Displaying publications 1 - 20 of 41 in total

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  1. Fulltext Prospects of implant with locking plate in fixation of subtrochanteric fracture: experimental demonstration of its potential benefits on synthetic femur model with supportive hierarchical nonlinear hyperelastic finite element analysis
    Latifi MH, Ganthel K, Rukmanikanthan S, Mansor A, Kamarul T, Bilgen M
    Biomed Eng Online, 2012;11:23.
    PMID: 22545650 DOI: 10.1186/1475-925X-11-23
    Effective fixation of fracture requires careful selection of a suitable implant to provide stability and durability. Implant with a feature of locking plate (LP) has been used widely for treating distal fractures in femur because of its favourable clinical outcome, but its potential in fixing proximal fractures in the subtrochancteric region has yet to be explored. Therefore, this comparative study was undertaken to demonstrate the merits of the LP implant in treating the subtrochancteric fracture by comparing its performance limits against those obtained with the more traditional implants; angle blade plate (ABP) and dynamic condylar screw plate (DCSP).
  2. Fulltext A preliminary study of biodegradable waste as sorbent material for oil-spill cleanup
    Idris J, Eyu GD, Mansor AM, Ahmad Z, Chukwuekezie CS
    ScientificWorldJournal, 2014;2014:638687.
    PMID: 24693241 DOI: 10.1155/2014/638687
    Oil spill constitutes a major source of fresh and seawater pollution as a result of accidental discharge from tankers, marine engines, and underwater pipes. Therefore, the need for cost-effective and environmental friendly sorbent materials for oil spill cleanup cannot be overemphasized. The present work focuses on the preliminary study of empty palm fruit bunch fibre as a promising sorbent material. The morphology of the unmodified empty palm fruit bunch, EPFB fibre, was examined using an optical microcopy, scanning electron microcopy coupled with EDX and X-ray diffraction. The effects of oil volume, fibre weight, and time on oil absorption of EPFB fibre were evaluated with new engine oil from the model oil. The results show that EPFB fibre consists of numerous micro pores, hydrophobic, and partially crystalline and amorphous with approximately 13.5% carbon. The oil absorbency of the fibre increased with the increase in oil volume, immersion time, and fibre weight. However, sorption capacity decreased beyond 3 g in 100 mL. Additionally unmodified EPFB fibre showed optimum oil sorption efficiency of approximately 2.8 g/g within three days of immersion time.
  3. Fulltext Current Status of Mimosa pigra L. Infestation in Peninsular Malaysia
    Mansor A, Crawley MJ
    Trop Life Sci Res, 2011 May;22(1):37-49.
    PMID: 24575208 MyJurnal
    The status and distribution of Mimosa pigra L., a semi-aquatic invasive species in Peninsular Malaysia, were continuously assessed between 2004 and 2007. This assessment investigated its population stand density and related weed management activities. In total, 106 sites of 6 main habitat types i.e., construction site (CS), dam/ reservoir (DM), forest reserve (FR), plantation (PL), river bank/waterway (RB) and roadside (RD) were assessed, and 55 sites were recorded with M. pigra populations. A CS is the most likely habitat to be infested with M. pigra (16 out of 18 assessed sites have this weed), whereas none of the FR visited were found to harbour M. pigra. In terms of population stand density, 41 populations were in the low range of stand density (individual plant of ≤5 m(-2)), compared to only 9 populations in the high range of stand density (individual plant of >10 m(-2)). In general, the current impact of M. pigra infestation on natural habitats is relatively low, as its distribution is only confined to disturbed areas. However, continuous monitoring of this weed species is highly recommended, especially in the riparian zone and wetland habitats.
  4. Fulltext Rattan litter-collecting structures attract nest-building and defending ants
    Liu K, Mansor A, Ruppert N, Lee CY, Azman NM, Fadzly N
    Plant Signal Behav, 2019;14(8):1621245.
    PMID: 31132922 DOI: 10.1080/15592324.2019.1621245
    Rattan is an important climbing palm taxon in Malaysian tropical rain forests. Many rattan species have unique structures directly associated with certain ant species. In this study, four rattan species (Daemonorops lewisiana, Calamus castaneus, Daemonorops geniculata and Korthalsia scortechinii) were inspected and documented in a field survey concerning their relationships with several ant species. We noticed that two rattan species (D. lewisiana and C. castaneus) were more likely to be associated with ants compared to their neighbouring rattan (Plectomia griffithii). However, D. lewisiana and C. castaneus did not directly provide shelters for ant colonies, but possessed unique structures: upward-pointing spines and funnel-shaped leaves, which are equipped to collect more litter than P. griffithii. To test our litter collecting hypothesis, we measured the inclination of spines from the stem. Our results showed the presence of ant colonies in the litter-collecting rattans (D. lewisiana and C. castaneus), which was significantly higher compared to a non-litter-collecting rattan (P. griffithii). We propose a complex and novel type of adaptation (litter-collection and provision of nesting materials) for rattans, which promotes interactions between the rattan and ants through the arrangements of leaves, leaflets, and spines. In return, the rattan may benefit from ants' services, such as protection, nutrient enhancement, and pollination.
  5. Fulltext Rattan spines as deterrence? A spinescence study on different species of rattans
    Liu K, Mansor A, Ruppert N, Fadzly N
    Plant Signal Behav, 2020 10 02;15(10):1795393.
    PMID: 32693670 DOI: 10.1080/15592324.2020.1795393
    Rattan spines are most often regarded as an identification trait and perhaps as a physical protection structure. In this study, we study the spinescence traits from five different species rattan: Daemonorops lewisiana, Daemonorops geniculata, Calamus castaneus, Plectomia griffithii, and Korthalsia scortechinii. We tested length, width, angle, strength, spine density, cross-section surface, spine color, and leaf trichomes (only for D. lewisiana, C. castaneus and D. geniculata). We also tested whether the spines were capable of deterring small climbing mammals (for Plectomia griffithii and Calamus castaneus) by using a choice selection experiment. Due to a variety of spine traits, we could not categorize whether any species is more or less spinescent than the others. We suggest that spines have a much more significant role than merely as a physical defense and work together with other rattan characteristics. This is also evidenced by our choice selection experiment, in which the spines on a single stem donot deter small climbing mammals. However, this is a work in progress, and we have outlined several alternative methods to be used in future work.
  6. Fulltext Injury Incidence, Patterns, and Risk Factors in Functional Training Athletes in an Asian Population
    Cheng TTJ, Mansor A, Lim YZ, Hossain Parash MT
    Orthop J Sports Med, 2020 Oct;8(10):2325967120957412.
    PMID: 33195710 DOI: 10.1177/2325967120957412
    Background: Functional training, also known as CrossFit, is a unique sport that combines weightlifting, gymnastics, and metabolic conditioning into a single program. There are an estimated 50 functional training centers in Malaysia.

    Purpose: To analyze the injury rates, patterns, and risk factors of functional training/CrossFit.

    Study Design: Descriptive epidemiology study.

    Methods: Electronic questionnaires were distributed to 244 participants from 15 centers in the country. Descriptive data regarding the athletes, injury occurrence within the past 6 months, injury details, and risk factors were collected.

    Results: Of the 244 athletes, 112 (46%) developed at least 1 new injury over the previous 6 months. Injury rates were significantly higher in athletes from nonaffiliate training gyms compared with CrossFit-affiliated gyms, in athletes with previous injuries, and in those who perceived themselves as having more than average fitness.

    Conclusion: Coaches and athletes need to be more aware of risk factors for injury to enable safer and better training strategies.

  7. Fulltext Differential protein expression between chondrogenic differentiated MSCs, undifferentiated MSCs and adult chondrocytes derived from Oryctolagus cuniculus in vitro
    Tay LX, Lim CK, Mansor A, Kamarul T
    Int J Med Sci, 2014;11(1):24-33.
    PMID: 24396283 DOI: 10.7150/ijms.7244
    This preliminary study aims to determine the differentially expressed proteins from chondrogenic differentiated multipotent stromal cells (cMSCs) in comparison to undifferentiated multipotent stromal cells (MSCs) and adult chondrocytes (ACs).
  8. Fulltext The physicochemical and biomechanical profile of forsterite and its osteogenic potential of mesenchymal stromal cells
    Krishnamurithy G, Mohan S, Yahya NA, Mansor A, Murali MR, Raghavendran HRB, et al.
    PLoS One, 2019;14(3):e0214212.
    PMID: 30917166 DOI: 10.1371/journal.pone.0214212
    It has been demonstrated that nanocrystalline forsterite powder synthesised using urea as a fuel in sol-gel combustion method had produced a pure forsterite (FU) and possessed superior bioactive characteristics such as bone apatite formation and antibacterial properties. In the present study, 3D-scaffold was fabricated using nanocrystalline forsterite powder in polymer sponge method. The FU scaffold was used in investigating the physicochemical, biomechanics, cell attachment, in vitro biocompatibility and osteogenic differentiation properties. For physicochemical characterisation, Fourier-transform infrared spectroscopy (FTIR), Energy dispersive X-ray (EDX), X-ray diffraction (XRD), Raman spectroscopy, X-ray photoemission spectrometer (XPS) and Brunauer-Emmett-Teller (BET) were used. FTIR, EDX, XRD peaks and Raman spectroscopy demonstrated correlating to FU. The XPS confirmed the surface chemistry associating to FU. The BET revealed FU scaffold surface area of 12.67 m2/g and total pore size of 0.03 cm3/g. Compressive strength of the FU scaffold was found to be 27.18 ± 13.4 MPa. The human bone marrow derived mesenchymal stromal cells (hBMSCs) characterisation prior to perform seeding on FU scaffold verified the stromal cell phenotypic and lineage commitments. SEM, confocal images and presto blue viability assay suggested good cell attachment and proliferation of hBMSCs on FU scaffold and comparable to a commercial bone substitutes (cBS). Osteogenic proteins and gene expression from day 7 onward indicated FU scaffold had a significant osteogenic potential (p<0.05), when compared with day 1 as well as between FU and cBS. These findings suggest that FU scaffold has a greater potential for use in orthopaedic and/or orthodontic applications.
  9. Hyaluronic acid with or without bone marrow derived-mesenchymal stem cells improves osteoarthritic knee changes in rat model: a preliminary report
    Suhaeb AM, Naveen S, Mansor A, Kamarul T
    Indian J Exp Biol, 2012 Jun;50(6):383-90.
    PMID: 22734248
    Despite being a complex degenerative joint disease, studies on osteoarthritis (OA) suggest that its progression can be reduced by the use of hyaluronic acid (HA) or mesenchymal stem cells (MSC). The present study thus aims to examine the effects of MSC, HA and the combination of HA-MSC in treating OA in rat model. The histological observations using O'Driscoll score indicate that it is the use of HA and MSC independently and not their combination that delays the progression of OA. In conclusion, the preliminary study suggest that the use of either HA or MSCs effectively reduces OA progression better than their combined use.
  10. Fulltext The dual defensive strategy of Amorphophallus throughout its ontogeny
    Liu K, Fadzly N, Mansor A, Zakaria R, Ruppert N, Lee CY
    Plant Signal Behav, 2017 Oct 03;12(10):e1371890.
    PMID: 28841358 DOI: 10.1080/15592324.2017.1371890
    Amorphophallus bufo is a rarely studied plant in Malaysian tropical rainforests. We measured the spectral reflectance of different developmental stages of A. bufo (seedlings, juveniles and adults), background soil/ debris and leaves from other neighboring plant species. Results show that the leaves of A. bufo seedling have a similar reflectance curve as the background soil and debris. Adults and juveniles of A. bufo are similar to other neighboring plants' leaf colors. We hypothesize that the cryptic coloration of A. bufo seedlings plays an important role in camouflage and that the numerous black spots on the surface of the petioles and rachises, may serve as a defensive mimicry against herbivores.
  11. Effect of differential forest management on land-use change (LUC) in a tropical hill forest of Malaysia
    Masum KM, Mansor A, Sah SAM, Lim HS
    J Environ Manage, 2017 Sep 15;200:468-474.
    PMID: 28618318 DOI: 10.1016/j.jenvman.2017.06.009
    Forest ownership is considered as a vital aspect for sustainable management of forest and its associated biodiversity. The Global Forest Resources Assessment 2015 reported that privately owned forest area are increasing on a global scale, but deforestation was found very active in privately owned hill forest areas of Malaysia. Penang State was purposively chosen as it has been experiencing rapid and radical changes due to urban expansion over the last three decades. In this study, analyses of land-use changes were done by PCI Geomatica using Landsat images from 1991 to 2015, future trends of land-use change were assessed using EXCEL forecast function, and its impact on the surrounding environment were conducted by reviewing already published articles on changing environment of the study area. This study revealed an annual deforestation rate of 1.4% in Penang Island since 1991. Trend analysis forecasted a forest area smaller than the current forest reserves by the year 2039. Impact analysis revealed a rapid biodiversity loss with increasing landslides, mudflows, water pollution, flash flood, and health hazard. An immediate ban over hill-land development is crucial for overall environmental safety.
  12. A retrospective study on annual evaluation of radiation processing for frozen bone allografts complying to quality system requirements
    Ramalingam S, Mohd S, Samsuddin SM, Min NG, Yusof N, Mansor A
    Cell Tissue Bank, 2015 Dec;16(4):545-52.
    PMID: 25687771 DOI: 10.1007/s10561-015-9501-1
    Bone allografts have been used widely to fill up essential void in orthopaedic surgeries. The benefit of using allografts to replace and reconstruct musculoskeletal injuries, fractures or disease has obtained overwhelming acceptance from orthopaedic surgeons worldwide. However, bacterial infection and disease transmission through bone allograft transplantation have always been a significant issue. Sterilization by radiation is an effective method to eliminate unwanted microorganisms thus assist in preventing life threatening allograft associated infections. Femoral heads procured from living donors and long bones (femur and tibia) procured from cadaveric donors were sterilized at 25 kGy in compliance with international standard ISO 11137. According to quality requirements, all records of bone banking were evaluated annually. This retrospective study was carried out on annual evaluation of radiation records from 1998 until 2012. The minimum doses absorbed by the bones were ranging from 25.3 to 38.2 kGy while the absorbed maximum doses were from 25.4 to 42.3 kGy. All the bones supplied by our UMMC Bone Bank were sterile at the required minimum dose of 25 kGy. Our analysis on dose variation showed that the dose uniformity ratios in 37 irradiated boxes of 31 radiation batches were in the range of 1.003-1.251, which indicated the doses were well distributed.
  13. Assessing bone banking activities at University of Malaya medical centre
    Mohd S, Samsuddin SM, Ramalingam S, Min NW, Yusof N, Zaman TK, et al.
    Cell Tissue Bank, 2015 Dec;16(4):523-30.
    PMID: 25656787 DOI: 10.1007/s10561-015-9499-4
    The main advantage of establishing in-house bone banks is its ability to readily provide allograft bones for local surgeries. Bone procurement activities of our university bone bank during the 10 years of operation were reviewed. Socio-demographic data of donors, types of bone procured, cases of rejected bones and types of allograft bones transplanted are presented. From 179 potential donors, 73 % were accepted with 213 procured bones. Femoral head was the common bone transplanted (45 %), as it was also the most common procured (82 %). Bones were rejected mainly due to non-technical reasons (83 %) rather than positive results of microbiological (13 %) and serological (4 %) tests. Comprehensive data could not be obtained for further analysis due to difficulties in retrieving information. Therefore, quality assurance system was improved to establish more systematic documentations, as the basis of good banking practice with process control hence allowing traceability.
  14. Performance of cooling materials and their composites in maintaining freezing temperature during irradiation and transportation of bone allografts
    Ramalingam S, Samsuddin SM, Yusof N, Mohd S, Hanafi NN, Min NW, et al.
    J Orthop Surg (Hong Kong), 2018 4 27;26(2):2309499018770906.
    PMID: 29695196 DOI: 10.1177/2309499018770906
    PURPOSE: Bone allografts supplied by University Malaya Medical Centre Bone Bank are sterilized by gamma radiation at 25 kGy in dry ice (DI) to minimize radiation effects. Use of cheaper and easily available cooling materials, gel ice (GI) and ice pack (IP), was explored. Composites of DI and GI were also studied for the use in routine transportations and radiation process.

    METHODS: (a) Five dummy bones were packed with DI, GI, or IP in a polystyrene box. The bone temperatures were monitored while the boxes were placed at room temperature over 96 h. Durations for each cooling material maintaining freezing temperatures below -40°C, -20°C, and 0°C were obtained from the bone temperature over time profiles. (b) Composites of DI (20, 15, 10, 5, and 0 kg) and GI were used to pack five dummy bones in a polystyrene box. The durations maintaining varying levels of freezing temperature were compared.

    RESULTS: DI (20 kg) maintained temperature below -40°C for 76.4 h as compared to 6.3 h in GI (20 bags) and 4.0 h in IP (15 packs). Composites of 15DI (15 kg DI and 9 GI bags) and 10DI (10 kg DI and 17 GI bags) maintained the temperature below -40°C for 61 and 35.5 h, respectively.

    CONCLUSION: Composites of DI and GI can be used to maintain bones in deep frozen state during irradiation, thus avoiding radiation effects on biomechanical properties. Sterile frozen bone allograft with preserved functional properties is required in clinical applications.

  15. Fulltext The distribution of anacardiaceae in teluk bahang forest reserve, pulau pinang
    Juperi S, Zakaria R, Mansor A
    Trop Life Sci Res, 2012 May;23(1):35-44.
    PMID: 24575224 MyJurnal
    To investigate the distribution of Anacardiaceae in Teluk Bahang Permanent Forest Reserve (TBPFR) in Pulau Pinang, all trees with a diameter at breast high (DBH) ≥ 5 cm were enumerated in a study site constituting 0.4 ha of the reserve. Seventy five individuals of Anacardiaceae (14% of all trees) are recorded. These individuals represent 4 genera and 5 species, namely, Mangifera pentandra, Mangifera macrocarpa, Gluta elegans, Campnosperma auriculatum and Swintonia floribunda. The mean density of Anacardiaceae within the study plots is 7.50±8.14 (mean±S.D.) per ha whereas the basal area (BA) calculated is 0.97 m(2)/0.40 ha. The importance value (IVi) for Anacardiaceae is 81%. The estimated total aboveground biomass (TAGB) for Anacardiaceae is 24.24 ton/0.40 ha. A total of 333 Anacardiaceae saplings with a DBH < 5 cm are recorded. These saplings have been identified as juveniles of the genera Gluta (9.99%), Swintonia (84.90%) and Mangifera (5.11%).
  16. Quantifying the ultrastructure changes of air-dried and irradiated human amniotic membrane using atomic force microscopy: a preliminary study
    Mohd S, Ghazali MI, Yusof N, Sulaiman S, Ramalingam S, Kamarul T, et al.
    Cell Tissue Bank, 2018 Dec;19(4):613-622.
    PMID: 30056604 DOI: 10.1007/s10561-018-9711-4
    Air-dried and sterilized amnion has been widely used as a dressing to treat burn and partial thickness wounds. Sterilisation at the standard dose of 25 kGy was reported to cause changes in the morphological structure as observed under the scanning electron microscope. This study aimed to quantify the changes in the ultrastructure of the air-dried amnion after gamma-irradiated at several doses by using atomic force microscope. Human placentae were retrieved from mothers who had undergone cesarean elective surgery. Amnion separated from chorion was processed and air-dried for 16 h. It was cut into 10 × 10 mm, individually packed and exposed to gamma irradiation at 5, 15, 25 and 35 kGy. Changes in the ultrastructural images of the amnion were quantified in term of diameter of the epithelial cells, size of the intercellular gap and membrane surface roughness. The longest diameter of the amnion cells reduced significantly after radiation (p 
  17. Fulltext Improving knowledge of doctors and paramedics through effective bone procurement workshop: A cognitive approach
    Mohd S, Yusof N, Lai LL, Hossain MG, Ramalingam S, Hamid SSA, et al.
    BMC Med Educ, 2019 Jul 01;19(1):238.
    PMID: 31262281 DOI: 10.1186/s12909-019-1685-9
    BACKGROUND: Procurement of bone allograft must be performed by trained personnel. Improper handling and lack of knowledge during bone procurement will lead to contamination hence jeopardizing quality of the procured bones and expose bone recipients to risks of infection in post-operative phase. Bone procurement workshop is the fundamental training programme to enhance skill among personnel who has been or will be involved in bone procurement. This study evaluated the effectiveness of the workshop contents including teaching materials by assessing the knowledge on bone procurement among the participants before and after the workshop.

    METHODS: Bone procurement workshop was held for 2 days for doctors and paramedics. The knowledge on bone procurement was evaluated in pre- and post-assessments by answering self administration questionnaire before and after the workshop, respectively.

    RESULTS: A total of 50 participants comprised of doctors and paramedics attended the workshop however only 15 (55.6%) doctors and 12 (44.4%) paramedics completed the assessments. Overall, the mean total score for the post-assessment (61.4%) was significantly higher (p 

  18. Fulltext Knowledge on Bone Banking among Participants in an Orthopaedic Conference: A Preliminary Survey
    Mohd S, Yusof N, Ramalingam S, Ng WM, Mansor A
    Malays Orthop J, 2017 Jul;11(2):1-6.
    PMID: 29021871 MyJurnal DOI: 10.5704/MOJ.1707.004
    Despite increasing use of bone graft in Malaysia, there was still lack of data to quantify knowledge level on bone banking among orthopaedic community who are involved in transplantation related work. Therefore, a survey on awareness in tissue banking specifically bone banking, usage and choice of bone grafts was conducted. From 80 respondents, 82.5% were aware about tissue banking however only 12.5% knew of the existence of tissue banks in Malaysia. Femoral head was the bone allograft most often used as a substitute to autograft. Only 34.8% respondents preferred irradiated bone grafts whilst 46.9% preferred nonirradiated, indicating the need to educate the importance of radiation for sterilising tissues. Exhibition was the most preferred medium for awareness programme to disseminate information about bone banking in the orthopaedic community. The professional awareness is necessary to increase the knowledge on the use of bone graft, hence to increase bone transplantation for musculoskeletal surgeries in the country.
  19. Fulltext Avoiding diagnostic pitfalls in mimics of neoplasia: the importance of a comprehensive diagnostic approach
    Samsudin EZ, Kamarul T, Mansor A
    Singapore Med J, 2015 May;56(5):e92-5.
    PMID: 26034328 DOI: 10.11622/smedj.2015082
    Any medical diagnosis should take a multimodal approach, especially those involving tumour-like conditions, as entities that mimic neoplasms have overlapping features and may present detrimental outcomes if they are underdiagnosed. These case reports present diagnostic pitfalls resulting from overdependence on a single diagnostic parameter for three musculoskeletal neoplasm mimics: brown tumour (BT) that was mistaken for giant cell tumour (GCT), methicillin-resistant Staphylococcus aureus osteomyelitis mistaken for osteosarcoma and a pseudoaneurysm mistaken for a soft tissue sarcoma. Literature reviews revealed five reports of BT simulating GCT, four reports of osteomyelitis mimicking osteosarcoma and five reports of a pseudoaneurysm imitating a soft tissue sarcoma. Our findings highlight the therapeutic dilemmas that arise with musculoskeletal mimics, as well as the importance of thorough investigation to distinguish mimickers from true neoplasms.
  20. The Invasive Plant Impatiens glandulifera Manipulates Microbial Associates of Competing Native Species
    Ab Razak N, Gange AC, Sutton BC, Mansor A
    Plants (Basel), 2023 Apr 04;12(7).
    PMID: 37050178 DOI: 10.3390/plants12071552
    Impatiens glandulifera or Himalayan balsam is one of the most invasive weeds across Europe and can seriously reduce native plant diversity. It often forms continuous monocultures along river banks, but the mechanisms of this arrested succession are largely unknown. Here, we investigated the effect of arbuscular mycorrhizal (AM) fungi on balsam competitive ability with two native plant species, Plantago lanceolata and Holcus lanatus. We also studied how competition with Impatiens affects colonisation by foliar endophytes and mycorrhizas of two other co-occurring native species, Urtica dioica and Cirsium arvense. Mycorrhizal colonisation reduced balsam growth when the plants were grown singly, but appeared to have little effect when balsam experienced intra- or interspecific competition. Competition with balsam together with the addition of mycorrhizas had no effect on P. lanceolata biomass, suggesting that the fungi were beneficial to the latter, enabling it to compete effectively with balsam. However, this was not so with H. lanatus. Meanwhile, competition with Impatiens reduced endophyte numbers and mycorrhizal colonisation in U. dioica and C. arvense, leading to enhanced susceptibility of these plants to insect attack. Himalayan balsam is known to degrade soil fungal populations and can also reduce foliar beneficial fungi in neighbouring plants. This allows the plant to compete effectively with itself and other native species, thereby leading to the continuous monocultures.
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