By Associate Professor Angela Lin Chiew

Conference Papers

Chiew A; Lin C; Nguyen D; Sinclair F; Chan B; Solinas A, 2023, 'Honey and jam neutralize button battery injury in a porcine oesophageal model', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 2 - 3

Isbister G; Jenkins S; Chiew A; Buckley N; Brown S; Soderstrom J; Isoardi K, 2023, 'Real world delays in antivenom administration: patient, snake or hospital factors (ASP-33)', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 119 - 120

Chan BSH; Isoardi KZ; Isbister GK; Chiew AL, 2023, 'A case series of hydroxychloroquine poisoning in Australia', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 109 - 109

Chiew AL; Chan BSH; Isoardi KK, 2023, 'Rivastigmine for the management of anticholinergic delirium: a case series', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 41 - 42

Perananthan V; Shihana F; Chiew A; George J; Dawson A; Buckley N, 2023, 'Intestinal injury in paracetamol overdose', in JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, WILEY, pp. 201 - 201

Leathem S; Chiew A; Becker T; Chan B, 2021, 'Case report of caustic ingestion with delayed presentation', in TOXICOLOGY COMMUNICATIONS, TAYLOR & FRANCIS LTD, pp. 122 - 122

Chiew A; Isbister G; Stathakis P; Ress K; Buckley N, 2018, 'Acetaminophen metabolites following acute acetaminophen overdose as a biomarker for acute liver injury', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 917 - 918, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000449536500018&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew A; James L; Isbister G; Buckley N, 2018, 'Acetaminophen-protein adducts following acetaminophen overdose', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 914 - 915, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000449536500014&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; Keogh S, 2017, '"Hemp oil" ingestion: the dangers of alternative therapies', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 396 - 397, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000399800900074&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Becker T; Chiew AL; Chan BSH, 2017, 'A case report of vasoplegic shock treated with methylene blue', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 390 - 390, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000399800900060&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chan BSH; Chiew AL; Page CB; O'Leary M; Isbister GK; Buckley NA, 2017, 'Acute digoxin overdose and response to antibody (DORA study)', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 378 - 378, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000399800900033&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chan BSH; Chiew AL; Page CB; Isbister GK; Nicholas BA, 2017, 'Dihydropyridine calcium channel blocker toxicity and the renin angiotensin axis', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 459 - 459, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000399800900212&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; Isbister GK; Page CB; Chan BSH; Buckley NA, 2017, 'Modified-release paracetamol overdose: a prospective observational study', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 419 - 419, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000399800900125&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; James LP; Letzig LG; Isbister GK; Buckley NA, 2017, 'Paracetamol-protein adducts following modified release paracetamol overdose', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 429 - 430, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000399800900148&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Becker T; Chiew A; Chan B, 2017, 'Intermittent haemodialysis in lamotrigine poisoning', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 760 - 760, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000406384000141&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; Isbister GK; Page CB; Buckley NA, 2016, 'Massive paracetamol overdose: an observational study', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 429 - 429, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000374999800140&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; James LP; Letzig LG; Isbister GK; Buckley NA, 2016, 'Paracetamol-protein adducts following acute paracetamol overdose', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 472 - 472, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000374999800238&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; Luke S, 2016, 'Severe methaemoglobinaemia and the blue infusion', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, pp. 489 - 489, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000374999800277&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; Isbister GK; Buckley NA, 2015, '"Massive" paracetamol overdose', in CLINICAL TOXICOLOGY, INFORMA HEALTHCARE, pp. 380 - 380, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000351927300321&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; Sellors K; Chan B, 2015, 'Sleeping Beauty: Prolonged sedation following an alprazolam and fluconazole overdose', in CLINICAL TOXICOLOGY, INFORMA HEALTHCARE, pp. 384 - 384, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000351927300329&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; Brown JA; Chan BSH; Buckley NA, 2013, 'Puberty blues - copper salt exposures in Australian schools', in CLINICAL TOXICOLOGY, INFORMA HEALTHCARE, pp. 360 - 360, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000317938600253&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; Cush K; Chan BSH, 2013, 'Prolonged delirium and abnormal movements in paediatric lamotrigine ingestion', in CLINICAL TOXICOLOGY, INFORMA HEALTHCARE, pp. 319 - 319

Chiew A; Chan B, 2011, 'A Tale of Two Overdoses', in CLINICAL TOXICOLOGY, INFORMA HEALTHCARE, pp. 244 - 244, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000289628600208&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Graudins A; Chiew A; Green D; Chan BS, 2008, 'Deliberate self-poisoning with Panadol Extend (R) results in delayed peak serum concentrations and prolonged absorption of paracetamol', in CLINICAL TOXICOLOGY, INFORMA HEALTHCARE, pp. 365 - 365, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000256917000052&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chan BS; Chiew A; Graudins A, 2008, 'Intravenous hypertonic sodium bicarbonate infusion reverses flecainide-induced ventricular cardiac conduction delay', in CLINICAL TOXICOLOGY, INFORMA HEALTHCARE, pp. 369 - 369, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000256917000070&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chan BS; Graudins A; Chiew A, 2008, 'Acetaminophen poisoning with a difference', in CLINICAL TOXICOLOGY, INFORMA HEALTHCARE, pp. 601 - 602, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000258052900063&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Conference Presentations

Bracken L; Chan B; Chiew A; Buckley N, 2016, 'Physiologically based pharmacokinetic modelling of digoxin for the treatment of digoxin toxicity', presented at Asia Pacific Association of Medical Toxicity, 01 December 2016 - 04 December 2016

Conference Abstracts

Chiew AL; Chan BSH; Brett J; Jagarlamudi B, 2024, 'Nitrous oxide presentations: the growing trend of nitrous oxide cylinder usage', in Clinical Toxicology, Taylor and Francis Group, Munich, Germany, Vol. 62, pp. 43 - 43, presented at 44th International Congress of the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT), Munich, Germany, https://doi.org/10.1080/15563650.2024.2333651

Isbister GK; Jenkins S; Chiew AL, 2024, 'Outcomes in paracetamol overdose: is acetylcysteine enough?', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 62, pp. 102 - 102

Chiew AL; Holford AG; Chan BSH; Isoardi KZ, 2024, 'Rivastigmine for the management of anticholinergic delirium', in Clinical Toxicology, Vol. 62, pp. 82 - 87, http://dx.doi.org/10.1080/15563650.2024.2319854

Chan BS; Chiew AL, 2022, 'A case of flubromazolam overdose', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 60, pp. 13 - 13, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000794992600026&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; Isoardi KZ; Chan BS; Buckley NA; Isbister GK, 2022, 'Serotonin toxicity following acute lamotrigine overdose: a prospective series', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 60, pp. 88 - 89, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000794992600184&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Mirabella J; Ravi D; Chiew AL; Chan BS, 2022, 'Tapentadol: the new opioid overtaking oxycodone usage in hospital', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 60, pp. 10 - 10, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000794992600020&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; Domingo G; Buckley NA; Stathakis P; Ress K; Roberts DM, 2020, 'Hepatotoxicity in a child following an accidental overdose of liquid paracetamol', in Clinical Toxicology, Vol. 58, pp. 1063 - 1066, http://dx.doi.org/10.1080/15563650.2020.1722150

Pai KG; Isoardi K; Buckley NA; Harris K; Becker T; Chiew AL; Cairns R; Brown JA; Chan BS, 2020, 'A case series of flecainide poisoning', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 58, pp. 617 - 617, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000531053300249&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Huang J; Isoardi K; Buckley NA; Chiew AL; Isbister G; Cairns R; Brown JA; Chan BS, 2020, 'Angiotensin axis antagonists increase the severity of dihydropyridine poisoning', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 58, pp. 616 - 617, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000531053300248&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Pai KG; Isoardi K; Buckley NA; Becker T; Chiew AL; Cairns R; Brown JA; Chan BS, 2020, 'Effect of serum alkalinisation on QRS narrowing in tricyclic antidepressant poisoning', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 58, pp. 618 - 618, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000531053300250&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chiew AL; Becker T; Chan BS; Brett J, 2020, 'Just "nanging" around: case series of neurological sequelae from chronic nitrous oxide abuse', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 58, pp. 568 - 568, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000531053300149&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Pai KG; Isoardi K; Buckley NA; Becker T; Chiew AL; Cairns R; Brown JA; Chan BS, 2020, 'Optimal way to achieve serum alkalinisation in tricyclic antidepressant overdose', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 58, pp. 618 - 618, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000531053300251&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Stewart PT; Chiew AL; Becker T; Osborne NJ; Withall A; Chan B, 2020, 'Post-overdose cognitive function', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 58, pp. 632 - 633, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000531053300283&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Wong A; Yarema M; Isbister GK; Sivilotti MLA; McNulty R; Chiew A; Isoardi K; Harris K; Page C; Greene SL; Gunja N; Buckley NA; Graudins A, 2020, 'Comparison of adverse reactions to a 2 vs 3 bag IV acetylcysteine regimen during treatment of paracetamol overdose', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 58, pp. 326 - 327, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000515538400080&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chan BS; Cheng S; Isoardi KZ; Chiew A; Siu W; Vecellio E; Buckley NA, 2020, 'Effect of age on chronic lithium poisoning', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 58, pp. 304 - 304, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000515538400017&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Wong A; Isbister GK; McNulty R; Chiew A; Isoardi K; Harris K; Page C; Greene SL; Gunja N; Buckley NA; Graudins A, 2020, 'Efficacy of a two bags acetylcysteine regimen to treat paracetamol overdose (2NAC study)', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 58, pp. 305 - 306, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000515538400020&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chan BS; Isoardi KZ; Chiew A, 2020, 'Novel use of naltrexone as a long-acting antidote for opiate naive patients', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 58, pp. 322 - 323, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000515538400068&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Wong A; Isbister G; McNulty R; Isoardi K; Harris K; Chiew A; Greene S; Gunja N; Buckley N; Page C; Graudins A, 2020, 'Efficacy of a two bag acetylcysteine regimen to treat paracetamol overdose (2NAC study)', in Eclinicalmedicine, Vol. 20, http://dx.doi.org/10.1016/j.eclinm.2020.100288

Cheng S; Buckley NA; Siu W; Chiew AL; Vecellio E; Chan BS, 2020, 'Seasonal and temperature effect on serum lithium concentrations', in Australian and New Zealand Journal of Psychiatry, Vol. 54, pp. 282 - 287, http://dx.doi.org/10.1177/0004867419889160

Depczynski B; Lee AT; Varndell WF; Chiew AL, 2019, 'Blood Beta Hydroxybutyrate Levels in Adult Patients Presenting to Emergency Department', in DIABETES, AMER DIABETES ASSOC, CA, San Francisco, Vol. 68, presented at 79th Scientific Sessions of the American-Diabetes-Association (ADA), CA, San Francisco, 07 June 2019 - 11 June 2019, http://dx.doi.org/10.2337/db19-2477-PUB

Cheng S; Siu W; Chiew AL; Vecellio E; Buckley NA; Chan BS, 2019, 'A comparison between acute-on-chronic versus chronic lithium toxicity', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 57, pp. 508 - 508, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000468483300181&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Becker T; Chan BS; Chiew AL, 2019, 'Chronic methyl bromide toxicity treated with intermittent haemodialysis', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 57, pp. 519 - 519, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000468483300205&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

Chan BS; Isbister GK; Page CB; Isoardi KZ; Chiew AL; Kirby KA; Buckley NA, 2019, 'Clinical outcomes from early use of digoxin-specific antibodies versus observation in chronic digoxin poisoning (ATOM-4)', in CLINICAL TOXICOLOGY, TAYLOR & FRANCIS LTD, Vol. 57, pp. 482 - 483, https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000468483300129&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=891bb5ab6ba270e68a29b250adbe88d1

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