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  • Review
  • Open Access
1 Citations
5,362 Views
40 Pages

The Blurred Lines Between New Psychoactive Substances and Potential Chemical Weapons

  • Loreto N. Valenzuela-Tapia,
  • Cristóbal A. Quintul,
  • Nataly D. Rubio-Concha,
  • Luis Toledo-Ríos,
  • Catalina Salas-Kuscevic,
  • Andrea V. Leisewitz,
  • Pamela Cámpora-Oñate and
  • Javier Campanini-Salinas

1 August 2025

The historical use of toxic chemicals to cause intentional harm has evolved from blister agents in World War I to highly lethal organophosphates and emerging families of chemicals, such as Novichok. In turn, medical or recreational substances like fe...

  • Article
  • Open Access
21 Citations
15,584 Views
13 Pages

Octodrine: New Questions and Challenges in Sport Supplements

  • Valeria Catalani,
  • Mariya Prilutskaya,
  • Ahmed Al-Imam,
  • Shanna Marrinan,
  • Yasmine Elgharably,
  • Mire Zloh,
  • Giovanni Martinotti,
  • Robert Chilcott and
  • Ornella Corazza

20 February 2018

Background: Octodrine is the trade name for Dimethylhexylamine (DMHA), a central nervous stimulant that increases the uptake of dopamine and noradrenaline. Originally developed as a nasal decongestant in the 1950’s, it has recently been re-introduce...

  • Article
  • Open Access
11 Citations
7,029 Views
13 Pages

Arousal-Inducing Effect of Garcinia cambogia Peel Extract in Pentobarbital-Induced Sleep Test and Electroencephalographic Analysis

  • Duhyeon Kim,
  • Jinsoo Kim,
  • Seonghui Kim,
  • Minseok Yoon,
  • Minyoung Um,
  • Dongmin Kim,
  • Sangoh Kwon and
  • Suengmok Cho

19 August 2021

Caffeine, a natural stimulant, is known to be effective for weight loss. On this basis, we screened the arousal-inducing effect of five dietary supplements with a weight loss effect (Garcinia cambogia, Coleus forskohlii, Camellia sinensis L., Irvingi...

  • Article
  • Open Access
12 Citations
5,065 Views
13 Pages

Prevalence of Licit and Illicit Drugs Use during Pregnancy in Mexican Women

  • Larissa-María Gómez-Ruiz,
  • Emilia Marchei,
  • Maria Concetta Rotolo,
  • Pietro Brunetti,
  • Giulio Mannocchi,
  • Aracely Acosta-López,
  • Ruth-Yesica Ramos-Gutiérrez,
  • Mary-Buhya Varela-Busaka,
  • Simona Pichini and
  • Oscar Garcia-Algar

21 March 2022

For the first time, the present study employed hair testing to investigate the prevalence of classical drugs of abuse and new psychoactive substances use during gestation in a cohort of 300 Mexican pregnant women. An interview was conducted to collec...

  • Review
  • Open Access
32 Citations
11,581 Views
32 Pages

Neuropsychiatric diseases such as depression, anxiety, and post-traumatic stress represent a substantial long-term challenge for the global health systems because of their rising prevalence, uncertain neuropathology, and lack of effective pharmacolog...

  • Article
  • Open Access
15 Citations
2,801 Views
13 Pages

16 February 2023

As new psychoactive substances (commonly known as “the third generation drugs”) have characteristics such as short-term emergence, rapid updating, and great social harmfulness, there is a large gap in the development of their detection me...

  • Review
  • Open Access
2 Citations
6,781 Views
36 Pages

From Psychoactivity to Antimicrobial Agents: Multifaceted Applications of Synthetic Cathinones and Catha edulis Extracts

  • Celia María Curieses Andrés,
  • José Manuel Pérez de la Lastra,
  • Elena Bustamante Munguira,
  • Celia Andrés Juan and
  • Eduardo Pérez-Lebeña

15 December 2024

The emergence of new psychoactive substances (NPS) in the global drug market since the 2000s has posed major challenges for regulators and law enforcement agencies. Among these, synthetic cathinones have gained prominence due to their stimulant effec...

  • Review
  • Open Access
10 Citations
7,224 Views
16 Pages

Potential of CBD Acting on Cannabinoid Receptors CB1 and CB2 in Ischemic Stroke

  • Iu Raïch,
  • Jaume Lillo,
  • Rafael Rivas-Santisteban,
  • Joan Biel Rebassa,
  • Toni Capó,
  • Montserrat Santandreu,
  • Erik Cubeles-Juberias,
  • Irene Reyes-Resina and
  • Gemma Navarro

Stroke is one of the leading causes of death. It not only affects adult people but also many children. It is estimated that, every year, 15 million people suffer a stroke worldwide. Among them, 5 million people die, while 5 million people are left pe...

  • Article
  • Open Access
4 Citations
4,480 Views
9 Pages

22 September 2018

The chameleon can disguise itself in nature by taking on different colors and forms. As synthetic cannabinoids (SC) have clinically similar effects to those of several psychoactive agents, they are one of the most difficult intoxications to diagnose....

  • Article
  • Open Access
221 Views
14 Pages

Beta Blocker Intoxications in Belgium: A Data Analysis with Focus on Propranolol

  • Brechje van den Boogaard,
  • Maria van de Lavoir,
  • Rani Robeyns,
  • Celine Gys,
  • Adrian Covaci and
  • Hans De Loof

Background: The issue of beta blocker poisoning has received little attention, despite the widespread use of these compounds in cardiac and neuropsychiatric care. Safety profiles differ, and some beta blockers appear in poisonings far beyond what the...

  • Opinion
  • Open Access
13 Citations
9,822 Views
12 Pages

The endogenous cannabinoid system (ECS) plays a critical role in the regulation of various physiological functions, including sleep, mood, and neuroinflammation. Phytocannabinoids such as Δ9-tetrahydrocannabinol (THC), cannabidiol (CBD), cannab...

  • Review
  • Open Access
65 Citations
29,889 Views
16 Pages

Therapeutic Potential of Non-Psychotropic Cannabidiol in Ischemic Stroke

  • Kazuhide Hayakawa,
  • Kenichi Mishima and
  • Michihiro Fujiwara

8 July 2010

Cannabis contains the psychoactive component delta9-tetrahydrocannabinol (delta9-THC), and the non-psychoactive components cannabidiol (CBD), cannabinol, and cannabigerol. It is well-known that delta9-THC and other cannabinoid CB1 receptor agonists a...

  • Article
  • Open Access
1,655 Views
12 Pages

15 October 2025

Background and Objectives: While sleep paralysis (SP) is a well-defined disorder, its pathophysiology and causes remain elusive. We aimed to assess the prevalence of sleep paralysis among higher education students and determine factors associated wit...

  • Article
  • Open Access
277 Views
10 Pages

A Retrospective Toxicology Study of Polysubstance Use Patterns Associated with Xylazine

  • Wanzhu Zhao,
  • Carlos Goncalves,
  • Emily Ruggiano,
  • Trenton Deanna,
  • Elnaz Navid,
  • Fabiola Estrada,
  • Austin Rawlings,
  • Monte Thompson,
  • Andrew Monte and
  • Uwe Christians

14 February 2026

In recent years, xylazine has emerged as a cutting agent combined with illicit drugs to extend their effects. The present study aimed to discover drug use patterns associated with xylazine-positive and -negative urine toxicology drug screens and to a...

  • Review
  • Open Access
33 Citations
14,858 Views
21 Pages

Essential Oils and Their Constituents: An Alternative Source for Novel Antidepressants

  • Damião P. De Sousa,
  • Rayanne H. N. Silva,
  • Epifanio F. da Silva and
  • Elaine C. Gavioli

3 August 2017

Depression is a disease that has affected a high proportion of the world’s population and people of different ages, incapacitating them from good performance at work and in social relationships, and causing emotional disorders to millions of families...

  • Review
  • Open Access
50 Citations
14,427 Views
42 Pages

An Update on the Implications of New Psychoactive Substances in Public Health

  • Ana Y. Simão,
  • Mónica Antunes,
  • Emanuel Cabral,
  • Patrik Oliveira,
  • Luana M. Rosendo,
  • Ana Teresa Brinca,
  • Estefânia Alves,
  • Hernâni Marques,
  • Tiago Rosado and
  • Eugenia Gallardo
  • + 3 authors

The emergence of new psychoactive substances has earned a great deal of attention, and several reports of acute poisoning and deaths have been issued involving, for instance, synthetic opiates. In recent years, there have been profound alterations in...

  • Article
  • Open Access
4 Citations
3,357 Views
13 Pages

Designers Drugs—A New Challenge to Emergency Departments—An Observational Study in Poland

  • Rakesh Jalali,
  • Paula Dmochowska,
  • Izabela Godlewska,
  • Justyna Balmas,
  • Katarzyna Młynarska,
  • Krzysztof Narkun,
  • Andrzej Zawadzki and
  • Marcin Wojnar

17 July 2020

Background and Objective: In the last decade, the phenomenon of using new psychoactive substances (NPS), called designer drugs, has been on rise. Though their production and marketing in Poland is prohibited, reports of the Supreme Audit Office noted...

  • Review
  • Open Access
27 Citations
14,214 Views
14 Pages

Esketamine and Psilocybin—The Comparison of Two Mind-Altering Agents in Depression Treatment: Systematic Review

  • Dominika Psiuk,
  • Emilia Magdalena Nowak,
  • Natalia Dycha,
  • Urszula Łopuszańska,
  • Jacek Kurzepa and
  • Marzena Samardakiewicz

28 September 2022

This publication discusses two compounds belonging to the psychoactive substances group which are studied in the context of depression treatment—psilocybin and esketamine. The former is a naturally occurring psychedelic. The latter was invented...

  • Feature Paper
  • Article
  • Open Access
5 Citations
3,924 Views
17 Pages

Evaluating Marine Cyanobacteria as a Source for CNS Receptor Ligands

  • Andrea L. Rague,
  • Stacy-Ann J. Parker and
  • Kevin J. Tidgewell

17 October 2018

Natural products have a long history as a source of psychoactive agents and pharmacological tools for understanding the brain and its circuitry. In the last two decades, marine cyanobacteria have become a standard source of natural product ligands wi...

  • Article
  • Open Access
4 Citations
6,910 Views
18 Pages

Despite the recent promising results of MDMA (3,4-methylenedioxy-methamphetamine) as a psychotherapeutic agent and its history of misuse, little is known about its molecular mode of action. MDMA enhances monoaminergic neurotransmission in the brain a...

  • Article
  • Open Access
2 Citations
2,403 Views
17 Pages

The global rise of new psychoactive substances (NPSs) poses challenges for their analysis in biological matrices due to their complex chemistries and short market lifespan. A comparative study for the simultaneous extraction, separation, and detectio...

  • Review
  • Open Access
49 Citations
5,508 Views
17 Pages

Cannabis Bioactive Compound-Based Formulations: New Perspectives for the Management of Orofacial Pain

  • Giuseppina Crescente,
  • Giuseppe Minervini,
  • Carmela Spagnuolo and
  • Stefania Moccia

23 December 2022

The management of orofacial pain to alleviate the quality of life of affected patients is becoming increasingly challenging for scientific research and healthcare professionals. From this perspective, in addition to conventional therapies, new altern...

  • Article
  • Open Access
22 Citations
5,779 Views
22 Pages

Cannabidiol Antiproliferative Effect in Triple-Negative Breast Cancer MDA-MB-231 Cells Is Modulated by Its Physical State and by IGF-1

  • Alessia D’Aloia,
  • Michela Ceriani,
  • Renata Tisi,
  • Simone Stucchi,
  • Elena Sacco and
  • Barbara Costa

Cannabidiol (CBD) is a non-psychoactive phytocannabinoid that has been discussed for its safety and efficacy in cancer treatments. For this reason, we have inquired into its use on triple-negative human breast cancer. Analyzing the biological effects...

  • Review
  • Open Access
50 Citations
24,368 Views
20 Pages

Nicotine: From Discovery to Biological Effects

  • Luigi Sansone,
  • Francesca Milani,
  • Riccardo Fabrizi,
  • Manuel Belli,
  • Mario Cristina,
  • Vincenzo Zagà,
  • Antonio de Iure,
  • Luca Cicconi,
  • Stefano Bonassi and
  • Patrizia Russo

26 September 2023

Nicotine, the primary psychoactive agent in tobacco leaves, has led to the widespread use of tobacco, with over one billion smokers globally. This article provides a historical overview of tobacco and discusses tobacco dependence, as well as the biol...

  • Article
  • Open Access
12 Citations
4,981 Views
19 Pages

Cannabidiol Exerts a Neuroprotective and Glia-Balancing Effect in the Subacute Phase of Stroke

  • Erika Meyer,
  • Phillip Rieder,
  • Davide Gobbo,
  • Gabriella Candido,
  • Anja Scheller,
  • Rúbia Maria Weffort de Oliveira and
  • Frank Kirchhoff

25 October 2022

Pharmacological agents limiting secondary tissue loss and improving functional outcomes after stroke are still limited. Cannabidiol (CBD), the major non-psychoactive component of Cannabis sativa, has been proposed as a neuroprotective agent against e...

  • Review
  • Open Access
3 Citations
6,048 Views
24 Pages

30 November 2021

The term seizures includes a wide array of different disorders with variable etiology, which currently represent one of the most important classes of neurological illnesses. As a consequence, many different antiepileptic drugs (AEDs) are currently av...

  • Article
  • Open Access
2 Citations
3,517 Views
17 Pages

Consumption of Substances in Nightlife Settings: A Qualitative Approach in Young Andalusians (Spain)

  • María Ángeles García-Carpintero-Muñoz,
  • Lorena Tarriño-Concejero and
  • Rocío de Diego-Cordero

Adolescence and youth are stages of exploration and experimentation, when the consumption of psychoactive substances for recreational or experimental purposes often begins. The general objective of this study was to explore youth consumption habits i...

  • Review
  • Open Access
95 Citations
22,235 Views
14 Pages

13 February 2021

Cannabidiol (CBD) is the most abundant non-psychoactive component of cannabis; it displays a very low affinity for cannabinoid receptors, facilitates endocannabinoid signaling by inhibiting the hydrolysis of anandamide, and stimulates both transient...

  • Review
  • Open Access
28 Citations
18,305 Views
17 Pages

Cannabigerol (CBG): A Comprehensive Review of Its Molecular Mechanisms and Therapeutic Potential

  • Shijia Li,
  • Weini Li,
  • Naseeb Kaur Malhi,
  • Junwei Huang,
  • Quanqi Li,
  • Ziwei Zhou,
  • Ruiheng Wang,
  • Jiangling Peng,
  • Tong Yin and
  • Honggen Wang

20 November 2024

Cannabigerol (CBG), a non-psychoactive cannabinoid found in cannabis, has emerged as a promising therapeutic agent with a diverse range of potential applications. Unlike its well-known counterpart tetrahydrocannabinol (THC), CBG does not induce intox...

  • Review
  • Open Access
8 Citations
6,808 Views
32 Pages

23 January 2024

The highly aggressive and invasive glioblastoma (GBM) tumour is the most malignant lesion among adult-type diffuse gliomas, representing the most common primary brain tumour in the neuro-oncology practice of adults. With a poor overall prognosis and...

  • Review
  • Open Access
25 Citations
10,772 Views
18 Pages

The article proposes a rough outline of an alternative systemic approach to mental health issues and of a more humane mental health care system. It suggests focusing on understanding mental distress as stemming from problems in living, using medicati...

  • Article
  • Open Access
17 Citations
5,357 Views
19 Pages

Antiseizure Effects of Fully Characterized Non-Psychoactive Cannabis sativa L. Extracts in the Repeated 6-Hz Corneal Stimulation Test

  • Anna-Maria Costa,
  • Lara Senn,
  • Lisa Anceschi,
  • Virginia Brighenti,
  • Federica Pellati and
  • Giuseppe Biagini

3 December 2021

Compounds present in Cannabis sativa L. preparations have recently attracted much attention in the treatment of drug-resistant epilepsy. Here, we screened two olive oil extracts from a non-psychoactive C. sativa variety, fully characterized by high-p...

  • Case Report
  • Open Access
8 Citations
7,891 Views
8 Pages

Cannabis Dopaminergic Effects Induce Hallucinations in a Patient with Parkinson’s Disease

  • Katie Pizzolato,
  • David Thacker,
  • Nicole Del Toro-Pagán,
  • Abeer Hanna,
  • Jacques Turgeon,
  • Adriana Matos,
  • Nishita Amin and
  • Veronique Michaud

14 October 2021

Cannabis products that contain the tetrahydrocannabinol (THC) cannabinoid are emerging as promising therapeutic agents for the treatment of medical conditions such as chronic pain. THC elicits psychoactive effects through modulation of dopaminergic n...

  • Review
  • Open Access
631 Views
29 Pages

Incretin-Based Therapies: A Novel Pathway in Addiction Treatment

  • Rosiejka Dawid,
  • Michałowska Joanna,
  • Marcickiewicz Justyna,
  • Adela Bogdańska,
  • Wiktoria Błażejewska and
  • Monika Szulińska

19 February 2026

Addiction poses a major global public health challenge. It is characterized by high prevalence, chronic relapse and limited efficacy of available pharmacotherapies across different substance use disorders. Increasing evidence demonstrates that incret...

  • Article
  • Open Access
5 Citations
3,454 Views
12 Pages

Synthetic cannabinoids (SCs), a class of widely abused new psychoactive substances, are characterized by their structural diversity and rapid evolution. Structure–affinity relationships are crucial for predicting pharmacological effects and pot...

  • Article
  • Open Access
7 Citations
7,921 Views
12 Pages

12 September 2024

Cannabidiol (CBD), a non-psychoactive compound from Cannabis sativa, has shown efficacy in treating psoriasis, a chronic inflammatory skin disease affecting 1–3% of the global population; however, the mechanisms remain unclear. This study inves...

  • Review
  • Open Access
4 Citations
10,172 Views
59 Pages

Cannabidiol in Skin Health: A Comprehensive Review of Topical Applications in Dermatology and Cosmetic Science

  • Aura Rusu,
  • Andreea-Maria Farcaș,
  • Octavia-Laura Oancea and
  • Corneliu Tanase

23 August 2025

Cannabidiol (CBD), a non-psychoactive phytocannabinoid derived from Cannabis sativa L., has emerged as a promising multifunctional agent in dermatology and cosmetic science. The review provides an updated synthesis of CBD’s topical therapeutic...

  • Article
  • Open Access
20 Citations
6,267 Views
20 Pages

Characterization of the Biological Activity of the Ethanolic Extract from the Roots of Cannabis sativa L. Grown in Aeroponics

  • Fabio Ferrini,
  • Sabrina Donati Zeppa,
  • Daniele Fraternale,
  • Vittoria Carrabs,
  • Giosuè Annibalini,
  • Giancarlo Verardo,
  • Andrea Gorassini,
  • Maria Cristina Albertini,
  • Tariq Ismail and
  • Piero Sestili
  • + 1 author

Cannabis sativa var. Kompolti, a variety routinely used for food production purposes, is characterized by a low concentration of psychoactive molecules, although containing many other biologically attractive metabolites in all parts of the plant, inc...

  • Review
  • Open Access
47 Citations
15,089 Views
16 Pages

Novel Designer Benzodiazepines: Comprehensive Review of Evolving Clinical and Adverse Effects

  • Amber N. Edinoff,
  • Catherine A. Nix,
  • Amira S. Odisho,
  • Caroline P. Babin,
  • Alyssa G. Derouen,
  • Salim C. Lutfallah,
  • Elyse M. Cornett,
  • Kevin S. Murnane,
  • Adam M. Kaye and
  • Alan D. Kaye

22 August 2022

As tranquilizers, benzodiazepines have a wide range of clinical uses. Recently, there has been a significant rise in the number of novel psychoactive substances, including designer benzodiazepines. Flubromazolam(8-bromo-6-(2-fluorophenyl)-1-methyl-4H...

  • Article
  • Open Access
1 Citations
3,397 Views
20 Pages

13 December 2024

Silylation is a widely used derivatization technique for the gas chromatographic analysis of benzodiazepines, a class of psychoactive drugs commonly encountered in forensic and biological samples. This study investigated the optimal experimental cond...

  • Article
  • Open Access
5 Citations
2,649 Views
20 Pages

30 September 2024

Background: Post-treatment side effects of chemotherapy can include cognitive deficits commonly known as Chemo-brain. The treatment of patients with Doxorubicin (DOX), one of the most widely used chemotherapeutic drugs in the treatment of cancer, can...

  • Review
  • Open Access
8 Citations
10,473 Views
13 Pages

Nursing Intervention to Prevent and Manage Delirium in Critically Ill Patients: A Scoping Review

  • Filipa Fernandes,
  • Mariana Santos,
  • Ana Margarida Anacleto,
  • Cátia Jerónimo,
  • Óscar Ferreira and
  • Cristina Lavareda Baixinho

Delirium is an acute neuropsychiatric syndrome of multifactorial etiology with a high incidence in people admitted to intensive care units. In addition to reversible impairment of cognitive processes, it may be associated with changes in thinking and...

  • Article
  • Open Access
3 Citations
1,594 Views
16 Pages

Modulatory Effects of Caffeine on Imatinib Binding: A Molecular Docking Study Targeting CYP3A4

  • Manuel-Ovidiu Amzoiu,
  • Georgeta Sofia Popescu,
  • Emilia Amzoiu,
  • Maria Viorica Ciocîlteu,
  • Costel Valentin Manda,
  • Gabriela Rau,
  • Andrei Gresita and
  • Oana Taisescu

6 August 2025

Caffeine is a widely consumed psychoactive compound known to influence drug metabolism and efficacy through interactions with key enzymes such as cytochrome P450 3A4 (CYP3A4). This study investigates the molecular impact of caffeine on the binding be...

  • Article
  • Open Access
1,377 Views
14 Pages

Cosmeceutical Potential of Mitragyna speciosa (Kratom): Anti-Adipogenic and Antioxidant Properties of Extracts and Mitragynine

  • Sudthiworarak Kaewchompoo,
  • Prapapan Temkitthawon,
  • Kalyarut Phumlek,
  • Neti Waranuch,
  • Ngamrayu Ngamdokmai and
  • Kornkanok Ingkaninan

31 October 2025

Kratom (Mitragyna speciosa (Korth.) Havil.) is a medicinal plant containing bioactive alkaloids, notably mitragynine and 7-hydroxymitragynine, which are psychoactive compounds with analgesic and stimulant properties. Due to safety concerns, the use o...

  • Review
  • Open Access
1,311 Views
18 Pages

Cannabidiol’s Antioxidant Properties in Skin Care Products and Legislative Regulations

  • Maria Fafaliou,
  • Apostolos Papadopoulos,
  • Panagoula Pavlou and
  • Athanasia Varvaresou

18 November 2025

Cannabidiol (CBD) has garnered interest in its potential antioxidant properties in skin care. This review synthesizes the current literature exploring CBD’s role as an antioxidant and anti-inflammatory cosmetic ingredient and its impact on skin...

  • Review
  • Open Access
32 Citations
12,833 Views
20 Pages

Cannabinoids, the bioactive compounds found in Cannabis sativa, have been used for medicinal purposes for centuries, with early discoveries dating back to the BC era (BCE). However, the increased recreational use of cannabis has led to a negative per...

  • Article
  • Open Access
7 Citations
7,469 Views
43 Pages

6 December 2019

What triggered the emergence of uniquely human behaviors (language, religion, music) some 100,000 years ago? A non-circular, speculative theory based on the mother-infant relationship is presented. Infant “cuteness” evokes the infant sche...

  • Article
  • Open Access
9 Citations
2,456 Views
19 Pages

In Vitro Evidence of Selective Pro-Apoptotic Action of the Pure Cannabidiol and Cannabidiol-Rich Extract

  • Paweł Śledziński,
  • Agnieszka Nowak-Terpiłowska,
  • Piotr Rzymski,
  • Ryszard Słomski and
  • Joanna Zeyland

1 December 2023

Plant cannabinoids, secondary metabolites of species belonging to the Cannabis genus, can mimic the endocannabinoids’ action and exert biological effects. Considering the contribution of the endocannabinoid system in cell cycle and apoptotic re...

  • Commentary
  • Open Access
3 Citations
2,855 Views
17 Pages

The widespread use of novel psychoactive substances (NPSs)—defined as new narcotic or psychotropic agents not classified under the Single Convention on Narcotic Drugs of 1961 or the Convention on Psychotropic Substances of 1971—poses a si...

  • Article
  • Open Access
2 Citations
1,655 Views
20 Pages

11 September 2025

Cannabis sativa root has traditionally been used to relieve pain and inflammation, but its pharmacological properties remain underexplored due to low levels of psychoactive cannabinoids. This study aimed to investigate the anti-inflammatory and antin...

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