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ArchsoralBid.Vol. 35,No. 4,pp.

311-318,1990 0003-9969/90
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EFFE.CTS OF CHEWING FREQUENCY AND BOLUS


HARDNESS ON HUMAN INCISOR TRAJECTORY AND
MASSETER MUSCLE ACTIVITY

B. BISHOP,’ 0. PLESH’ and W. D. MCCALL JR~


‘Department o,! Physiology, School of Medical Sciences, State University of New York at Buffalo,
*Department of Restorative Dentistry, School of Dentistry, University of California, San Francisco, CA
94143 and ‘Department of Oral Medicine, School of Dental Medicine, State University of New York at
Buffalo, Buffalo, NY 14214, U.S.A.

(Accepted 21 September 1989)

Summary-Nine adults with no orofacial dysfunctions were instructed to chew a standardized piece of
soft or hard gum on the right side in time with a metronome set at 46, 100 or 160 beats/min. Jaw
movements were recorded with a Myotronics kinesiograph and masseter electromyograms were detected
with surface elelztrodes. The chewing patterns on either gum were not significantly different in any of their
spatial or temporal aspects, in mean or peak opening or closing velocities, or in the timing or level of
activity in either masseter at any of the three chewing frequencies. These findings suggest that during
metronome-paced chewing the change in sensory feedback resulting from a change in gum hardness exerts
little or no effel:t on either the spatial or temporal aspects of masticatory motor output.

Key words: chewing pattern, spatial and temporal aspects of chewing, jaw velocities, metronome-paced
chewing, bolus texture, mast&tory motor c&o1

INTRODUCTION sensory feedback as revealed by kinematic and


electromyogram measures of masticatory motor out-
Mastication, like locomotion and respiration, is an put.
automatic, rhythmical movement originated by
central pattern generators within the central nervous
MATERIALS AND METHODS
system, without need for peripheral feedback (Dellow
and Lund, 1971; Kubo, Enomoto and Nakamura, Our methods were similar to those described in
1981; Luschei and Goldberg, 1981). Nonetheless, the detail by Plesh ef al. (1986, 1987, 1988). Six female
central nervous system integrates incoming periph- and 3 male adults, free of orofacial pain and with a
eral signals with centrally generated command signals full dentition, were studied while sitting in a dental
so that the rhythmical motor output is appropriate chair with the head supported. Protocols had full
for the load imposed by a bolus. For example, during approval of the human subjects review board of the
spontaneous chewing the hardness of a chewing gum School of Dental Medicine; all subjects gave in-
strongly influences the spatial and temporal aspects formed consent. The bolus was a tasteless gum base,
of an individual’s chewing pattern (Plesh, Bishop and supplied by the William Wrigley Jr Co., and was of
McCall, 1986) and the concomitant masseter muscle two detectably different consistencies, soft and hard.
activity (Plesh, Bishop and McCall, 1987, 1988). Each piece of gum was of a standard size
Thus, subjects chew hard gum more slowly than soft (10 x 18 x 2 mm) and weight (0.7 f 0.1 g).
gum and the slowing is due to an increase in the A subject was instructed to chew a piece of gum on
duration of the opening and occlusal phase; the the right side for a minute or two in time with a
duration of the closing phase is not significantly metronome. The metronome was set in random order
altered despite prolongation and enhancement of at 46, 100 or 160 beats/min. Each subject chewed each
masseter activity. Therefore, during spontaneous type of gum in succession, with the soft and hard
chewing, peripheral feedback, signalling the proper- order randomized.
ties of the bolus, strongly influences the output of the Movements of the mandibular incisor were regis-
central pattern generators even though it is not tered with a kinesiograph (Myotronics model
essential for the maintenance of rhythmic chewing. KSAR). Activity of the right or working masseter
We have now compared the spatial and temporal muscle (i.e. ipsilateral to the bolus) was detected with
aspects of the chewing pattern, the mean and peak surface electrodes and recorded on tape for subse-
opening and closing velocities, and the level and quent computer analysis. In some subjects the
duration of masseter activity when a subject chews electromyogram of the contralateral masseter was
either soft or hard gum in time with a metronome set recorded as well.
at 46, 100 and 160 beats/min. Our goals were to
Data analysis
determine whether a change in gum hardness affects
metronome-paced ch#:wing and whether a change in Tape-recorded data, played back to a polygraph,
chewing frequency induced by changing the revealed that the chewing pattern usually stabilized
metronome beat motdifies the central processing of within 3 or 4 cycles regardless of the metronome
311
312 B. BISHOP et al.

setting or the gum hardness. The subsequent 30 Statistical analysis


consecutive chewing cycles were analysed by com- Means and standard deviations for each variable
puter. The analogue signals of jaw movement from defined above were determined over the 30 cycles for
the kinesiograph and the electromyographic activity each subject. These averaged data were subjected to
from the right masseter muscle were digitized at paired or unpaired t-tests, and to two-way and
1 kHz. The data were smoothed, displayed on an three-way within-subjects analyses of variance
Hewlett-Packard plotter (7475A), and compared to (ANOVA) as appropriate.
their analogue counterpart to verify that smoothing
had not distorted the signals. RESULTS
Spatial aspects of the chewing pattern were
assessed from the vertical excursions of the mandible. EfSects of chewing frequency and gum hardness on
Peak and mean opening and closing velocities were spatial aspects of the chewing pattern
determined from the peak and mean magnitudes of Figure 1 shows the means of the peak vertical
the instantaneous velocity on the vertical channel. gapes; differences between these means on either gum
Temporal aspects of the chewing pattern were deter- were not statistically significant in any subject at any
mined from the digitized vertical signal after calibra- of the chewing frequencies. In fact, most data points
tion (Myo-tronics Memorandum, 1978). The fell closely about the lines of unit slope indicating that
beginning of each cycle (i.e. the start of opening) was gum hardness had little or no effect on gape.
determined from the differentiated vertical signal by Comparison of the range of vertical gapes in (A),
identifying the first data point in the differentiated (B) and (C) of Fig. 1 suggested that an increase in
waveform after which all subsequent points were chewing frequency might be associated with a de-
positive for at least 100 ms. The total cycle duration crease in gape. This was confirmed by a two-way
was the time between the beginning of one cycle and ANOVA for repeated measures which showed that
the beginning of the next. End of opening was defined (1) gape decreased significantly as chewing frequency
by the datum point which occurred when the vertical increased, (2) gape was not altered significantly by
distance reached a maximum. End of closing was gum hardness, and (3) the interaction between chew-
defined by the first point in the differentiated wave ing frequency and gum hardness was not significant.
which was not negative and which was preceded for Inspection of individual’s data suggested that the
at least 100 ms by negative values. The duration of motor strategy adopted to pace chewing with the
the occlusal phase was defined as the difference metronome beat varied. Some subjects maintained a
between the end of closing in one cycle and the onset relatively stable vertical gape across all chewing
of opening in the next. frequencies; others significantly changed gape when
Raw electromyogram activity of the masseter was pacing their mandibular movements. Examples of
assessed to obtain the onset latency and the burst these two strategies are shown in Fig. 2.
duration of muscle activity for each chewing cycle. Subject No. 7 [Fig. 2(A)], when chewing at 46
Onset latency was the time between the beginning of beats/min, had a mean gape of 15.6 k 1.8 mm for soft
the closing phase and the onset of masseter activity. gum and 15.4 f 1.7 mm for hard gum. The means
The integrated or averaged electromyogram was when chewing at 100 (soft: 15.8 k 1.9; hard:
obtained by rectifying, scaling and averaging the 15.0 f 2.1) and 160 beats/min (soft: 17.4 & 1.6; hard:
digitized electromyogram. The mean rise times of the 15.6 f 1.7) were not significantly different from those
bursts of masseter activity, determined from the at 46 beats/min regardless of the texture of the gum.
averaged signal, provided indices for rate coding and Findings were qualitatively similar in 3 other subjects
rate of recruitment. The mean and peak amplitudes (Nos 2, 3 and 4).
of the averaged electromyograms provided indices for Subject No. 5 [Fig. 2(B)] had smaller mean vertical
the mean and maximum levels of muscle activity, gapes at every chewing frequency than subject No. 7
respectively [Fig. l(A)]. In addition, means of peak gape were less

“-(A)

‘ii
E
E

E
15-

lo-
.

I(81
;/I
-/ I/ : ./ . 0 0 0 .0
l

M%-ikTk-
0 5 10 20 0 20

Gape on soft gum I mm1


Fig. 1. Mean (n = 30) vertical gapes for each of the 9 subjects, indicated by symbol, while chewing soft
and hard gum in time with a metronome set at 46 (A), 100 (B) or 160 (C) beats/min. Lines of unit slope
are shown. Symbols denote individual subjects: No. 1 (open circle), No. 2 (filled circle), No. 3 (open
triangle), No. 4 (filled triangle), No. 5 (open square), No. 6 (filled square), No. 7 (open inverted triangle),
No. 8 (filled inverted triangle), No. 9 (open diamond).
Metronome-paced chewing patterns 313

18r(A) Figure 3 shows the mean total cycle duration for


15 each subject. The means in Fig. 3(A) range from 900
to 1460 ms; a subject chewing exactly in time with the
z 12
metronome (i.e. at 46 beats/min) would have had a
- 9 mean of 1304 ms. Although the mean cycle duration
$
8 6 while chewing soft gum was seldom identical to that
for hard gum in any subject, the differences between
3
the means for the 2 gums were not statistically
significant @ > 0.05) at any chewing frequency.
4.6 I$0 Figure 4 shows the group means of the total cycle
Metronome setting ( beots/min) duration. This duration, of course, had to decrease
when the chewing rate was increased; the decreases in
Gum type cycle duration were due to decreases in the durations
of each phase in the chewing cycle as shown in (B),
u Soft
(C) and (D) in Fig. 4. Note that a change in gum
m Hard hardness had no effect on any temporal aspect of the
chewing cycle.
Effect of chewing frequency andgum hardness on mean
and peak velocities of jaw excursions
Figure 5 shows the mean opening velocities and
mean closing velocities on hard or soft gum. With few
exceptions the data points cluster about the lines of
46 100 160
unit slope, suggesting that gum hardness had little or
Metronorre setting (beats/min)
no effect on either mean opening or closing velocity
regardless of the chewing frequency.
Fig. 2. Examples of two strategies used to keep chewing As might be predicted, in subjects who maintained
rhythm in time with the metronome. Mean peak vertical
gape across different chewing frequencies [i.e. subjects
gape of jaw excursions for subject No. 7 (A) and No. 5 (B)
when chewing soft gum (open bars) and hard sum (hatched No. 2 (filled circle), No. 3 (open triangle), No. 4 (filled
bars) at 3 different metronome settings (i.e. beats/min). triangle) and No. 7 (open inverted triangle)], both
mean opening and mean closing velocities tended to
increase with an increase in chewing frequency,
when this subject chewed at 100 (soft: 8.5 f 2.0; hard: whereas in subjects who reduced gape during fast
6.0 f 2.4) and at 160 beats/min (soft: 6.8 f 1.4; hard chewing [i.e. subjects No. 1 (open circle), No. 5 (open
3.5: + 1.2) than at 46 beats/min. Qualitatively similar square), No. 6 (filled square), No. 8 (filled inverted
data were obtained in 4 other subjects (Nos 1, 6, 8 triangle) and No. 9 (open diamond)], mean opening
and 9). and mean closing velocities either did not change or
tended to decrease with changes in chewing fre-
Eflects of chewing _/Yequency and gum hardness on quency.
temporal aspects of !he chewing pattern Gum hardness was without effect on the spatial or
As reported by Plesh et al. (1987), subjects varied temporal aspects of the chewing pattern when chew-
in their ability to chew in time with a metronome and ing frequency was metronome-paced; all velocity data
rarely, if ever, matched the duration of their chewing have been pooled in Fig. 6. Note that the data points
cycle exactly to that of the metronome beat. Even in for the opening velocities fall about a line whose slope
those subjects who followed the metronome quite is 10, whereas the points for closing velocities fall
closely, the duration of each phase in the cycle varied about a line whose slope is 5. In other words, during
considerably from cycle to cycle whether they chewed opening, the peak velocity is 10 times higher than the
soft or hard gum. mean opening velocity, whereas the peak closing

OX----
1.4 1.6 0.3 0.4 0.5 0.6

Total cycle duration on soft gum (s1


Fig. 3. Means (n = 30) for total cycle duration for each of the subjects while chewing the hard and soft
gums at 46 (A), 100 (B) and 160 (C) beats/min. The dashed line at 1.3 s in (A) indicates the cycle duration
if a subject had chewed exactly in time with the metronome. Symbols for subjects are as in Fig. 1.
314 B. BISHOP et al.

Gum type 600


(A)
0 Soft 2

-
46 100 160 46 100 160

600
2
E
P 450

‘?I
9
u 300
‘i;
s
i:,o 150

L
2

0
46 100 160

Metronome setting ( beats / min I

Fig. 4. Group means for the total cycle duration, and for the opening, closing and occlusal phases for
the 9 subjects while chewing soft (open bars) and hard (hatched bars) gum at the 3 metronome settings.

(A) (B) (Cl

.
.
Vm

:A 0
q
0s
.
I- I I
5 10 0 5 1” 5 10

Opening velocity on soft gum (cm/s I


E a- V
s 0
E
e 6-
s . 0
.
” - ‘A

kj\“4- 0 . vA
0
.
4 E
u
E” .
0
4 2- .
OV

I I I I
0 2 4 6 6 0 2 4 6 6

Closing velocity on soft gum 1cm/s )


Fig. 5. Upper panels: mean opening velocity while chewing hard gum (ordinate) versus mean opening
velocity on soft gum (abscissa) for the 9 subjects while chewing at 46 (A), 100 (B) and 160 (C) beats/min.
Lower panels: analogous plots for mean closing velocity. Symbols for subjects as in Fig. I. (Note
differences in scale on the axes between the upper and lower panels.)
Metronome-paced chewing patterns 315

Effects of chewing frequency and gum hardness on


masseter activity
Burst durations. Figure 8 shows the mean burst
Shpe = 10 duration of the right and left masseter muscles for

1
x
P
one subject. At each metronome setting, the burst
a 200 duration of the non-working muscle (i.e. contra-
lateral to the bolus) was longer than that of the
working muscle. Other subjects showed a similar
I I I I pattern, but the differences between the group means
20 40 for burst duration of the 2 masseter muscles were not
Mean statistically significant at any chewing frequency.
Burst durations of both masseter muscles were
shortened in proportion to the shortening of the total
cycle duration when chewing was paced at 100 or 160
beats/min. In fact, masseter activity filled the same
proportion of each chewing cycle regardless of the
absolute total cycle duration, as pointed out by Plesh
et al. (1987). A change in gum hardness had no
significant effect on the masseters’ burst duration at
any of the chewing frequencies.
Onset latencies. The absolute value of onset latency
for the working masseter varied markedly among
I I I I subjects at every chewing frequency (Fig. 9). Mean
0 40 80 onset latencies on soft gum were not different from
Mean those on hard gum. With each increment in chewing
Fig. 6. Upper panel: peak versus mean opening velocities for frequency, onset latencies become significantly
all data. Lower panel: peak versus mean closing velocities shorter. In some subjects [e.g. No. 3 (open triangle),
for all data. No. 4 (filled triangle) and No. 6 (filled square)], when
chewing at 160 beats/min, the masseter became active
velocity exceeds the ‘mean closing velocity only five- prior to jaw closing. In all other cases masseter
fold. activity started after the start of jaw closing showing
As shown by the data in Fig. 7, mean closing that the masseter muscles do not initiate closing.
velocity was always higher than mean opening veloc- Masseter electromyogram activity. Figure 10 shows
ity, but peak closing and peak opening velocities were the mean peak amplitudes and the mean rise times of
not different. the integrated electromyograms from the working
masseter muscle for each subject. There was wide
inter-subject variability for each response. A two-
way, within-subject ANOVA revealed no significant
differences between group means for the 2 gums for
either the peak amplitudes or the rise times. Thus,
neither a change in chewing frequency nor a change
in gum hardness caused a predictable change in the
level or timing of recruitment in the masseter muscles.

600
0 soft gum
r
;; 500 m Non-workmg
t
z Mean dosing velocity (mm /s )

46 100 l&O
Metronome setting
g
!?! Oo% 2bo 3bo 4bo 5do
(beats/min)
Peak dosing velocity (mm 1s) Fig. 8. Mean burst durations of masseter activity in the
Fig. 7. Upper panel: mean opening versus mean closing working (open bars) and non-working (solid bars) muscles
velocity. Lower panel: peak opening versus peak closing of subject No. 1 when chewing the soft and hard gums in
velocity. Lines of identity are shown. time with the 3 metronome settings.
316 B. BISHOP et al.

‘O” (A) . 3oo (Cl

‘-E- VI 225
: E 600 c F

0 200 400 600 800 -50 50 150 250 350

onset latency on soft gum (Ins1

Fig. 9. Mean onset latencies for the right (i.e. working) masseter muscle while chewing hard and soft gums
at the 3 metronome settings. Symbols as in Fig. 1.

DISCUSSION These findings are in marked contrast to those


from earlier studies in which the subject’s attention
We have shown that when chewing is in time with was distracted from chewing by having him view a
a metronome, a change in the hardness of the gum video tape while chewing the soft and hard gums
being chewed has no effect on any of the spatial or (Plesh et al., 1987, 1988). Under these conditions
temporal aspects of the chewing cycle. The mean when a subject chewed at his automatic or preferred
gapes (Fig. l), total cycle duration (Fig. 3) and the rate, the change in gum hardness significantly
duration of phases within the chewing cycle (Fig. 4) modified the chewing pattern. For example, the open-
were not significantly different for either gum at any ing and occlusal phases, and hence the total cycle,
metronome setting. Similarly, the mean and peak were significantly longer when chewing hard gum,
velocities during opening and closing were not whereas the duration of the closing phase was not
modified by the change in gum hardness (Fig. 5). different on the 2 gums. The change in gum hardness
Furthermore, the modification of peripheral feedback did not significantly modify the vertical gape even
caused by changing gum consistency resulted in no though burst duration and level of masseter activity
significant change in the mean burst durations (Fig. were significantly greater on the hard gum (Plesh et
8), onset latencies (Fig. 9) or level or rate of recruit- al., 1986).
ment of masseter activity (Fig. 10). Thus, an alter- The fact that a change in gum hardness exerts
ation in peripheral feedback had little effect on either different effects on the chewing pattern, depending on
chewing pattern or masseter activity when the whether the movement is automatic or metronome-
chewing rate was dictated by the metronome. paced, raises some interesting, but as yet unanswered

Peak amplitude on soft gum (AU)

)_I 3,6yy2~;i;r:/, ‘, j_. , I;

0 100 200 300 0 100 200 300 0 100 200 300

Rise tome on soft gum 1 msl

Fig. 10. Upper panel: mean peak amplitudes of the integrated electromyograms (in arbitary units, AU)
recorded from the right masseter muscle during chewing hard gum versus those while chewing soft gum
on the right side in time with the metronome. Lower panel: analogous plots for mean rise times of the
integrated electromyograms. Symbols as in Fig. I.
Metronome-paced chewing patterns 317

questions. Metronome-paced chewing imposes a con- activation. The fact that the nervous system can
straint on the duration of jaw movements; automatic activate the same muscles using different components
chewing does not. Does one neuronal network serve of the central motor system shows that different
both tasks? If so, the peripheral influences must be motor systems converge on the same motor pools
‘gated’ during metronome-paced chewing. Perhaps (Chez, 1985). Perhaps direct corticotrigeminal path-
the same neural mechanisms are used differently in ways from the motor cortex converge on premotor
the 2 tasks. neurones that may or may not be components of the
During automatic chewing the rhythmicity and masticatory pattern generators in order to exert
mandibular trajectory are controlled by central pat- control over voluntary jaw movements. No informa-
tern generators in the brain stem and pontomedullary tion is at present available on this point.
region of the medial reticular formation (Chandler Nearly a century ago, Hughlings Jackson proposed
and Goldberg, 1982; Enomoto, Katakura and Naka- different hierarchical levels of motor control (Jack-
mura, 1983; Katoh er al., 1982; Kubo et al., 1981; son, 1931). The highest levels involve the prefrontal
Nakamura and Kubo, 1978; Nozaki, Iriki and Naka- cortex, the middle levels involve the pre- and post-
mura, 1986). Whether metronome-paced chewing central (i.e. the primary sensorimotor) cortex, and
and automatic chewing use the central pattern gener- the lowest levels mediating automatic control involve
ators in identical ways remains to be determined. the brain stem, the spinal cord or both. Lund et al.
During metronome-paced chewing the subject is (1984) have speculated that “alterations in the level
required to control his jaw movements at rates below, of cortical activity appear to be capable of changing
close to and above the set point used for automatic specific components of the chewing pattern”.
chewing. The descending motor command for this Although high-level cortical influences may play a
task could exert its control over the masticatory role in automatic chewing, they are not essential, as
effecters by way of the central pattern generators, so shown by rhythmical jaw movements in decerebrate
ignoring intra-oral feedback, or possibly the central preparations (Thexton, Griffiths and McGarrick,
pattern generators are by-passed with the motor 1980) and in ancephalic infants (Monnier and Willi,
commands being conducted directly to the final com- 1947).
mon pathway (i.e. the trigeminal motoneurones in the In our experiments, with each resetting of the
nucleus of V). metronome, subjects had to change their chewing rate
Rhythmical jaw movements can be induced by to keep jaw movements paced to the auditory signal.
mechanical or electrical stimuli applied to the lips of This limitation imposed by movement rate made it
the decerebrate rat pup (Thexton and Griffiths, 1979), unpredictable which way a subject would alter their
by electrical stimulation of the masticatory area of jaw movement to satisfy the constraint. Some
the cerebral cortex in various animals (Chandler, subjects retained gape and altered velocity, others
Goldberg and Lambert, 1985; Lund and Dellow, reduced gape while maintaining velocity (see exam-
1971; Lund, Rossignol and Murakami, 1981; Naka- ples in Fig. 2). Regardless of the strategy selected, the
mura et al., 1976; Nozaki et al., 1986; Sumi, 1969, duration of every phase in the chewing cycle was
1977), or by non-rhythmical repetitive stimulation of altered with an alteration in chewing frequency and
the pontine pyramid.al tract in the isolated brain stem the magnitudes of these alterations in phase durations
of the guinea pig (Nozaki et al., 1986) or decerebrate were independent of the gum’s hardness. We assume
rabbit (Lund and Dellow, 1971). During cortical that this reflects a cerebral resetting of the central
stimulation in the cat (Kubo ez al., 1981; Nakamuro motor command.
and Kubo, 1978) or guinea pig, jaw-closer moto- Our findings do not negate the importance of
neurones undergo alternating excitatory and in- peripheral feedback during metronome-paced
hibitory phases, whereas jaw-opener motoneurones chewing. In fact, we have shown previously that
undergo only rhythmical excitatory phases (Chandler cycle-to-cycle variability in all chewing parameters is
and Goldberg, 1982). Transection of the brain stem significantly less during metronome-paced chewing
at the pontobulbar junction abolishes rhythmical than during automatic chewing (Plesh et al., 1988).
masticatory activity in the masseter motoneurones This suggests that peripheral feedback serves the
(Enomoto et al., 1983), whereas cortical excitatory important function of resisting fluctuations in
effects on masseter motoneurones persist (Enomoto chewing performance (Goodwin and Luschei, 1974;
et al., 1983; Katoh et al., 1982). These observations Thexton, Hiiemae and Crompton, 1980; Lund and
suggest that the cortex has access to the masseter Olsson, 1983).
motoneurones both directly and by way of the central Our data thus show that an alteration in peripheral
pattern generators. feedback has little or no effect on metronome-paced
Lund et al. (1984.) have demonstrated that at least chewing. The exact neural networks involved in such
three different forms of mastication (incisal gnawing, chewing remain to be defined. They are no doubt also
vertical mastication, and the ruminatory type) are involved in other voluntarily controlled jaw move-
represented in separate zones of the rabbit sensori- ments including speaking, shouting, singing and
motor cortex. These masticatory forms, first defined laughing. If this assumption is correct, then it appears
by Bremer in 1923, are assumed to be generated by that the neural circuitry controlling voluntary
brain-stem circuits in a way analogous to that mandibular movements is less affected by peripheral
produced by spinal circuits for scratching, walking feedback than that involved in the control of auto-
and galloping. Thus, brain-stem neural circuitry sub- matic chewing.
serving the masticatory rhythm generators appears to
be endowed with considerable versatility depending Acknowledgement-This study was supported by NIDR
upon the cortical zone from which they receive Grant DE-06717.
318 B. BISHOPet al.

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