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Imprint cytology – A useful alternative tool for FNAC in diagnosing Hodgkin lymphoma. A case report 印迹细胞学- FNAC诊断霍奇金淋巴瘤的一个有用的替代工具。病例报告
Pub Date : 2019-06-30 DOI: 10.31254/jsir.2019.8205
S. Sumathi
Hodgkin lymphoma is a common lymphoid malignancy and the diagnostic hallmark is the presence of Reed Sternberg giant cells. One of the limitations in cytodiagnosis of it is lack of representative sample. Here the author missed the diagnosis of Hodgkin lymphoma in fine needle aspiration cytology and diagnosed by imprint cytology taken from excised nodes. This paper is presented to emphasize the usefulness of imprint cytology in improving the diagnostic accuracy of Hodgkin lymphoma.
霍奇金淋巴瘤是一种常见的淋巴细胞恶性肿瘤,其诊断标志是里德斯滕伯格巨细胞的存在。其细胞诊断的局限性之一是缺乏代表性样本。在这里,作者在细针穿刺细胞学中错过了霍奇金淋巴瘤的诊断,并通过切除淋巴结的印迹细胞学诊断。本文旨在强调印迹细胞学在提高霍奇金淋巴瘤诊断准确性方面的作用。
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引用次数: 0
Lifestyles and Preferences of Independent Elderly Patients with Chronic Diseases in Japan - Sex and Age-Related Differences 日本独立老年慢性病患者的生活方式和偏好——性别和年龄相关差异
Pub Date : 2019-06-30 DOI: 10.31254/jsir.2019.8201
K. Sadamoto, Yoshinori Araki, Kiyoshi Kubota, C. Yanagawa, A. Ishigami, M. Murata, Sota Sadamoto
Aim- To clarify lifestyles including activity and food preferences and its recognition of elderly patients with chronic diseases. Methods- A survey of community clinic patients was conducted. The survey included patient activity preferences and interests including physical activities, cultural activities, foods and cooking. ResultsThe three most popular activities and interests were chatting with friends, trying to prevent diseases, and compliance with drug therapy. Women tended to prefer activities related to communication and they showed high interest in healthy foods and cooking such foods. There was a significant difference in physical activities habits between the under 73 years old and the 73 years old and older groups. The results of this study showed that overall, elderly patients are highly interested in health-related information and activities. ConclusionsWhile dietary quality is better for females, they felt that they had inadequate information on managing healthy diets. Although a high proportion of the elderly were interested in diseases and nutrition, they need practical information on food preparation that they can use in their everyday lives. Communication and providing information about healthy foods could contribute to improving lifestyles for the elderly. In addition, promoting sustainable physical activity habits for the elderly over 73 years old could be an effective measure for maintaining fitness.
目的:阐明老年慢性病患者的生活方式,包括活动和饮食偏好及其认知。方法:对社区门诊患者进行调查。调查包括患者的活动偏好和兴趣,包括体育活动、文化活动、食物和烹饪。结果与朋友聊天、预防疾病、药物治疗是受访学生最热衷的3项活动和兴趣。女性往往更喜欢与交流有关的活动,她们对健康食品和烹饪这类食品表现出高度的兴趣。73岁以下人群与73岁及以上人群的体育活动习惯存在显著差异。本研究结果显示,总体而言,老年患者对健康相关信息和活动非常感兴趣。结论:虽然女性的饮食质量较好,但她们觉得自己在管理健康饮食方面的信息不足。虽然很大比例的老年人对疾病和营养感兴趣,但他们需要在日常生活中使用的食物制备方面的实用信息。沟通和提供有关健康食品的信息有助于改善老年人的生活方式。此外,促进73岁以上老年人可持续的体育活动习惯可能是保持健康的有效措施。
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引用次数: 0
Sonographic findings in first trimester vaginal bleeding at Moi teaching and referral hospital 莫伊教学转诊医院妊娠早期阴道出血的超声表现
Pub Date : 2019-06-30 DOI: 10.31254/jsir.2019.8203
Kitony Rose, Abuya Joseph, Mabeya Hillary
Background: First trimester per vaginal bleeding may be an indication of early pregnancy failure. Clinical management relies on sonography with delay or inadequate diagnosis leading to pregnancy loss or maternal mortality. Objective: To describe the ultrasound findings in patients referred with first trimester bleeding in relation to their clinical characteristics. Methods: This was a cross-sectional study. A total of 201 women who had first trimester vaginal bleeding were recruited. Study was done at Moi Teaching and Referral hospital (MTRH), between November 2015 and October 2016. Associations were assessed using Fisher’s exact test and results were presented in tables and graphs. Results: Median age was 27.0 years. The most common Ultrasound findings were incomplete abortion (22.9%), Uterine Fibroids in Pregnancy was diagnosed in (15.4%) and Extra uterine Pregnancy (14.4%). Significant clinical association were; Complete and incomplete abortion was associated with prolonged and heavy bleeding (p = 0.003 and <0.001 respectively). Majority diagnosed with incomplete abortion had no history of contraceptive use (p = 0.003). Anembryonic pregnancy was associated with spotting (p = 0.008). Diagnosis of extra uterine pregnancy was associated with spotting. Conclusion: Incomplete abortion, uterine fibroids in pregnancy and ectopic pregnancy were common sonographic findings. Ectopic pregnancy was associated with previous history of contraceptive use.
背景:前三个月阴道出血可能是早期妊娠失败的迹象。临床管理依赖于超声检查延误或诊断不充分导致妊娠丢失或孕产妇死亡。目的:探讨孕早期出血患者的超声表现与临床特征的关系。方法:采用横断面研究。总共招募了201名妊娠早期阴道出血的妇女。研究于2015年11月至2016年10月在Moi教学和转诊医院(MTRH)进行。使用Fisher精确检验评估关联,结果以表格和图表的形式呈现。结果:中位年龄27.0岁。超声最常见的表现是不完全流产(22.9%)、妊娠期子宫肌瘤(15.4%)和子宫外妊娠(14.4%)。有显著临床相关性;完全流产和不完全流产与持续出血和大量出血相关(p分别= 0.003和<0.001)。诊断为不完全流产的多数患者无避孕史(p = 0.003)。无胚胎妊娠与点滴相关(p = 0.008)。子宫外妊娠的诊断与点滴有关。结论:不完全流产、妊娠期子宫肌瘤和宫外孕是常见的超声表现。异位妊娠与既往避孕史有关。
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引用次数: 0
Breeding Objectives and Practices of Small Holder Sheep Production in Habru Woreda North Wollo Zone of Amhara, Ethiopia 埃塞俄比亚阿姆哈拉Habru Woreda北Wollo地区小户羊生产的育种目标和实践
Pub Date : 2019-06-30 DOI: 10.31254/jsir.2019.8207
M. Gedefaw, B. Gebremariam
The productivity of Ethiopian sheep’s can be improved by improving management and selecting best animal for future mating. This study was conducted in Habru Woreda, North Wollo Amhara region, Ethiopia with the aim to identify breeding objectives and practices of sheep production in the study area. A total of 40 households were selected purposively based on high sheep population density and production potentials. The data was gathered using semi-structured interview, direct observation and discussion with key informants. The data was summarized and analyzed using Micro soft Excel computer program and presented using tables by using descriptive statistics like frequencies and percentages. The main reason of keeping sheep in the study area was for household income generation, meat, manure, culture, breeding and ceremony respectively. The majority of breeding rams for farmers originated from own flock. Mating was uncontrolled but in rare case there is controlled mating. Selection criteria for breeding rum in the study area were growth, coat color, tail type and selection criteria for breeding ewe were lamb growth, body size, lamb survival, coat color and multiple births, respectively. Maturity age for selection of breeding ewe was reported 6-8 month. Majority of sheep breeds were indigenous breeds (87.5%) followed by cross breed ones (12.5%). There are also poor cross-breeding activities at farmers’ level and uncontrolled natural mating within local breeds was predominantly practiced by households. Selecting appropriate ewe and ram for the purpose of improving breeding objectives as well as its practice is important. To minimize the failure of sheep breed improvement program it is important to consider breed management system and trait preferences of the community.
埃塞俄比亚羊的生产能力可以通过改善管理和选择未来交配的最佳动物来提高。本研究在埃塞俄比亚北Wollo Amhara地区的Habru wooreda进行,目的是确定研究地区的绵羊繁殖目标和生产实践。根据羊的密度和生产潜力,有目的地选择40户。数据的收集采用半结构化访谈、直接观察和与关键线人的讨论。使用microsoft Excel计算机程序对数据进行汇总和分析,并使用频率和百分比等描述性统计数据以表格形式呈现。研究区养羊的主要原因分别为家庭创收、肉类、粪肥、文化、饲养和仪式。农民养殖的公羊大多来自自己的羊群。交配是不受控制的,但在极少数情况下有控制的交配。研究区繁殖朗姆酒的选择标准分别为生长发育、毛色、尾型,繁殖母羊的选择标准分别为羔羊生长发育、体大小、羔羊成活率、毛色和多胎。选育母羊的成熟年龄为6 ~ 8个月。绵羊品种以地方品种居多(87.5%),其次是杂交品种(12.5%)。农民一级的杂交活动也很差,地方品种之间不受控制的自然交配主要由家庭进行。选择合适的母羊和公羊,对提高育种目标和实践具有重要意义。为了最大限度地减少绵羊品种改良计划的失败,重要的是要考虑品种管理制度和群体的性状偏好。
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引用次数: 2
Knowledge of middle-aged women regarding the prevention of osteoporosis 中年妇女关于预防骨质疏松症的知识
Pub Date : 2019-06-30 DOI: 10.31254/jsir.2019.8204
R. Ramachandran, Preetha John
Women constitute the most important segment of our population. Most of the middle-aged women are affected with Osteoporosis which is one of the most prevalent bone diseases in the world. The objective of the study is to assess the knowledge of middle aged women regarding the prevention of osteoporosis. Osteoporosis affects 55% aged 50 and above of this approximately 80 % are women one in three women and one in twelve men over the age of 50 years worldwide are estimated to have osteoporosis. Primary prevention of osteoporosis is the first and most important one especially among the middle-aged women, as they are going to attain menopause soon. As a part of primary prevention they should follow a balanced diet, calcium and vitamin D3 supplements, physical activity, prevents falls, hormone replacement therapy. Calcium and vitamin D exert a positive effect on a muscular tissue which helps in building up the mass and strength of muscles thereby promotes osteoporosis prevention. By using non experimental univarient descriptive design 60 women who met inclusion criteria were selected with convenient sampling technique. Out of 60 sample 23 (38%) had very good knowledge, twenty one had (35%) had average knowledge, nine (15%) had excellent knowledge, seven (12%) of them had good knowledge and none of them had poor knowledge. As a middle aged women attains menopause it is necessary to boost their knowledge regarding osteoporosis, where the main study focused to assess the knowledge of middle aged women on osteoporosis.
妇女是我国人口中最重要的部分。骨质疏松症是世界上最常见的骨骼疾病之一,大多数中年妇女都患有骨质疏松症。本研究的目的是评估中年妇女对骨质疏松症的预防知识。骨质疏松症影响55%的50岁及以上人群,其中约80%为女性,全世界50岁以上人群中估计有三分之一的女性和十二分之一的男性患有骨质疏松症。骨质疏松症的初级预防是首要的也是最重要的,尤其是对即将进入更年期的中年妇女。作为初级预防的一部分,他们应该遵循均衡的饮食,补充钙和维生素D3,体育活动,防止跌倒,激素替代疗法。钙和维生素D对肌肉组织有积极作用,有助于增加肌肉的质量和力量,从而促进预防骨质疏松症。采用非实验单变量描述设计,采用方便抽样技术,选取符合入选标准的女性60例。在60个样本中,有23个(38%)知识非常好,21个(35%)知识一般,9个(15%)知识优秀,7个(12%)知识良好,没有一个知识差。随着中年妇女进入更年期,有必要提高对骨质疏松症的认识,其中主要研究集中在评估中年妇女对骨质疏松症的认识。
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引用次数: 1
Rational diagnostic advance of Kushtha (integumentary diseases) by a preliminary arbitrary grading system based on Ayurveda fundamental principles 基于阿育吠陀基本原则的初步任意分级系统对库什塔(皮肤疾病)的合理诊断进展
Pub Date : 2019-06-30 DOI: 10.31254/jsir.2019.8202
Rupashri Nath, S. Mandal, Bidhan Mahajon
Background: In Ayurveda all the skin diseases are described under Kushtha (integumentary diseases), Kshudra roga (~minor ailments) and few systemic disorders. As per ancient scholars of Ayurveda innumerable verities of Kushtha are occurred by the vitiation of seven fold of pathogenic substance. However, for diagnosis purpose, knowledge regarding predominant Dosha (~humor) is very much essential. As the predominant vitiating pathogenic factors depict the specific verity of Kushtha and the treatment principle is also equipped on the basis of Dosha. Aims and objective: On this background the present study was carried out to diagnose the particular verity of Kushtha described by Ayurveda classics with the help of Doshik predominance and to structure a standard grading system based on classical features of Kustha. Materials and Method: Literary resources were critically analyzed in this study. All the data concerning features of Kushtha mentioned in classical Ayurveda texts were collected and visualize features were documented in the form of photography obtained from the patients to diagnose the disease accurately. Result and Conclusion: Different types of Doshaja Kushtha features were evaluated by the preliminary approach of arbitrary grading system and the model was supported with the help of clinical photographic features. This is the first preliminary approach to diagnose as well as assess the severity of the diseases kustha based on Ayurveda fundamental principles.
背景:在阿育吠陀中,所有的皮肤病都被描述为Kushtha(皮肤疾病),Kshudra roga(轻微疾病)和少数全身性疾病。根据阿育吠陀古代学者的说法,库什塔的无数真理是由七倍致病物质的破坏而发生的。然而,为了诊断目的,关于主要Dosha(~幽默)的知识是非常必要的。作为主要的致病因素,描绘了库什塔的特定真实性,治疗原则也以Dosha为基础。目的和目的:在此背景下,本研究旨在借助多师优势来诊断阿育吠陀经典所描述的库什塔的特定真实性,并基于库什塔的经典特征构建一个标准的分级系统。材料与方法:本研究对文献资源进行批判性分析。收集了阿育吠陀经典文献中提到的库什塔特征的所有数据,并以从患者那里获得的照片的形式记录了可视化特征,以准确诊断疾病。结果与结论:采用任意分级系统的初步方法对不同类型的Doshaja Kushtha特征进行评价,并借助临床摄影特征对模型进行支持。这是第一个基于阿育吠陀基本原则来诊断和评估疾病严重程度的初步方法。
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引用次数: 3
Household Food Insecurity and Coping Strategies: A Perspective from Lasta Wereda, North Wollo Zone of Amhara, Ethiopia 家庭粮食不安全及应对策略:来自埃塞俄比亚阿姆哈拉北沃罗地区Lasta Wereda的视角
Pub Date : 2019-06-30 DOI: 10.31254/jsir.2019.8206
M. Gebremariam, Z. Ayalew, B. Gebremariam
The study aims to assess food insecurity, identify the determinants of food insecurity and analyze the coping strategies of the rural households in Lasta wereda, Amhara regional state of Ethiopia. Primary data were collected using questionnaire survey, focus group discussion and key informant interview. Three stage sampling technique was employed to select 299 rural households in the study area. Descriptive statistics such as frequencies mean and standard deviation was used to analyze the data. Econometric analysis of Tobit model was used to identify the determinants of food insecurity, and Foster-Greer-Thorbecke model indices were employed to estimate the incidence, gap and severity of food insecurity. The head count ratio revealed that 51.8 percent of sampled households were found to be food insecure. The gap and severity of food insecurity were estimated to be 14.2 and 6 percent respectively. The results of Tobit regression model showed household size, cultivable land size, livestock ownership, oxen ownership, use of chemical fertilizer and households share of own produced food were found to be significant determinants of food insecurity in the study area. Selling livestock to buy food, reducing the quantity of meals and reducing the frequency of meals were among the common coping strategies adopted at times of decline in food availability. Family planning, off-farm income generating activities, livestock sector productivity and access to chemical fertilizer should be highly strengthened in the study area.
该研究旨在评估粮食不安全状况,确定粮食不安全的决定因素,并分析埃塞俄比亚阿姆哈拉州拉斯塔韦达地区农村家庭的应对策略。采用问卷调查法、焦点小组讨论法和关键信息提供者访谈法收集初步资料。采用三阶段抽样方法对研究区299户农户进行抽样调查。使用频率均值和标准差等描述性统计对数据进行分析。采用Tobit模型进行计量分析,确定粮食不安全的影响因素,采用Foster-Greer-Thorbecke模型指数估算粮食不安全的发生率、缺口和严重程度。人口普查比例显示,51.8%的抽样家庭被发现粮食不安全。据估计,粮食不安全的差距和严重程度分别为14.2%和6%。Tobit回归模型结果显示,农户规模、耕地规模、牲畜拥有量、耕牛拥有量、化肥使用量和农户自产粮食份额是研究区粮食不安全的重要决定因素。在粮食供应下降时,通常采取的应对策略包括出售牲畜以购买粮食、减少进餐数量和减少进餐频率。研究地区应高度加强计划生育、非农创收活动、畜牧业生产力和获得化肥。
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引用次数: 1
Juvenile Myasthenia gravis presenting with recurrent aspiration pneumonitis in a Nigerian child 尼日利亚儿童重症肌无力表现为反复吸入性肺炎
Pub Date : 2019-03-30 DOI: 10.31254/jsir.2019.8102
Oyedeji Olusola Adetuji, Olubanjo Olasunkanmi Oladapo
Myasthenia gravis (MG) is a rare and chronic neurologic disease of neonates and older children. It commonly presents with progressive skeletal muscle weakness. Presentation with aspiration pneumonitis is uncommon and more so with recurrent aspiration pneumonitis. Diagnosis of recurrent aspiration secondary to MG can thus, be slow to make, especially at in a resource limited setting. A five year old boy presented with features suggestive of recurrent food aspiration and underlying Myasthenia gravis at the paediatric emergency unit of a Nigerian hospital. The case is reported in order document the occurrence of MG in our resource limited setting with the view to provide information that may aid the diagnostic acumen of physicians practicing in similar settings. The challenges associated with managing Myasthenis gravis in a resource limited setting are also discussed.
重症肌无力(MG)是一种罕见的慢性神经系统疾病,常见于新生儿和大龄儿童。它通常表现为进行性骨骼肌无力。以吸入性肺炎为表现并不常见,复发性吸入性肺炎更为常见。因此,诊断继发于MG的复发性误吸可能很慢,特别是在资源有限的情况下。一名五岁男孩在尼日利亚一家医院的儿科急诊科表现出反复食物误吸和潜在重症肌无力的特征。本病例报告是为了记录在我们资源有限的环境中发生的MG,以提供信息,可能有助于在类似环境中执业的医生的诊断敏锐度。在资源有限的情况下,与管理重症肌无力相关的挑战也进行了讨论。
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引用次数: 0
Effect of harvesting stage on yield and nutritive value of Buffel grass (Cenchrus ciliaris Linn) under irrigation at Gewane district, north eastern Ethiopia 埃塞俄比亚东北部Gewane地区灌水条件下采收期对巴布尔草产量和营养价值的影响
Pub Date : 2019-03-30 DOI: 10.31254/jsir.2019.8103
Ghiwot Wanania Yigzaw
A study was carryout to determine the biomass yield, chemical composition and in-vitro dry matter digestibility of irrigated Cenchrus Ciliaris. The treatments had three harvesting days (60, 90 and 120) in randomized complete block design (RCBD). Stage of harvesting days had significant influence (p< 0.05) on the biomass and chemical composition of Cenchrus Ciliaris. With longer days of harvesting, there was a reduction in nutritive value of the grass; whereas at longer day of harvesting, there was the highest biomass yield. DMY, NDF, ADF and ADL and plant height were positively correlated to each other but negatively correlated to LSR, CP, total ash, and IVDMD. Biomass yield of Cenchrus Ciliaris was positively correlated with delaying stage of harvesting but nutritive value in Cenchrus Ciliaris, were negatively correlate with increasing stage of harvesting. Eventually, harvesting of Cenchrus ciliaris at 90 days had good nutritive (10.62 % CP and 12.3t/ha DM) value and biomass yield. So that, this finding creates an opportunity for the pastoralists and agro-pastoral community along the Awash River to resolve the scarcity of feed and increase the livestock productivity in the study area.
对灌水后的毛蚶生物量、化学成分和体外干物质消化率进行了研究。在随机完全区设计(RCBD)中,处理有3个采收日(60,90和120)。采收天数对毛菖蒲生物量和化学成分有显著影响(p< 0.05)。收获时间越长,草的营养价值就越低;收获日数越长,生物量产量越高。DMY、NDF、ADF、ADL与株高呈显著正相关,与LSR、CP、总灰分、IVDMD呈显著负相关。纤毛虫生物量产量与采收期的推迟呈显著正相关,而其营养价值与采收期的提前呈显著负相关。结果表明,采后90 d的毛竹具有较好的营养价值(CP为10.62%,DM为12.3t/ hm2)和生物量。因此,这一发现为阿瓦什河沿岸的牧民和农牧社区提供了解决饲料短缺和提高研究地区牲畜生产力的机会。
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引用次数: 2
Ayurvedic Principles to Prevent & Management of Life Style Disorders 阿育吠陀原则预防和管理生活方式障碍
Pub Date : 2019-03-30 DOI: 10.31254/jsir.2019.8105
Sumi Jain, Kavita Daulatkar
Background of Study: Ayurved prayojnam “Swasthasya Swasthya Rakshanam” Prevention & “Aturasya Vikar Prashmanam”1manage the disorders for a healthy life..To follow the Panchakarma, Rasayan, Vajikaran for uttam santan, Ritucharya, Dincharya, Sadvrata satvavjaya. In the Present Era modern life style, Over stress, Lack of exercise, Heavy work load, viruddha ahar vihar, Smoking, Alcohol, Pollutions, Consumption of unhealthy and preserved food, Competation to others reduces individual happiness, impaired digestive and metabolism, reduces immune system, dyusfunction of body affected human life and it turns to variety of life style disorders like Dyslipidemia, Hyperacidity, Khalitya, Palitya, Acne, Pigmentation, Hypertension, Paralysis, Strok, Cardiovasculardisease, Hypothyroidism Diabetes, Haemorrhoids, Copd, Pcod, Infertility, Cancer etc. In word of ayurveda dosha dhatu vaisamyata creates disorders so ayurveda play important role in promoting the health by establishing homeostasis between dosha-dhatu-mala with the help of three pillers Ahar, Nidra, Brhamcharya and following the proper life style advises, dietary management, panchakarma, rasayana etc.
研究背景:Ayurved prayojnam“Swasthasya Swasthya Rakshanam”预防和“Aturasya Vikar Prashmanam”管理疾病,健康生活。遵循Panchakarma, Rasayan, Vajikaran为uttam santan, Ritucharya, Dincharya, Sadvrata satvavjaya。在当今时代的现代生活方式中,压力过大,缺乏锻炼,繁重的工作负荷,virududhahar vihar,吸烟,酗酒,污染,消费不健康和保存的食品,与他人竞争降低了个人的幸福感,消化和代谢受损,免疫系统下降,身体功能障碍影响了人类的生活,并导致各种生活方式失调,如血脂异常,高酸度,Khalitya, Palitya,痤疮,色素沉着,高血压,瘫痪,中风,心血管疾病、甲状腺功能减退、糖尿病、痔疮、慢性阻塞性肺病、Pcod、不孕症、癌症等。用阿育吠陀的话说,dosha dhatu vasamyata会造成紊乱,所以阿育吠陀在促进健康方面发挥着重要作用,在三个药丸的帮助下,在阿哈尔、尼德拉、布hamcharya之间建立稳态,并遵循适当的生活方式建议、饮食管理、panchakarma、rasayana等。
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引用次数: 1
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