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Comparison of Symptoms, Depression, Intimacy, and Quality of Life According to Treatment Duration in Men with Prostate Cancer Undergoing Androgen Deprivation Therapy 前列腺癌男性接受雄激素剥夺治疗的症状、抑郁、亲密关系和生活质量与治疗时间的比较
IF 0.4 Q4 NURSING Pub Date : 2019-09-01 DOI: 10.5388/aon.2019.19.3.169
Yoonhee Seok, E. Suh
Purpose: This study was conducted to identify the differences in symptoms, depression, intimacy and quality of life (QOL), and the factors influencing QOL in men with prostate cancer undergoing androgen deprivation therapy (ADT). Methods: This study used a cross-sectional, descriptive research design. Data were collected using a self-report questionnaire from 122 men with prostate cancer undergoing ADT. The data collection period was from November 19, 2018 to February 25, 2019. Data were analyzed using t-tests, χ tests, Fisher’s exact tests, 4-way ANOVA and multiple regression. Results: The mean age of the men was 70.3±7.3. There were statistically significant differences in urinary, bowel, sexual and hormonal symptoms according to treatment duration (F=23.74, p<.001). Factors influencing QOL explained 55% of the variance (adjusted R=.55, p<.001). These factors were depression (β=-.52, p<.001), intimacy (β=.23, p=.001), ADT duration (β=-.17, p=.011), economic status middle (β=.23, p=.006), high (β=.29, p=.001) and sleep (β=.15, p=.023). Conclusion: The study found an association between ADT duration and symptoms, and the factors influencing QOL of participants. It provides a base for future research direction on ADT and patient QOL.
目的:本研究旨在了解癌症男性雄激素剥夺治疗(ADT)患者在症状、抑郁、亲密和生活质量(QOL)方面的差异,以及影响其生活质量的因素。方法:本研究采用横断面描述性研究设计。使用自我报告问卷从122名接受ADT的前列腺癌症患者中收集数据。数据收集期为2018年11月19日至2019年2月25日。数据采用t检验、χ检验、Fisher精确检验、4因素方差分析和多元回归分析。结果:男性平均年龄为70.3±7.3岁。根据治疗时间的不同,泌尿、肠道、性和激素症状存在统计学上的显著差异(F=23.74,p<.001)。影响生活质量的因素解释了55%的差异(调整后的R=.55,p<.001)。这些因素是抑郁(β=.52,p<.0001)、亲密关系(β=.23,p=.001)、ADT持续时间(β=.17,p=.011)、经济状况中等(β=0.23,p=.006),高(β=0.29,p=0.001)和睡眠(β=0.15,p=0.023)。结论:研究发现ADT持续时间与症状以及影响参与者生活质量的因素之间存在关联。为今后ADT和患者生活质量的研究方向奠定了基础。
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引用次数: 0
Factors Affecting Job Satisfaction of Oncology Advanced Practice Nurses 影响肿瘤科高级实习护士工作满意度的因素
IF 0.4 Q4 NURSING Pub Date : 2019-09-01 DOI: 10.5388/aon.2019.19.3.159
Yun Ahn, Suk-Jung Han
Purpose: This study was conducted to provide basic data for quality improvement among oncology advanced practice nurses (oncology APNs) through increasing job satisfaction by determining their job satisfaction level and analyzing the influencing factors. Methods: The subjects were 114 certified oncology APNs working at general hospitals in metropolitan areas. Data were collected using a structured questionnaire from August 4 to October 29, 2018. The instruments were the Role Conflict Scale, Self-Efficacy Scale, Professional Self-Concept Scale, and the Level of Job Satisfaction. The data were analyzed using descriptive statistics, t-tests, chi-square tests, ANOVA, Pearson’s correlation coefficients and multiple regression in SPSS version 23.0, IBM. Results: Factors that significantly affected job satisfaction were number of years since being certified as an oncology APN (β=-.20, p=.031), oncology advanced practice (β=.38, p<.001), and professional self-concept (β=.44, p<.001). The explanatory power was 39.4%. Conclusion: These results showed that factors significantly affecting job satisfaction were number of years since being certified as an oncology APN, advanced practice in oncology, and professional self-concept. Job satisfaction was found to be higher when the number of years since being certified as an oncology APN was shorter and professional self-concept was higher.
目的:本研究旨在通过对肿瘤高级执业护士工作满意度的测定和影响因素的分析,为提高肿瘤高级执业护士工作满意度提供基础数据。方法:调查对象为114名在大城市综合医院工作的肿瘤科执业医师。数据于2018年8月4日至10月29日通过结构化问卷收集。研究工具为角色冲突量表、自我效能量表、职业自我概念量表和工作满意度量表。采用IBM SPSS 23.0版本的描述性统计、t检验、卡方检验、方差分析、Pearson相关系数和多元回归分析资料。结果:对工作满意度有显著影响的因素是获得肿瘤APN认证的年数(β=-)。20, p=.031),肿瘤学高级实践(β=。38, p<.001),职业自我概念(β=。44岁的p <措施)。解释力为39.4%。结论:对工作满意度有显著影响的因素有:获得肿瘤医师执业资格年数、肿瘤高级执业经验、职业自我概念。当获得肿瘤APN认证的年数越短,职业自我概念越高时,工作满意度越高。
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引用次数: 0
Change of the Self-care Agency and Quality of Life after Craniotomy among Patients with Brain tumor according to time 脑瘤患者开颅术后自理能力和生活质量随时间的变化
IF 0.4 Q4 NURSING Pub Date : 2019-09-01 DOI: 10.5388/aon.2019.19.3.117
S. Y. Lee, Se Na Jung, Sumin Jung, Hyun-Jin Cho, H. Kim
Purpose: The purpose of this study was to identify the self-care agency and quality of life (QOL) among patients with brain tumors after craniotomy. Methods: A sample of 96 patients was recruited from a university hospital in Seoul. Data were collected through a structured questionnaire from August 2017 to December 2018. Data were analyzed with descriptive statistics, t-tests, ANOVA, Pearson correlations and multiple regression analyses with SPSS 24.0, IBM. Results: The mean scores of the 1st and 2nd stages in the selfcare agency increased from 4.75 to 5.15, and in the quality of life rose from 67.94 to 78.60. The score of the second stage was higher than the first in all sub-scales of the self-care agency and the quality. Physical function was the only sub-scale of the self-care agency that affected quality of life in both stages (1st: β=.71, p<.001, 2nd : β=.77, p< .001). Conclusion: Based on the result, to improve QOL with brain tumor after craniotomy, it is important to assess physical function of patients and provide appropriate interventions.
目的:本研究的目的是确定开颅手术后脑肿瘤患者的自我护理能力和生活质量(QOL)。方法:从首尔一所大学医院抽取96名患者作为样本。数据是通过2017年8月至2018年12月的结构化问卷收集的。数据采用描述性统计、t检验、方差分析、Pearson相关和多元回归分析,采用SPSS 24.0,IBM进行分析。结果:自我护理机构第一阶段和第二阶段的平均得分从4.75分增加到5.15分,生活质量从67.94分增加到78.60分。在自我护理机构和质量的所有子量表中,第二阶段的得分都高于第一阶段。身体功能是影响两个阶段生活质量的唯一自我护理机构的子量表(第一:β=.71,p<.001,第二:β=0.77,p<0.001)。结论:根据研究结果,为了改善开颅手术后脑肿瘤患者的生活质量,评估患者的身体功能并提供适当的干预措施很重要。
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引用次数: 0
Factors Influencing Compliance with Safety Guidelines of Anticancer Drugs Among Nurses in General Hospitals 综合医院护士抗癌药物安全指南依从性的影响因素
IF 0.4 Q4 NURSING Pub Date : 2019-06-01 DOI: 10.5388/AON.2019.19.2.106
Jiyoon Jung, J. Park
1. 연구의 필요성 우리나라의 암 발생률은 전국 단위 통계를 산출하기 시작한 1999 년 이후 꾸준히 증가하는 추세로 2014년 암 발생자 수가 217,057명 에 이르러 한해 동안 인구 10만명 당 427.6명이 암 진단을 받았으며 이에 따라 항암제를 투여 받는 환자의 수도 매년 늘어나고 있다. 항암제는 미국 산업안전보건청(National Institute of Occupational Safety & Health, NIOSH)에서 정의한 유해 화학물질로 적은 용량으 로도 발암성(carcinogenicity), 유전독성(genotoxicity), 최기형성(teratogenicity), 생식기능 저하 및 장기 독성을 초래하며(NIOSH, 2004) 피부 접촉, 약물 섭취 등의 직접 노출뿐만 아니라 약물의 조제, 운 반, 준비, 투약, 폐기 및 환자의 체액 또는 배설물 처리 과정에서의 간 접 노출의 위험도 존재한다. 일부 연구에서 항암제 노출로 인한 의
1.研究的必要性我国的癌症发生率自1999年开始以全国为单位进行统计以来一直呈增加趋势,2014年癌症发生人数达到217057人,一年内每10万人中有427.6人被诊断为癌症,因此接受抗癌药治疗的患者数量也在逐年增加。抗癌药是美国国家工业安全与健康研究所(National Institute of Occupational Safety&Health,NIOSH)定义的有害化学物质,用量较少,会导致致癌性(carcinogenicity)、遗传毒性(genotoxicity)、致畸性(teratogenicity)、生殖功能低下和长期毒性(NIOSH,2004),不仅直接接触皮肤、摄取药物等,还会导致药物的配制、运输、准备、投药、废弃以及患者体液或排泄物处理过程中的间接暴露也存在风险。在一些研究中,由于抗癌药物暴露而引起的
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引用次数: 5
Experience of Hope in Terminal Cancer Patients: Applying Parse' s Human Becoming Methodology 癌症晚期患者的希望体验——应用Parse的人性化方法
IF 0.4 Q4 NURSING Pub Date : 2019-06-01 DOI: 10.5388/AON.2019.19.2.55
Jung Ee Kim, H. So
Purpose: The purpose of this study was to explore the experience of hope of terminal cancer patients in Korea. Methods: Seven participants receiving hospice care were interviewed about hope experiences based on Parse’s research methodology. Results: Practical propositions derived from the structure of the hope experience were: Terminal cancer patients are beings newly recognizing the value of their lives by maintaining their hopes while they are experiencing powerlessness due to feelings of loss and distress. Ways of truly being with them are accepting their experience of distress, understanding the existence of paradoxical relationships, active symptom management, and finding hope in the current situation. Through these processes, the patients restructure their remaining lives for peaceful death by changing their perceptions about death. This structure can be interpreted as ‘the hope experience of terminal cancer patients is a process of changing the value of life, overcoming fear of death, enhancing meaning, and transcending.’ Conclusion: The concept of ‘true presence’ applied in this study was proved to be an effective nursing practice improving quality of life of the patients. Parse’s Human Becoming Methodology may be applied to terminal cancer patients in the future.
目的:本研究旨在探讨韩国癌症晚期患者的希望体验。方法:根据Parse的研究方法,对7名接受临终关怀的参与者进行希望体验访谈。结果:从希望体验的结构中得出的实际命题是:癌症晚期患者是在他们因失去和痛苦而感到无能为力的时候,通过维持自己的希望,重新认识到自己生命的价值。真正与他们相处的方式是接受他们的痛苦经历,理解矛盾关系的存在,积极的症状管理,并在当前的情况下找到希望。通过这些过程,患者通过改变他们对死亡的看法来重组他们剩余的生命,以实现和平的死亡。这种结构可以解释为“癌症晚期患者的希望体验是一个改变生命价值、克服对死亡的恐惧、增强意义和超越的过程。”结论:“真实存在”概念在本研究中的应用被证明是提高患者生活质量的有效护理实践。Parse的人类形成方法学可能在未来应用于癌症晚期患者。
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引用次数: 4
Factors Influencing Peripheral Neuropathy of Cancer Patients Undergoing Chemotherapy 癌症患者化疗后周围神经病变的影响因素
IF 0.4 Q4 NURSING Pub Date : 2019-06-01 DOI: 10.5388/AON.2019.19.2.71
Y. J. Yoon, Jeong-Sook Park
치료와 새로운 치료법의 개발 등으로 암환자의 생존율이 증가하였 으나, 치료 과정에서 생기는 부작용으로 인해 암환자의 질병 경험 과 개인의 안녕에 부정적인 영향을 미치는 경우도 많아졌다. 항암 화학요법은 대표적인 암 치료방법 중 하나로서, 다양한 암종의 치료 를 위해 광범위하게 사용되고 있으나, 항암화학요법에 따르는 오심, 구토, 탈모, 점막염, 말초신경병증, 피부 및 손톱 변색, 감염, 빈혈, 출 혈 등의 다양한 부작용으로 인해 고통 받는 경우도 많아지고 있다. 이러한 부작용 중 말초신경병증은 말초신경계에 있는 감각신경, 운동신경, 자율신경 등에 염증, 손상 및 퇴화를 초래하는 것으로, 주로 손과 발의 감각 증상이 많이 나타난다. 통증, 무감각 또는 따끔 거림이 전형적으로 양말과 장갑 양상(stocking-glove)으로 나타나거 나, 근육 허약감, 균형 장애와 같은 운동증상, 뇌신경 결핍 또는 자 율신경계 증상도 나타난다. 말초신경병증은 급성으로 나타나거나
虽然治疗和新疗法的开发等增加了癌症患者的生存率,但由于治疗过程中产生的副作用,对癌症患者的疾病经历和个人安宁产生负面影响的情况也越来越多。抗癌化疗作为代表性的癌症治疗方法之一,被广泛用于多种癌症的治疗,但因抗癌化疗带来的误判、呕吐、脱发、黏膜炎、末梢神经病、皮肤及指甲变色、感染、贫血、出血等多种副作用而痛苦的情况也越来越多。在这些副作用中,末梢神经病会导致末梢神经系统中的感觉神经、运动神经、自主神经等发生炎症、损伤和退化,主要表现为手和脚的感觉症状。疼痛、麻木或刺痛典型地表现为袜子和手套症状(stocking-glove),或出现肌肉虚弱、平衡障碍等运动症状、脑神经缺失或自主神经系统症状。末梢神经病表现为急性或
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引用次数: 1
Menopausal Symptoms and Quality of Life Among Breast Cancer Patients with Chemotherapy-induced Amenorrhea 癌症化疗性闭经患者的更年期症状与生活质量
IF 0.4 Q4 NURSING Pub Date : 2019-06-01 DOI: 10.5388/AON.2019.19.2.90
Jin-Hee Park, Y. Jung, J. Kim, S. Bae, Yujung Jo
Purpose: The aim of this study was to evaluate the severity of menopausal symptoms and their impact on the quality of life (QOL) in breast cancer patients with chemotherapy-induced amenorrhea. Methods: A cross-sectional survey design was used. Participants were 112 breast cancer patients with chemotherapy-induced amenorrhea. They completed the Menopause Rating Scale (MRS) and the Functional Assessment of Cancer Therapy-General (FACT-G). Data were analyzed using descriptive statistics, independent ttests, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression with SPSS/WIN 23.0. Results: The prevalence of symptoms among the participants were as follows: sleep problems, 88.4%; physical and mental exhaustion, 80.4%; joint and muscular discomfort, 76.8%; and depression, 70.5%. Menopausal symptoms had a significant negative association with QOL. The results of the regression analysis showed that psychological and urogenital symptoms were statistically significant in explaining patients’ QOL and accounted for 70% of the total variance. Conclusion: Menopausal symptoms appear to be a significant problem for premenopausal breast cancer patients. Assessment and control of menopausal symptoms played a large role in maintaining the quality of life in breast cancer patients.
目的:本研究旨在评估癌症化疗所致闭经患者更年期症状的严重程度及其对生活质量(QOL)的影响。方法:采用横断面调查设计。受试者是112名患有化疗引起的闭经的癌症患者。他们完成了更年期评分量表(MRS)和癌症综合治疗功能评估(FACT-G)。数据采用描述性统计、独立ttests、单因素方差分析、Pearson相关系数和SPSS/WIN 23.0多元回归分析。结果:参与者的症状发生率如下:睡眠问题,88.4%;身心疲惫80.4%;关节和肌肉不适占76.8%;更年期症状与生活质量呈显著负相关。回归分析结果表明,心理和泌尿生殖道症状在解释患者生活质量方面具有统计学意义,并占总方差的70%。结论:更年期症状是绝经前癌症患者的一个重要问题。更年期症状的评估和控制对维持癌症患者的生活质量起着重要作用。
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引用次数: 4
The Experience of Chemotherapy-induced Peripheral Neuropathy in People with Cancer 癌症患者化疗诱发周围神经病变的经验
IF 0.4 Q4 NURSING Pub Date : 2019-06-01 DOI: 10.5388/AON.2019.19.2.81
P. Oh, Eunjoo Choi, Jin Lee
작용을 초래한다. 그 중 항암화학요법 관련 말초신경병증(chemotherapy induced peripheral neuropathy [CIPN])은 신경독성 항암제 (platinum계, taxane계, vinca-alkaloid계, thalidomide, bortezomib)의 축적으로 말초신경손상이 초래된 것을 말한다. 이들 항암제는 대 장암, 위암, 유방암, 혈액암 등 환자에게 흔히 처방되고 있으며, 약 물투여 1달 후 암 환자의 68.0%, 3개월 후 약 60.0%가 CIPN을 경험하 며 암 환자의 30.0%는 6개월 이상 수년간 CIPN을 경험한다. 신경독 성 항암제 중 oxaliplatin의 경우 CIPN은 항암제 투여 1시간 내에 발 생하여 몇 일내로 사라지는 급성과 14일 내에 사라지지 않고 이후까 지 지속되는 만성 신경손상을 초래하는 것으로 보고된다. Park 등 은 암 생존자의 40.0%는 만성적으로 지속되는 CIPN을 경험하거나 심한 경우 불가역적인 후유증을 갖는 것으로 보고하였다. 따라서
引起作用。其中,与化疗相关的末梢神经病症(chemotherapy induced peripheral neuropathy [CIPN])是由神经毒性抗癌剂(platinum系、taxane系、vinca-alkaloid系、thalidomide、bortezomib)的积累引起的。这些抗癌剂经常用于大肠癌、胃癌、乳房癌、血癌等患者身上,注射药物1个月后,癌症患者的68.0%,3个月后约60.0%经历CIPN,癌症患者的30.0%经历6个月以上数年的CIPN。在神经毒性抗癌剂中,oxaliplatin的情况是,CIPN会在注射抗癌剂1小时内发生,导致几天内消失的急性和14天内持续的慢性神经损伤。帕克等人报告说,40.0%的癌症幸存者经历过慢性CIPN或严重时出现不可逆转的后遗症。因此,
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引用次数: 3
Exercise Participation Experiences of Colorectal Cancer Survivors 癌症大肠癌幸存者的运动参与体验
IF 0.4 Q4 NURSING Pub Date : 2019-06-01 DOI: 10.5388/AON.2019.19.2.98
J. Byeon, Mi Kyung Lee, J. Chung, Samuel Yoo, J. Jeon
암 발생률의 증가와 더불어 조기 검진을 통한 빠른 치료적 접근 및 치료 기술의 발달로 암 생존자 수는 증가하는 추세이다. 그 중 대 장암은 우리나라 주요 암 발생 중 2위를 차지하고 있으며, 5년 상대 생존율은 1990년대 50%대에서 현재 76.3%로 증가하여 대장암 생존 자가 점차 늘어나고 있다. 암 생존자들은 일반인에 비해 신체적, 정신적 삶의 질이 낮은 것 으로 보고되고 있어 치료 후 그들의 전반적인 삶에 관심을 가져야 할 필요가 있다. 대장암 생존자의 경우에는 수술, 항암화학요법, 방 사선치료를 겪으며 옥살리플라틴 관련 말초신경병증(Oxaliplatininduced Peripheral Neuropathy), 배변장애(Bowel Dysfunction), 방사 선 후 골반 불완전 골절(Pelvic Insufficiency Fractures after Radiation), 비뇨 생식기 장애(Urogenital Dysfunction) 등의 부작용을 경험하게 된다. Baker 등 의 연구에서는 대장암 진단 후 1년이 경과한 환자 들의 주요 어려움으로 재발에 대한 두려움(67.9%), 피로(60.7%) 및 미 래에 대한 불안(58.9%), 신체적 변화에 대한 불편함(35.1%)이 보고되 었다. 이렇듯 치료 종료 후 대장암 생존자들은 신체적, 정신적 다양
随着癌症发生率的增加,通过早期检查的快速治疗接近及治疗技术的发展,癌症生存者人数呈增加趋势。其中,大肠炎在韩国主要癌症发生中占第2位,相对5年生存率从20世纪90年代的50%增加到现在的76.3%,大肠癌生存者正在逐渐增加。据报告,癌症幸存者的身体、精神生活质量比普通人低,因此,治疗后有必要关注他们的整体生活。大肠癌幸存者的情况是,经过手术、化疗和放线治疗后,与奥苏利铂相关的末梢神经病症(oxaliplatinduced Peripheral Neuropathy)、排便障碍(Bowel Dysfunction)、放射后骨盆不完全骨折(Pelvic Insufficiency Fractures after Radiation)、会出现泌尿器官障碍(Urogenital Dysfunction)等副作用。在Baker等人的研究中,对大肠癌诊断1年后的患者的主要困难有:对复发的恐惧(67.9%)、疲劳(60.7%)、对未来的不安(58.9%)、对身体变化的不便(35.1%)。治疗结束后大肠癌的幸存者身体和精神上都有差异
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引用次数: 5
The Influence of Resilience on the Quality of Life of Patients with non-Hodgkin Lymphoma 心理弹性对非霍奇金淋巴瘤患者生活质量的影响
IF 0.4 Q4 NURSING Pub Date : 2019-03-01 DOI: 10.5388/AON.2019.19.1.47
S. Shim, Jeong Hye Kim
Purpose: The purpose of this study was to investigate the resilience and quality of life (QoL) of patients with non-Hodgkin lymphoma (NHL) and the factors influencing QoL. Methods: A sample of 85 outpatients who had been diagnosed with NHL were included in a descriptive study. The instruments used were the Connor-Davidson Resilience Scale and Functional Assessment of Cancer TherapyLymphoma (FACT-Lym) version 4. Results: The mean resilience score of the patients was 73.11±15.81 out of 100. The total mean QoL score was 130.23±20.70 out of 168, the highest category was physical well-being with a mean item score of 21.80±5.03, the lowest was emotional well-being with a mean item score of 19.28±3.95. Resilience and QoL were positively correlated (r=.65, p<.001). Regression analysis revealed that the QoL of the patients was explained by resilience, gender, and Eastern Cooperative Oncology Group performance status. These variables explained 53% of the variance of QoL. Conclusion: The results of this study confirmed the importance of resilience for QoL among patients with NHL and the relevant factors that affect QoL. This can be used as a basis for nursing interventions for NHL patients.
目的:探讨非霍奇金淋巴瘤(NHL)患者的恢复力、生活质量(QoL)及其影响因素。方法:85例确诊为NHL的门诊患者纳入描述性研究。使用的工具是Connor-Davidson弹性量表和Cancer therapy淋巴瘤功能评估(FACT-Lym)第4版。结果:患者恢复力平均得分为73.11±15.81分(满分100分)。总分168分,总平均生活质量得分为130.23±20.70分,其中身体健康得分最高,平均单项得分为21.80±5.03分;情绪健康得分最低,平均单项得分为19.28±3.95分。心理弹性与生活质量呈正相关(r=。65年,p <措施)。回归分析显示,患者的生活质量与心理弹性、性别和东方肿瘤合作小组的绩效状况有关。这些变量解释了53%的生活质量方差。结论:本研究结果证实了弹性对NHL患者生活质量的重要性以及影响生活质量的相关因素。这可以作为NHL患者护理干预的基础。
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引用次数: 2
期刊
Asian Oncology Nursing
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