USA > Massachusetts > Norfolk County > Quincy > Inaugural address of the mayor, with the annual report of the officers of the city of Quincy for the year 1940 > Part 13
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Arrangements were made for convalescent care in their own homes or in a private nursing home for 58 adult patients and 6 chil- dren were sent to the Convalescent Home of the Children's Hospi- tal at Wellesley. Forty patients were referred to other hospitals and clinics for special care and five patients were sent to the City Home. Home nursing service was obtained for eight patients who were discharged from the hospital and surgical appliances obtained for 17 patients. Foster home placements were made for 8 babies,
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REPORT OF CITY HOSPITAL
through the co-operation of authorized child-placing agencies. There have been 290 outside settled cases referred to the department of Public Welfare for reimbursement or protection, and 420 welfare cases, including those receiving Old Age Assistance and Aid to De- pendent Children.
With the aid of volunteers, 1439 home visits were made and an average of three patients were brought to the hospital regularly for physio-therapy.
III. New Location of Office
On August 13, the department was installed in new, spacious quarters in the basement of the Administration Building. The additional room allowing for private offices for the two social workers was especially welcome after the crowded conditions of the past two years.
The adjoining room, hitherto used for storage and as a nurses' rest room, was converted into a clinic with four examining booths and dressing rooms, with a connecting door from the social ser- vice department, making for convenience in the administration of the clinic. It is here that pre-natal and tumor clinics are held.
IV. Tumor Clinic
The Quincy Tumor Diagnostic Clinic has been making slow, but steady progress in the fifteen months since its inception. There have been 37 patients seen in the clinic, of whom 7 have had cancer of the skin, 4 cancer of the breast, one each cancer of the uterus, tongue, lip, mouth, esophagus, lymph glands and sub-maxillary glands. Eleven patients were found to have no cancer and eight are still undiagnosed, but under observation.
A teaching clinic was held on May 7, 1940. Dr. Francis P. Mc- Carthy spoke on the Preventive Treatment and Pre-malignant le- sions of the oral cavity and Dr. John Spellman discussed Surgical treatments of the Lip and Oral Cavity. At the second teaching clinic, Dr. Roger Graves lectured on Cancer of the Genito-urinary fract. This clinic was held on October 29.
V. Pre-natal Clinic
There were 178 new patients admitted by the social service department to the pre-natal clinic and a total of 816 visits were made. Miss Marjorie Foster, nutrition consultant of the Junior Welfare League, visits clinic every week and talks with the patients concerning their diets and food problems.
The Visiting Nurse Association continues to visit our clinic patients, and report both medical and social data, thus enabling us to have a more complete history and picture of the patient.
VI. Social Service Committee
The members of the Social Service Committee for 1940 were Mrs. Malcolm Sargent, Mrs. Fred Bergfors, Mrs. Alfred Brown,
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CITY OF QUINCY
Mrs. F. Ramon Burke, Mrs. T. Vincent Corsini, Mrs. Edward Dob- byn, Mrs. Harry E. Dupee, Jr., Miss Helen Gavin, Mrs. Robert O. Gilmore, Mr. Guy W. Hart, Mrs. Paul Karcher, Mrs. Edward M. Nathan, Mrs. Harold P. Newell, Miss Sadie Papile, Mrs. Mer- ton Rix, Mrs. Joseph Serafini, Mrs. Frederick Tobben, Miss Car- lena Walker, Miss Marjorie Welch, Dr. Joseph P. Leone, and Miss Ruth Darr.
The Fourth Annual Charity Ball sponsored by the Committee was held at the Neighborhood Club on April 5, 1940. Mr. Ervin Hinds was Chairman. As has been the custom, this Ball was more successful than any of its predecessors, with a net income of $667.01. We have found that these annual affairs have become tradition, in the City and each year finds a larger group attending.
The second annual Bridge Party was held on December 11, 1940 in the Gordon House. Again we find it true that a larger group attends each year so that our net income was $77.75.
As I have remarked in previous reports, it is particularly gratifying in these days when there are so many demands upon the time and pocket of the individual, in behalf of worthy causes, to find a group which is so energetic and enthusiastic in its support of our institution.
VII. Acknowledgements and Thanks
In the tide of every day living and working, it is very easy to take for granted the assistance rendered by outside agencies and individuals. We welcome, therefore, this opportunity to thank those persons for whose co-operation in the past year we are most grateful.
1. Commissioner of Public Welfare, Anthony J. Venna, and the entire Welfare department without whose generous aid and assistance, the work of our department would be seriously curtailed.
2. Family Welfare Society of Quincy.
3. Quincy Visiting Nurse Association.
4. The Kiwanis Club which paid for tonsillectomies for 33 children.
5. Those who have given their time, and in many cases the use of their automobiles to enable us to carry on our work of helping those who are unable to help themselves. For the second summer, Miss Bette Cutler has worked for two months in this department as a full-time volunteer secre- tary, Miss Madeline Shipsey, a student in the Simmons Col- lege School of Pre-professional Studies, came to us once a week for several weeks to assist in the work of the de- partment and to acquaint herself with the workings of a medical social agency. Among those who have volunteered as drivers are Mrs. Raymond Warren and a group from the Wollaston Mothers' Club, Mrs. Edward M. Nathan, Mrs. Gustavius Robinson, Mrs. Frank E. Wheeler, Mrs. Ray- mond Allen, not to mention the Red Cross Motor Corps under the supervision of Mrs. Claire Nelson.
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REPORT OF CITY HOSPITAL
The Administration and Staff of the hospital have also been most co-operative and helpful in the past year and I wish to ex- press to them my sincere appreciation at this time.
Respectfully submitted,
RUTH DARR, Director Department of Social Service.
REPORT OF THE X-RAY DEPARTMENT
To the Board of Managers of the Quincy City Hospital :
GENTLEMEN :
The following is a report of the work done in the X-Ray De- partment during the year 1940.
Personnel
The personnel of the Department remained as in 1939 with Rebecca Philbrick, Constance Larkin and Elliot G. Vining doing the technical work. Phyllis Acebo had charge of the clerical work. During the year two young men and three young women were delegated to the X-ray Department by the NYA for temporary employment and did excellent work in the filing of records and films, and answering telephone calls.
New Equipment Desired
In order to duplicate the radiographic results, it is essential that we have some new screens and cassettes made by one firm. We need two 14x17 cassettes, two 10x12 cassettes and two 8x10 cassettes, all equipped with new screens. The outstanding need of the Department at this time is a new high voltage deep therapy outfit. This equipment could be installed at a relatively low price as the transformers which generate the power for the present ma- chine could still be utilized.
The proposed high voltage X-ray therapy machine is one having the flexibility to enable us to approach a deep seated tumor from any angle, and its installation will be a distinct step in advance in the treatment of malignant disease.
A Room for Low Voltage Therapy
At present we have great difficulty in bringing bedridden pa- tients to the low voltage therapy room on account of the necessity of mounting four steps to reach the floor level. The suggestion is made to convert the storeroom across the hallway from the radio- graphic department into a room for low voltage therapy. This room is easier of access and the low voltage equipment could be transferred to this room with moderate expense.
240
CITY OF QUINCY
New Equipment
During the year a new steel developing tank was installed in the darkroom and a lead covered loading bin for the protection of films. A more modern system of viewbox lighting was also in- stalled in the viewbox room.
Approximately a twenty per cent increase for the year
A comparison of the number of patients radiographed during the year 1940 with the number radiographed in 1939 shows an in- crease of approximately twenty per cent. The greater number of these examinations were done for members of the hospital staff on patients confined to the hospital. A relatively small number were referred to the Department by outside physicians. A marked increase was also noted in the number of patients suffering from fractures which were reduced under the fluoroscope by various members of the staff.
The following is a statistical report of the work done during the preiod from January 1, 1940 to December 31, 1940 inclusive:
Gastro-intestinal tract
266
Gall Bladder
240
Barium Enenia
89
Kidneys, ureters and bladder
310
Pyelogram
159
Chest
1520
Spine
323
Teetlı
101
Ankle
231
Knee
128
Leg
401
Ribs
70
Shoulder
223
Pregnancy
25
Wrist
198
Elbow
108
Arm
219
Feet
143
Hand
185
Skull
212
Nose
47
Sinus
68
Jaw
44
Mastoids
77
Pelvis
187
Post-operative hips
17
Fluoroscopic reductions
76
Localization of Foreign Bodies
11
Twenty-four hour films
182
Total Examinations
5830
Treatments
Low voltage
111
Deep Therapy
105
Total Treatments
216
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REPORT OF CITY HOSPITAL
We desire to express to the Administration and the Staff our appreciation of their continued co-operation.
Respectfully submitted,
CHARLES WHELAN, M.D.,. Roentgenologist.
REPORT OF THE LABORATORY DEPARTMENT
To the Board of Managers of the Quincy City Hospital :
GENTLEMEN :
To the Superintendent and Board of Managers of the Quincy City Hospital the report of the Clinical and Pathological laboratory is hereby submitted :-
The laboratory records have shown a continual increase in work with the past year showing an increase of about 5000 tests over the preceeding year. An ever increasing number of examina- tions is being made upon non-hospitalized patients from Quincy and the surrounding towns. The revenue from these cases adds considerably to the laboratory income.
The autopsy rate continues at a fairly high level with a per- centage of 35 for 1940. This again reflects the high scientific stan- dard of the institution and indicates the close co-operation of the public in granting permission to perform these examinations.
The laboratory formerly used by the School of Nursing has been suitably equipped with new benches, drawers and cabinets and up-to-date equipment including the auto-technicon and photo- electric colorimeter. This newly equipped laboratory gives us more adequate space for the increasing work and personnel. We greatly appreciate the full co-operation of the superintendent and the board of managers in furthering the development of the department.
In June Miss Ruth H. Kuhns resigned her post as assistant laboratory technician. Miss Mary A. Maloney and Miss Margaret Hunt have been appointed as assistant laboratory technicians.
The following is a detailed report of the examinations per- formed :-
State Laboratory Reports
Hinton 2446
Kahn
2
Wassermann, blo d
2
Wassermann, spinal fluid 59
Davies-Hinton, spinal fluid
39
Spinal fluid, Gold Sol 31
Total protein 7
Widal
59
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CITY OF QUINCY
Culture, Typhoid, Feces
73
Urine
19
Blood
17
Dysentery
16
Feces, bile
1
G. C. Complement fixation
22
Sputa, T.B.
5
Pneumo. Typing
11
Culture, sputum
1
Animal inoculation
1
Miscellaneous, blood, (trichinosis)
3
Equine encephal
2
Agglutination test for undulant fever
16
Quincy City Hospital Laboratory Reports
Urinalysis (pre-natal 814)
9709
P-S-P
137
Mosenthal
22
Urine concentration
5
Urine chloride
2
Urobilinogen
3
Quant. urine sugar
1
Diastase, urine
26
Total solids, urine
1
Bence Jones protein
1
W.B.C.
3933
R.B.C.
3185
Hgb., Tallqvist
3162
Sahli
29
P.E.C.
22
C.I.
3138
Differential
2300
Reticulocyte
18
Platelet
2
Bleeding time
427
Clotting time
430
Sedimentation rate
104
Fragility test
4
Prothrombin time
4
Icteric index
64
Van denBergh
27
Bromsul. (Liver function)
1
Takata Ara
1
Blood sugar
434
Blood N-P-N
519
Blood chloride
6
Blood cholesterol
õ
CO2 combining power
5
Creatinin
4
Uric acid
1
Calcium
8
Phosphorus
4
Blood letting
1
Blood level, Sulfanilamide
26
Sulfapyradine
11
Sulfathiazol
2
count
...
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REPORT OF CITY HOSPITAL
Urine level, Sulfapyradine
2
Spinal fluid level, Sulfanilamide
4
Laughlen
357
Rapid Hinton
7
Glucose tolerance
2
Galactose tolerance
2
Blood typing
1201
Blood matching
603
Blood culture
205
Miscellaneous matching
545
Throat matching
460
Smears
426
Hanging drop
1
Bacterial count
2
Transudate
3
Exudate
1
Sputa, T.B.
202
Pneumo typing
147
Pleural fluid, pneumo, typing
2
Spinal fluid, chloride
6
Routine
100
Blood test, Trichinae
1
Blood for parasites
1
Spinal fluid for parasites
1
Seminal fluid
1
Autogenous vaccine
13
Gastric analysis
37
Feces
157
Tape worm
1
Vomitus
5
Dark field
1
Aschheim-Zondek (Friedman mod.)
236
Guinea pig inoculation
38
Skin test
64
E-K-G
312
B-M-R
298
Autopsies
100
Frozen section
19
Surgical specimens
1173
Total
34520
Respectfully submitted,
FRANCIS P. MCCARTHY, M.D., Pathologist
REPORT OF PHYSICAL THERAPY DEPARTMENT To the Board of Managers of the Quincy City Hospital: GENTLEMEN :
The following report of the work of the Physical Therapy Department is respectfully submitted.
244
CITY OF QUINCY
During the past year no new equipment has been added, al- though the need of an additional short wave diathermy machine is still felt in the department.
One change in personnel has been made during the past year. Miss Mildred Anderson has taken over the secretarial duties of Miss Mary Popowitz.
Examinations and Treatments in 1940
Examinations
96
Auto-condensation
50
Diathermy
1696
Electric Saturation
69
Fulguration
14
Galvanism
9
Short Wave Diathermy
1371
Sinusoidal Electro-therapy
493
Suction Pressure
280
Static Electro-therapy
22
Vibration
13
Infra-red
452
Radiant Light
1988
Ultra Violet, Air Cooled
865
Ultra Violet, Water Cooled
488
Colonic Irrigation
38
Sitz Bath
5
Whirlpool Bath
148
Exercises
178
Manipulation
149
Massage
988
Total Modalities
9412
Total Patients
6486
Respectfully submitted,
CLAUDE L. PAYZANT, M.D., Director, Physical Therapy Department.
REPORT OF THE DIETARY DEPARTMENT
To the Board of Managers of the Quincy City Hospital :
GENTLEMEN :
The cost of all uncooked food used in the hospital for the year of 1940 was approximately $62,900.00. This covers the feeding of approximately 141,450 persons, which number includes all pa- tients, doctors, nurses and employees. This means the cost of un- cooked food per person per day was $0.44.
The uncooked food costs were broken into five large divisions.
245
REPORT OF CITY HOSPITAL
The following is the approximate percentage of our total cost spent in each division:
Meats, Fish, Poultry 28%
Milk, Cream, Ice Cream 20%
Butter and Eggs 10%
Fresh Fruits and Vegetables 14%
Groceries (all other foods) 27%
During 1940, the diet kitchen dispensed all between-meal nour- ishments. This meant the hiring of another person to be responsible for the making and distributing of these fluids to the respective wards.
Three new decks of steam cookers have been added to our kitchen equipment. These greatly facilitate the cooking of large quantities of fresh vegetables daily.
Respectfully submitted,
LAURA D. WENDT, Dietitian
REPORT OF THE HOUSEKEEPING DEPARTMENT
To the Board of Managers of the Quincy City Hospital : GENTLEMEN :
During 1940, an additional tumbler for drying clothes was in- stalled in the Laundry. This now makes two rotary driers in use in the Laundry, which have both increased the efficiency of this department and saved considerable time.
Other new equipment added in 1940 were two Puff Sleeve Pressers and also two Pressers for the Press Room, which are working very satisfactorily.
Again this year the majority of the employees of the House- keeping Department attended and enjoyed the Christmas Party held in the Conference Room for them.
Respectfully submitted,
CATHERINE LAUDER, Housekeeper.
246
CITY OF QUINCY
REPORT OF THE MAINTENANCE DEPARTMENT
To the Board of Managers of the Quincy City Hospital :
GENTLEMEN :
The following is an itemized report of major work which has been done by the Maintenance Department during 1940 :-
1. Installed new Heating Unit in hot water heating tank in the Boiler Room.
2. Installed two Prosperity Pony Pressers in the Laundry Press Room.
3. Installed one American Rotary Drier in the Laundry.
4. Installed one Kinney Vacuum Pump for suction in Sur- gery Building and the wards.
5. Built an Ice-Storage Room in the Refrigerating Room.
6. Installed drains and pumps for Surgical Building and Boil- er Room.
7. Alterations and additions in the Diet Kitchen and the Pathological Laboratory.
8. Drinking fountain installed in the Service Building.
9. Rebuilt one Boiler Feedwater Pump.
An Electric Eye was installed in uptake from boilers. This item has proved to be a valuable asset to the oil burner installation, as it has enabled us to operate closer to ideal conditions than be- fore, without danger of smoking from chimney.
The oil burners installed late in 1939 have operated satisfacto- rily during the past year. The boilers have produced 41,482,170 1bs. of steam during the past year, from burning 383,396.02 gallons of fuel oil, the performance of oil burners and boilers giving an actual evaporation of 13.45 lbs. of steam per gallon of oil.
In April, 1940, Mr. Oscar Lund was retired on pension. Mr. Lund was employed at the hospital for 15 years as a gardener. He was most co-operative and faithful in carrying out his responsibilities.
Respectfully submitted, CARL ERIKSSON, Chief Engineer.
247
REPORT OF CITY HOSPITAL
REPORT OF THE PRESIDENT OF THE STAFF
To the Board of Managers of the Quincy City Hospital :
GENTLEMEN :
During the year 1940, the Staff operated with the same effic- iency as in other years. The close co-operation between the Board of Managers and the Staff has made the work pleasant.
Staff meetings have been held at noon instead of in the eve- ning, but the attendance was not as good as in the preceding year. This was probably because of the time the meetings were held.
Dr. Max Stein and Dr. David Karp were appointed to the Cour- tesy Staff, and Dr. Leo F. Amrhein was granted Courtesy privileges.
The supervision of the Operating Room was turned over to Dr. Walter Sargent to undertake the standardization of operating technique and to standardize general surgical procedures in the hospital as far as efficiency will permit. The Staff has given him excellent co-operation, and we expect as time goes on this diffi- cult task will show far-reaching results.
At the December meeting the following officers were elected :-
DR. WILLIAM R. HURLEY President DR. FRED COSTANZA. Vice-President DR. WILLIAM L. KRIEGER Secretary
Respectfully submitted, F. RAMON BURKE, M.D., Staff President.
REPORT OF THE INTERNES' COMMITTEE
To the Board of Maragers of the Quincy City Hospital : GENTLEMEN :
The Internes' Committee, for 1940, has had several formal and informal meetings during the year. Several names of applicants were sent to you with the Committee's approval.
It has been the policy of your Committee to continue the custom of getting internes from as diversified a list of Class-A medical schools as possible, in order that new ideas and methods may work for the benefit of the hospital in general.
The following nominations were made for periods beginning July 1st, 1941: Peter Angelo-Tufts Medical School; Daniel F. Shea-Georgetown University Medical School; Gerald M. Collins- Boston University Medical School. For periods beginning January 1st, 1942: Isadore Schwartz-Tufts Medical School; Carl J. An- tonellis-Tufts Medical School; Albert A. DesChenes-Boston Un- iversity Medical School.
248
CITY OF QUINCY
These candidates are accepted for their scholastic standing and the recommendations of the Deans of the schools. Your Com- mittee takes into consideration the fact that the candidates are fourth-year students, and a great responsibility rests on the various medical schools to see to it that the fourth year completed work is satisfactory before the elected interne assumes his position.
On June 30th, 1940, the following received their diplomas from the hospital: Dr. Leo Milner, Dr. Lester Fox and Dr. Robert Sher- man. On December 31st, 1940, Dr. Edward F. Fitzgerald, Dr. An- tonio J. Giascomini and Dr. Frank J. Chiminello received diplomas. Each of these graduates was presented with a very useful gift by the members of the Staff of the hospital. Each graduate was en- couraged to continue his studies and so be better practitioners, re- flecting great credit to the Quincy City Hospital.
Respectfully submitted,
CHARLES S. ADAMS, M.D. Chairman. FRED COSTANZA, M.D. ROBERT L. COOK, M.D. RICHARD M. ASH, M.D. WILLIAM J. HARKINS, M.D. JOSEPH P. LEONE, Secretary
REPORT OF THE STAFF PROGRAM COMMITTEE
To the Board of Managers of the Quincy City Hospital :
GENTLEMEN :
Staff meetings were held regularly at noon time during the year 1940. General attendance was only fair. An instructive pro- gram has been carried out with many speakers of note in the pro- fession from Boston institutions.
The meetings carried on by members of the Staff have re- ceived enthusiastic support. It is probable that the number of meet- ings of this latter type can be advantageously increased in the future.
Respectfully submitted,
J. EDWARD KNOWLTON. M.D., Chairman ROBERT O. GILMORE, M.D. WILLIAM L. KRIEGER, M.D. FRANCIS G. KING, M.D.
249
REPORT OF CITY HOSPITAL
REPORT OF THE AURAL SERVICE
To the Board of Managers of the Quincy City Hospital:
GENTLEMEN :
Dr. Robert O. Gilmore, Dr. James Ward, and Dr. Walter Mc- Clintock have continued to serve as the Aural Service in 1940 in the same efficient manner as in previous years, with their splendid co-operative spirit.
Admissions to the Aural Service, excluding tonsil cases, were 85. There were 321 patients admitted to that service for tonsil opera- tions, totalling 406 patients admitted on the Aural Service. All the Aural cases admitted during 1940, both private and service, were 1172 admissions, 815 of which were tonsil cases of which 594 were private patients and 321 on service. Of this total of 1172 patients, 678 were children of 12 years or under.
During 1940 there were 1169 Aural patients, both private and service, treated and discharged. Of these there was one death, and one autopsy, and 48 of them were seen in consultations.
Speaking for the Aural Service, I would like to express our thanks and appreciation to the Nursing and Hospital Staffs for their service and co-operation. Personally I would like to con- gratulate and thank the members of the Aural Service who have so faithfully served their Hospital and Community.
Respectfully submitted,
WILLIAM J. HARKINS, M.D.,
Chief of Aural Service.
REPORT OF THE OBSTETRIC SERVICE
To the Board of Managers of the Quincy City Hospital :
GENTLEMEN :
The following is a report of the Obstetrical Service for the year 1940:
Number of service cases
207
Number of babies born 209
Normal deliveries 172
Low forceps deliveries 19
Breech deliveries 8
Caesarian deliveries 5
Internal Podalic Version deliveries .. 5
Number of twins 2
Number of prematures 1
Number of stillbirths 1
Respectfully submitted,
RICHARD M. ASH, M.D., Chief of Service.
250
CITY OF QUINCY
REPORT OF THE PEDIATRIC SERVICE
To the Board of Managers of the Quincy City Hospita': GENTLEMEN :
The statistics of the Pediatric Service for 1940 are as follows :---
Service Admissions 146
Discharges 205
Deaths 11
Autopsies 8 Consultations 38
As you see, there was an extremely high percentage of autop- sies. As one of the important functions of a hospital is education of the internes, autopsies are especially desirable in all fatal cases.
There are times when the Children's Ward is extremely crowd- ed. It is hoped that in the near future steps will be taken to im- prove this situation. The dangers of cross-infection are much in- creased by crowding.
Respectfully submitted,
EDMUND B. FITZGERALD, M.D., Chief of Service.
REPORT OF HOSPITAL LIBRARY
To the Board of Managers of the Quincy City Hospital :
GENTLEMEN :
With the close of the year 1940, the hospital service of the Thomas Crane Public Library completed its fifteenth year of free book distribution to patients. The hospital personnel too, has made extensive use of this library, often asking us to supplement our book deposit by borrowing from the main library. That this de- partment is filling a definite need, may best be illustrated by the mounting circulation figures.
From October, 1925, when the hospital service was started, to January 1, 1926, the book circulation was 724. In 1930, the circu- lation was 8,488; in 1935-9,975, and in 1940-17,000.
Even today, most people are filled with dismay when they find themselves being sent to a hospital. Imagine then the dismay, if not actual terror, felt by one who speaks nothing but a foreign lan- guage, when he is transferred to such a strange and alien environ- ment. We feel that the loneliness of these non-English speaking people is assauged when they find that books in their own tongue are available to them at no cost whatsoever. During this past year books in nine languages have been circulated, namely, Greek, Ital- ian, Finnish, Polish, Swedish, French, Spanish, Jewish and Russian.
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