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Perinatal depression screening by health cadres in Indonesia: EPDS or Whooley? 印度尼西亚卫生干部的围产期抑郁症筛查:EPDS 还是 Whooley?
IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-08-12 DOI: 10.1108/jpmh-03-2024-0035
E. R. Surjaningrum, E. Riyanto, Junaidah Yusof, Husnual Mujahadah
PurposeThis study aims to investigate the feasibility of health cadres in Indonesia to take perinatal depression screening in the community using Edinburgh Postnatal Depression Scale (EPDS) and Whooley.Design/methodology/approachThe field study involved 11 health cadres (community volunteers who assist in maternal and child health) who were trained to administrate EPDS and Whooley towards 36 pregnant and postpartum mothers in a low resource urban setting for a month. A comparison of scores from both tools, the number and type of mistakes made by the cadres, and cadres perception about the tools were combined to determine the most feasible tool for cadres in identifying depression symptoms.FindingsThe results show both tools are comparable for screening depression symptoms in mothers; however, EPDS was better at differentiating the level of symptoms. Whooley, with two case-finding questions, is simpler for cadres, whereas the EPDS is more difficult to be computed by cadres. Cadres support the implementation of such a screening, as it provides a channel for mothers to express their negative feelings.Research limitations/implicationsThe findings indicate Whooley is sufficient for first-level screening in the community by cadres, whereas the EPDS should be used by qualified health-care workers for further evaluation at primary health clinics.Practical implicationsHealth cadres could potentially be trained to use standardized yet simple psychological tools. Involving trained health cadres in integrated maternal mental health services in primary health care in Surabaya, Indonesia is promising.Originality/valueThe use of the EPDS and the Whooley questions has not been applied in Indonesia particularly among health cadres despite their long-lasting role in primary health-care system.
本研究旨在调查印度尼西亚卫生干部在社区使用爱丁堡产后抑郁量表(EPDS)和Whouoley进行围产期抑郁筛查的可行性。设计/方法/途径本实地研究涉及11名卫生干部(协助母婴健康工作的社区志愿者),他们接受了为期一个月的培训,以便在资源匮乏的城市环境中对36名孕妇和产后母亲实施爱丁堡产后抑郁量表和Whouoley。结果表明,两种工具在筛查母亲抑郁症状方面具有可比性;但 EPDS 更善于区分症状的程度。Whooley 有两个病例调查问题,对干部来说更简单,而 EPDS 则更难由干部计算。研究局限性/意义研究结果表明,Whouoley 可以满足干部在社区进行一级筛查的需要,而 EPDS 则应由合格的医护人员在初级保健诊所进行进一步评估。在印尼泗水的初级医疗保健中,让经过培训的医疗保健干部参与孕产妇心理健康综合服务是很有前景的。原创性/价值尽管 EPDS 和 Whooley 问题在初级医疗保健系统中长期发挥作用,但在印尼,尤其是在医疗保健干部中还没有应用过。
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引用次数: 0
Perinatal depression screening by health cadres in Indonesia: EPDS or Whooley? 印度尼西亚卫生干部的围产期抑郁症筛查:EPDS 还是 Whooley?
IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-08-12 DOI: 10.1108/jpmh-03-2024-0035
E. R. Surjaningrum, E. Riyanto, Junaidah Yusof, Husnual Mujahadah
PurposeThis study aims to investigate the feasibility of health cadres in Indonesia to take perinatal depression screening in the community using Edinburgh Postnatal Depression Scale (EPDS) and Whooley.Design/methodology/approachThe field study involved 11 health cadres (community volunteers who assist in maternal and child health) who were trained to administrate EPDS and Whooley towards 36 pregnant and postpartum mothers in a low resource urban setting for a month. A comparison of scores from both tools, the number and type of mistakes made by the cadres, and cadres perception about the tools were combined to determine the most feasible tool for cadres in identifying depression symptoms.FindingsThe results show both tools are comparable for screening depression symptoms in mothers; however, EPDS was better at differentiating the level of symptoms. Whooley, with two case-finding questions, is simpler for cadres, whereas the EPDS is more difficult to be computed by cadres. Cadres support the implementation of such a screening, as it provides a channel for mothers to express their negative feelings.Research limitations/implicationsThe findings indicate Whooley is sufficient for first-level screening in the community by cadres, whereas the EPDS should be used by qualified health-care workers for further evaluation at primary health clinics.Practical implicationsHealth cadres could potentially be trained to use standardized yet simple psychological tools. Involving trained health cadres in integrated maternal mental health services in primary health care in Surabaya, Indonesia is promising.Originality/valueThe use of the EPDS and the Whooley questions has not been applied in Indonesia particularly among health cadres despite their long-lasting role in primary health-care system.
本研究旨在调查印度尼西亚卫生干部在社区使用爱丁堡产后抑郁量表(EPDS)和Whouoley进行围产期抑郁筛查的可行性。设计/方法/途径本实地研究涉及11名卫生干部(协助母婴健康工作的社区志愿者),他们接受了为期一个月的培训,以便在资源匮乏的城市环境中对36名孕妇和产后母亲实施爱丁堡产后抑郁量表和Whouoley。结果表明,两种工具在筛查母亲抑郁症状方面具有可比性;但 EPDS 更善于区分症状的程度。Whooley 有两个病例调查问题,对干部来说更简单,而 EPDS 则更难由干部计算。研究局限性/意义研究结果表明,Whouoley 可以满足干部在社区进行一级筛查的需要,而 EPDS 则应由合格的医护人员在初级保健诊所进行进一步评估。在印尼泗水的初级医疗保健中,让经过培训的医疗保健干部参与孕产妇心理健康综合服务是很有前景的。原创性/价值尽管 EPDS 和 Whooley 问题在初级医疗保健系统中长期发挥作用,但在印尼,尤其是在医疗保健干部中还没有应用过。
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引用次数: 0
A community center to mobilize public policies and human rights in mental health: “the door is always open” 一个动员心理健康方面的公共政策和人权的社区中心:"大门永远为您敞开
IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-30 DOI: 10.1108/jpmh-03-2024-0037
Felipe Agudelo-Hernández, Jhasny Moreno-Reales, Lauta Inés Plata-Casas
PurposeThis study aims to describe the perceptions of some participants from a community mental health center in the Department of Chocó, Colombia.Design/methodology/approachA case study with a qualitative approach was carried out in 2023. Focus groups were conducted with mental health leaders and members of a community mental health center. The data were analyzed using a thematic analysis.FindingsTwo categories emerged: characterize the Community Mental Health Center of Chocó and Reaffirm human rights. In the first category, the community center is described as a place of recovery that mobilizes social services and works to increase agency capacity. In the second category, the human rights were assumed as part of community services, not only to eliminate coercive practices but also to support the increase of autonomy.Research limitations/implicationsThe limitations of this study are the analysis of strategies from the perspective of global politics, without delving into the structure of community actions themselves, which are not necessarily based on global recommendations.Practical implicationsDespite the design and development of public policies the study of their implementation still poses several challenges. The strategies carried out by regions that follow evidence-based practices and participation routes are not officially recognized as good practices in mental health and, therefore, independently supported to be sustained.Originality/valueA community mental health center is described that manages to be implement and deliver a service despite not being able to be financed by current national regulations. This indicates, apart from a need, the capacity of the regions to build their solutions beyond regulations.
本研究旨在描述哥伦比亚乔科省一家社区心理健康中心的一些参与者的看法。设计/方法/途径 2023 年,我们采用定性方法开展了一项案例研究。与心理健康领导者和社区心理健康中心的成员进行了焦点小组讨论。研究结果出现了两个类别:乔科社区心理健康中心的特点和重申人权。在第一个类别中,社区中心被描述为一个康复场所,它动员社会服务并努力提高机构能力。研究的局限性/影响本研究的局限性在于从全球政治的角度对战略进行分析,而没有深入研究社区行动本身的结构,因为社区行动并不一定以全球建议为基础。尽管设计和制定了公共政策,但对其实施情况的研究仍面临着一些挑战。各地区实施的战略遵循循证实践和参与路线,但并未被官方认可为精神健康方面的良好实践,因此需要得到独立支持才能持续下去。除需求外,这还表明各地区有能力制定超越法规的解决方案。
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引用次数: 0
Editorial: International perspectives in public mental health 社论:公共心理健康的国际视角
IF 1.4 Q3 Medicine Pub Date : 2024-06-05 DOI: 10.1108/jpmh-05-2024-164
Neil Quinn
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引用次数: 0
Mental Health First Aid™ for Deaf communities: responses to a lack of national Deaf mental health service provision 聋人社区的心理健康急救™:对缺乏全国性聋人心理健康服务的回应
IF 1.4 Q3 Medicine Pub Date : 2024-05-17 DOI: 10.1108/jpmh-12-2023-0107
Julia Terry, Cathie Robins-Talbot
PurposeFor over 15 years, Mental Health First Aid™ (MHFA) has successfully been delivered in Wales, United Kingdom, with growing interest in the MHFA programme and increasing course attendees. Trainers, aware of the need for support, know the importance of MHFA being accessible for different communities and learner groups. MHFA has always focused on increasing mental health literacy. One marginalised group, with lower mental health literacy than the general population, is Deaf people, a group with increased risk of mental health problems. This paper aims to provide insights about why Deaf people are twice as likely as hearing people to experience mental health problems.Design/methodology/approachDuring this paper, the authors have used four focal points i) exploring situational contexts for Deaf people; ii) reasons why Deaf individuals are at greater risk of mental health problems; iii) the authors explore a project, “Hear Deaf”, and implementation of MHFA Wales by Deaf MHFA trainers; and iv) initiatives to influence and impact on policymakers.FindingsDuring the project, nine MHFA courses were delivered to Deaf communities across different locations in Wales, often with information and advertisements circulated directly to Deaf communities through Deaf clubs, resulting in 120 Deaf people trained. The authors conclude with their own reflections as a researcher and an MHFA who work predominantly with Deaf communities.Originality/valueThis paper provides a discussion on the specific risks for Deaf people around mental health and the importance of mental health promotion programmes for Deaf communities. Further research is needed regarding the impact of MHFA on Deaf populations.
目的 15 年来,心理健康急救(MHFA)在英国威尔士成功开展,人们对 MHFA 课程的兴趣与日俱增,参加课程的人数也不断增加。培训师们意识到支持的必要性,知道 MHFA 适合不同社区和学员群体的重要性。MHFA 一直注重提高心理健康素养。聋哑人是一个边缘群体,他们的心理健康素养低于普通人群,而聋哑人是一个心理健康问题风险较高的群体。本文旨在深入探讨为什么聋人出现心理健康问题的几率是健听人的两倍。设计/方法/途径在本文中,作者使用了四个焦点:i) 探讨聋人的情境背景;ii) 聋人出现心理健康问题的风险更大的原因;iii) 作者探讨了一个名为 "听见聋人 "的项目,以及聋人心理健康教育培训师在威尔士实施心理健康教育的情况;iv) 对政策制定者施加影响和冲击的举措。研究结果在该项目期间,威尔士不同地点的聋人社区开设了九门 MHFA 课程,通常通过聋人俱乐部直接向聋人社区发布信息和广告,共有 120 名聋人接受了培训。最后,作者以自己作为一名研究人员和一名主要与聋人社区合作的心理健康促进者的身份进行了反思。原创性/价值本文讨论了聋人在心理健康方面面临的特殊风险,以及心理健康促进计划对聋人社区的重要性。需要进一步研究心理健康教育对聋人群体的影响。
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引用次数: 0
Prevalence of cosmetic surgery and its relationship with psychosocial status: a population based study in Sulaymaniyah, Iraq 整容手术的普遍性及其与社会心理状态的关系:在伊拉克苏莱曼尼亚进行的一项人口研究
IF 1.4 Q3 Medicine Pub Date : 2024-05-16 DOI: 10.1108/jpmh-02-2024-0019
Farman Zahir Abdullah
PurposeThis study aims to investigate the prevalence of cosmetic surgery and its relationship with the level of mental health and socioeconomic variables in Sulaymaniyah city in Iraq.Design/methodology/approachThis descriptive-analytical and cross-sectional study was conducted on 941 subjects who were selected using multistage sampling method. Data were collected using a checklist as well as a questionnaire. Data analysis was done using chi-square test and multiple logistic regression model using Stata software version 20.FindingsThe prevalence of cosmetic surgery was 13.4% (female: 17.5%; male: 8.2%). The most common types of cosmetic surgery were rhinoplasty (7.6%) in women and hair transplant (5.5%) in men. Overall, rhinoplasty (7.6%) was the most common type of cosmetic surgery among both groups. In total, the prevalence of having symptoms of mental disorders was 34.5% and it was significantly higher among people with a history of cosmetic surgery (65.1%) than those without any experience of having cosmetic surgery (29.8%) (p < 0.001). Being female (odds ratio [OR] = 2.07; 95% confidence interval [CI]: 1.33–3.22), having mild symptoms of mental disorders (OR = 2.76; 95% CI: 1.71–4.47) and having moderate or severe symptoms of mental disorders (OR = 7.48; 95% CI: 4.60–12.29) were among the important variables that could affect performing cosmetic surgery.Originality/valueThe prevalence of cosmetic surgery in Sulaymaniyah is high, and based on the findings of this study, gender and mental health status are effective factors in this regard. Designing targeted interventions is suggested with an emphasis on the findings of this study to reduce the rate of cosmetic surgeries.
目的 本研究旨在调查伊拉克苏莱曼尼亚市整容手术的流行程度及其与心理健康水平和社会经济变量之间的关系。数据收集采用核对表和问卷调查法。研究结果整容手术的发生率为 13.4%(女性:17.5%;男性:8.2%)。最常见的整容手术类型是女性的隆鼻手术(7.6%)和男性的植发手术(5.5%)。总体而言,隆鼻手术(7.6%)是两组人中最常见的整容手术类型。总体而言,精神障碍症状的发生率为 34.5%,有整容手术史者(65.1%)明显高于无整容手术史者(29.8%)(P < 0.001)。女性(比值比 [OR] = 2.07;95% 置信区间 [CI]:1.33-3.22)、有轻度精神障碍症状(比值比 [OR] = 2.76;95% 置信区间 [CI]:1.71-4.47)和有中度或重度精神障碍症状(比值比 [OR] = 7.48;95% 置信区间 [CI]:4.60-12.原创性/价值在苏莱曼尼亚,整容手术的发病率很高,根据这项研究的结果,性别和心理健康状况是这方面的有效因素。建议根据本研究结果设计有针对性的干预措施,以降低整容手术的发生率。
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引用次数: 0
Representing the experiences of charity peer leaders facilitating well-being interventions to their peers using a constructivist grounded theory methodology 采用建构主义基础理论方法,介绍慈善机构同侪领导者在促进同侪福祉干预措施方面的经验
IF 1.4 Q3 Medicine Pub Date : 2024-05-13 DOI: 10.1108/jpmh-01-2024-0010
Jenny Burns
PurposeThis study aims to generate theory that represented charity peer leader experiences, facilitating well-being interventions to two specific groups of people: new mothers and refugees.Design/methodology/approachPart 1 of this study used in-depth interviews (n = 8) and phone calls with experienced mothers (called “peer leaders”) who had facilitated well-being interventions to new mothers. These interviews were analysed using Constructivist Grounded Theory (CGT) (Charmaz, 2014) generating a theory. Following a systematic literature review using the theory categories as search terms, a training approach was devised: The Modelled Training Approach (MTA). Refugees (n = 16) were trained to facilitate another well-being intervention using the MTA followed by a further set of interviews (n = 6). These interviews were analysed using CGT.FindingsA theory was generated representing the “journey” the peer leaders took: their lived experience triggered empathic feelings towards their peers, which motivated them to build a rapport where they gave hope. As a result, the peer leaders felt rewarded.Originality/valueThe literature search did not find any studies looking at the experiences of peer leaders in the above settings. The theory generated could support mental health peer work offsetting statutory health costs.
本研究的第一部分采用了深入访谈(n = 8)和电话访谈的方式,访谈对象是曾为新妈妈提供幸福干预的有经验的母亲(称为 "同伴领导者")。我们采用建构主义基础理论(CGT)(Charmaz,2014 年)对这些访谈进行了分析,从而形成了一套理论。在使用理论类别作为搜索条件进行系统的文献综述之后,设计出了一种培训方法:模型化培训方法(MTA)。难民(n = 16)接受了培训,以使用 MTA 促进另一项幸福干预,随后进行了一组访谈(n = 6)。这些访谈使用 CGT 进行了分析。研究结果产生了一种理论,代表了同伴领导者所经历的 "旅程":他们的生活经历引发了对同伴的同理心,这促使他们建立一种默契,并在其中给予希望。原创性/价值在文献检索中没有发现任何关于上述环境中同伴领导者经历的研究。所产生的理论可以支持心理健康同伴工作,抵消法定医疗费用。
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引用次数: 0
It’s not just a game: social networks, isolation and mental health in online gamers 不只是游戏:网络游戏玩家的社交网络、孤独感和心理健康
IF 1.4 Q3 Medicine Pub Date : 2024-05-08 DOI: 10.1108/jpmh-11-2023-0099
T. Prochnow, M. Patterson
PurposeOnline gaming has emerged as a popular activity providing a social outlet for millions. However, implications of online game networks for mental health remain disputed. Concepts of bridging social capital and bonding social capital may help characterize protective factors within social networks. This study aims to examine the associations between social capital derived from online versus in-person networks and mental health indicators among gamers.Design/methodology/approachOnline gamers (n = 301) completed an online survey assessing their social networks (both in-person and through online gaming) and mental health indicators (depressive symptoms, anxiety, social isolation, perceived social support). Social network analysis was used to analyze bridging (network size, effective size, heterogeneity, weak ties) and bonding (closeness, frequent contact, confiding, connection quality) social capital. Separate linear regression models evaluated associations between bridging and bonding social capital for both online and in-person networks and depressive symptoms, anxiety, social support and social isolation.FindingsIn-person network characteristics showed the strongest associations with mental health outcomes. Greater average closeness and frequent confiding in the in-person network predicted lower isolation and fewer depressive symptoms. More diverse relationship types also correlated with lower depression. For online networks, closeness and confiding ties associated only with less isolation and greater support, not depressive symptoms, or anxiety.Originality/valueWhile online gaming networks provide some degree of social support, in-person social capital exhibited stronger associations with mental health. This reinforces the importance of face-to-face relationships for emotional well-being. Findings suggest helping gamers cultivate close bonds offline. However, online connections still matter and should not be discounted.
目的 网络游戏已成为一种流行活动,为数百万人提供了社交渠道。然而,网络游戏网络对心理健康的影响仍存在争议。桥梁型社会资本和纽带型社会资本的概念可能有助于描述社会网络中的保护性因素。设计/方法/途径在线游戏玩家(n = 301)完成了一项在线调查,评估了他们的社交网络(个人社交网络和在线游戏社交网络)和心理健康指标(抑郁症状、焦虑、社会隔离、感知到的社会支持)。社会网络分析用于分析桥梁(网络规模、有效规模、异质性、弱联系)和纽带(亲密程度、频繁联系、倾诉、联系质量)社会资本。单独的线性回归模型评估了网络和人际网络的桥接和纽带社会资本与抑郁症状、焦虑、社会支持和社会隔离之间的关系。人际网络中的平均亲密程度更高、倾诉更频繁,预示着孤独感更低,抑郁症状更少。更多样化的关系类型也与抑郁程度较低有关。就在线网络而言,亲密程度和倾诉关系只与较少的孤独感和更多的支持有关,而与抑郁症状或焦虑无关。 原创性/价值虽然在线游戏网络提供了一定程度的社会支持,但面对面的社会资本与心理健康的关系更为密切。这加强了面对面关系对情感健康的重要性。研究结果建议帮助游戏玩家培养线下的紧密联系。不过,在线联系仍然很重要,不应被忽视。
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引用次数: 0
Domestic violence against women during COVID-19 pandemic and its associated factors among Bench Sheko zone, southwest Ethiopia 埃塞俄比亚西南部 Bench Sheko 区在 COVID-19 大流行期间针对妇女的家庭暴力及其相关因素
IF 1.4 Q3 Medicine Pub Date : 2024-04-19 DOI: 10.1108/jpmh-06-2022-0059
Gebremeskel Mesafint, Nigusie Shifera, Alemayehu Sayih
PurposeDomestic violence is an intimate relationship that causes physical, sexual or mental suffering. The ongoing coronavirus pandemic has had a ruinous effect globally, particularly in increasing the rate of domestic violence. Thus, this study aims to assess the prevalence of domestic violence against women during the COVID-19 pandemic and its associated factors.Design/methodology/approachA community-based cross-sectional study was conducted on Bench Sheko Zone residents from May to June 2021. Participants in the study were selected by multistage sampling technique. The collected data were coded, entered into EpiData 3.1 and analyzed by using SPSS version 20. Bi-variable and multiple logistic regression analysis models were fitted. Odds ratio was used at a 95% confidence level, and P-value < 0.05 was used to declare statistical significance.FindingsA total of 1,512 eligible women participated, with a 98.3% response rate. The proportion of domestic violence against women was 42.5%. The prevalence of psychological violence was 30.4%, followed by physical violence at 20.2% and sexual violence accounted for 9.6%. Variables, such as rural residency, women with no formal education, partner who had no formal education, women with monthly income of less than 25,00 Ethiopian birr and partner who was current substance user, were found to be associated with domestic violence against women.Practical implicationsDomestic violence against women is still an important public health problem in Ethiopia. Special attention should be paid to identified predictors to reduce domestic violence beyond designing prevention and control strategies along with coronavirus pandemic intervention plan.Originality/valueThe findings of this study show domestic violence against women is still an important public health problem in Ethiopia. Special attention should be paid to identified predictors to reduce domestic violence beyond designing prevention and control strategies, along with the coronavirus pandemic intervention plan.
目的家庭暴力是一种造成身体、性或精神痛苦的亲密关系。正在流行的冠状病毒大流行在全球范围内造成了破坏性影响,尤其是增加了家庭暴力的发生率。因此,本研究旨在评估 COVID-19 大流行期间针对妇女的家庭暴力的发生率及其相关因素。 设计/方法/途径 2021 年 5 月至 6 月,对 Bench Sheko 区居民进行了一项基于社区的横断面研究。研究参与者通过多阶段抽样技术选出。收集的数据经编码后输入 EpiData 3.1,并使用 SPSS 20 版进行分析。采用双变量和多元逻辑回归分析模型。研究结果共有 1 512 名符合条件的妇女参与,回复率为 98.3%。妇女遭受家庭暴力的比例为 42.5%。心理暴力的发生率为 30.4%,其次是身体暴力,占 20.2%,性暴力占 9.6%。研究发现,农村居民、未受过正规教育的妇女、未受过正规教育的伴侣、月收入低于 25 00 埃塞俄比亚比尔的妇女以及目前使用药物的伴侣等变量与针对妇女的家庭暴力有关。在设计冠状病毒大流行干预计划的同时,应特别关注已确定的预测因素,以减少家庭暴力。除了设计预防和控制战略以及冠状病毒大流行干预计划外,还应特别关注已确定的减少家庭暴力的预测因素。
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引用次数: 0
Editorial: 25 years on 社论:25 年后
IF 1.4 Q3 Medicine Pub Date : 2024-04-02 DOI: 10.1108/jpmh-03-2024-163
J. Ashton, Woody Caan
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引用次数: 0
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Journal of Public Mental Health
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