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A critical evaluation of the “short stay project” – service users’ perspectives 对“短期停留项目”的批判性评价——服务使用者的观点
IF 0.9 Q3 URBAN STUDIES Pub Date : 2017-05-26 DOI: 10.1108/HCS-02-2017-0002
H. Brown, F. Howlett
The purpose of this paper is to critically evaluate an innovative collaboration between health, housing and social care by exploring the “short stay project” apartments from service users’ perspectives and considering the effectiveness of this service model as part of enabling provision locally.,The qualitative methodology for this evaluation was interpretative phenomenological analysis (Smith, 2011), critically exploring service users’ personal lived experience of the “short stay project”. Three service users (n=3) participated in semi-structured interviews.,This study has identified the “short stay project” can prevent admission into and facilitate discharge from care and health services by offering a temporary stay in self-contained, adapted accommodation. Service users found value in staying at the apartments for differing reasons. However, practitioners must address service users’ emotional and social needs as well as physical needs to reduce the risk of occupational deprivation.,Sample size is not fully representative of the total population making transferability limited.,This research found there is demand for temporary housing provision for service users with health, housing and/or social care needs.,Key drivers of demand for the service are social inequalities relating to homelessness, poverty and gender-based violence rather than the health-related issues that could have been expected. Further research into the development of effective integrated services which maximise service users’ wellbeing and occupational performance is recommended.,Service models which integrate health, housing and social care can be innovative and maintain service users’ independence and wellbeing in the community. Commissioners across health, housing and social care could utilise the Better Care Fund to deliver integrated services to meet rising demands.
本文的目的是通过从服务使用者的角度探索"短期住宿项目"公寓,并考虑将这种服务模式作为当地扶持提供的一部分的有效性,批判性地评估卫生、住房和社会护理之间的创新合作。这种评价的定性方法是解释性现象学分析(Smith, 2011),批判性地探索服务用户对“短期停留项目”的个人生活体验。三名服务用户(n=3)参加了半结构化访谈。这项研究已经确定,“短期停留项目”可以通过提供自给自足的适应住宿的临时停留来防止进入护理和卫生服务并促进出院。服务用户出于不同的原因发现了入住公寓的价值。然而,从业人员必须解决服务使用者的情感和社会需求以及身体需求,以减少职业剥夺的风险。样本量不能完全代表总人口,可转移性有限。这项研究发现,需要为有保健、住房和/或社会护理需要的服务使用者提供临时住房。对这项服务需求的主要驱动因素是与无家可归、贫穷和基于性别的暴力有关的社会不平等,而不是本来可以预期的与健康有关的问题。建议进一步研究发展有效的综合服务,以最大限度地提高服务使用者的福祉和职业表现。综合保健、住房和社会护理的服务模式可以具有创新性,并保持服务使用者在社区中的独立性和福祉。卫生、住房和社会保健部门的专员可以利用改善保健基金提供综合服务,以满足日益增长的需求。
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引用次数: 2
Developing best practice in psychologically informed environments 在心理知情的环境中发展最佳实践
IF 0.9 Q3 URBAN STUDIES Pub Date : 2017-05-08 DOI: 10.1108/HCS-11-2016-0016
Coral Westaway, Lizette Nolte, Rachel Brown
Purpose The purpose of this paper is to extend our understanding of the issues facing those who experience multiple moves around homelessness projects. It considers these issues and how they relate to best practice, informing the delivery of psychologically informed environments (PIEs). Design/methodology/approach A qualitative design was employed, with interviews undertaken with men currently residing in hostels for those with additional needs. These men had already experienced multiple moves within the hostel system. Interpretative phenomenological analysis was used to analyse the data. Findings Main themes consider issues and challenges associated with hope and moving forward; help and the conditional or temporal nature of this; identity and stigma; and intimacy and relationships. Clinical implications of these findings are discussed. Research limitations/implications Implications include best practice for future planning with service users, the relational nature of hope, how best to manage endings and practical guidance for service developments in these settings. Originality/value These findings further the understanding of the challenges faced by service users with complex needs and how best to address them. They build on PIE guidance, offering tangible advice for practice.
本文的目的是扩展我们对那些在无家可归项目中多次搬家的人所面临的问题的理解。它考虑了这些问题以及它们如何与最佳实践相关联,为心理知情环境(pie)的提供提供信息。设计/方法/方法采用了定性设计,与目前居住在有额外需求的青年旅舍的男性进行了访谈。这些人已经在旅社系统中经历了多次调动。采用解释性现象学分析对数据进行分析。主要主题考虑与希望和前进有关的问题和挑战;帮助:帮助的条件或时间性质;身份和耻辱;还有亲密关系。讨论了这些发现的临床意义。研究限制/影响影响包括与服务使用者进行未来规划的最佳做法、希望的关系性质、如何最好地管理结束以及在这些情况下发展服务的实际指导。原创性/价值这些发现使我们进一步了解有复杂需求的服务使用者所面临的挑战,以及如何最好地解决这些挑战。它们以PIE指导为基础,为实践提供切实可行的建议。
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引用次数: 4
Psychologically informed environments for homeless people: resident and staff experiences 无家可归者的心理环境:居民和工作人员的经验
IF 0.9 Q3 URBAN STUDIES Pub Date : 2017-05-08 DOI: 10.1108/HCS-10-2016-0012
C. Phipps, M. Seager, Lee Murphy, C. Barker
Purpose Many homeless people have significant levels of early adverse experiences and consequent mental health difficulties. The purpose of this paper is to examine the experiences of residents and staff living and working in a psychologically informed environment (PIE), a new model of hostel for homeless people which aims to update and make more flexible the principles of the therapeutic community, thereby meeting the psychological and emotional needs of residents. Design/methodology/approach Semi-structured interviews were carried out with nine residents, ten staff and five psychotherapists at two PIE hostels in London. The data were analysed using thematic analysis with a phenomenological epistemological approach. Findings Analysis generated 18 themes for residents and staff combined, organised into five domains: what makes a home, resident needs, managing relationships, reflective practice and theory vs practice of PIEs. The study suggests that PIEs broadly meet their aim in providing a different type of environment from standard hostels. Efforts to build relationships with residents are particularly prioritised. This work can be challenging for staff and reflective practice groups provide a supportive forum. There are limits to the extent to which the theoretical PIE can be put into practice in the current political and economic climate. Originality/value This is one of the first qualitative studies of PIEs. It provides perspectives on their theoretical background as well as how they operate and are experienced in practice. It may be informative to services intending to establish a PIE and to commissioners in assessing appropriate resources.
许多无家可归的人早期都有严重的不良经历和随之而来的心理健康问题。这篇论文的目的是研究居者和工作人员在“心理知情环境”(PIE)中生活和工作的经验。PIE是一种为无家可归者提供住宿的新模式,旨在更新和灵活治疗社区的原则,从而满足居者的心理和情感需求。设计/方法/方法对伦敦两家PIE旅馆的九名居民、十名工作人员和五名心理治疗师进行了半结构化访谈。数据分析使用主题分析与现象学认识论的方法。调查结果分析为居民和工作人员提供了18个主题,分为五个领域:什么是家,居民需求,管理关系,反思实践和理论与实践。研究显示,私人宿舍在提供不同于一般宿舍的环境方面,大致符合其目标。与居民建立关系的努力尤其受到重视。这项工作对员工来说具有挑战性,而反思性实践小组提供了一个支持性的论坛。在当前的政治和经济气候下,理论的PIE能够付诸实践的程度是有限的。原创性/价值这是第一次对产品价值进行定性研究。它提供了他们的理论背景,以及他们如何运作和在实践中经验的观点。它可能对打算建立PIE的服务部门和专员评估适当的资源有参考价值。
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引用次数: 15
Extra care : viable for couples living with dementia? 额外护理:对痴呆夫妇可行吗?
IF 0.9 Q3 URBAN STUDIES Pub Date : 2017-03-20 DOI: 10.1108/HCS-12-2016-0018
Christopher Poyner, A. Innes, F. Dekker
Purpose The perspectives of people with dementia and their care partners regarding “extra care” housing are currently unknown. The purpose of this paper is to report findings of a consultation study exploring the perceived barriers and facilitators of a relocation to extra care housing, from the perspective of people living with dementia, and their care partners. Design/methodology/approach Fieldwork consisted of paired or 1-1 interviews and small focus groups with potential users of an alternative model of extra care support for people living with dementia in the South of England. The consultation took place between June and August 2013. The interviews and focus groups were audio recorded, transcribed verbatim. The transcripts were analysed thematically. Findings Benefits of extra care were identified as the opportunity for couples to remain living together for longer, creating a supportive, dementia-friendly community, and a reduction in the strain experienced by the care partners. Barriers centred on a sense of loss, stress and uncertainty. Living and caring at home was perceived as preferable to shared care. Research limitations/implications The findings presented here have limited generalisability for two reasons. First, the shared care approach consulted on was very specific. Second, the participants form a purposive sample and as such are not representative of a wider population. Despite best intentions, the voice of people with dementia, are underreported in this consultation. Only one person with early on-set dementia was interviewed and the remaining two people with dementia were interviewed alongside their care partner. Practical implications The findings cast doubt on the viability of extra care facilities, designed for couples living with dementia, if extra care continues to be conceptualised and marketed as a preventative lifestyle choice. The findings indicate the value of consulting with people with dementia, and their care partners, when designing new forms of housing with care specifically for people living with dementia. Social implications The findings of this consultation exemplify the wish of couples living with dementia to remain together, in what they perceive to be “home”, for as long as possible. Couples living with dementia are therefore unlikely to wish to move into an extra care facility as a lifestyle choice option, early into their journey with dementia. This raises questions about the suitability of extra care, as a form of housing with care, for couples living with dementia. Originality/value This paper contributes to the body of literature, exploring the feasibility of new and innovative alternative care and housing options, for people with dementia. This paper is one of the first to explore extra care as a housing and social care option for couples with dementia.
目前尚不清楚痴呆症患者及其护理伙伴对“额外护理”住房的看法。本文的目的是报告一项咨询研究的结果,从痴呆症患者及其护理伙伴的角度探讨搬迁到额外护理住房的感知障碍和促进因素。现场工作包括配对或1-1访谈和小型焦点小组,其中包括英格兰南部痴呆症患者额外护理支持替代模式的潜在用户。咨询于2013年6月至8月进行。访谈和焦点小组都有录音,并逐字抄写。对抄本进行了专题分析。额外护理的好处被确定为夫妇有机会在一起生活更长时间,创造一个支持性的,对痴呆症友好的社区,并减少护理伙伴所经历的压力。障碍集中在失落感、压力和不确定性上。人们认为在家里生活和照顾比分担照顾更可取。由于两个原因,本文提出的研究结果具有有限的普遍性。首先,咨询的共同护理方法非常具体。其次,参与者形成了一个有目的的样本,因此不能代表更广泛的人口。尽管出发点是好的,但在这次咨询中,痴呆症患者的声音被低估了。只有一名早期痴呆患者接受了采访,其余两名痴呆患者与他们的护理伙伴一起接受了采访。如果额外护理继续作为一种预防生活方式的选择被概念化和营销,研究结果对为痴呆症夫妇设计的额外护理设施的可行性提出了质疑。研究结果表明,在设计专门针对痴呆症患者的新型住房时,咨询痴呆症患者及其护理伙伴的价值。这次咨询的结果表明,患有痴呆症的夫妇希望尽可能长时间地呆在一起,在他们认为是“家”的地方。因此,患有痴呆症的夫妇不太可能希望在患痴呆症的早期就把搬进额外的护理机构作为一种生活方式的选择。这就提出了额外照顾是否适合的问题,作为一种照顾住房的形式,对于患有痴呆症的夫妇来说。原创性/价值这篇论文为文献的主体做出了贡献,为痴呆症患者探索了新的和创新的替代护理和住房选择的可行性。这篇论文是第一个探索额外护理作为痴呆症夫妇的住房和社会护理选择的论文之一。
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引用次数: 1
Inclusive approach: a perspective towards more equitable housing provision? 包容性方法:更公平的住房供应视角?
IF 0.9 Q3 URBAN STUDIES Pub Date : 2016-12-06 DOI: 10.1108/HCS-09-2016-0009
A. Manaf, Suharnomo, Hendri Yuzal, M. Fisher
Purpose The purpose of this paper is to understand the dynamics of inclusive approaches to housing development programs directed at supporting low-income communities. Design/methodology/approach This study uses a mixed-methods approach by employing a combination of case study and survey methods, whereby the development process is studied through qualitative approaches and specific determinant comparisons of quantitative Z-tests. This study provides data from key informants: end-users (ten occupants), leaders of community-based organizations (2), and supporting non-governmental organizations (2). Findings These results indicate that an inclusive approach is more likely be able to provide low-income households with access to a variety of key resources that are identified as housing development priorities, particularly when compared with the supply-side approaches currently being promoted. Practical implications This study helps to encourage policymakers to think about more targeted and facilitative processes to meet the needs of public housing in Indonesia, a challenge that has resulted in ironic effects, and has not met the important challenges in providing access that is adequate for the people of Indonesia. Originality/value The current study provides data that provide evidence of positive value of inclusive approach to response the equitable issues in housing provision, particularly in Indonesia.
本文的目的是了解旨在支持低收入社区的包容性住房发展计划的动态。设计/方法/方法本研究采用案例研究和调查相结合的混合方法,通过定性方法和定量z检验的具体决定比较来研究开发过程。本研究提供了来自关键信息提供者的数据:最终用户(10名居住者)、社区组织领导人(2)和支持的非政府组织(2)。这些结果表明,包容性方法更有可能为低收入家庭提供获得各种关键资源的途径,这些资源被确定为住房发展的优先事项,特别是与目前正在推广的供应侧方法相比。本研究有助于鼓励政策制定者思考更有针对性和便利的过程,以满足印度尼西亚的公共住房需求,这一挑战导致了具有讽刺意味的影响,并没有满足为印度尼西亚人民提供足够的住房的重要挑战。原创性/价值目前的研究提供的数据证明了包容性方法在应对住房供应公平问题方面的积极价值,特别是在印度尼西亚。
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引用次数: 2
Scottish Social Services Council (SSSC): regulating and developing the housing sector workforce 苏格兰社会服务理事会(SSSC):规范和发展住房部门劳动力
IF 0.9 Q3 URBAN STUDIES Pub Date : 2016-12-06 DOI: 10.1108/HCS-10-2016-0011
Anna Fowlie
Purpose The purpose of this paper is to provide an introduction and background to the Scottish Social Services Council (SSSC) with relation to the housing sector. Design/methodology/approach The author outlines the role and importance of the SSSC with regards to regulating and developing the housing sector workforce. Findings This paper lays out the current SSSC approach to regulating the housing sector workforce via rolling out the implementation of work-based qualifications. Development of the workforce is being achieved via the advancement of learning technology work and improving the quality of the leadership and management of services. Originality/value The paper outlines the work of the SSSC in Scotland and draws out some general learning points for workforce development.
本文的目的是为苏格兰社会服务理事会(SSSC)提供与住房部门相关的介绍和背景。设计/方法/方法作者概述了SSSC在调节和发展住房部门劳动力方面的作用和重要性。本文阐述了当前SSSC通过推行以工作为基础的资格认证来规范住房部门劳动力的方法。人力资源的发展是通过学习技术工作和提高领导和管理服务的质量来实现的。原创性/价值本文概述了SSSC在苏格兰的工作,并为劳动力发展提出了一些一般的学习要点。
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引用次数: 2
Creational narratives for new housing communities: evidence synthesis 新住房社区的创造性叙述:证据综合
IF 0.9 Q3 URBAN STUDIES Pub Date : 2016-12-06 DOI: 10.1108/HCS-10-2016-0010
G. Meads, A. Lees, Kit Tapson
Purpose: This paper reports the findings of a rapid evidence synthesis commissioned by the Diocese of Winchester with a remit to provide an empirical basis for church contributions to large housing community developments. It sought to respond to three questions concerning new community developments. These related to risks and causes of failure; learning from past corporate and intermediate tier interventions at diocesan and equivalent levels by religious denominations; and the transferable learning available from developments described in Community Health and Liveability literatures. Design/methodology/approach: The review took a purposive approach to sampling evidence from within academic literature, policy and ‘think tank’ outputs and theological texts. The search was instigated with the use of key words (including New Settlements, Urban Redevelopment, Diocese, Faith and Community), principally within the SCOPUS, NIHR, PUBMED and Google Scholar databases. A pragmatic snowballing approach to relevant references was then employed. Findings: Segregation and separation were identified as the main risk for new settlements. Connectivity is required between and across neighbours, ensuring communal access to services, transport and recreation. Communal places where people can come together for conversation and social interaction are identified as contributing significantly to healthy communities. Churches have a particular positive contribution to make here, through a focus on inclusion, hospitality and common values, rather than single faith-based, evangelical approaches. Research limitations/implications: The initial effect of the study has been to increase confidence in and awareness of the diocesan contribution. In the longer term the three areas of practice highlighted for enhanced faith based contributions are those of public communications, community integration and civic leadership. An evidence based approach appears to be especially significant in facilitating the latter. Originality/value: The importance of ‘creational narratives’ in defining and making explicit the values underpinning new housing communities, is identified as a singular source of shared motivation for planning and faith agencies.
目的:本文报告了温彻斯特教区委托进行的一项快速证据综合研究的结果,该研究的目的是为教会对大型住房社区发展的贡献提供经验基础。它试图回答有关新的社区发展的三个问题。这些与风险和失效原因有关;从过去各宗教教派在教区和同等级别的团体和中级干预中吸取教训;以及从社区健康和宜居性文献中描述的发展中获得的可转移学习。设计/方法/方法:本综述采用了一种有目的的方法,从学术文献、政策和“智库”产出以及神学文本中抽样证据。搜索使用关键词(包括新定居点,城市重建,教区,信仰和社区),主要在SCOPUS, NIHR, PUBMED和Google Scholar数据库中进行。然后对相关参考文献采用了务实的滚雪球式方法。研究结果:隔离和分离被确定为新定居点的主要风险。邻居之间和邻居之间需要连通性,以确保公共服务、交通和娱乐。人们可以聚集在一起交谈和社交的公共场所被认为对健康社区有重大贡献。通过注重包容、热情好客和共同价值观,而不是以单一信仰为基础的福音派做法,教会可以在这方面做出特别积极的贡献。研究局限/启示:这项研究的初步效果是增加对教区贡献的信心和认识。从长期来看,强调加强基于信仰的贡献的三个实践领域是公共通讯、社区融合和公民领导。以证据为基础的方法在促进后者方面似乎特别重要。原创性/价值:“创造性叙事”在定义和明确支撑新住房社区的价值方面的重要性,被认为是规划和信仰机构共同动机的单一来源。
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引用次数: 2
LAs are from Mars, HAs are from Venus LAs来自火星,HAs来自金星
IF 0.9 Q3 URBAN STUDIES Pub Date : 2016-12-06 DOI: 10.1108/HCS-09-2016-0008
Keith Exford
Purpose The purpose of this paper is to put forth a practical guide for improving communications and getting what you want from relationships. Design/methodology/approach This is an opinion piece based on a speech given by the author at the Chartered Institute of Housing's annual conference. Findings Forming partnerships between local authorities and housing associations is vital in tackling the problem of un-affordable housing. Originality/value This article is based on a speech given by the author and offers the viewpoint of said author.
本文的目的是提出一个实用的指导,以改善沟通,并从关系中得到你想要的。这是一篇基于作者在英国特许住宅学会年会上演讲的观点文章。在地方当局和住房协会之间建立伙伴关系对于解决负担不起的住房问题至关重要。原创性/价值这篇文章是基于作者的演讲,并提供了作者的观点。
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引用次数: 0
Housing and ageing in France and Germany: the intergenerational solution 法国和德国的住房和老龄化问题:代际解决方案
IF 0.9 Q3 URBAN STUDIES Pub Date : 2016-10-10 DOI: 10.1108/HCS-08-2016-0007
A. Labit, N. Dubost
Purpose In France and Germany, intergenerational housing is put forward as an option by public authorities. This kind of housing scheme seems like a good solution for seniors and young people, from both an economic and a social point of view. But beyond this common philosophy, there are differences in the way intergenerational housing is being implemented in the two countries. France mainly favours the student-senior home-sharing model whereas the intergenerational collaborative housing (co-housing) model based on solidarity between seniors and families is gaining ground in Germany. The purpose of this paper is to explore the reasons for these differences and present results from field surveys conducted in both countries. Design/methodology/approach The qualitative methodology of the field surveys consisted essentially of semi-structured interviews with the young people and seniors living in these types of housing, in order to understand how they experienced intergenerational solidarity. Findings The authors’ surveys revealed that certain conditions are essential for this intergenerational solidarity to be fully effective, notably voluntary participation and commitment to the project, and possibly external support to ensure that it is designed and implemented in the best possible way. Originality/value This paper provides useful recommendations for decision makers who wish to support this type of housing concept based on intergenerational solidarity.
在法国和德国,代际住房是公共当局提出的一种选择。从经济和社会的角度来看,这种住房计划似乎是老年人和年轻人的一个很好的解决方案。但是,除了这种共同的理念之外,两国在代际住房的实施方式上也存在差异。法国主要支持学生-老年人共享住房模式,而基于老年人和家庭之间团结的代际合作住房(共同住房)模式在德国正在取得进展。本文的目的是探讨这些差异的原因,并介绍在两国进行的实地调查的结果。实地调查的定性方法主要包括对居住在这些类型住房中的年轻人和老年人进行半结构化访谈,以了解他们如何经历代际团结。作者的调查显示,这种代际团结要充分发挥作用,某些条件是必不可少的,特别是自愿参与和对项目的承诺,以及可能的外部支持,以确保项目以最佳方式设计和实施。原创性/价值本文为希望支持这种基于代际团结的住房概念的决策者提供了有用的建议。
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引用次数: 15
Modeling housing supply and demand using system dynamics 用系统动力学建模住房供给和需求
IF 0.9 Q3 URBAN STUDIES Pub Date : 2016-10-10 DOI: 10.1108/HCS-06-2016-0004
M. Marzouk, Ismail Hosny
Purpose The housing sector in Egypt represents a considerable share of the gross domestic product (GDP) and accordingly the economy. Further, it is considered vital for any population around the world, because it provides the shelter needed by people. Egyptian housing market is facing many problems which need to be solved. The paper aims to discuss these issues. Design/methodology/approach This research reviews and analyzes the Egyptian public and private housing market’s key variables. As such, it highlights the importance of informed decision making through detailed analysis and study of the market, especially when planning for the future by any housing market stakeholder. The research proposes the use of system dynamics (SD) modeling to analyze the market by creating a stock and flow model using STELLA modeling and simulation software. Findings The results reveal that the expected newly established families will be nearly 800,000 families in year 2015/2016. Out of these numbers, 600,000 families require economic housing units, while the expected supply is nearly 300,000 units. Originality/value A study is made for the economic housing market, which is a very big housing market and population segment that has been suffering from negligence for years.
埃及的住房部门在国内生产总值中占有相当大的份额,因此在经济中也占有相当大的份额。此外,它被认为对世界上任何人口都至关重要,因为它为人们提供了所需的住所。埃及房地产市场面临着许多亟待解决的问题。本文旨在探讨这些问题。本研究回顾并分析了埃及公共和私人住房市场的关键变量。因此,它强调了通过详细分析和研究市场做出明智决策的重要性,特别是在任何房地产市场利益相关者为未来做规划时。本研究建议使用系统动力学(SD)建模,通过使用STELLA建模和仿真软件创建一个库存和流量模型来分析市场。研究结果显示,2015/2016年预计新增家庭将接近80万户。其中,60万户家庭需要经济适用房,而预计供应量接近30万套。独创性/价值一项研究是针对经济住房市场,这是一个非常大的住房市场和人口部分,多年来一直受到忽视。
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引用次数: 5
期刊
Housing Care and Support
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