The Randomized Shortened Dental Arch study (RaSDA): design and protocol.
Identifieur interne : 001A52 ( PubMed/Curation ); précédent : 001A51; suivant : 001A53The Randomized Shortened Dental Arch study (RaSDA): design and protocol.
Auteurs : Ralph G. Luthardt [Allemagne] ; Birgit Marré ; Achim Heinecke ; Joachim Gerss ; Hans Aggstaller ; Eckhard Busche ; Paul Dressler ; Ingrid Gitt ; Wolfgang Hannak ; Sinsa Hartmann ; Guido Heydecke ; Florentine Jahn ; Matthias Kern ; Torsten Mundt ; Peter Pospiech ; Helmut Stark ; Bernd Wöstmann ; Michael H. WalterSource :
- Trials [ 1745-6215 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte, Allemagne, Arcade dentaire (), Conception de prothèse, Facteurs temps, Humains, Mâchoire partiellement édentée (), Perte dentaire (), Plan de recherche, Pose d'implant dentaire (), Pose d'implant dentaire (instrumentation), Projets pilotes, Prothèse dentaire partielle amovible, Prothèse partielle fixe, Qualité de vie, Résultat thérapeutique, Satisfaction du patient.
- MESH :
- Adulte, Allemagne, Arcade dentaire, Conception de prothèse, Facteurs temps, Humains, Mâchoire partiellement édentée, Perte dentaire, Plan de recherche, Pose d'implant dentaire, Projets pilotes, Prothèse dentaire partielle amovible, Prothèse partielle fixe, Qualité de vie, Résultat thérapeutique, Satisfaction du patient.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Adult, Dental Arch (surgery), Dental Implantation (instrumentation), Dental Implantation (methods), Denture, Partial, Fixed, Denture, Partial, Removable, Germany, Humans, Jaw, Edentulous, Partially (surgery), Patient Satisfaction, Pilot Projects, Prosthesis Design, Quality of Life, Research Design, Time Factors, Tooth Loss (prevention & control), Tooth Loss (surgery), Treatment Outcome.
- MESH :
- geographic : Germany.
- instrumentation : Dental Implantation.
- methods : Dental Implantation.
- prevention & control : Tooth Loss.
- surgery : Dental Arch, Jaw, Edentulous, Partially, Tooth Loss.
- Adult, Denture, Partial, Fixed, Denture, Partial, Removable, Humans, Patient Satisfaction, Pilot Projects, Prosthesis Design, Quality of Life, Research Design, Time Factors, Treatment Outcome.
Abstract
Various treatment options for the prosthetic treatment of jaws where all molars are lost are under discussion. Besides the placement of implants, two main treatment types can be distinguished: replacement of the missing molars with removable dental prostheses and non-replacement of the molars, i.e. preservation of the shortened dental arch. Evidence is lacking regarding the long-term outcome and the clinical performance of these approaches. High treatment costs and the long time required for the treatment impede respective clinical trials.
DOI: 10.1186/1745-6215-11-15
PubMed: 20170481
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Luthardt</name><affiliation wicri:level="1"><nlm:affiliation>Clinic of Prosthetic Dentistry, Ulm University, University Hospital, Department of Dentistry, Ulm, Germany. ralph.luthardt@uniklinik-ulm.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinic of Prosthetic Dentistry, Ulm University, University Hospital, Department of Dentistry, Ulm</wicri:regionArea></affiliation></author><author><name sortKey="Marre, Birgit" sort="Marre, Birgit" uniqKey="Marre B" first="Birgit" last="Marré">Birgit Marré</name></author><author><name sortKey="Heinecke, Achim" sort="Heinecke, Achim" uniqKey="Heinecke A" first="Achim" last="Heinecke">Achim Heinecke</name></author><author><name sortKey="Gerss, Joachim" sort="Gerss, Joachim" uniqKey="Gerss J" first="Joachim" last="Gerss">Joachim Gerss</name></author><author><name sortKey="Aggstaller, Hans" sort="Aggstaller, Hans" uniqKey="Aggstaller H" first="Hans" last="Aggstaller">Hans Aggstaller</name></author><author><name sortKey="Busche, Eckhard" sort="Busche, Eckhard" uniqKey="Busche E" first="Eckhard" last="Busche">Eckhard Busche</name></author><author><name sortKey="Dressler, Paul" sort="Dressler, Paul" uniqKey="Dressler P" first="Paul" last="Dressler">Paul Dressler</name></author><author><name sortKey="Gitt, Ingrid" sort="Gitt, Ingrid" uniqKey="Gitt I" first="Ingrid" last="Gitt">Ingrid Gitt</name></author><author><name sortKey="Hannak, Wolfgang" sort="Hannak, Wolfgang" uniqKey="Hannak W" first="Wolfgang" last="Hannak">Wolfgang Hannak</name></author><author><name sortKey="Hartmann, Sinsa" sort="Hartmann, Sinsa" uniqKey="Hartmann S" first="Sinsa" last="Hartmann">Sinsa Hartmann</name></author><author><name sortKey="Heydecke, Guido" sort="Heydecke, Guido" uniqKey="Heydecke G" first="Guido" last="Heydecke">Guido Heydecke</name></author><author><name sortKey="Jahn, Florentine" sort="Jahn, Florentine" uniqKey="Jahn F" first="Florentine" last="Jahn">Florentine Jahn</name></author><author><name sortKey="Kern, Matthias" sort="Kern, Matthias" uniqKey="Kern M" first="Matthias" last="Kern">Matthias Kern</name></author><author><name sortKey="Mundt, Torsten" sort="Mundt, Torsten" uniqKey="Mundt T" first="Torsten" last="Mundt">Torsten Mundt</name></author><author><name sortKey="Pospiech, Peter" sort="Pospiech, Peter" uniqKey="Pospiech P" first="Peter" last="Pospiech">Peter Pospiech</name></author><author><name sortKey="Stark, Helmut" sort="Stark, Helmut" uniqKey="Stark H" first="Helmut" last="Stark">Helmut Stark</name></author><author><name sortKey="Wostmann, Bernd" sort="Wostmann, Bernd" uniqKey="Wostmann B" first="Bernd" last="Wöstmann">Bernd Wöstmann</name></author><author><name sortKey="Walter, Michael H" sort="Walter, Michael H" uniqKey="Walter M" first="Michael H" last="Walter">Michael H. 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Luthardt</name><affiliation wicri:level="1"><nlm:affiliation>Clinic of Prosthetic Dentistry, Ulm University, University Hospital, Department of Dentistry, Ulm, Germany. ralph.luthardt@uniklinik-ulm.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinic of Prosthetic Dentistry, Ulm University, University Hospital, Department of Dentistry, Ulm</wicri:regionArea></affiliation></author><author><name sortKey="Marre, Birgit" sort="Marre, Birgit" uniqKey="Marre B" first="Birgit" last="Marré">Birgit Marré</name></author><author><name sortKey="Heinecke, Achim" sort="Heinecke, Achim" uniqKey="Heinecke A" first="Achim" last="Heinecke">Achim Heinecke</name></author><author><name sortKey="Gerss, Joachim" sort="Gerss, Joachim" uniqKey="Gerss J" first="Joachim" last="Gerss">Joachim Gerss</name></author><author><name sortKey="Aggstaller, Hans" sort="Aggstaller, Hans" uniqKey="Aggstaller H" first="Hans" last="Aggstaller">Hans Aggstaller</name></author><author><name sortKey="Busche, Eckhard" sort="Busche, Eckhard" uniqKey="Busche E" first="Eckhard" last="Busche">Eckhard Busche</name></author><author><name sortKey="Dressler, Paul" sort="Dressler, Paul" uniqKey="Dressler P" first="Paul" last="Dressler">Paul Dressler</name></author><author><name sortKey="Gitt, Ingrid" sort="Gitt, Ingrid" uniqKey="Gitt I" first="Ingrid" last="Gitt">Ingrid Gitt</name></author><author><name sortKey="Hannak, Wolfgang" sort="Hannak, Wolfgang" uniqKey="Hannak W" first="Wolfgang" last="Hannak">Wolfgang Hannak</name></author><author><name sortKey="Hartmann, Sinsa" sort="Hartmann, Sinsa" uniqKey="Hartmann S" first="Sinsa" last="Hartmann">Sinsa Hartmann</name></author><author><name sortKey="Heydecke, Guido" sort="Heydecke, Guido" uniqKey="Heydecke G" first="Guido" last="Heydecke">Guido Heydecke</name></author><author><name sortKey="Jahn, Florentine" sort="Jahn, Florentine" uniqKey="Jahn F" first="Florentine" last="Jahn">Florentine Jahn</name></author><author><name sortKey="Kern, Matthias" sort="Kern, Matthias" uniqKey="Kern M" first="Matthias" last="Kern">Matthias Kern</name></author><author><name sortKey="Mundt, Torsten" sort="Mundt, Torsten" uniqKey="Mundt T" first="Torsten" last="Mundt">Torsten Mundt</name></author><author><name sortKey="Pospiech, Peter" sort="Pospiech, Peter" uniqKey="Pospiech P" first="Peter" last="Pospiech">Peter Pospiech</name></author><author><name sortKey="Stark, Helmut" sort="Stark, Helmut" uniqKey="Stark H" first="Helmut" last="Stark">Helmut Stark</name></author><author><name sortKey="Wostmann, Bernd" sort="Wostmann, Bernd" uniqKey="Wostmann B" first="Bernd" last="Wöstmann">Bernd Wöstmann</name></author><author><name sortKey="Walter, Michael H" sort="Walter, Michael H" uniqKey="Walter M" first="Michael H" last="Walter">Michael H. Walter</name></author></analytic><series><title level="j">Trials</title><idno type="eISSN">1745-6215</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Dental Arch (surgery)</term><term>Dental Implantation (instrumentation)</term><term>Dental Implantation (methods)</term><term>Denture, Partial, Fixed</term><term>Denture, Partial, Removable</term><term>Germany</term><term>Humans</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Patient Satisfaction</term><term>Pilot Projects</term><term>Prosthesis Design</term><term>Quality of Life</term><term>Research Design</term><term>Time Factors</term><term>Tooth Loss (prevention & control)</term><term>Tooth Loss (surgery)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Allemagne</term><term>Arcade dentaire ()</term><term>Conception de prothèse</term><term>Facteurs temps</term><term>Humains</term><term>Mâchoire partiellement édentée ()</term><term>Perte dentaire ()</term><term>Plan de recherche</term><term>Pose d'implant dentaire ()</term><term>Pose d'implant dentaire (instrumentation)</term><term>Projets pilotes</term><term>Prothèse dentaire partielle amovible</term><term>Prothèse partielle fixe</term><term>Qualité de vie</term><term>Résultat thérapeutique</term><term>Satisfaction du patient</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Dental Implantation</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Dental Arch</term><term>Jaw, Edentulous, Partially</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Denture, Partial, Fixed</term><term>Denture, Partial, Removable</term><term>Humans</term><term>Patient Satisfaction</term><term>Pilot Projects</term><term>Prosthesis Design</term><term>Quality of Life</term><term>Research Design</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Allemagne</term><term>Arcade dentaire</term><term>Conception de prothèse</term><term>Facteurs temps</term><term>Humains</term><term>Mâchoire partiellement édentée</term><term>Perte dentaire</term><term>Plan de recherche</term><term>Pose d'implant dentaire</term><term>Projets pilotes</term><term>Prothèse dentaire partielle amovible</term><term>Prothèse partielle fixe</term><term>Qualité de vie</term><term>Résultat thérapeutique</term><term>Satisfaction du patient</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Various treatment options for the prosthetic treatment of jaws where all molars are lost are under discussion. Besides the placement of implants, two main treatment types can be distinguished: replacement of the missing molars with removable dental prostheses and non-replacement of the molars, i.e. preservation of the shortened dental arch. Evidence is lacking regarding the long-term outcome and the clinical performance of these approaches. High treatment costs and the long time required for the treatment impede respective clinical trials.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20170481</PMID><DateCompleted><Year>2010</Year><Month>04</Month><Day>30</Day></DateCompleted><DateRevised><Year>2016</Year><Month>06</Month><Day>22</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1745-6215</ISSN><JournalIssue CitedMedium="Internet"><Volume>11</Volume><PubDate><Year>2010</Year><Month>Feb</Month><Day>19</Day></PubDate></JournalIssue><Title>Trials</Title><ISOAbbreviation>Trials</ISOAbbreviation></Journal><ArticleTitle>The Randomized Shortened Dental Arch study (RaSDA): design and protocol.</ArticleTitle><Pagination><MedlinePgn>15</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1745-6215-11-15</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Various treatment options for the prosthetic treatment of jaws where all molars are lost are under discussion. Besides the placement of implants, two main treatment types can be distinguished: replacement of the missing molars with removable dental prostheses and non-replacement of the molars, i.e. preservation of the shortened dental arch. Evidence is lacking regarding the long-term outcome and the clinical performance of these approaches. High treatment costs and the long time required for the treatment impede respective clinical trials.</AbstractText><AbstractText Label="METHODS/DESIGN" NlmCategory="METHODS">This 14-center randomized controlled investigator-initiated trial is ongoing. Last patient out will be in 2010. Patients over 35 years of age with all molars missing in one jaw and with at least both canines and one premolar left on each side were eligible. One group received a treatment with removable dental prostheses for molar replacement (treatment A). The other group received a treatment limited to the replacement of all missing anterior and premolar teeth using fixed bridges (treatment B). A pilot trial with 32 patients was carried out. Two hundred and fifteen patients were enrolled in the main trial where 109 patients were randomized for treatment A and 106 for treatment B. The primary outcome measure is further tooth loss during the 5-year follow-up. The secondary outcome measures encompassed clinical, technical and subjective variables. The study is funded by the Deutsche Forschungsgemeinschaft (German Research Foundation, DFG WA 831/2-1, 2-2, 2-3, 2-4, 2-5).</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">The particular value of this trial is the adaptation of common design components to the very specific features of complex dental prosthetic treatments. The pilot trial proved to be indispensable because it led to a number of adjustments in the study protocol that considerably improved the practicability. The expected results are of high clinical relevance and will show the efficacy of two common treatment approaches in terms of oral health. An array of secondary outcome measures will deliver valuable supplementary information. If the results can be implemented in the clinical practice, the daily dental care should strongly profit thereof.</AbstractText><AbstractText Label="TRIAL REGISTRATION" NlmCategory="BACKGROUND">The trial is registered at ClinicalTrials.gov under ISRCTN68590603 (pilot trial) and ISRCTN97265367 (main trial).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Luthardt</LastName><ForeName>Ralph G</ForeName><Initials>RG</Initials><AffiliationInfo><Affiliation>Clinic of Prosthetic Dentistry, Ulm University, University Hospital, Department of Dentistry, Ulm, Germany. ralph.luthardt@uniklinik-ulm.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marré</LastName><ForeName>Birgit</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Heinecke</LastName><ForeName>Achim</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Gerss</LastName><ForeName>Joachim</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Aggstaller</LastName><ForeName>Hans</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Busche</LastName><ForeName>Eckhard</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Dressler</LastName><ForeName>Paul</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Gitt</LastName><ForeName>Ingrid</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Hannak</LastName><ForeName>Wolfgang</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Hartmann</LastName><ForeName>Sinsa</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Heydecke</LastName><ForeName>Guido</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Jahn</LastName><ForeName>Florentine</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Kern</LastName><ForeName>Matthias</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Mundt</LastName><ForeName>Torsten</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Pospiech</LastName><ForeName>Peter</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Stark</LastName><ForeName>Helmut</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Wöstmann</LastName><ForeName>Bernd</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Walter</LastName><ForeName>Michael H</ForeName><Initials>MH</Initials></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ISRCTN</DataBankName><AccessionNumberList><AccessionNumber>ISRCTN68590603</AccessionNumber><AccessionNumber>ISRCTN97265367</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>02</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Trials</MedlineTA><NlmUniqueID>101263253</NlmUniqueID><ISSNLinking>1745-6215</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Community Dent Oral Epidemiol. 2001 Jun;29(3):195-203</RefSource><PMID Version="1">11409678</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Oral Investig. 2005 Dec;9(4):215-32</RefSource><PMID Version="1">16315023</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Dtsch Zahnarztl Z. 1971 Feb;26(2):119-41</RefSource><PMID 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MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003757" MajorTopicYN="N">Dental Implantation</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003830" MajorTopicYN="N">Denture, Partial, Fixed</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003832" MajorTopicYN="N">Denture, Partial, Removable</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011474" MajorTopicYN="N">Prosthesis Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012107" MajorTopicYN="N">Research Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016388" MajorTopicYN="N">Tooth Loss</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC2843681</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2009</Year><Month>08</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2010</Year><Month>02</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>2</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>2</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>5</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20170481</ArticleId><ArticleId IdType="pii">1745-6215-11-15</ArticleId><ArticleId IdType="doi">10.1186/1745-6215-11-15</ArticleId><ArticleId IdType="pmc">PMC2843681</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce 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