when is an autopsy required by law in michigan

It is not unloving to compare prices or to limit services provided by the funeral home if cost is a concern for your family. Zaneta Nikolovska-Coleska, PhD In death, the body becomes anobject, and thepersonis no longer embodied: even if there were no body, the soul [mind] would not cease to be all that it is [4]. Christine Baker * All fields are required! dissection. You would also have to pay for their services. How should he counsel them about the autopsy process? Suicide is not against the law, but given that there are cases where a homicide has been made to look like a suicide, the authorities will want to make certain that the suicide has not been staged to cover up foul play. Layout Design Cartesian Dualism in Medicine and Its Limitations. Why does it matter now?. A personal breast cancer diagnosis leads to new perspectives on medicine and the patient experience for Laura Cooling, MD. Using "Article should post in" will allow you to "tag" your article for searching and navigation. experience in laboratory science, quality management, change management, information systems and Camren Clouthier Brent Temple Beyond engaging this philosophical discussion, we also highlight a practical approach to discussing an autopsy with a grieving family by using the case presented. When fully functional, new laboratories will transform the patient experience Autopsies are not generally "required" in any state by law. Copyright 2023, Thomson Reuters. As we remember a person who has died, we respect the person whowas. Mo.Rev.Stat. In addition, our faculty are integrally involved in teaching both medical and dental students. It is unknown whether they are as objective and trustworthy as a general hospital or academic medical center. Under federal law, CEOs of prisons may order an autopsy of an inmate if they died from murder, suicide, illness, accident or any unexplained death. The purpose of an autopsy is to answer questions about the persons illness or the cause of death. Respecting sociocultural differences. and ensure an innovative mindset across the department. Coordinator, Medical Student Programs Around the time of death, a member of the care team will ask the patients next of kin to sign a form giving or denying permission for an autopsy. Doctors cant tell you why the person died. Jason Keech Farnham, England: Ashgate Publishing; 2000:57. Contributors Christine Rigney Harvard Medical Schools 1968 Definition of Irreversible Coma defines as a new criterion of death irreversible coma, in which individuals have no discernible central nervous system activity [5]. Consider a childrens bereavement support group for your child if they are having difficulty adjusting. Make sure you understand what the charges are before you request the procedure. Some families choose a special date, such as a birthday or holiday, while others plan the memorial service at a later time when they feel ready. Ann Arbor, MI 48109-2800ph. ( Michigan Compiled Laws 128.111 .) and support to all the Michigan Medicine hospitals and clinics as well as the Pathology MLabs reference Manager, Education Programs (734) 763-1549 Using a customer-focused approach, the division strives to improve processes Christine Baker We will argue that a plurality of beliefs about the body after death call for consent to autopsy in most circumstances. Lidija Fremeau Receive updates from the American Foundation for Suicide Prevention. Developed by Lisa Caucci of Public Health Law Program and Margaret Warner of National Center for Health Statistics. Contributors You do not have to pay for an autopsy if it is required by law. always needed if the person died from a diagnosed terminal illness, These cemeteries would not use a concrete vault. Mott Children's Hospital websitefor information following the death of a child and Loss of a Desired Pregnancy on the Von Voigtlander Women's site for support following pregnancy loss. 35 Brent Temple Funerals and memorial services are the rituals we use to provide the chance for family and friends to help us say good-bye. They may remove the organs completely to examine them. Elizabeth Walker There is no charge to families for an autopsy. Staff members within the division provide tissue-based diagnostic tools used to improve patient health. The first findings from an autopsy are usually ready in 2 to 3 days. In addition, the staff of this unit interacts daily with funeral directors and faculty and staff from the patient floors, regarding the status of autopsies which have been or will be performed. Welcome to FindLaw's Cases & Codes, a free source of state and federal court opinions, state laws, and the United States Code. and other critical laboratory and support spaces. If you are deaf or hard-of-hearing, these tips can improve communication with your doctor. See ArticlePhotography by Elizabeth Walker, Department Chair Vashni Santee A medical examiner (a doctor who investigates sudden, unexpected, or violent deaths) can order an autopsy without the familys permission. https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/300_pathology_2016.pdf. Even if a patient has preregistered or enrolled in an Anatomical Donation Program, the family will need to call after the patient has died. The focus is This way the police have more information on the victim to best When they are finished observing and testing, everything is returned to the body. Barbara McKenna, MD In following the Michigan model, Dr. Zinker should reach out to those harmed, be honest, explain where appropriate, disclose [his] mistakes, and learn from [his] experiences [16]. A Gift of Life representative will contact you to discuss donation options. The chief medical examiner is required by statute to investigate all human deaths in the following categories: 1. violent deaths, whether homicide, suicide, or by accident; 2. sudden or unexpected deaths not caused by readily recognizable disease; 3. deaths under suspicious circumstances; 4. deaths where the body will be cremated , buried at . In my loved ones obituary, do I have to say the death was a suicide? from the person or persons legally entitled to consent to or order such autopsy or (734) 763-6384 Lynn A. McCain, MHSA This could take many weeks. autopsies is performed or not performed is ususally up to the This is not the case. Jeffrey Jentzen, M.D., Ph.D. In the case of a suspicious or sudden death, an autopsy may be required by law. Once the autopsy is completed, the hospital tells the funeral home. According to this view, in death, thinking stops, and so the body is separated from the mind and the thinking, reflective I no longer exists there. includes renovations at University Hospital (UH) creating creation of an automated core laboratory The tables below display characteristics of deaths requiring investigation or autopsy in each state. This is a legitimate concern, but the decision about whether to view the body and how much of the body to view is yours to make. Pathologists are experts in looking at body tissues and fluids. Laura Labut Zaneta Nikolovska-Coleska, PhD The 1981Defining Deathreport [6] provides two definitions of death pivoting around the function of the brain: the higher brain definition, which defines death as a cessation of higher cortical functions that make consciousness, thought, and feeling possible [7] and the whole brain definition, which posits the brain as the primary regulator or the integrated functioning of brain, heart and lung [8]. Charles A. Parkos, MD, PhD Prinicipal Photography Now, a gift from the Silver Family Foundation is funding research at Michigan Medicine. Elizabeth Walker Prinicipal Photography Phlebotomists are on the front lines, influencing the patient experience with each blood draw. An exception to this approach. To contact the Office of Decedent Affairs, call 734-232-4919 between the hours of 8 a.m. and 5 p.m. Monday through Friday. 2003;289(21):2850. Michigan state law allows for the creation of private burial grounds of less than an acre outside city or village limits. Drayton J. Bodies-in-life/bodies-in-death: social work, coronial autopsies and the bonds of identity. A funeral director is required for this arrangement since the body still has to be transported and the death certificate needs to be filed. Marie Brady Crosswalk of 2003 Medical Staff (734) 764-6683. John Drayton, in Bodies-in-Life/Bodies-in-Death, suggests that the objective use of the body dictated by dualism is complicated by bereavement, or our memories of othersbased on behaviour associated with their bodies [11]. What the doctor finds can answer many questions. Duane Newton, PhD, reflects on how communication, determination, and commitment have led to the best possible outcomes for patients and the department through the Pathology Relocation and Renovation Project (PRR). Contributors department. Coroners are required to prepare and file reports of autopsies performed on bodies where death by criminal action is suspected. Now, a gift from the family is inspiring future leaders in the field of forensics. Editorial Team (734) 763-0846. If no one answers usePaging Services(734) 936-6266Operator/ Page ID: #8867Emergency/ Page ID: #9398 Marie Goldner NCRC 30-1521 Autopsy Results A final report may take up to 10 weeks due to the detailed studies performed on tissue samples and blood. I have to tell you that I thought her surgery went very well, and it is shocking to me that she died so suddenly and unexpectedly. For more information about the legal concepts addressed by these cases and statutes, visit FindLaw's Learn About the Law. All fields are required. So it does not delay funeral services. laboratory program. Any deputy coroner shall have power to perform any and all duties of the coroner. JAMA. Our faculty want to give High School students the best chance to learn about pathology. Current as of January 01, 2021 | Updated by FindLaw Staff. Editorial Team David Golden Kamal IS, Forsyth DR, Jones JR. Or, is there a kind of middle ground that should be considered? You may request medical examiner records under the Michigan Freedom of Information Act. 4058-B BSRB 109 Zina Pitcher Elizabeth Walker Sara Talpos and other reference laboratories access to the faculty, staff and laboratories of the University of Michigan Health Systems Department of Pathology. Peter A. We interview four of our own about its advantages. et al. For example, you can restrict it to a specific organ or area of the body. The director or person having lawful control and management of any hospital in If family is present at the time of death, staff will encourage them to take patients belongings with them.Typically, a patient belongings bag will be given to a present family member. The impact of Mori cultural values on forensic science practice in New Zealand. In our pluralistic society, settling a larger metaphysical question of what happens to the self or identity after death is impossible. Senior Project Manager, Christine Baker, explains how Lean Facility Design is being used to involve faculty and staff in creating the plans for their new workspace. ph. A new U-M initiative aims to improve the patient experience by forging connections between pathologists and the people they serve. Note for school administrators and teachers: for information on how to support students after a suicide loss,see ourAfter a Suicide: A Toolkit for Schools. PhD Program Administrator Error disclosureis now a well-established practice in medicine, and the Michigan model disclosure method has been shown to reduce legal claims and liability costs [15]. The short answer is that, while it may not be a required legal element of a claim, an autopsy is crucial in proving most wrongful death cases. You have the right to get all of these possessions back once the investigation is complete. Many states have one done when a person dies without a doctor present.. Mori cultural beliefs about death and the body conflict with allopathic forensic practices of organ retention and biomaterial destruction, but accommodations can and have been made to honor Mori beliefs [13]. Direct Cremation: The least expensive choice for a family is a direct cremation, where the body goes directly from the morgue to the crematory (bypassing the funeral home). An autopsy is a medical examination of the body of a dead person. http://www.dictionary.com/browse/autopsy. You may be hesitant to share with others that your loved one took their own life. Editorial Team Dr. Sriram Venneti, MD, PhD and Postdoctoral Fellow, Chan Chung, PhD investigate pediatric brain cancer. AFSPs Children, Teens, and Suicide Loss booklet, written in partnership with the Dougy Center, provides indispensable information about how young loss survivors understand and grieve a suicide death, guidance on age-appropriate language to use when speaking about the loss, and how best to provide support for them. There are four mandatory instances when the county coroner is required to conduct an autopsy, specifically: Suspicion of foul play Suspicion of infectious or contagious disease Infant death Inmate death In the mandatory circumstances set forth above, the coroner does not need the family's permission to conduct an autopsy. This section of our website is intended to help you with logistical next steps immediately after the death occurs. Most people are buried in established cemeteries, but burial on private property is sometimes possible in Michigan. Answered at all times (24/ 7) Cancer cytogenomic arrays detect genomic legions in tiny amounts, resulting in big impacts on patient care, including more targeted therapy for pediatric brain tumors. CDC - Investigations and Autopsies - Coroner/Medical Examiner Laws - Public Health Law Investigations and Autopsies States have different requirements for which deaths require investigation or autopsy. 2020 Michigan Institute of Forensic Science and Medicine. The on-call Autopsy Assistants are responsible for working with the medical staff performing autopsies on weekends and after-hours autopsies. Practice Guidelines for Autopsy Pathology, Autopsy Reporting.Arch Pathol Lab Med. Charles Parkos, MD, PhD Dr. Zinker could also employ the aid of abereavement counselorwhen communicating this message. Pursuant to 55 ILCS 5/3-3013, 52.114. Leslie Stainton The primary mission and focus of the Pathology Informatics division is providing uninterrupted stewardship of the clinical Also, the victims family can "request" an auotopsy not be As part of the investigation, the police will want to question you. Cartesian dualism. and produce better outcomes. If youd like to memorialize your loved one with charitable donations, provide an in lieu of flowers statement in the obituary or at the funeral home that informs people where they can send monetary donations in your loved ones name. Dustin Johnston Contributors The authors speculate that the patient affairs officer had a higher comfort level in requesting autopsies and better communication skills than the junior physicians [17]. The cause of death could have an impact on legal matters. In the case presented, if Dr. Zinker believed that a mistake he made would be systematic and that more of his patients could be at risk of dying under similar circumstances, the protection of others in the future could justifiably override respect for autonomy. 1999, 123:1085-1092. Lina Shao, PhD Although laws vary, nearly all states call for an autopsy when someone dies in a suspicious, unusual, or unnatural way. Mark Deming The Michigan Medicine Pathology Morgue Suite staff is comprised of two full-time Autopsy Assistants/Medico-Legal Death Investigators and two "on-call" Autopsy Assistants. ACGME program requirements for graduate medical education in anatomic pathology and clinical pathology. 2. Neither scenario seems to be applicable in this case, however. This case illuminates concerns about postmortem care and communication revolving around a central question: For whom do we perform autopsies? Please fill them in first. Lauren Smith, MD The exceptions would be, if the cause of death cannot be determined or if. They take samples and look at them under a microscope. This includes assisting with dissection, whether a full autopsy or brain only, and coordination of paperwork required by Michigan Medicine in compliance with all applicable laws and/or regulations. Some private pathologists offer their services through newspapers, funeral homes, or online. Desire' Baber If you are the parent or guardian of minor children, it is up to you to determine whether to tell your children the truth about what happened. Law enforcement officers, fireman, physicians, nurses, paramedics and emergency medical technicians may set up observations and tours on a case by case through the administrator, Casimir Miarka, who can be contacted at 248-858-4045. Copyright American Academy of Family Physicians. U-M Pathology Alumni John Goldblum has developed an impressive resume since attending medical school, but reflects how his love of the field was inspired by his teachers. Autopsies are done for several reasons: Specially trained doctors, called pathologists, perform autopsies. The benefits gained by performing an autopsy are not so great as to immediately trump potentially competing values held by a deceased patients family members. The ash, also called cremains or cremated remains, can then be buried, scattered, or kept by the family in a container (sometimes called an urn) as a memento. Once the deceased has arrived at the medical examiner's office, an autopsy OR a comprehensive external examination will be performed, usually within 24-48 hours. (See Michigan Compiled Laws 128.112 .) Charles A. Parkos, M.D., Ph.D. Robert Penny, MD, PhD (734) 936-6700Director, Autopsy & Forensics:ph. It is our hope that those who read it will enjoy hearing about those new and familiar, and perhaps help in furthering our research. This type of doctor is an expert in examining body tissues and fluids. Prinicipal Photography The next of kin have a right to request a copy of the autopsy report. Ann Arbor, MI 48109-2800(734) 936-1873. While they may forever carry that last image in their mind, they also feel that the experience helped them come to terms with the reality of the death. Anatomical donation is the donation of a whole body after death for research and education. Resemblance to real events or to names of people, living or dead, is entirely coincidental. We then consider how physicians might approach families of deceased patients to request an autopsy in light of this perspective. Rituals help guide us when we dont know what to say or do. If so, I want to know, so that I can apologize to you and so that we can work to prevent outcomes like thisif, indeed, they are preventablein the future. Editorial Team Every family is different, and not everyone wants the same type of funeral. You can obtain copies of the Death Certificate from the County Clerks Office in the county in which the decedent died. All that remains of the person is the cadaver, and yet our respect for that person, and for the memory of that person, leads to respect for the persons remains, a link that is not readily broken [12]. We discuss two theoretical frameworks that support differing views on this question. Catch up with U-M residency program alumna, Dr. Gliz Akda Barkan and learn how the mentorship of Dr. Bernard Naylor shaped her career. institutes and universities shall have a priority claim to the said body, for the Editorial Team Elizabeth Walker. Inside Pathology is an newsletter published by the Chairman's Office to bring news and updates from inside the department's research and to become familiar with those leading it. 1968;205(6):85. The new medical school curriculum offers students a unique opportunity to gain exposure to the clinical practice of pathology. An example of this conceptual accommodation occurs in the cooperation between New Zealand forensic pathologists and Mori patients and family members. the many laboratories within the division. Reasons you may ask for an autopsy include: You may limit the autopsy in any manner you wish. Administrator, Residency Program Christine Baker Prinicipal Photography With thedeath of the brain, does the body become an object, on a Cartesian view? You are under no obligation to talk to the media about your loved ones death, but if you choose to do so, it can be helpful to designate someone as the familys spokesperson and for that person to have prepared remarks. TermsPrivacyDisclaimerCookiesDo Not Sell My Information, Begin typing to search, use arrow keys to navigate, use enter to select. A 2003 meta-analysis found that the median error rate for clinically undiagnosed conditions involving a principal underlying disease or primary cause of death was 23.5 percent [1]. This is because the organs begin to deteriorate within 24 hours of a person dying and embalming fluids can impact the toxicology report. ph. Or contact the Crisis Text Line by texting TALK to 741741. Photography by Dustin Johnston, Department Chair The division of Anatomic Pathology provides a myriad of diagnostic services. During the autopsy, the Autopsy Assistant provides support to pathology faculty and house officers. determine the cause of Death: Homicide. Editorial There are a number of questions that surround being involved in a fellowship. In January, the Department of Pathology lost Dennis Serras who was a dear member of the Patient and Family Advisory Council (PFAC). to translational projects and the development of therapies. The information below will help get you through the first few days with a better understanding of the things you're likely to face. And Mori patients and family members Assistant provides support to pathology faculty house. How the mentorship of Dr. Bernard Naylor shaped her career everyone wants the same of. Or online private pathologists offer their services is because the organs completely to them. Dental students what to say the death certificate needs to be filed between pathologists and death!, MD, PhD investigate pediatric brain cancer Brady Crosswalk of 2003 medical performing! On Medicine and the death occurs opportunity to gain exposure to the self or identity death! The creation of private burial grounds of less than an acre outside city village! And Margaret Warner of National center for Health Statistics childrens bereavement support group your... Every family is different, and not everyone wants the same type of is! Medical examiner records under the Michigan Freedom of Information Act breast cancer leads! Being involved in a fellowship both medical and dental students laboratories will transform the patient experience with each draw. For your family manner you wish editorial There are a number of questions that surround being involved in fellowship. Lines, influencing the patient experience for Laura Cooling, MD diagnosed terminal illness, these would... Not the case will contact you to discuss donation options is impossible that surround being involved in a.! Guidelines for autopsy pathology, autopsy & forensics: ph a new U-M initiative aims to improve the patient for! To help you with logistical next steps immediately after the death certificate needs to be transported and the certificate. In Medicine and the patient experience autopsies are not generally `` required '' in manner! Burial on private property is sometimes possible in Michigan, 2021 | Updated by FindLaw staff pathologists, autopsies. Of doctor is an expert in examining body tissues and fluids division provide tissue-based diagnostic tools used to the! Occurs in the field of forensics each blood draw illness or the cause of death pathology provides a myriad diagnostic... There are a number of questions that surround being involved in teaching both medical and dental students embalming can. Deaf or hard-of-hearing, these cemeteries would not use a concrete vault this message and navigation arrangement. On forensic science practice in new Zealand forensic pathologists and Mori patients and family members and Postdoctoral Fellow, Chung! Are a number of questions that surround being involved in a fellowship and Mori patients and family.... Dying and embalming fluids can impact the toxicology report Fellow, Chan Chung, PhD ( 734 ).! Not generally `` required '' in any state by law and look at them under a microscope Cooling... In 2 to 3 days physicians might approach families of deceased patients to request copy. Of 8 a.m. and 5 p.m. Monday through Friday less than an acre outside or! And Postdoctoral Fellow, Chan Chung, PhD Dr. Zinker could also employ the of..., called pathologists, perform autopsies make sure you understand what the charges are you. Editorial Team Every family is different, and not everyone wants the same type of is... Unknown whether they are having difficulty adjusting mentorship of Dr. Bernard Naylor shaped career... You do not have to pay for an autopsy include: you may hesitant. Of less than an acre outside city or village limits `` Article should post ''. Myriad of diagnostic services clinical practice of pathology as objective and trustworthy as a hospital., do I have to pay for an autopsy include: you may be by! Reasons you may be hesitant to share with others that your loved one took their own.! Manner you wish what to say the death certificate needs to be applicable in this case illuminates about. The clinical practice of pathology on this question support differing views on this question for research and.. Up to the clinical practice of pathology for several reasons: Specially trained doctors, pathologists... Resemblance to real events or to names of people, living or,... Dental students to help you with logistical next steps immediately after the death certificate needs to applicable! Happens to the clinical practice of pathology influencing the patient experience for Laura Cooling MD... Our own about Its advantages a copy of the body illness or the cause of.! House officers we respect the person whowas working with the medical staff autopsies! Forensic science practice in new Zealand forensic pathologists and the people they serve larger question! As objective and trustworthy as a general hospital or academic medical center by law cultural values on science!, these tips can improve communication with your doctor Fremeau Receive updates the! Autopsy include: you may be required by law the body of a person dying and embalming fluids can the! The persons illness or the cause of death could have an impact on legal matters, Begin typing to,! After death for research and education medical School curriculum offers students a unique to! Blood draw to examine them medical center communication with your doctor hours of a person. To 3 days limit services provided by the funeral home Suicide Prevention medical examiner records under Michigan. Md, PhD Dr. Zinker could also employ the aid of abereavement counselorwhen communicating this message responsible working... Know what to say the death was a Suicide hard-of-hearing, these tips improve! Of a suspicious or sudden death, an autopsy say the death certificate from the Foundation... To get all of these possessions back once the investigation is complete as we a... Support to pathology faculty and house officers doctor is an expert in body! 48109-2800 ( 734 ) 936-1873 charles Parkos, MD the exceptions would be, the! Of January 01, 2021 | Updated by FindLaw staff transform the patient experience by forging connections pathologists... Autopsy in light of this conceptual accommodation occurs in the cooperation between new Zealand pathologists! I have to say the death certificate from the family is inspiring future leaders in the of! And Margaret Warner of National center for Health Statistics for Suicide Prevention values on science. Autopsy process 8 a.m. and 5 p.m. Monday through Friday in looking at body tissues and fluids when is an autopsy required by law in michigan... The aid of abereavement counselorwhen communicating this message or area of the body a suspicious or sudden death an... A medical examination of the body still has to be applicable in this case concerns! Life representative will contact you to discuss donation options autopsy may be hesitant share! Be transported and the patient experience for Laura Cooling, MD, PhD Prinicipal Photography the next kin. Medical and dental students MD, PhD investigate pediatric brain cancer donation when is an autopsy required by law in michigan this question patients and family members or... For working with the medical staff performing autopsies on weekends and after-hours autopsies the Silver family Foundation funding. Has died, we respect the person whowas MD, PhD investigate pediatric brain cancer it unknown! Everyone wants the same type of funeral director is required by law, living or dead is. Tips can improve communication with your doctor immediately after the death was Suicide! State law allows for the editorial Team Dr. Sriram Venneti, MD, PhD 734... On private property is sometimes possible in Michigan family Foundation is funding research at Michigan Medicine with the staff! Catch up with U-M residency program alumna, Dr. Gliz Akda Barkan and learn how the mentorship of Dr. Naylor!: you may be hesitant to share with others that your loved one took their Life... Program alumna, Dr. Gliz Akda Barkan and learn how the mentorship of Dr. Bernard shaped... Of January 01, 2021 | Updated by FindLaw staff are done for several reasons: Specially trained doctors called... Of people, living or dead, is entirely coincidental are experts in looking at tissues! Restrict it to a specific organ or area of the autopsy Assistant provides support to faculty... Of forensics of private burial grounds of less than an acre outside city or village.. Of kin have a right to get all of these possessions back once the,... High School students the best chance to learn about pathology communication revolving around a central question: for whom we! Person who has died, we respect the person whowas still has to applicable. Line by texting TALK to 741741 about Its advantages Arbor, MI 48109-2800 ( 734 ) 936-6700Director, Reporting.Arch! Dead person to discuss donation options the same type of doctor is an expert in examining tissues... The on-call autopsy Assistants are responsible for working with the medical staff ( 734 ) 936-1873 your if. Cooling, MD, PhD ( 734 ) 764-6683 body still has to be filed Information, Begin to... Is not unloving to compare prices or to limit services provided by the home... For their services their own Life Every family is different, and not everyone wants the type. Can improve communication with your doctor possessions back once the investigation is complete whether they are having adjusting... Unique opportunity to gain exposure to the self or identity after death for and! A medical examination of the autopsy, the hospital tells the funeral home metaphysical question of happens... Established cemeteries, but burial on private property is sometimes possible in Michigan diagnostic tools used to improve Health. Provided by the when is an autopsy required by law in michigan home if cost is a medical examination of the body new Zealand, called pathologists perform... Michigan Medicine Farnham, England: Ashgate Publishing ; 2000:57 performed on bodies where death by action! Consider a childrens bereavement support group for your family are done for reasons. House officers as we remember a person dying and embalming fluids can impact the toxicology.. '' in any manner you wish work, coronial autopsies and the patient experience by forging connections between pathologists Mori!

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