EP3667633B1 - Patient monitoring device and arrangement - Google Patents
Patient monitoring device and arrangement Download PDFInfo
- Publication number
- EP3667633B1 EP3667633B1 EP18211668.1A EP18211668A EP3667633B1 EP 3667633 B1 EP3667633 B1 EP 3667633B1 EP 18211668 A EP18211668 A EP 18211668A EP 3667633 B1 EP3667633 B1 EP 3667633B1
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- EP
- European Patent Office
- Prior art keywords
- patient monitoring
- monitoring device
- patient
- sensor element
- measured values
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Images
Classifications
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- G—PHYSICS
- G08—SIGNALLING
- G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
- G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
- G08B21/02—Alarms for ensuring the safety of persons
- G08B21/04—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons
- G08B21/0438—Sensor means for detecting
- G08B21/0461—Sensor means for detecting integrated or attached to an item closely associated with the person but not worn by the person, e.g. chair, walking stick, bed sensor
-
- G—PHYSICS
- G08—SIGNALLING
- G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
- G08B19/00—Alarms responsive to two or more different undesired or abnormal conditions, e.g. burglary and fire, abnormal temperature and abnormal rate of flow
-
- G—PHYSICS
- G08—SIGNALLING
- G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
- G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
- G08B21/02—Alarms for ensuring the safety of persons
- G08B21/04—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons
- G08B21/0407—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons based on behaviour analysis
- G08B21/0423—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons based on behaviour analysis detecting deviation from an expected pattern of behaviour or schedule
-
- G—PHYSICS
- G08—SIGNALLING
- G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
- G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
- G08B21/02—Alarms for ensuring the safety of persons
- G08B21/04—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons
- G08B21/0407—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons based on behaviour analysis
- G08B21/043—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons based on behaviour analysis detecting an emergency event, e.g. a fall
-
- G—PHYSICS
- G08—SIGNALLING
- G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
- G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
- G08B21/02—Alarms for ensuring the safety of persons
- G08B21/04—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons
- G08B21/0438—Sensor means for detecting
- G08B21/0469—Presence detectors to detect unsafe condition, e.g. infrared sensor, microphone
-
- G—PHYSICS
- G08—SIGNALLING
- G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
- G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
- G08B21/02—Alarms for ensuring the safety of persons
- G08B21/04—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons
- G08B21/0438—Sensor means for detecting
- G08B21/0492—Sensor dual technology, i.e. two or more technologies collaborate to extract unsafe condition, e.g. video tracking and RFID tracking
Definitions
- the present invention concerns a patient monitoring device as well as a patient monitoring arrangement.
- the demographic change and the increasing part of the elderly in the population will most likely lead to serious difficulties with care services in the short or at least medium term, especially since there is a trend towards elderly people living alone. For example, it may be estimated that of the 8 million people over 65 in Germany in 2019 approximately 2 million people will eventually require care services provided to their homes. Especially, since most of those people cannot afford private home care, efficient and effective care services are required.
- a currently rather widespread technology is the use of an emergency button system to be worn by the patients, e.g. like a necklace or a wristband.
- the system comprises a button to be pressed in case of an emergency by the patients to remotely initiate an alarm signal at an operation center, which then can send help.
- Disadvantage of this system are the low acceptability of actually wearing the emergency button system at all times as well as the requirement of the patient actively pushing the emergency button. The latter is simply not viable in case of emergencies where the patient becomes demented, forgetful, anxious or unconscious.
- the system is prone to false alarms or misuse, e.g. in case a patient feels lonely and uses the emergency button for a person to simply come visit faking an emergency is far more prevalent.around.
- the present invention concerns a patient monitoring device as defined in independent claim 1.
- the claimed device comprises sensor elements for continuously detecting measurements reflecting the surroundings of the patient monitoring device and a communication module to transmit the measured values to a central evaluation unit, wherein the sensor elements comprise
- the present invention concerns a patient monitoring arrangement comprising at least one patient monitoring device according to one of the preceding claims and a central evaluation unit, wherein the monitoring device(s) and the central evaluation unit are connected for the monitoring device(s) to transmit the measured values to the central evaluation unit, wherein the central evaluation unit is configured to
- the invention is based on the insight that by combining a certain set of common and rather unsophisticated sensor elements for continuous measurements, a sufficient and reliable monitoring of patients is possible without severely intruding the privacy of a user and resulting only in a manageable amount of data to be processed in order to automatically determine a potential emergency situation. Due to the simplicity of the sensor elements the inventive patient monitoring device also allows for cost-effective production.
- Continuous measurements in context of the present invention encompasses a constant taking of measurements of a sensor as well as periodic taking of measurements in short intervals of e.g. 5 to 20 seconds, preferably of approx. 10 seconds.
- the patient monitoring device is configured to be mounted to a surface so that the accelerometer can detect vibrations of said surface.
- the surface can preferably be the wall of a room in a patient's home.
- an item e.g. a piece of furniture, within the room may provide a surface for the patient monitoring device to be mounted to.
- the item preferably transfers vibrations of the floor of a room to the patient monitoring device while at the same time not being moved around too often.
- a bookshelf, wardrobe, a desk or a table might be suitable items for the patient monitoring device to be mounted to, while light chairs often are not.
- the inventive patient monitoring device - if suitably mounted - is usually capable of detecting footsteps and falls of a human.
- the accelerometer preferably is configured to detect vibration and movement in three perpendicular axis, including especially the Z axis capturing vertical vibration on surfaces from floors due to human movements. This way, the accelerometer can register any vibration in all directions in space.
- the noise detector of the patient monitoring device allows the registration of noises in the surroundings of the patient monitoring device.
- the invention realized that for the present monitoring purposes, it is sufficient to measure the noise level and, eventually, the noise frequency. Explicitly, the recording of speech or voice recognition is not required, thus the privacy of humans close to the patient monitoring device is secured.
- the maximum resolution of the noise detector is even restricted to a resolution insufficient for recording speech. With this restriction of the actual hardware used as a noise detector, the low invasion of privacy can be guaranteed and verified by external parties.
- the far infrared sensor element helps to identify the presence of a person in the surroundings of the patient monitoring device.
- single infrared sensors or arrays of infrared sensors may be used.
- the infrared sensor array has a resolution sufficient for differentiating a human from the environment but insufficient to reflect the human's detailed movements and actions.
- the resolution is thus preferably sufficient to reliably detect the present of a human being and to e.g. distinguish a human from a heater or an animal such as a dog, while at the same time not allowing to identify what a detected human is actually doing even in case the detected temperatures are illustrated in the form of a heat map. Again, this helps to ensure the privacy of a user and can be guaranteed and verified by external parties.
- the far infrared sensor is capable to detect body temperature from at least 7 meters away.
- a suitable array of infrared sensors with a resolution sufficiently low to be able to determine the presence of a human but not to picture the actual activity of the human are the MLX90621 by Melexis NV, Belgium, which offers a resolution of 16x4 Pixels in a viewing field of up to 100°x25°, or the AMG8833 from Panasonic, JP which offers a resolution of 8x8 Pixels at a viewing angle of approx. 60° and a temperature depth of 127 gradients per pixel.
- the CO 2 sensor element either the total concentration or at least relative changes in concentration of CO 2 in the air surrounding the patient monitoring device can be monitored. Apart from human respiration, this sensor element may hint at certain human actions as well as certain emergencies.
- the CO 2 sensor element in a patient monitoring device mounted in a kitchen might be utilized to hint a human to be cooking as a sign of him getting sufficient nutrition but also help to detect fire due to a left on stove.
- the CO 2 sensor elements is integrated in or supplemented with a TVOC (“total volatile organic compounds”) sensor element, which can provide additional information on the status of the surroundings of the patient monitoring device and, especially the status and health of a human therein.
- TVOC total volatile organic compounds
- the light sensor of the patient monitoring device can be used to provide supplemental information about the general activity and/or the occupancy in a room.
- the light sensor can help to recognize whether the window shades have been opened, during nighttime whether the light is switched on.
- the light sensor element is capable of distinguishing between natural and artificial light. Especially due to the rise of energy saving light sources that have a spectrum very different from that of natural light, this distinction can easily be made.
- the patient monitoring device comprises an ambient temperature sensor element to calibrate the far infrared sensor element to provide the absolute body temperature of a human. This way, not only can a human presence be detected by the far infrared sensor element, but his absolute temperature can also be obtained.
- the patient monitoring device may comprise means to measure the signal strength of Wi-Fi-signals of Wi-Fi-devices in the surroundings. Due to many people carrying a Wi-Fi-device - e.g. a smartphone or a smartwatch - around with them, the signal transmitted by said Wi-Fi-device may be used to help detecting the presence of a person.
- the sensor device detecting the Wi-Fi-signal strength may be provided as a function of the communication module described below.
- Additional sensors may comprise a pressure and/or humidity sensor element, a magnetic field sensor element and/or a sensor element suitable for detecting electromagnetic interference of e.g. a cooker, a heater or a washing machine.
- All sensor elements present in an inventive patient monitoring device are arranged in a way that they provide generally unbiased measurement results if the patient monitoring device is correctly mounted. Regularly, all sensors requiring direct access to the surroundings of the patient monitoring device are arranged connected to a surface of the monitoring device not being used for mounting by e.g. means of an opening.
- the inventive device does not comprise any processing means itself but rather relies on a communication module to transmit the measured values to a central evaluation unit, where the actual processing of data happens.
- the centralized processing of data facilitates the co-processing of measured data of a plurality of related patient monitoring devices, e.g. all monitoring devices present in a patient's house or flat.
- the measured data of the patient monitoring devices of a plurality of patients are processed by a mutual centralized evaluation unit, comparative analysis of measurements obtained for different patients becomes possible, potentially helping in identifying anomalies in a patient's behavior. Also, by having the data of a plurality of patients centrally processed, identified emergency cases can be prioritized.
- the communication module is configured to connect to a Wi-Fi and/or a mobile network to transmit the measured values to the central evaluation unit.
- the actual data transfer may be handled via any arbitrary data transport scheme, e.g. as used for the internet.
- the communication module comprises an intermediate storage memory to buffer the measured values.
- the intermediate storage memory may be used only in cases the communication module temporarily loses its connection.
- the intermediate storage memory may be utilized to provide a generally batchwise transmission of the measured values. This allows the connection of a patient monitoring device to be active only in intervals, which can save both energy and network load.
- the batches need to be transmitted in sufficiently short intervals to still allow for a near-realtime monitoring of the patient.
- typical and sufficient intervals for transmitting batches of measured values might e.g. be every minute or every 30 seconds.
- the data provided to the central evaluation unit is timestamped by the patient monitoring device, i.e. for each measured value the time of the actual measurement is derivable.
- Said time stamps are preferably synchronized to a common accurate clock source (e.g. a radio time signal like DCF77 or an internet time server like an NTP server). This allows all measurements, even from different patent monitoring devices, to be accurately allocated the correct time.
- the central evaluation unit - as e.g. present in the inventive arrangement - is configured to receive and save, i.e. warehouse the received continuously measured values of all sensor elements of all patient monitoring devices connected thereto, at least temporarily. Based on the received data, the typical variation in the measurements during a day can be determined or - if preexisting - updated. For this, the measured values of several patient monitoring devices that are logically related, e.g. because being installed in the same house or flat, may be processed and analyzed concurrently in order to better determine the potential deviations of the typical variation in the measurements.
- General mathematical methods to derive typical variations in data series and sets of data series are known in the prior art. A skilled person can readily utilize on these known mathematical foundations and apply them to the data gathered by the inventive device.
- any discrepancies in future measured values from the typical variations during a day may be determined and assessed for relevance.
- the co-processing of the measured values of related patient monitoring devices may be helpful since a discrepancies in the measured values of a first patient monitoring device from its typical variation in the measurements during the day may either be countered or amplified by a respective discrepancy in the measured values of a second patient monitoring device relating to the first patient monitoring device.
- general mathematical methods to determine and assess said discrepancies are known.
- the central evaluation unit may put out an alert.
- This alert could, for example, be forwarded to an operation center, which may automatically or manually try to contact the patient in question by e.g. phone in order to remotely check his wellbeing or inform care staff to personally check on the patient.
- an operation center which may automatically or manually try to contact the patient in question by e.g. phone in order to remotely check his wellbeing or inform care staff to personally check on the patient.
- a severe discrepancy is established in view of the standard variance of the measured values of a measurements and/or a combination of severe discrepancies for two or more measurements.
- the measured values of a plurality of related patient monitoring devices may be considered when establishing a severe discrepancy.
- Figure 1 shows the schematics of a first embodiment of a patient monitoring device 1 according to the present invention. Elements, which are inside the patient monitoring device 1 and thus not actually visible are depicted in broken lines.
- the patient monitoring device 1 comprises of a housing 2 with mounting holes as attachment means 3 to fixedly mount the patient monitoring device 1 with its bottom 4 to a surface, e.g. a wall.
- the attachment means 3 allow a mounting of the patient monitoring device 1 that transfers all vibrations from the mounting surface to the device 1.
- the housing 2 of the patient monitoring device 1 holds a plurality of sensor elements 10, wherein some of the sensor elements 11 are fully encapsulated by the housing 2, while other sensor elements 12, 13, 14, 15, 16 are connected with the outside by means of apertures in the top 5 of the housing 2.
- One sensor element 10 is an accelerometer 11, which is configured to detect vibration and movement in three perpendicular axis.
- the accelerometer 11 can detect even the slightest vibrations caused by e.g. a person walking in the room surrounded by the wall, the device 1 is attached to.
- the device 1 also comprises a noise detector 12, which is only capable of registering noise, but does not provide sufficient maximum resolution to record speech.
- the far infrared sensor element 13 comprises an infrared sensor array in a matrix of 8x8, which is sufficient to differentiate a human from the environment.
- the far infrared sensor element 13 is supplemented by an ambient temperature sensor element 14, which helps to calibrate the far infrared sensor element 13 in order not to only determine temperature differences but also record absolute temperature values.
- the sensor element 15 is a combined CO 2 - and TVOC-sensor element.
- the light sensor element 16 is capable of detecting light intensity but also to differentiate between natural and artificial light by means of analyzing the light spectrum.
- All sensor elements 10 are connected to a communication module 20.
- a communication module 20 For illustrative purposes, neither the connections nor the battery used as an energy source for the communication module 20 and the sensor elements 10 are shown.
- the communication module 20 is a Wi-Fi-communication module suitable for connecting to a Wi-Fi-network. At the same time the communication module 20 acts as a sensor element 10 by collecting information about all Wi-Fi-devices being active within its reach and their respective signal strength.
- the communication module 20 is configured to collect the measured values of the sensor elements 10, wherein some of the sensor elements 10, e.g. the accelerometer 11 and the noise sensor 12, continuously provide measurement values, while other sensor elements 10 like e.g. the CO 2 - and TVOC-Sensor element 15 provide readings every 10 seconds.
- the measurement values collected from the various sensor elements 10 at individual rates are timestamped and cached in an intermediate storage memory of the communication module 20. This is also true for the information collected about the active Wi-Fi-devices being in reach.
- the communication module 20 transmits the collected measurement values batchwise every 30 seconds via an established Wi-Fi-connection and the Internet to a central evaluation unit 30, which will be explained in more detail in context with figure 2 .
- FIG 2 schematically shows a patient's home 40, where every room 41 that is regularly used is equipped with a patient monitoring device 1 according to figure 1 .
- a patient monitoring device 1 is mounted to a wall of the respective rooms 41.
- the patient's home 40 is also equipped with a Wi-Fi-Router 42 that allows Wi-Fi-enabled devices such as the patient monitoring devices 1 to connect to the internet. Via the Wi-Fi-Router 42 and the internet, the patient monitoring devices 1 are connected to the central evaluation unit 30, which comprises a processing unit 31 and a storage unit 32.
- Each of the patient monitoring devices 1 transmits their respective measured values batchwise in intervals of approx. 30 seconds to the central evaluation unit 30, where there are at least temporarily stored in the storage unit 32.
- the received data is also processed by the processing unit 31 in order to determine a typical variation in the measurements during a day. For this, the measured values of all patient monitoring devices 1 that can be regarded to be related due to be installed in the same patient's home are analyzed concurrently.
- the determined variation in the measurements during a day is then stored in the storage unit 32. In case a respective variation has already been determined, additional data received from the patient monitoring devices 1 is used to verify or update said variation.
- an alert is put out by the central evaluation unit 30, e.g. in form of an electronic message to an operation center which may then take further action.
- a sudden stop in the vibration measured by said patient monitoring device 1 may be countered by another patient monitoring device 1 in a different room 41 where similar vibration suddenly occur, suggesting the human having changed the room 41.
- a change in the measured signals do not necessarily need to raise a concern.
- said vibration measured by a specific patent monitoring device 1 abruptly stops without other changes in the measured values potentially explaining the stop in the vibration, may cause an alert due to the risk of the patient having a sudden medical emergency.
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- Health & Medical Sciences (AREA)
- Physics & Mathematics (AREA)
- General Physics & Mathematics (AREA)
- Emergency Management (AREA)
- Gerontology & Geriatric Medicine (AREA)
- Business, Economics & Management (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Psychiatry (AREA)
- Psychology (AREA)
- Social Psychology (AREA)
- Multimedia (AREA)
- Human Computer Interaction (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Priority Applications (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PL18211668.1T PL3667633T3 (pl) | 2018-12-11 | 2018-12-11 | Urządzenie do monitorowania pacjenta i układ |
ES18211668T ES2965213T3 (es) | 2018-12-11 | 2018-12-11 | Dispositivo y sistema de monitorización de pacientes |
HRP20231577TT HRP20231577T1 (hr) | 2018-12-11 | 2018-12-11 | Uređaj i sustav za nadzor pacijenata |
EP18211668.1A EP3667633B1 (en) | 2018-12-11 | 2018-12-11 | Patient monitoring device and arrangement |
HUE18211668A HUE064348T2 (hu) | 2018-12-11 | 2018-12-11 | Betegfigyelõ készülék és elrendezés |
EP19779506.5A EP3895140A1 (en) | 2018-12-11 | 2019-10-04 | Monitoring device and arrangement |
PCT/EP2019/076893 WO2020119977A1 (en) | 2018-12-11 | 2019-10-04 | Monitoring device and arrangement |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP18211668.1A EP3667633B1 (en) | 2018-12-11 | 2018-12-11 | Patient monitoring device and arrangement |
Publications (2)
Publication Number | Publication Date |
---|---|
EP3667633A1 EP3667633A1 (en) | 2020-06-17 |
EP3667633B1 true EP3667633B1 (en) | 2023-09-13 |
Family
ID=64664889
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP18211668.1A Active EP3667633B1 (en) | 2018-12-11 | 2018-12-11 | Patient monitoring device and arrangement |
EP19779506.5A Pending EP3895140A1 (en) | 2018-12-11 | 2019-10-04 | Monitoring device and arrangement |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP19779506.5A Pending EP3895140A1 (en) | 2018-12-11 | 2019-10-04 | Monitoring device and arrangement |
Country Status (6)
Country | Link |
---|---|
EP (2) | EP3667633B1 (hr) |
ES (1) | ES2965213T3 (hr) |
HR (1) | HRP20231577T1 (hr) |
HU (1) | HUE064348T2 (hr) |
PL (1) | PL3667633T3 (hr) |
WO (1) | WO2020119977A1 (hr) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN112511912B (zh) * | 2020-11-18 | 2023-10-17 | 厦门物之联智能科技有限公司 | 一种适用于传感信号解析的设备及方法 |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6002994A (en) * | 1994-09-09 | 1999-12-14 | Lane; Stephen S. | Method of user monitoring of physiological and non-physiological measurements |
US6116089A (en) * | 1997-08-07 | 2000-09-12 | Reliance Electric Technologies, Llc | Method and apparatus for identifying defects in a rotating machine system |
US7126467B2 (en) * | 2004-07-23 | 2006-10-24 | Innovalarm Corporation | Enhanced fire, safety, security, and health monitoring and alarm response method, system and device |
US7417332B2 (en) * | 2006-08-24 | 2008-08-26 | General Electric Company | Method and apparatus of monitoring a machine |
DE102008051090A1 (de) * | 2008-10-09 | 2010-04-22 | Swetlana Rautenberg | Patientenüberwachungssystem |
US8780220B2 (en) * | 2011-07-08 | 2014-07-15 | Asia Optical International Ltd. | Sensing range selectable image sensor module |
EP3245639A1 (en) * | 2015-01-12 | 2017-11-22 | Koninklijke Philips N.V. | A system and method for monitoring activities of daily living of a person |
US10244360B2 (en) * | 2016-06-12 | 2019-03-26 | Apple Inc. | Determining location of mobile device using sensor space to physical space mapping |
-
2018
- 2018-12-11 ES ES18211668T patent/ES2965213T3/es active Active
- 2018-12-11 HU HUE18211668A patent/HUE064348T2/hu unknown
- 2018-12-11 EP EP18211668.1A patent/EP3667633B1/en active Active
- 2018-12-11 HR HRP20231577TT patent/HRP20231577T1/hr unknown
- 2018-12-11 PL PL18211668.1T patent/PL3667633T3/pl unknown
-
2019
- 2019-10-04 WO PCT/EP2019/076893 patent/WO2020119977A1/en unknown
- 2019-10-04 EP EP19779506.5A patent/EP3895140A1/en active Pending
Also Published As
Publication number | Publication date |
---|---|
ES2965213T3 (es) | 2024-04-11 |
PL3667633T3 (pl) | 2024-03-04 |
EP3667633A1 (en) | 2020-06-17 |
EP3895140A1 (en) | 2021-10-20 |
WO2020119977A1 (en) | 2020-06-18 |
HRP20231577T1 (hr) | 2024-03-15 |
HUE064348T2 (hu) | 2024-03-28 |
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