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Dermatology:

Dermatology is a part of medical science working with the skin, it is structure,


functions, and diseases.
Dermatologists:
Dermatologists: Dermatologists spend significant time in diagnosing and treating
conditions identified with skin, crimped hair, and nails, including concerns identified
with restorative issues, for example, sun obliteration and maturing, and in addition
skin disease, and other therapeutic skin conditions.

Dermatologists who have extra intrigue and ability in performing surgical systems
are called dermatologic specialists or derma specialists.

Specialty conditions like "dermatologist" and "dermatologic surgeon" in many cases


are unregulated and may be used in a few claims by any doctor, no matter of their
training and credentials.
Along these lines, for event, a specialist who has a dynamic therapeutic allow and is
board authorize in Internal Medicine however who has not experienced any strength
preparing in dermatology may allude to him or herself as a dermatologist or derma
specialist, regardless of the way that their preparation and suggestions may not
precisely reflect specialization here of restorative practice.
Cosmetic dermatology:
Skin is the most significant organ of the human body, and as a result, doctors
typically give a wide variety of treatments for it.
Whether you wish to correct wrinkles, creepy pores and skin, or razor bumps, a
board certified dermatologist or derma surgeon may help you by offering an
individual treatment or any combo of the following:
Cosmetic dermatology - Non-surgical procedures:

Laser light treatments


Chemical peel
Injectable fillers
Botox and Dysport
Lip enlargement
Non-surgical nose area job
Non-surgical facelift
Pimple treatment
Acne scar removing
Microdermabrasion
Dermabrasion
Vein treatment
Scar removal
Skin tightening up

Cosmetic dermatology - Medical procedures :

Mole removal
Mohs surgery (reconstruction)
Hair hair transplant
Liposuction
Facelift
Eyelid surgery
Medical dermatology

Most doctors and derma surgeons also offer treatments for a variety of medical skin
conditions, in addition to aesthetic treatments. Albeit most pores and skin issues
can make visual concerns, the accompanying conditions are generally viewed as
therapeutic issues, and treatment might be secured by protection.

Medical dermatology - Circumstances treated

Rosacea
Eczema
Psoriasis
Dermatitis
Skin cancer

Private Dermatology Practice:

Why a private practice for your dermatological treatments:

Debs cites the autonomy that private practice owners have among the most
significant rewards associated with establishing a medical business; it takes on a
greater role in making the following benefits easy for self-employed physicians:

Get Your Own Boss:

Having the top position, medical practice owners do not reply to administration,
office operators or other executives that often impact the work environment and
role of your physician in a salaried position. There is no-one pushing them to
improve the number of patients seen per day, or how to run their daily operations.
Private practice owners can easily exercise a higher level of creativity. That they set
their own specific a couple of hours, relegate their own particular getaway time, and
choose the accompanying steps for boosting their business destinations.
Create a Respected and Trusted Organization:
The ability to run a practice as a physician sees fit allows them to create the
atmosphere and quality of services they'd like to provide patients, such as offering
an even more relaxed, laid-back, family-oriented environment. In The Pros and Cons
of Private Practice, J. Martin Litton, Jr, MD, benefits this benefit to being able to
maintain a "high patient retention rate" and noted that patients enjoy being able to
see the same medical doctor, nurse, and front office staff for follow-up trips.

Control Who You Work together with:

Physicians typically review the applications of nurses, office staff and other health
care employees for their private practice, this means they have better control in
outfitting the office with suitable, highly motivated work environment personalities.
At the point when clashes occur with attendants and office staff, private practice
proprietors have energy to style or reject, when vital.
Greater Ability to Boost Revenue:

Unlike working for a company, physicians in private practice are able to increase
earnings by accepting more patients, advancing hours, as well as offering weekend
and night time appointments. Depending on a physician's specialty, solo
professionals can also increase their income by giving supplementary services,
including the orthopedic doctor who performs procedures on patients at private
surgery centers and rehabilitative centers. New physicians could also provide virtual
visits or telehealth services to earn additional income.
Basic leadership Freedom:

Coming from tolerating a particular protection bearer to obtaining a fresh out of the
plastic new bit of bleeding edge hardware, doctors running their own medicinal
practice have the ability to settle on vital choices with respect to office flow and the
nature of patient care they give. Independently employed doctors can likewise
quickly interface to new medicines, rising therapeutic advancements, and the need
to roll out broad improvements.

Support Patients in Need:

Solitary practitioners are also in a position to make decisions that affect the
affordability of care without having to response to higher management, such as
steering clear of unnecessary diagnostic procedures or making an effort to better be
familiar with cost distinctions of various treatment plans and prescriptions which
can lower out-of-pocket expenditures for patients. Doctors may likewise execute a
falling scale cost to treat low-wage patients.

Unlimited Opportunities:

As an independently employed specialist with a private practice, the decisions and


chances to produce benefits and offer administrations to customers are boundless,
including general solution, specific treatment, meeting, and preparing others.

Options for Offsetting Medical Private Practice Costs & Issues:


When creating a private practice, a sole proprietor physicians and medical experts
often find that being a professional clinician is not enough to handle a successful
medical practice. Many people hiring an expert or attending a class or workshop, a
doctor increases their chances of success by boosting their business knowledge,
access to solid resources, embracing cost effective decisions, and seeking
assistance from others:

Determine a Practice Focus:

According to Heather Hill-Spaine, of Specific Psych Practice LLC, medical


professionals should narrow the concentrate of the their practice, as states it can
been her observation a lack of practice specs enhances the chances of a practice
not surviving their first 1 to 3 years. Slope Spaine says that distinguishing the sorts
of patients a doctor might want to serve and the assortments of administrations
that they had jump at the chance to offer can make molding and building a private
practice much simpler to accomplish.

Hill-Spaine advises assessing specific population(s) and communities to


serve :

Sketching from special training and experience regarding disorders and conditions;
acknowledging unique or personal connections to the community; and amplifying
the things that set a health care provider besides those who provide the same or
similar services.

Obtain Adequate Business Teaching:

One common misconception about the establishment of the private practice is that
expert health care knowledge and skills translates into a medical business that will
automatically thrive. However, physicians who lack sufficient training and
entrepreneurial knowledge face an increased likelihood of inability. A physician must
learn business strategies, design, and implementation as it belongs to running a
private practice.

Use a Business Specialist or Consultant:


Healthcare business specialists are prepared to guide doctors through the way
toward propelling and dealing with a restorative private practice. Even though the
average cost for their services is in the $5, 000 to $7, 500 range, advisors and sales
staff assist self-employed practitioners with:

The accounting and legal aspects of a personal practice


Obtaining the proper insurance for practicing and managing a business
Recruitment and training of employees
Putting into action office essentials, from telephone lines to digital record
systems
Addressing government restrictions and compliance issues

Pros of a private dermatological clinic over a government practice:

Benefits of Managing a Private Practice :

1. You're able to do everything, so if you like or want to learn about HOURS,


marketing, finance, IT, deal negotiation, earnings cycle management, facility
management, and tons of other things, you will get to do it in a personal practice.
2. You are the top position in the practice, so you get to put your imprint on the
practice. You can often be more creative.
3. Physicians can be very laid-back and practices can maintain an even more
relaxed, family-like atmosphere.
4. Basic leadership can be direct and quick, so you can help your practice to be
lively because of reports occasions, patterns and new thoughts. In the event that
your practice chooses to end up distinctly an attendant practice or stop or begin
taking a particular payer, so be it!

5. You can find it much easier to get a foot in the door and commence your
management career in a private practice as physicians may always hire managers
using traditional means. An advice from another manager, a consultant or a health
care provider may be enough to get you started.

Drawbacks of Managing a Private Practice:


1. You report to the physicians who may well not have business expertise and may
fight you on your well-founded recommendations.
2. There is no internal career route - you're at the top in the practice.
3. Physicians will make less cash every time a new non-revenue creating position is
added or any type of time equipment needs to get replaced - expect them to be
generally slow to respond to capital expenditure needs, particularly if they cannot
see that any new earnings will come from the cost.
4. Whenever physicians "eat the real kill", taking home the dollars they personally
earn less their expenses, they could be pitted against the other person and still
have conflicting priorities.
5. Your practice could be purchased by a hospital and you could find yourself away
of a job, or your task radically changed.
Rewards of Owning a Hospital-Owned Practice:
1. You are liable to a management professional who should understand the business
and become supportive of your well-founded recommendations.
2. You will receive support from other hospital departments: your Resources
department will display screen, orient and provide gain support to your personnel;
the info Systems department will provide and look after your practice management
system, EMR system and other software and hardware; and the Accounting
department will pay the bills and write the payroll.
3. You may be capable of climb the job ladder and manage multiple practices, or
become the Vice President of Medical Professional Practices, or the COO, CFO or
CEO of a healthcare facility.
4. You will get to interact with managers of other departments and broaden your
hospital knowledge and understanding of the care integral.
5. You can learn a lot from the process of preparing for and living through a JCAHO
(a. k. a. "The Joint Commission") visit.
Downsides of Managing a Hospital-Owned Practice:
1. Hospitals use different terminology for charges, changes and receipts and work
on the accrual system rather than the cash system, which most private procedures
use. It takes time to understand and differentiates the terminology and process
differences.
2. The complete system will be in a tizzy on a regular most basic getting ready for a
JCAHO (a. k. a. "The Joint Commission") visit.
3. You can expect to have a smaller amount autonomy in a hospital system and
there may be more red tape involved in getting even simple demands filled.
4. Hospital administration may find it difficult to relate to the point of view of the
hourly personnel and it may be frustrating to balance the needs of the staff and the
needs of the business.
5. Mainly because the hospital is the big-dollar earner, the needs of the clinics may
be second, third or fourth down the collection in importance.

The well-known practices and their claims. How true ate there claims:

1.Decide what range of services to offer.


General Dermatology is going to be your bread and butter as a private practice
since it will be the key to building your patient base, but procedures will generate
the most earnings. Offering a range of dermatology services is among the finest
ways to ensure financial viability. Techniques have the most noteworthy repayment
rates, so you'll be needing to make certain your referral base can create chances to
perform methodology.This works specifically well for Mohs doctors, who may even
be able to get testimonials from other dermatologists. Looks services can be a huge
attract some markets as well. These services are performed on a cash or concierge
basis, which prevents a practice from being wholly dependent on reimbursement
from insurance firms.
2. Carefully evaluate the local market.
It is essential to comprehend the business when you begin another business,
particularly a private therapeutic practice. What are the citizenry demographics of
the area? Do they offer a local multispecialty group? Have they received a
dermatologist providing a full-range of general and surgical treatments? To whom do
the independently owned main care practices refer patients? A healthcare
consultant can assist you by doing an industry analysis of your area, together with a
detailed competitor and referral analysis.
3. Evaluate the potential great things about taking on a physician stirrer.
Bringing on a Medical Doctor Assistant or Nurse Doctor (and the additional
personnel required to support another provider) will increase staffing requirements
costs, but it can also substantially raise the earnings potential of your practice.
When considering whether to add a physician stirrer to you and your practice, a
detailed cash-flow analysis is an essential decision-making tool. A expert can help
you examine the financial implications of adding additional providers and develop a
plan that will maximize earnings and minimize costs.
4. Become realistic about your plan for growing your Dermatology
Practice.
It may well not make sense to add another provider to the practice on Day 1 while
you are still ramping up your patient population and attracting from working capital.
That may make sense, yet , to plan for adding a PA or NP to you and your practice in
6-12 a few months. Likewise, although you may plan to incorporate a full-range of
aesthetic services in your practice, it may well not be wise to get a multitude of
lasers and light boxes before you see your very first patient.
These are simply a few considerations in opening a private dermatology practice.
Although the specialized can yield high income margins for physician owners, it
takes carefully planning and consideration to efficiently grow a business to its full
earnings potential. If you're ready to learn more about how precisely to position
your new or existing dermatology practice for success, MBA Health Group can help.

Types of Private Dermatological Practices & their


overview

In dermatology, we use a framework of analysis called levels of cosmetic office


practice (COP). It is a descriptive methodology to render some degree of analysis
and discussion models for how a dermatology practice addresses the plastic
component. There are 4 levels of cosmetic office practice. Level 1 is essentially a
non-cosmetic practice. This is the traditional disease-based medical dermatology or
skin-cancer surgery practice. Level 2 means that there is a minor give attention to
cosmetic dermatology; this may be a limited range of procedures on a limited
length of time of the week, or medical center hours that are committed to cosmetic
practice. This kind of practice (which we sometimes call the evolving and the
transitional practice in plastic dermatology) is the one that typically will devote
resources and accumulate revenues that show cosmetic dermatology to stand for
25% or less of the practice. A level-3 practice is what we would call a mixed or
integrated dermatology practice; it is one away of which there is a relative balance
between the disease- and the will patients, in conditions of days per week, number
of patients seen, and revenue. These are generally moving definitions and working
explanations, but the level-3 practice generally is highly progressed in cosmetic
practice but still performs a great deal of non-cosmetic, disease-based as well as
surgery dermatology. A level-4 practice is one in which there is absolutely an
desertion of any sort of disease- or insurance-based reimbursement. It is completely
and solely a cosmetic dermatology practice. Actually, in this practice they may well
not in any case offer any ailment based treatment. These types of practices may be
entirely dermatology, in a medispa setting, or may be integrated with plastic
surgery.

Traditional Dermatology:

The outer skin is afflicted by external factors, genetic disposition or mental factors.
This can lead to changes in the skin structure. In traditional dermatology, all
changes in the skin structure are taken into consideration. The range of remedying
of traditional dermatology therefore includes the diagnosis and take care of all
diseases of your skin, toenails and scalp.

Cosmetic Dermatology:
The modern dermatologists, in addition to conventional skin physicians, are also
dermatologic-surgeons and cosmetologists in their practice. The rhinoplasty before
and after pictures have the natural risk of malpractice litigations leaving an
unsatisfied patient and a troublesome suit against the doctor. A MEDLINE search
was conducted for article with words such as legal issues and dermatology,
malpractice in dermatology, safe practice of cosmetology and so out the selected
articles are scrutinized and compiled to be able to ensure that the young
dermatologists to have a comprehensive overview of safe cosmetology practice.
This article aims at sensitizing the young dermatologists for the possible difficulties
and provides a review of safe practice. Additionally, it provides a place of simple
routine safety measures which helps the medical doctor to avoid unnecessary
outings to the courthouse.

Coordinated Dermatological Practice:


There are a couple of clinical cases of how to incorporate the mix of systems. It is
disease-centered, but there are also aspects of patient desire and patient demand.
Put simply, I feel that it can imperative that dermatologists who wish to produce a
level-2, -3 or -4 plastic office practice have selling skin care products available. They
should have an aesthetician or some individual that is a designated skin care expert
within the office; it doesn't necessarily have to be an aesthetician, but by default it
usually is. For instance, in the event that you go to the retail chain to purchase
cosmetics, would it say it isn't likewise decent to have the capacity to purchase skin
stress items there too? In other words, if you go to an office that is providing
(cosmetic) botulinum toxin type A as well as fillers and laser treatments, isn't very it
also nice to get facials, skincare, and sunscreen in the same office? I feel that a
retail center becomes essential, and in that full center, there is some collaboration
with skin health care professionals. Skincare is sent by not just the specialists, but
rather likewise the dermatology nurture, the dermatology-based aesthetician, and
the cosmetologist. You need to integrate employees, product, and services to be
able to, in effect, become one-stop looking for all skin worry needs.

Medispas:

There is denying that a trip to a medi-spa seems more luxurious than the usual visit
to a sterile plastic doctor's office, even if it is not for a not-so-relaxing procedure like
laser locks removal or CoolSculpting. Medi-spas give you soft comfortable robes to
wear, pitchers of cucumber-infused water to sip and healthy appetizers to munch
on. Discover no reason not to enjoy all that, just pick the right services to try while
you aren't there. "If you plan on having someone contact your skin with a laser,
scalpel or as an example for a cosmetic treatment, make sure you're viewing a
board-certified dermatologist or plastic surgeon, not merely an aesthetician, " says
Robert Anolik, MD, a board-certified dermatologist in NYC and clinical assistant
professor of dermatology at NYU Institution of drugs and Weill Cornell Medical
College.

Teledermatology:

Teledermatology is a subspecialty of dermatology and presumably among the most


prevalent uses of e-wellbeing and telemedicine. In this field, media transmission
advancements are being utilized to exchange restorative data over differing
separations through sound, visual and information correspondence.

Maintenance of The Private Practice:

Numerous dermatologists are under weight to enhance the productivity and viability
of their clinical care in a time of stagnant repayment and higher office costs. What's
more, dermatologists in the United States are under expanded examination from
payers, controllers, and patients who expect consistently superb administration
from their doctors. The nearness of expanding quantities of non-dermatologist
human services suppliers advertising themselves as healthy skin experts likewise
puts expanded weight on dermatologists to exhibit the estimation of their
administrations.

Dermatologist Should be Best at Work:


Dermatologists treat the skin, and also the nails and hair. They analyze ailments,
perform surgery and recommend and regulate medications. A few dermatologists
likewise perform restorative work, including Botox infusions, skin peels or
dermabrasion. Dermatologists require exceptional capacities to work intimately with
other individuals, ace thorough reviews and seek after a requesting vocation.

Singular Abilities:
Dermatologists require the ability to work splendidly in close contact with others
and to bestow well when provoking and exhorting patients. They require passionate
steadiness and the craving to help other people. Unrivaled stamina and great
wellbeing are important to withstand the rigors of restorative preparing and to work
numerous hours in a medicinal practice. They require great visual perception and
manual expertise to perform many hands-on systems, including biopsies, skin
surgery and the use of topical operators.
Scholarly Abilities
Imminent dermatologists require solid scholarly capacity in math and English. They
should be able to ace troublesome science classes, including science, material
science, science, pathology, life structures and microbiology. They additionally
require great review propensities and solid critical thinking abilities.

Instruction and Training


Dermatologists must finish a four-year four-year certification took after by four years
of therapeutic school. They require a time of residency in a strength, for example,
family practice or general surgery, in addition to a three-year licensed residency in
dermatology. Like all doctors, they additionally should pass the medicinal
authorizing exams required by their state. Taking after their residency, they can
seek after board accreditation from the American Board of Dermatology by passing
an exam and satisfying work prerequisites. The dermatology block likewise requires
take after examinations at regular intervals to remain confirmed.
Different Requirements
Like 12 percent of all doctors, a few dermatologists are independently employed.
These specialists require self-inspiration and great marketing prudence,
notwithstanding the capacity to work extended periods. In light of continuing with
advances in their field of medication, dermatologists need to concentrate on
profound attached learning by going to continuing with direction classes and
workshops over the term of their jobs.

How To Handle Staff :


Here are three components of successful staff administration. Each requires time
and vitality. Some require money related consumptions. Well done, be that as it
may, they yield exceptional yields like any great venture.
1. Preparing
Advise staff of desires and guidelines. Let them know what you need them to do,
and how to do it. Prepare them to carry out the occupation. As naturally evident as
everything may appear to practice initiative, it is most certainly not.
Arrange supervision and expert
Give staff references that help them stay on track. An operations manual, agendas,
and structures help institutionalize routine exercises.
Watch and remark upon practices and results. Most representatives need to make a
decent showing with regards to. Indeed, even with great preparing, it can set aside
quite a while for staff to disguise what that implies in a specific office. Compliment
the great and creative. Give direction and setting when bizarre circumstances come
up. At the point when blunders happen, supply adjustment went for evading
ensuing mistakes.
A subordinate advantage to normal perception and remark is that it makes it clear
to staff that somebody knows about what they are doing.
3. Administration by frameworks
Administration by frameworks is an approach to influence time and consideration.
Spreadsheets and EHRs are regularly utilized however there is no necessity that the
frameworks be automated. The frameworks have three basic roles: stay away from,
identify, and caution of issues.
A shirking framework can be low-tech. An illustration is having the individual in
charge of taking the mail or bank store abandon her auto centers in an uncommon
place where it is outlandish for her to leave the workplace without being helped to
remember the errand.
A normal area system requires the initials of the individual completing a shape. (An
additional advantage is that individuals are significantly more watchful when they
should sign their work.
Cautioning frameworks ordinarily report side effects to be researched as potential
issues. One valuable cautioning framework is the example of staff unlucky
deficiencies. (I once had a secretary who was just wiped out on Mondays.) Others
identify with patterns in office supply costs, gear repair costs, quiet booking, and
efficiency measures.The thinking is to go without examining shoulders and having
every one of the reserves of being vigilant: It is devastating for staff and an abuse
of the specialist's chance. The fundamental data shows up basically consequently
as required, and backings restorative activity.

More Quality Staff More Work :


Practice and faculty:

Physicians ought to see their practices from the point of view of the patient. Thus,
go out for a stroll around your center, watch every zone, enter through the front
entryway, sit in the holding up room, check the washrooms, sit and watch the front
work area staff welcoming your customers on the phone and face to face, your
colleague clinicians and the treatment rooms. As everyone's chance is significant,
guarantee patients are not sitting tight for a long time for meetings, frameworks,
and at the charging counter. Front work area staff ought to be all around prepped,
know about general office standards and be capable at telephone behavior and
client benefit. It is ideal in the event that they are wearing savvy and stylish garbs.

Proficient treatment of arrangements should be possible when the gathering staff


are sufficiently directed and prepared to handle arrangements. Apportion adequate
time for the methodology that must be finished. For instance, doing a laser hair
evacuation for the lower appendages will oblige you to shave the hair before
beginning the method Along these lines, you ought to consider the time foreseen
that would finish the laser hair clearing and don't cover with different game-plans.

Understanding records:
It is fundamental to keep up a database of patient records. It not just gets to be
distinctly less demanding to recall past subtle elements of patients' treatment and
methodology, additionally assists in building an affinity with the patient. One can
utilize electronic therapeutic records (EMR) to get to points of interest of the
patients. Various online frameworks are accessible to specialists that permit
patients to book arrangements on the web, scratch off arrangements as well as to
get SMS indications of the time and date of their arrangement.

All around kept up and alluring insides of the practice is a


MUST:
New machines that come into the market that claim to be effective in various
conditions can be attempted by performing evaluation trials before being offered to
patients. Utilizing great imaging techniques and different gadgets (e.g.,
chromometer, mexameter) we can evaluate the adequacy of the machine.
Solid skin things:

Many dermatologists have their own medication store so that the things they
underwrite are adequately available.

Gear:

The initial step is distinguish different merchants. Contract down to a rundown of


favored sellers in view of variables, for example, cost of the gear and extras,
trainings gave by the merchant, validity of the organization, after deals
administrations and yearly upkeep, framework execution, guarantee and
maintenance agreements.

Quiet Satisfaction Should be 100% :

Patients:
Be an intense group of onlookers and pass on feasibly. Have a non-judgmental
demeanor and watch out for any indications of body dysmorphic issue. It is
constantly better to abstain from doing a system on the main discussion with the
patient, as this would give them an opportunity to think and to set themselves up.
Continuously address the worries of the patient. This will ingrain trust in the patient.
Call them for standard improvement and screen the progress of the condition.

Techniques: Before doing any system, ensure you have disclosed sufficiently to the
patient - the method points of interest, choices accessible, dangers included,
intricacies that can emerge, result expected, term of treatment and costs involved.
When one is beginning sleek practice, it is essential in any case central classy
frameworks, well ordered get sureness and improve one's bent.For instance, learn
and ace the specialty of fundamental substance peels or poison infusions as
opposed to starting with entangled or propelled techniques.
Similarly as with lasers, it is frequently a sensible practice to lease or share a laser
on a month to month premise with a gathering of doctors/dermatologists so that the
budgetary weight is decreased and one can develop the laser practice to guarantee
an unfaltering stream of patients before putting resources into a laser.

Social Media Marketing:


One need not spend a fortune on publicizing. Web showcasing and portable
publicizing is the most recent method for mass correspondence. Notwithstanding,
this is a questionable subject and one should be moral and take after rules
characterized by restorative sheets. An appealing and useful site is a vital essential.
Guarantee that all data is exact and honest to goodness.
Tell perusers, audience members, watchers what's new in the realm of corrective
dermatology, so that any new innovations that have been presented in the market
as of late can be passed on to the purchasers. Welcome your group of onlookers to
take in more by going to your "Online courses" either through email, tolerant
pamphlet, web-based social networking or individual web journals and so on get in
contact with them. Tell them what's new in your practice and in the domain of
helpful dermatology.

CONCLUSION:
Tasteful dermatology is turning into a crucial and imperative branch of drug. To
meet and expect quiet needs, it is important to guarantee that the innovations
being put resources into are attempted and genuine and "work the way they say
they will". Experts must recall the expressions of Hippocrates "Primum non-noncore"
First don't hurt. Have a feeling of extent and stick to it? You can simply return and
accomplish more.

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