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Dr. Ashish Mahuvakar

Pediatrician, Mumbai

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Dr. Ashish Mahuvakar Pediatrician, Mumbai
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Ashish Mahuvakar
Dr. Ashish Mahuvakar is a popular Pediatrician in Mumbai, Mumbai. He is currently associated with Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Ashish Mahuvakar on Lybrate.com.

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 36 years of experience on Lybrate.com. You can find Pediatricians online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Bombay Hospital & Medical Research Centre

#117, Marine Lines. Landmark: Next To Liberty Cinema, MumbaiMumbai Get Directions
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I have 3 months baby. I'm breastfeeding my baby boy. I have a doubt that my milk is enough to my baby or not. What to eat to get more milk that is enough to my baby?

MD-Pediatrics, MBBS
Pediatrician, Pune
I have 3 months baby. I'm breastfeeding my baby boy. I have a doubt that my milk is enough to my baby or not. What to...
Hello, lybrate-user! this is a concern for all new mothers. If your baby is hungry every 2-3 hours, gaining adequate weight, passing urine atleast 5-6 times a day &motions atleast once a day, that means your milk is adequate remember that, milk flows when baby starts sucking at breast.
1 person found this helpful
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Hi. I m blessed with a Baby Girl! Glad to see wonderful doctors here As we will be purchasing all baby products like shampoo, soap, creams etc. What is the best brand to go with? Also regarding baby food products, brand advise needed. Hope to get quick response on above. Thanks a lot for Lybrate for staying connected.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hi.
I m blessed with a Baby Girl!
Glad to see wonderful doctors here
As we will be purchasing all baby products like ...
God bless her long, happy and healthy life. There is no need for any special purchase. No need of shampoo, cream etc. sponging specially of folded areas as arm pit etc is sufficient up to 1 month of age. Do not go for any specific brand. Select yourself with your own skill. Exclussive Breast feed up to 6 months of age is best food.
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Is it fine to feed a 14 month baby with butter, ghee in the food? should the sweet intake be restricted too, though my baby enjoys sweet preparations.

C.S.C, D.C.H, M.B.B.S
General Physician,
You can safely add small amounts of ghee butter etc. Make sure not to make your child obese. It is a big health problem in children" too much of anything is bad" you know happy parenting.
3 people found this helpful
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Tips For A Positive Parenting!

Masters in Clinical Psychology & Certified Cognitive Behaviour Therapy Practioner, Certified Neuro linguistic programming Practioner, Masters in Clinical Psychology, Post Graduate Diploma in Child and ADolescent Counselling
Psychologist, Pune
Tips For A Positive Parenting!

As a parent, we all love our children deeply. And most of us will agree that these days parenting is very demanding and exhausting instead of pleasurable and joyous process. What has changed? It is not that children are any different. The difference is in the environment around them with stronger social influences; and this also affects the way we parent. In today's more democratic and egalitarian world; 'Do as I say and not as I do' style of parenting does not work. But, 'I will do as I see you doing' phrase from kids define our parent child relationship.

With change in social environment and influence, our strategies for correcting their behaviour and impart discipline has to undergo adaptation! When there are so many confusing and conflicting signals reach to our kids from their environment, whether we like it or not, we are still their role models. How positive parenting style will help? The core principle of positive parenting is to accept your child as an individual. We are in a democratic society and family is a small yet important part of society. Democracy does not mean allowing disrespectful and irresponsible behaviour; rather to effectively help kids change their behaviour and create harmonious and cooperative relationship with them. It also means that we as a parent need to learn to think, act and react in a different way.

Through, positive parenting, you will learn respectful disciplining methods, which would work better than demanding compliance. Through these principles and tips you will get your child to listen without screaming, nagging, reminding or evoking rebellious behaviour. More importantly this is all about building stronger relationship bond with your children and nurture them through early childhood to teen age years as they become independent, responsible, capable, kind, happy and successful young adults.

Tips to get you started:

  1. Everyone deserves to be treated with respect and dignity, including children.
  2. When your kid misbehaves instead of shouting or hitting, control your anger and respond in a calm and respectful way. Calmer but firmer tone and lower voice, yet not giving into their repeated demand, is much more effective as a discipline tool compare to nagging.
  3. Understandable that you have a lot on your plate, such as work, managing and keeping the home in order, managing meals and other outside responsibilities, kids sports or extracurricular activities, family obligations and so on. It is easy to get lost in all these 'have to do' activities. Parenting shouldn't be just one more task to deal with. Reconnecting with your parenting goals and aspirations periodically will help take the stress out of it and add fun into it. Spend some time daily (10 minutes will do as well!) to just listen and enjoy your child (without correcting them or giving them suggestion to improve!).
  4. Let your love for them be the driving force. Shift your internal conversations from 'have to' to 'want to'. As you do enormous things for your child each day, think how you are supporting their ambitions. How you are helping them become independent and strong. How you are nurturing qualities like compassion and deep listening by extending yourself.
  5. Give promises and keep them. As your children grow they need much more than your words to trust and rely on you. Keeping your promises, letting them know if you need to change the plan, taking their opinion in appropriate matter will go a long way.
  6. Seek to understand and do not impose yourself on your child. Especially when they are in their teenage, as a parent you have lot of worries, you are afraid of them making mistakes and of course you want to protect them from vices. Listening to them while keeping your focus on genuinely understanding them is the only way to go, when they know you understand them and they can trust you, the street between both of you turns two way street! They will be open to your wisdom and suggestion when they are at the cross road.
  7. Last but not the least, 'be a role model'. Don't preach. If they see you disrespecting others, they will not respect you. If they see you hooked on your smart phone; that is their license to keep theirs in front of their eyes 24/7. If you are hooked in front of the TV till late night and haven't picked up a book in last 6 months. Advice about reading is going to fall on dumb ears. In short, be the change you want to see in your children.
  8. Have family nights at least once in a week, play cards, board games or go for a walk together. Talk and listen. Just be there and listen without judgement and criticism, without thinking about how to correct them. Just enjoy each other's company and see how they are changing their opinion about you. Positive parenting doesn't mean you will never have problems in your family. You will? if you are alive and growing family. Positive parenting style will open up the avenues to keep communication alive; it will open your children to your influence. Isn't it something that we all wish for!!

In case you have a concern or query you can always consult an expert & get answers to your questions!

2715 people found this helpful

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
If your adolescent boy or girl spends too much time alone, talk to him/her as a friend.
1 person found this helpful

Dear sir, my new born child head is affected with some like badda, please advice how to remove this from head ?

M.D.( Pediatrics), DCH
Pediatrician,
It is usually generic constitution, nothing needs to be done. Do usg brain to see if there's hydrocephalus,
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My baby is 2. 5 months old. She is not having cold cough or anything like that. But she occasionally coughs. Is it normal?

Diploma in Child Health (DCH), MBBS
Pediatrician,
My baby is 2. 5 months old. She is not having cold cough or anything like that. But she occasionally coughs. Is it no...
Occasionally 2-3 time small bouts of coughing in a day or coughing after feeding is normal. It may be because to irritation due to some milk or normal secretion in thraot. Its a normal reflex coughing. Continus large bouts of coughing with cold or fever or other symptom you should give prescribed medicine or consult pediatrician.
1 person found this helpful
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What should be given to 12 years old boy to make him strong internally. To boost his immunity. Is yokult good? how it works. My boy is allergic to dust. Please help.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Yogurt is good. Nutritious diet and physical activity will increase immunity. For dust allergy best remedy is to avoid.
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My child is having 6 years he is not write alphabets how can I do he is not concentrating to write.

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Lack of attention is one of the features of adhd. But its very premature to comment on the basis of data you have given.
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My baby boy is now 6 years Old and he is suffer from belly pain for several time. What can I do for him?

C.S.C, D.C.H, M.B.B.S
General Physician,
He may have indigestion or other causes have to be ruled out, you tell me all details like when the pain is most, how relieved and if increases with food and we can do dome tests. You give him cyclopam syrup 5 ml when there is pain and inform me privately.
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My son is 1 and half year I can give him ultra d3 syrup if yes tell me how many doses should be given?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
My son is 1 and half year I can give him ultra d3 syrup if yes tell me how many doses should be given?
Hello, If recommended by child specialist, you can give prescribed dosage. Simultaneously, you can increase calcium and vitamin D rich foods in his diet.
1 person found this helpful
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Hi my son is 4 years old from last few days he is excessively crying, I think that he has problem with his digestive system whenever he takes milk he started crying after sometime please help me he is also diagnosed with canavan diseases.

MD - Homeopathy
Pediatrician, Mumbai
Intake of milk might be making him cry because he must not be liking milk. Crying usually at this age is attention seeking behaviour. Ignore at times when you think that he is crying without any reason.
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My daughter had diarrhea last week after eating prawns don't know exact reason but I thought that it was due to see food she is 2 years old she is active very much but when ever climates changes occurs she will get ill can you suggest me how to protect my baby.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My daughter had diarrhea last week after eating prawns don't know exact reason but I thought that it was due to see f...
Homoeopathic medicine ECHNESIA 30 ( Dr Reckeweg) Drink 1 drop in 1 spoon fresh water twice daily for 3 months.
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Hi, My son age is 2 years and weight is 9 kg. Just want to ask you my son weight is ok as per age.

Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Hi, My son age is 2 years and weight is 9 kg. Just want to ask you my son weight is ok as per age.
The weight for a 2 years old boy should be between 9.5 to 14 kg as per who. I suggest you get in touch with your pediatrician for further evaluation.
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My 10 days son whose weight is 3.7 kg have blood creatinine level is 1.17 mg/dl and blood urea level is 64 mg/dl. Is it kidney disease? If yes please send me treatment advice?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 10 days son whose weight is 3.7 kg have blood creatinine level is 1.17 mg/dl and blood urea level is 64 mg/dl. Is ...
There must be some reason for getting these tested done. To suggest line of management, further details like other investigations, symptoms and signs( personal examination) are nacessary. It shall be best for you to consult a neonatologist.
1 person found this helpful
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Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
Attention-Deficit / Hyperactivity Disorder (ADHD) in Children

What is ADHD?

ADHD, also called attention-deficit disorder, is a behavior disorder, usually first diagnosed in childhood, that is characterized by inattention, impulsivity, and, in some cases, hyperactivity. These symptoms usually occur together; however, one may occur without the other(s).

The symptoms of hyperactivity, when present, are almost always apparent by the age of 7 and may be present in very young preschoolers. Inattention or attention-deficit may not be evident until a child faces the expectations of elementary school.

What are the different types of ADHD?

Three major types of ADHD include the following:

  • ADHD, combined type. This, the most common type of ADHD, is characterized by impulsive and hyperactive behaviors as well as inattention and distractibility.

  • ADHD, impulsive/hyperactive type. This, the least common type of ADHD, is characterized by impulsive and hyperactive behaviors without inattention and distractibility.

  • ADHD, inattentive and distractible type. This type of ADHD is characterized predominately by inattention and distractibility without hyperactivity.

What causes attention-deficit/hyperactivity disorder?

ADHD is one of the most researched areas in child and adolescent mental health. However, the precise cause of the disorder is still unknown. Available evidence suggests that ADHD is genetic. It is a brain-based biological disorder. Low levels of dopamine (a brain chemical), which is a neurotransmitter (a type of brain chemical), are found in children with ADHD. Brain imaging studies using PET scanners (positron emission tomography; a form of brain imaging that makes it possible to observe the human brain at work) show that brain metabolism in children with ADHD is lower in the areas of the brain that control attention, social judgment, and movement.

Who is affected by attention-deficit/hyperactivity disorder?

Estimates suggest that about 4% to 12% of children have ADHD. Boys are 2 to 3 times more likely to have ADHD of the hyperactive or combined type than girls.

Many parents of children with ADHD experienced symptoms of ADHD when they were younger. ADHD is commonly found in brothers and sisters within the same family. Most families seek help when their child's symptoms begin to interfere with learning and adjustment to the expectations of school and age-appropriate activities.

What are the symptoms of attention-deficit/hyperactivity disorder?

The following are the most common symptoms of ADHD. However, each child may experience symptoms differently. The 3 categories of symptoms of ADHD include the following:

  • Inattention:

    • Short attention span for age (difficulty sustaining attention)

    • Difficulty listening to others

    • Difficulty attending to details

    • Easily distracted

    • Forgetfulness

    • Poor organizational skills for age

    • Poor study skills for age

  • Impulsivity:

    • Often interrupts others

    • Has difficulty waiting for his or her turn in school and/or social games

    • Tends to blurt out answers instead of waiting to be called upon

    • Takes frequent risks, and often without thinking before acting

  • Hyperactivity:

    • Seems to be in constant motion; runs or climbs, at times with no apparent goal except motion

    • Has difficulty remaining in his/her seat even when it is expected

    • Fidgets with hands or squirms when in his or her seat; fidgeting excessively

    • Talks excessively

    • Has difficulty engaging in quiet activities

    • Loses or forgets things repeatedly and often

    • Inability to stay on task; shifts from one task to another without bringing any to completion

The symptoms of ADHD may resemble other medical conditions or behavior problems. Keep in mind that many of these symptoms may occur in children and teens who do not have ADHD. A key element in diagnosis is that the symptoms must significantly impair adaptive functioning in both home and school environments. Always consult your child's doctor for a diagnosis.

How is attention-deficit/hyperactivity disorder diagnosed?

ADHD is the most commonly diagnosed behavior disorder of childhood. A pediatrician, child psychiatrist, or a qualified mental health professional usually identifies ADHD in children. A detailed history of the child's behavior from parents and teachers, observations of the child's behavior, and psychoeducational testing contribute to making the diagnosis of ADHD. Because ADHD is a group of symptoms, diagnosis depends on evaluating results from several different sources, including physical, neurological, and psychological testing. Certain tests may be used to rule out other conditions, and some may be used to test intelligence and certain skill sets. Consult your child's doctor for more information.

Treatment for attention-deficit/hyperactivity disorder

Specific treatment for attention-deficit/hyperactivity disorder will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of your child's symptoms

  • Your child's tolerance for specific medications or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Major components of treatment for children with ADHD include parental support and education in behavioral training, appropriate school placement, and medication. Treatment with a psychostimulant is highly effective in most children with ADHD.

Treatment may include:

  • Psychostimulant medications. These medications are used for their ability to balance chemicals in the brain that prohibit the child from maintaining attention and controlling impulses. They help "stimulate" or help the brain to focus and may be used to reduce the major characteristics of ADHD.
    Medications that are commonly used to treat ADHD include the following:

    • Methylphenidate (Ritalin, Metadate, Concerta, Methylin)

    • Dextroamphetamine (Dexedrine, Dextrostat)

    • A mixture of amphetamine salts (Adderall)

    • Atomoxetine (Strattera). A nonstimulant SNRI (selective serotonin norepinephrine reuptake inhibitor) medication with benefits for related mood symptoms. 

    • Lisdexamfetamine (Vyvanse)

    Psychostimulants have been used to treat childhood behavior disorders since the 1930s and have been widely studied. Traditional immediate release stimulants take effect in the body quickly, work for 1 to 4 hours, and then are eliminated from the body. Many long-acting stimulant medications are also available, lasting 8 to 9 hours, and requiring 1 daily dosing. Doses of stimulant medications need to be timed to match the child's school schedule to help the child pay attention for a longer period of time and improve classroom performance. The common side effects of stimulants may include, but are not limited to, the following:

    • Insomnia

    • Decreased appetite

    • Stomach aches

    • Headaches

    • Jitteriness

    • Rebound activation (when the effect of the stimulant wears off, hyperactive and impulsive behaviors may increase for a short period of time)

    Most side effects of stimulant use are mild, decrease with regular use, and respond to dose changes. Always discuss potential side effects with your child's doctor.

    Antidepressant medications may also be administered for children and adolescents with ADHD to help improve attention while decreasing aggression, anxiety, and/or depression.

  • Psychosocial treatments. Parenting children with ADHD may be difficult and can present challenges that create stress within the family. Classes in behavior management skills for parents can help reduce stress for all family members. Training in behavior management skills for parents usually occurs in a group setting which encourages parent-to-parent support. Behavior management skills may include the following:

    • Point systems

    • Contingent attention (responding to the child with positive attention when desired behaviors occur; withholding attention when undesired behaviors occur)

    Teachers may also be taught behavior management skills to use in the classroom setting. Training for teachers usually includes use of daily behavior reports that communicate in-school behaviors to parents.

    Behavior management techniques tend to improve targeted behaviors (such as completing school work or keeping the child's hands to himself or herself), but are not usually helpful in reducing overall inattention, hyperactivity, or impulsivity.

Prevention of attention-deficit/hyperactivity disorder

Preventive measures to reduce the incidence of ADHD in children are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child's normal growth and development, and improve the quality of life experienced by children or adolescents with ADHD.

1 person found this helpful

My daughter age is 7 years. Since one month, pus is discharging from her left ear with bad smell. Already consulted an E.N.T. Specialist. He suggested to use candid ear dropsfor 10 days. But invain.

MS - ENT
ENT Specialist, Aurangabad
Hello, Probably your daughter is having a fungal infection of the outer ear . If she is not responding to Candid ear drops , then she may require an examination of ear under microscope ( called otomicroscopy ) and suction clearance. This will help in faster healing as well as a confirmed diagnosis / to rule out any other ear pathology.
1 person found this helpful
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Now my baby 6 month old. Now I take blood sugar level and thyroid test. Test result BLOOD GLUCOSE (F) Method: GOD-POD=113 mg/dl BLOOD GLUCOSE (PP) Method: GOD-POD= 145 mg/dl Thyroid FREE T3 Method :ECLIA=5.76 pg/ml. Ref. Val 2.38-4.37 FREE T4 Method: ECLIA = 18.68 pmol/L.Ref.val 12.40-20.40 TSH-ECLIA Method: ECLIA = 0.093 uIU/ml. Ref. Val 0.44-3.63 Pls explain this test result. Which tablet I take .doc said eltroxin 50 mg nly. And sugar tablet not prescribe.

MBBS, MD - Forensic Medicine/Forensic Medicine & Toxicology, PG Diploma in Diabetes & General Medicine
Diabetologist, Gurgaon
Now my baby 6 month old. Now I take blood sugar level and thyroid test.
Test result
BLOOD GLUCOSE (F) Method: GOD-POD...
Please stop all sugars and sweets Walk yoga exercise ad health permits Yes only eltroxin as of now and repeat test after two weeks.
1 person found this helpful
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Attention Deficit Hyperactivity Disorder - How To Know If Your Child Is Suffering?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Attention Deficit Hyperactivity Disorder - How To Know If Your Child Is Suffering?

It is sad to hear of a loved one suffering, but it is downright painful if that someone is your own child. Attention deficit hyperactivity disorder (ADHD) is a condition which was not paid much attention to for many years. The fact remains, however, that ADHD is something that can adversely affect the life of your child and their relationships. One example is Olympian Michael Phelps, who had been diagnosed with this disorder. In order to know if a child does suffer from it, it is important to pay attention to a few signs.

Signs You Must Not Ignore

  1. To start off, if a child seems to be fidgety all the time, it is a good sign that there is a chance that he or she may have ADHD. While it is true that children often display feelings of excitement as well as a degree of restlessness most of the time, the ability of a child suffering from ADHD to sit still, quite literally, surpasses any normal standards for even a very restless child who does not have ADHD.
  2. As a matter of fact, most children who are diagnosed with the disorder are diagnosed by the time they are 7 or 8 years old. For many kids, this has something to do with the signs that are displayed once they join school, which are related to their behavioural habits. For example, children who have ADHD are likely to show their inability to await their turn in a group activity. As a result, they are likely to interrupt not only their peers, but also their teachers to say express their thoughts.
  3. For those who are not well versed with this issue that so many children face, the behaviour of a child with ADHD come across as being outright selfish. However, this is really not the case. In many cases, since children with ADHD find it difficult to follow plans and set out tasks, their inability to do so is often considered as lack of intelligence. Such judgements can lower the morale of the child and make him or her feel inadequate, insecure and left out.

Many children who have ADHD are not loud and usually do not stand out in a group. Rather, they are more likely to be the quiet ones who daydream. All this can have major effects on the academic record of the child, and it is fair to say that he or she is quite likely to under perform compared to the rest of the students in the class.

If you see any of these signs, do not be alarmed. However, do seek a doctor’s opinion to know for sure if your child has ADHD. If you wish to discuss about any specific problem, you can consult a Psychiatrist.

2912 people found this helpful

My baby is 3 month old still wakes up after 2 hours and after 4 am he wakes after half hour once I put bottle in mouth he sleeps immediately not feeding much. He his formula feed. I am very exhausted what to do. Previously he was drinking 3oz and sleeping for 3 hours now everything is disturbed.

BHMS
Homeopath, Secunderabad
My baby is 3 month old still wakes up after 2 hours and after 4 am he wakes after half hour once I put bottle in mout...
It is advisable to provide mother's milk for the first one year. You too should focus on your overall health. You should take atleast 300 calories more than an normal adult. You can take fruits and vegetables everyday. Take the suppliments as usual. You can talk to you doctor or the pediatrician about your child's behaviour and discuss about the management. A few changes in the routine can bring back normalcy. If needed you can start Homeopathy for your baby as it is safe and effective. You can contact me if interested.
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