[Histonet] Histonet Digest, Vol 160, Issue 1

Wendy wendy at cwsincorp.com
Wed Mar 1 13:26:32 CST 2017


Perhaps the out of pocket expense of a still for distilling your reagents is too expensive and too time consuming for some labs.  There is an alternative using Gravity fed filtration through a carbon filter to filter out organics and impurities in alcohol and formalin. Distillation is not the only way to go.  But I think the key is you have to have the desire to recycle and the do your own assessment as to whether or not it works for your lab.  

-----Original Message-----
From: Frazier, John via Histonet [mailto:histonet at lists.utsouthwestern.edu] 
Sent: Wednesday, March 01, 2017 10:43 AM
To: Histonet (histonet at lists.utsouthwestern.edu)
Subject: Re: [Histonet] Histonet Digest, Vol 160, Issue 1

One last statement about recycling Xylene and Alcohol and I do not have a dog in the fight. *Many labs I visit have recyclers and many of those do not use them any more due to poor or inconsistent quality of the end product and overall disillusionment of the money or time they thought they would save.*

I am not telling labs not to recycle but if they ask me, I tell them what I have seen and give them some of the data around the process measurements we have collected.

Some variables that are critical in gauging the value-add or non value-add
are:

   - Cost of Waste disposal per gallon
   - Fully Burdened Salary of the lab individual/s that currently handle
   reagent changes (H&E stainer, Tissue Processor) vs. that of lab
   individual/s that will be or are handling the the recyclable reagents
   - Time to retrieve fresh reagents vs. time to move the recyclable
   reagent to and from the recycler.
   - Cost of PPE, i.e. respirator mask, gloves
   - Cost per square foot of Storage space for Hazardous waste vs. recycler
   foot print. This is an opportunity cost that recycling may provide for
   other types of storage.
   - Time to make dilutions of alcohol (100% to 95%, 85%,etc.)
   - Time to measure the concentrations of the recycled alcohol
   - Time for corrections if the concentrations is too low or too high
   - Is there a xylene substitute or instrument that does not require
   xylene and or alcohol
   - Others

Your have to be objective about the process measurements of making the decision. What am I gaining vs. what am getting vs. what am I giving up.

On Wed, Mar 1, 2017 at 1:00 PM, <histonet-request at lists.utsouthwestern.edu>
wrote:

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> Today's Topics:
>
>    1. Re: Recycled reagents in VIP processor (Frazier, John)
>    2. Leica CM1950 (Clements, Mary Ann)
>    3. Re: Recycled reagents in VIP processor (Margaryan, Naira)
>    4. Re: Recycled reagents in VIP processor (Gareth Davis)
>    5. Re: Histonet Digest, Vol 159, Issue 24 (Joanne Clark)
>    6. Cassette Printers (Eileen Akemi Allison)
>    7. cassette printer additional request (Eileen Akemi Allison)
>    8. Re: cassette printer additional request (Blazek, Linda)
>
>
> ---------- Forwarded message ----------
> From: "Frazier, John" <john.frazier at roche.com>
> To: Jay Lundgren <jaylundgren at gmail.com>
> Cc: "Margaryan, Naira" <NMargaryan at luriechildrens.org>, Gareth Davis < 
> garethdavisyuma at gmail.com>, "histonet at lists.utsouthwestern.edu" < 
> histonet at lists.utsouthwestern.edu>, "naira.margaryan at hsc.wvu.edu" < 
> naira.margaryan at hsc.wvu.edu>
> Bcc:
> Date: Tue, 28 Feb 2017 14:30:46 -0500
> Subject: Re: [Histonet] Recycled reagents in VIP processor As a six 
> sigma consultant to histology laboratories, it has been my experience 
> that recycling xylene and alcohol overall is not a cost saver. When 
> you factor in both capital dollars and operational dollars, the 
> savings is neutral. In addition to the neutral cost in recycling, you 
> have to concern yourself with the quality of your in product on a 
> daily basis. The last piece in the equation is the handling of Xylene 
> with multiple touch points in between.  A movement within the 
> histology world has begun with handling xylene (hazard
> waste) as little as possible and/or reducing or eliminating its use 
> where possible.
>
> Sent from my iPhone
>
> > On Feb 27, 2017, at 6:25 PM, Jay Lundgren <jaylundgren at gmail.com> wrote:
> >
> > When people say they are saving money by recycling reagents I always
> wonder
> > if they are including tech time (to run the still) in their calculations.
> >
> >                             Sincerely,
> >
> >                                     Jay A. Lundgren, M.S., HTL 
> > (ASCP)
> >
> > On Wed, Feb 22, 2017 at 2:32 PM, Margaryan, Naira via Histonet < 
> > histonet at lists.utsouthwestern.edu> wrote:
> >
> >> WOULD LIKE TO KNOW AS WELL - IT IS WASTE OF MONEY....
> >>
> >> Thanks,
> >> Naira
> >>
> >>
> >> Ranked nationally in all 10 pediatric specialties by U.S. News & 
> >> World Report  (LCHOC Ver 1.0)
> >>
> >>
> >> This message contains confidential information and is intended only 
> >> for the individual named. If you are not the named addressee you 
> >> should not disseminate, distribute or copy this e-mail. Please 
> >> notify the sender immediately by e-mail if you have received this 
> >> e-mail by mistake and delete this e-mail from your system. E-mail 
> >> transmission cannot be guaranteed to be secure or error-free as 
> >> information could be
> intercepted,
> >> corrupted, lost, destroyed, arrive late or incomplete, or contain
> viruses.
> >> The sender therefore does not accept liability for any errors or
> omissions
> >> in the contents of this message, which arise as a result of e-mail 
> >> transmission. If verification is required please request a 
> >> hard-copy version.  (LCHOC VER 1.0)
> >>
> >> ________________________________________
> >> From: Gareth Davis via Histonet [histonet at lists.utsouthwestern.edu]
> >> Sent: Wednesday, February 22, 2017 2:23 PM
> >> To: histonet at lists.utsouthwestern.edu
> >> Subject: [Histonet] Recycled reagents in VIP processor
> >>
> >> Hi,
> >> I was always told not to use recycled reagents, i.e. Alcohol and
> Xylene, in
> >> processors.  I am using a VIP 300, refurbished, and I would rather 
> >> not
> use
> >> recycled reagents in it.  But, during the last CAP inspection they 
> >> suggested I use the recycled to save money.  And now my 
> >> administration wants to cut cost.  Just wanted to know what labs were doing.
> >> Thanks,
> >>
> >>
> >> --
> >> Ms. Gareth B. Davis, B.S., HT, QIHC (ASCP)cm Yuma Gastroenterology 
> >> Yuma, AZ 85364
> >> 928-248-5259
> >> _______________________________________________
> >> Histonet mailing list
> >> Histonet at lists.utsouthwestern.edu
> >> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
> >> _______________________________________________
> >> Histonet mailing list
> >> Histonet at lists.utsouthwestern.edu
> >> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
> >>
> >
>
>
>
>
> ---------- Forwarded message ----------
> From: "Clements, Mary Ann" <clemenma at evms.edu>
> To: "'histonet at lists.utsouthwestern.edu'" <
> histonet at lists.utsouthwestern.edu>
> Cc:
> Bcc:
> Date: Tue, 28 Feb 2017 19:50:49 +0000
> Subject: [Histonet] Leica CM1950
> We are interested in purchasing the Leica CM 1950 cryostat.  Would love to
> hear your comments, good, bad or indifferent...
> Thanks in advance!
>
> Mary Ann Clements, B.S.
> Biorepository Manager
> Department of Pathology & Anatomy
> Eastern Virginia Medical School
> 700 West Olney Road
> Lewis Hall, Room 3011
> Norfolk, VA  23507
>
> email: clemenma at evms.edu<mailto:clemenma at evms.edu>
> phone: (757) 446-7910
> fax: (757) 446-7059
>
>
>
>
> ---------- Forwarded message ----------
> From: "Margaryan, Naira" <naira.margaryan at hsc.wvu.edu>
> To: "Frazier, John" <john.frazier at roche.com>, Jay Lundgren <
> jaylundgren at gmail.com>
> Cc: "Margaryan, Naira" <NMargaryan at luriechildrens.org>, Gareth Davis <
> garethdavisyuma at gmail.com>, "histonet at lists.utsouthwestern.edu" <
> histonet at lists.utsouthwestern.edu>
> Bcc:
> Date: Tue, 28 Feb 2017 20:39:10 +0000
> Subject: Re: [Histonet] Recycled reagents in VIP processor
> Absolutely agreed!
>
> Naira
>
> -----Original Message-----
> From: Frazier, John [mailto:john.frazier at roche.com]
> Sent: Tuesday, February 28, 2017 2:31 PM
> To: Jay Lundgren <jaylundgren at gmail.com>
> Cc: Margaryan, Naira <NMargaryan at luriechildrens.org>; Gareth Davis <
> garethdavisyuma at gmail.com>; histonet at lists.utsouthwestern.edu; Margaryan,
> Naira <naira.margaryan at hsc.wvu.edu>
> Subject: Re: [Histonet] Recycled reagents in VIP processor
>
> As a six sigma consultant to histology laboratories, it has been my
> experience that recycling xylene and alcohol overall is not a cost saver.
> When you factor in both capital dollars and operational dollars, the
> savings is neutral. In addition to the neutral cost in recycling, you have
> to concern yourself with the quality of your in product on a daily basis.
> The last piece in the equation is the handling of Xylene with multiple
> touch points in between.  A movement within the histology world has begun
> with handling xylene (hazard
> waste) as little as possible and/or reducing or eliminating its use where
> possible.
>
> Sent from my iPhone
>
> > On Feb 27, 2017, at 6:25 PM, Jay Lundgren <jaylundgren at gmail.com> wrote:
> >
> > When people say they are saving money by recycling reagents I always
> > wonder if they are including tech time (to run the still) in their
> calculations.
> >
> >                             Sincerely,
> >
> >                                     Jay A. Lundgren, M.S., HTL (ASCP)
> >
> > On Wed, Feb 22, 2017 at 2:32 PM, Margaryan, Naira via Histonet <
> > histonet at lists.utsouthwestern.edu> wrote:
> >
> >> WOULD LIKE TO KNOW AS WELL - IT IS WASTE OF MONEY....
> >>
> >> Thanks,
> >> Naira
> >>
> >>
> >> Ranked nationally in all 10 pediatric specialties by U.S. News &
> >> World Report  (LCHOC Ver 1.0)
> >>
> >>
> >> This message contains confidential information and is intended only
> >> for the individual named. If you are not the named addressee you
> >> should not disseminate, distribute or copy this e-mail. Please notify
> >> the sender immediately by e-mail if you have received this e-mail by
> >> mistake and delete this e-mail from your system. E-mail transmission
> >> cannot be guaranteed to be secure or error-free as information could
> >> be intercepted, corrupted, lost, destroyed, arrive late or incomplete,
> or contain viruses.
> >> The sender therefore does not accept liability for any errors or
> >> omissions in the contents of this message, which arise as a result of
> >> e-mail transmission. If verification is required please request a
> >> hard-copy version.  (LCHOC VER 1.0)
> >>
> >> ________________________________________
> >> From: Gareth Davis via Histonet [histonet at lists.utsouthwestern.edu]
> >> Sent: Wednesday, February 22, 2017 2:23 PM
> >> To: histonet at lists.utsouthwestern.edu
> >> Subject: [Histonet] Recycled reagents in VIP processor
> >>
> >> Hi,
> >> I was always told not to use recycled reagents, i.e. Alcohol and
> >> Xylene, in processors.  I am using a VIP 300, refurbished, and I
> >> would rather not use recycled reagents in it.  But, during the last
> >> CAP inspection they suggested I use the recycled to save money.  And
> >> now my administration wants to cut cost.  Just wanted to know what labs
> were doing.
> >> Thanks,
> >>
> >>
> >> --
> >> Ms. Gareth B. Davis, B.S., HT, QIHC (ASCP)cm Yuma Gastroenterology
> >> Yuma, AZ 85364
> >> 928-248-5259
> >> _______________________________________________
> >> Histonet mailing list
> >> Histonet at lists.utsouthwestern.edu
> >> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
> >> _______________________________________________
> >> Histonet mailing list
> >> Histonet at lists.utsouthwestern.edu
> >> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
> >>
> >
>
>
> ---------- Forwarded message ----------
> From: Gareth Davis <garethdavisyuma at gmail.com>
> To: "Margaryan, Naira" <naira.margaryan at hsc.wvu.edu>
> Cc: "Frazier, John" <john.frazier at roche.com>, Jay Lundgren <
> jaylundgren at gmail.com>, "Margaryan, Naira" <NMargaryan at luriechildrens.org>,
> "histonet at lists.utsouthwestern.edu" <histonet at lists.utsouthwestern.edu>
> Bcc:
> Date: Tue, 28 Feb 2017 13:57:24 -0700
> Subject: Re: [Histonet] Recycled reagents in VIP processor
> When using Xylene in a lab, it's my opinion that the savings is associated
> with the size of the lab.  I am in a very small lab, where I am the only
> Histotech.  I recycle both alcohol and Xylene and monitor both closely.
> For me, it would cost effective to recycle and use as much as possible,
> instead of purchasing fresh.  But, I agree, if it's a larger lab it may not
> be as cost effective.  Also, if the lab is in the position to order a
> substitute for Xylene, where it would be cheaper, than that seems to be the
> optimum thing to do.
>
> On Tue, Feb 28, 2017 at 1:39 PM, Margaryan, Naira <
> naira.margaryan at hsc.wvu.edu> wrote:
>
> > Absolutely agreed!
> >
> > Naira
> >
> > -----Original Message-----
> > From: Frazier, John [mailto:john.frazier at roche.com]
> > Sent: Tuesday, February 28, 2017 2:31 PM
> > To: Jay Lundgren <jaylundgren at gmail.com>
> > Cc: Margaryan, Naira <NMargaryan at luriechildrens.org>; Gareth Davis <
> > garethdavisyuma at gmail.com>; histonet at lists.utsouthwestern.edu;
> Margaryan,
> > Naira <naira.margaryan at hsc.wvu.edu>
> > Subject: Re: [Histonet] Recycled reagents in VIP processor
> >
> > As a six sigma consultant to histology laboratories, it has been my
> > experience that recycling xylene and alcohol overall is not a cost saver.
> > When you factor in both capital dollars and operational dollars, the
> > savings is neutral. In addition to the neutral cost in recycling, you
> have
> > to concern yourself with the quality of your in product on a daily basis.
> > The last piece in the equation is the handling of Xylene with multiple
> > touch points in between.  A movement within the histology world has begun
> > with handling xylene (hazard
> > waste) as little as possible and/or reducing or eliminating its use where
> > possible.
> >
> > Sent from my iPhone
> >
> > > On Feb 27, 2017, at 6:25 PM, Jay Lundgren <jaylundgren at gmail.com>
> wrote:
> > >
> > > When people say they are saving money by recycling reagents I always
> > > wonder if they are including tech time (to run the still) in their
> > calculations.
> > >
> > >                             Sincerely,
> > >
> > >                                     Jay A. Lundgren, M.S., HTL (ASCP)
> > >
> > > On Wed, Feb 22, 2017 at 2:32 PM, Margaryan, Naira via Histonet <
> > > histonet at lists.utsouthwestern.edu> wrote:
> > >
> > >> WOULD LIKE TO KNOW AS WELL - IT IS WASTE OF MONEY....
> > >>
> > >> Thanks,
> > >> Naira
> > >>
> > >>
> > >> Ranked nationally in all 10 pediatric specialties by U.S. News &
> > >> World Report  (LCHOC Ver 1.0)
> > >>
> > >>
> > >> This message contains confidential information and is intended only
> > >> for the individual named. If you are not the named addressee you
> > >> should not disseminate, distribute or copy this e-mail. Please notify
> > >> the sender immediately by e-mail if you have received this e-mail by
> > >> mistake and delete this e-mail from your system. E-mail transmission
> > >> cannot be guaranteed to be secure or error-free as information could
> > >> be intercepted, corrupted, lost, destroyed, arrive late or incomplete,
> > or contain viruses.
> > >> The sender therefore does not accept liability for any errors or
> > >> omissions in the contents of this message, which arise as a result of
> > >> e-mail transmission. If verification is required please request a
> > >> hard-copy version.  (LCHOC VER 1.0)
> > >>
> > >> ________________________________________
> > >> From: Gareth Davis via Histonet [histonet at lists.utsouthwestern.edu]
> > >> Sent: Wednesday, February 22, 2017 2:23 PM
> > >> To: histonet at lists.utsouthwestern.edu
> > >> Subject: [Histonet] Recycled reagents in VIP processor
> > >>
> > >> Hi,
> > >> I was always told not to use recycled reagents, i.e. Alcohol and
> > >> Xylene, in processors.  I am using a VIP 300, refurbished, and I
> > >> would rather not use recycled reagents in it.  But, during the last
> > >> CAP inspection they suggested I use the recycled to save money.  And
> > >> now my administration wants to cut cost.  Just wanted to know what
> labs
> > were doing.
> > >> Thanks,
> > >>
> > >>
> > >> --
> > >> Ms. Gareth B. Davis, B.S., HT, QIHC (ASCP)cm Yuma Gastroenterology
> > >> Yuma, AZ 85364
> > >> 928-248-5259
> > >> _______________________________________________
> > >> Histonet mailing list
> > >> Histonet at lists.utsouthwestern.edu
> > >> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
> > >> _______________________________________________
> > >> Histonet mailing list
> > >> Histonet at lists.utsouthwestern.edu
> > >> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
> > >>
> > >
> >
>
>
>
> --
> Ms. Gareth B. Davis, B.S., HT, QIHC (ASCP)cm
> Yuma Gastroenterology
> Yuma, AZ 85364
> 928-248-5259
>
>
>
> ---------- Forwarded message ----------
> From: Joanne Clark <jclark at pcnm.com>
> To: "histonet at lists.utsouthwestern.edu" <histonet at lists.utsouthwestern.edu
> >
> Cc:
> Bcc:
> Date: Tue, 28 Feb 2017 21:37:10 +0000
> Subject: Re: [Histonet] Histonet Digest, Vol 159, Issue 24
>
>
>
> Hi Allison, I talked to my safety guy and there isn't anything specific.
> They are telling you that because there is a fire hazard warning on
> formalin cubes, but we know that the change of it catching fire is slim to
> nil.  They want you to use the same standards as with alcohol and xylene (1
> gallon per 100 square feet).  It is all so dependent on who you have
> inspecting you and what their background is.
>
> Joanne Clark, HT
> Pathology Consultants of New Mexico
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Mon, 27 Feb 2017 19:26:54 +0000
> From: "Eck, Allison" <aeck at dh.org>
> To: "'histonet at lists.utsouthwestern.edu'"
>         <histonet at lists.utsouthwestern.edu>
> Subject: [Histonet] square footage for formalin
> Message-ID:
>         <4ED8C96A8F20FC4F883A92E2A0A0D64A97341B84 at DH-MAIL01.dhorg.org>
> Content-Type: text/plain; charset="us-ascii"
>
> Good afternoon,
> We have inspectors here and they are questioning the size of the room in
> the operating room where they keep their 5 gallon cube.  Does anyone know
> of any square footage requirements for a room that where formalin is kept
> and used?
>
> Thank you in advance
> Allison
>
> Allison Eck, HTL(ASCP)cm,QLS, AHI(AMT)
> Lead Tech Histology
> Doylestown Hospital
> 595 W State St
> Doylestown, PA 18901
> 215-345-2264
> aeck at dh.org<mailto:aeck at dh.org>
>
>
>
>
> ------------------------------
>
>
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>
>
>
> ---------- Forwarded message ----------
> From: Eileen Akemi Allison <akemiat3377 at gmail.com>
> To: Histonet <Histonet at lists.utsouthwestern.edu>
> Cc:
> Bcc:
> Date: Wed, 1 Mar 2017 05:23:16 -0800
> Subject: [Histonet] Cassette Printers
> Good morning Histoland!
>
> Our department is looking into purchasing a new cassette printer which has
> the capability of interfacing with our AP Easy LIS System. I am currently
> demoing a General Data ID/Positive CL-01 Laser Cassette Printer and label
> printer system. We are a fairly small lab with limited space so a small
> foot print is essential.  We also do not need a multiple magazine.
>
> I would love to hear your comments, good, bad or indifferent…
>
> Thanks in advance
>
> Akemi Allison BS, HT/HTL (ASCP)
> Pathology Manager
> Monterey Bay GI Consultants Laboratory
> 23 Upper Ragsdale Drive, Suite 200
> Monterey, CA 93940
> W: Email: aallison at montereygi.com <mailto:aallison at montereygi.com>
> H: Email: akemiat3377 at gmail.com <mailto:akemiat3377 at gmail.com>
>
>
>
>
> ---------- Forwarded message ----------
> From: Eileen Akemi Allison <akemiat3377 at gmail.com>
> To: Histonet <Histonet at lists.utsouthwestern.edu>
> Cc:
> Bcc:
> Date: Wed, 1 Mar 2017 05:30:35 -0800
> Subject: [Histonet] cassette printer additional request
> Hi Again:
>
> I forgot to mention I am open to investigate other Cassette Printers other
> than the General Data Printer… AlOf course, price, and dependability is a
> big factor. Would love to hear your comments, good, bad or indifferent...
>
> Thanks in again!
>
> Akemi Allison BS, HT/HTL (ASCP)
> Pathology Manager
> Monterey Bay GI Consultants Laboratory
> 23 Upper Ragsdale Drive, Suite 200
> Monterey, CA 93940
> W: Email: aallison at montereygi.com <mailto:aallison at montereygi.com>
> H: Email: akemiat3377 at gmail.com <mailto:akemiat3377 at gmail.com>
>
>
>
>
> ---------- Forwarded message ----------
> From: "Blazek, Linda" <lblazek at digestivespecialists.com>
> To: Eileen Akemi Allison <akemiat3377 at gmail.com>, "
> histonet at lists.utsouthwestern.edu" <histonet at lists.utsouthwestern.edu>
> Cc:
> Bcc:
> Date: Wed, 1 Mar 2017 09:50:13 -0500
> Subject: Re: [Histonet] cassette printer additional request
>
> We have the Primera Signature Cassette printer and like it a lot.  Support
> is excellent but we haven't needed it much.  Set up is easy.  Printing is
> very good.  We also have their slide printer that is interfaced with our
> LIS.  It's sold by Creative Waste Solutions.
>  http://cwsincorp.com/
> If you'd like any questions answered feel free to contact me.
>
> Linda Blazek HT (ASCP)
> Pathology Lab Manager
> GI Pathology of Dayton
> Digestive Specialists, Inc
> Phone: (937) 396-2623
> Email: lblazek at digestivespecialists.com
>
>
> -----Original Message-----
> From: Eileen Akemi Allison via Histonet [mailto:histonet at lists.
> utsouthwestern.edu]
> Sent: Wednesday, March 01, 2017 8:31 AM
> To: Histonet
> Subject: [Histonet] cassette printer additional request
>
> Hi Again:
>
> I forgot to mention I am open to investigate other Cassette Printers other
> than the General Data Printer… AlOf course, price, and dependability is a
> big factor. Would love to hear your comments, good, bad or indifferent...
>
> Thanks in again!
>
> Akemi Allison BS, HT/HTL (ASCP)
> Pathology Manager
> Monterey Bay GI Consultants Laboratory
> 23 Upper Ragsdale Drive, Suite 200
> Monterey, CA 93940
> W: Email: aallison at montereygi.com <mailto:aallison at montereygi.com>
> H: Email: akemiat3377 at gmail.com <mailto:akemiat3377 at gmail.com>
>
> _______________________________________________
> Histonet mailing list
> Histonet at lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>
> _______________________________________________
> Histonet mailing list
> Histonet at lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>



-- 
John S. Frazier, MT(ASCP), MBA, LSSBB
Senior Manager,  RMS Consulting
Roche Diagnostics Corporation
Mobile: 1-520-305-5030
Fax:     1-520-229-6819
john.frazier at roche.com
_______________________________________________
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