PDF [2021] WACOR 18 - Coroner's Court of Western Australia CORONIAL LAW - cause and manner of death - medical care and treatment of long-term mental health patients - prescribing of anti-psychotic and sedative . Transport & traffic related, older persons, physical health, car accident, environmental heat & cold exposure, dehydration, missing person, Tullah, Transport & traffic related, motor vehicle crash, car accident, speed, alcohol, illicit drugs, criminal prosecution, causing death by dangerous driving, Huonville. A finding is the document handed down by a coroner . The Coroner has prepared comprehensive and considered findings and they will be given careful consideration by the Corporate Management Group. All rights reserved. Coronial findings and recommendations - coroners.nsw.gov.au Last updated: 16-Dec-2020 [ back to top ] It is acknowledged the Coroner has made no criticism of either Tasmania Police or Constable Blake in relation to the death of Mr Whiteley. Key points: FINDING OF: Judge Greg Cavanagh . Our intention now is to broaden this process by utilising our recently recruited Driver Trainer to provide programmed in cab refresh sessions and assessments (similar, in many respects, to what pilots undertake now). The PWS Arthur River Visitor Centre is trialling selling sand flags to the public. Courts Tasmania : Decisions Motorcycle crash, motorbike, youth, de-identified, transport & traffic related, fence post, avid motocross & enduro competitor, well-maintained & appropriate safety equipment, abdominal trauma, reminder of supervision, Homicide & assault, missing person, murder, failing to report killing, accessory after the fact, hammer, Ian Rosewall, Renae Donald, Robert Broad, imprisonment. Transport & Traffic Related, Motor Vehicle Crash, Traumatic Injuries, Crash Investigation, East Tamar Highway, Inattention, Wire Rope Barrier. Aishwarya Aswath . Motorcycle Crash, Annual St Helens to Strahan Off Road Motorcycle ride, Alcohol, Intentional Self-Harm, Mental Illness, Transport and Traffic Related. Mental illness & health, water related, drowning, Copper Alley Bay, Lymington, dinghy, police response, psychotic episode, rescue, aerial search. TITLE OF COURT: Coroners Court . Coroners Findings Archives - CAA Coroners Court Coronial Findings 2022-2023 Coronial Findings 2019-2021 Coronial Findings 2016-2018 Coronial Findings 2013-2015 Information for families Coronial Practice Handbook Tasmanian Suicide Register Contact the coroner's office Frequently Asked Questions A Health Practitioner's guide for writing a statement for the Coroner. Coroner finds 'habitual' abuser and de facto partner caused Kirra-Lea This collection includes inquest files from the coroner's office in Tasmania. 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. Coronial, stairs, step, fall, head injuries, blunt force. Gemma Lake has been appointed Chief Executive Officer of the Department of the Attorney-General and Justice. The coroner decides whether to hold a public inquest into a death. However, rights to view these data are limited by contract and subject to change. They usually seek to find out the identity of the deceased, the cause of death and the circumstances in which it may have occurred. adverse medical effects, failure to diagnose, misdiagnosis, Hobart Private Hospital, carcinomatosis, failure to report death to Coroner, medical, hospital. 5 March 2023, 12:40 am. Our three yearly refresh program already includes specific rollover awareness elements. We often utilise telematic data for this process as well as timesheet reviews, camera evidence and even road user and customer anecdotal feedback. Keep track of your research in a research log. We extend our sympathies to the family of Mr Whitely at this difficult time. 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. New Chief Executive Officer Gemma Lake. This page was last edited on 15 September 2022, at 08:56. Coronial, held in care, guardianship order, inquest, person in care, Roy Fagan Centre, atherosclerotic, hypertensive cardiovascular disease. With this work the Network seeks to contribute to the formation of evidence-based policy and decision making in relation to domestic and family violence, enhancing opportunities for prevention and intervention and contributing to the enhanced safety of women and their children across Australia. 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. The Northern Territory's coroner's office investigates unexpected or suspected deaths on behalf of the community. Fionica James, Katurah Mamarika, Layla Leering, Robin Riley, Thomas Turpin, Fabian Andrews, Cassandra Martin, Pauline Iris Abbott, Kendrick Oliver and Joy McNamara, Michael Chisholm, Aaliyaha Webb and Julian Chisholm, Kevin Taylor, Lena Yali and Gregory McNamara, Peter Murphy (Suppression order lifted 19.4.17), Peter Murphy (Suppression order in place), Nauiyu Nambiyu Council Chambers, Daly River, Mohammed Ayubi, Muzafar Sefarali, Mohammed Zamen, Awar Nadar and Baquer Husani, Darwin Magistrates Court / Darwin Supreme Court, Robert Plasto-Lehner and David Gurralpa aka Moscow, Darwin Magistrates Court, Bulman (Opening) and Katherine Courts, Darwin Magistrates Court / Alice Springs Magistrates Court, Michael Anthony Hardy and Robert James Roe, Jaron Mamarika, Dwayne Bara, Jaross Amagula and Francene Huddleston, Barbara Malthouse, Nigel Inkamala, Daryl Inkamala, Dion Ngalken, Gordon Murray and Antonia Meneri, Nauiyu Nambiyu Govt. The Coroner has prepared comprehensive and considered findings and they will be given careful . With the reduced scale of the guard rail installation and favourable rates for the benching and vegetation reduction, the total cost requested from the grantor is $80,086.42, Updated response provided by THS South 14 October 2022. 3 Section 53(2) Coroners Act 1996 (WA). There are six sections, each of approximately 50m long identified for sight benching on the eastern side of the road. information and interpreting coronial determinations and findings regarding intent. When the cause of death is unknown or seems unnatural, a judicial officer, known as a coroner, is involved to determine certain information. Check the List of Recent Decisions. Aboriginal and Torres Strait Islander peoples are warned, findings contain the names of deceased persons. I Cant Find the Person Im Looking For, What Now? Coronial, House Fire, Smoke Alarm, Smoke inhalation, asphyxia, heating, flames, smoke, heating, electrical work. Aishwarya Aswath inquest: Coroner's findings delivered in girl's Perth Safety assessments of driver performance not only occur at the end of probation but are undertaken on an ongoing basis. For all conditions of entry, read the COVID 19 (Coronavirus) Measures. coronial, organ failure, multiple snake bites, tiger snake, neuropathy, coagulopathy, farm. Aishwarya Aswath's parents question slow pace of hospital change Questions concerning its content can be sent by email to tasmania.police@police.tas.gov.au or by mail to GPO Box 308, Hobart, Tasmania, Australia 7001. Intentional self-harm, mental illness & health, youth, St Helens District High School, asphyxia, police investigation. The coroner decides whether to hold a public inquest into a death. Gemma was appointed acting Deputy CEO in 2019, Deputy CEO in 2020 and then Acting CEO on Greg Shanahan's retirement in November 2020. news / 26 August 2021. PDF Act : Coroner Sarah Helen Linton, Deputy State Coroner: Heard : Delivered Older persons, physical health, Roy Fagan Centre, Emergency Guardianship and Administration Order, care, treatment and supervision, advanced dementia. 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. . The Australian Domestic and Family Violence Death Review Network was established in 2011 as an initiative of state and territory death review processes, and is endorsed by all state and territory Coroners and the Western Australian Ombudsman. 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. Perth hospital staff missed the signs a seven-year-old girl was dying of sepsis because of the pressures caused by "inadequate" staffing, a coroner has found. Inquest Findings 2021 - Coroner's Court of Western Australia Search the Supreme Court of Tasmania database. To see the decisions published by the various Divisions of the Magistrates Court use the Magistrates Decisions link. If a judgment is not listed in the List of Recent Decisions try clicking on the Refresh or Reload Button in your Browser to make sure you are viewing the latest version of the web page. Inquest, person in care, older person, Bishop Davies Nursing Home, Roy Fagan Centre, aspiration pneumonia, advanced dementia. Coronial findings To access a finding not listed here, please make application (DOC , 61.5 KB) to the Court. This includes a combination of in cab assistance, review/follow-up of telematic data and ongoing focus on travel times for higher risk activities. Apply Clear filters Showing 21-30 of 82 results Inquest into the death of Terence Gray launch Decision of Deputy State Coroner Truscott 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. The Department is committed to the safety of officers and members of the community and its important to ensure the Model remains contemporary in its application, said Ms Adams. They usually seek to find out the identity of the deceased, the cause of death and the circumstances in which it may have occurred. 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. After an inquest, the coroner publishes their findings, which sets out theirdecisions and recommendations. Magistrates Court : Coronial Findings 2019-2021 DELIVERED AT: Darwin . Water related, long term missing person, suspected death, undetermined cause of death, disappearance, intoxication, Fisherman's Wharf, Strahan. Home Health and Community Services Complaints Commission, 2023 Northern Territory Government of Australia, URL: https://justice.nt.gov.au/attorney-general-and-justice/courts/inquests-findings The Department will act on the Coroners recommendations. The RHH carry out an investigation of the delays to administration of antibiotics on this occasion with a view to implementing steps to avoid their repetition. CITATION: Inquest into the death of HD (name suppressed) [2021] NTLC 029 . Inquests | NT.GOV.AU - Northern Territory To access a finding not listed here, please makeapplication (DOC , 61.5 KB)to the Court. Coronial, death in care, guardianship order, held in care, asphyxia, choking, food, Roy Fagan Centre, Inquest. Drugs & alcohol, mental illness & health, mixed prescription drug toxicity, Royal Hobart Hospital, Department of Emergency Medicine, Liverpool Street. Acute methadone toxicity, prescription drug overdose, Pharmaceutical Services Branch, breach of Poisons Act 1971, Coroner's comment, Inquest, person held in care, Roy Fagan Centre, comments, recommendations, pneumonia, Guardianship Order, Public Guardian, Guardianship and Administration Board, fall, Homicide and assault, weapon, drugs and alcohol, hypovolemic shock, multiple stab wounds, popliteal artery, manslaughter, Robert Michael Allen, coroner's comments, Drugs & alcohol, mental illness & health, methadone, methadone program, take-away doses, Tasmanian Opioid Pharmacotherapy Program, drug toxicity, Child & infant death, baby, co-sleeping, bed sharing, suffocation, avoidable, Transport & traffic related, motorbike, motorcycle, dirt bike, unroadworthy, crash, accident, speed, illicit drugs, erratic, unlicensed, unregistered, Single motorcycle crash, transport & traffic related, head injury, existing injuries, Harley Davidson, drugs, THC, cannabis. All contents copyright Government of Western Australia. Inquest files are reports and associated . Further, the TSR is based on all cases investigated by the Tasmanian Coroners' Office under the Coroners Act 1995 (Tas), whereas the ABS organises state and territory-based mortality information according to the We extend our sympathies to the family of Mr Whitely at this difficult time. This was attempted but unfortunately was not achievable due to presence of shallow rock. An inquest into her death was told there was intense demand on staff, who missed repeated opportunities to identify the seriousness of her condition. Coronial findings To access a finding not listed here, please make application (DOC , 61.5 KB) to the Court. PDF In an emergency call triple zero (000) - Department of Health Findings and upcoming inquests - Coroners Court | Queensland Courts 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. To search for judgments, use the links below. You are directed to the disclaimer and copyright notice and a Personal Information Protection statement governing the information provided. Coronial inquests and findings | Department of the Attorney-General and Geographic, leisure activity, caverneering, Tasmanian Caverneering Club, Mount Anne, North East Ridge, exploration, disappearance, undetermined cause of death. For additional information about image restrictions see Restrictions for Viewing Images in FamilySearch Historical Record Collections. 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. The original records are located in the Tasmanian Archives and Heritage Office in Hobart, Tasmania. This collection includes inquest files from the coroners office in Tasmania. Signage has been installed at the entrance to Sandy Cape Track (Temma) and the Arthur Beach Track (Gardiner Point, Arthur River): Quick release adaptors for sand flags were attached to all operational vehicles in the Field Centre likely to operate on the track. Australia, Tasmania, Coroner's Inquest Files - FamilySearch Magistrates Court : Coroners Court 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). Update provided by THS South 14 October 2022. Identifying your sources helps others find the records you used. Works were completed and reported to the grant program on 30 June 2021. Decision of Deputy State Coroner Truscott, Coronial law, cause and manner of death, NSW trains removal of passenger, NSW Police Powers re intoxicated persons, CORONIAL LAW - Mandatory inquest - homicide by known persons since deceased - s.78, Coronial law, cause and manner of death, First Nations Patients, palliative care, death in corrections custody, Justice Health, care and treatment, CORONIAL LAW - s.27 (1) (a) Coroners Act 2009 - death as a result of homicide by a known person - mandatory inquest, CORONIAL LAW - death by hanging of a person in custody - was mental health care of an appropriate standard - should a mandatory notification have been made - access to rope and hanging points - adequacy of health information sharing -, CORONIAL LAW - death by hanging of a person in lawful custody - frequency of medication reviews - reduction of hanging points at Long Bay Correctional Centre, CORONIAL LAW - unidentified human remains, Eastern bank of the MacDonald River, near Wrights Creek Road St Albans NSW, CORONIAL LAW - death in custody, mandatory inquest, cause and manner of death, natural causes, CORONIAL LAW - cause and manner of death, laryngectomy, tracheal stenosis, respiratory rate, respiratory distress, alteration of calling criteria, Clinical Emergency Response System, vital sign observations, CORONIAL LAW - natural causes death of a person in lawful custody - was medical care and treatment appropriate. Response from Tasmania Parks and Wildlife Service11 August 2022. The Magistrates Court (Coronial Division) publishes a small but important amount of records of investigations and findings. 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. This is also called a public court hearing. Findings are also searchable by keyword. I Found the Person I Was Looking For, What Now? Older persons, physical health, Roy Fagan Centre, Guardianship and Administration Order, Public Guardian, care, treatment and supervision, dementia, aspiration pneumonia. Please consider that it may be upsetting to read details about a death in an inquest finding. (Web).pdf (PDF File, 406.9 KB), Death cannot be determined, Schedule 8 substances, Death is undetermined, Schedule 8 substances, Undetermined death, Mental Illness & Health, Health Treatment Order, GAB Order, Quad Bike, Sandy Cape Track, Coroner's Recommendation, Intentional self-harm, Statewide Mental Health Services, mental illness and health, Root Cause Analysis Report, Mental Health Act 2013, mental health facility rural or remote area, Coroner's recommendations, Drugs and alcohol, mental illness and health, physical health, epilepsy, Mental Health Act 2013, person held in care, methadone intoxication, Pharmaceutical Services Branch, methadone program, Alcohol and Drug Service, TOPP guidelines, Launceston General Hospital, Older Persons, Ischaemic heart disease, pulmonary disease, Royal Hobart Hospital, Drugs, Criminal Charges, Motor Vehicle Accident, Coroner's Comments, Seasonal Worker, Alcohol, Seat-Belt, Mental illness and health, physical health, person held in care, schizophrenia, morbid obesity, cardiac enlargement, Forensic Mental Health Service, Anglicare, Royal Hobart Hospital, coroner's recommendations, Coronial, findings, drowning, Frederick Henry Bay, Tasmania, Paddle, Kayak, Rochus Beach, Lime Bay, PFD, Wetsuit, Weather Forecast, Paddle Safe Guidelines, MAST Surf Life Saving Tasmania. 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. Sand flags are stored for easy access/attachment when field centre vehicles are accessing the tracks. O'Donnell, Margaret Joy.pdf (PDF File, 135.6 KB), Donohue, Tracey Lee.pdf (PDF File, 103.1 KB), Tilley, Jennifer May.pdf (PDF File, 117.4 KB), Wells, Peter Williams.pdf (PDF File, 100.9 KB), Lowe, Paul 2021 TASCD 684.pdf (PDF File, 1.1 MB), Bennett, Anthony George.pdf (PDF File, 114.0 KB), Roberts Henry Arthur.pdf (PDF File, 112.3 KB), Breward, Bradley Wade.pdf (PDF File, 78.7 KB), Nicholson, Dale Waverley.pdf (PDF File, 104.2 KB), Larkins, Pamela Judith.pdf (PDF File, 96.7 KB), Lindburg, Jason Richard.pdf (PDF File, 105.5 KB), Wheldon, Jamie Damien.pdf (PDF File, 106.0 KB), Chilvers, Peter Michael.pdf (PDF File, 98.6 KB), Pearce, Jayden John.pdf (PDF File, 103.1 KB), Rosendale, Dwayne Edward (PDF File, 376.1 KB), Bester, Valentine Eric Neal (PDF File, 130.9 KB), Lane, Christopher Mark.pdf (PDF File, 97.2 KB), Hume, Rosemary Josephine.pdf (PDF File, 112.6 KB), Parsons, Anna Maree.pdf (PDF File, 402.4 KB), Reaks, Karen Tracey.pdf (PDF File, 98.7 KB), Suter, Nigel Douglas.pdf (PDF File, 98.0 KB), King, Nicholas Brian.pdf (PDF File, 99.7 KB), Sterling, Barbara Lynette.pdf (PDF File, 103.5 KB), Quirk, Stewart James (PDF File, 99.0 KB), Lockley, Shane Reginald.pdf (PDF File, 113.1 KB), Groves, Justin Thomas (PDF File, 117.3 KB), Cooper, Melanie Sarah 2021 TASCD 475.pdf (PDF File, 121.9 KB), Midson, Gilbert Arthur.pdf (PDF File, 111.4 KB), Williamson, Shane Elliott; Rowe, Rodney Leo; and Robertson, Adam David (PDF File, 141.8 KB), Fitz-gerald, Peter John (PDF File, 106.1 KB), Selby, Robert Norman (PDF File, 731.0 KB), Hildyard, Nicholas William (PDF File, 112.0 KB), Menzies, Mervyn Roy (PDF File, 109.0 KB), Sowden, James Robert (PDF File, 597.0 KB), Woolley, Byron Balfour (PDF File, 77.1 KB), Gleeson, Craig; Lucas, Alistair & Welsh, Michael (PDF File, 892.1 KB), Bryers, Wallace Edgar (PDF File, 398.7 KB), Carnes, Wendy Maree.pdf (PDF File, 110.5 KB), Beames, Michael James (PDF File, 117.6 KB), Marshall, David Basil (PDF File, 94.9 KB), Wade, Neville Ernest (PDF File, 100.0 KB), Ghanbarzadeh, Masoud (PDF File, 120.1 KB), Porthouse, David John (PDF File, 294.6 KB), Bester, Alec Laurence (PDF File, 294.3 KB), Stocks, Michelle Jayne (PDF File, 121.3 KB), Steffen, William Francis (PDF File, 82.6 KB), Bowerman, Valerie Joy (PDF File, 399.8 KB), Davis, Graeme Charles (PDF File, 122.6 KB), Rubenach, Timothy Luke (PDF File, 141.1 KB), Daly, Raymond Albert.pdf (PDF File, 268.2 KB), Clark, Philip Patrick (PDF File, 252.7 KB), Fischer, Rodney James (PDF File, 101.4 KB), Lattimer, Joseph Aaron (PDF File, 455.5 KB), Greene, Yvonne Beverley (PDF File, 86.2 KB), Clark-Robertson, Tyson Timothy (PDF File, 117.7 KB), Townsend, David Lester.pdf (PDF File, 132.8 KB), Buhler, Finn Ruben Leo (PDF File, 106.6 KB), Oakley, Joseph Richard. Who attends an inquest Coroner and lawyers. In some inquests recommendations launch are made to Ministers and Government and non-government agencies. Citations help you keep track of places you have searched and sources you have found. In some inquests recommendations launch are made to Ministers and Government and non-government agencies. 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. In such an investigation the police officers are acting for, and under the control of, the Coroner. Spencer Clinic will need to liaise with the King Island Heath Services to arrange. 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. PDF ORDER: Supp ress publication of the name of the deceased, the deceased Coronial findings and recommendations - coroners.nsw.gov.au A Health Practitioner's guide for writing a statement for the Coroner. Unreported judgments of the Supreme Court of Tasmania are available on AustLII (Australian Legal Information Institute). Aurora Australis shines over Perth. Search by Case Name. Publishing a finding is decided on an individual basis, but the coroner may take into account a number of factors: In general, authorised findings for publication will include: Specific findings can be located by entering information in the search box below. Response fromDe Bruyn's Transport 23 July 2022, Recommendation 1: Rollover Awareness and Training. The relevant Medical Officer will write the discharge appointment in the DMR as King Island Health Services can access these details. Transport & traffic related, motor vehicle crash, multiple blunt traumatic injuries, instantaneous death, Kimberley Road, Railton, crash scene investigation.
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