Council Building, Daly River, Angel Blanco-Puerto, Phillip Lindsay, Barry Gaykamangu and Hannu Kononen, Erfinna Patricia Lay and John Weston Quirk, Raymond Curtain, Terrence Westwood, Gerald Thompson, Gregory Westerman, Graham Dearden and Ruth Vincent, Kumanjay Presley, Kunmanara Coulthard and Kunmanara Brumby, Jade Lange-Loades, Rory Lange-Loades and Nathaniel Rose, Glen Anthony Huitson and Rodney William Ansell, Matthew Neck, Amanda Bell and Matthew Batson, Gary Peter Tipungwuti, Patrick Raymond Kerinauia, Noeline Pauantulura, John Gerard Orsto, T. Okano, A. Kabe, T. Linklater and K. Pritchard (Cannonball Run). Response fromDerwent Valley Council 30 August 2022. Transport & traffic related, motor vehicle crash, multiple blunt traumatic injuries, instantaneous death, Kimberley Road, Railton, crash scene investigation. CATCHWORDS: Domestic violence allegations made We acknowledge the traditional owners and custodians of the land on which we work and we pay respect to the Elders, past, present and future. Inquest FindingsInquest Findings 2021. Coronial, Suicide, Asphyxia, Smoke inhalation, Caravan, Fire, natural cause death, death in custody, Coroners Act 1995, Risdon Prison, dilated cardiomyopathy, emphysema, Correctional Primary Health, natural cause death, death in custody, Coroners Act 1995, Risdon Prison, Royal Hobart Hospital, Whittle Ward, metastatic squamous cell carcinoma of the lung, coronial, hospital, heart disease, ischaemic heart disease, single vessel atherosclerosis, Drowning, intentional self-harm, coroner's finding, coroner's recommendations, Pulmonary thromboembolism, deep vein thrombosis, D-dimer, Wells score, PERC, Coroner's recommendation, Coronial, atherosclerotic, hypertensive, cardiovascular disease, hospital, Launceston General Hospital, obesity, hypertension, complications of health care, missed or incorrect diagnosis, Head injury, cliff fall, hazardous area, Blackmans Bay blowhole, safety, public area, Coroner's recommendations, transport and traffic related, motor vehicle accident, two vehicle crash, Lilydale Road, adverse weather conditions, poor condition of road, excessive speed for conditions, Coronial, Findings, Inquest, Death in care, Royal Hobart Hospital, Fall from standing Position/ Height, Complication of Left Femur Fracture, Coronial, Findings, Meningococcal, immunisation, disease, A, C,Y, W and B Strain, Neisseria meningitides, bacterial sepsis, hospital, drowning, water related, Mersey Bluff, Devonport, youth, Surf Life Saving, coroner's recommendation, surf rescue, swimming, leisure activity, Homicide & assault, murder, stabbing, coroner's finding, restraint order, coronial, drowning, wharf, fall, alcohol, intoxication, water, older persons, abdominal aortic aneurysm (AAA), haemoperitoneum/retroperitoneal haematoma, Royal Hobart Hospital Emergency Department, falls, undetermined cause of death, undetermined circumstances of death, Tasmania Police, incomplete investigation, Tasmania Police Manual, Forensic Services, forensic evidence, coroner's comments. He developed a scope of works and issued a Request for Quotation to civil contractors in December 2020 with the following overview of works required: The unsealed section of Glenfern Road has a higher than average incidence of casualty crashes including a fatality in recent years. South Arm Highway, transport and traffic related, single vehicle, misadventure, pedestrian walking on road, struck from behind, multiple traumatic injuries, failure to stop and render assistance, alcohol and drugs, DPP, Department of Public Prosecution, driving with suspended licence, Simone Bridges, intentional self harm, mental illness and health, drowning, Howrah, Mental Health Act 2013, Protective Custody Order, involuntary admission, Royal Hobart Hospital, Tasmanian Health Service, alcohol and drugs, accidental death, intravenous injection of prescription medications, injection of crushed tablets intended for oral ingestion, methadone, quetiapine, diazepam, mirtazapine, cannabis, Tasmanian Opiod Pharmacotherapy Program, Transport & traffic related, motor vehicle accident, car crash, multi-organ failure, North West Regional Hospital, failure to properly diagnose. Transport & traffic related, single motor vehicle collision, car crash, Glenfern, Derwent Valley Council, recommendations. Coronial, peritoneal sepsis, multiple organ failure, bowel, perforation of the bowel. Coronial findings and recommendations - coroners.nsw.gov.au (PDF, 84.6 KB), Flow Chart of the Coronial Process (PDF, 316.1 KB), When to report a Death to the Coroner (PDF, 189.9 KB), Australian Domestic and Family Violence Death Review Network Data Report 2018 (pdf, 3 MB). Accidental drug overdose, palliative care, end stage mesothelioma, hydromorphone toxicity, North West Regional Hospital, Emergency Department, Burnie, medical negligence, medical certificate of death, Coroner's comments. This collection includes inquest files from the coroners office in Tasmania. FILE NO(s): D34/2020 . Magistrates Court : Coronial Findings 2019-2021 coronial, mountain bike, collision, head injury, blunt force, Transport & traffic related, four wheeled all-terrain vehicle, ATV, quad bike, drink driving, alcohol, excessive speed, speeding, Bruny Island, coronial, Wheat Pack, House Fire, Incineration, Flame, Heating, Thermal Mechanism, Hypoxic brain and lung injury, drug toxicity and gas inhalation, suicide, euthanasia, multiple scleorosis, Advance Care Directive, Goals of Care Plan, Launceston General Hospital, Coroner's recommendation. CITATION: Inquest into the death of HD (name suppressed) [2021] NTLC 029 . Older person, natural cause death, acute myocardial ischaemia, Launceston General Hospital, Emergency Department, triaged patients, assessment and treatment, monitoring of whereabouts, documentation of significant interactions, recommendations. The Coroner has prepared comprehensive and considered findings and they will be given careful consideration by the Corporate Management Group. Intentional self-harm, mental illness & health, Royal Hobart Hospital, Clarence and Eastern Districts Adult Community Mental Health Service, Statewide Mental Health Services, Department of Psychiatry Open Unit, suicidal ideation, suicidal crisis, K Block, anti-ligature amenities, intentional self harm, suicide, mental health and illness, mixed prescription drug toxicity, amisulpride, diazepam, mirtazapine, Tasmania Ambulance Service, delay in dispatch of ambulance. We often utilise telematic data for this process as well as timesheet reviews, camera evidence and even road user and customer anecdotal feedback. An inquest into her death was told there was intense demand on staff, who missed repeated opportunities to identify the seriousness of her condition. JURISDICTION: Darwin . The Northern Territory's coroner's office investigates unexpected or suspected deaths on behalf of the community. Update provided by THS South 14 October 2022. Mental illness & health, water related, drowning, Copper Alley Bay, Lymington, dinghy, police response, psychotic episode, rescue, aerial search. abc.net.au/news/kirra-lea-mcloughlin-coronial-inquest-findings/100194632 A coroner has found that a 27-year-old woman, whose death has been unsolved for almost seven years, lost her life at the hands of her de facto partner, describing him as a "habitual perpetrator" of domestic abuse. CORONER SARAH HELEN LINTON, DEPUTY STATE CORONER: HEARD : 14-15 APRIL 2021 DELIVERED : 27 JUNE 2021 FILE NO/S : CORC 202 of 2019 DECEASED : THORSAGER, JORDAN ALEXANDER Catchwords: Nil Legislation: Nil . Inquest Findings 2021 Coroner's inquest findings are available on the date of delivery of the finding or later by request in writing to the Office of the State Coroner. Older persons, physical health, Roy Fagan Centre, Guardianship and Administration Order, Public Guardian, care, treatment and supervision, dementia, aspiration pneumonia. To find out more about inquests, go to the Northern Territory Government website. It is acknowledged the Coroner has made no criticism of either Tasmania Police or Constable Blake in relation to the death of Mr Whiteley. Findings are published on this website when an inquest was held or a coroner otherwise orders they be published in the public interest. Download Australian Domestic and Family Violence Death Review Network Data Report 2018 (pdf, 3 MB), If you have a complaint about the conduct of a magistrate, or delay in handing down a decision, please see the CourtsJudicial Complaints Policy (PDF, 56.3 KB), In recognition of the deep history and culture of this Island, we would like to acknowledge and pay our respects to all Tasmanian Aboriginal people; the past and present custodians of the Land. The Single Officer Response Model, which was formally adopted in 2008, aims to provide efficient service delivery while managing the risks that are inherent to policing. The original records are located in the Tasmanian Archives and Heritage Office in Hobart, Tasmania. The Networks goals include producing national data concerning domestic and family violence related homicides in accordance with the National Plan to Reduce Violence Against Women and their Children 2009-2021. Tree felling accident, chainsaw, Tasmanian Forest Industries Training Board, expired Forest Works Licence, non-compliant helmet, Coroner's recommendations, Homicide and assault, mental illness and health, weapon, Tasmanian Prison Service, Wilfred Lopes Centre, Risdon Prison, North Hobart, Daryl Royston Wayne Cook, Section 24 Criminal Justice Mental Impairment Act 1999, remissions of sentence, mental health services, coroner's comments, Transport & traffic related, work related, single vehicle crash, concrete truck, Tea Tree Road, speed, no seatbelt. The APCA Recreational Driving Guide, available to all Recreational Driver Pass holders, already contained advice to install sand flags under. Restrictions for Viewing Images in FamilySearch Historical Record Collections, https://www.familysearch.org/en/wiki/index.php?title=Australia,_Tasmania,_Coroner%27s_Inquest_Files_-_FamilySearch_Historical_Records&oldid=4946186, FamilySearch Historical Records Scheduled Collections, Tasmania (Australia) FamilySearch Historical Records, FamilySearch Historical Records Image Visibility Notice, This article describes a collection of records, Use the information to find the person in other records, Analyze the entry to see if it provides additional clues to find other records of the person or their family, The person may be recorded with an abbreviated or variant form of their name. PDF Act : Coroner Sarah Helen Linton, Deputy State Coroner: Heard : Delivered Since the Coroners recommendation a Mental Health Short Stay Unit has been implemented to improve flow for mental health patients out of the ED.With the ED redevelopment, planning is underway to include a secure high acuity area for mental health patients as well as a calming, private area for lower acuity patients where they are able to wait for their assessment separate from non-mental health patients. PDF ORDER: Supp ress publication of the name of the deceased, the deceased Findings are also searchable by keyword. 600m that require vegetation removal. During weekdays in business hours, transport can be arranged for the patient to be picked up at the airport and returned home if friends/relatives are unavailable. Apply Clear filters Showing 11-20 of 82 results Inquest into the death of Albert Metledge launch The collection includes records from 1868-1914. We respectfully acknowledge the Tasmanian Aboriginal people as the traditional owners of the land upon which we work and pay our respect to Elders past and present. Our three yearly refresh program already includes specific rollover awareness elements. 2023 Department of Police, Fire & Emergency Management, Family Violence Counselling Support Service, Research applications and requests (TILES), Special Response and Counter-Terrorism Command, Department of Police, Fire and Emergency Management, Personal Information Protection statement, Coroners findings into the death of Nicholas Whiteley. Inquest, child & infant death, person held in care, Care and Protection Order, Children, Young Persons and their Families Act 1997, multi-systemic disabilities, hypoxic brain injury secondary to a cardiorespiratory arrest, Inquest, intentional self-harm, law enforcement, mental illness & health, person held in custody, Risdon Prison, HMP Risdon. The Coroner's Office arranges for members of the Australian Federal Police to investigate the circumstances surrounding the death of a person and to provide a report to the Coroner. coronial, organ failure, multiple snake bites, tiger snake, neuropathy, coagulopathy, farm. Coroners Court - ACT Magistrates Court coronial, artery dissection, ischaemic heart disease, renal scarring, emphysema, the work of the courts being available to public scrutiny, possible harm from making an investigation publically available, homicides after the criminal process has been completed, any other death which has been reasonably widely reported in the news media for clarification of the factual findings, any death where health and safety recommendations can result in improvements and death prevention (for example, child protection systems issues, deaths in medical settings with recommendations for improvement), any other matter which the coroner believes is in the public interest. Inquest, person in care, older person, Bishop Davies Nursing Home, Roy Fagan Centre, aspiration pneumonia, advanced dementia. Inquest files are reports and associated . Domestic incident, homicide & assault, weapon, rifle, gunshot wound, murder, Klaus Neubert, estranged husband, Tasmania Police, family law, alcohol and drug related, mixed prescription drug toxicity (codeine, paracetamol, mirtazapine, promethazine, diazepam), accidental overdose, appropriate prescribing regime, stockpiling medication, Drugs & alcohol, intentional self-harm, mental illness & health, transport & traffic related, suicide, carbon monoxide inhalation, asphyxia, Launceston General Hostpial, Royal Hobart Hospital, Emergency Department, Inpatient Withdrawal Unit, Coroner's comments, Inquest, older person, person held in care, Guilford Young Grove, Roy Fagan Centre, emergency guardianship order, mental health, aspiration pneumonia, dementia, Quad bike roll-over, accident, head injury, drugs & alcohol, pillion passenger, dam, coroner's comment. We already have a mentoring process for new drivers as well as those undertaking new tasks and, as mentioned above, we plan to use our recently employed Driver Trainer to provide even further coaching and safety feedback to our drivers. Transport & traffic related, motorcycle crash, single vehicle crash, high speed, multiple trauma. The relevant Medical Officer in Spencer Clinic will contact the King Island GP as soon as practicable to advise of the patients discharge date from Spencer Clinic. Inquest, bee sting, bee venom, anaphylactic reaction, anaphylaxis, Tasiliquid Gold, bee apiary, beehives, Coroner's recommendations, transport and traffic related, motor vehicle accident, two vehicle accident, Melton Mowbray, Highland Lakes Road, Midlands Highway, prescription medication, tramadol, diazepam, Leisure activity, misadventure, sports related, water related, personal water craft, PWC, Jet Ski, drowning, could not swim, no personal floatation device, PFD, alcohol, no licence, inexperienced, misadventure, fall from height, head injury, adolescent, youth, Penguin Primary School, Royal Hobart Hospital, North West Regional Hospital, Coroner's comment, undetermined cause of death, Penguin, natural causes, motorcycle crash, transport and traffic related, motor vehicle accident, Launceston, unlicenced rider, rider at fault, drugs and alcohol, exceeding speed limit, disobey road rules, exceed alcohol limit, riding unlawfully, Coroner's comment, incompetent rider, ride unsafely, multiple severe trauma, Older persons, acute myocardial ischaemia, coronary atherosclerosis, North West Regional Hospital, MET call, ECG results, Coroner's comment, Falls, older persons, Meadow Mews Plaza, acute subdural haematoma, Launceston General Hospital Emergency Department, no CT scan, Canadian CT scan rule, Drugs & alcohol, transport & traffic related, motor vehicle collision, Bass Highway, methamphetamine, MDMA, mobile phone, alcohol and drugs, illicit drugs, injection of methamphetamine, multiple organ failure, hypoxic encephalopathy due to cardiac arrest, misadventure, Death in Care,Guardianship Order, IVB metastatic adenocarcinoma of the rectum, schizophrenia, transport and traffic, motor vehicle crash, Brooker Highway, blunt traumatic injuries, alcohol and drug related, prescription medication, diazepam, oxazepam, tramadol, olanzapine, cannabis, THC, impaired driving, Royal Hobart Hospital, Whittle Ward, hospital, palliation, Guardianship Order, Guardianship and Administration Board, inquest, Death in care, Roy Fagan, Guardianship Order, aspiration pneumonia complicating advanced multifactorial dementia. The following information may be found in these records: Before searching this collection, it is helpful to know: Compare each result from your search with what you know to determine if there is a match. Coronial findings are listed in descending date order and can be adjusted by use of the filter on this page. submissions in making my findings. Inquest files are reports and associated files pertaining to investigations regarding the cause of certain deaths. A Health Practitioner's guide for writing a statement for the Coroner. Tasmania Police has welcomed Coroner Robert Pearces findings into the death of Nicholas Whiteley at Westbury on 22 November 2010. These updates then influence our mentoring and internal checking efforts, especially when it comes to conducting safety observations and reviewing travel times and probation. A grant from the Department of State Growth Safer Rural Road Program was secured on 23 March 2021 for: Vegetation reduction, site benching works, installation of guard rails and signage at Glenfern Road. Intentional self-harm, mental illness & health, suicidal ideation, weapon, partial contact range gunshot wound of the head, psychiatrist, Department of Psychiatry, Guardianship and Administration Board, Firearms Act 1996. These types of deaths are called reportable deaths. We recognise the Tasmanian Aboriginal people as the continuing custodians of the rich cultural heritage of lutruwita / Tasmania. Australia, Tasmania, Coroner's Inquest Files - FamilySearch Coronial inquests and findings | Department of the Attorney-General and The coroner's decision is also referred to as the coroner's findings or inquest findings. Older persons, physical health, Roy Fagan Centre, Emergency Guardianship Order, care, treatment and supervision, Alzheimer's disease, aspiration pneumonia. (AMK) Web.pdf (PDF File, 307.3 KB), Kettle, Terrence Michael (AMK) Web.pdf (PDF File, 304.9 KB), Brewer, Ruby and Shanzel (PDF File, 164.5 KB), Golding, Laura Rebecca (PDF File, 127.5 KB), Woolley, Dale Robert (PDF File, 374.2 KB), Spencer, Melissa Mary - web.pdf (PDF File, 122.9 KB), Marshall, Eric Craig (PDF File, 843.8 KB), Besgrove, Trevor Scott (PDF File, 101.7 KB), Espie, James William (PDF File, 100.2 KB), Mansell, Robert Charles (PDF File, 488.0 KB), Nicolle, Paula Elizabeth (PDF File, 111.1 KB), Bond, Johnathon Lee.pdf (PDF File, 122.0 KB), Fish, Winston William - Web version.pdf (PDF File, 112.1 KB), Oliver, Colin Jamie.pdf (PDF File, 124.3 KB), Lockley, Rodney Dennis (PDF File, 107.8 KB), Pears, Phyllis (AMK) signed 11.09.20.pdf (PDF File, 437.3 KB), Murray, Geoffrey Raymond (PDF File, 107.1 KB), Harmon, Trinton John (PDF File, 586.4 KB), Wright, Maria Rebekah (PDF File, 148.8 KB), Wellington, Timothy John (PDF File, 298.7 KB), Maynard, Grant Godfrey (PDF File, 100.7 KB), Howe, Rowland Michael Chilton (PDF File, 118.7 KB), Howard, Noeline Dawn (PDF File, 124.1 KB), Williamson, Colin George (PDF File, 114.5 KB), Delios, Voula 2020 TASCD 458 (PDF File, 541.5 KB), Thompson, Michael Robert (PDF File, 134.3 KB), Lyons, Matthew Clayton - web.pdf (PDF File, 133.8 KB), Thompson, Paul Christopher (PDF File, 544.7 KB), Crowden, Jeffrey Donald (PDF File, 276.7 KB), Stone, Corrie Collean (PDF File, 85.4 KB), Shrimpton, Dallas Brooks (PDF File, 137.5 KB), Konstantinidis, Agis (PDF File, 124.6 KB), Crawford, Jacob Raymond (PDF File, 126.8 KB), Arnold, Derek William (PDF File, 116.8 KB), Dickinson, Mary Marguerite (PDF File, 485.6 KB), Tonner, Justin Michael (PDF File, 104.0 KB), McCarthy, Blake John (PDF File, 109.9 KB), Adams, Christopher Neil (PDF File, 98.7 KB), Griffin, James Geoffrey (PDF File, 101.4 KB), Hunter, Feryne Gaylene (PDF File, 137.7 KB), Dennis, Wayne Phillip (PDF File, 104.9 KB), Cashion, Brett Matthew (PDF File, 293.9 KB), Riley, Shane Patrick (PDF File, 375.3 KB), Tonks, Russell Rodney (PDF File, 100.7 KB), Ferguson, Roy Waldren Trevor (PDF File, 117.5 KB), Jones, Bradley James (PDF File, 124.8 KB), Hayward, Vanessa Claire (PDF File, 113.8 KB), Petterwood, Michael Lewis (PDF File, 115.5 KB), Pears, William Ernest (PDF File, 123.3 KB), Hargraves, Audrey Doreen (PDF File, 113.7 KB), Standaloft, Cora Gwendoline (PDF File, 100.4 KB), Button, Shirley Gwendoline (PDF File, 116.0 KB), Szemes, Kim Leonie Maree (PDF File, 104.5 KB), Shepperd, Stephen Charles (PDF File, 92.5 KB), Wilton, Melissa Joan (PDF File, 135.3 KB), Lawrence, Timothy Michael (PDF File, 137.5 KB), Kiley, Jordan Jackson (PDF File, 89.7 KB), Evans, Conor Maclaren (PDF File, 99.2 KB), Whitney, Margaret Ann (PDF File, 100.6 KB), Procter, Wilfred Pearson (PDF File, 118.3 KB), Combes, Margot Janeece (PDF File, 89.6 KB), Woodward, Ernest Henry (PDF File, 111.9 KB), Arundel-Clarke, Catherine Clara (PDF File, 99.6 KB), Woolley, Zedric Basil (PDF File, 118.2 KB), McInerney, Robert Edward (PDF File, 617.6 KB), Martin, Jack Hedley (PDF File, 374.5 KB), Mason, Alison Henderson (PDF File, 369.9 KB), Maxwell, Benjamin Murray (PDF File, 86.9 KB), Stewart, Keith Thomas (PDF File, 367.0 KB), McKenzie, Heather Patricia Dale (PDF File, 383.5 KB), Powell, Stephen Maxwell (PDF File, 309.1 KB), Roberts, Anna Jane and Stanley, Brett John (PDF File, 378.5 KB), Benneworth, Anthony John (PDF File, 414.5 KB), Long, Anthony Edward (PDF File, 412.9 KB), Frith, Aaron Douglas (PDF File, 363.8 KB), Sulman, Murray Matthew (PDF File, 373.0 KB), Peck, Edward Paisley (PDF File, 825.8 KB), O'Brien, Mark Andrew (PDF File, 369.6 KB), Clark, Darren Stuart (PDF File, 410.5 KB), Smith, Jordan Marcellus (PDF File, 380.9 KB), Bowerman, Graeme Anthony (PDF File, 415.1 KB), Picken, Jason Scott (PDF File, 362.0 KB), Jenkins, Mark Andrew (PDF File, 376.9 KB), Davies, Luke; Drobnjak, Aleksander; Ritter, Magnus; Roche, Anthony (PDF File, 839.6 KB), Stanley, Christopher Stephen (PDF File, 372.6 KB), McLean, Michael William (PDF File, 260.2 KB), Saltmarsh, Aidan Denis (PDF File, 384.2 KB), Jeffrey, Angela Joy (PDF File, 517.6 KB), Mead, Liam - Ruling on Evidence (PDF File, 147.9 KB), Horcicka, Josef Vratislav (PDF File, 488.4 KB), Eaton, Jodi Michelle (PDF File, 460.4 KB), Lukendlay, Charlotte (OM) Findings.pdf (PDF File, 751.2 KB), Nichols, James Raymond (PDF File, 397.8 KB), Russell, Allan Geoffrey (PDF File, 873.4 KB), Porteous, Shayne Edward (PDF File, 490.3 KB), Kranz, Lothar Wolfgang (PDF File, 501.6 KB), Davis, Catherine Joy (PDF File, 484.0 KB), Kenney, Margaret Patricia (PDF File, 510.8 KB), Ham, Roderick David Charles (PDF File, 487.1 KB), Best, Christopher Mark (PDF File, 497.5 KB), Close, Terrence Findings Web.pdf (PDF File, 943.2 KB), Finding Brendan Smith (Web) pdf.pdf (PDF File, 780.6 KB), Burns, Brendan Craig (PDF File, 324.4 KB), Glover, Gerald Samual (PDF File, 125.7 KB), Morris, Jason Simon (PDF File, 122.1 KB), Steshic, John Norman -web .pdf (PDF File, 495.7 KB), Paraskevas, Odissefs (PDF File, 396.0 KB), Nowitzki-Eisenburg, Heike (PDF File, 493.2 KB), Beltz, Sarah Rose -(Web).pdf (PDF File, 469.7 KB), Cowen, Craig -web.pdf (PDF File, 411.8 KB), Skrepetos, Stavroula (PDF File, 478.6 KB), Killer, Debbie Dubravka (PDF File, 411.5 KB), Brown, Tony David .pdf (PDF File, 595.0 KB), Stefaniw, Gerard Ernest (PDF File, 738.2 KB), Dunster, Kenneth Francis (PDF File, 743.5 KB), Roberts, Nigel Douglas (PDF File, 734.5 KB), Westbrook, Eden Jayde (PDF File, 314.2 KB), Richardson, Margaret Rita.
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