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Advances in Clinical Decision Support Systems: Contributions from the 2022 Literature. 临床决策支持系统的进展:来自 2022 年文献的贡献。
Pub Date : 2023-08-01 Epub Date: 2023-12-26 DOI: 10.1055/s-0043-1768751
Christoph U Lehmann, Vignesh Subbian

Objective: To summarize significant research contributions published in 2022 in the field of clinical decision support (CDS) systems and select the best papers for the Decision Support section of the International Medical Informatics Association (IMIA) Yearbook 2023.

Methods: A renewed search query for identifying CDS scholarship was developed using Medical Subject Headings (MeSH) terms and related keywords. The query was executed in PubMed in January 2023. The search results were reviewed in three stages by two reviewers: title-based triaging, followed by abstract screening, and then full text review. The resulting articles were sent for external review to identity best paper candidates.

Results: A total of 1,939 articles related to CDS were retrieved. Of these, 11 articles were selected as candidates for best papers. The general themes of the final three best papers are (1) reducing documentation burden through in-line guidance for clinical notes, (2) clinician engagement for continuous improvement of CDS, and (3) mitigating healthcare-related carbon emissions using scalable and accessible CDS, respectively.

Conclusion: The field of clinical decision support remains highly active and dynamic, with innovative contributions to a range of clinical domains from primary to acute care. Interoperability issues, documentation burden, clinician acceptance, and the need for effective integration into existing healthcare workflows are among the prominent challenges and areas of interest faced by CDS implementation efforts.

目的:总结2022年发表的临床决策支持(CDS)系统领域的重要研究成果,并为国际医学信息学协会(IMIA)《2023年年鉴》的决策支持部分挑选最佳论文:方法:使用医学主题词表(MeSH)术语和相关关键词,开发了一个新的搜索查询,以确定 CDS 学术成果。该查询于 2023 年 1 月在 PubMed 上执行。搜索结果由两名审稿人分三个阶段进行审阅:标题分流、摘要筛选和全文审阅。由此产生的文章将送交外部评审,以确定最佳论文候选者:结果:共检索到 1,939 篇与 CDS 相关的文章。结果:共检索到 1,939 篇与 CDS 相关的文章,其中 11 篇被选为最佳论文候选文章。最后三篇最佳论文的主题分别是:(1)通过对临床笔记的在线指导减轻记录负担;(2)临床医生参与持续改进 CDS;(3)利用可扩展和可访问的 CDS 减少医疗保健相关的碳排放:结论:临床决策支持领域仍然非常活跃和充满活力,在从初级保健到急症护理的一系列临床领域都做出了创新性贡献。互操作性问题、文档负担、临床医生的接受程度以及有效整合到现有医疗保健工作流程中的需求,都是临床决策支持实施工作面临的突出挑战和关注领域。
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引用次数: 0
Broad Trends in Public Health and Epidemiology Informatics. 公共卫生和流行病学信息学的大趋势。
Pub Date : 2023-08-01 Epub Date: 2023-12-26 DOI: 10.1055/s-0043-1768754
Gayo Diallo, Georgeta Bordea, Cécilia Samieri

Objectives: The objective of this study is to highlight innovative research and contemporary trends in the area of Public Health and Epidemiology Informatics (PHEI).

Methods: Following a similar approach to last year's edition, a meticulous search was conducted on PubMed (with keywords including topics related to Public Health, Epidemiological Surveillance and Medical Informatics), examining a total of 2,022 scientific publications on Public Health and Epidemiology Informatics (PHEI). The resulting references were thoroughly examined by the three section editors. Subsequently, 10 papers were chosen as potential candidates for the best paper award. These selected papers were then subjected to peer-review by six external reviewers, in addition to the section editors and two chief editors of the IMIA yearbook of medical informatics. Each paper underwent a total of five reviews.

Results: Out of the 539 references retrieved from PubMed, only two were deemed worthy of the best paper award, although four papers had the potential to qualify in total. The first best paper by pertains to a study about the need for a new annotation framework due to inadequacies in existing methods and resources. The second paper elucidates the use of Weibo data to monitor the health of Chinese urbanites. The correlation between air pollution and health sensing was measured via generalized additive models.

Conclusions: One of the primary findings of this edition is the dearth of studies identified for the PHEI section, which represents a significant decline compared to the previous edition. This is particularly surprising given that the post-COVID period should have led to an increased use of information and communication technology for public health issues.

研究目的本研究旨在强调公共卫生与流行病学信息学(PHEI)领域的创新研究和当代趋势:方法:采用与去年类似的方法,在 PubMed 上进行了细致的搜索(关键词包括与公共卫生、流行病学监测和医学信息学相关的主题),共检查了 2,022 篇有关公共卫生与流行病学信息学(PHEI)的科学出版物。三位编辑对所获得的参考文献进行了全面审查。随后,选出 10 篇论文作为最佳论文奖的候选论文。这些被选中的论文随后接受了六位外部评审员的同行评审,此外还有医学信息学年鉴分会的编辑和两位主编。结果:结果:在从PubMed检索到的539篇参考文献中,只有两篇被认为有资格获得最佳论文奖,尽管总共有四篇论文有可能获得最佳论文奖。第一篇最佳论文是关于现有方法和资源不足导致需要新注释框架的研究。第二篇论文阐明了如何利用微博数据监测中国城市居民的健康状况。通过广义加法模型测量了空气污染与健康感知之间的相关性:本版的主要发现之一是 "公共健康教育指标 "部分的研究很少,与上一版相比明显减少。这尤其令人吃惊,因为在后 COVID 时期,信息和通信技术在公共卫生问题上的应用本应越来越多。
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引用次数: 0
Cancer Informatics 2023: Data Sharing and Federating Learning Point Towards New Collaborative Opportunities. 癌症信息学 2023:数据共享和联盟学习点,迈向新的合作机遇。
Pub Date : 2023-08-01 Epub Date: 2023-12-26 DOI: 10.1055/s-0043-1768744
Jeremy L Warner, Debra Patt

Objective: To summarize significant research contributions on cancer informatics published in 2022.

Methods: An extensive search using PubMed/MEDLINE was conducted to identify the scientific contributions published in 2022 that address topics in cancer informatics. The selection process comprised three steps: (i) ten candidate best papers were first selected by the two section editors, (ii) external reviewers from internationally renowned research teams reviewed each candidate best paper, and (iii) the final selection of three best papers was conducted by the editorial board of the Yearbook.

Results: The three selected best papers demonstrate advances in federated learning, drug synergy prediction, and utilization of clinical note data.

Conclusion: Cancer informatics continues to mature as a subfield of biomedical informatics. Applications of informatics methods to data sharing and federated approaches are especially notable in 2022.

目的:总结 2022 年发表的有关癌症信息学的重要研究成果:总结 2022 年发表的有关癌症信息学的重要研究成果:使用 PubMed/MEDLINE 进行了广泛搜索,以确定 2022 年发表的涉及癌症信息学主题的科学贡献。筛选过程包括三个步骤:(i)首先由两位栏目编辑选出十篇候选最佳论文,(ii)来自国际知名研究团队的外部评审员对每篇候选最佳论文进行评审,(iii)《年鉴》编辑委员会最终选出三篇最佳论文:结果:入选的三篇最佳论文展示了在联合学习、药物协同作用预测和临床笔记数据利用方面取得的进展:癌症信息学作为生物医学信息学的一个子领域,正在不断走向成熟。2022 年,信息学方法在数据共享和联合方法方面的应用尤其引人注目。
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引用次数: 0
Informatics for One Health. 统一健康信息学。
Pub Date : 2023-08-01 Epub Date: 2023-12-26 DOI: 10.1055/s-0043-1768757
Kate Fultz Hollis, Fleur Mougin, Lina F Soualmia

Objectives: To introduce the 2023 International Medical Informatics Association (IMIA) Yearbook by the editors.

Methods: The editorial provides an introduction and overview to the 2023 IMIA Yearbook where the special topic is "Informatics for One Health". The special topic, survey papers and some best papers are discussed. The section changes in the Yearbook editorial committee are also described.

Results: IMIA Yearbook 2023 provides many perspectives on a relatively new topic called "One Digital Health". The subject is vast, and includes the use of digital technologies to promote the well-being of people and animals, but also of the environment in which they evolve. Many sections produced new work in the topic including One Health and all sections included the latest themes in many specialties in medical informatics.

Conclusions: The theme of "Informatics for One Health" is relatively new but the editors of the IMIA Yearbook have presented excellent and thought-provoking work for biomedical informatics in 2023.

目的通过编辑介绍《2023 国际医学信息学协会(IMIA)年鉴》:这篇社论介绍并概述了《2023 年国际医学信息学协会年鉴》,其中的特别主题是 "信息学促进一体健康"。讨论了专题、调查论文和一些最佳论文。还介绍了年鉴编辑委员会的部分变动:IMIA《2023年年鉴》为 "一个数字健康 "这一相对较新的主题提供了多种视角。该主题内容广泛,包括利用数字技术促进人类和动物的福祉,以及人类和动物的生存环境。许多分会在 "一体健康 "等主题方面开展了新的工作,所有分会都包括了医学信息学许多专业的最新主题:结论:"信息学促进一体健康 "是一个相对较新的主题,但《国际医学信息学年鉴》的编辑们为2023年的生物医学信息学提供了出色的、发人深省的作品。
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引用次数: 0
One Health in a Digital World: Technology, Data, Information and Knowledge. 数字世界中的一体健康:技术、数据、信息和知识。
Pub Date : 2023-08-01 Epub Date: 2023-07-06 DOI: 10.1055/s-0043-1768718
Philip Scott, Taiwo Adedeji, Haythem Nakkas, Elisavet Andrikopoulou

Objectives: To describe the origins and growth of the One Health concept and its recent application in One Digital Health.

Methods: Bibliometric review and critical discussion of emergent themes derived from co-occurrence of MeSH keywords.

Results: The fundamental interrelationship between human health, animal health and the wider environment has been recognized since ancient times. One Health as a distinct term originated in 2004 and has been a rapidly growing concept of interest in the biomedical literature since 2017. One Digital Health has quickly established itself as a unifying construct that highlights the critical role of technology, data, information and knowledge to facilitate the interdisciplinary collaboration that One Health requires. The principal application domains of One Digital Health to date are in FAIR data integration and analysis, disease surveillance, antimicrobial stewardship and environmental monitoring.

Conclusions: One Health and One Digital Health offer powerful lenses to examine and address crises in our living world. We propose thinking in terms of Learning One Health Systems that can dynamically capture, integrate, analyse and monitor application of data across the biosphere.

目的描述 "一个健康 "概念的起源和发展及其最近在 "一个数字健康 "中的应用:方法:对MeSH关键词的共同出现所产生的新主题进行文献计量学回顾和批判性讨论:自古以来,人们就认识到人类健康、动物健康和大环境之间的基本相互关系。作为一个独特的术语,"一体健康 "起源于 2004 年,自 2017 年以来一直是生物医学文献中关注度快速增长的概念。一体数字健康 "已迅速成为一个统一的概念,强调了技术、数据、信息和知识在促进 "一体健康 "所需的跨学科合作中的关键作用。迄今为止,"一个数字健康 "的主要应用领域是 FAIR 数据整合与分析、疾病监测、抗菌药物管理和环境监测:结论:"一个健康 "和 "一个数字健康 "为审视和解决我们生活世界中的危机提供了强有力的视角。我们建议从 "学习型一体化健康系统 "的角度进行思考,该系统可以动态地捕捉、整合、分析和监测整个生物圈的数据应用。
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引用次数: 0
Findings from the 2023 Yearbook Section on Health Information Exchange. 2023 年年鉴》健康信息交换部分的研究结果。
Pub Date : 2023-08-01 Epub Date: 2023-12-26 DOI: 10.1055/s-0043-1768755
Meryl Bloomrosen, Eta S Berner

Objectives: To summarize the recent literature and research and present a selection of the best papers published in 2022 related to Health Information Exchange (HIE).

Methods: A systematic review of the literature was performed by the two section editors with the help of a medical librarian. We searched bibliographic databases for HIE-related papers using both MeSH headings and keywords in titles and abstracts. A shortlist of ten candidate best papers was first selected by section editors before being peer-reviewed by Yearbook editors and independent external reviewers.

Results: Major themes of the set of ten articles included factors influencing the organizational adoption of HIE and clinicians' use of the information, use of HIE in non-traditional settings, patients' perspectives on HIE, and outcomes of using HIE.

Conclusions: These studies provide suggestions for the research questions, theories, settings, methods, and outcomes that can be fruitfully used for further research on HIE.

目的总结最近的文献和研究,并精选出 2022 年发表的与医疗信息交换(HIE)相关的最佳论文:方法:两位编辑在一位医学图书管理员的帮助下对文献进行了系统性回顾。我们使用MeSH标题以及标题和摘要中的关键词在文献数据库中搜索了与HIE相关的论文。在《年鉴》编辑和独立外部审稿人进行同行评议之前,编辑部首先选出了十篇候选最佳论文:这十篇文章的主题包括影响组织采用 HIE 和临床医生使用信息的因素、在非传统环境中使用 HIE、患者对 HIE 的看法以及使用 HIE 的结果:这些研究为进一步研究 HIE 的研究问题、理论、环境、方法和结果提供了建议。
{"title":"Findings from the 2023 Yearbook Section on Health Information Exchange.","authors":"Meryl Bloomrosen, Eta S Berner","doi":"10.1055/s-0043-1768755","DOIUrl":"10.1055/s-0043-1768755","url":null,"abstract":"<p><strong>Objectives: </strong>To summarize the recent literature and research and present a selection of the best papers published in 2022 related to Health Information Exchange (HIE).</p><p><strong>Methods: </strong>A systematic review of the literature was performed by the two section editors with the help of a medical librarian. We searched bibliographic databases for HIE-related papers using both MeSH headings and keywords in titles and abstracts. A shortlist of ten candidate best papers was first selected by section editors before being peer-reviewed by Yearbook editors and independent external reviewers.</p><p><strong>Results: </strong>Major themes of the set of ten articles included factors influencing the organizational adoption of HIE and clinicians' use of the information, use of HIE in non-traditional settings, patients' perspectives on HIE, and outcomes of using HIE.</p><p><strong>Conclusions: </strong>These studies provide suggestions for the research questions, theories, settings, methods, and outcomes that can be fruitfully used for further research on HIE.</p>","PeriodicalId":40027,"journal":{"name":"Yearbook of medical informatics","volume":"32 1","pages":"195-200"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Informatics for One Health. 统一健康信息学。
Pub Date : 2023-08-01 Epub Date: 2023-12-26 DOI: 10.1055/s-0043-1768734
Yu Chuan, Jack Li
{"title":"Informatics for One Health.","authors":"Yu Chuan, Jack Li","doi":"10.1055/s-0043-1768734","DOIUrl":"10.1055/s-0043-1768734","url":null,"abstract":"","PeriodicalId":40027,"journal":{"name":"Yearbook of medical informatics","volume":"32 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Representation of Environmental Concepts Associated with Health Impacts in Computer Standardized Clinical Terminologies. 在计算机标准化临床术语中体现与健康影响相关的环境概念。
Pub Date : 2023-08-01 Epub Date: 2023-12-26 DOI: 10.1055/s-0043-1768746
Lorraine J Block, Erika Lozada-Perezmitre, Hwayoung Cho, Shauna Davies, Jisan Lee, Zerina Lokmic-Tomkins, Laura-Maria Peltonen, Lisiane Pruinelli, Lisa Reid, Jiyoun Song, Maxim Topaz, Hanna von Gerich, Pankaj Vyas

Objective: To evaluate the representation of environmental concepts associated with health impacts in standardized clinical terminologies.

Methods: This study used a descriptive approach with methods informed by a procedural framework for standardized clinical terminology mapping. The United Nations Global Indicator Framework for the Sustainable Development Goals and Targets was used as the source document for concept extraction. The target terminologies were the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) and the International Classification for Nursing Practice (ICNP). Manual and automated mapping methods were utilized. The lists of candidate matches were reviewed and iterated until a final mapping match list was achieved.

Results: A total of 119 concepts with 133 mapping matches were added to the final SNOMED CT list. Fifty-three (39.8%) were direct matches, 37 (27.8%) were narrower than matches, 35 (26.3%) were broader than matches, and 8 (6%) had no matches. A total of 26 concepts with 27 matches were added to the final ICNP list. Eight (29.6%) were direct matches, 4 (14.8%) were narrower than, 7 (25.9%) were broader than, and 8 (29.6%) were no matches.

Conclusion: Following this evaluation, both strengths and gaps were identified. Gaps in terminology representation included concepts related to cost expenditures, affordability, community engagement, water, air and sanitation. The inclusion of these concepts is necessary to advance the clinical reporting of these environmental and sustainability indicators. As environmental concepts encoded in standardized terminologies expand, additional insights into data and health conditions, research, education, and policy-level decision-making will be identified.

目的:评估标准化临床术语中与健康影响相关的环境概念:评估标准化临床术语中与健康影响相关的环境概念的代表性:本研究采用描述性方法,方法参考了标准化临床术语映射的程序框架。联合国可持续发展目标和具体目标的全球指标框架被用作概念提取的源文件。目标术语是《医学临床术语系统命名法》(SNOMED CT)和《国际护理实践分类》(ICNP)。使用了手动和自动映射方法。对候选匹配列表进行了审查和反复修改,直到得出最终的映射匹配列表:结果:共有 119 个概念与 133 个映射匹配结果被添加到最终的 SNOMED CT 列表中。53个(39.8%)直接匹配,37个(27.8%)比匹配范围窄,35个(26.3%)比匹配范围宽,8个(6%)没有匹配。共有 26 个概念(27 个匹配)被添加到最终的 ICNP 列表中。其中 8 个(29.6%)直接匹配,4 个(14.8%)窄于匹配,7 个(25.9%)宽于匹配,8 个(29.6%)没有匹配:此次评估既发现了优势,也发现了不足。术语表述方面的差距包括与成本支出、可负担性、社区参与、水、空气和卫生设施相关的概念。要推进这些环境和可持续发展指标的临床报告工作,就必须纳入这些概念。随着标准化术语中编码的环境概念不断扩大,将可确定对数据和健康状况、研究、教育和政策决策的更多见解。
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引用次数: 0
Pan African Health Informatics Association (HELINA) 泛非卫生信息学协会(HELINA)
Pub Date : 2023-08-01 DOI: 10.1055/s-0043-1768739
Tom Oluoch, S. Wanyee, Frank Verbeke, Kagiso Ndlovu, Georges Nguefack Tsague, Clive Daniell, Nicky Mostert, F. Vroom
{"title":"Pan African Health Informatics Association (HELINA)","authors":"Tom Oluoch, S. Wanyee, Frank Verbeke, Kagiso Ndlovu, Georges Nguefack Tsague, Clive Daniell, Nicky Mostert, F. Vroom","doi":"10.1055/s-0043-1768739","DOIUrl":"https://doi.org/10.1055/s-0043-1768739","url":null,"abstract":"","PeriodicalId":40027,"journal":{"name":"Yearbook of medical informatics","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139352805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing Biomedicine with Graph Representation Learning: Recent Progress, Challenges, and Future Directions. 利用图形表示学习推进生物医学:最新进展、挑战和未来方向》。
Pub Date : 2023-08-01 Epub Date: 2023-12-26 DOI: 10.1055/s-0043-1768735
Fang Li, Yi Nian, Zenan Sun, Cui Tao

Objectives: Graph representation learning (GRL) has emerged as a pivotal field that has contributed significantly to breakthroughs in various fields, including biomedicine. The objective of this survey is to review the latest advancements in GRL methods and their applications in the biomedical field. We also highlight key challenges currently faced by GRL and outline potential directions for future research.

Methods: We conducted a comprehensive search of multiple databases, including PubMed, Web of Science, IEEE Xplore, and Google Scholar, to collect relevant publications from the past two years (2021-2022). The studies selected for review were based on their relevance to the topic and the publication quality.

Results: A total of 78 articles were included in our analysis. We identified three main categories of GRL methods and summarized their methodological foundations and notable models. In terms of GRL applications, we focused on two main topics: drug and disease. We analyzed the study frameworks and achievements of the prominent research. Based on the current state-of-the-art, we discussed the challenges and future directions.

Conclusions: GRL methods applied in the biomedical field demonstrated several key characteristics, including the utilization of attention mechanisms to prioritize relevant features, a growing emphasis on model interpretability, and the combination of various techniques to improve model performance. There are also challenges needed to be addressed, including mitigating model bias, accommodating the heterogeneity of large-scale knowledge graphs, and improving the availability of high-quality graph data. To fully leverage the potential of GRL, future efforts should prioritize these areas of research.

目的:图形表示学习(GRL)已成为一个举足轻重的领域,为包括生物医学在内的各个领域的突破做出了重大贡献。本调查旨在回顾图表示学习方法的最新进展及其在生物医学领域的应用。我们还强调了 GRL 目前面临的主要挑战,并概述了未来研究的潜在方向:我们对多个数据库进行了全面搜索,包括 PubMed、Web of Science、IEEE Xplore 和 Google Scholar,以收集过去两年(2021-2022 年)的相关出版物。根据研究主题的相关性和出版物的质量,选择了部分研究进行综述:共有 78 篇文章纳入了我们的分析。我们确定了 GRL 方法的三大类别,并总结了它们的方法论基础和显著模型。在 GRL 应用方面,我们主要关注两个主题:药物和疾病。我们分析了研究框架和重要研究成果。基于当前的先进水平,我们讨论了面临的挑战和未来的发展方向:应用于生物医学领域的 GRL 方法展示了几个关键特征,包括利用注意力机制来确定相关特征的优先级,越来越重视模型的可解释性,以及结合各种技术来提高模型性能。此外,还有一些挑战需要解决,包括减轻模型偏差、适应大规模知识图谱的异质性以及提高高质量图谱数据的可用性。为了充分发挥全球资源实验室的潜力,未来的工作应优先考虑这些研究领域。
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引用次数: 0
期刊
Yearbook of medical informatics
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