physician, Pediatric Intensive

Care Unit, Inselspital, Bern University Hospital, CH

Mohseni-Bod, Hadi MD Paediatrician and intensivist, MSF France BJH

Children’s Hospital, Liberia, MSF Canada and
honorary staff, Hospital for Sick Children,
Toronto, CAN

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Faculty

Peleg, Kobi MD Professor, Director, National Center for Trauma &

Emergency Medicine Research, The Gertner
Institute for Health Policy & Epidemiology,
Tel Hashomer, ISR

Pfluger, Marc MD Attending Physician, Pediatric Intensive Care

Unit, Inselspital, Bern University Hospital, CH

Pross, Lutz MD Attending Physician, Pediatric Intensive Care

Unit, Inselspital, Bern University Hospital, CH

Redington, Andrew MD Professor, Head of Cardiology, The Heart

Institute, Cincinnati Children’s Hospital Medical
Center, Cincinnati, USA

Rimensberger, Peter MD Professor, Medical Director, Service of

Neonatology and Paediatric Intensive Care,
University Hospital of Geneva, CH

Schefold, Jörg MD Professor, Chief Physician, Department of

Intensive Care Medicine, Inselspital, Bern
University Hospital, CH

Scholefield, Barney MD Clinician Scientist and Consultant in PICU, PICU,

Birmingham Children’s Hospital and University of
Birmingham, UK

Seibel, Kerstin MD Attending Physician, Pediatric Intensive Care

Unit, Inselspital, Bern University Hospital, CH

Setzer, Florian MD Senior Consultant, Department of Intensive Care

Medicine, Inselspital, Bern University Hospital, CH

Simons, Sinno MD, PhD Neonatologist, Sophia Children’s Hospital, Eras-

mus MC, Rotterdam, NL

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Faculty

Stenson, Benjamin MD Professor, Neonatology, Simpson Centre for

Reproductive Health, Royal Infimary of
Edinburgh, Scotland

Terblanche, Marius MD Senior Attending Physician, Adult Critical Care,

Guy’s & St. Thomas› Hospital, London, UK

Tschumi, Sibylle MD Senior Attending Physician Pediatric Nephrology,

Inselspital, Bern University Hospital, CH

Ulmer, Francis MD Attending Physician, Pediatric Intensive Care

Unit, Inselspital, Bern University Hospital, CH

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Scientific program, March 14, 2019

07:45 Welcome
Tilman Humpl

08:00 – 10:00 Session I

Chair: Allan Goldman
Marc Pfluger

08:00 Optimal practice to prevent, recognize and manage

complications related to devices and invasive
monitoring in critically ill children
George Hoffman

08:30 To cool or not to cool – words of wisdom after

randomized controlled trials
Barney Scholefield

09:00 Hemodynamics for the pediatric intensivist

Andrew Redington

09:30 Critical Care tracheal intubations: can we be saver?

Robert Berg

10:00 – 10:30 Coffee break

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Scientific program, March 14, 2019

10:30 – 12:00 Session II

Chair: Christoph Fusch
Jane McDougall

10:30 From mice to pre-term babies: implications from

bench research to current clinical practice
Robert Jankov

11:00 Differencies in drug use in the NICU

Sinno Simons

11:30 What is the preferred saturation in extremely

pre-term babies?
Benjamin Stenson

12:00 – 13:00 Lunch break

13:00 – 15:00 Session III

Chair: Robert Berg
Francis Ulmer

13:00 2019… Is it worthwile to move on with HFOV after

almost 50 years?
George Hoffman

13:30 2019… Is it worthwile to move on with iNO after

almost 30 years?
Peter Rimensberger

14:00 High Flow Nasal Cannula – pro and con

Alberto Medina

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Scientific program, March 14, 2019

14:30 Congenital diaphragmatic hernia – preoperative and

postoperative fine tuning
Hadi Mohseni-Bod

15:00 – 15:30 Coffee break

15:30 – 17:30 Session IV

Chair: George Hoffman
Martin Dabek

15:30 Case Presentations

Sonja Budäus, Michèle Mérat & Malaika Mendonca

16:00 Handover in the ICU: checklist or poetry?

Allan Goldman

16:30 Palliative Care and end of life in the PICU –

ways to improve…
Ulrika Kreicbergs

17:00 Future PICU – 2040 –

Should artificial intelligence take over?
Marius Terblanche

17:30 End of day one

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Scientific program, March 15, 2019

08:00 – 10:00 Session V

Chair: Peter Rimensberger
Bert Hennig

08:00 Update on Pediatric ARDS

Alberto Medina

08:30 How should we manage in-hospital arrest in 2019?

Robert Berg

09:00 Postoperative analgo-sedation

Barney Scholefield

09:30 Burnout and moral distress in the PICU

Allan Goldman

10:00 – 10:30 Coffee break

Session VI – Thoughts from the adult intensivists…

10:30 – 12:00
Chair: Andrew Redington
Lutz Pross

Which ICU patient would I move forward for
tracheostomy?
Florian Setzer

How do I treat septic shock?

Jörg Schefold

Delir – have I seen it and how do I deal with it?

Matthias Hänggi

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Scientific program, March 15, 2019

Do I care about caloric intake in the intensive care

setting?
Stephan Jakob

Which patients are still «pediatric» or and which

patients are already «adult»?
David Berger

12:00 – 13:00 Lunch break

13:00 – 15:00 Session VII

Chair: Sino Simmons
Markus Berger

13:00 Is there an optimal time for cord clamping in

pre-term neonates?
Benjamin Stenson

13:30 Bedside human milk analysis – Myths and facts

Christoph Fusch

14:00 PDA – fluid restriction, indomethacin, ibuprofen,

acetaminophen… All or one?
Robert Jankov

14:30 How to treat neonatal abstinence syndrome

Sinno Simons

15:00 – 15:30 Coffee break

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Scientific program, March 15, 2019

15:30 – 17:30 Session IX

Chair: Barney Scholefield
Kerstin Seibel

15:30 Case presentations
Olaf Ahrens, Jane McDougall & Benedikt Bubl

16:00 Mass casualties – how to prepare the Pediatric Cri-

tical Care Unit?
Kobi Peleg

16:30 Care for critically ill children in the 1st and 3rd
world
Hadi Mohseni-Bod

17:00 Definition, epidemiology, management and outco-
me of AKI in the PICU
Sibylle Tschumi

18:30 – 20:00 Industry Symposium

Berlin Heart GmbH
Mussler Medical Supply

20:00 End of day two

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Scientific program, March 16, 2019

Session X
08:30 – 10:00
Chair: Alberto Medina
Tilman Humpl

08:30 Failure of the left or right ventricle:
treatment options in the PICU
Andrew Redington

09:00 The ideal fluid for resuscitation in children

George Hoffman

09:30 ECPR – boon or bane?

Robert Berg

10:00 – 10:30 Coffee break

Session XI
10:30 – 12:15
Chair: Hadi Mohseni-Bod
Michèle Mérat

10:30 New biomarkers for infections: What is relevant for
the NICU/PICU?
Philipp Agyeman

11:00 Evidence-based medicine in PICU – forget it;

personalised medicine is the future
Peter Rimensberger

11:30 Telemedicine in the PICU – let’s do it!

Marius Terblanche

12:00 End of the Course - Closing remarks

Tilman Humpl

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Workshop, March 12–13, 2019

Workshop Directors Thomas Conlon, Philadelphia, USA

Bert Hennig, Bern, CH

Workshop Overview and Objectives

Bedside ultrasound is an emerging technology in pediatric acute care settings.
Learn how to acquire and interpret bedside ultrasound images in procedural and
non-procedural applications. Lectures provided by international multi-discipline
pediatric specialists will describe bedside ultrasound techniques and highlight
relevant literature supporting applications in practice. Hands-on stations will
allow learners the opportunity to practice skills to implement at the bedside in
the care of critically ill neonates and children.

Workshop Program
Tuesday, March 12, 2019, 07:15 h – 17:15 h
• Introduction
• Physics and Knobology
• Vascular Access and Procedural Ultrasound
• The Abdominal Exam
• Hands-On (Knobology, Vascular US, Lung US)
• The Cardiac Exam
• Left and Right Ventricular Assessment
• Neonatal Ultrasound
• Hands-On (Apical Views, Parasternal Views, Subcostal Views)

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Workshop, March 12–13, 2019

Workshop Program
Tuesday, March 13, 2019, 07:30 h – 16:45 h
• Review
• The Thoracic Exam
• Volume Assessment
• States of Shock
• Hans-On (Shock Assessment, Volume Assessment, The Thoracic Exam)
• Case Review
• Neonatal Head Ultrasound
• Bedside Ultrasound Education and Program Implementation
• Hands-On (Case-Based Integration)
• Concluding Remarks, Evaluation

Workshopleaders

Markus Berger Neonatology, Inselspital, Bern, Switzerland

Benedikt Tobias Bubl Neonatology, Inselspital, Bern, Switzerland
Thomas Conlon Critical Care Medicine, CHOP, Philadelphia, USA
Maria Fraga Neonatology, CHOP, Philadelphia, USA
Bert Hennig Pediatric Intensive Care, Inselspital, Bern,
Switzerland
Sabine Pallivathukal Pedatric Cardiology, Inselspital, Bern, Switzerland
Fabrizio Romano Emergency Department for children and
adolescents, Inselspital, Bern, Switzerland
Cordula Scherer Pediatric Surgery, Inselspital, Bern, Switzerland
Steffen Schmidt Emergency Department for children and
adolescents, Inselspital, Bern, Switzerland

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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General Information

Venue Auditorium Ettore Rossi, Inselspital (Kinderklinik),

Bern/Switzerland.
Bus n° 11 (direction «Holligen») from main
railway station to Inselspital, bus stop
«Inselspital».

Official language English, no simultaneous translation

Beginning and end Tuesday, March 12, 2019, 07:15 h

of the Workshop Wednesday, March 13, 2019, 17:00 h

Beginning and end Thursday, March 14, 2019, 07:45 h

of the Course Saturday, March 16, 2019, 12:15 h

Administrative Secretariat BBS Congress GmbH, Rabbentalstrasse 83,

before and after the Course CH-3013 Bern
Phone: +41 31 331 82 75, Fax: +41 31 332 98 79
e-mail: [email protected],
www.bbscongress.ch

Secretariat during the Course Foyer Ettore Rossi, Inselspital (Kinderklinik),

CH-3010 Bern
Phone: +41 79 273 06 71

Registration Please see www.intensivecarecourse.com

Registration Desk – Each registered participant will receive

Opening hours his/her personal documentation at the
registration desk, located in the Foyer
Ettore Rossi, Children’s Hospital, Inselspital.

Thursday March 14, 2019 07:15 – 17:30 h

Friday March 15, 2019 07:30 – 18:00 h
Saturday March 16, 2019 08:00 – 12:30 h

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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General Information

Registration fees ESPNIC members:

(prices in Swiss Francs CHF) 450 CHF (until Dec. 15, 2018),
550 CHF (from Dec. 16, 2018)

Non members:
550 CHF (until Dec. 15, 2018),
650 CHF (from Dec. 16, 2018)

The registration fee includes lunches (March

14 & 15) and coffee breaks (March 14–16).

Remittance of fees The fees have to be paid in Swiss Francs –

clearly stating name of the participant – either by
bank transfer to the IBAN account below or by
credit card.

Bank: Credit Suisse, Bern

BIC/SWIFT: CRESCHZZ30A
IBAN: CH87 0483 5021 1255 4001 0
Account holder: BBS Congress GmbH,
CH-3013 Bern

Cancellation Refund less 25% administrative charge may be

applied for in writing until February 1st, 2019.
After this date no refund can be made for
cancellations.
The participant acknowledges that he/she has
no right to lodge dammage claims against the
organizers should the holding of the Course be
hindered or prevented by unexpected political or
economic events or generally by force majeure,
or should the non-appearance of speakers or
other reasons necessitate program changes.
With his/her registration the participant accepts
this proviso.

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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General Information

Accommodation Rooms can be booked online with Bern

Incoming GmbH.
Please see www.intensivecarecourse.com

Podcast The participants will have access to podcasts of

the conferences after the course.

Public WiFi Choose WLAN «Public-INSELGRUPPE». Open

browser and you’ll be directed to the guest
portal. Choose «Free WiFi». Enter your
mobile number and accept the terms of use.
You’ll receive a code by short message. Indicate
the code in the browser and click on
«Registration abschliessen».

Course website www.intensivecarecourse.com

Workshop website www.bedsideultrasoundworkshop.com

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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Sponsors

Exhibitors

Anandic Medical Systems AG Feuerthalen, Switzerland

Hamilton Medical AG Bonaduz, Switzerland

We live for ventilation technology that helps caregivers improve patients’ lives. To keep
meeting their demands, innovation is vital – realizing visionary ideas and continually improving
products, always focusing on patient safety and ease of use.
For neonatal ventilation, we offer solutions from: clinical ICU to the mobile ICU and MR suite.
HAMILTON-T1 transport ventilator is the first ventilator with the full functionality of a bedside
ICU ventilator for neonatal patients. HAMILTON-MR1 MR conditional ventilator follows your
tiny patients even into the MRI suite. HAMILTON-C1 neo is a turbine-driven ventilator that is
compact and easy-to-use at the bedside and during intra-hospital transports.

ResMed Schweiz GmbH Liebefeld, Switzerland

Sponsors

AbbVie AG Baar, Switzerland

B. Braun Medical AG Sempach, Switzerland
Berlin Heart GmbH Berlin, Germany
Gilead Sciences Switzerland Sàrl Steinhausen, Switzerland
MK-MED AG Medizintechnik Raron, Switzerland
Mussler Medical Supply Morges, Switzerland

Ultrasound Workshop Machines Sponsor

Philips AG, Health Systems Zürich, Switzerland

13th European Postgraduate Course in Neonatal and Pediatric Intensive Care Medicine
University Children’s Hospital Bern; Thursday – Saturday March 14 – 16, 2019

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