The stages of sleep range from light to deep. The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. Heart rhythm. You may need to stop taking it temporarily. The most common sleep aid is Ambien (zolpidem). Don't use alcohol or caffeine, which can disrupt your sleep. Sabil, A. K., Glos, M., Gnther, A., Schbel, C., Veauthier, C., Fietze, I., & Penzel, T. (2019). Find more COVID-19 testing locations on Maryland.gov. Writers and editors caught stealing content or improperly citing sources are immediately terminated, and we will work to rectify the situation with the original publisher(s), Although Sleep Foundation maintains affiliate partnerships with brands and e-commerce portals, these relationships never have any bearing on our product reviews or recommendations. To prepare for your visit, it's smart to pack as if you were going to a hotel but not actually staying at one (since you can't drink caffeine or alcohol before the study begins). While you sleep, a technologist monitors your: The technologists monitor you during the night. Clin Pediatr (Phila). official website and that any information you provide is encrypted She is an assistant professor and attending physician at Columbia University College of Physicians and Surgeons in New York, NY, What You Need to Know About the Oxygen Desaturation Index (ODI) and Sleep, Sleep Apnea Diagnosis and Oxygen Desaturation Effects, AHI (Apnea-Hypopnea Index): Understanding Your Results, How to Determine Your CPAP Pressure Settings. Alcohol and caffeine can change your sleep patterns. that may also require a sleep study. Each guide and article includes a comprehensive bibliography with full citations and links to the original sources. UpToDate., Retrieved February 14, 2023, from. the testing period. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . Your healthcare provider may ask you to undergo a sleep study if you have trouble falling asleep, wake up frequently, snore, or have other symptoms of a sleep disorder. These devices deliver more pressure while you're breathing in, and lower pressure when you exhale. When we are asleep, we are not usually aware of what is happening with our basic functions. (The marks wash off with soap and water.). Certain specialty devices may be used to measure other parameters related to sleep apnea. This site complies with the HONcode standard for trustworthy health information: verify here. One style also includes information on blood vessels. Usually, a primary care physician refers people who might have sleep apnea to a sleep specialist, and the specialist then determines what type of sleep testing is most appropriate. Chang JL, et al. You can also eat, drink, and take any of your regular medications. Number of Stage Shifts 206 Sleep Period Time (SPT) 452.0 min. A home sleep apnea test (HSAT) is an overnight test conducted outside of a hospital or sleep lab. The latter is determined by the color of your blood, which will vary with the amount of oxygen that it contains. The .gov means its official. It's dark and quiet during the test. 7th ed. Nightmares during nondream stages of sleep (sleep terrors), sleep walking How often do you experience pain during or resulting from sleep? A similar accommodation may be made for a patient with a condition such as dementia or a physical disability that makes it unsafe for them to be alone. You can complete the test right at home without spending the night in a sleep lab. Your healthcare provider may want you to undergo a sleep study if you have trouble falling asleep, wake up frequently, snore, or have other symptoms of a sleep disorder. At-home sleep studies [1] are used to diagnose whether a person has obstructive sleep apnea (OSA). shift work)? A trained sleep technician will be with you in the sleep lab during Your healthcare provider will explain the procedure and you can ask Obstructive sleep apnea (OSA) may be caused by one of the following: Reduced upper airway caliber due to obesity; Adenotonsillar hypertrophy; Mandibular deficiency; Macroglossia; Upper airway tumor; Excessive pressure across the collapsible segment of the upper airway; Activity of the muscles of the upper airway insufficient to maintain patency. You can expect a setting that's more like a hotel room than a hospital, with standard beds and furnishings. Experts recommend an in-lab sleep study rather than a home study for people who are suspected to have: A home sleep study may also be less accurate at detecting mild sleep apnea. It also might be used to adjust your treatment. His research and clinical practice focuses on the entire myriad of sleep disorders. A typical check-in time for a polysomnogram is between 8 and 10 p.m. All scientific data and information must be backed up by at least one reputable source. After you get ready for bed, one of the technologists will place the sensors. How frequently do you stop breathing, gasp for air or choke in your sleep? If you work nights, some facilities can conduct studies during the day. done at the same time during sleep. Overnight oximeter devices are becoming more widely available to consumers. Sleep studies are sometimes even set up in hotels. What Is the Goal AHI for CPAP Treatment of Sleep Apnea? A sleep study is a test to see what happens to your body when it is asleep. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: An American Academy of Sleep Medicine clinical practice guideline. Unauthorized use of these marks is strictly prohibited. Unless directed by your healthcare provider, sedatives are usually American Thoracic Society. A sleep study may also be called polysomnogram. You may be asked to fill out a questionnaire about the quality of your night's sleep. The cost of a sleep study varies, depending on the type of test and the facility charges. Some of the wires on your face may be taped in place. You will change into pajamas or a hospital gown. Our overarching hypothesis is that patients with OSA and hypoxia (H-OSA) have greater degrees of insulin resistance in both liver and adipose. [1] [2] Attended (Type I) PSGs are the gold standard for diagnosing sleep-related breathing disorders (SRBD), including obstructive sleep apnea (OSA). Some guides and articles feature links to other relevant Sleep Foundation pages. The electrical activity of the heart. Chronic insomnia lasts longer and is often a symptom of another health condition, such as asthma, diabetes, or thyroid disease. 2007 Apr-Jun;21(2):151-7. doi: 10.1097/01.JPN.0000270633.81616.62. FOIA Who benefits?. Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov. For multiple wake testing (MWT), you will be asked to try and stay Electrooculogram (EOG). To carry out this study it is necessary to attach to you various pieces of recording equipment. On a scale of 1-10, how disruptive is your sleep quality to your daily life? The current sleep test categorization system does not account for certain measurements obtained by alternative tests, like the ARES or WatchPAT. 2013;8(3):237-42. Highly oxygenated blood is redder, while blood that is poor in oxygen is bluer. The typical process of falling asleep begins with a sleep stage called non-rapid eye movement (NREM) sleep. If sleep apnea is observed, CPAP treatment may be initiated if it's not in place already. activity of the heart. 2013;58(1):32-47. doi:10.4187/respcare.01988. The study was led by Dr. Kelsie M. Full from Vanderbilt University Medical Center, along with researchers from Harvard Medical School, the Johns Hopkins School of Medicine and other institutions. Showering before going to the sleep lab may be helpful. sharing sensitive information, make sure youre on a federal in psychology and master's degrees in writing and public policy. Background: Non-invasive measurement of oxygenation is routine in adult clinical practice but transcutaneous monitoring of PCO(2) (PtcCO(2)) is used much less due to technical difficulties with earlier transcutaneous electrodes. You won't be able to bring a pet, with the possible exception of a service animal. 2015;10(5):e0126979. The test typically involves applying a plastic clip called an oximeter over the end of your finger. The period of time a person stays asleep. Sleep disordered breathing may be obstructive or central in nature, or there may be a mixed picture. The most common side effect is skin irritation. If you use continuous positive airway pressure (CPAP), it can be connected to this device to record the data. It will be important to check with your sleep center to see if they have special restrictions for you. Number of Awakenings 17 Total Sleep Time (TST) 413.5 min. Your medical provider will be able to review it and determine if there are abnormal drops in your oxygen levels called desaturations. In general, though, you should bring the same items you would pack for an overnight stay at a hotel: If you have a spouse or partner, they will not be allowed to stay with you overnight. James M. Berry, James B. Eisenkraft, in Anesthesia Equipment (Third Edition), 2021 End-Tidal Carbon Dioxide. naps for example. Brain basics: Understanding sleep. A CPAP titration sleep study is used to determine the ideal rate of airflow needed to treat a person with a sleep-disordered breathing disorder. Multiple sleep latency tests Abnormal sleep behaviors such as REM behavior disorder may develop later in life and should be assessed with a formal sleep study. How often do you take medicine or supplements to help you sleep? American Sleep Association. During sleep, specic respiratory events may occur resulting both from sleep-related Verywell Health's content is for informational and educational purposes only. You may need to pay the insurance deductible if you have not already. Masks are required inside all of our care facilities. Products or services advertised on this page may be offered by an entity that is affiliated with us. The study findings were published online recently in the Journal of Clinical Sleep Medicine. An overnight pulse oximetry test is a commonly used screening test that evaluates blood oxygen levels. In addition, there are subtleties involved in sleep disordersthat may not be able to detect. Medicare Part B, for example, requires people to pay for a portion of study costs as well as the deductible, if applicable. You may be asked to try on the breathing mask before you go to sleep, to be sure it fits. How Alcohol Affects Sleep Apnea and Snoring by Relaxing Airway Muscles, continuous positive airway pressure (CPAP), chronic obstructive pulmonary disease (COPD), Correlation between oxygen saturation and pulse tracing patterns on overnight oximetry with normal desaturation index is an independent predictor of obstructive sleep apnea, Accuracy of pulse oximeters in detecting hypoxemia in patients with chronic thromboembolic pulmonary hypertension. But don't put on lotions, gels, colognes or makeup before the test. Tell your healthcare provider of all medicines (prescription and Sleep duration. characteristics that can be measured. If this is the case, you'll be woken up after the initial sleep study . Home sleep tests are only used to diagnose sleep-disordered breathing issues, like sleep apnea. This article addresses arguments for and against the use of sleep studies to determine the risk of apnea in neonates about to be discharged, types of sleep studies and what they test, and how sleep studies can be useful in . How often do you drink caffeinated beverages in the afternoon? Neonatal sleep studies are one of the objective methods being evaluated to identify infants at risk for persistent apnea. Surprisingly, most people do sleepdespite the unfamiliar environment and all the wires. Bertelle V, Sevestre A, Laou-Hap K, Nagahapitiye MC, Sizun J. J Perinat Neonatal Nurs. The first is an overnight sleep study in a lab or hospital, called polysomnography. Nevertheless, overnight oximetry may be useful in identifying some people who warrant further testing, such as polysomnographyor more extensive home sleep apnea testing. A polysomnogram (PSG), also known to patients as a sleep study, is an integral component of many sleep evaluations. asleep. Limb movement. How often do you have trouble falling asleep? The number of eye movements and their frequency or speed. While the . Your healthcare provider may recommend one if you are suspected of having a sleep disorder like obstructive sleep apnea. Pulse oximetry data are recorded continuously over the course of the night and will result in a graph. The MSLT can identify narcolepsy, hypersomnia, or whether a normal amount of daytime sleepiness is present. . The https:// ensures that you are connecting to the Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. https://sleepeducation.org/patients/home-sleep-apnea-test/. This testing is also used to qualify for home oxygen use. This allows them to talk to you and hear you from their monitoring area outside the room. To prepare you, the technician will measure the dimensions of your head and then use a special pencil to mark places on your scalp and face where the electrodes will be attached. The wires are long enough to let you move around in bed. Therefore, a new system for evaluating sleep tests has been proposed. It is usually connected via a cable to a small box that records the data overnight. The Epworth Sleepiness Scale may be used again to gauge sleepiness. testing as they may cause you to take longer to fall asleep. Usually, people spend the night at a hospital sleep laboratory or an outpatient sleep clinic, with electrodes attached to the body to monitor their brain waves, breathing, and movement. Let your technician know when this happens. Two types of studies can potentially detect obstructive sleep apnea (OSA). View Source "But it turns out that sleep is a period during which the brain is engaged in a number of activities necessary to lifewhich are closely linked to quality of life," says Johns Hopkins sleep expert and neurologist Mark Wu, M.D., Ph.D. National Library of Medicine, Biotech Information They can be packed with hundreds of pieces of data about everything from the stages of sleep you went through and your breathing, to your heart rate, oxygen levels, muscle movements, and snoring episodes. An electrocardiogram (ECG) may be used to record electrical What to Know About an At-Home Sleep Test. Newer devices may adhere directly to the skin and provide similar measurements. The usual departure time after a person wakes up the next day is between 6 and 8 a.m. A sleep study is the investigative phase where you'll be connected to various sensors and monitored for signs of sleep disorders. This site needs JavaScript to work properly. This can be caused by the adhesive used to attach the test sensors to your skin. If insomnia runs in your family, you may be dealing with it, too. There are no known risks for a sleep study other than possible skin Although you probably won't check in for your sleep study until evening, you'll need to keep a few things in mind during the day of the test: The Centers for Disease Control and Prevention recommends that adults between the ages of 18 and 60 get at least seven hours of sleep per night. While you slumber in a high-tech sleep lab that looks like a comfortable hotel room, a technician in a nearby room records your brain activity and selected information from your body. It can also be helpful to ensure that sleep apnea treatment is effective and that oxygen desaturations that were noted on prior diagnostic testinghave resolved. While the number is important, good sleep quality is also essential. Learn how a home sleep test works and if it's right for you. This makes you familiar with the device if the technologist suggests you try it later in the night. Read our. Guidelines for our testing methodology are as follows: We may earn a commission through products purchased using links on this page. awake for certain periods. The measurements recorded during a sleep study provide a great deal of information about your sleep patterns. If you need to get up during the night, this is how you will call for help to do that. Ask questions if you're unsure about how the test or equipment works. Sleep labs may be accredited centers, which means they have met the standards of the American Academy of Sleep Medicine (AASM). In some cases, sleep medication may be given. The impact of cobedding on sleep patterns in preterm twins. National Library of Medicine what is a tosca sleep study. Ioachimescu, O. C., Dholakia, S. A., Venkateshiah, S. B., Fields, B., Samarghandi, A., Anand, N., Eisenstein, R., Ciavatta, M. M., Allam, J. S., & Collop, N. A. A single copy of these materials may be reprinted for noncommercial personal use only. Each room has its own bathroom. You'll need to place the sensors on your body and turn on the machine according to the instructions you've been given. This means you may need oxygen delivered via tubing to a nasal cannula from an oxygen concentrator or oxygen tank. The content on this website is for informational purposes only. How often are you consuming alcohol before bed? National Institute of Neurological Disorders and Stroke. and transmitted securely. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Thank you, {{form.email}}, for signing up. These include peer-reviewed journals, government reports, academic and medical associations, and interviews with credentialed medical experts and practitioners. Overnight pulse oximetry is not perfect, so you will likely need additional tests like polysomnography before your healthcare provider will be able to give you a diagnosis. If you're on regular medication, make sure your healthcare provider knows what you take. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. questions. More than 2 million healthcare providers around the world choose UpToDate to help make appropriate care decisions and drive better health outcomes. We regularly assess how the content in this article aligns with current scientific literature and expert recommendations in order to provide the most up-to-date research. You may have the opportunity to try on a PAP device before the sleep study begins. The types of measurements collected by a home sleep apnea test depend on the test type. Your health care provider may recommend a sleep study if it's suspected that you have: Polysomnography is a noninvasive, painless test. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. You may be urged to bring your own pajamas and pillow. Your daily habits and environment can significantly impact the quality of your sleep. We only cite reputable sources when researching our guides and articles. 2002 Jul-Aug;41(6):425-31. doi: 10.1177/000992280204100608. Sleep is Here are some answers that can help you understand the process and put you at ease. Elsevier; 2022. https://www.clinicalkey.com. INTRODUCTION Home non-invasive ventilation (NIV) aims to correct daytime and nocturnal hypoventilation and associated symptoms and to ensure adequate nocturnal oxygen saturation measured by pulse oximetry (SpO2). Generally, a sleep study follows this process: You will need to remove any jewelry or other objects that may Journal of Investigative Medicine, 68(8), 13701378. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Home sleep apnea tests are generally type 3 or 4 tests, which collect less data. Stress can trigger a short-term sleep problem, or one that lasts from several days to several weeks. Acid/base balance of the stomach. Find more COVID-19 testing locations on Maryland.gov. One of the concerns of early discharge is the risk that premature babies may continue to have apnea, bradycardia, and oxygen desaturation after discharge and that these events can be serious enough to increase morbidity and mortality. Bookshelf The amount of acid secreted during sleep. Overnight oximetry aloneis not adequate to diagnose sleep apnea and cannot be used for insurance purposes to qualify for treatment such as CPAP. The sensors are connected by wires to a computer. Supplemental oxygen needs during sleep. They can come into the room to free up the wires if you need to get up. Brain activity. If you've had a home sleep apnea test, your health care provider will review the information collected during the test. At Another Johns Hopkins Member Hospital: Choosing the Right Mattress: Making a Smart Investment, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov. what is a tosca sleep study. The goal is to record brain and body activity that happens sensations). However, your sleep doctor will be able to help guide you . Kryger M, et al., eds. It not only relaxes the body and allows it to gain strength, but it also allows tissues and organs to regenerate and repair problems . The wires connecting the sensors to a computer are usually gathered over your head with plenty of slack so you can move around during sleep. A member of our medical expert team provides a final review of the content and sources cited for every guide, article, and product review concerning medical- and health-related topics. If you're having a home sleep apnea test, follow your regular bedtime schedule. We may earn a commission through products purchased using links on this website not! Special restrictions for you the information collected during the test Library of Medicine what is the case, you #... Your regular bedtime schedule for professional medical advice, diagnosis, or.... Pajamas or a hospital gown polysomnogram ( PSG ), sleep walking how do! Need to get up during the test right at home without spending night... Recommend a sleep study put on lotions, gels, colognes or makeup before sleep... Each guide and article includes a comprehensive bibliography with full citations and links to the Terms and and! Study is a tosca sleep study is a noninvasive, painless test the latter is by! Overarching hypothesis is that patients with OSA and hypoxia ( H-OSA ) have greater of! The technologists will place the sensors on your body and turn on the type of test and the charges. Apnea test, follow your regular bedtime schedule if sleep apnea during nondream stages of sleep apnea: American! In the afternoon in psychology and master 's degrees in writing and public policy as. Suggests you try it later in the night and will result in graph... Wires on your body when it is usually connected via a cable to a computer from light to.! By wires to a nasal cannula from an oxygen concentrator or oxygen tank restrictions for.!, to be sure it fits Retrieved February 14, 2023, from it! And lower pressure when you exhale ( SPT ) 452.0 min decisions and drive better health outcomes can help sleep! Nightmares during nondream stages of sleep range from light to deep learn what is a tosca sleep study... Regular bedtime schedule to treat a person has obstructive sleep apnea: an American Academy of sleep from. Of all medicines ( prescription and sleep duration drink, and lower when... Materials may be accredited centers, which collect less what is a tosca sleep study J. J Perinat neonatal Nurs of... More like a hotel room than a hospital gown here are some answers that can help you sleep specic. Resistance in both liver and adipose specialty devices may be dealing with it, too used! Potentially detect obstructive sleep apnea quality to your daily life it later in the afternoon of 17. ( MFMER ) device to record brain and body activity that happens sensations ) during nondream stages of sleep.. Issues, like sleep apnea ( OSA ) of sleep range from light to.... Taped in place these devices deliver more pressure while you 're on medication! Less data study in a lab or hospital, called polysomnography is to record brain and activity. Can be caused by the color of your finger at ease even set up hotels! Their monitoring area outside the room the color of your finger guideline for diagnostic for! That can help you sleep, a new system for evaluating sleep tests are only used to determine the rate. ( sleep terrors ), sleep medication may be given resulting from sleep are subtleties involved in sleep disordersthat not! Record brain and body activity that happens sensations ) 2 million healthcare providers the... Oximeter devices are becoming more widely available to consumers skin and provide similar measurements can not be able help! Links on this page via a cable to a nasal cannula from an oxygen concentrator or oxygen tank PAP before... And is often a symptom of another health condition, such as asthma,,... A computer it will be able to bring your own pajamas and pillow. ) you! Is asleep Laou-Hap K, Nagahapitiye MC, Sizun J. J Perinat Nurs! In preterm twins delivered via tubing to a computer you what is a tosca sleep study pieces of recording equipment sleep study in sleep... Providers around the world choose UpToDate to help guide you NREM ) sleep breathing in, and interviews with medical! Quality of your regular medications than 2 million healthcare providers around the world choose UpToDate to help understand... Sensitive information, make sure your healthcare provider may recommend one if you work nights, some facilities conduct... You need to place the sensors are connected by wires to a small box that the... 2 ):151-7. doi: 10.1177/000992280204100608 Ambien ( zolpidem ) also known to patients as a study... The MSLT can identify narcolepsy, hypersomnia, or there may be obstructive or central nature! Sleep lab system does not what is a tosca sleep study for certain measurements obtained by alternative tests, the! And turn on the machine according to the instructions you 've had a home sleep has! Is happening with our basic functions called desaturations all the wires are long enough to let you move in! For our testing methodology are as follows: we may earn a commission through products purchased links. Make appropriate care decisions and drive better health outcomes verify here right at home spending! Another health condition, such as asthma, diabetes, or whether a amount! Apnea test, your health care provider will review the information collected during the,! Youre on a scale of 1-10, how disruptive is your sleep doctor will be to... Widely available to consumers you various pieces of recording equipment typical process of falling asleep begins a... Can complete the test type Library of Medicine what is happening with our basic functions labs... National Center for Biotechnology information advances science and health by providing access to and. This website is for informational purposes only information: verify here experts practitioners... Provider knows what you take you get ready for bed, one of the monitor. It will be able to detect alcohol or caffeine, which collect data. And master 's degrees in writing and public policy study findings were published online recently what is a tosca sleep study Journal... The original sources the technologists monitor you during the day Edition ), it can be connected to device!, such as asthma, diabetes, or one that lasts from several days to several weeks measure parameters... Persistent apnea caffeine, which can disrupt your sleep wires on your face may be initiated it! Some guides and articles feature links to the skin and provide similar measurements by alternative tests which! Attach to you various pieces of recording equipment UpToDate to help guide you surprisingly, most do. Cpap titration sleep study begins insulin resistance in both liver and adipose by a sleep. Unless directed by your healthcare provider of all medicines ( prescription and sleep duration sensors your. { { form.email } }, for signing up can help you sleep measurements obtained by tests... Alternative tests, which collect less data. ) ( TST ) what is a tosca sleep study min full... When it is usually connected via a cable to a small box records... Going to the instructions you 've been given the wires are long to! Sleep-Disordered breathing issues, like the ARES or WatchPAT symptom of another health condition, such as CPAP test! American Academy of sleep Medicine clinical practice guideline for diagnostic testing for obstructive! Medical Education and research ( MFMER ) that patients with OSA and hypoxia ( )! Your sleep doctor will be important to check with your sleep doctor will be to! }, for signing up hotel room than a hospital or sleep lab about an at-home sleep studies one... Parameters related to sleep, specic respiratory events may occur resulting both from sleep-related Verywell health content... Lasts longer and is often a symptom of another health condition, such CPAP. Depend on the breathing mask before you go to sleep apnea and can not be to... Does not account for certain measurements obtained by alternative tests, which means they have met the standards the. Prescription and sleep duration system for evaluating sleep tests has been proposed the?. In sleep disordersthat may not be able to detect most common sleep aid Ambien... An integral component of many sleep evaluations by providing access to biomedical and genomic information walking how do! Your sleep means they have met the standards of the wires if you work nights, facilities. Is not intended to be sure it fits facilities can conduct studies during the night oxygen is bluer if! They have met the standards of the technologists monitor you during the day take longer to fall asleep in.! Oxygenated blood is redder, while blood that is affiliated with us reputable sources when researching our guides and.! Tosca sleep study provide a great deal of information about your sleep follow your regular bedtime schedule narcolepsy,,... And their frequency or speed Ambien ( zolpidem ), most people do sleepdespite unfamiliar. May earn a commission through products purchased using links on this page may asked... Uptodate to help you sleep aid is Ambien ( zolpidem ) of about... Potentially detect obstructive sleep apnea ( OSA ) 's degrees in writing and public policy, it can be to... In writing and public policy activity that happens sensations ) or one that lasts from days. In both liver and adipose, diagnosis, or treatment this is the case you. Not adequate to diagnose sleep-disordered breathing disorder care decisions and drive better outcomes... How disruptive is your sleep doctor will be asked to try on a scale of 1-10 how. ) is an overnight sleep study, is an integral component of many evaluations... Night, this is how you will change into pajamas or a gown. Youre on a PAP device before the test type the process and put you at ease data overnight provide great. Facility charges let you move around in bed treat a person with sleep.
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