34th annual atlanta breast surgery symposium...mesh, male breast reduction, and transgender breast...

FRIDAY–SUNDAY, JANUARY 19-21, 2018 2

34TH ANNUAL ATLANTA BREAST SURGERY SYMPOSIUM

SYMPOSIUM CHAIRSProgram Chair Mark A. Codner, MD—Clinical Assistant Professor, Emory University Atlanta, GA

Program Co-Chairs James D. Namnoum, MD—Clinical Assistant Professor, Emory University Atlanta, GA

Albert Losken, MD—William G. Hamm Professor of Plastic Surgery, Emory Plastic Surgery Program Director, Emory University Atlanta, GA

Emeritus Chairs L. Franklyn Elliott, MD Private Practice Atlanta, GA

Carl R. Hartrampf, Jr., MD Retired Atlanta, GA

SYMPOSIUM FACULTYWilliam Adams, MD—Associate Clinical Professor, University of Texas Southwestern Medical Center Dallas, TX

Amy Alderman, MD—Private Practice Atlanta, GA

William A. Barber, MD—Director of Surgical Education, Piedmont Hospital Atlanta, GA

Mitchell Brown, MD—Plastic and Reconstructive Surgeon, University of Toronto Toronto, Canada

Edward Buchel, MD—Associate Head Dept of Surgery—WRHA, Surgery Site Director—Health Science Centre, Section Head & Regional Leader, University of Manitoba Winnipeg, Canada

Louis P. Bucky, MD—Clinical Professor of Surgery, Division of Plastic Surgery, University of Pennsylvania School of Medicine, Chief of Plastic Surgery, Pennsylvania Hospital Philadelphia, PA

M. Bradley Calobrace, MD—Clinical Faculty in Plastic Surgery, University of Louisville and University of Kentucky Louisville & Lexington, KY

Grant W. Carlson, MD—Chief of the Division of Plastic Surgery, Emory University Atlanta, GA

Mark Clemens, MD—Associate Professor Plastic Surgery, MD Anderson Cancer Center Houston, TX

James C. Grotting, MD—Clinical Professor of Plastic Surgery, University of Alabama Birmingham, AL

Nicholas T. Haddock, MD—Associate Professor Plastic Surgery, University of Texas Southwestern Medical Center Dallas, TX

Dennis C. Hammond, MD—Partners in Plastic Surgery Grand Rapids, MI

Jeffrey M. Kenkel, MD—Professor and Chairman, University of Texas, Southwestern Medical Center Dallas, TX

Jaume Masia, MD—Professor & Director, Department of Plastic Surgery at Sant Pau Hospital, University of Barcelona Barcelona, Spain

G. Patrick Maxwell, MD—Clinical Professor of Plastic Surgery, Vanderbilt University Nashville, TN

W. Thomas McClellan, MD—Clinical Associate Professor, West Virginia University School of Medicine Morgantown, WV

Terrence M. Myckatyn, MD—Professor, Plastic and Reconstructive Surgery, Washington University School of Medicine St. Louis, MO

Salvatore Pacella, MD—Division Head, Plastic and Reconstructive Surgery, Scripps Clinic & Green Hospital San Diego, CA

Tracy M. Pfeifer, MD—Private Practice New York, NY

Loren S. Schechter, MD, FACS Director, The Center for Gender Confirmation Surgery, Weiss Memorial Hospital, Visiting Clinical Professor, The University of Illinois at Chicago Chicago, IL

Steven A. Teitelbaum, MD—Associate Clinical Professor of Plastic Surgery, David Geffen School of Medicine UCLA Santa Monica, CA

Liza Wu, MD—Associate Professor, University of Pennsylvania Philadelphia, PA

AMERICAN PLASTIC SURGERY SOCIETY UPDATESASAPS President Clyde H. Ishii, MD Honolulu, HI

ASPS President Jeffrey E. Janis, MD Columbus, OH

SESPRS President Braun H. Graham, MD Sarasota, FL

FRIDAY–SUNDAY, JANUARY 19-21, 2018 THE INTERCONTINENTAL HOTEL, ATLANTA, GEORGIA 3

2018 SCIENTIFIC PROGRAM34TH ANNUAL ATLANTA BREAST SURGERY SYMPOSIUM

SPONSORED BY:The Southeastern Society of Plastic and Reconstructive Surgeons (SESPRS)

“Advancing professional excellence, quality education, and regional collegiality”

ENDORSED BY:

PROGRAM OBJECTIVES

At the completion of this CME activity, registrants will be able to:

• Enhance and expand surgical techniques in cases like breast reconstruction after mastectomy, breast augmentation with absorbable mesh, male breast reduction, and transgender breast augmentation,

• Improve strategies to avoid complications and improve techniques for pre-pectoral implant reconstruction with or without ADM,

• Assess advantages and disadvantages for fat grafting for breast reconstruction and cosmetic breast procedures including the perspective of a breast surgeon,

• Review up to date management of radiation for breast cancer, as well as the implications for immediate or delayed reconstruction,

• Review of the newest flaps in breast reconstruction as alternatives to conventional autologous tissue,

• Update on ALCL and the importance of prevention, diagnosis, and treatment as well as the association with the use of textured breast implants,

• Improve the strategies in management of breast augmentation to maximize the results and minimize complications,

• Improve techniques for shaping the breast in order to correct ptosis as well as satisfy unhappy patients,

• Better able to empathize and communicate with patients who wish to undergo transgender surgery and implement new techniques required,

• Maximize safety during breast reduction as well as improving the results of the surgery

THE 2018 HONORARY HARTRAMPF LECTURE: Grant Carlson, MD—“The Surgical Treatment of Breast Cancer in the United States: The Tipping Point”

THE 2018 INTERNATIONAL SCHOLARS PROGRAM: The Southeastern Society of Plastic and Reconstructive Surgeons provides generous funding to different countries each year to sponsor the travel and registration expenses to the top three (3) Plastic Surgery Chief Residents in that country. This Southeastern honor provides them with a unique international educational outreach. The 2018 Foreign Scholars are invited from Iran. Mehdi Ahmadi, MD, Behzad Ghaffari, MD, Siyamak Rakeeiesfahani, MD

THE ONLINE 2018 BREAST SURGERY SYMPOSIUM: The symposium is offered in its entirety via on-line streaming video of the live surgery as well as the lectures to be viewed from the convenience of your home or office computer. Live questions can be emailed from around the world to Atlanta for immediate answers from the faculty direct to you over the Internet. The entire event is archived for three months following the live meeting and may be reviewed during that time if purchased online. CME credit is available for registered on-line attendees who view the meeting LIVE. For more information contact: [email protected]. NEW for 2018, the option to purchase the archived streaming event if you attend the Breast Symposium in person in Atlanta.



6:00–8:00 pmWelcome Reception and Early RegistrationIntercontinental HotelWindsor Ballroom D and Windsor Ballroom Foyer

7:00–8:00 amRegistration Continental Breakfast/Visit Exhibits Windsor Ballroom D and Windsor Ballroom Foyer

8:00 amSESPRS WELCOMEBraun H. Graham, MD, President SESPRS

8:00–12:00 pmLIVE SURGERY TELECAST Moderator—Codner

Room 1

8:00 am

10:00 am

Northside Hospital Observers—Calobrace, Grotting, Shestak

Adams—Mastopexy with Absorbable Mesh

Kenkel—Male Breast Reduction

Room 2

8:00 am

9:30 am

Northside Hospital Observers—Hammond, Maxwell

Buchel—Delayed Breast Reconstruction with DIEP Flap

Brown—Video: Transgender Breast Surgery Male to Female

Live Surgery Generously Supported by Northside Hospital

FRIDAY, JANUARY 19, 2018

THURSDAY, JANUARY 18, 2018



12:00–1:00 pmLunchHope and Trippe Ballrooms

1:00 pmOpening Remarks Mark A. Codner, MD—Program Chairman

1:00–2:00 pmAUTOLOGOUS BREAST RECONSTRUCTION Moderator—Codner

1:00–1:10 pm Hammond—How to Perform the Latissimus Flap

1:20–1:30 pmClemens—Robotic Assisted Latissimus Dorsi Reconstruction—Extending a Surgeon’s Abilities

1:30–1:40 pm Buchel—The DIEP Flap: A Career Starter

1:40–1:50 pm Elliott—How to Perform a Pedicled TRAM: A Career Move

1:50–2:00 pm Discussion

2:00–2:30 pm

HONORARY HARTRAMPF LECTURE Introduction—LoskenGrant Carlson, MD—The Surgical Treatment of Breast Cancer in the United States: The Tipping Point

2:30–3:00 pm Coffee Break/Visit Exhibits Windsor Ballroom D Windsor Ballroom Foyer

3:00–4:00 pmIMPLANT/EXPANDER/ADM/PREPECTORAL RECONSTRUCTIONModerator—Calobrace

3:00–3:10 pm Losken—Avoiding Complications in Pre-Pectoral Reconstruction

3:10–3:20 pmMasia—Prepectoral Implant Reconstruction with ADM: The European Way

pIdentified as applicable to patient safety

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3:20–3:30 pmMcClellan—New Tissue Expander Breast Reconstruction—My Experience and Pearls

3:30–3:40 pmPacella—Directional Tissue Expansion: Modifying Techniques for Breast Reconstruction

3:40–3:50 pm Wu—Aesthetic Refinements in Autologous Breast Reconstruction


4:00–5:00 pmPANEL—FAT GRAFTING FOR BREAST RECONSTRUCTIONModerator–Elliott

4:10–4:20 pmBarber—Patient Centered Fat Grafting Concerns and Problems: The Breast Cancer Surgeons Prospective

4:20–4:30 pm Bucky—Fat Grafting Reconstruction Patients: When is it Enough?

4:30–4:40 pm Namnoum—Pros and Cons of Fat Grafting After Breast Reconstruction

4:40–4:50 pmLosken—How Fat Grafting Has Made Breast Reconstruction More Difficult


5:00–6:00 pmALTERNATIVE IDEAS IN BREAST RECONSTRUCTIONModerator—Codner

5:00–5:10 pmPacella—Taking the Bull By the Horns: Embracing Radiation in Breast Reconstruction

5:10–5:20 pm Clemens—Predictors and Timing for Successful Breast Reconstruction

5:20–5:30 pm Masia—Alternative Perforator Flaps for Breast Reconstruction

5:30–5:40 pmHaddock—Optimizing Aesthetic Reconstruction: When One Flap is Not Enough


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7:00–8:00 amContinental Breakfast/Visit ExhibitsWindsor Ballroom D and Windsor Ballroom Foyer

8:00–8:30 amAmerican Plastic Surgery Society UpdatesModerator—Braun H. Graham, MD

ASPS—Jeffrey E. Janis, MDASAPS—Clyde Ishii, MDSESPRS—Braun H. Graham, MD

8:30–9:30 amPANEL—ALCL AND BREAST IMPLANTSModerator—Losken

8:30–8:40 am Calobrace—Textured Implants: Navigating Through the ALCL Waters

8:40–8:50 amAdams—Micromort Analysis of BIA-ALCL—Lessons Learned for Patient Education

8:50–9:00 am Teitelbaum—Discussing ALCL with Patients During Consultation

9:00–9:10 am Clemens—Update on ALCL from MD Anderson


5:40–5:50 pm Buchel—Nipple Sparing Mastectomy + Autologous Tissue Reconstruction


7:30–10:00 pmGALA DINNER DANCEVenetian Ballroom

SATURDAY, JANUARY 20, 2018

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9:10–9:20 amAlderman—To Texture or Not to Texture: Deconstructing What We Know About Implant Surface Characteristics

9:20–9:30 am Discussion

9:30–10:00 amCoffee Break/Visit ExhibitsWindsor Ballroom D and Windsor Ballroom Foyer

10:00–11:00 amBREAST AUGMENTATIONModerator—Namnoum

10:00–10:10 amAdams—Bacteria Bad- More Bacteria Worse: The 14 Point Plan—Capsular Contracture and Beyond

10:10–10:20 amAlderman—Strategies for Setting Appropriate NAC Position with Cosmetic Breast Surgery

10:20–10:30 am Calobrace—Periareolar Augmentation: Pitfalls and Pearls

10:30–10:40 am Grotting—Major Complications in Breast Surgery: How Safe is Safe?

10:40–10:50 amHammond—Management of the Inframammary Fold in Breast Augmentation


11:00–12:00 pmAUGMENTATION AND MASTOPEXYModerator—Codner

11:00–11:10 am Brown—Managing Ptosis Following Breast Augmentation

11:10–11:20 amBucky—Augmentation Mastopexy—Making an Unpredictable Operation More Predictable

11:20–11:30 am Myckatyn—Three Dimensional Imaging for Breast Reconstruction

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11:30–11:40 amPfeifer—You Want to Take Out Your Implants and Not Replace Them? You Will Look Deformed—Not Necessarily

11:40–11:50 am Teitelbaum—Managing the Unhappy Augmentation Patient


12:00–1:00 pmLunchVenetian Ballroom

1:00–1:15 pmINTERNATIONAL SCHOLARS’ AWARDS—IRANModerator – Elliott

Mehdi Ahmadi, MD . . . . . . . . . . . .Tehran, IranBehzad Ghaffari, MD . . . . . . . . . . Shiraz, IranSiyamak Rakeeiesfahani, MD . . . .Tehran, Iran

1:15–1:30 pm JOHN BOSTWICK RESIDENT PAPER AWARDModerator – Losken(Resident and Title TBD)

1:30–2:00 pm 2017 BREAST SYMPOSIUM LIVE SURGERY RESULTSModerator – Namnoum

Namnoum—Pre-pectoral DTI Breast Reconstruction with ADM WrapAlderman—Breast AugmentationWall—Secondary Breast Augmentation

2:00–3:00 pmTRANSGENDER BREAST SURGERY PANELModerator—Losken

2:00–2:10 pm Brown—Female to Male Breast Surgery

2:10–2:20 pm Schechter—Transgender Breast Augmentation

2:20–2:30 pmTeitelbaum—Improving Shape and Preventing Malposition in Transgender Augmentation


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2:30—2:40 pm Schechter—Top Surgery: Transmasculine Chest Contouring

2:40–2:50 pmKenkel—Similarities of Transgender Surgery and Male Chest Contouring Following Weight Loss


3:00–3:30 pmCoffee Break/Visit ExhibitsWindsor Ballroom D and Windsor Ballroom Foyer

3:30–4:00 pmBREAST REDUCTION AND MASTOPEXYModerator—Elliott

3:30–3:40 pm Codner—Superior Pedicle Breast Reduction

3:40–3:50 pm Kenkel—Female Breast Shaping Following Weight Loss Surgery

3:50–4:00 pmHammond—Prevention of Bottoming Out in Wise Pattern Breast Reduction

4:00–4:10 pmGrotting—Getting the Vertical Sculpted Pillar Technique to Produce Predictably Excellent Results in Breast Reduction


4:20–4:30 pm Adams—The Tissue Based Triad: Simplifying Augmentation Mastopexy

4:30–4:40 pm Elliott—The Vertical Mastopexy to Treat Breast Asymmetry

4:40–4:50 pmAlderman—VTE and Breast Surgery: Current Recommendations for Chemoprophylaxis

4:50–5:00 pm Grotting—Augmentation Mastopexy—Implant or Mastopexy First?



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SUNDAY, JANUARY 21, 2018

7:00–8:00 amContinental Breakfast/Visit Exhibits Windsor Ballroom D and Windsor Ballroom Foyer

8:00–9:00 amHOT TOPICS IN BREAST SURGERYModerator—Namnoum

8:00–8:10 am Wu—Efficiency in Autologous Breast Reconstruction

8:10–8:20 am Teitelbaum—Introduction to New Implants

8:20–8:30 amPfeifer—Round Smooth Subpectoral Implants—Are They Really the Best Choice for Every Patient?

8:30–8:40 amNamnoum—Long Term Results After Wrapping a Reconstructive Prepectoral Implant

8:40–8:50 amMyckatyn—Enhanced Recovery After Surgery for Autogeneous Breast Reconstruction


9:00–9:30 amPROBLEM CASES FROM THE AUDIENCEModerator—Elliott

Expert Faculty—Bucky, Brown, GrottingPLEASE Bring Your Problem Cases on a Thumb Drive

9:30–10:00 amCoffee Break/Visit Exhibits Windsor Ballroom D and Windsor Ballroom Foyer

10:30–12:30 pmHOT TOPICS IN BREAST SURGERY AND BREAST REDUCTION Moderator—Codner

10:30–10:40 amMcClellan—A Simple Technique to Reduce Seroma and Speed Integration in Allograft Breast Reconstruction—Allograft Tabs


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10:40–10:50 am Masia—Risk Reduction Lymphedema Surgery

10:50–11:00 am Bucky—Managing the Breast Complication Patient

11:00–11:10 am Namnoum—Breast Reconstruction: Where Art and Science Meet

11:10–11:20 am Brown—“Reconsthetic” Breast Surgery: One in the Same?


11:30–11:40 amPfeifer—Converting From Round to Shaped Implants; Using the Neopocket to Make it Relatively Simple

11:40–11:50 amPacella—Aesthetic Nipple Reconstruction: Flaps and Grafts for Natural Contour

11:50–12:00 pmLosken—Pain Management in Out Patient Breast Surgery: Are We Part of the Problem?

12:00–12:10 pmBuchel—Autologous Tissue Reconstruction Options from a Limited Abdominal Donor Site

12:10–12:20 pm Grotting—Cyberterrorism: What Do I Di If I Get Hacked?


Meeting Adjourns

SUNDAY, JANUARY 22, 2017

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ACCREDITATIONThe Southeastern Society of Plastic and Reconstructive Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide medical education for physicians.

The Southeastern Society of Plastic and Reconstructive Surgeons designates this live activity for a maximum of 18.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the 18.25 AMA PRA Category 1 Credit(s)™, 2.60 have been identified as applicable to patient safety. p

DISCLOSURE POLICYAs a provider accredited by the ACCME, SESPRS must ensure balance, independence, objectivity and scientific rigor in all its individually sponsored or jointly sponsored educational activities. Presenters are required to disclose all relevant financial relationships with commercial interests, and these disclosures will be announced to the audience verbally and via slides. If a speaker fails to make a disclosure, that speaker is precluded from making a presentation at the meeting. Additionally, if any unapproved or off-label use of a product is to be referenced in a CME program presentation, the faculty member/participant is required to disclose that the product is either investigational or it is not labeled for the usage being discussed. SESPRS shall convey any information disclosed by the faculty member/participant to the CME program audience prior to the activity.

COMMERCIAL SUPPORT DISCLOSURESESPRS has requested commercial support from more than one company. Commercial supporters acknowledge that the Accredited Provider (SESPRS) will make all decisions regarding the disposition and disbursement of commercial support and that the funding received from each company will in no way affect; the identification of CME needs, determination of educational objectives, selection and presentation of content, selection of all persons and organizations that will be in a position to control the content of the CME, selection of educational methods, or evaluation of the activity. Per the ACCME Standards for Commercial Support, the SESPRS will ensure that no commercial support will be used to pay for travel, honoraria, or personal expenses for non-teacher or non-author participants associated with the CME activity. The SESPRS will, as requested, provide documentation detailing the receipt and expenditure of the commercial support. Commercial supporters also agree that no other support of any type, whether financial, travel, speaker’s bureau funding will be provided to a particular faculty member relating to the meeting. The SESPRS will acknowledge all commercial supporters in conference materials in conjunction with the meeting, and in other ways as applicable according to the guidelines of our program.

SPECIAL NEEDSAny special needs or challenged requests should be submitted to the SESPRS office by December 1, 2017.



REGISTRATION FEES AND CANCELLATION POLICYResident registration fees are complimentary with a letter submitted with their registration from their plastic surgery program director. Physicians in their first and second year after residency are eligible for the New Physician rate. Physicians who have more than two years of practice and are not members of SESPRS/ASPS/ASAPS/ISAPS are eligible for Guest Physician rates.

The registration fee for a spouse/companion includes admittance to meals and social functions. Spouses/companions wishing to attend the symposium presentations must register under the “Office Personnel or Nurse” category.

Please register early. Full refunds minus a $50 processing fee will be considered if written notice of cancellation is received by November 1, 2017; a 50 percent refund will be given if written notice of cancellation is received by November 1, 2017. No refund will be given after November 1, 2017.

RESERVATIONSIntercontinental Hotel (located in the heart of Buckhead) 3315 Peachtree Road, NE Atlanta, GA 30326 404-946-9000

http://www.intercontinentalatlanta.com

Room rates are $269 per night, single or double occupancy. Reservations must be received by December 27, 2017 for this rate to be honored.

Alternate Hotel located within walking Distance to the Intercontinental

Embassy Suites (located next door) 3285 Peachtree Road, NE Atlanta, GA 30305 404-261-7733

Room rates are $159 per night, single or double occupancy. Reservations must be received by December 28, 2017 for this rate to be honored.

There is NO GUARANTEE that rooms will be available up to the deadline date, and there is no guarantee that rooms will be available at this rate. Rates quoted here are on a space-available basis only. Once our block of rooms is sold out, which may be earlier than December 27, 2017 or December 28, 2017 for each represented hotel, there is no guarantee that rooms will be available at this rate. Visit our Website sesprs.org to make on-line hotel reservations. Click on this meeting on our site for more information: www.sesprs.org.



ONLINE REGISTRATIONOnline registration is available at www.sesprs.org. If you have any questions, please call (435) 901-2544 or visit our website at www.sesprs.org.

View Meeting from the comfort of your Home Online—Available for Breast Symposium Only. $899 for the entire three-day event.

REGISTRATIONPlease fill out and mail this form to SESPRS, 6300 Sagewood Drive, Suite H255, Park City, UT 84098 or fax to (435) 487-2011. Online registration is also available at www.sesprs.org. If you have any questions, please call (435) 901-2544 or visit our website at www.sesprs.org. A confirmation notice will be sent by e-mail to each registrant upon receipt of their registration.

Name:

Address:

City: State: Zip Code:

Phone: Fax:

Email:

ASPS Member ID No.:

Additional Name for Badge/Spouse:

Breast and Oculoplastic Symposia

Breast Symposium Only

Please check the appropriate response: Before 12/10

After 12/10

Before 12/10

After 12/10

SESPRS Member q $1150 q $1400 q $1050 q $1150

ASPS/ASAPS/ISAPS Member q $1700 q $1900 q $1350 q $1450

Guest Physicians (non SESPRS, ASPS, ASAPS, ISAPS Member) q $2200 q $2400 q $1750 q $1850

Guest Physician Less Than 2 Years in Practice q $1000 q $1100 q $800 q $900

Resident/Fellows q Complimentary Registration—Letter From Plastic Surgery Program Director required in advance or $100

RN, NP, PA, or Office Personnel q $900 q $1000 q $800 q $900

Spouse/Companion (Socials Only) q $250 q $350 q $200 q $300

OPTION: If you attend the Breast Surgery Symposium in person you have the option to purchase the archived event. Available for 3 months after the meeting. A special link will be provided approximately one week following the meeting for access. Archived Event Price:

q $150

TOTAL AMOUNT ENCLOSED: $

Method of Payment: q Check (US Funds Only) q MasterCard q Visa q AMEX

Card Number: 3 or 4 digit code

Expiration Date:

Signature:

If paying by credit card, please complete this registration form and fax or mail. If paying by check, please include a check in U.S. funds payable to: Southeastern Society of Plastic and Reconstructive Surgeons (SESPRS).If paying by mail, please send to: SESPRS 6300 Sagewood Drive, Suite H255, Park City, UT 84098.Streaming Online Event Registration—Available for Breast Symposium Only—$899. Registration MUST be done on-line. Visit our website soon for details: www.sesprs.org (CME Available Only if Watched LIVE).

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34th annual atlanta breast surgery symposium...mesh, male breast reduction, and transgender breast...

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