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Incidence of stroke and related deaths are rising substantially around the world, with <keyword id="19900550" type="General" weightage="20" keywordseo="air-pollution" source="keywords">air pollution</keyword>, <keyword id="21334318" type="General" weightage="20" keywordseo="high-temperatures" source="keywords">high temperatures</keyword> and metabolic risk factors such as high blood pressure and physical inactivity, driving these increases, according to estimates published in The Lancet Neurology journal. Researchers found that the contribution of high temperatures to poor health and early death due to stroke has increased 72% since 1990 and is likely to continue increasing in the future, thereby highlighting how environmental factors can impact growing stroke burden. Further, for the first time, particulate matter or PM air pollution was found to have the same contribution as smoking towards causing a fatal form of brain bleed, according to the researchers forming the <keyword id="20691740" type="General" weightage="20" keywordseo="Global-Burden-of-Disease" source="keywords">Global Burden of Disease</keyword>, Injuries, and Risk Factors Study (GBD) group. The GBD study, the "largest and most comprehensive effort to quantify health loss across places and over time", is coordinated by the Institute for Health Metrics and Evaluation (IHME), University of Washington, US. Globally, the number of people experiencing a stroke for the first time rose to 119 lakh in 2021 -- up by 70% since 1990 -- while deaths related to stroke rose to 73 lakh, which was up by 44% since 1990, making the neurological condition the third leading cause of death after ischaemic heart disease (short supply of blood to heart) and COVID-19. They added that over three-fourth of those affected by strokes live in low- and middle-income countries. According to lead author Valery L. Feigin from Auckland University of Technology, New Zealand, the rapid growth in the number of people affected by stroke strongly suggested that <keyword id="23228151" type="General" weightage="20" keywordseo="stroke-prevention" source="keywords">stroke prevention</keyword> strategies currently used are not sufficiently effective. "New, proven effective population-wide and motivational individual prevention strategies that could be applied to all people at risk of having a stroke, regardless of the level of risk, as recommended in the recent Lancet Neurology Commission on Stroke should be implemented across the globe urgently," said Feigin. The researchers also estimated that stroke-related liabilities attributable to 23 modifiable risk factors, including air pollution, excess body weight, high blood pressure, smoking and physical inactivity, increased from 100 million years of healthy life lost in 1990 to 135 million in 2021. These risk factors are present in huge numbers in Eastern Europe, Asia and sub-Saharan Africa, they said. The authors also acknowledged substantial progress made in reducing the global stroke burden from risk factors linked to poor diet, air pollution and smoking. Poor health resulting from diets high in processed meat and low in vegetables declined by 40 % and 30%, respectively, while that due to PM air pollution and smoking fell by 20 % and 13%, respectively, they found. The results suggested that strategies for reducing exposure to these risk factors over the past three decades such as clean air zones and public smoking bans have been successful, the authors said. They called for implementing and monitoring the evidence-based recommendations set out in the 2023 World Stroke Organization-Lancet Neurology Commission on stroke for drastically reducing the global burden of stroke in the years to come and improving brain health and overall well-being of millions of people around the world. The recommendations include stroke surveillance programmes that monitor indicators of stroke such as incidence, recurrence, death rates and risk factors in a country, and care and rehabilitation services for people affected by stroke.

Stroke cases increasing globally, air pollution, high temperatures driving numbers, notes Lancet Study

As many as 290 cases of <keyword id="21545939" type="General" weightage="20" keywordseo="KP-2" source="keywords">KP.2</keyword> and 34 cases of <keyword id="21748081" type="General" weightage="20" keywordseo="KP-1" source="keywords">KP.1</keyword>, both sub-lineages of COVID-19 that are responsible for surge in cases in Singapore, have been found in India, according to official data. However, a source in the Union health ministry told PTI that they are all sub variants of <keyword id="20115417" type="General" weightage="20" keywordseo="JN1" source="keywords">JN1</keyword> and there is no associated increase in hospitalisation and severe cases. "So there is no reason for concern or panic. The mutations will keep happening at a rapid pace and this is the natural behaviour of viruses like SARS-CoV2," the source said. The source further said that the INSACOG surveillance is sensitive and is able to pick up the emergence of any new variant and samples are also picked from hospitals in a structured manner to detect any change in the severity of disease due to virus. Data compiled by the Indian SARS-CoV-2 Genomics Consortium (INSACOG) showed that 34 cases of KP.1 have been found across seven states and UTs with 23 cases registered from West Bengal. The other states are Goa (1), Gujarat (2), Haryana (1), Maharashtra (4) Rajasthan (2) and Uttarakhand (1). As many as 290 cases of KP.2 have been registered with Maharashtra reporting the highest number at 148, according to the data. The other states and Union territories are Delhi (1), Goa (12), Gujarat (23), Haryana (3), Karnataka (4), Madhya Pradesh (1), Odisha (17), Rajasthan (21), Uttar Pradesh (8), Uttarakhand (16) and West Bengal (36). Singapore is seeing a new COVID-19 wave as the authorities recorded more than 25,900 cases from May 5 to 11 with KP.1 and KP.2 accounting for over two-thirds of cases in Singapore. Globally, the predominant COVID-19 variants are still JN.1 and its sub-lineages, including KP.1 and KP.2. KP.1 and KP.2 belong to a group of COVID-19 variants scientists have nicknamed 'FLiRT', after the technical names of their mutations. The strains in FLiRT are all descendants of the JN.1 variant, an offshoot of the Omicron variant. KP.2 was classified by the World Health Organization as a Variant Under Monitoring.

290 cases of COVID-19 variant KP.2, 34 cases of KP.1 detected in India: INSACOG data

In a small village in Zambia, a teenager carries the key to her <keyword id="21911075" type="General" weightage="20" keywordseo="bicycle" source="keywords">bicycle</keyword> lock around her neck like an ornament. Her father, the leader of the hamlet frowns upon it. But it has little to no effect on her, because the bicycle was her key to freedom, and symbolic of the agency she now had over her life. <div type="image" title="Students of Government Manorama Vidyapith Girls High School in Patna (2009)" agency="BCCL" msid="113057493" hostid="261"></div> Similarly, a girl in her neighbouring village would deflate her cycle’s tyres every day, and bury the key somewhere far from the reach of her brother, to stop him from using it. Why were these young women so territorial and proud over a seemingly modest mode of commute to their school? How is it related to Bihar, and how has something as small and insignificant as a bicycle paved the way for a broader movement of woman empowerment? Read on to find out! <h2>Bihar’s Mukhyamantri Balika Cycle Yojana</h2>Being one of the most impoverished states in India, Bihar is plagued with a large gender gap in school attendance. This gap in attendance in schools only grows with age. The enrollment of girls in primary school is satisfactory, largely due to the availability of primary schools and the introduction of schemes like the midday meal. However, distance remains a huge barrier in the hinterlands, pushing them further away from attending secondary school. In 2006, the Nitish Kumar-led state government, launched the Mukhyamantri Balika Cycle Yojana, a pioneering cash-for-kind program to empower girls through education. The program initially provided ₹2000 to 14-year-old girls enrolled in 9th grade, enabling them to purchase bicycles. This initiative was designed to address one of the most significant barriers to education for girls in Bihar—long distances to secondary schools. But, how profound were the implications of this policy intervention? In 2008, <a href="https://www.nishithprakash.com">Professor Nishith Prakash</a> from Northeastern University and <a href="https://econweb.ucsd.edu/~kamurali/index.html">Professor Kartik Muralidharan</a> of the University of California, San Diego embarked on a study to gauge the policy’s impact with support from the International Growth Centre (IGC). Their research found that this bicycle program increased age-appropriate secondary school enrolment for girls aged 14-15 by 32%. It also reduced the gender gap in enrolment by 40%. Moreover, the number of girls appearing for and passing the 10th-grade exam rose by 18% and 12%, respectively. The success of this initiative highlighted the transformative power of providing a bicycle. Inspired by the Bihar program's success, Professor Prakash later collaborated with <a href="https://worldbicyclerelief.org">World Bicycle Relief (WBR)</a> and Zambia's Ministry of General Education to implement a similar initiative in the Southern province of Zambia. <h2>After Bihar, why Zambia?</h2>Zambia is a landlocked country in Southern Africa that has made significant strides in improving access to primary education with near-universal primary school enrolment. However, the story, when it comes to girls in secondary education, is markedly different. The drop-off for girls, as they transition to secondary education is stark. According to the World Bank’s 2015 report ‘Policy Brief: Zambia,’ their enrolment fell to just 61% at the lower secondary level. The same report states that girls drop out of school at double the rate of boys in Grade 7 and triple the rate of boys by Grade 11. <h2>A tough road to secondary school</h2>Transitioning to, and completing secondary education is particularly challenging for girls, primarily due to barriers like school fees, long distances to school, and societal factors such as teenage pregnancy and child marriage. These challenges are even more pronounced in rural areas. Additionally, this transition to secondary school often coincides with the onset of menstruation, which brings its own set of challenges. The lack of menstrual hygiene facilities in schools, coupled with the stigma and lack of awareness surrounding menstruation, further exacerbates the already significant gap in girls' education. Nearly 98% of girls in their sample reported walking to school, spending an average of 110 minutes commuting just one way, as reported in a <a href="https://www.cesifo.org/en/publications/2022/working-paper/wheels-change-transforming-girls-lives-bicycles">new study</a> authored by Professor Nishith Prakash and his collaborators. Alarmingly, 35% of these girls reported experiencing sexual harassment during their commute, highlighting just how perilous a journey many face in their pursuit of education. This <a href="https://www.cesifo.org/en/publications/2022/working-paper/wheels-change-transforming-girls-lives-bicycles">intervention</a> was introduced in Zambia, providing bicycles to girls in 100 schools across three districts, and the results were promising. Overall absenteeism dropped by 29%, translating to an additional five school days per year for girls in the Southern Province, where the average primary school student missed 18 days annually. Girls in the schools who received the bicycles were 38% less likely to drop out of school compared to those in the schools who did not receive the bicycles. <h2>Pedalling towards a safer commute</h2>The impact of these bicycles extended beyond just improved attendance. The program also led to enhanced perceptions of safety among the girls. One year after the intervention, girls in the treatment group reported a 22% reduction in instances of being teased or harassed on their way to school. Additionally, the probability of girls missing school or leaving early due to safety concerns dropped by 39%. Post the success of this program, the United States Agency For International Development (USAID) awarded $3.5 million to fund bicycles for growth initiatives to increase access in rural communities in Sub-Saharan Africa, mainly Ghana, Malawi, Rwanda, Uganda, and Zambia. Additionally, the Ministry of General Education (Zambia) scaled up the cycle program in several districts in Zambia. Simply put, the bicycles in Bihar and Zambia gave young girls the agency of making choices for themselves. While the immediate benefit of these programs was providing the means for women to travel to school, the long-term impact reveals significant shifts in attitudes among both the women involved and the communities around them! But did you know that the use of bicycles to provide women with this much-needed agency isn’t new and was actively instituted by women during the suffrage movement of the 19th century — a decades-long fight to win the right to vote for women in the United States? <h2>Corsets to cycles: The Suffrage movement &amp; bicycles</h2> <div type="image" title="A woman with a bicycle in early 1900s" msid="113057788" hostid="261"></div> In the late 19th century, during the American industrial revolution, a seemingly simple invention sparked a movement that would forever change women's lives — the bicycle. As the country experienced a ‘bicycle craze,’ the first wave of the women’s rights movement was gaining momentum. The bicycle quickly became more than just a mode of transportation; it became a powerful symbol of change and progress in the fight for women’s emancipation. In fact, the introduction of the bicycle revolutionised women’s fashion, breaking away from restrictive corsets and long skirts that had previously hindered their mobility. Instead, women began to adopt more practical, comfortable clothing that allowed them to cycle freely. The image of the ‘new woman’ emerged — educated, sporty, and career-oriented — with a bicycle as her constant companion. In 1895, at the age of 80, suffragist leader <keyword id="23037502" type="General" weightage="20" keywordseo="elizabeth-cady-stanton" source="keywords">Elizabeth Cady Stanton</keyword> predicted the power of the bicycle in transforming the lives of women. Having the ability to be self-reliant, often for the first time in their lives, would encourage them to be more courageous in other areas as well. While back then, their fight was for their right to vote in political elections, times have changed. Women have to fight different battles — some new and some old — to realise and utilise their potential. What has remained constant in this journey is the bicycle! Susan B. Anthony, another suffragist leader further opined, “Let me tell you what I think of bicycling. I think it has done more to emancipate women than anything else in the world. It gives women a feeling of freedom and self-reliance. I stand and rejoice every time I see a woman ride by on a wheel…the picture of free, untrammelled womanhood.” Had she known that several decades later, this simpleton mode of transport would continue to improve the lives of young women in remote parts of the Global South, she would’ve been happy to her heart's content! If something as mundane as access to mobility has historically brought such great results, what can be done to bring greater mobility for women in policy-making today? Professor Nishith Prakash suggests that mobility needs to be thought of in a broader context. Mobility in the case of women isn’t just freedom to be able to go from one place to another. There are multiple actors at play, including their actual safety and the perception of feeling safe in an environment. Cultural norms in most societies across the globe, and in India, automatically grant the power of key-decision making to men. For these archaic norms to be challenged, he suggests changes in curriculum from early childhood. Reiterating the importance of agency in making choices for themselves, there need to be jobs for them to want to step out of the confines of their homes. And once they do, nothing can stop them from cycling away to their freedoms!

SIMPLY PUT: Two Wheels, One Mission — Bicycles empowering girls in Bihar and Zambia, a call-back to 19th century Suffrage movement

Medical expert Dr Rajeev Jayadevan said that <keyword id="21480687" type="General" weightage="20" keywordseo="Thrombosis-Thrombocytopenia-Syndrome" source="keywords">Thrombosis Thrombocytopenia Syndrome</keyword> (<keyword id="20218859" type="General" weightage="20" keywordseo="TTS" source="keywords">TTS</keyword>) refers to the <keyword id="21480686" type="General" weightage="20" keywordseo="clot-in-blood-vessels" source="keywords">clot in blood vessels</keyword>, and it occurs in very rare cases, following the use of certain types of <keyword id="19953288" type="General" weightage="20" keywordseo="vaccines" source="keywords">vaccines</keyword>. Acknowledging that the <keyword id="20250806" type="General" weightage="20" keywordseo="COVID-vaccines" source="keywords">Covid vaccines</keyword> have helped in preventing numerous deaths, Jayadevan, who is the Co-Chairman of National Indian Medical Association (IMA) Covid Task Force in Kerala, stated that reports of such cases have also been highlighted in many reports. "TTS is thrombosis with thrombocytopenia syndrome, which is basically clot in blood vessels of the brain or elsewhere, along with a low platelet count. It is known to occur in very rare instances following certain types of vaccines and also from other causes. According to the WHO, adenovirus vector vaccines in particular have been rarely associated with this condition," he told ANI. "Although COVID vaccines have prevented numerous deaths, reports of these extremely rare but potentially serious immune mediated events have also been published in reputed journals," Dr Jayadevan added. This comes in the wake of a recent admission by <keyword id="19910149" type="General" weightage="20" keywordseo="AstraZeneca" source="keywords" meta.keywordsubtype="org" meta.entityname="AstraZeneca" meta.hostid="261" meta.entityid="AstraZeneca">AstraZeneca</keyword>, the pharmaceutical company, that its Covid vaccine Covishield and Vaxzevria "can, in very rare cases, cause TTS." According to several UK media reports, AstraZeneca has made the admission in court documents in connection with a case that alleges that the vaccine, developed with the University of Oxford, caused death and serious injury in dozens of cases. The Serum Institute of India produced COVID-19 vaccine named Covishield but not using mRNA platform. It has been prepared using the viral vector platform. In the vaccine, a chimpanzee adenovirus - ChAdOx1 - has been modified to enable it to carry the COVID-19 spike protein into the cells of humans. This cold virus is basically incapable of infecting the receiver, but can very well teach the immune system to prepare a mechanism against such viruses. The same technology was used to prepare vaccines for viruses like Ebola. Amid reports about clot in blood vessels in the UK media, the Serum Institute of India did not respond to the query. Notably in 2023, the World Health Organisation (WHO) said in its report that TTS emerged as a new adverse event following immunisation in individuals vaccinated with COVID-19 non-replicant adenovirus vector-based vaccines. This refers to the AstraZeneca COVID-19 ChAdOx-1 vaccine and the Johnson &amp; Johnson (J&amp;J) Janssen COVID-19 Ad26.COV2-S vaccines. "TTS is a serious and life-threatening adverse event. WHO has issued this interim emergency guidance to increase awareness about TTS in the context of COVID-19 vaccination and help healthcare providers in the assessment and management of potential TTS cases," the 2023 statement by WHO read. However, Union Health Minister Mansukh Mandaviya in March 2024 at 'Dialogues - Navigating India's health sector' said that ICMR has done a detailed study which shows that COVID-19 vaccine is not responsible for heart attacks, and an individual's lifestyle and factors such as binge drinking could be among underlying causes. Mandaviya said, "If someone has a stroke today, they think it is because of the Covid vaccine. ICMR has done a detailed study that the (Covid) vaccine is not responsible for heart attacks." (ANI)

TTS: Clot in blood vessels occurs in rare cases with certain vaccines, says medical expert amid reports over AstraZeneca

The protests against COVID-19 lockdowns have spread to Beijing even as China reported close to 40,000 coronavirus cases on Monday as authorities scrambled to contain the fresh surge in infections. For the fifth consecutive day, China reported close to 4,000 cases in the capital city of Beijing. China’s National Health Commission said 39,452 new cases were reported on Monday, including 36,304 local asymptomatic cases. Meanwhile, the protests which broke out in the eastern metropolis of Shanghai during the weekend, have spread to Beijing where hundreds of people converged on Sunday evening near Liangmahe river in the central city. Crowds carrying lighted candles in memory of those killed in the fire at an apartment block reported under COVID-19 <keyword id="91743" type="General" weightage="20" keywordseo="lockdown" source="Orion">lockdown</keyword> in Urumqi in Xinjiang shouted slogans against the arbitrary lockdowns by the government to curb the spread of the virus and in solidarity with the weekend protests in Shanghai. Several diplomats and foreigners watched the protests as they took place close to the diplomatic residential compound in Beijing. Eyewitness accounts said the protests went on for several hours and the police detained a number of people. Protesters in Shanghai on Saturday and Sunday called on Chinese President Xi Jinping and the ruling Communist Party to step down besides opposing the lockdowns and forcible evictions of people into coronavirus medical shelters. Student protests also broke out at the prestigious Tsinghua University in Beijing and Communication University in Nanjing. Photos and videos posted online showed students holding vigils for the Urumqi fire victims and launching protests at universities in Beijing and Nanjing. In the latest notice, Tsinghua University has informed students that they can go home if they wish ahead of the January spring festival holidays. In recent weeks, protests have erupted in Guangdong, Zhengzhou, Lhasa, the provincial capital of Tibet and other cities, with participants asking for an end to prolonged lockdowns and Covid tests, the Hong Kong-based South China Morning Post reported on Monday. The People’s Daily, the Communist Party’s mouthpiece on Sunday vowed in a front-page commentary to “unwaveringly” stick with the existing controls to curb the spread of Covid-19, which first broke out in the central Chinese city of Wuhan in late 2019 and then became a pandemic. In remarks that appeared to aim at widespread doubts and dissatisfaction, it again touted China’s self-claimed victory in controlling the pandemic so far and called on party cadres at all levels to “resolutely overcome misunderstandings”, slackness and “war weariness”, the Post report said. According to the latest estimates about 412 million people were affected by lockdown measures in China, up from 340 million the week before, according to the Japanese brokerage firm Nomura. SEE ALSO: <a target="_blank" class="c-link c-message_attachment__title_link" href="https://www.businessinsider.in/india/news/covid-hit-mental-health-of-kids-young-people-harder-than-thought/articleshow/95805540.cms" style="">Covid hit mental health of kids, young people harder than thought</a> <a target="_blank" class="c-link c-message_attachment__title_link" href="https://www.businessinsider.in/science/space/news/nano-satellites-built-by-startups-augurs-well-for-private-sectors-future-endeavours-in-space/articleshow/95801378.cms" style="">Nano-satellites built by startups augurs well for private sector's future endeavours: IN-SPACe</a>

China reports sharp spike in Covid-19 cases amid protests against President Xi Jinping, lockdowns

<ul class="summary-list"><li>The FAA has fined 'unruly passengers' over $20 million since 2020.</li><li>The number of passengers misbehaving on airlines spiked during the height of the pandemic.</li></ul>Misbehaving airline passengers are paying a steep price.Data shared by the Federal Aviation Administration showed that it has fined <a target="_blank" class="editor-rtfLink" href="https://www.faa.gov/unruly">"unruly passengers"</a> over $20.9 million since the COVID-19 pandemic began in 2020. Air travel in the United States came to a near-total halt in 2020 after the Centers for Disease Control and Prevention confirmed the first COVID-19 case that January. That year, the FAA levied $0.6 million in fines against "unruly passengers."That number skyrocketed in 2021 to $5 million. At that time, <a target="_blank" class="editor-rtfLink" href="https://www.businessinsider.com/pfizer-covid-19-vaccine-gains-full-fda-approval-2021-8">COVID-19 vaccines</a> had become more accessible, and <a target="_blank" class="editor-rtfLink" href="https://www.businessinsider.com/canada-border-reopening-to-fully-vaccinated-us-tourists-august-9-2021-8">border restrictions began to ease</a>, meaning more people were <a target="_blank" class="editor-rtfLink" href="https://www.businessinsider.com/air-travel-highest-level-nearly-one-year-transportation-security-administration-2021-3">returning to air travel</a>.<div type="image" title="Screenshot of fines the FAA levied against &quot;unruly passengers.&quot;" height="890" width="1394" msid="113356628" hostid="261" sizebytes="14462"></div>The FAA's fines peaked in 2022 at $8.4 million. That year, the agency said it levied its <a target="_blank" class="editor-rtfLink" href="https://www.faa.gov/newsroom/faa-levies-largest-fines-ever-against-two-unruly-passengers">largest fines</a> against two passengers for separate incidents in 2021. The proposed fines were $81,950 and $77,272, respectively.The FAA fined passengers $7.5 million in 2023, a slight dip but still significantly higher than pre-pandemic.The FAA told Business Insider it has a "zero-tolerance policy toward unruly passengers.""Unruly behavior is dangerous to everyone on board and in the skies because of the inconvenience, the threat of health, safety and security, and possible operational disruption of an aircraft in flight," the FAA said in a statement.<div type="image" title="Screenshot of the FAA's Unruly Passenger Report" height="864" width="2126" msid="113356625" hostid="261" sizebytes="45138"></div>The agency said the unruly passenger rate declined by over 65% between 2021 — when the FAA recorded almost 6,000 cases — and 2023, when it recorded about 2,000. That's still higher than pre-pandemic numbers in 2017, 2018, and 2019.The FAA said it had received almost 900 "unruly passenger" reports as of September 8 this year but didn't have data on the number of fines it has issued so far.In August, the agency said it referred over 300 of the "most serious cases" since 2021 to the FBI. Those <a target="_blank" class="" href="https://www.faa.gov/newsroom/faa-refers-more-unruly-passenger-cases-fbi-0">cases involved</a> everything from passengers attempting to breach the flight deck to physically assaulting other travelers."Unruly passengers are a threat to the safety of everyone on board an aircraft. The FAA's zero-tolerance policy is working to reduce this threat and to signal that unruly behavior is not tolerated on any flight," the statement read.Aviation security expert Jeffrey Price told BI that travel-related stress, like <a target="_blank" class="editor-rtfLink" href="https://www.businessinsider.com/unruly-plane-passengers-causes-airlines-experts-2023-12">delayed or canceled flights,</a> can cause passengers to act out."Increased stress pretty much always results in a shorter fuse, whether that's on a plane or on the road," Price told BI, adding that some travelers are behaving "more entitled" post-pandemic.

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Stroke cases increasing globally, air pollution, high temperatures driving numbers, notes Lancet Study

PTI

290 cases of COVID-19 variant KP.2, 34 cases of KP.1 detected in India: INSACOG data

PTI

SIMPLY PUT: Two Wheels, One Mission — Bicycles empowering girls in Bihar and Zambia, a call-back to 19th century Suffrage movement

Prerna Tyagi

TTS: Clot in blood vessels occurs in rare cases with certain vaccines, says medical expert amid reports over AstraZeneca

ANI

China reports sharp spike in Covid-19 cases amid protests against President Xi Jinping, lockdowns

PTI

The FAA has hit 'unruly' flyers with $20 million in fines since the pandemic — a huge increase compared to pre-2020

Lauren Edmonds

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