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Constriction ring syndrome

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574: 73: 233: 3043: 49: 520:"With complete circumferential constriction bands, it is recommended that a two-stage correction approach be used. At the first operation, one-half of the circumference is excised and the other one-half can be excised after three to six months. This will avoid any problems to the distal circulation in the limb, which may already be compromised. 357:
moderate, severe, and amputation and by further defining the presence or absence of lymphedema or soft tissue loss distal to the ring. Expanding over subdivision in depth of the clefts for every classification is not necessary because the principles of treatment and technique for correction are the same.
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will be applied to the limb. A tourniquet compresses and controls local arterial and venous circulation for about two hours. The constriction band must be dissected very carefully to avoid damaging the underlying neurovasculature. When the constriction band is excised, there will be a direct closure.
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The most widely used classification system was proposed by Patterson. This classification system is based on the severity of the syndrome and is useful because, the different types require different treatments. Other clinicians have amended this scheme by separating the depth of the ring into mild,
243:. The clinical manifestations can be extremely variable. It could be a single or multiple manifestation. This can be confirmed at the end of the first trimester or at the beginning of the second trimester. However, not every patient will be diagnosed at that moment; most will be diagnosed at birth. 114:
being most common. The precise configuration of the bands, lymphedema, and character of the amputations are not predictable and vary with each individual patient. Also, more than one extremity is usually affected, and it is rare for only one ring to present as an isolated malformation with no other
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named acrosyndactyly, the fingers (or toes) were initially separated but due to the constriction they are formed back together. Sometimes multiple fingers can be involved. The distal fusion between digits or toes never initially involves a skeletal coalition. The digits are usually hypoplastic if
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There are simple constriction rings which are strands most commonly around the distal extremities as fingers and toes. In general, the thumb is not likely to be affected by a constriction ring because the fetus typically holds the thumb in tight adduction flexion, making entanglement with strands
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is a plastic surgery technique that is used to improve the functional and cosmetic appearance of scars. It can elongate a contracted scar or rotate the scar tension line. The middle line of the Z-shaped incision (the central element) is made along the line of greatest tension or contraction, and
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Because of these different theories, there are many names for this syndrome. For a long time people believed the second theory about the amniotic rupture and strands. In the research cases not every child had a real (amniotic) strand. It could be that there has to be another explanation for the
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Individual strands are small and hard to see on ultrasound, so bands are detected indirectly because of the constrictions and swelling upon limbs or digits. Misdiagnosis is also common, so if there are any signs of amniotic bands, further detailed ultrasound tests should be done to assess the
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of the digits. In other instances, bands can wrap around limbs causing restriction of movement resulting in clubbed feet. In more severe cases, the bands can constrict the limb causing decreased blood supply and amputation. Amniotic bands can also sometimes attach to the face or neck causing
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that can be attributed to ABS is unknown, although it has been reported that it may be the cause of 178 in 10,000 miscarriages. Up to 50% of cases have other congenital anomalies including cleft lip, cleft palate, and clubfoot deformity. Hand and finger anomalies occur in up to 80%.
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produces many small, thin strands that can become entangled within digits and toes. Later, as the fetus grows but the bands do not, the bands become constricting. This constriction reduces blood circulation, hence causes congenital abnormalities. In some cases a complete "natural"
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Treatment usually occurs after birth and where plastic and reconstructive surgery is considered to treat the resulting deformity. Plastic surgery ranges from simple to complex depending on the extent of the deformity. Physical and occupational therapy may be needed long-term.
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One of the most severe consequence of constriction strains is probably intrauterine amputations, this is where the constriction goes as deep as the bone and cuts off the blood supply of the proximal extremity. The result will be that the developing toe or finger will become
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Amniotic band syndrome is considered an accidental event and it does not appear to be genetic or hereditary, so the likelihood of it occurring in another pregnancy is remote. The cause of amnion tearing is unknown and as such there are no known preventative measures.
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ADAM Complex, amniotic band sequence, amniotic band syndrome, amniotic disruption complex, amniochorionic mesoblastic fibrous strings, congenital amputation, constriction band syndrome, congenital constriction bands, Streeter bands, tissue bands,
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Decreased fetal movement could be a sign of a serious problem which may include ABS. It is rare but possible for the membrane to become wrapped around the placenta or the neck of the baby in the womb causing strangulation and death.
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In rare cases, if diagnosed in utero, fetal surgery may be considered to save a limb that is in danger of amputation or other deformity. This operation has been successfully performed on fetuses as young as 22 weeks.
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Triangular flaps: for this technique, the circumference between the two borders must be measured. Depending on the difference, the number of triangular flaps can be decided. With a triangular flap, more skin can be
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and fall off. Because the result is a transverse amputation that cuts off the vascular supply to the developing extremity, the actual constriction ring is not seen. This can result in different outcomes:
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with unknown cause. Because of the unknown cause there are many different, and sometimes incorrect names. It is a malformation due to intrauterine bands or rings that give deep grooves in, most commonly,
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complete resorption; this is the most common form of amputation. In this form the amputated digit is completely resorbed during intrauterine development and therefore the amputated digit can't be found.
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The percentage of associated anomalies varies from 40% to as high as 80% Constriction ring deformities are as common on the lower extremity as on the upper, almost all of these involve the
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The constriction ring syndrome is a complex collection of asymmetric congenital anomalies, in which no two cases are exactly alike. This is why a classification is difficult to make.
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multiple digits are involved. When the constriction cuts off the blood supply to the fingers, the fingers can form a peak with the most palmar digit being the index finger. Normal
319:. CRS is the malformation due to a constriction ring around mostly a limb. ADAM complex is the association of limb defects (caused by constriction rings) and certain craniofacial 2602: 220:. An intrauterine trauma could result in hemorrhage leading to acrosyndactyly. One study also showed the presence of bands as confirmed by sonography after fetal surgery. 479:, with clubbed feet being the most common in up to 30% of reported cases. Large reported series reveal an incidence between 5% and 15% of craniofacial malformations with 2944: 3788: 397:
less likely. These malformations need to be surgically removed which must be executed in different stages and can done by different techniques (see also treatment).
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Prosthetics may help some people with ABS to live more functional lives. The price and complexity of these prosthetics vary dramatically, but advances in
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of a digit(s) or limb may occur before birth or the digit(s) or limbs may be necrotic (dead) and require surgical amputation following birth. The names
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of the scalp in which a longitudinal defect can vary in size and can often be associated with full-thickness skullcap loss. The distal digital or toe
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Weinzweig N, Barr A (1994). "Radial, ulnar and median nerve palsies caused by a congenital constriction band of the arm: single stage correction".
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The third theory postulates the involvement of intrauterine trauma. Intrauterine trauma could be something like amniocentesis, or something like a
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deformities such as cleft lip and palate. If the bands become wrapped around the head or umbilical cord it can be life-threatening for the fetus.
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Gabos PG (2006). "Modified technique for the surgical treatment of congenital constriction bands of the arms and legs of infants and children".
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depends on the location and severity of the constricting bands. Every case is different and multiple bands may be entangled around the fetus.
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Hudgins RJ, Edward MS, Ousterhout DK, Golabi M (1985–1986). "Pediatric neurosurgical implications of the amniotic band disruption complex".
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severity. 3D ultrasound and MRI can be used for more detailed and accurate diagnosis of bands and the resulting damage/danger to the fetus.
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and other forms of cleft defects occurring together with ABS; this co-occurrence suggests an intrinsic defect of the blood circulation.
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Coady MS, Moore MH, Wallis K (1988). "Amniotic Band Syndrome: the association between rare facial clefts and limb ring constrictions".
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in Melbourne, Australia, as well as multiple facilities in the United States, have performed successful amniotic band release surgery.
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and thus causing fluid retention, distal of the affected extremity. This utters itself with swollen parts distal of the constriction.
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Jones K, Smith DW, Hall BD, et al. (1974). "A pattern of craniofacial and limb defects secondary to aberrant tissue bands".
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are not present in the distal parts. Hands with fused fingers need to be released in phases to preserve the distal blood supply.
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resulting in the defects. This theory is reinforced by the clinical presentation of the constriction rings with other internal
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Tan P, Chiang Y (2011). "Triangular flaps: A modified technique for the correction of congenital constriction ring syndrome".
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Poswillo D (1966). "Observation of fetal posture and causal mechanism of congenital deformity of palate, mandible and limbs".
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to the site of constriction (or amputation) is developmentally normal. CRS can be associated with other malformations with
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Graf JL, Bealer JF, Gibbs DL, et al. (2006). "Chorioamniotic membrane separation: a potentially lethal finding".
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rupture. When spontaneous rupture of the amnion occurs early in the second trimester, the separation of amnion from
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Surgical correction is recommended when a constriction ring results in a limb contour deformity, with or without
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Temtamy SA, McKusick V (1978). "Digital and other malformations associated with congenital ring constrictions".
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extremities like fingers and toes. In rare cases the constriction ring can form around other parts of the
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are not present. The digital or toe hypoplasia-aplasia usually contains diminutive nails or nail folds".
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Garza A, Cordero JF, Mulinare J (1988). "Epidemiology of the early amnion rupture spectrum of defects".
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have helped to increase the availability of artificial fingers while reducing their cost of production.
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For the direct closure of the defect after dissecting a constriction band there are two techniques:
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The first is the intrinsic theory, which was proposed by Streeter in 1930, implicates an anomaly in
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engraftment elsewhere; the amputated digit can be, in rare cases, engrafted somewhere on the fetus.
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Foulkes GD, Reinker K (1994). "Congenital Constriction Band Syndrome: A seventy-Year Experience".
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Van Allen MI, Curry C, Walden CE (1987). "Limb body wall complex: II Limb and spine defects".
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Ogino T, Saitou Y (1987). "Congenital constriction band syndrome and transverse deficiency".
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constriction rings associated with deformity of the distal part with or without lymphedema
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Patterson divided the constriction ring associated with acrosyndactyly into three types:
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Van Allen MI, Curry C, Gallagher L (1987). "Limb body wall complex: I Pathogenesis".
1162: 1061: 896: 858: 665: 625: 524:, when present, will significantly improve within a few weeks of the first surgery." 330: 217: 1587: 1544: 1466: 989:
Pillay VK (1965). "Intrauterine amputations and annular limb defects in Singapore".
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triangular flaps are raised on opposite sides of the two ends and then transposed."
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and cut off the blood supply to the fetus which will result in intrauterine death.
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There are three different theories to the cause of the constriction ring syndrome.
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The second theory postulates the involvement of an intrauterine disruption during
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No positive relationship between CRS and genetic inheritance has been reported.
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of constriction ring syndrome varies from 1/1200 and 1/15,000 live births. The
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The Growing Hand: Diagnosis and Management of the Upper Extremity in Children
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Type II: the tips of the digits are joined, but web formation is not complete
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seasons 1 and 3 contestant, founder of She Lift for girls with disabilities.
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This allows the fatty tissue to naturally reposition itself under the skin.
312: 267: 185: 111: 17: 1829: 1776: 1724: 1684: 1431: 1221: 826: 309:; CRS is sometimes mislabeled as ADAM complex. ADAM is an abbreviation for 2195: 2160: 1622: 1579: 1536: 1501: 1393: 1358: 1294: 1259: 1170: 1126: 972: 904: 866: 695:, University of Wisconsin football player (2017 Cotton Bowl Offensive MVP) 3426: 2396: 1988:"For Wisconsin tight end Troy Fumagalli, amputated finger is no big deal" 1069: 536: 448: 436: 263: 255: 158: 3149: 2701: 931: 338: 193: 2217: 2170:"Congenital constriction band syndrome. Pathophysiology and treatment" 1614: 1558:
Eppley BL, David L, Li M, et al. (1998). "Amniotic band facies".
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Type I: conjoined fingertips with well-formed webs of the proper depth
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and systematic anomalies. Because of these other anomalies, the names
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Moses J, Flatt AE, Cooper R (1979). "Annular constricting bands".
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Type III: joined tips, sinus tracts between digits and absent webs
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are given to this defect/disease. This is sometimes attributed to
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Walter JH, Goss LR, Lazzara AT (1998). "Amniotic band syndrome".
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Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007).
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Diagnosis of constriction ring syndrome can be confirmed with an
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Swelling of the extremities distal to the point of constriction (
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The constriction of appendages by amniotic bands may result in:
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is often confused with CRS. Constriction rings with or without
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Pruritic urticarial papules and plaques of pregnancy (PUPPP)
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Kawamura K, Chung KC (2009). "Constriction Band Syndrome".
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Amniotic band syndrome of the hand in a 26-year-old male
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Van der Meulen J (1999). "The amniotic band syndrome".
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Causabon J (1983). "Congenital band about the pelvis".
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Bands which wrap around fingers and toes can result in
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Malformation associated with constriction ring syndrome
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recovery of the digit; the digit is recovered with the
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An infant's hand affected by constriction ring syndrome
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Pathology of pregnancy, childbirth and the puerperium
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Patterson T (1961). "Congenital ring constrictions".
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In extremely rare cases a strain can form around the
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Constriction rings around the digits, arms, and legs
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Other abnormalities found with ABS include: 3076: 2345: 8: 755:, auto-amputation of the fifth toe in adults 405:The CRS involves strands which obstruct the 329:is often mislabeled as CRS and consists of 3337: 3111: 3083: 3069: 3061: 2517: 2382: 2352: 2338: 2330: 2208: 650:, British member Paralympics dressage team 211:amniochorionic mesoblastic fibrous strings 188:followed by a cascade of events involving 71: 47: 29: 2185: 1973:"Men's Eagles - USA Rugby National Teams" 1766: 1348: 1211: 1201: 962: 2174:The Yale Journal of Biology and Medicine 2089:"Champion Gymnast Reveals Secret Sister" 737:, Spanish-American singer and songwriter 643:Notable people living with ABS include: 417:In this form there is a complex form of 3789:Genetic disorders with OMIM but no gene 765: 707:, Miami Dolphins Football Player (2016 3799:Syndromes with cleft lip and/or palate 137:Amputation of digits, arms, and legs ( 2583:Intrahepatic cholestasis of pregnancy 2550:Intrahepatic cholestasis of pregnancy 2141:The Journal of Foot and Ankle Surgery 286:The differential diagnosis includes: 7: 3355:Infant respiratory distress syndrome 2649:Pregnancy-induced hypercoagulability 2054:Green, Shannon (September 8, 2016). 1736: 1734: 1696: 1694: 1405: 1403: 1386:10.1001/archpedi.1988.02150050079037 1326: 1324: 1322: 1306: 1304: 1275:American Journal of Medical Genetics 1240:American Journal of Medical Genetics 1144: 1142: 1140: 1138: 1136: 1085: 1083: 1081: 1079: 1033:Gupta A, Kay SP, Scheker LR. "205". 2108:Jeffrey, Joyann (August 22, 2022). 1936:"Jean Jacques Machado - BJJ Heroes" 1741:Choulakian MY, Williams HB (2008). 1028: 1026: 1024: 1022: 1020: 1018: 1016: 1014: 1012: 878: 876: 840: 838: 836: 800: 798: 796: 794: 674:, 7th degree red-and-black belt in 3360:Transient tachypnea of the newborn 2598:Pruritic folliculitis of pregnancy 2012:Arboleda, Cindy (11 August 2017). 1986:Temple, Jesse (November 4, 2016). 1791:"Surgeons save unborn baby's legs" 512:At the beginning of the surgery a 25: 3138:Twin-to-twin transfusion syndrome 2856:Pain management during childbirth 2783:Twin-to-twin transfusion syndrome 2073:Adelson, Eric (August 17, 2017). 1151:Journal of Pediatric Orthopaedics 296:Hypoplasias of hand, digit, thumb 3656:Vertically transmitted infection 3042: 3041: 3028:Sexual activity during pregnancy 1650:10.1097/00006534-199903000-00068 1572:10.1097/00001665-199807000-00013 1529:10.1097/00006534-199803000-00010 1494:10.1097/00006534-198301000-00027 1163:10.1097/01241398-199403000-00021 1062:10.2106/00004623-197961040-00011 897:10.1097/00006534-199411000-00022 709:AAC Defensive Player of the Year 224:development of these anomalies. 115:manifestation of this syndrome. 3748:Fetal Alcohol Spectrum Disorder 3698:Group B streptococcal infection 3266:Intrauterine growth restriction 553:Reconstructions and prosthetics 3784:Cutaneous congenital anomalies 3091:Conditions originating in the 2530:Acute fatty liver of pregnancy 1: 3440:Vitamin K deficiency bleeding 2732:Prelabor rupture of membranes 2153:10.1016/s1067-2516(98)80070-7 1677:10.1016/s0022-3476(74)80559-7 819:10.1016/S0007-1226(61)80002-7 621:is equal in male and female. 481:clefting of the lip or palate 102:and cause amputation or even 3599:Periventricular leukomalacia 3417:Persistent fetal circulation 3365:Meconium aspiration syndrome 3011:Systemic lupus erythematosus 2662:Maternal care related to the 2644:Gestational thrombocytopenia 1822:10.3928/01477447-20060501-10 1459:10.1177/00220345660450032301 1313:Birth Defects Orig Artic Ser 859:10.1016/0266-7681(87)90185-9 3508:Intraventricular hemorrhage 2812:Cephalopelvic disproportion 2168:Light TR, Ogden JA (1993). 1862:http://www.sophiewells.com/ 1331:Light TR, Ogden JA (1993). 945:Light TR, Ogden JA (1993). 360:There are four categories: 207:amniotic disruption complex 3825: 3513:Germinal matrix hemorrhage 3503:Velamentous cord insertion 3394:Bronchopulmonary dysplasia 2923:Breastfeeding difficulties 2722:Constriction ring syndrome 2696:Braxton Hicks contractions 1759:10.1177/229255030801600409 1003:10.1302/0301-620X.47B3.514 624:Fetomaternal factors like 213:are based on this theory. 167:constriction band syndrome 163:constriction ring syndrome 83:Constriction ring syndrome 33:Constriction ring syndrome 3543:Necrotizing enterocolitis 3252:Large for gestational age 3248:Small for gestational age 3036: 2960:Peripartum cardiomyopathy 2950:Pubic symphysis diastasis 1717:10.1142/s021881041100576x 1424:10.1016/j.hcl.2008.10.007 775:Dermatology: 2-Volume Set 364:simple constriction rings 55: 46: 2486:Gestational hypertension 3804:Syndromes with dysmelia 3705:Neonatal conjunctivitis 3196:Single umbilical artery 3186:Umbilical cord prolapse 3133:Placental insufficiency 3106:complicating pregnancy, 2885:Umbilical cord prolapse 2807:Amniotic fluid embolism 2565:dermatoses of pregnancy 1287:10.1002/ajmg.1320280303 1252:10.1002/ajmg.1320280302 1203:10.4103/2156-7514.95436 748:List of skin conditions 717:, acrobat and aerialist 689:, US Men's Rugby Player 668:, US Paralympic swimmer 600:The number of cases of 535:Z-plasty or W-plasty: " 3769:Congenital amputations 3681:ureaplasma urealyticum 3389:Wilson–Mikity syndrome 3313:Brachial plexus injury 3001:Concomitant conditions 2980:Postpartum thyroiditis 2758:Circumvallate placenta 2578:Impetigo herpetiformis 2573:Gestational pemphigoid 2545:Hyperemesis gravidarum 2478:hypertensive disorders 727:season 17 contestant, 656:, US volleyball player 578: 477:musculoskeletal system 293:Congenital amputations 282:Differential diagnosis 236: 203:amniotic band syndrome 3629:Congenital hypertonia 3520:Anemia of prematurity 3228:Shoulder presentation 2970:Postpartum infections 2965:Postpartum depression 1952:Monica Price website 1860:Sophie Wells website 924:Dublin J Med Chem Sci 918:Montgomery W (1832). 576: 547:Monash Medical Centre 424:neurovascular bundles 327:Adams–Oliver syndrome 299:Adams–Oliver syndrome 235: 139:congenital amputation 132:congenital lymphedema 3779:Causes of amputation 3774:Congenital disorders 3634:Congenital hypotonia 3548:Meconium peritonitis 3350:Intrauterine hypoxia 3306:Subgaleal hemorrhage 2975:Postpartum psychosis 2844:Obstetrical bleeding 2739:Obstetrical bleeding 2560:Integumentary system 2535:Gestational diabetes 2514:related to pregnancy 2512:Other, predominantly 1184:Nardoza LMM (2012). 1050:J Bone Joint Surg Am 991:J Bone Joint Surg Am 777:. St. Louis: Mosby. 729:Bachelor in Paradise 672:Jean-Jacques Machado 628:, maternal illness, 311:amniotic deformity, 3809:Types of amputation 3743:Neonatal withdrawal 3726:Perinatal mortality 3576:Sclerema neonatorum 3432:hematologic disease 2955:Postpartum bleeding 2778:Placental abruption 2763:Monochorionic twins 2593:Prurigo gestationis 1638:Plast Reconstr Surg 1517:Plast Reconstr Surg 1482:Plast Reconstr Surg 1037:. pp. 185–212. 885:Plast Reconstr Surg 676:Brazilian Jiu-Jitsu 175:vascular disruption 91:congenital disorder 3676:mycoplasma hominis 3661:Neonatal infection 3617:Gray baby syndrome 3594:Perinatal asphyxia 3484:Hyperbilirubinemia 3261:Postterm pregnancy 3108:labour or delivery 2985:Puerperal mastitis 2940:Breast engorgement 2727:Monoamniotic twins 2717:Chorionic hematoma 2293:External resources 1959:2020-08-09 at the 1897:Single-handed art 1190:J Clin Imaging Sci 1107:J Fetal Diagn Ther 932:10.1007/BF02967985 847:J Hand Surg Br Vol 699:Lyric Mariah Heard 579: 508:Surgical technique 459:Intrauterine death 373:uterine amputation 237: 119:Signs and symptoms 104:intrauterine death 3756: 3755: 3644: 3643: 3494:Neonatal jaundice 3412:Pneumopericardium 3382:Pneumomediastinum 3323:Klumpke paralysis 3301:Caput succedaneum 3236: 3235: 3104:Maternal factors 3058: 3057: 3016:Thyroid disorders 3006:Diabetes mellitus 2890:Uterine inversion 2822:Shoulder dystocia 2817:Obstructed labour 2793: 2792: 2657: 2656: 2626:Chorea gravidarum 2402:Ectopic pregnancy 2327: 2326: 1644:(13): 1087–1090. 1615:10.1159/000120257 1603:Pediatric Neursci 1119:10.1159/000264436 1092:J Plastic Surgery 784:978-1-4160-2999-1 407:lymphatic vessels 80: 79: 27:Medical condition 16:(Redirected from 3816: 3736:Infant mortality 3571:Erythema toxicum 3563:thermoregulation 3530:Gastrointestinal 3338: 3334:Affected systems 3211: 3179: 3164:Chorioamnionitis 3157: 3128:Placenta praevia 3121: 3112: 3085: 3078: 3071: 3062: 3045: 3044: 2880:Postmature birth 2868:Placenta accreta 2773:Placenta praevia 2768:Placenta accreta 2712:Chorioamnionitis 2522:Digestive system 2518: 2444:Fetal resorption 2432:Rudimentary horn 2389:abortive outcome 2383: 2354: 2347: 2340: 2331: 2209: 2199: 2189: 2164: 2126: 2125: 2123: 2122: 2105: 2099: 2098: 2085: 2079: 2078: 2070: 2064: 2063: 2060:Orlando Sentinel 2051: 2045: 2044: 2035:Glock, Allison. 2032: 2026: 2025: 2023: 2021: 2009: 2003: 2002: 2000: 1998: 1983: 1977: 1976: 1969: 1963: 1950: 1944: 1943: 1932: 1926: 1921: 1915: 1914: 1912: 1911: 1902:. Archived from 1895: 1889: 1888: 1886: 1885: 1876:. Archived from 1870: 1864: 1858: 1852: 1851: 1840: 1834: 1833: 1805: 1799: 1798: 1787: 1781: 1780: 1770: 1747:Can J Plast Surg 1738: 1729: 1728: 1698: 1689: 1688: 1660: 1654: 1653: 1633: 1627: 1626: 1609:(4–5): 232–239. 1598: 1592: 1591: 1560:J Craniofac Surg 1555: 1549: 1548: 1512: 1506: 1505: 1477: 1471: 1470: 1442: 1436: 1435: 1407: 1398: 1397: 1369: 1363: 1362: 1352: 1328: 1317: 1316: 1308: 1299: 1298: 1270: 1264: 1263: 1235: 1226: 1225: 1215: 1205: 1181: 1175: 1174: 1146: 1131: 1130: 1102: 1096: 1095: 1087: 1074: 1073: 1045: 1039: 1038: 1030: 1007: 1006: 986: 977: 976: 966: 942: 936: 935: 915: 909: 908: 880: 871: 870: 842: 831: 830: 802: 789: 788: 770: 715:Jennifer Bricker 687:Kingsley McGowan 630:low birth weight 451:during delivery. 290:Symbrachydactyly 76: 75: 51: 30: 21: 3824: 3823: 3819: 3818: 3817: 3815: 3814: 3813: 3759: 3758: 3757: 3752: 3709: 3693:Neonatal sepsis 3640: 3609:Musculoskeletal 3603: 3580: 3561: 3552: 3524: 3479:Hydrops fetalis 3430: 3421: 3398: 3371:Pleural disease 3329: 3291:Cephalohematoma 3270: 3232: 3205: 3200: 3173: 3168: 3147: 3142: 3115: 3107: 3105: 3099: 3089: 3059: 3054: 3032: 2989: 2933:Cracked nipples 2928:Low milk supply 2909: 2895:Uterine rupture 2789: 2684:Oligohydramnios 2669:amniotic cavity 2663: 2653: 2630: 2612: 2563: 2554: 2513: 2507: 2476: 2463: 2449:Molar pregnancy 2388: 2372: 2358: 2328: 2323: 2322: 2288: 2287: 2220: 2206: 2167: 2138: 2135: 2133:Further reading 2130: 2129: 2120: 2118: 2107: 2106: 2102: 2087: 2086: 2082: 2077:. Yahoo Sports. 2072: 2071: 2067: 2053: 2052: 2048: 2034: 2033: 2029: 2019: 2017: 2011: 2010: 2006: 1996: 1994: 1985: 1984: 1980: 1971: 1970: 1966: 1961:Wayback Machine 1951: 1947: 1934: 1933: 1929: 1922: 1918: 1909: 1907: 1898: 1896: 1892: 1883: 1881: 1872: 1871: 1867: 1859: 1855: 1842: 1841: 1837: 1807: 1806: 1802: 1789: 1788: 1784: 1740: 1739: 1732: 1700: 1699: 1692: 1662: 1661: 1657: 1635: 1634: 1630: 1600: 1599: 1595: 1557: 1556: 1552: 1514: 1513: 1509: 1488:(71): 120–122. 1479: 1478: 1474: 1444: 1443: 1439: 1409: 1408: 1401: 1371: 1370: 1366: 1343:(66): 143–155. 1337:Yale J Biol Med 1330: 1329: 1320: 1310: 1309: 1302: 1272: 1271: 1267: 1237: 1236: 1229: 1183: 1182: 1178: 1148: 1147: 1134: 1113:(21): 255–258. 1104: 1103: 1099: 1089: 1088: 1077: 1047: 1046: 1042: 1032: 1031: 1010: 997:(47): 514–519. 988: 987: 980: 957:(66): 143–155. 951:Yale J Biol Med 944: 943: 939: 917: 916: 912: 882: 881: 874: 844: 843: 834: 807:Br J Plast Surg 804: 803: 792: 785: 772: 771: 767: 762: 744: 705:Shaquem Griffin 641: 611: 571: 555: 510: 498: 489: 351: 284: 241:ultrasonography 230: 177:shared between 148: 121: 70: 28: 23: 22: 15: 12: 11: 5: 3822: 3820: 3812: 3811: 3806: 3801: 3796: 3791: 3786: 3781: 3776: 3771: 3761: 3760: 3754: 3753: 3751: 3750: 3745: 3740: 3739: 3738: 3733: 3723: 3717: 3715: 3711: 3710: 3708: 3707: 3702: 3701: 3700: 3690: 3685: 3684: 3683: 3678: 3673: 3671:herpes simplex 3668: 3658: 3652: 3650: 3646: 3645: 3642: 3641: 3639: 3638: 3637: 3636: 3631: 3619: 3613: 3611: 3605: 3604: 3602: 3601: 3596: 3590: 3588: 3586:Nervous system 3582: 3581: 3579: 3578: 3573: 3567: 3565: 3554: 3553: 3551: 3550: 3545: 3540: 3534: 3532: 3526: 3525: 3523: 3522: 3517: 3516: 3515: 3505: 3499: 3498: 3497: 3496: 3491: 3481: 3476: 3475: 3474: 3469: 3464: 3459: 3454: 3443: 3442: 3436: 3434: 3423: 3422: 3420: 3419: 3414: 3408: 3406: 3404:Cardiovascular 3400: 3399: 3397: 3396: 3391: 3386: 3385: 3384: 3379: 3367: 3362: 3357: 3352: 3346: 3344: 3335: 3331: 3330: 3328: 3327: 3326: 3325: 3320: 3310: 3309: 3308: 3303: 3298: 3293: 3280: 3278: 3272: 3271: 3269: 3268: 3263: 3254: 3244: 3242: 3238: 3237: 3234: 3233: 3231: 3230: 3225: 3220: 3214: 3212: 3202: 3201: 3199: 3198: 3193: 3188: 3182: 3180: 3176:umbilical cord 3170: 3169: 3167: 3166: 3160: 3158: 3144: 3143: 3141: 3140: 3135: 3130: 3124: 3122: 3109: 3101: 3100: 3090: 3088: 3087: 3080: 3073: 3065: 3056: 3055: 3053: 3052: 3037: 3034: 3033: 3031: 3030: 3025: 3023:Maternal death 3020: 3019: 3018: 3013: 3008: 2997: 2995: 2991: 2990: 2988: 2987: 2982: 2977: 2972: 2967: 2962: 2957: 2952: 2947: 2942: 2937: 2936: 2935: 2930: 2919: 2917: 2911: 2910: 2908: 2907: 2902: 2897: 2892: 2887: 2882: 2877: 2872: 2871: 2870: 2858: 2853: 2852: 2851: 2841: 2836: 2831: 2829:Fetal distress 2826: 2825: 2824: 2814: 2809: 2803: 2801: 2795: 2794: 2791: 2790: 2788: 2787: 2786: 2785: 2780: 2775: 2770: 2765: 2760: 2748: 2747: 2746: 2736: 2735: 2734: 2729: 2724: 2719: 2714: 2698: 2693: 2692: 2691: 2689:Polyhydramnios 2686: 2678:amniotic fluid 2673: 2671: 2659: 2658: 2655: 2654: 2652: 2651: 2646: 2640: 2638: 2632: 2631: 2629: 2628: 2622: 2620: 2618:Nervous system 2614: 2613: 2611: 2610: 2605: 2600: 2595: 2590: 2585: 2580: 2575: 2569: 2567: 2556: 2555: 2553: 2552: 2547: 2542: 2537: 2532: 2526: 2524: 2515: 2509: 2508: 2506: 2505: 2500: 2499: 2498: 2496:HELLP syndrome 2488: 2482: 2480: 2465: 2464: 2462: 2461: 2456: 2451: 2446: 2441: 2436: 2435: 2434: 2429: 2424: 2419: 2414: 2409: 2399: 2393: 2391: 2387:Pregnancy with 2380: 2374: 2373: 2359: 2357: 2356: 2349: 2342: 2334: 2325: 2324: 2321: 2320: 2309: 2297: 2296: 2294: 2290: 2289: 2286: 2285: 2274: 2263: 2252: 2237: 2221: 2216: 2215: 2213: 2212:Classification 2205: 2204:External links 2202: 2201: 2200: 2165: 2134: 2131: 2128: 2127: 2100: 2080: 2065: 2046: 2027: 2004: 1978: 1964: 1945: 1927: 1916: 1890: 1865: 1853: 1835: 1800: 1782: 1753:(4): 221–223. 1730: 1711:(3): 387–393. 1690: 1655: 1628: 1593: 1566:(4): 360–365. 1550: 1523:(3): 640–649. 1507: 1472: 1453:(3): 584–596. 1437: 1418:(2): 257–264. 1399: 1380:(5): 541–544. 1374:Am J Dis Child 1364: 1318: 1300: 1281:(3): 549–565. 1265: 1246:(3): 529–548. 1227: 1176: 1157:(2): 242–248. 1132: 1097: 1075: 1056:(4): 562–565. 1040: 1008: 978: 937: 910: 891:(6): 872–876. 872: 853:(3): 343–348. 832: 790: 783: 764: 763: 761: 758: 757: 756: 750: 743: 740: 739: 738: 735:Victoria Canal 732: 718: 712: 702: 696: 693:Troy Fumagalli 690: 684: 678: 669: 663: 660:Ian T. Jamison 657: 651: 640: 637: 610: 607: 570: 567: 554: 551: 542: 541: 533: 509: 506: 497: 494: 488: 485: 473: 472: 465:umbilical cord 461: 460: 456: 455: 452: 445: 432: 431: 415: 414: 403: 402: 394: 393: 389: 388: 385: 382: 375: 374: 371: 368: 365: 350: 349:Classification 347: 304: 303: 300: 297: 294: 291: 283: 280: 229: 226: 171:Streeter bands 147: 144: 143: 142: 135: 128: 120: 117: 106:. The anatomy 78: 77: 64: 58: 57: 53: 52: 44: 43: 39: 35: 34: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3821: 3810: 3807: 3805: 3802: 3800: 3797: 3795: 3792: 3790: 3787: 3785: 3782: 3780: 3777: 3775: 3772: 3770: 3767: 3766: 3764: 3749: 3746: 3744: 3741: 3737: 3734: 3732: 3729: 3728: 3727: 3724: 3722: 3719: 3718: 3716: 3712: 3706: 3703: 3699: 3696: 3695: 3694: 3691: 3689: 3686: 3682: 3679: 3677: 3674: 3672: 3669: 3667: 3664: 3663: 3662: 3659: 3657: 3654: 3653: 3651: 3647: 3635: 3632: 3630: 3627: 3626: 3625: 3624: 3620: 3618: 3615: 3614: 3612: 3610: 3606: 3600: 3597: 3595: 3592: 3591: 3589: 3587: 3583: 3577: 3574: 3572: 3569: 3568: 3566: 3564: 3559: 3555: 3549: 3546: 3544: 3541: 3539: 3536: 3535: 3533: 3531: 3527: 3521: 3518: 3514: 3511: 3510: 3509: 3506: 3504: 3501: 3500: 3495: 3492: 3490: 3487: 3486: 3485: 3482: 3480: 3477: 3473: 3470: 3468: 3465: 3463: 3460: 3458: 3455: 3453: 3450: 3449: 3448: 3445: 3444: 3441: 3438: 3437: 3435: 3433: 3428: 3424: 3418: 3415: 3413: 3410: 3409: 3407: 3405: 3401: 3395: 3392: 3390: 3387: 3383: 3380: 3378: 3375: 3374: 3373: 3372: 3368: 3366: 3363: 3361: 3358: 3356: 3353: 3351: 3348: 3347: 3345: 3343: 3339: 3336: 3332: 3324: 3321: 3319: 3316: 3315: 3314: 3311: 3307: 3304: 3302: 3299: 3297: 3294: 3292: 3289: 3288: 3287: 3286: 3282: 3281: 3279: 3277: 3273: 3267: 3264: 3262: 3258: 3257:Preterm birth 3255: 3253: 3249: 3246: 3245: 3243: 3239: 3229: 3226: 3224: 3221: 3219: 3216: 3215: 3213: 3210: 3209: 3203: 3197: 3194: 3192: 3189: 3187: 3184: 3183: 3181: 3178: 3177: 3171: 3165: 3162: 3161: 3159: 3156: 3155: 3151: 3145: 3139: 3136: 3134: 3131: 3129: 3126: 3125: 3123: 3120: 3119: 3113: 3110: 3102: 3098: 3097:fetal disease 3094: 3086: 3081: 3079: 3074: 3072: 3067: 3066: 3063: 3051: 3050: 3046: 3039: 3038: 3035: 3029: 3026: 3024: 3021: 3017: 3014: 3012: 3009: 3007: 3004: 3003: 3002: 2999: 2998: 2996: 2992: 2986: 2983: 2981: 2978: 2976: 2973: 2971: 2968: 2966: 2963: 2961: 2958: 2956: 2953: 2951: 2948: 2946: 2943: 2941: 2938: 2934: 2931: 2929: 2926: 2925: 2924: 2921: 2920: 2918: 2916: 2912: 2906: 2905:Uterine atony 2903: 2901: 2898: 2896: 2893: 2891: 2888: 2886: 2883: 2881: 2878: 2876: 2875:Preterm birth 2873: 2869: 2866: 2865: 2864: 2863: 2859: 2857: 2854: 2850: 2847: 2846: 2845: 2842: 2840: 2837: 2835: 2832: 2830: 2827: 2823: 2820: 2819: 2818: 2815: 2813: 2810: 2808: 2805: 2804: 2802: 2800: 2796: 2784: 2781: 2779: 2776: 2774: 2771: 2769: 2766: 2764: 2761: 2759: 2756: 2755: 2754: 2753: 2749: 2745: 2742: 2741: 2740: 2737: 2733: 2730: 2728: 2725: 2723: 2720: 2718: 2715: 2713: 2710: 2709: 2708: 2707: 2703: 2699: 2697: 2694: 2690: 2687: 2685: 2682: 2681: 2680: 2679: 2675: 2674: 2672: 2670: 2666: 2660: 2650: 2647: 2645: 2642: 2641: 2639: 2637: 2633: 2627: 2624: 2623: 2621: 2619: 2615: 2609: 2608:Stretch marks 2606: 2604: 2601: 2599: 2596: 2594: 2591: 2589: 2586: 2584: 2581: 2579: 2576: 2574: 2571: 2570: 2568: 2566: 2561: 2557: 2551: 2548: 2546: 2543: 2541: 2538: 2536: 2533: 2531: 2528: 2527: 2525: 2523: 2519: 2516: 2510: 2504: 2501: 2497: 2494: 2493: 2492: 2491:Pre-eclampsia 2489: 2487: 2484: 2483: 2481: 2479: 2474: 2470: 2466: 2460: 2457: 2455: 2452: 2450: 2447: 2445: 2442: 2440: 2437: 2433: 2430: 2428: 2425: 2423: 2420: 2418: 2415: 2413: 2410: 2408: 2405: 2404: 2403: 2400: 2398: 2395: 2394: 2392: 2390: 2384: 2381: 2379: 2375: 2371: 2367: 2363: 2360:Pathology of 2355: 2350: 2348: 2343: 2341: 2336: 2335: 2332: 2319: 2315: 2314: 2310: 2308: 2304: 2303: 2299: 2298: 2295: 2291: 2284: 2280: 2279: 2275: 2273: 2269: 2268: 2264: 2262: 2258: 2257: 2253: 2251: 2247: 2246: 2242: 2238: 2236: 2232: 2231: 2227: 2223: 2222: 2219: 2214: 2210: 2203: 2197: 2193: 2188: 2183: 2180:(3): 143–55. 2179: 2175: 2171: 2166: 2162: 2158: 2154: 2150: 2147:(4): 325–33. 2146: 2142: 2137: 2136: 2132: 2117: 2116: 2111: 2104: 2101: 2096: 2095: 2090: 2084: 2081: 2076: 2069: 2066: 2061: 2057: 2050: 2047: 2042: 2038: 2031: 2028: 2015: 2008: 2005: 1997:September 30, 1993: 1989: 1982: 1979: 1974: 1968: 1965: 1962: 1958: 1955: 1949: 1946: 1941: 1937: 1931: 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Index

ADAM complex

Specialty
Pediatrics
Edit this on Wikidata
congenital disorder
distal
fetus
intrauterine death
proximal
club foot
congenital lymphedema
congenital amputation
germ plasm
visceral
cleft palate
pregnancy
amniotic
chorion
amputation
fetal surgery

ultrasonography
clubfoot
bilaterally
clubhands
cleft lip
cleft palate
hemangioma
adhesions

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