Feature Image –
ASKAhnika (MD – PhD)
-
"There Is Another"
Hope in the Future of Medicine
Actually with the NIH 2018
-
202004_Teladoc Quality Review (II) by MSG and Keith E
Torkelson, MS for Brand New Day
Keith E Torkelson MS
Chartered - 4/9/20
https://brandnewdayhmo.blogspot.com/2020/04/202004teladoc-quality-review-ii-by-msg.html-
Primary Source Document
11_Global_Health_Weight_Related_18080803_Data
-
Blogger Title
Global Fitness and Well-being – Weight Data for Chester D
Mojica MD – Consumer Keith E Torkelson, MS
-
Google Plus Information
KE Torkelson Report Centered About Weight (201810) –
Keywords – Complaint – Error Mitigation – External Quality Review – Brand New
Day – Central City Community Health Center
-
Blog – Brand New Day HMO
-
Abstract – Executive Summary
This paper is a product of
Mentalation Solutions Group (MSG). It
is centered about MSG’s Principal, Keith E Torkelson, MS, and his current
Primary Care Physician Chester D Mojica MD.
On September 27, 2018 Keith visited Chester D Mojica (CDM) for his
annual Physical Examination (PE). As of
the 2018 Physical Keith will have had seven Physical Examinations with
CDM. Some of these Physicals have been
rather challenging if not frustrating.
This year we were prepared as a ProSumer (MSG) ProSuming to make this
the best Physical ever. We wanted to
close out many of our efforts including weight management with this
Physical. Currently, our most pressing
need is controlling Keith’s Chronic Obstructive Pulmonary Disease (COPD)
issues. In our 2018 (last) Physical
doctor CDM potentially made a few errors.
We focus on one of these issues weight here in this publication. As usual while triaging us before meeting
the doctor a nurse weighs and records our weight. With the nurse we agreed upon 142 pounds. Keith’s target weight for this year is 145
pounds.
-
Doctor Chester D Mojica’s
Position
Doctor CDM indicated verbally
that Keith had gained weight. CDM
indicated that this was problematic.
Although Keith first partnered with CDM for his physical health needs in
2012 we did not track weight data about the CDM association until 2016. This paper is the product of over thirty
years of tracking weight data. On
12/27/2016 Keith weighed 165 pounds
that equates for a Body Mass Index (BMI) of 25.8. Once again, as of 9/27/18 is 142 pounds. 142 relates to a BMI of 22.2. In order to interpret Keith’s BMI we
reference “Calculator Men - https://www.active.com/fitness/calculators/bmi” Interpretation “If your BMI is between
18.5-24.9: Your BMI is considered normal. This healthy weight helps reduce your
risk of serious health conditions and means you’re close to your fitness
goals.” Since associating with CDM in 2012
Keith’s waistline has gone down by at least four inches (4”). Keith E Torkelson, MS now fit’s comfortably
in his new 30” pants. :0) Enough said!
Let’s finish the report. (AVEY’s Part).
-
List – Tables – Matrices – Figures
-
Figures - Partners
Matrix – Weight Data
– Summary View (Select 2016-2018)
Table – BMI Calculation Summary –
Keith Torkelson
Figure – Manual BMI Calculation Sample
Figures – BMI Manual Calculation
Spreadsheet (MSG, 2018)
Table – Markers Of Health (MOH) Results (20181003-W Assembly)
Matrix – Longevity Relationships for Keith E Torkelson, MS
Table - Sources of Information
Matrix – Weight Data
– Legacy Data (2000-2006)
-
Appendix - Table – MSG Standard Applied Material List
(Brief)
Appendices – Matrices – Weight Data Tables (X6)
Matrix – Weight Data
– Fractionated View – Status Open
Appendix - Special Feature – Body Mass Index (BMI) –
Calculations
Images At The End
Promote World Wafers in Memory of
Doctor Calvin Schwabe
One Health Initiative - One World
One Medicine One Health
-
Figures – Study Group Partners
-
-
Google Blogger - A Game Changer for Well-being
-
Dedications
We dedicate this post to about
seven people. First we would like to thank our Most Significant Other Ever
(MSOE) Joan for sticking it out with us for the past twenty years. Next we would like to thank our mother’s
sister Joyce Maxine Brown (Born 1925) for listening to all our Primary Care
complaints. We thank Mike “Speedy” one
of Doctor Mojica’s patients for being our Control Subject. We thank our friend since the fourth grade,
Kulle L, for being as much as a problem as he is a resource. We thank our father, George Gerard
Torkelson, for surviving World War II.
If he had not survived of course we most likely would not exist. We thank baby Aaron George for giving us
hope that a near future will be. Of
course we thank our Retina Surgeon Doctor Roh for bringing our left eye out of
blindness. We thank Brand New Day’s
Constance Snyder for her encouragement that if we complain we will not be
dropped. We also dedicate this paper in
memory of Doctor Mojica’s patient that Died Too Young (DTY) “Dave”. Lastly, we thank those doctors such as our
niece ASKAhnika (MD, PhD) that will bring the “New Wave” practitioners into the
light of Accountability and Proof Of Concept (POC).
-
[INSERT DAVE & SPEEDY PHOTOS]
-
-
Visiting One of Dr. Mojica's Patients - When It Matters Most
Very Close to Dying Too Young
-
-
Another Charge - Died Too Young
How is it? No-one is Accountable
-
Results First Method
-
Matrix – Weight Data
– Summary View (Select 2016-2018)
Subject – Keith E Torkelson, MS
-
|
||||
Time Stamp
|
Weight
(Lbs)
|
Note
|
BMI
CALC
(*)
|
|
-
|
||||
12/27/2016
|
165
|
Baseline for Weight Efforts
Begin Vigilance
|
25.8
|
|
-
|
||||
1/27/2017
|
160
|
2017 Baseline
|
25.1
|
|
2/21/17
|
161
|
25.2
|
||
9/xx/17
|
>
|
BGL in Normal Range
|
||
10/10/17
|
147
|
Update with CDM at Physical
He Gave us Kudos on losing some odd
20 pound since our last yearly physical
|
23.0
|
|
12/27/2017
|
144
|
Weighed at CBC Appointment
|
22.6
|
|
1/24/2018
|
145
|
Weighed at CBC Appointment
2018 Baseline
|
22.7
|
|
2/9/2018
|
142
|
Unspecified Fasting (IFL)
Drive-by Lab with Kelly MD (F)
BP = 125/77
|
22.2
|
|
8/9/2018
|
>
|
Pre-physical Lab work
Glucose = 97 [Normal 65-99 mg/dL]
Hemoglobin A1c = 5.3
[Normal <5.7 % of total Hgb]
|
<
|
|
9/27/2018
|
142
|
Weighed by Nurse at Physical Exam
Doctor Mojica Says we gained weight
and implied along with our A1c our weight is a problem
|
22.2
|
|
-
|
Matrix – Weight Data
– Summary View (Select 2016-2018) – Last Reviewed: 20181003-W:
-
(*) Addressed In Detail Below
CALC = Calculated Manually by Formula
APP = Online Application
Hgb = Hemoglobin
-
FYI – Body Mass Index (BMI) Calculator Men – Formula &
Interpretation
“Knowing BMI can help adult men
and women understand their overall health. Use the BMI calculator below to
determine your body mass index by inputting your height and weight. The BMI
calculator uses the following BMI formula: Weight (lb) / (Height (in))² x 703”
-
Understanding your Body Mass
Index
-
“If your BMI is below 18.5: Your
BMI is considered underweight. Keep in mind that an underweight BMI calculation
may pose certain health risks. Please consult your healthcare provider for more
information about BMI calculations.”
-
“If your BMI is between
18.5-24.9: Your BMI is considered normal. This healthy weight helps reduce your
risk of serious health conditions and means you’re close to your fitness goals.
-
If your BMI is above 30: Your BMI
is considered overweight. Being overweight may increase your risk of
cardiovascular disease. Consider making lifestyle changes through healthy
eating and fitness to improve your health. Our Couch to 5K training plan is a
great place to start.”
-
Table – BMI Calculation Summary –
Keith Torkelson
Date of Evaluation – 20180930-SUN: Date of Appointment –
20180927-TH: (Physical)
-
|
|||||||
Description
|
Weight
|
Height (in)
|
Manual
CALC
|
APP
|
Note
|
||
-
|
|||||||
2018
High Weight
|
145
|
67
|
22.7
|
23
|
|||
Weight at Appt
9/27/18
|
142
|
67
|
22.2
|
23
|
|||
-
|
Table – BMI Calculation Summary –
Keith Torkelson
-
Figure – Manual BMI Calculation Sample
-
Figure – Manual BMI Calculation Sample – Sample Weight 145
Pounds – Sample Height 67 Inches
-
Interpretation - BMI Calculator Men
-
“If your BMI is between
18.5-24.9: Your BMI is considered normal. This healthy weight helps reduce your
risk of serious health conditions and means you’re close to your fitness
goals.”
-
Nature of Glitch
We found a glitch in the online
BMI Calculator. After you make a
calculation you have to option to click on the “Reset” option. Resetting does not work properly. Thus we recommend you close our of the
window and reopen it each time you calculate using new weight (or height)
values.
-
Scale Parity Evaluation
We tested two on-line Body Mass
Index (BMI) calculators. In addition we
created a Manual BMI Calculator Excel Spreadsheet. All three methods return results within a variance of +/- 1.0.
-
Figures – BMI Manual Calculation
Spreadsheet (MSG, 2018)
-
Figures – MSG BMI Manual
Calculator (MSG, 2018)
-
Weight Tracking –
We are really proud of our weight data : o)
Once again the subject of this study is Keith Torkelson
AKA Buster. Coming into this years
Yearly Physical Exam (YPE) we here at MSG are really proud of Buster’s Weight
Data (BWD). His target weight to be met
by the September 27, 2018 YPE was 145 pounds.
The nurse weighed him in on the date of the physical at 142. This study is a calibration study because
for the most part the data is objective in nature. Objective data helps us better align our subjective
findings. Here at MSG data and
measurement such as weight fall under our CountMan product line.
-
Markers Of Health (MOH)
-
Table – Markers Of Health (MOH) Results (20181003-W Assembly)
A Bigger Picture
-
|
||||||
General Category
|
2012
1st year w CDM
|
2018
|
Note
|
|||
-
|
||||||
(Physical) Health
|
Poor
|
Improved
|
Still have strenght issues
|
|||
Longevity
|
Guarded
|
[SEE]
|
[NEXT TABLE]
|
|||
Metabolism
|
SoSo
|
Improved
|
As measured by lab work
Metabolic Panel
|
|||
Bone Health
|
OK
|
OK
|
Pelvis down improved
|
|||
Mental Health
|
Guarded
|
Improved
|
Anxiety improved
|
|||
Economic Health
|
Guarded
|
Improved
|
||||
Cardiometabolic Health
|
Poor
|
Improved
|
Pass hard floor test
|
|||
-
|
Table – Markers Of Health (MOH) Results (20181003-W
Assembly)
-
Matrix – Longevity Relationships for Keith E Torkelson, MS
-
|
|||||
Character
|
Interval
|
APPROX
Age
|
Note
|
||
-
|
|||||
Mom
|
1923-1998
|
75
|
Died away from home
|
||
Dad
|
1922-1999
|
77
|
Died in his own bed
|
||
Oldest Brother
|
1948-1969
|
21
|
Died care accident on his bachelor party night
|
||
Grandpa
|
1872-1964
|
94
|
We read in a study that with Scandinavian men
Longevity skips a generation
He chewed tobacco
|
||
Aunt Joyce
Mom’s Sister
|
1925-2018
Living
|
93
|
Living independently
Still smoking cigarettes
|
||
-
|
Matrix – Longevity Relationships for Keith E Torkelson, MS
-
Materials & Material Applied
& Methods
-
Table - Sources of Information
-
|
||||
Resource
|
Detail
|
|||
-
|
||||
Apparatus
|
Un-calibrated Scales
|
|||
Appointment Cards
|
Generated at CCCHC
|
|||
Calendar
|
Wall
|
|||
Daily Logs
|
Notes
|
|||
Legacy Reports
|
Such as Rate Your Doctor
|
|||
Patient Portal
|
Quest Diagnostics
MyQuest
|
|||
Patient Portal
|
Brand New Day
Cerecons Aerial
|
|||
Planner
|
Hand Held
|
|||
Records
|
Electronic
|
|||
Records
|
Hard Copies
|
|||
Search Engine
|
Google
|
|||
Others - PRN
|
||||
-
|
Table - Sources of Information –
Last Update: 20181003-W:
-
Materials Applied - Scales
-
Central City Community Health
Center – Scale-01
Central City Community Health
Center – Scale-02
Personal
24 Hours Fitness – Santa Ana
24 Hours Fitness – Fountain Valley
-
Desktop Publishing (Standard List)
-
Matrix – Weight Data
– Legacy Data (2000-2006)
Subject – Keith E Torkelson, MS
-
|
|||
Time Stamp
|
Weight
(Pounds)
|
Note
|
|
-
|
|||
1981
|
140
|
Approximate – Baseline
As Jodi Rombotis put it “We thought
we were pudgy”
|
|
1982-1986
|
119
|
Weight MIN (UC Davis Undergraduate)
Due to a super rigorous Tri-athlete
fitness program we could lose 1 pound in one workout (I.e. In one day)
We were addicted to endorphins
|
|
2000-2005
|
200
|
Weight MAX
Bedriddening [SPELLED] Intractable
Depression
Psychotropic Associated Weight Gain
|
|
-
|
|||
8/8/2005
|
194
|
Living with Joan – Most Significant
Other Ever
|
|
8/22/2005
|
191
|
New fitness regimen
|
|
8/24/2005
|
>
|
Not Recorded
|
|
-
|
|||
3/5/2006
|
175
|
Weight loss associated with being
on-call 24 – 7 about our family business
|
|
-
|
|||
9/27/2018
|
142
|
Weighed by Nurse at Physical Exam
Doctor Mojica Says we have gained
weight and implied our weight was a problem (BMI = 22.2)
|
|
Results/Record
of Weight for Keith E Torkelson: Last Update: 20181002-TU: Associated with
MSG’s Celery Diet & Yearly Physical Exam – Status Closed
-
Summary – Complaint
We here at MSG are working up a
formal complaint for Keith AKA Buster about this weight matter. We are working up a strategy to make the
most of it. It may quality as a
tangible Centers for Medicare & Medicaid Services (CMS) complaint or
grievance. Our next step is to obtain a
transcript from the date of service in question (September 27, 2018). Unfortunately Doctor Mojica will not earn
high consumer rated satisfaction scores for this service year 2017/18. We will address Doctor Mojica service and
support scores in our yearly Christmas Report Card (CRC).
-
Appendix - Table – MSG Standard Applied Material List
(Brief)
Desktop Publishing
-
|
||||
Material
|
Note
|
Detail
|
||
-
|
||||
1-Hardware
|
[HELD BACK]
|
|||
2-Software
|
[HELD BACK]
|
|||
Carry Along(s)
|
Backpack
Satchel
|
|||
Connectivity
|
||||
Facebook Account
|
||||
Forms
|
||||
Images & Photographs
|
||||
Mobile Memory
|
USB Flash
|
|||
Music to Work By
|
||||
Notes & Charts
|
||||
Office Supplies
|
[HELD BACK]
|
|||
Platform - Google
|
Blogger
|
|||
Platform
|
WordPress
|
|||
Portals - Consumer
|
||||
Project Materials
|
||||
Records
|
[HELD BACK]
|
|||
Search Engine(s)
|
||||
SmartPhone(s)
|
||||
Sound Bites
|
||||
Video
|
||||
Web Application
|
Chrome
|
|||
Wi-Fi
|
Free
|
|||
Work Promoting Environment(s)
|
Challenging
|
|||
Work Space
|
||||
Work Surfaces
|
||||
Yahoo Email
|
||||
-
|
Appendix - Table – MSG Standard Applied Material List
(Brief) - Desktop Publishing
Last Reviewed: 20181003-W
-
Appendices – Matrices – Weight Data Tables (X6)
-
Appendix
Matrix – Weight Data
– Fractionated View
Subject – Keith E Torkelson, MS
-
|
|||
Time Stamp
|
Weight
(Pounds)
|
Note
|
|
-
|
|||
12/27/2016
|
165
|
Begin vigilance about weight
|
|
1/27/2017
|
160
|
2017 Weight Baseline
|
|
2/21/17
|
161
|
<
|
|
-
|
|||
3/7/17
|
159
|
<
|
|
3/21/17
|
159
|
<
|
|
-
|
|||
4/28/2017
|
161
|
Baseline for Carbohydrate Reduction
|
|
-
|
Results/Record
of Weight for Keith E Torkelson: Last Update: 20181002-TU: Associated with
MSG’s Celery Diet & Yearly Physical Exam – Status Closed
-
CCCHC = Central City Community Health Center
CDM = Chester D Mojica MD (@CCCHC)
CBC = Complete Blood Count (Lab)
-
Appendix
Matrix – Weight Data
– Fractionated View
Subject – Keith E Torkelson, MS
-
|
|||
Time Stamp
|
Weight
(Pounds)
|
Note
|
|
-
|
|||
5/16/2017
|
154
|
<
|
|
6/13/17
|
157
|
<
|
|
7/12/17
|
151
|
<
|
|
7/25/17 - TU
|
150
|
CDM Replaced with Physician
Assistant
Sustain Behavioral and Nutritional
Fix for High Blood Glucose Level (BGL)
|
|
8/8/17 - TU
|
150
|
||
8/17/17 – TH
|
151
|
CDM Emerg Elevated CBC Attribution
to Toe Injury
|
|
8/23/2017 – W
|
>
|
First Back at Gym (Stamina &
Yoga)
|
|
-
|
Results/Record
of Weight for Keith E Torkelson: Last Update: 20181002-TU: Associated with
MSG’s Celery Diet & Yearly Physical Exam – Status Closed
-
Appendix
Matrix – Weight Data
– Fractionated View
Subject – Keith E Torkelson, MS
-
|
|||
Time Stamp
|
Weight
(Pounds)
|
Note
|
|
-
|
|||
9/1/2017 - F
|
>
|
First Day Swimming
|
|
9/5/17 – TU
|
147
|
First busting down into the 140
after more than 5 years
Nurse Martha Skipped a Beat
|
|
9/14/2017
|
147
|
Pre-physical Fasting and No Coffee
|
|
10/2/17
|
First Yoga for Quarter – Teacher
Kamara
|
||
10/3/17 - TU
|
143
|
Readjusting Weigh Goal (Reach and
Maintain 139)
|
|
10/10/17 - TU
|
147
|
Update with CDM at Physical
He Gave us Kudos on losing some odd
20 pounds since our last physical
Physical – Blood Pressure 126/71
|
|
10/11/17 - W
|
>
|
Found Legacy Data from 2005/2006
|
|
10/20/17
|
>
|
Share in Report - Initial:
20171023-M:
|
|
11/1/17
|
147
|
Health Fair – Fecal
|
|
11/29/17
|
144
|
At CBC Appointment
|
|
12/27/2017
|
144
|
At CBC Appointment
|
|
-
|
Results/Record
of Weight for Keith E Torkelson: Last Update: 20181002-TU: Associated with
MSG’s Celery Diet & Yearly Physical Exam – Status Closed
-
Appendix
Matrix – Weight Data
– Fractionated View
Subject – Keith E Torkelson, MS
-
|
|||
Time Stamp
|
Weight
(Pounds)
|
Note
|
|
-
|
|||
1/24/2018
|
145
|
CBC – 2018 Weight Baseline
|
|
2/9/18
|
142
|
Unspecified Fasting Lipid (IFL)
Drive-by Lab with Kelly MD (F)
BP = 125/77
|
|
2/10/18
|
>
|
Re-elevated BGL
Begin Decrease in Yoga
|
|
2/21/18
|
142
|
Interim – Blood Pressure 121/79
Physician Mojica Dis-guards these
Results
|
|
3/7/18
|
140
|
Routine CBC & Submit Fecal
|
|
4/4/18
|
142
|
Self @ CCCHC Scale @ Routine CBC
After 2 Feasts – Predict 145
|
|
4/29/2018 (SUN)
|
>
|
Return After Lapse in Yoga
|
|
-
|
Results/Record
of Weight for Keith E Torkelson: Last Update: 20181002-TU: Associated with
MSG’s Celery Diet & Yearly Physical Exam – Status Closed
-
Appendix
Matrix – Weight Data
– Fractionated View
Subject – Keith E Torkelson, MS
-
|
|||
Time Stamp
|
Weight
(Pounds)
|
Note
|
|
-
|
|||
5/2/2018
|
145
|
Weighed by Nurse Martha @ CBC
Blood Pressure = 124/72
|
|
5/29/18
|
145
|
Self @ CCCHC @ CBC
Process Change
|
|
6/26/18
|
>
|
No weigh at CBC
|
|
7/24/18
|
>
|
No weigh at CBC
|
|
-
|
|||
8/9/18
|
141
|
Self @ CCCHC after Pre-physical
Blood Glucose in Range
|
|
8/18/18
|
>
|
Fail to sell Celery Diet Idea to
Tom Simmons
|
|
8/21/2018
|
143
|
Weigh Self @ CCCHC @ CBC
|
|
-
|
Results/Record
of Weight for Keith E Torkelson: Last Update: 20181002-TU: Associated with
MSG’s Celery Diet & Yearly Physical Exam – Status Closed
-
Appendix
Matrix – Weight Data
– Fractionated View – Status Open
Subject – Keith E Torkelson, MS
-
|
|||
Time Stamp
|
Weight
(Pounds)
|
Note
|
|
-
|
|||
9/27/2018
|
142
|
Nurse measures at time of physical exam
We agree on 142 pounds
Doctor Mojica declares we are overweight
He also says our A1c is high and we are pre-diabetic
|
|
9/30/2018-SUN
|
>
|
Begin close out Weight Data for Report
|
|
-
|
|||
10/5/2018-F
|
Pending
|
First In Person Request for 9/27/18 Records from CCCHC
|
|
10/10/2018
|
Pending
|
Appointment with Dr. Bera
+/- Request Summary of Physical
I need it for CDM referred us to a Nutrition Group
|
|
10/16/2018
|
Pending
|
Next CBC
+/- Request Summary of Physical
If not – pay $15.00 and submit a formal Records Request
|
|
-
|
Results/Record
of Weight for Keith E Torkelson: Last Update: 20181002-TU: Associated with
MSG’s Celery Diet & Yearly Physical Exam – Status Open
-
Appendix - Special Feature – Body Mass Index (BMI) –
Calculations
-
Figure “active” BMI Results
-
-
Query “calculate bmi”
-
Figure “google” BMI Calculator Men
-
-
Images At The End
-
Doctor Roh MD - Retinal Surgeon - Star Doctor 2017-2018
Had Three Things to Get Right
Failure in Any we Would be Blind or Have to Go Under the Knife Again
-
This is our Family Therapist
It is Actually Very Eerie - More Later
Not a Good Day for our Routine 2 Hour Session
She Listens to our Dr. Mojica related woes
-
-
October 26, 2017
Visiting Dr. Mojica's Patient
How Time Flys
-
-
October 30, 2017
Follow Up Visit - Dr. Mojica's Patient
He Finally Woke Up
-
October 26, 2017
Visiting Dr. Mojica's Patient
Wrongly Certain He Would Die Too Young
-
FYI - Lab Work Addressed in Upcoming Physical Report
FYI - Lab Work Addressed in Upcoming Physical Report
What Would a Report Be Without Including CMS Stars Scores
We were dead certain that Dr. Mojica would outscore our insurer for term 2017/2018
-
Aftermath - This is our Dr. Mojica Control Patient
How does he look to you?
-
Hey Doctor I Think I Am Seeing Dead People!
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A Carer Thinks he is now Demented
Sustains Head Injury Yet Knows Not How
"A Seven Nation Army Couldn't Hold Me Back"
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END Images At The End
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Higher Causes & Livelong Promises
Promote World Wafers in Memory of Doctor
Calvin W. Schwabe, DVM, MPH, ScD
Promote World Wafers in Memory of Doctor
Calvin W. Schwabe, DVM, MPH, ScD
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Link to One Health
One Health Initiative - One World
One Medicine One Health
One Health Initiative will unite
human and veterinary medicine - The One Health Initiative, a movement to forge
co-equal, all inclusive partnerships between physicians, veterinarians, and
other scientific-health related…
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This is the End…Our Only Friend
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