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The Effects of Non-Pharmaceutical Intervention Based on the Protection Motivation Theory in Promoting COVID-19 Prevention Behaviors in the Older Adults 基于保护动机理论的非药物干预对促进老年人COVID-19预防行为的影响
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2022.01006
Mohadese Sadri, M. Barati, S. Bashirian, S. Khazaei
Background/Purpose: Due to the pandemic of COVID-19 and the need to pay attention to the older adults as one of the most vulnerable groups, this study aimed to determine the effects of educational programs based on the Protection Motivation Theory (PMT) as non-pharmaceutical intervention in promoting protective behaviors against COVID-19 among the older adults in Hamadan. Method(s): The present study was a randomized controlled trial performed in 2021 on 80 older adults visiting retirement centers in Hamadan. Participants were randomly assigned to experimental (n=40) and control groups (n=40). The data collection tool was a researcher-made questionnaire including demographic variables and constructs of PMT which were completed before and two months after the intervention. The intervention consisted of four sessions implemented for the experimental group. The collected data was analyzed in SPSS-16 using Chi-square, Mann-Whitney, and Wilcoxon tests. Result(s): There was no significant difference between the two groups in terms of all demographic variables and theoretical constructs before the educational intervention. After the educational intervention, there was a significant difference in the constructs of perceived severity (P=0.012), perceived response efficiency (P=0.009), perceived self-efficacy (P=0.021), and perceived response cost (P <0.001) after the intervention. No significant changes were reported in the control group (P >0.05). Also, results showed that there was no significant difference in the mean of COVID-19 preventive behaviors between the two groups after the educational intervention (P >0.05). Conclusion(s): The results showed that the use of educational intervention as non-pharmaceutical intervention based on the PMT was an effective approach to perform preventive behaviors against infectious diseases such as COVID-19. Copyright © 2022, Full Universe Integrated Marketing Limited. All rights reserved.
背景/目的:鉴于2019冠状病毒病(COVID-19)大流行,需要关注老年人作为最弱势群体之一,本研究旨在确定基于保护动机理论(PMT)的教育计划作为非药物干预措施在哈马丹老年人中促进COVID-19保护行为的效果。方法:本研究是一项随机对照试验,于2021年对80名前往哈马丹退休中心的老年人进行了研究。参与者随机分为实验组(n=40)和对照组(n=40)。数据收集工具是一份由研究者自行制作的问卷,包括人口学变量和PMT的结构,问卷分别在干预前和干预后两个月完成。干预包括实验组实施的四个阶段。收集的数据在SPSS-16中使用卡方检验、Mann-Whitney检验和Wilcoxon检验进行分析。结果:在教育干预前,两组在人口学变量和理论构念方面均无显著差异。教育干预后,学生在知觉严重性(P=0.012)、知觉反应效率(P=0.009)、知觉自我效能(P=0.021)、知觉反应成本(P= 0.05)构念上存在显著差异。教育干预后两组患者的新冠肺炎预防行为均值差异无统计学意义(P < 0.05)。结论:基于PMT的教育干预作为非药物干预是开展COVID-19等传染病预防行为的有效途径。版权所有©2022,全宇宙整合营销有限公司。版权所有。
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引用次数: 0
The Grand Connection: Association Between Grandchild Care Involvement and Grandparents’ Cognitive Functioning 大联系:孙辈照顾参与与祖父母认知功能的关系
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2021.10099
Silvia Theresa Tong
Cognitive impairment is increasingly becoming a public health agenda. Lifestyle factors that can be modified to optimize cognitive ability thus become increasingly important in maintaining an active life in old age. The number of dual-income families is increasing, so grandparents are frequently called upon for childcare. The social distancing measures applied due to the COVID-19 global pandemic mean that some older adults have had to reduce social contact with their family members, including their grandchildren. Whilst emerging evidence suggested that social engagement possibly delays the onset of cognitive decline. There is relatively limited data on the association of grandparent childcare and cognition function preservation.
认知障碍正日益成为公共卫生议程。因此,可以通过改变生活方式来优化认知能力的因素在保持老年活跃生活中变得越来越重要。双收入家庭的数量正在增加,因此祖父母经常被要求照顾孩子。由于新冠肺炎全球大流行而采取的社交距离措施意味着一些老年人不得不减少与家人(包括孙子女)的社交接触。而新出现的证据表明,社会参与可能会延缓认知能力下降的开始。关于祖父母育儿与认知功能保存之间的关系,目前的数据相对有限。
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引用次数: 0
Relationship Among Depression, Psychological Distress, and Sleep Disturbances Among Older Persons with Chronic Illness 老年慢性病患者抑郁、心理困扰和睡眠障碍的关系
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2021.10104
A. Hamdan-Mansour, Imad N. Thultheen, Hamza Alduraidi, S. Hamaideh, M. Banihani, Renad A. Hamdan-Mansour
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引用次数: 0
Association Between Nutritional Status and Depression in Hospitalized Elderly Patients 住院老年患者营养状况与抑郁的关系
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2021.09080
G. Doğan, Nurcan Yabancı Ayhan, M. Varlı
The elderly population is increasing rapidly in this country as in the whole world. Turkey's elderly population (aged 65 years and over) reached nearly 8 million as of the end of 2020, with the proportion of the elderly population in the total population being 9.5%. Chronic diseases and social and physical problems that occur with increasing age affect the nutritional status of the elderly and reduce their quality of life. *Correspondence Mrs. Gökcen DOĞAN Health Sciences Faculty, Department of Nutrition and Dietetics, Ankara University, Turkey E-mail: gökcen_iplikci@hotmail.com
和全世界一样,这个国家的老年人口正在迅速增加。截至2020年底,土耳其的老年人口(65岁及以上)接近800万,老年人口占总人口的比例为9.5%。随着年龄增长而出现的慢性病以及社会和身体问题会影响老年人的营养状况,降低他们的生活质量。土耳其安卡拉大学营养和饮食学系健康科学学院Gökcen DOĞAN女士。电子邮件:gökcen_iplikci@hotmail.com
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引用次数: 0
Relationship Between Oral Health Status, Oral Discomfort and Oral Health Behaviors of the Vulnerable Elderly People in Korea 韩国弱势老年人口腔健康状况、口腔不适与口腔健康行为的关系
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2021.06045
Koung-Oh Chang, Soon-Jeong Jeong
in 2030, and 39.0% ABSTRACT Background/Purpose: This study analyzed the correlation between the oral health status, oral discomfort, and oral health behaviors of merchants aged 65 and over belonging to the vulnerable group in Korea. The purpose of study is to provide basic data necessary for establishing oral health promotion programs and oral health policies for the elderly. Methods: We conducted a convenience sampling of 624 elderly 65 years and older in five markets located in Gyeongsnagnam-do, republic of Korea. After confirming the subject’s voluntary participation, 5 public health dentists from community health centers performed dental examination and treatment to assess oral health status (7 questions) and oral discomfort (5 questions), and 5 dental hygienists conducted an interviewer-administered survey with the structured questionnaire consisting of sociodemographic characteristics (9 questions) and oral health behavior (7 questions). Results: Gender ( r =-0.118, p =0.003) and age ( r =-0.173, p <0.001) showed a negative correlation with oral health status. Economic status showed a negative correlation with satisfaction with dental health care (-0.095, p =0.018) and experience of dental health care education (-0.088, p =.029), and showed a positive correlation with oral health status ( r =0.098, p =0.015). Daily activity restriction and oral discomfort ( r =0.106, p =0.008) showed a positive correlation. Subjective oral health condition showed a positive correlation with oral health status ( r =1.08, p =0.007) and oral discomfort ( r =0.198, p <0.001). Conclusion: Establishment of oral health promotion programs, oral health policies, and strategies suitable for the characteristics of the vulnerable elderly people and systematic and specific oral health education are necessary to improve the practice of continuous oral health behavior.
摘要背景/目的:本研究分析了韩国65岁及以上弱势群体商人的口腔健康状况、口腔不适和口腔健康行为之间的相关性。本研究旨在为制定老年人口腔健康促进计划和口腔健康政策提供必要的基础数据。方法:我们在大韩民国庆尚南道的五个市场对624名65岁及以上的老年人进行了方便抽样。在确认受试者自愿参与后,来自社区卫生中心的5名公共卫生牙医进行了牙科检查和治疗,以评估口腔健康状况(7个问题)和口腔不适(5个问题),5名牙科保健师进行了一项由访谈者管理的调查,该调查采用了由社会人口学特征(9个问题)和口腔健康行为(7个问题)组成的结构化问卷。结果:性别(r=-0.118,p=0.003)和年龄(r=-0.173,p<0.001)与口腔健康状况呈负相关。经济状况与牙科保健满意度(-0.095,p=0.018)和牙科保健教育经历(-0.088,p=0.029)呈负相关,与口腔健康状况呈正相关(r=0.098,p=0.015)。日常活动受限和口腔不适(r=0.106,p=0.008)呈正相关。主观口腔健康状况与口腔健康状况(r=1.08,p=0.007)和口腔不适(r=0.198,p<0.001)呈正相关,针对弱势老年人的特点和策略,进行系统、具体的口腔健康教育,是提高持续口腔健康行为实践水平的必要条件。
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引用次数: 0
Gan-Dau Healthy Longevity Plan: The Community Model for Healthy Aging 甘道健康长寿计划:健康老龄化的社区模式
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2022.09088
Liang‐Kung Chen
P aging is a global phenomenon. As one of the fastest aging countries in the world, Taiwan needs health plans with strong supporting evidences to respond to all challenges related to rapid population aging. The health plans should be community-based and person-centered, with optimal integration between all health and social care providers. Gan-Dau is a geographic region of the Beitou District of Taipei City where resides approximately 53,000 inhabitants and the percentage of people aged 65 years and older is over 18% in 2022. The name of Gan-Dau is originated from the aboriginal Taiwanese centuries ago and describes the connection of two rivers. As the name speaks for itself, Gan-Dau has been the wharf for fishermen for hundreds of years, and has transformed into a cluster of hightech industries, healthcare facilities, educational facilities, and recreational activities nowadays with well-preserved traditional cultures. Currently, Gan-Dau is a community with heterogenous composition of population, social activities, and lifestyles, which is suitable to be the pioneer site for community-based health plans of healthy aging. With the support from Taiwan’s National Health Research Institutes, the Taipei Municipal Gan-Dau Hospital, Taipei Veterans General Hospital, National Yang Ming Chiao Tung University, and industrial partners, Gau-Dau has become the pioneer site for examining the overall effects of implementing serial healthy longevity plans beyond individual clinical trials. Moreover, the Gan-Dau Healthy Longevity Plan actively collaborates with Japan’s National Center for Geriatrics and Gerontology, University of Tokyo, and the Cleveland Clinic of the United States to strengthen regional and global impacts to promote global healthy aging.
P老化是一种全球性现象。作为世界上老龄化最快的国家之一,台湾需要有强有力支持证据的卫生计划来应对与人口快速老龄化有关的所有挑战。健康计划应以社区为基础,以人为中心,并在所有卫生和社会护理提供者之间实现最佳整合。甘露是台北市北投区的一个地理区域,居住着大约53000名居民,2022年65岁及以上的人口比例超过18%。甘达这个名字源于几个世纪前的台湾原住民,描述了两条河流的连接。赣岛作为渔民的码头已有数百年的历史,如今已发展成为一个高科技产业、医疗保健设施、教育设施和娱乐活动的集群,传统文化保存完好。目前,甘露社区是一个人口、社会活动和生活方式异质的社区,适合作为健康老龄化社区健康计划的试点。在台湾国立卫生研究院、台北市立甘道医院、台北荣军总医院、国立阳明交通大学和产业合作伙伴的支持下,高道已成为研究实施一系列健康长寿计划的整体效果的先驱。此外,甘露健康长寿计划积极与日本国家老年医学和老年病学中心、东京大学和美国克利夫兰诊所合作,加强区域和全球影响,促进全球健康老龄化。
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引用次数: 10
Evaluation of Malnutrition and Depression in Elderly People: A Cross-Sectional Study in Turkey 评估老年人营养不良和抑郁:土耳其的一项横断面研究
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2021.05030
S. Aydoğan Gedik, A. Ünsal, D. Arslantaş
Background/Purpose: The aim of the study was to determine the frequency of possible malnutrition in a population-based sample of community-dwelling older people, and to examine its relationship with depression and some variables. Methods: The study is a cross-sectional study conducted in Sivrihisar district of Eskişehir, Turkey. Community-dwelling older adults aged 60 and over were included in the study. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment-Short Form (for malnutrition), Katz Index of Independence in Activities of Daily Living (ADL, for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results: The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of possible malnutrition was 25% (n=145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level of chronic illness using dentures and probable depression are important risk factors for possible malnutrition. Those with possible malnutrition had lower scores on ADL (z=8.982; p =0.001). Conclusion: Malnutrition was found to be an important health problem for the elderly. The frequency of possible malnutrition is higher in individuals with depression. Those with possible malnutrition have higher level of dependency.
背景/目的:本研究的目的是确定社区老年人中可能营养不良的频率,并检查其与抑郁症和一些变量的关系。方法:该研究是在土耳其埃斯基谢希尔的Sivrihisar区进行的横断面研究。60岁及以上居住在社区的老年人被纳入研究。使用了聚类采样方法。随机选取4个社区,挨家挨户收集数据。使用迷你营养评估简表(针对营养不良)、日常生活活动独立性卡茨指数(ADL,针对依赖性)和老年抑郁症量表简表(用于抑郁症)。采用卡方检验、Mann-Whitney U检验和logistic回归分析。结果:研究组包括220名(38%)女性和359名(62%)男性。平均年龄68.9±6.4岁(60~93岁)。可能的营养不良发生率为25%(n=145)。80岁或80岁以上(or:3.24,CI:1.53-6.85)、有使用假牙的慢性病的初级和较低教育水平以及可能的抑郁症是可能营养不良的重要风险因素。可能存在营养不良的患者ADL评分较低(z=8.982;p=0.001)。结论:营养不良是老年人的一个重要健康问题。抑郁症患者可能出现营养不良的频率更高。那些可能营养不良的人的依赖程度更高。
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引用次数: 0
Roles of Nutrition on Sarcopenia: Recommendations from AWGS 营养在肌萎缩中的作用:AWGS的建议
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-30 DOI: 10.33879/amh.132.2022.06057
Liang‐Kung Chen
S has become one of the most appealing research focus in Geriatrics and Gerontology that attracts extensive international research attentions. Until now, over 15,000 publications related to sarcopenia have been identified in the PubMed with a substantially growing trend year by year. Sarcopenia is defined as age-related loss of muscle mass with reduced muscle strength or/and low physical performance based on the operational definitions of different working groups. Due to the fundamental differences in ethnic backgrounds, body size, body composition, dietary habits, lifestyles, risk factors, diagnosis, natural course, and treatment responses, sarcopenia in Asian populations may differ great from Caucasians. Hence, the Asian Working Group for Sarcopenia (AWGS) started in 2013 and invited major researchers of sarcopenia or related fields in Asian countries to discuss how sarcopenia should be diagnosed and treated in Asian populations. After extensive discussions, AWGS published the Asian consensus for sarcopenia diagnosis and treatment based on research data from Asian countries, which basically followed the diagnostic algorithm of the European group. The diagnostic criteria of sarcopenia were revised in 2019, which not only modified the diagnostic algorithms, but also strongly addressed the importance to integrate sarcopenia in the clinical management of chronic conditions and multimorbidity.
S已成为老年病学和老年学中最具吸引力的研究热点之一,引起了广泛的国际研究关注。到目前为止,PubMed中已经发现了15000多篇与肌肉减少症相关的出版物,并且逐年呈显著增长趋势。根据不同工作组的操作定义,肌肉减少症被定义为与年龄相关的肌肉量减少,肌肉力量下降或/和身体表现低下。由于种族背景、体型、身体组成、饮食习惯、生活方式、危险因素、诊断、自然病程和治疗反应等方面的根本差异,亚洲人群的肌肉减少症可能与白种人存在很大差异。因此,亚洲骨骼肌减少症工作组(Asian Working Group for Sarcopenia, AWGS)于2013年启动,邀请亚洲国家骨骼肌减少症或相关领域的主要研究人员,共同探讨亚洲人群如何诊断和治疗骨骼肌减少症。经过广泛的讨论,AWGS发表了基于亚洲国家研究数据的肌少症诊疗的亚洲共识,基本遵循了欧洲组的诊断算法。2019年修订了肌少症的诊断标准,不仅修改了诊断算法,而且强烈强调了将肌少症纳入慢性病和多病临床管理的重要性。
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引用次数: 2
Study of the Morbidity Pattern Among Geriatric Patients Attending a Secondary Care Hospital in Bhubaneswar, Odisha 奥里萨邦布巴内斯瓦尔二级护理医院老年患者发病率模式研究
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-30 DOI: 10.33879/amh.132.2021.07052
B. Barik, Sushree Titikshya Dash, Minaketan Barik, V. Yadav, T. Hussain, S. Pati
Background/Purpose: The Indian elderly are more likely to suffer from chronic than acute illness. There is a higher probability of co-morbidities among the elderly population with a higher prevalence of diabetes, hypertension, chronic obstructive pulmonary disease (COPD), etc. in Odisha. This exploratory study was conducted to study the pattern of morbidities among elderly attending secondary level health care facilities and is perhaps the first of its kind in this region. Methods: In all, 500 elderly patients attending Capital Hospital, Bhubaneswar were enrolled in the study. The socio-demographic and anthropometric profile were correlated with clinical profile. Results: About 60% (301) males and 40% (199) of females were in the age group 60-80 years. 50% (150) males and 35% (70) of females were from urban areas whereas 25% (128) were from rural areas. 29% (143) of the elderly were illiterate. 82% (409) were sedentary and 54% (270) were habitually smoking or consuming tobacco products or alcohol. While majority, i.e., 76% (382) were living alone, 24% (118) were living with family. The socio-economic status of 62% (309) of the elderly was low. A large proportion of the elderly were having poor vision (30%), arthritis (14%), anemia (11%) and hearing impairment
背景/目的:印度老年人患慢性疾病的可能性大于急性疾病。在奥里萨邦,糖尿病、高血压、慢性阻塞性肺病(COPD)等的患病率较高的老年人口中,合并症的可能性较高。本探索性研究旨在研究在二级医疗机构就诊的老年人的发病率模式,这可能是该地区首次进行此类研究。方法:在布巴内斯瓦尔首都医院就诊的500名老年患者被纳入研究。社会人口学和人体测量学特征与临床特征相关。结果:60 ~ 80岁年龄组男性占60%(301例),女性占40%(199例)。50%(150名)男性和35%(70名)女性来自城市地区,25%(128名)来自农村地区。29%(143)的老年人是文盲。82%(409人)久坐不动,54%(270人)有吸烟或消费烟草制品或酒精的习惯。大多数人,即76%(382人)独居,24%(118人)与家人同住。62%(309人)的老年人社会经济地位较低。很大一部分老年人有视力低下(30%)、关节炎(14%)、贫血(11%)和听力障碍
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引用次数: 0
The Validity of The FRAIL Scale in Frailty Screening Among Vietnamese Older People FRAIL量表在越南老年人虚弱筛查中的有效性
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2022-06-30 DOI: 10.33879/amh.132.2021.07060
Do Thi Tuong Anh, T. Nguyen, T. Nguyen, T. Nguyen
Background/Purpose: A simple and effective frailty screening tool is required for use among older people in outpatient clinics. We aimed to evaluate the validity of the Vietnamese version of the FRAIL-scale (FRAIL-VI) for frailty screening in Vietnam. Methods: This was a cross-sectional study conducted at the Geriatric clinic of Gia Dinh People’s Hospital in Ho Chi Minh City. Frailty was evaluated using the FRAIL scale and Fried’s criteria. Stata version 14 was used for data analysis. We used receiver operating characteristic (ROC) analyses, the area under the curve (AUC), sensitivity, specificity, and positive and negative predictive values to assess diagnostic accuracy of the FRAIL scale, when compared with Fried’s criteria. Box and Whisker plots were obtained to present the distribution of the FRAIL scores according to Fried’s criteria, and Pearson’s correlation coefficient was calculated to examine the correlation between the two tools. Results: The study included 396 participants (mean age of 72.6±7.6, 62.1% female). The optimal cut-off value for the FRAIL scale was ≥2, with 94.7% sensitivity, 85.2% specificity, and a Youden index of 0.799. In ROC analysis, the FRAIL-VI AUC was 0.964 (95% confidence interval: 0.95 – 0.98), when compared with Fried’s criteria. The FRAIL-VI scale had a high positive correlation with Fried’s criteria, with a Pearson’s correlation coefficient of 0.81 ( p <0.001). Conclusion: The FRAIL scale is a valuable frailty screening tool when compared with Fried’s criteria. A cut-off value of ≥2 may be useful in primary care settings.
背景/目的:需要一种简单有效的衰弱筛查工具在门诊老年人中使用。我们的目的是评估越南版虚弱量表(虚弱量表- vi)在越南筛查的有效性。方法:这是一项横断面研究,在胡志明市的Gia Dinh人民医院老年诊所进行。使用虚弱量表和弗里德标准评估虚弱程度。使用Stata version 14进行数据分析。我们使用受试者工作特征(ROC)分析、曲线下面积(AUC)、敏感性、特异性、阳性和阴性预测值来评估虚弱量表的诊断准确性,并将其与Fried标准进行比较。根据弗里德的标准,获得盒状图和须状图来表示虚弱评分的分布,并计算Pearson相关系数来检验两种工具之间的相关性。结果:研究纳入396名参与者(平均年龄72.6±7.6岁,女性62.1%)。虚弱量表的最佳临界值为≥2,敏感性为94.7%,特异性为85.2%,约登指数为0.799。在ROC分析中,与Fried标准相比,FRAIL-VI的AUC为0.964(95%可信区间:0.95 - 0.98)。fril - vi量表与Fried标准有高度正相关,Pearson相关系数为0.81 (p <0.001)。结论:与弗里德标准相比,虚弱量表是一种有价值的虚弱筛查工具。临界值≥2在初级保健机构中可能有用。
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引用次数: 4
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Aging Medicine and Healthcare
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