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Dr. Prabhatbhushan Bhushan

Pediatrician, Delhi

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Dr. Prabhatbhushan Bhushan Pediatrician, Delhi
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Prabhatbhushan Bhushan
Dr. Prabhatbhushan Bhushan is a trusted Pediatrician in Alaknanda, Delhi. You can visit him at The paediatrica in Alaknanda, Delhi. Book an appointment online with Dr. Prabhatbhushan Bhushan and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pediatricians in India. You will find Pediatricians with more than 33 years of experience on Lybrate.com. Find the best Pediatricians online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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My baby is 3 months old and bothe and my baby have cough and cold. Which medicine is preferable to us so that no harm is caused to my baby?

BHMS
Homeopath, Faridabad
My baby is 3 months old and bothe and my baby have cough and cold. Which medicine is preferable to us so that no harm...
Hi. Give your baby homoeopathic medicines - Schwabe's Alpha-NC and Alpha-CF - both thrice daily for 4 days. Use Bakson's Nasal-Aid spray/ 1-2 sprays after every 4 hours. This is the best treatment for your baby as homoeopathy is very mild-acting medicines which is given to even newborn baby without causing any harm!! Take care of your baby.
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Hello sir, I have 3 months old son can I give any solid Food. Please suggest me.

MD - Paediatrics, MBBS
Pediatrician, Delhi
Hello sir, I have  3 months old son can I give  any solid  Food. Please suggest me.
Only breastfeeding should be given till 6 months, after that semisolid diet should be started. Regards
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5 Don ts When Your ADHD Child Is Upset or Angry

M.Sc - Applied Psychology, MS - Counselling and Psychotherapy, PG diploma in child guidance and family therapy
Psychologist, Delhi

Parents dread having to deal with meltdowns. However, parents of children with ADHD may face more meltdowns than other parents.

Children with ADHD are more prone to meltdowns for a number of reasons. Often their brain circuitry for emotional regulation is dysfunctional in which it takes less to trigger an anger episode that lasts for a longer periods of time than other children. This is the result of faulty wiring. Working with them on relaxation techniques like taking deep breaths or counting to ten at the first sign of being upset can help. It is important for them to practice these when they are calm.

These kids often aren’t fully tuned in to what is going on around them and miss important information that causes them to misinterpret a situation and then react to what they think is going on rather than what really happened. If you are having a discussion with your child, pause frequently to make sure they are getting your point. Ask questions to make sure they understand and encourage them to ask you questions as well.

Some ADHD kids lack the ability to be flexible causing them to go into meltdown mode when there is a change in routine or an expected event does not happen. For instance a boy may be having a great time “rough housing” with his dad but does not want to stop when dad feels it has gone on long enough. This can become ugly and lead to fewer such play situations. Agreeing to use a timer and stop when the timer says to stop rather than dad might help avoid this.

Here are some tips for coping with a meltdown:

1. Don’t Loose Your Cool

Take a few deep breaths. This triggers the relaxation response and will lower your own anxiety/anger level and make it possible for you to think clearly and model appropriate behavior for your child. Remember the preflight instruction, “When the mask comes down, please cover your own nose and mouth first before you assist your child.”

2. Don’t React – Respond

If you and your child have already agreed on how meltdowns will be handled with a behavior plan, make sure the plan is being followed. As an example, you might have agreed on an incentive program where your child can earn rewards for following the behavior plan. Incentives might be earning points every time he/she is able to calm down before having a meltdown. Points earned can be cashed in at the end of the day for a desired activity such as television time or a special treat.

If you do not have a plan in place then you can respond by saying “WE have a problem here. Let’s see how we can solve the problem TOGETHER.” Find out what the child’s concern is. See if there is a way to address it. It is not giving in if you modify a situation in a way that is more accepting to the child while still meeting your needs as well. Good leaders listen to the people they are leading and incorporate the feedback they receive.

3. Don’t Dictate – Discuss

Ask, “What is making you upset?” Listen carefully and respond empathetically such as “I see you (want or don’t want), what’s up?”  Find out what the child is concerned about. For instance if the problem is not wanting to go to bed, you might say, “I understand you do not want to go to bed right now even though 9:00 is your usual bedtime. What is bothering you about this?” Perhaps the child says, “I need to finish my video game so I can get to the next level.” You then can say, “So here is the problem we have. I want you to go to bed because it is your bedtime and you need your sleep to feel good and do well at school and baseball tomorrow and you want to stay up later to finish your game. I am not saying you don’t have to go to be now but do you have any ideas on how we can solve this?”

For discussion let’s say it is only for a few minutes and you decide for tonight to let him finish the game to avoid an hour or more of meltdown versus a few more minutes. You might say, “Ok for tonight you can finish the game. Tomorrow we can talk about this and come up with a solution so that from now on you will be able to finish what you are doing and go to bed on time.”

It is ok for us to listen to our children’s perspective on difficult situations. If this is an isolated incidence then, problem solving could avoid a major meltdown. However, we need to follow up the next day with a detailed discussion on how this can be avoided in the future.

If this is an ongoing problem, then simply stick to the program/plan you have already set in place. If you have been working on anger management techniques such a taking deep breaths, then remind the child to practice it.

4. Don’t Demand – Encourage

If you have a prearranged plan to follow or you have come to an agreement for this crisis situation then you can say, “I know you are upset right now but I also know you can do a good job of calming down now,” or “You know what our agreement is and I bet you will do your part now just like the great job you did yesterday. I love how you are getting better at this each time.”

5. Don’t Give Up – Stay Committed

  • Raising a child with any type of special need, be it developmental, psychological or medical, requires a tremendous amount of patience and strength to endure and continue to handle tough situations when they come up. Make sure you have a good support system. Be sure to have a break from time to time to do something fun and relaxing. Also, try to view the whole situation from the 30,000 foot level to see the progress you have made so far and that meltdowns now and then can just be little bumps in the road to helping your child learn to cope with the day to day events they encounter.
  • If you have truly committed to following a behavioral approach under the guidance of a mental health provider and are not seeing progress, please don’t hesitate to discuss this with your child’s physician. A referral to a psychologist for a comprehensive evaluation may uncover other conditions that may need to be addressed. Sometimes ADHD may be misdiagnosed or a child can have more than one disorder which needs to be addressed.
  • When talking to a professional, you should be able to tell them when and where these episodes happen and what took place just before the meltdown; these are valuable clues that a well trained clinician can use to modify your approach or discover an underlying skill deficit that can be improved or addressed.
  • Sometimes, when behavioral approaches have been in place for some time and have been tweaked all they can, medication may need to be considered. Parents should be cautious about having their child placed on medication prematurely, but when symptoms are severe and interfering with a child’s ability to function in several environments then medication should be considered and can be extremely helpful.

My son is 9 yrs. His school timings r 8.30 am to 2.30 pm. Whenever he eats something in the breakfast and then go to school, he vomits. If he drinks a cup of milk n goes, he does not vomit. Pls advice

MBBS, MD
Pediatrician, Gurgaon
most probably it may be acidity .but if you cotinue with milk. before breakfast. you don't harm the child.
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My son is 5+months birth weight 2.5 n currently 7.2 from last week he is doing watery motion with blood. Had stool test it shows occult blood positive n also consulted doc for infection but still no relief from prescribed medicines My son is active taking feed properly. But y still blood? please doctors help.

BHMS
Homeopath, Chennai
My son is 5+months birth weight 2.5 n currently 7.2 from last week he is doing watery motion with blood. Had stool te...
Acute diarrhea is a disorder which leads to a person passing a number of watery stools. It may be accompanied by cramping pain in the abdomen and at times fever too. Food and water-borne bacteria, parasites and viruses cause such problems. Rapid loss of water in the form of watery stool can cause a situation known as dehydration which can disrupt the normal functioning of the body. Along with it, the essential salts (electrolytes) of the body are also lost. While the oral rehydration salts and fluids significantly reduce fatalities from dehydration, they do not treat the underlying infection that is causing diarrhoea. Homeopathic medicines Veratrum Album, Arsenic Album, Podophyllum lead the homeopathic table for treating diarrhoeas and provide quick relief to patients by eliminating the infection. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects
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My daughter 1.5 year having vomiting after feeding milk. Also mother having pregnancy now. Is that reason baby having wamiting? please let me know what to do ?

PGD-AP, MD, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
My daughter 1.5 year having vomiting after feeding milk. Also mother having pregnancy now. Is that reason baby having...
Decrease milk intake. Keep her hungry. Semisolids should be given 3 times a day. No connection with mom pregnancy.
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Take Care of Your Child's Diet

MBBS, Diploma in Child Health
Pediatrician, Hyderabad

Making appropriate food choices for your baby during the first year of life is very important. More growth occurs during the first year than at any other time in your child's life. It's important to feed your baby a variety of healthy foods at the proper time. Starting good eating habits at this early stage will help set healthy eating patterns for life.

Recommended feeding guide for the first year

Don't give solid foods unless your child's health care provider advises you to do so. Solid foods should not be started before age 4 months because:

  • Breast milk or formula provides your baby all the nutrients that are needed for growth.
  • Your baby isn't physically developed enough to eat solid food from a spoon.
  • Feeding your baby solid food too early may lead to overfeeding and being overweight.

The American Academy of Pediatrics (AAP) recommends that all infants, children, and adolescents take in enough vitamin D through supplements, formula, or cow's milk to prevent complications from deficiency of this vitamin. In November 2008, the AAP updated its recommendations for daily intake of vitamin D for healthy infants, children, and adolescents. It is now recommended that the minimum intake of vitamin D for these groups should be 400 IU per day, beginning soon after birth. Your baby's health care provider can recommend the proper type and amount of vitamin D supplement for your baby.

Guide for formula feeding (0 to 5 months)

Age

Amount of formula per feeding

Number of feedings per 24 hours

1 month

2 to 4 ounces

6 to 8 times

2 months

5 to 6 ounces

5 to 6 times

3 to 5 months

6 to 7 ounces

5 to 6 times

Feeding tips for your child

These are some things to consider when feeding your baby:

  • When starting solid foods, give your baby one new food at a time — not mixtures (like cereal and fruit or meat dinners). Give the new food for 3 to 5 days before adding another new food. This way you can tell what foods your baby may be allergic to or can't tolerate.
  • Begin with small amounts of new solid foods — a teaspoon at first and slowly increase to a tablespoon.
  • Begin with dry infant rice cereal first, mixed as directed, followed by vegetables, fruits, and then meats.
  • Don't use salt or sugar when making homemade infant foods. Canned foods may contain large amounts of salt and sugar and shouldn't be used for baby food. Always wash and peel fruits and vegetables and remove seeds or pits. Take special care with fruits and vegetables that come into contact with the ground. They may contain botulism spores that cause food poisoning.
  • Infant cereals with iron should be given to your infant until your infant is age 18 months.
  • Cow's milk shouldn't be added to the diet until your infant is age 1. Cow's milk doesn't provide the proper nutrients for your baby.
  • The AAP recommends not giving fruit juices to infants younger than age 6 months. Only pasteurized, 100% fruit juices (without added sugar) may be given to older infants and children, and should be limited to 4 ounces a day. Dilute the juice with water and offer it in a cup with a meal.
  • Feed all food with a spoon. Your baby needs to learn to eat from a spoon. Don't use an infant feeder. Only formula and water should go into the bottle.
  • Avoid honey in any form for your child's first year, as it can cause infant botulism.
  • Don't put your baby in bed with a bottle propped in his or her mouth. Propping a bottle has been linked to an increased risk of ear infections. Once your baby's teeth are present, propping the bottle can also cause tooth decay. There is also a risk of choking.
  • Help your baby to give up the bottle by his or her first birthday.
  • Avoid the "clean plate syndrome." Forcing your child to eat all the food on his or her plate even when he or she isn't hungry isn't a good habit. It teaches your child to eat just because the food is there, not because he or she is hungry. Expect a smaller and pickier appetite as the baby's growth rate slows around age 1.
  • Infants and young children shouldn't eat hot dogs, nuts, seeds, round candies, popcorn, hard, raw fruits and vegetables, grapes, or peanut butter. These foods aren't safe and may cause your child to choke. Many health care providers suggest these foods be saved until after your child is age 3 or 4. Always watch a young child while he or she is eating. Insist that the child sit down to eat or drink.
  • Healthy infants usually require little or no extra water, except in very hot weather. When solid food is first fed to your baby, extra water is often needed.
  • Don't limit your baby's food choices to the ones you like. Offering a wide variety of foods early will pave the way for good eating habits later.
  • Fat and cholesterol shouldn't be restricted in the diets of very young children, unless advised by your child's health care provider. Children need calories, fat, and cholesterol for the development of their brains and nervous systems, and for general growth.

Feeding guide for the first year (4 to 8 months)

Item

4 to 6 months

7 months

8 months

Breastfeeding or formula

4 to 6 feedings per day or 28 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 5 feedings per day or 30 to 32 ounces per day

Dry infant cereal with iron

3 to 5 tbs. single grain iron fortified cereal mixed with formula

3 to 5 tbs. single grain iron fortified cereal mixed with formula

5 to 8 tbs. single grain cereal mixed with formula

Fruits

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained or soft mashed/2 times per day

Vegetables

1 to 2 tbs., plain, strained/1 to 2 times per day

2 to 3 tbs., plain, strained/2 times per day

2 to 3 tbs., strained, mashed, soft/2 times per day

Meats and protein foods

 

1 to 2 tbs., strained/2 times per day

1 to 2 tbs., strained/2 times per day

Juices, vitamin C fortified

 

4 oz. from a cup

4 oz. from a cup

Snacks

 

Arrowroot cookies, toast, crackers

Arrowroot cookies, toast, crackers, plain yogurt

Development

Make first cereal feedings very soupy and thicken slowly.

Start finger foods and cup.

Formula intake decreases; solid foods in diet increase.

Feeding guide for the first year (9 to 12 months)

Item

9 months

10 to 12 months

Breastfeeding or formula

3 to 5 feedings per day or 30 to 32 ounces per day

3 to 4 feedings per day or 24 to 30 ounces per day

Dry infant cereal with iron

5 to 8tbs. any variety mixed with formula

5 to 8 tbs. any variety mixed with formula per day

Fruits

2 to 4 tbs., strained or soft mashed/2 times per day

2 to 4 tbs., mashed or strained, cooked/2 times per day

Vegetables

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

2 to 4 tbs., mashed, soft, bite-sized pieces/2 times per day

Meats and protein foods

2 to 3 tbs. of tender, chopped/2 times per day

2 to 3 tbs., finely chopped, table meats, fish without bones, mild cheese/2 times per day

Juices, vitamin C fortified

4 oz. from a cup

4 oz. from a cup

Starches

 

1/4-1/2 cup mashed potatoes, macaroni, spaghetti, bread/2 times per day

Snacks

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans

Arrowroot cookies, assorted finger foods, cookies, toast, crackers, plain yogurt, cooked green beans, cottage cheese, ice cream, pudding, dry cereal

Development

Eating more table foods. Make sure diet has good variety.

Baby may change to table food. Baby will feed himself or herself and use a spoon and cup.

6 month baby has mouth ulcer. I apply a gel in mouth choline salicylic & lignocain she feels good but after 2 days same problem any other treatment please.

M.Ch - Paediatric Surgery, MS - General Surgery
Pediatric Surgeon, Kolkata
6 month baby has mouth ulcer. I apply a gel in mouth choline salicylic & lignocain she feels good but after 2 days sa...
Will need multivitamin supplements. Continue applying the gel 3 times a day for a week at a stretch. If ulcer still persists, please visit your pediatrician.
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My baby 4 months old, her eye in infection and eye under in yellow type (chip-chip) dust. I given the mezol eye drop. Please advice me.

MD - Paediatrics
Pediatrician, Ranchi
Hello Mezol contains decongestant Naphazoline and it won't help in infection.I would suggest you to use ciplox eye drop 1 drop each eye 4-6 times a day. First wash your hand with soap properly and then clean the eye from inside to outside with the help of cotton swab soaked in distilled water each time before putting the eye drop.Avoid Kajal if you are using it.
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Hi my baby is 7 nd half month old I am her born weight was 3nd half now present weight is only 6 she looks very slim at morning I am giving nestum afternoon m giving cerelac and at 7 pm m giving 2half boil egg is that ok is there any problem of giving half boil egg for baby please let me know and let me know how to gain weight for baby.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Hi my baby is 7 nd half month old I am her born weight was 3nd half now present weight is only 6 she looks very slim ...
Well you are giving weaning food in correct way as far as daily protein requirement is concerned. I'm fine with it but for weight gain you needed carbs. Which you e giving less. Give rice khichdi. Modak. Kheer. Milk products. Sweets. Daal with added jaggery etc would add upon carbs. Along with this make sure liquid diet specially milk should not have been reduced. Yes I do agree weight is bit less for given age. And solutions are as per I mentioned above. Eggs should be full boiled and preferably egg white rather then egg yolk. Regards.
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I gave birth to girl baby 14days she is now she had jaundiance on 9th day 17.1 we admitted her and now she is having on 13 day 12.1 her wait is 2.840 I am giving her enfamil formula milk twice day 60 ml can I give formula milk it will not effect baby please suggest me baby birth weight was 2.900.

Visiting Consultant - Rajiv Gandhi Cancer Hospital, Saroj Super Speciality Hospital, D.N.B. PEDIATRICS, MD - Paediatrics, MBBS, Bhagwati Hospital, Rainbow Hospital- Panipat
Pediatrician, Delhi
I gave birth to girl baby 14days she is now she had jaundiance on 9th day 17.1 we admitted her and now she is having ...
Hi mother milk is best for the baby. The formula you are giving is ok but is to be given only if required. All mothers always produce adequate amount of milk. Be confident. Take care.
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Will their be granule formation due to bcg near neck. My son of age 3.5 month got a granule near neck, we have noticed it at 1.5 month and consulted a doctor he is saying that it is due to bcg so I am worried about it.

DHMS (Hons.)
Homeopath, Patna
Will their be granule formation due to bcg near neck. My son of age 3.5 month got a granule near neck, we have notice...
hello, lybrate user, it is usually noticed from the very birth of a baby, nowadays. it's nothing to be panic about its treatment will start from 1 year of age , homoeopathically. the care.
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Sir, my son is 13 months old, he weighs only 6.40 kg. Am so worried about his health. At birth he was only 1.75 kg. Now he got chest infection and wbc count is so high. We are giving antibiotic to him. He didn't eat much food. Beast feeding is there,. Please tell me how to make him more healthy. Thank you.

Diploma in Child Health (DCH), MBBS
Pediatrician, Aurangabad
Sir, my son is 13 months old, he weighs only 6.40 kg. Am so worried about his health. At birth he was only 1.75 kg. N...
Your son was 1.75 kg at birth, so you can expect him to be thrice his birth wt at 1years of age. Which he is. Low birth weight babies will catch up as they grow, like other kids. Give him time and he will be fine.
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What is generalized epileptiform abnormality with posterior emphasis (modified hypsarrthymia.)? My baby boy is 3 month old and there are symptoms of IS (infantile spasms).In EEG reports are generalized epileptiform abnormality with posterior emphasis (modified hypsarrthymia.). Kindly suggest.

C.S.C, D.C.H, M.B.B.S
General Physician,
What is generalized epileptiform abnormality with posterior emphasis (modified hypsarrthymia.)?
My baby boy is 3 mont...
Infantile spasms (IS) is a rare seizure disorder that occurs in young children, usually under one year of age. The average age of onset is around four months, but some children may experience spasms as early as one month. A few children may begin as late as two years. The treatments for children with infantile spasms include: Steroid therapy with adrenocorticotropic hormone (ACTH) by injection into a muscle or prednisone by mouth. A seizure medication called Sabril (vigabatrin).
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My daughter is 4 1/2 years old and she is very stubborn. She got recently stomach ache and feeling pain near urethra while urinating. Has rashes like round patches and itching on some of her body.

C.S.C, D.C.H, M.B.B.S
General Physician,
Being stubborn is a child reaction to something he or she does not like and lovingly understand the problem. She may have urinary infection and urine culture need to be done and send the report to me.
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My wife is unable to produce milk for my baby. Kindly suggest with other options between cow milk and Lactogen.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My wife is unable to produce milk for my baby.
Kindly suggest with other options between cow milk and Lactogen.
Usually there is no reason not producing enough milk for infant except not inclination of mother to feed baby. Encourage mother to feed baby and simultaneously find out other reasons consulting obstetrician n to treat accordingly. No milk is better than mother's milk.
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After delivery I got 10 kg weight increase, for that I am taking ayurveda medicine to weight loss but my baby is breast feeder as less as early and beside it also having outer baby food. Will there is any possibility side effect for baby's health. Please advise.

C.S.C, D.C.H, M.B.B.S
General Physician,
After delivery I got 10 kg weight increase, for that I am taking ayurveda medicine to weight loss
but my baby is brea...
Weight gain is from increased food intake especially after delivery and lack of exercise as people tend not to do any work after delivery. Due to false belief and elders out dated practices. Check your tsh and send report to me privately.
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My baby is 39 days old, when he feeds some amount of milk comes from his nose after some time once in a day and the milk is plan not in a curd shape. So may I know the reason why?

BHMS
Homeopath, Delhi
My baby is 39 days old, when he feeds some amount of milk comes from his nose after some time once in a day and the m...
There are a few reasons why this happens to kids/babies. The more common reason would be that the baby is full of milk, especially when so small and young, they burp and it comes up and exits the nose and mouth. The nose and throat are connected and in such a tiny being they are even closer together leading to this being much more common than you would expect. Unless your child is constantly doing it and it clearly causes pain, not to be confused with discomfort, I wouldn't be too worried about it...
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