heal
A publication of the Sheppard Pratt Health System • SUMMER 2018
Celebrating the Class of 2018
More than 65 students graduated from Sheppard Pratt schools this year.
PLUS PREVENTING BRAIN INJURY MAINTAINING STRUCTURE MEN AND EATING DISORDERS
In this issue.
SUMMER 2018
10 15
8 4
3 Talking to Your Child About
11 Calendar
Upsetting Events
12 Meet Our Team:
8 Tips for Preventing Brain
Celebrating the Class of 2018 More than 65 students graduated from Sheppard Pratt schools this year.
Sheppard Pratt Top Nurses
Injuries in Children
9
14 Maintaining Structure
News + Changes
When School is Out
10 Eating Disorders Are
15 Outsmarting Teen
a Men’s Health Issue, Too
Smartphone Use
On the cover. Graduates from Sheppard Pratt Health System schools. Photo by David Stuck
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Connect with us. facebook.com/SheppardPratt
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heal. is published three times a year by the marketing department of the Sheppard Pratt Health System, the nation’s largest private, non-profit provider of mental health, substance use, special education, and social services. Information provided is general in nature and should not be substituted for the medical advice of a physician. Please consult your health care provider for recommendations specific to your personal health, medical treatment, and medical conditions. If you wish to have your name removed from the list of those receiving communications from Sheppard Pratt Health System, please email the marketing department at marketing@sheppardpratt.org or call 410.938.5010.
@SheppardPrattHealthSystem
Chief Marketing Officer
Jessica Kapustin
Content Manager
Kristina Schiller
Design, Production, & Editorial
Mid-Atlantic Custom Media
Cortney Geare, Jeni Mann,
Liz Spikol
Contributing Photographer
David Stuck
Contributing Writers/Editors
Kate Clemmer, LCSW-C,
Davis Shingleton, M.D.,
Samantha Steinberg, LCSW-C
SHEPPARD PRATT
Talking to Your Child About Upsetting Events IT FEELS AS THOUGH YOU CAN’T AVOID IT. As if dealing with the stress of parenting and raising children isn’t enough, it seems that everywhere you turn, there’s a report of another tragedy, violent episode, terrorist attack, or threat to a community. As a psychiatrist, I often get questions from parents about how to approach tough subjects with their children. Here are some things that I recommend: • Consider your child and what they know. You know your child best — you likely have a good sense of what they can, and cannot, handle. Determine what they already know about the
your child won’t be distracted and in
on their own. While it’s impossible
which they feel comfortable. Don’t have
to monitor every source your child is
the conversation while your child is
consulting, you should encourage them
in bed. The bed should be a place of
to think critically about the information
comfort and security, and it can already
they’re receiving and where it is coming
be a complicated situation, particularly
from. You can also try recommending
for younger children who may be
a news source that you trust to provide
your child, think through the situation
experiencing nightmares or nighttime
accurate information.
carefully. Determine what information
anxiety. Try talking while on a walk
they need to know, what information
through the neighborhood, or while
probably isn’t necessary, and what
having a picnic in the backyard.
situation, and use that as the starting point for your conversation. You can clarify misperceptions or confirm facts to ensure they have the right (and right amount of) information. • Make a plan. Before you talk with
information may be more than they can digest. Then, figure out the message
•P lan for follow-up. Whatever plan
Ultimately, you cannot protect your child from everything. What you can do is prepare them for the difficult moments in life. Establish a secure,
you have made will not be perfect. No
comforting relationship with your child,
matter how well you have prepared or
and have those conversations that
• Be mindful of your own reactions. One
how well you know your child, there will
demonstrate that they can trust you.
of the best things that you can do as a
be questions to which you do not have
Have confidence that children can be
parent is to consider how your actions
the answers. Use this first conversation
very resilient and that you are doing your
impact your child. You can (and should!)
to gather information as to how your
best in raising your children in preparing
model reactions yourself, especially the
child is already handling the situation,
them for a future they can handle with
tolerance of uncertainty. It’s OK to say
and to get a sense of the kinds of
success, regardless of the challenges
“I don’t know,” and come back to
questions they have. End that first
inevitably encountered.
a discussion or a question later.
conversation with an open invitation
that you want to impart upon your child.
• Set the scene. Think through when and where the conversation will
to talk again. hink about media literacy. If your •T
take place. Ensure it’s a relatively
child is older, they are likely engaging
uncomplicated circumstance, where
with news sources and social media
DAVIS SHINGLETON, M.D. is Medical Director of Day School Programs at Sheppard Pratt Health System
sheppardpratt.org • heal.
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FEATURE STORY
Congratulations
to the Sheppard Pratt Class of 2018 It is with great pleasure and pride that we announce the graduation of more than 65 students from Sheppard Pratt Health System’s 14 special education schools throughout Maryland. Our special education schools have a goal to help students leave their programs and live as independently as possible after graduation. We can’t wait to see what our graduates accomplish next. MEET THE CLASS OF 2018.
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FEATURE STORY
“My favorite teacher was my math teacher — she has been there for me as a mother figure in my life.” —Sean, The Jefferson School The Jefferson School and Residential Treatment Center
“I am most excited to become more independent after graduation.” — Sam, The Jefferson School
“ I’m excited to get a job and go to college next year!” —Mikayla, The Jefferson School at Finan Center
The Jefferson School at Finan Center
“My favorite memory from high school was going snow tubing. I had lots of fun being with my classmates and laughing and speeding down the hills.” —Rebekah, The Frost School
“I’m going to college to major in business management this fall.” —Casey, The Frost School The Frost School
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FEATURE STORY
“ Next year, I’m going to trade school for auto mechanics and carpentry.” —Gregory, The Forbush School at Glyndon– Hannah More
The Forbush School at Glyndon – Hannah More
“Next year, I’m going to participate in the Target Work Program.” —Kenji, The Forbush School at Oakmont Upper School
“Thank you to the incredible, dedicated staff who helped our students succeed!” —April Arford, education director, The Forbush School at Anne Arundel and The Forbush School at Anne Arundel – South
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The Forbush School at Prince George’s County
FEATURE STORY
“ My favorite memory from high school was participating in community-based instruction.” —Alec, The Forbush School at Oakmont Upper School The Forbush School at Hunt Valley
“My favorite teacher? All of them, because they all worked together to help me reach my goals.” —Lynsie, The Forbush School at Glyndon – Hannah More
The Forbush School at Glyndon
sheppardpratt.org • heal.
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PREVENTING CONCUSSIONS
TIPS
for Preventing Brain Injuries in Children
IT’S IMPOSSIBLE to prevent your kids
monkey bars and on the slide, take
from getting injured, but there are ways
stock of which structures and toys on
to help lessen the risk of blows to the
the playground are appropriate for their
head. Here are four tips for ways you can
age and size. Only allow your child to
work to prevent brain injury.
play on a playground that has a soft
•E nsure your child always wears a helmet. Fortunately, helmets are available for most contact and high-risk
on, such as mulch or sand. •C hildproof your home. As kids get
sports, including football, hockey,
older, they move faster (and give less
horseback riding, biking, and skiing.
thought to the potential consequences
Even if the sport your child is playing
of moving fast!). Make sure that any
doesn’t have a specific helmet, it’s
stairs have railings to promote better
always safest to use a basic helmet if
balance, consider installing stair gates
there’s the potential for your child to
at the top and bottom of the steps to
fall or get knocked around. Before
prevent a fall, and lower the crib
engaging in play, make sure you know
mattress when your small child is
what type of protection your helmet
starting to sit and pull up in the crib.
should provide. The Centers for Disease Control and Prevention has tips for fit and functionality for different types of helmets. lay safe on the playground. Before •P allowing your child free rein on the
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material on the ground for them to land
heal. • Sheppard Pratt Health System
•M ake car rides as safe as
The sooner a concussion or head injury is diagnosed, the better the chance of recovery.
While these ideas for preventing concussions aren’t exhaustive, they’re a good start for keeping your child’s brain safe. And, if your child does sustain a head injury, get help ASAP. The sooner a concussion or head injury is diagnosed, the better the chances of recovery. Make sure
possible. Before taking your child for
your child takes the time needed to
a ride in the car, make sure you have
rest and recover and eases back into
properly installed an appropriately sized
everyday activity only when directed
car or booster seat. Then, buckle up for
to do so.
every trip, no matter how short.
NEWS + CHANGES
AWEsome Work FAMILY SERVICES, INC., part of the Sheppard Pratt Health System, is the proud recipient of the Workplace Excellence Seal of Approval for the fourth year in a row, awarded by the Alliance for Workplace Excellence (AWE). The 2018 award-winning organizations demonstrate an exceptional commitment to creating excellence in the workplace. Awards are based on a written submission in addition to staff surveys conducted by AWE. Congratulations to the team at FSI!
Getting Creative MOSAIC’S PSYCHIATRIC REHABILITATION PROGRAM has incorporated some new and creative approaches to client engagement including: • I nstruments of Healing: Instruments of Healing is an organization that uses musical programming to positively affect and inspire those experiencing mental health and/or substance use challenges. The organization has been working with Mosaic clients in our Belcamp, Catonsville, Rosedale, and Westminster locations. et therapy: Volunteer teams from Fidos for Freedom •P
psychiatric rehabilitation program clients with time in the
are working with clients in our Baltimore City and
woodworking shop. The clients are enjoying the hands-
Catonsville locations, providing unconditional love
on time and have built flower boxes.
through pet therapy. The pet therapy program will expand to the Timonium and Rosedale locations in July. Two additional pet therapy volunteer groups, KPets and Pets on Wheels, will begin working with clients in our Westminster and Belcamp locations beginning in June.
•C oming soon: Mosaic is about to launch a partnership with Therapeutic Alternatives of Maryland (TALMAR), which offers innovative horticultural therapy for individuals with disabilities or chronic conditions.
•W oodworking: Mosaic has partnered with The Forbush School at Glyndon–Hannah More to provide our
sheppardpratt.org • heal.
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EATING DISORDERS
Eating Disorders Are a Men’s Health Issue, Too EATING DISORDERS have long been branded a women’s issue, from movies to media, within families, and even in textbooks. While attention to eating disorders in males has increased, it remains quite common for major warning signs like excessive exercise, binge eating, drastic weight loss, or sweeping changes to one’s diet to be overlooked, or even applauded, in boys and men.
his struggle with bulimia and his
dissatisfaction may begin in boys as early
experiences with recovery. The Seattle
flags in their male patients because of
as second grade, and among boys 12 to
Mariners’ catcher said he is speaking up
an assumption that boys and men don’t
18, 18 percent were “highly concerned”
now to encourage other men to get
have eating disorders.
about their physique. Up to 40 percent
the treatment they need.
Such assumptions are not only incorrect, they are also dangerous:
of adult men are unhappy with some aspect of their looks.
Talking openly about eating disorders can help minimize shame and
These illnesses take a toll on every
Why does this matter? Body
stigma for men. At Sheppard Pratt, we
organ and regulatory system in the
dissatisfaction is a major risk factor for
have been treating males with eating
body and also contribute to extreme
the development of eating disorders. In
disorders for nearly three decades,
emotional suffering. Eating disorders are
an effort to manage dissatisfaction with
and we are encouraged by the sea of
the most fatal of any mental illness and
weight or shape, men are more likely to
change in conversations recently, but
are associated with an increased risk for
engage in risky behaviors like extremely
we still have a long way to go. Now that
substance abuse and suicidality.
restrictive diets, cleanses, steroids,
more men are speaking up, we have to
or dangerous workouts that can quickly
ensure there is diversity in those voices
binge eating disorder, and all the eating
set the stage for eating disorders in
as well. It’s important for boys and men
disorders are complex illnesses with
at-risk individuals.
of color, all across the age spectrum and
Anorexia nervosa, bulimia nervosa,
genetic and biologic underpinnings.
Treatment for eating disorders is
in all types of bodies, to see themselves
There are also many cultural and
available, but enduring stereotypes about
environmental triggers, such as
eating disorders being a “girl thing” can
unrealistic body ideals portrayed by
make it difficult for boys and men to get
Concerned about yourself or a loved
the media. These pressures have been
help. Approximately 25 to 40 percent of
one? Call 410.938.5252 for a free phone
intensifying for males. You may have
people with eating disorders are male,
assessment or visit eatingdisorder.org
noticed products previously peddled
yet they make up only about 7 to 10
for an online self-assessment.
exclusively toward women — hair
percent of people seeking treatment.
removal items, weight loss plans,
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Research shows that body
Health care providers frequently miss red
Fortunately, more men have
extreme diets, tanning products, and
been vocal about having and seeking
plastic surgery — have expanded to
treatment for eating disorders, including
male markets, causing many men to
singer Zayn Malik and Penn State football
take a longer and more critical look at
player Joey Julius. Most recently,
their own appearance.
MLB player Mike Marjama shared
heal. • Sheppard Pratt Health System
represented.
KATE CLEMMER, LCSW-C is the Community Outreach Coordinator at The Center for Eating Disorders at Sheppard Pratt.
Mark Your Calendar! For a complete listing of events, continuing education classes, and lectures, visit sheppardpratt.org/calendar-events.
EDUCATIONAL CLASSES
“Being a Mental HEALTH Professional: The Role of Wellness in Psychiatry”
Dick Prodey Lecture Series
September 12, 2018
“Gender Differences in Addiction: Implications for Women’s Addiction Treatment”
Sponsored jointly by The Kolmac Clinic,
David C. Rettew, M.D.
November 14, 2018
Sheppard Pratt Health System, and the
Director & Associate Professor of
Shelly F. Greenfield, M.D.
National Council on Alcoholism and Drug
Psychiatry & Pediatrics, University of
Director, Clinical & Health Services,
Dependence of Maryland.
Vermont College of Medicine,
Research & Education, Division of Alcohol
A FREE, eight-class series held Wednesday
Burlington, VT
and Drug Abuse, McLean Hospital,
evenings at The Conference Center at Sheppard Pratt from 7 p.m. to 9 p.m. Call 410.938.3000 for information.
Belmont, MA “Applying a Public Health Model to Managing Depression” September 26, 2018
CONTINUING EDUCATION Wednesdays @ Sheppard Pratt A lecture series at The Conference Center at Sheppard Pratt most Wednesdays from 12 p.m. to 1 p.m. to support continuing education of medical and mental health professionals. Visit sheppardpratt.org/ education-training for more information. UPCOMING WEDNESDAY LECTURES: “In for the Long(itudinal) Haul: Insights into the Lifetime Course of ADHD” July 11, 2018 Philip Shaw, Ph.D. Head, Neurobehavioral Clinical Research Section, National Institutes of Health, Bethesda, MD “Changing the Paradigm for Treatment-Resistant Depression: Neurostimulation Update” July 25, 2018 Scott T. Aaronson, M.D. Director, Clinical Research Program,
CONFERENCE EXHIBITING
Bradley N. Gaynes, M.D.
Southern Psychiatric Association Annual Meeting
Associate Chair of Research,
September 5 – 8, 2018 — Nashville, TN
Training and Education, Department of Psychiatry, University of North Carolina, Chapel Hill, NC
Maryland’s 30th Annual Suicide Prevention Conference October 3, 2018 — Baltimore, MD
“Developmental Social Neuroscience Meets Public Health Challenge: A New System of Health Care Delivery for Infants & Toddlers with Autism Spectrum Disorder” October 10, 2018 Ami Klin, Ph.D. Chief, Division of Autism & Related
NAMI Maryland Annual Conference October 19 – 20, 2018 — Location TBA American Association of Child & Adolescent Psychiatry Annual Meeting October 22 – 27, 2018 — Seattle, WA
Disorders, Emory University School of Medicine, Atlanta, GA WOLFE ADLER LECTURE “Child and Adolescent Anxiety Disorders: Advances in Treatment and Research” October 24, 2018, 11:30 a.m. – 1 p.m. Moira A. Rynn, M.D. Consulting Professor, Department of Psychiatry, Duke University Medical Center, Durham, NC
Throughout the year, we exhibit at a number of conferences and community events. Make sure to stop by our booth if you plan to be at any of the above.
Sheppard Pratt Health System, Baltimore, MD
sheppardpratt.org • heal.
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‘‘
MEET OUR TEAM
MY SOURCE of inspiration for returning day after day? The patients.
THE
Every day is an opportunity for me to
make a positive impact on another
TOP NURSES
person’s life. I hope they’ll pass the
’’
positivity I’ve brought them on to
in Baltimore MEET SOME OF THE AMAZING NURSES AT SHEPPARD
someone else.
PRATT WHO HAVE BEEN RECOGNIZED BY BALTIMORE MAGAZINE FOR THEIR INCREDIBLE HARD WORK, COMPASSION, AND DEDICATION.
E
ach year, Baltimore Magazine receives thousands of community
submissions and names the 50 top nurses in the area.
Jessica De Los Santos Staff nurse, Adult Co-Occurring Disorders Unit
We are proud to showcase three of our incredible nurses who won that honor this year. Being a nurse at Sheppard Pratt is no easy task — it takes compassion, empathy, and heart. Jessica, Erin, and Sheila encompass these values every day. Meet our Top Nurses.
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heal. • Sheppard Pratt Health System
Jessica has been a nurse at Sheppard Pratt for two and a half years.
MEET OUR TEAM
‘‘
I LOVE the opportunity
to see patients learn new coping strategies and improve to the point that
’’
they are able to go home.
Erin LaMartin Patient care coordinator, The Center for Eating Disorders at Sheppard Pratt
‘‘
MY BEST MEMORIES are hearing heartfelt ‘thank yous’ from families we serve, especially when they say, ‘I don’t know how you and your staff do what you do every day.’ It’s easy — we
’’
love our patients and want to make a difference.
Sheila Harvey Unit manager, Geriatric Neuropsychiatry Unit
Erin has been a nurse at Sheppard Pratt for two years; prior to that, she was a mental health worker for four years.
Sheila has been a nurse at Sheppard Pratt for more than 10 years.
sheppardpratt.org • heal.
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SUMMER ROUTINE
Maintaining Structure When School is Out SUMMER. For many kids, it’s a time for
looking for free options, many county
lying by the pool, staying up late, and
governments and public libraries
sleeping even later. Most people love
offer free camp programs for children
summertime. However, the “lazy days
during the summer — check with your
of summer” can be chaotic and
local county government to see what’s
anxiety-producing for some.
available in your area. Some children
Kids need structure and thrive when
may even be entitled to school during
they maintain a routine. Here are a few
the summer. If your child has an IEP,
ways to introduce consistency during the
they may be eligible for Extended
summer months:
School Year services. Talk with your
1. Maintain a routine. Once school ends, kids want to stay up late and sleep in, especially older kids and teens.
child’s school or service providers on how to get these services. 3. Plan field trips. Full days of camp
As a parent, you want to give them
are not for everyone. You can plan your
some freedom, but it may be best to
own “camp” by having field trips or
minimize disruptions. Try and keep
activities each day, or just a few days
bedtimes, meal schedules, and other
out of the week. Having an activity or
daily tasks the same year-round. Make
at least one thing to do each day can
sure children take their medications at
really help. It breaks up the downtime
the same time each day.
and allows for something the child
onsider camp or classes. If your child 2. C is willing, you can always send them to camp, where they will have some structure. There are so many choices, and there are camps for everyone and everything. We know that it can be scary, but many camp directors are equipped to handle even the most challenging behaviors. If you’re
can look forward to. Encourage your child to help find activities by researching what you will be doing. You can also extend the outing by planning add-on activities that complement the trips, such as crafts
the local library, or online parenting magazines in your area for ideas. Most communities have activities for kids and teens during the summer that you can find online. 4. Make visual guides. Children that thrive on routine like to see what is coming and what to expect. Having a calendar detailing what events are coming up each day that they can rely on is helpful. Once you have a schedule and activities planned, create a calendar or daily schedule and post it where everyone can see it. You can try using pictures or symbols to make it fun and creative. In fact, you can even make “Creating the Summer Calendar” one of your activities. 5. Plan for emergencies. We try to plan
or discussions after your trip. Check
for everything, but something may go
community calendars,
wrong. It could rain, an activity you planned for may be full, or it could be canceled. It is always a good idea to have a backup plan — it can be as simple as seeing a movie, going to the library, or getting a Slurpee at 7-Eleven. Make that part of the schedule so that if you have to do the backup plan, it’s not a surprise, but it is part of the plan. 6. E xplore the great outdoors. Kids thrive when they get to play outside. Use the nice summer weather as an opportunity to explore local parks, go on bike rides, or hit the playground.
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TEENS AND TECHNOLOGY
Outsmarting Teen Smartphone Use AS A PARENT, YOU’VE PROBABLY HEARD IT ALL: “Stay out of my business,” “that’s not fair,” “it’s my phone (or computer or tablet) and you can’t look at it,” and “you don’t trust me?” But here’s the truth: You shouldn’t stay out of your teen’s business, sometimes life is not fair, you may or may not fully trust your teen (you definitely don’t trust the people they encounter on the internet), and that phone/tablet/ computer? It belongs to you, the parent, and you are very kind to let your child use one. But along with that kindness comes risks. Read on for some tips to help keep your teenager safe when it comes to internet and smartphone use: Parents and/or guardians should have all usernames and passwords to all devices (phones, computers, tablets, etc.), and to all email and social media accounts. Yes, this will be difficult and may feel daunting, as there are new apps and social media options popping up every day. What if my kid changes the passwords? Of course, this will happen — remember, they are teenagers and they will test the limits. React calmly and attach appropriate outcomes to these actions. For example, you might
up with that phone that seems to be
•S et rules and limits. These can
permanently buzzing. Keeping the
include (but definitely don’t need to
conversation going may help your
be limited to) the amount of screen
teenagers feel more comfortable coming
time allowed, what time the phone
to you if they need help or to ask you
gets turned off or turned in each
questions. And don’t be afraid to also
night, and sites or apps allowed.
ask the tough questions and be open to hearing their answers. Talk with your teen about your concerns regarding talking to or meeting people that they don’t know on the internet. Online, people aren’t always who they say they are. Teach the laws and rules when it comes to
•C onsider getting it in writing. Try creating a contract with your child before giving them the device. That way, expectations are set, and consequences are known if the rules you establish are not followed. Remember that not every strategy
communication. For example, did you
will be effective with every teen. It will
of time. When you give them back,
know that children can be charged with
take some trial and error to determine
make sure you have all of the up-to-date
the distribution of child pornography if
what works best for you and your family.
usernames and passwords.
they send nude pictures of themselves?
Parents, you can do this! Yes, it will be
Help them to be aware of and
difficult at times, especially when your
use them! You can do this with your
understand the consequences of their
child tries to push the limits and thinks
teen or in private, but check up. You
actions. Here are some ways to make
they know better than you. Hold strong;
may find that your teen is less likely to
the conversation easier:
consistency is key.
try taking away the devices for a period
Now that you have the logins,
engage in internet use that you don’t
•S tart young. Address issues as
approve of when you have usernames
soon as you give your children the
and passwords.
opportunity to have a phone or
Keep the lines of communication
electronic device that links to the
SAMANTHA STEINBERG, LCSW-C is a social worker on the Adolescent Female Unit
open. Check in with your teen daily.
internet. If you didn’t do this already,
at Sheppard Pratt’s
Ask about school, friends, and what‘s
it’s not too late. Start now!
Towson hospital.
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Sheppard Pratt Health System: Providing the Most Comprehensive Continuum of Psychiatric and Community Services in the Nation Sheppard Pratt Health System: Providing the Most Comprehensive Continuum of Psychiatric and Community Services in the Nation
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