61. Volume 96, Number 10, October 2001 Of Headaches and Bellyaches David R. Mack, MD. Dignan F, AbuArafeh I, Russell G. The prognosis of childhood abdominal migraine. Arch Dis Child 2001;84415-8. http://www-east.elsevier.com/ajg/issues/9610/ajg5246dis.htm

What's New In GI October 2001 Volume , Number Pages Of Headaches and Bellyaches David R. Mack, M.D. Dignan F, Abu-Arafeh I, Russell G. The prognosis of childhood abdominal migraine. Arch Dis Child 2001;84:415-8. Published by Elsevier Science Inc.

62. WHAT ARE THE GUIDELINES FOR TREATING A MIGRAINE ATTACK? Children may often have a form of migraine known as a migraine equivalent or abdominal migraine, which does not cause a headache at all. http://www.ucdmc.ucdavis.edu/ucdhs/health/a-z/97migraine/doc97treat.html

WHAT ARE THE GUIDELINES FOR TREATING A MIGRAINE ATTACK? Many effective headache remedies are now available for treating a migraine attack. Still, a 2000 survey of European migraineurs found that half seek no treatment from a doctor, perhaps because of the stigma of migraine. And, only 27% of patients were given medications that were consistently effective. It should be noted that as many as 30% of migraine sufferers also have accompanying headaches resulting from tension, drugs, infections, or other causes. It is important to distinguish between headache types in order to determine appropriate treatment. [ See Table Drugs Used for Migraines General Guidelines. The general goals of treatment are the following: On the advice of the physician, choose drugs with as few side effects as possible. Patients should discuss various methods for administering the medication (pills, injections, nasal spray, or rectal suppositories) and begin with one they believe will be the least distressing. Treat the attack rapidly and consistently to avoid recurrence.

63. Eyewitness News 11.com: Child Migraines Also added to the guidelines was what’s called an abdominal migraine, where the child can get midline abdominal pain, which is often accompanied by severe http://abclocal.go.com/wtvd/health/042604_NH_childmigraines.html

var CM8Server = "abc.checkm8.com"; var CM8Cat = "WTVD.HEALTH"; var CM8Profile = "STORY=042604_NH_CHILDMIGRAINES"; CM8ShowAd("TOP") Quick Links News As Seen on ABC 11 NC News Briefs Week in Review Eye on Government E-News Newsletters 2004 Vote Weather First Alert Doppler Radar Severe Weather Winter Weather Live Webcams Hurricane Awareness Sports March Madness Where's Charlie Consumer News Troubleshooter Eye on Recalls Features Oscars Message Boards Lottery Results Entertainment Health Hampton's Health Reports MoneyScope Mr. Food Community School Guide Community Events Career Center Eyewitness Traffic Gateway to North Carolina Wake County Attractions Durham County Attractions Orange County Attractions Cumberland County Attractions Interactive Message Boards Ask the Troubleshooter About ABC 11 About Us News Team Bios Jobs at ABC 11 ABC 11 Contacts print story email story last updated: 4/26/2004 Child Migraines By Angela Hampton Migraines are not a problem we commonly think of as something that can affect our children. But millions of kids suffer these debilitating headaches, which can come in very strange forms - from abdominal pain to just crankiness. Zach is much like any 8 year old. He enjoys playing catch, shooting hoops and riding his bike. But when his vicious, debilitating migraines attack, they bring his active life to a screeching halt. "They pretty much hurt in the middle and the top of my head and it felt like sore," says Zach.

64. Recurrent Abdominal Pain Syndrome Giardia; Blastocystis hominis; Hereditary Pancreatitis; Conversion reaction; abdominal migraine; Epilepsy; Gynecologic disorder. Management http://www.fpnotebook.com/SUR77.htm

Home About Links Index ... Editor's Choice document.write(code); Advertisement Surgery Pediatrics Cardiovascular Medicine ... Pediatric Abdominal Pain Causes Recurrent Abdominal Pain Syndrome Recurrent Abdominal Pain Syndrome Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Surgery Index Cardiovascular Medicine Dermatology Examination Gastroenterology General Pediatrics Pharmacology Prevention Procedure Radiology Sports Medicine Page Pediatrics Index CV Lymphedema Congenita CV Lymphedema Praecox GI Hernia GI Intussusception GI Pain GI Pain Causes GI Pain Recurrent Definition Pain occurs at least once/month for at least 3 months Ages 4 - 16 years (peaks at age 9 years) Affects activity, school attendance Epidemiology Prevelance in school age children: 10% Pathophysiology Autonomic Dysfunction with altered intestinal motility Hyperalgesia and altered sensory pathways Etiology School Phobia (and related stresses) closely associated These children often get lower grades than peers Associated Conditions Anorexia Nervosa Symptoms Nonspecific recurrent abdominal pain Not related to meals or movement No associated Nausea Vomiting , or Dysuria Signs Well appearing child Exam is often normal or mild abdominal tenderness

65. Extraperitoneal Abdominal Pain Causes Neurologic Causes Spinal cord tunor; Spinal Osteomyelitis; Tabes dorsalis; Herpes Zoster; Abdominal Epilepsy; abdominal migraine. Genitourinary http://www.fpnotebook.com/SUR62.htm

Home About Links Index ... Editor's Choice document.write(code); Advertisement Surgery Gastroenterology Assorted Pages Appendicitis Gallstone Biliary Colic Acute Gallstone Cholangitis ... Sports Hernia Extraperitoneal Abdominal Pain Causes Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Surgery Index Cardiovascular Medicine Dermatology Examination Gastroenterology General Pediatrics Pharmacology Prevention Procedure Radiology Sports Medicine Page Gastroenterology Index Bowel Appendicitis Bowel Meckels GallStones Gallstones Biliary Colic Gallstones Cholangitis Ascending Gallstones Cholecystitis Acalculous Gallstones Cholecystitis Acute Gallstones Rx Cholecystectomy Gallstones Rx ESWL Hernia Hernia Groin Inguinal Hernia Groin Femoral Hernia Ventral Epigastric Hernia Ventral Incisional Hernia Ventral Spigelian Hernia Ventral Umbilical Ileus Approach Ileus Causes Adynamic Ileus Causes Mechanical Ileus Causes Pseudoobstruction Pain Pain Approach Evaluation Pain Causes Pain Causes Extra Pain Causes Extra Muscle Pain Causes Extra Muscle DDx Pain Causes Generalized Pain Causes LLQ Pain Causes LUQ Pain Causes RLQ Pain Causes RUQ See Also Abdominal Wall Pain Abdominal Wall Pain Causes Cardiopulmonary Causes

66. List Of Diseases A - WrongDiagnosis.com type of Cramp; Abdominal Hernia; abdominal migraine see Headachefree migraine; Abdominal neuroblastoma type of Neuroblastoma; Abdominal Pain http://www.wrongdiagnosis.com/lists/condsa.htm

67. CVS Research And Publications The periodic syndrome cyclic vomiting and abdominal migraine. abdominal migraine References Axon, ATR, Long, DE, Jones, SC (1991). http://freespace.virgin.net/cvsa.uk/research.html

CVS References Aanpreung P, Vajaradul C: Cyclic vomiting syndrome in Thai children. J Med Assoc Thai 85 (2):s743-8, 2002 (suppl) Abell, T.L., Kim, C.H., Malagelada, J.R. (1988). Idiopathic cyclic nausea and vomiting. A disorder of gastrointestinal motility? Mayo Clinic Proceedings, 63, 1169-1175. Abu-Arafeh I, Russell,G (Abu-Arafeh ed): Childhood Headache. Cambridge, Cambridge University Press, 2002 Cyclical vomiting syndrome in children: A population based study. Journal of Pediatric Gastroenterology and Nutrition, 21(4), 454-8. Migraine and cyclical vomiting syndrome in children. Headache Quarterly, Current Treatment and Research, 8,122-125. Anderson, J., Lockhart, J., Sugerman, K., Weinberg, W. (1997). Effective prophylactic therapy for cyclic vomiting syndrome in children using amitriptyline or cyproheptadine. Pediatrics, 100(6), 977-981. Artingstall, K. (1999).

68. Your Child | Abdominal Pain (Stomachache) Children diagnosed with “abdominal migraine” may benefit from the use of pizotifen (a serotonin blocker) when used to prevent an attack. http://www.med.umich.edu/1libr/yourchild/abpain.htm

YOUR CHILD HOME Your Child Topics UMHS HOME Abdominal Pain (Stomachache) What is abdominal pain? Abdominal pain Abdominal Pain El Dolor Abdominal de Niño Chronic Abdominal Pain FAQ's about abdominal pain What is recurrent abdominal pain (RAP)? More about recurrent abdominal pain/functional abdominal pain in the answer to this question from a 13-year-old. What is abdominal pain like for my child? pain diary When should I take my child to the doctor for a stomachache? It is very important to know when to seek medical advice. Learn more by reading Red Flags to Watch for in Children with Stomach Ache . Although most childhood abdominal pain has no known cause and is not dangerous, there are causes of pain that may be life threatening and require immediate medical attention. How can I help my child with the pain? While your child is getting checked out, talk with your doctor about safe and effective ways to ease pain. There are times when watching for worsening pain is important and your doctor may not feel pain medication is the safest option. In this case, distraction techniques such as guided imagery may help your child cope. You could also try progressive relaxation or self-hypnosis. For more suggestions on non-drug pain relief, see

69. PharmGKB: Migraine Alternate Names abdominal migraine; abdominal migraines; Acute Confusional Migraine; Acute Confusional Migraines; Cervical Migraine Syndrome; Cervical http://www.pharmgkb.org/do/serve?objId=PA444949&objCls=Disease

70. CCHS Clinical Digital Library document; Cyclic Migraine Syndrome Access document; Obesity and Migraine Access document; abdominal migraine Access document; Ocular http://cchs-dl.slis.ua.edu/patientinfo/neurology/headache/migraine.htm

Patient/Family Resources by Topic: Neurology Migraine Patient/Family Resources Pediatrics Spanish Miscellaneous See also: General Neurology Patient/Family Resources Migraine Clinical Resources MD Consult: Homepage Health Sciences Library subscription INFO Patient Handouts Table of content Migraine Headaches (Comprehensive Version): Access document Migraine Headache: Access document Migraine Headache (Brief Version): English Spanish Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Health Sciences Library subscription INFO Patient Notes Related to Harrison's Principles of Internal Medicine, 15th Edition: Table of contents Migraine: Access document American Academy of Neurology: Homepage AAN Patient Education Materials: List of documents Migraine: Access document (PDF) National Headache Foundation: Homepage Headache Topics: List of documents Migraine: Access document Aura: Access document Migraine with Aura (Classical Migraine): Access document Complicated Migraine: Access document Migraine Equivalents or Variants: Access document Status Migraine/SterileInflammation: Access document Visual Disturbances: Access document Cyclic Migraine Syndrome: Access document Obesity and Migraine: Access document Abdominal Migraine: Access document Ocular Migraine: Access document Ophthalmic Migraine: Access document Ophthalmoplegic Migraine: Access document Hormones and Migraine: Access document Environmental and Physical Factors: Access document Allergy and Headache: Access document Coexisting Migraine and Tension-Type Headaches:

71. Symptoms - Expressions Of Disease; Alpha Nutrition Program Instructions Nausea and vomiting are also associated with migraine headaches caused by food allergy and abdominal migraine places the pain in the abdomen and not the head http://www.nutramed.com/digestion/gitsymptoms.htm

Digestive Center; Solving Common Problems Alpha Nutrition Health Education Digestive Symptoms Nutritional Rescue Crohn's Disease Irritable Bowel Syndrome Celiac Disease ... Alpha Nutrition Digestive symptoms are among the most common complaints presenting in primary medical practice. The interpretation and treatment of these symptoms has sometimes been based on misunderstanding how the gastrointestinal tract responds to food. The gastrointestinal tract is a sensing, reactive device that monitors the material flowing through it. Symptoms arising from this system provide information about its dysfunction. Seven basic symptoms alert the patient to gastrointestinal tract displeasure with food choices - nausea, heartburn, vomiting, bloating, pain, constipation and diarrhea. Heartburn afflicts 44% of Canadians and Americans. Peptic ulcer disease has an incidence of 8% Non-ulcer dyspepsia afflicts 20-40%. gastrointestinal symptoms from food is common in infants and children Over-the-counter medications for gastrointestinal tract symptoms is a multi-billion dollar industry and patients often self-medicate when symptoms are mild or infrequent. Patients may first present with acute abdominal pain either in the office or emergency room and require an expensive work-up to rule out more serious disease. Ulcer pain tends to be distinctive with discrete pain localized to the epigastrium, and increased with an empty stomach, waking the patient at night and the pain is relieved by food and antacids. Other abdominal pain can be more difficult to assess.

72. Ab : On Medical Dictionary Online Epilepsies Abdominal Epilepsy Abdominal Fibromatoses Abdominal Fibromatosis Abdominal Injuries Abdominal Injury abdominal migraine abdominal migraines http://www.online-medical-dictionary.org/?q=~Ab

73. Symptoms And Diagnosis Of Migraine symptoms. Children may suffer a variety of this condition called ‘abdominal migraine’ with no headache. Diagnosis of Migraine. http://www.complemed.co.uk/migraine/migrainesymptoms.htm

Conditions which can be treated by Complementary and Integrated Medicine Links: Symptoms of Migraine Migraine: what is it? Symptoms and diagnosis of Migraine Treatments for Migraine Associated symptoms may include nausea or vomiting which makes treatment very difficult as medication will not stay down. There is often sensitivity to light and sounds and sufferers often want to lie down in a darkened room and be left alone. Many patients just experience a different headache without the other symptoms. Diagnosis of Migraine Diagnosis is based on the history and the pattern of the headaches. A neurological examination is usually adequate for confirmation, but further investigations such as scans or test on the electrical activity of the brain may be necessary in some cases. As there are many triggers, a diary of the headaches can often not only confirm the diagnosis, but also point towards the cause and help identify foods or situations to avoid. Patients with persistent headaches or headaches that are present on waking should be referred to a neurologist to exclude other conditions.

74. Migraine (Steve Harris, M.D.; David Rind; Jonathan R. Fox, M.D.) Jumbo shrimp. abdominal migraine. A word derived once upon a time from hemicranial. Though they don t always have to be. Now http://yarchive.net/med/migraine.html

Index Home About Search for Google's copy of this article Index Home About Search for Google's copy of this article ... Search for Google's copy of this article From: jrfox@no.spam.fastlane.net.no.spam (Jonathan R. Fox) Newsgroups: sci.med,sci.med.pharmacy Subject: Re: "Excedrin Migraine" Date: Tue, 06 Apr 1999 15:05:56 GMT On 6 Apr 1999 02:49:04 GMT, hillary@hillary.net (Hillary Gorman) wrote: >I just saw a commercial for a product called "Excedrin Migraine." In fine >print at the bottom of the TV screen were the words "for mild to moderate >migraine pain." Eh? Come again? "Mild to moderate" migraine pain? As a >long term migraine sufferer, I'm baffled. Does this mean that not only am >I unlucky enough to be stuck having the worst headaches known to man, but >I can't even get a break to get the "mild" ones now and then!! I never >heard of such a thing as "mild" migraine pain. I thought all migraines >were horribly painful - well, aside from those weird "ocular migraines" >that sometimes occur. > >What's a "mild" migraine? There is a common misconception that a migraine headache is by definition severe. This is not the case. Differentiation between the different types of headaches is complex but generally does not involve the severity of pain (cluster headaches and those caused by intracranial disasters such as infection or bleeding being the exceptions.) The two most common types are tension headaches and migraine headaches. Briefly, tension headaches feel like a tight band symmetrically around the head and can last for days, whereas migraine headaches are a dull ache or throbbing pain, usually unilateral, sometimes preceded by an aura, that resolves in a few hours to a day or with sleep. Also, migraines frequently run in the family. I frequently get mild unilateral throbbing pains that resolve in a few hours or with sleep, and years ago I also thought I couldn't call them migraines since they don't hurt so bad. Then I got a tension headache. YEOW! My tension headaches hurt a lot worse than the mild migraines I frequently get! Give me a migraine any day. Jonathan R. Fox, M.D. Search for Google's copy of this article Search for Google's copy of this article Search for Google's copy of this article Search for Google's copy of this article ... About

75. Abdominal Pain: Just Gas Or An Emergency? - DrDonnica.com - The First Name In Wo cysts; ulcers; other rare conditions presenting with abdominal pain angina, heart attack, abdominal aneurysm, abdominal migraine, pericarditis, pancreatitis http://www.drdonnica.com/articles/00000188-001.htm

We subscribe to the HONcode principles. Verify here Abdominal Pain: Just Gas Or An Emergency? Most of us have had some kind of stomach or side pain; it’s usually a stitch or a cramp and passes with time and rest.  But how do you know if it’s something more serious—or even something that should be evaluated in the emergency room?  Dr. Donnica discusses the different types of stomach and side pain, from having eaten too much to having a ruptured appendix, and how you can tell if you should see your doctor soon rather than later.  What is This Condition? The most important rule of thumb to follow is that if you think it’s an emergency, it is.  When in doubt, call your health care provider immediately.  If it turns out to be “just indigestion”, be grateful.  Too often serious warning signs are missed because people don’t take their symptoms seriously enough or act soon enough.  The guidelines below should help. The diagnoses of acute abdominal pain are numerous and diverse.  They include the following: indigestion/gas pain constipation menstrual or cramps gallbladder pain bladder or kidney infection pelvic inflammatory disease endometriosis ectopic (tubal) pregnancy appendicitis ovarian cysts ulcers other rare conditions presenting with abdominal pain:  angina, heart attack, abdominal aneurysm, abdominal migraine, pericarditis, pancreatitis, hepatitis, certain tumors.

76. HSC: Kids' Health For many children with migraine, attacks can involve episodes of abdominal pain with vomiting. This form is called abdominal migraine. http://www.sickkids.on.ca/kidshealth/summer02vol3issue2/migraines.asp

Summer 2002 Volume 3 Issue 2 home don't leave kids in hot cars the queasy days of summer ahhh choooo ... meet olivia Migraine headaches are much more common in young people than most people think. Experts estimate that approximately 10 per cent of migraine sufferers are children under the age of 15. Children, even babies, can experience devastating effects, especially where a family history of migraine exists. Migraine is not just a bad headache. Migraine is a biological disorder of the central nervous system that is frequently inherited. Although migraine is not life threatening, the symptoms of a migraine attack can profoundly disrupt a sufferer's life, and can place enormous strain on families. While twice as many adult women as men suffer from migraine, boys are more likely than girls to experience attacks in childhood. The good news is that as many as one-third of all children outgrow their migraine. Enlist your child's help in searching for migraine triggers: Isolating and identifying your child's triggers ­ things that may provoke an attack ­ is an important first step in reducing the number of migraine attacks that are experienced.

77. Allergy Headaches abdominal migraine presents in a similar way, except the pain is in the abdomen rather than the head http//www.alphanutrition.com/children/children_headaches http://www.headland.com/Mall/Allergies/allergy_headaches.htm

Allergies Can Be Controlled Allergy and Asthma Relief Now Home allergy allergy headaches Locating the very best allergy relief and information web sites is sometimes very difficult. That is why we built this site. We've spent a considerable amount of time and effort to locate relevant information on the very best allergy information sites to pick the best places for you to go to regardless of the type of allergy that gives you problems. H-M WWW Allergy Relief The best information on allergy headaches can be found at these sites GUAYAK - Allergy headaches? 100% organic Guayaki Yerba Mate is a powerful rejuvenating energy beverage grown in its native rainforest environment for quality and flavor. 7 delicious flavors available http://www.guayaki.com/bulletin/Bulletin.2002-12-23.4253/view ALLERGY MIGRAINE HEADACHES SLEEP APNEA CLUSTER HEADACHES DOWN'S SYNDROME TMJ TEMPORO... http://www.drmccarty.com/healthconditions.htm Headaches, Food Allergy and Nutrition in Infants and Children ... Headache Food Allergy Patterns in Children ... Hives Asthma Headaches Food Allergy Milk Allergy ... associated with these headaches is often an effect ... Delayed Pattern Food Allergy In this section ... Children do suffer migraine headaches with severe pain, nausea, vomiting, visual disturbances, and light intolerance. Abdominal migraine presents in a similar way, except the pain is in the abdomen rather than the head http://www.alphanutrition.com/children/children_headaches.htm

78. Automated Web Directory: Abdominal Migraine Snowfox Home. Automated Web Directory. Powered by the Snowfox Relevance Engine. http://www.snowfox.com/topictrees/English/root/health/medicine/branches_of_medic

Snowfox Home Automated Web Directory Powered by the Snowfox Relevance Engine root health medicine Abdominal migraine Snowfox alphabetic index

79. Children & Migraine - NZMSSG Thanks Mum. I ended up with a very good paediatrician who believed in abdominal migraine. We’d never heard of it, it was so good to have name for what I had. http://www.migraine.co.nz/children.shtml

Unfortunately, many children suffer from migraine - it's often helpful  for them to understand that others are suffering too. Below are two stories written by young sufferers. We hope you'll find them helpful. RICKY'S STORY My name is Ricky. I am 13 years old, I have suffered from migraines since I was 6 and I have 1-2 attacks a week. They last from a couple of hours to 3-4 days. This interferes with school a lot and I find the school doesn’t meet my needs, as they don’t realise the pain and suffering I feel. It’s not just them but it most people I encounter. Mum’s been my main supporter but she worries about the amount of drugs I’m on as I’ve tried everything available, but nothing seems to work. (I have tried withdrawing foods, a chiropractor and osteopaths). Sometimes I get really depressed because I am sick constantly and I wonder "WHY ME". Ricky Tippett, Invercargill From Mum: I long for the day when migraine is recognised as a serious medical problem by society. Take care KATE'S STORY I’m 10 now but I do remember that hard time when I didn’t know what was wrong. I always seemed to have a sore tummy – even when I was really little. My sore tummy got worse when I started school. I was in sick-bay a lot. Sometimes by tummy felt like a brick and my head was sore. Often I couldn’t stand the noise in the classroom and the words on pages were blurred. I did feel frightened when I had the ’weird feeling’. This feeling went with my sore tummy and sore head. I just felt very strange and everything echoed and seemed louder – sometime I saw black spots in front of my eyes. I often cried and sent to either sick-bay of the Library Corner. No-one really knew why I cried. My best friends comforted me. The teacher sometimes said "I’ve got a tummy-ache too – you’ll be right soon" – but I never was!! She didn’t understand.

80. Recurrent Headaches - DrGreene.com - Caring For The Next Generation hands and feetor a family history of migraines. Some kids do have abdominal migrainesthey have stomachache without the headache. http://www.drgreene.com/21_1595.html

QUICK SEARCH A - Z Guide Allergies Allergy Care Guide Asthma Care Guide Bedwetting Breastfeeding Childhood Obesity Diabetes Care Guide Ear Infections Genetics Immunizations Infectious Diseases Parenting Potty Training Rashes Safety Sleep About DrGreene.com Archives About Us Context Reviews Awards Readers Comments Press Room Partners and Supporters Topic Centers Contact Us Pediatric Information A-Z Guide Allergy Care Guide Asthma Care Guide Diabetes Care Guide Discussion Boards DrGreene´s Chats DrGreene´s Event Shedule FAQ Fast Facts Feature Articles Guidelines Pediatric Updates Special Feature Top Tips Community Activty Guide Advanced Search Community Central Chat Chat Schedule Cute Faces Discussion Boards Family Friendly Recipes Parent-to-Parent Resources The DrGreene Team Newsletter Prenatal Newborn Infants Toddlers Pre-Schoolers School Age Teens / Adolescents Multimedia Library Fertility Children's Health Recurrent Headaches My daughter has had headaches on and off for the past year and a half. Everything we have tried has helped a little, but they always come back. What could be the cause? The most common cause of an undiagnosed recurrent headache in a child is a childhood migraine.

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