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Knowledge of medical students about perioperative nutritional care in Bahia, Brazil: a transversal study 巴西巴伊亚州医学生围手术期营养护理知识的横向研究
Pub Date : 2021-10-19 DOI: 10.17267/2594-7907ijhe.v5i1.3433
R. Pimentel, Leonardo Castro Dantas Macêdo, Sérgio Diniz Gonçalves Queiroz Filho, Pedro Figueiredo, M. Mercês
OBJECTIVE: Evaluate the medical students’ knowledge about perioperative nutritional care. These students are from public and private academic institutions in the state of Bahia, Brazil. METHODS: This is a cross-sectional study to analyze medical students based on an online instrument regarding topics related to perioperative care. For data analysis, absolute and relative frequencies were calculated for categorical variables, and mean and standard deviation were calculated for continuous variables. Fisher's Exact Test and G Test were used to analyze the association. Results: 209 responses were obtained. Regarding the learning on nutritional preparation of the patient submitted to a surgery, 25 (64.9%) students of public institutions and 90 (52.3%) students of private ones reported not knowing or not having been exposed to such knowledge. Regarding the importance of addressing topics related to nutritional therapy (NT), 37 (100%) students from public institutions and 168 (97.7%) from private ones recognize the importance of spreading this knowledge. Unnecessary absolute preoperative fasting, shortening techniques of fasting and bronchoaspiration prevention and reintroduction time of a diet in the postoperative period are unknown to most of the population studied. CONCLUSION: Most students included in this study do not have satisfactory knowledge in NT and for preparing the surgical patient.
目的:了解医学生围手术期营养护理知识。这些学生来自巴西巴伊亚州的公立和私立学术机构。方法:这是一项横断面研究,对基于在线仪器的医学生进行围手术期护理相关主题的分析。在数据分析中,分类变量计算绝对频率和相对频率,连续变量计算均值和标准差。采用Fisher精确检验和G检验对相关性进行分析。结果:共获得应答209例。公立院校25名学生(64.9%)和私立院校90名学生(52.3%)表示不知道或没有接触过手术患者的营养准备知识。关于解决营养治疗(NT)相关话题的重要性,37名(100%)公立院校学生和168名(97.7%)私立院校学生认识到传播这一知识的重要性。不必要的术前绝对禁食,缩短禁食技术,预防支气管吸入和术后饮食的重新引入时间对大多数研究人群来说都是未知的。结论:本研究中大多数学生对NT和准备手术患者的知识不满意。
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引用次数: 0
A relação entre a vida acadêmica e a vida familiar do estudante de medicina: uma análise transversal 医学生学术生活与家庭生活的关系:横断面分析
Pub Date : 2021-10-11 DOI: 10.17267/2594-7907ries.v5i1.3797
Steffany Barbosa Reis, Carolina Villa Nova Aguiar
INTRODUÇÃO: Conciliar demandas acadêmicas e demandas oriundas de outras esferas da vida pode ser um obstáculo para estudantes, o que torna relevante a investigação sobre as relações estabelecidas entre a vida acadêmica e a vida familiar dos estudantes de medicina. OBJETIVOS: Desenvolver e reunir evidências de validade de escalas para mensuração das interfaces entre a vida acadêmica e vida familiar de estudantes e descrever a percepção sobre as interfaces estabelecidas entre elas. MÉTODOS E MATERIAIS: Escalas existentes e validadas sobre interface positiva e conflito trabalho-família foram adaptadas para escalas para avaliação das interfaces entre vida acadêmica e vida familiar. Foram conduzidas análises fatoriais exploratórias, além de verificação da confiabilidade interna. Os resultados das escalas foram descritos por meio de médias e desvio-padrão. RESULTADOS: As escalas adaptadas foram aplicadas a 539 estudantes de medicina. Na Escala de Conflito Estudos-Família, o fator “Conflito Estudos-Família” reuniu 5 itens (alpha=0,78) e o fator “Conflito Família-Estudos” reuniu 7 itens (alpha= 0,85). As médias obtidas foram 3,97(±1,03) e 2,57(±1,09), respectivamente. Com relação à Escala da Interface Positiva Estudos-Família, o fator “Interface Positiva Família-Estudos” reuniu 7 itens (alpha=0,90) e o fator “Interface Positiva Estudos-Família” reuniu 6 itens (alpha=0,85). As médias obtidas foram 4,95(±0,96) e 2,57(±1,06), respectivamente. CONCLUSÃO: Os instrumentos propostos mostraram-se válidos e confiáveis para mensurar as interfaces positiva e negativa entre a vida acadêmica e a vida familiar de estudantes. Os estudantes de medicina identificam uma maior influência da vida acadêmica prejudicando a vida familiar e percebem a família contribuindo mais nos estudos de maneira favorável.
引言:协调学术需求和来自其他生活领域的需求可能是学生的一个障碍,这使得研究医学生的学术生活和家庭生活之间的关系变得相关。目的:开发和收集测量学生学术生活和家庭生活之间接口的量表效度证据,并描述对两者之间建立的接口的感知。方法和材料:将现有和验证的积极界面和工作-家庭冲突量表应用于评估学术生活和家庭生活界面的量表。进行了探索性因素分析和内部信度验证。量表的结果用平均值和标准差来描述。结果:对539名医学生采用调整后的量表。在研究-家庭冲突量表中,“研究-家庭冲突”因子共包含5个项目(alpha= 0.78),“家庭-研究冲突”因子共包含7个项目(alpha= 0.85)。平均值分别为3.97(±1.03)和2.57(±1.09)。在积极界面研究-家庭量表中,“积极界面家庭研究”因子共7个项目(alpha= 0.90),“积极界面研究-家庭”因子共6个项目(alpha= 0.85)。平均值分别为4.95(±0.96)和2.57(±1.06)。结论:所提出的工具在测量学生学术生活和家庭生活之间的积极和消极界面方面是有效和可靠的。医学生认为学术生活对家庭生活的影响更大,并认为家庭对学习的贡献更大。
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引用次数: 0
Potentialities and weaknesses of Education and Interprofessional Work in health: perspectives of professionals in Northeast Brazil 卫生教育和跨专业工作的潜力和弱点:巴西东北部专业人员的观点
Pub Date : 2021-08-02 DOI: 10.17267/2594-7907IJHE.V5I1.3717
Emanuella Pinheiro de Farias Bispo, R. Rossit
INTRODUCTION: The World Health Organization recognizes that IPE is an innovative strategy that provides collaborative practice. The same occurs when two or more professions learn about others, with others and with each other. OBJECTIVE: To present the analysis of the strengths and weaknesses of education and interprofessional work from the perspective of health professionals in the public sector in Northeast Brazil. METHODS: It is an exploratory field research, with a qualitative approach. Data were collected from 189 health care participants from different backgrounds in health care in Northeast Brazil. The collected data were inserted in synoptic tables and organized into thematic categories. RESULTS: The contents expressed in the open space of the electronic form were analyzed from two thematic axes that emerged from the research results and guided the analyzes: Importance, challenges and possibilities of Education and Interprofessional Work; and Health Training for Interprofessional practice. The contents expressed point to the need for curricular changes in the graduations of health courses, in order to favor training aimed at interprofessionality and with the capacity to work in collaborative teams. CONCLUSION: Deficits in academic training and continuing education have been identified to strengthen IPE to strengthen interprofessional practices and, consequently, to strengthen interprofessional practices.
导言:世界卫生组织认识到,公众环境研究是一项创新战略,提供合作实践。当两种或两种以上的职业相互了解时,也会发生同样的情况。目的:从巴西东北部公共部门卫生专业人员的角度分析其教育和跨专业工作的优缺点。方法:采用定性方法进行探索性实地研究。从巴西东北部不同背景的189名医疗保健参与者中收集数据。收集到的数据被插入到概要表中,并按主题分类。结果:从研究结果中产生的两个主题轴对电子表格开放空间中表达的内容进行分析并指导分析:教育和跨专业工作的重要性、挑战和可能性;以及跨专业实践的健康培训。所表达的内容表明,有必要对保健课程的毕业课程进行改革,以便有利于针对跨专业和具有协作团队工作能力的培训。结论:已经确定了学术培训和继续教育的缺陷,以加强IPE以加强跨专业实践,从而加强跨专业实践。
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引用次数: 0
Pedagogical impact of internal training applied to the Academic League of Internal and Surgical Medicine 应用于内科和外科医学学术联盟的内训教学影响
Pub Date : 2021-08-02 DOI: 10.17267/2594-7907IJHE.V5I1.3564
João Henrique Fonseca do Nascimento, Selton Cavalcante Tomaz, A. R. De Azevedo, A. G. Cunha, André Bouzas de Andrade
INTRODUCTION: Academic Leagues of Medicine are extracurricular activities, which recognize the student’s protagonism in knowledge's production, such as training and teaching-learning experiences developed by students.  OBJECTIVE: To assess the training’s efficiency in surgical technique applied at the Academic League of Internal and Surgical Medicine (LAMIC).  METHODS AND MATERIALS: We evaluated the effect of the LAMIC’s training promoted to its associated students, comparing them to a non-exposed group. A questionnaire was used as an evaluation tool. It contained 20 objective questions and all students had up to 30 minutes to answer it. The 60% mark of correct answers was set as a threshold for considering proficient knowledge. For statistical analyses, Mann-Whiney U test and Fisher's exact test were performed, adopting p<0.01 as significant.  RESULTS: Sixty-nine students composed the sample population, whom 24 LAMIC-students were exposed to internal training and 45 non-exposed students. Among LAMIC-students, 91.7% had supraliminal results, while only 2.2% of non-exposed students reached this mark (p<0.01; odds ratio, OR = 354.8). There was statistically significant association between LAMIC-students’ results and good performance in: fundamentals in surgery (p<0.01, OR = 5.0), surgical risk assessment (p<0.01, OR = 3.4), patient (p<0.01, OR = 183.5) and surgical team (p<0.01, OR = 9.6) positioning, surgical center (p<0.01, OR = 84.0), and instrumentation (p<0.01, OR = 125.3).  CONCLUSION: Participation in internal training promoted by the academic league fostered better results in surgical knowledge, corroborating the concept that student’s leadership in teaching experiences may contribute to a better learning experience and medical formation.
简介:医学学术联盟是一种课外活动,它承认学生在知识生产中的主角地位,如学生的培训和教学经验。目的:评价内外科学术联盟(LAMIC)外科技术培训的效果。方法和材料:我们评估了LAMIC对其相关学生的培训效果,并将他们与未暴露组进行比较。采用问卷作为评估工具。它包含20个客观问题,所有学生有30分钟的时间来回答。60%的正确答案被设定为考虑知识精通的门槛。统计学分析采用Mann-Whiney U检验和Fisher精确检验,p<0.01为显著性。结果:69名学生组成样本人群,其中24名lamic学生接受内训,45名未接受内训。在lamic学生中,91.7%的学生达到了优等成绩,而非暴露学生中只有2.2%达到了优等成绩(p<0.01;优势比,OR = 354.8)。lamic学生的成绩与手术基础(p<0.01, OR = 5.0)、手术风险评估(p<0.01, OR = 3.4)、患者(p<0.01, OR = 183.5)和手术团队(p<0.01, OR = 9.6)、体位、手术中心(p<0.01, OR = 84.0)、器械(p<0.01, OR = 125.3)的良好表现有统计学意义。结论:参与学术联盟推动的内训对外科知识的学习效果更好,印证了学生主导教学经验有助于更好的学习体验和医学形成。
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引用次数: 0
Evaluation of the simulation design scale in medical students 医学生模拟设计量表的评估
Pub Date : 2021-08-02 DOI: 10.17267/2594-7907IJHE.V5I1.3150
Marina Pereira Quadros, M. Sestelo, Ieda M B Aleluia
BACKGROUND:  The High-Fidelity Simulation has been a learning method widely used in Brazil, especially in medical education. In order, to reproduce the scenarios of medical care in a more efficient and reliable way, the Design of Simulation needs to be well planned to take the student to the highest possible level of achievement.  AIMS: Measure the evaluation of the quality of the characteristics of the design of the simulation scenario by the students of medical courses.  METHODS:  Observational, descriptive, cross-sectional study carried out with medical students, in the period of February 2019. The final sample was 90 students. The Likert Simulation Design Scale was used to assess the structure of the simulation scenario, the data were tabulated and compared using means and standard deviation.  RESULTS/DISCUSSION:  In view of the analyzed items of the Simulation Design Scale, all obtained positive results in the evaluation, as well as the importance of proper design elaboration. The one that obtained predominant agreement was the factor "Realism", with an average of 4,94 and a standard of 0,20. The one that obtained predominant importance was the factor “Feedback/reflection”, with an average of 4,95 and a standard of 0,16.  CONCLUSION:  The results of this study indicate predominantly positive perceptions of medical students about the design built for applied simulation and its importance for the process and learning. In addition, it is possible to point out the aspects that need better development and improvement of the simulation, as well as highlight the positive points of prominence.
背景:高保真模拟是巴西广泛使用的一种学习方法,特别是在医学教育中。为了更高效、更可靠地再现医疗场景,模拟设计需要精心策划,以使学生达到最高的成就水平。目的:衡量医学专业学生对模拟场景设计特点的质量评价。方法:于2019年2月对医学生进行观察性、描述性、横断面研究。最终样本是90名学生。采用李克特模拟设计量表(Likert Simulation Design Scale)评估模拟场景的结构,将数据制成表格,并采用均值和标准差进行比较。结果/讨论:针对模拟设计量表的分析项目,在评估中均获得了积极的结果,以及适当设计阐述的重要性。最受欢迎的是“现实主义”因素,平均得分为4.94分,标准得分为0.20分。最重要的因素是“反馈/反映”,平均得分为4.95分,标准得分为0.16分。结论:本研究结果表明医学生对应用模拟的设计及其对过程和学习的重要性的看法主要是积极的。此外,还可以指出仿真需要更好发展和完善的方面,以及突出突出的积极方面。
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引用次数: 0
Health simulation: history and applied cognitive concepts 健康模拟:历史和应用认知概念
Pub Date : 2021-07-27 DOI: 10.17267/2594-7907IJHE.V5I1.3889
Danielle Rachel Dos Santos Carvalho, Nathalia de Moraes Lebeis Nery, Thiago Santos Martins, Dario Cecílio-Fernandes
How to cite this article: Carvalho DRS, Nery NML, Martins TS, Cecilio-Fernandes D. Health simulation: history and applied cognitive concepts. J Health Educ. 2021;5(1):xx-xx. http://dx.doi. org/10.17267/2594-7907ijhe.v5i1.3889 Inter. J. Health Educ., Salvador, 2021 October;5(1):xx-xx http://dx.doi.org/10.17267/2594-7907ijhe.v5i1.3889 | ISSN: 2594-7907 Health simulation: history and applied cognitive concepts
如何引用本文:Carvalho DRS, Nery NML, Martins TS, Cecilio-Fernandes D.健康模拟:历史和应用认知概念。中华卫生杂志,2011;5(1):21 - 21。http://dx.doi。org/10.17267/2594 - 7907 ijhe.v5i1.3889国米。J.健康教育。,萨尔瓦多,2021年10月;5(1):xx-xx http://dx.doi.org/10.17267/2594-7907ijhe.v5i1.3889 | ISSN: 2594-7907健康模拟:历史和应用认知概念
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引用次数: 0
Ethics and Subjectivity as equiprimordial values in Medicine 伦理与主体性:医学的基本价值
Pub Date : 2021-07-27 DOI: 10.17267/2594-7907IJHE.V5I1.3867
L. Madeira
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引用次数: 0
Experiência da residência de medicina de família e comunidade no teleatendimento pelo monitora Covid-19 通过监测Covid-19,家庭和社区医学住院医师在电话护理方面的经验
Pub Date : 2021-06-11 DOI: 10.17267/2594-7907ijhe.v5i1.3365
Marcus Viniicius Sacramento França
INTRODUCTION: SARS CoV 2 infection causes COVID-19, characterized by flu-like symptoms such as cough, fever, odinophagia, gustatory and olfactory changes, which may complicate pneumonia, severe acute respiratory syndrome, sepsis, and thrombotic events. Since march, it has been happening community transmission in Brazil, then several non-essential services were closed and elective procedures postponed.  The temporary legalization of telemedicine proved to be convenient for the COVID-19 pandemic, allowing telemonitoring and teleconsultations, it occurs by Monitora COVID-19 application. OBJECTIVE: this article aims to report the potentialities of this application for development of skills in the postgraduate course in Family and Community medicine in the follow-up of cases of COVID-19. EXPERIENCE REPORT: through the work process in this application, principles of integrality, multidisciplinarity and the person-centered clinical method, so important for family health, were reinforced. The integral follow-up of patients required knowledge of subjectivities, disease, illness and sometimes bonding. The improvement of communicative skills and cultural competence were very important for good relationship and dialogue with the patient in this application. CONCLUSION: this application allowed remote follow-up of patients with flu syndrome, guiding self-care and resolutive referral in severe cases. The role of family and community medicine, its principles and practices are important for improving care practices in this tool. 
简介:SARS冠状病毒2感染导致COVID-19,其特征是流感样症状,如咳嗽、发烧、厌食、味觉和嗅觉改变,这可能使肺炎、严重急性呼吸综合征、败血症和血栓事件复杂化。自3月以来,它一直在巴西发生社区传播,然后关闭了一些非必要的服务,并推迟了选择性程序。远程医疗的暂时合法化为COVID-19大流行提供了便利,可以通过Monitora COVID-19应用程序进行远程监测和远程会诊。目的:本文旨在报告家庭与社区医学研究生课程在COVID-19病例随访中的技能发展潜力。经验报告:通过这次应用的工作过程,完整性原则、多学科原则和以人为本的临床方法对家庭健康非常重要,得到了加强。患者的整体随访需要了解主体性、疾病、疾病,有时还需要联系。在这个应用中,沟通技巧和文化能力的提高对于与患者建立良好的关系和对话非常重要。结论:该应用程序可以实现流感综合征患者的远程随访,指导自我护理和重症患者的果断转诊。家庭和社区医学的作用、其原则和做法对于改善这一工具中的护理做法非常重要。
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引用次数: 0
Knowledge attitude and practices towards chronic kidney disease among type-2 diabetic patients in Bangladesh 孟加拉国2型糖尿病患者对慢性肾病的知识、态度和实践
Pub Date : 2021-06-09 DOI: 10.17267/2594-7907IJHE.V5I1.3004
R. Mondal, R. Ritu, M. Rahman, R. Sarker, Palash Chandra Banik
INTRODUCTION: Having proper knowledge, attitude, and practices (KAP) towards chronic kidney disease (CKD) among type-2 diabetes mellitus (T2DM) patients is very important to reduce the disease burden. However, the information about KAP towards CKD among Bangladeshi T2DM patients is unknown, based on the available literatures till the date. OBJECTIVES: We aimed to assess the KAP towards CKD among T2DM patients attended a selected hospital in Dhaka city. METHODS AND MATERIALS: In this cross-sectional study, we conveniently selected Aalok hospital and also its 224 T2DM patients who attended the outdoor. We excluded the already developed CKD patients and aged over 70 years. We adopted a questionnaire from a validated instrument consisted of a 10 itemed knowledge, 8 itemed attitude, and 7 itemed practice domains towards CKD (total 25 items). Data were collected by face-to-face interviews. Both descriptive and comparative (Independent Sample t-tests and One-way ANOVA tests) statistics were used for data analysis where appropriates. RESULTS: Women respondents were higher (69.6%). The mean age of the respondents was 49.8±11.3 years. Most of them had average level of knowledge (69.6%) and attitude (60.7%). Majority also reported a good hypothetical practices in general if they would find out to have CKD. Knowledge was significantly associated (p<0.05) with sex, level of education, occupation, and income, whereas attitude was with sex, occupation, and income. CONCLUSION: T2DM patients of our study reported mostly average level of knowledge and attitude, and a good hypothetical practices in general towards CKD. Proper health awareness programs are needed to increase the KAP towards CKD among T2DM patients in Bangladesh.
2型糖尿病(T2DM)患者对慢性肾脏疾病(CKD)有正确的认识、态度和实践(KAP)对减轻疾病负担非常重要。然而,根据迄今为止的文献,孟加拉国T2DM患者中KAP对CKD的信息尚不清楚。目的:我们旨在评估在达卡市一家选定的医院就诊的T2DM患者对CKD的KAP。方法与材料:在横断面研究中,我们方便地选择了Aalok医院及其224例户外就诊的T2DM患者。我们排除了已经发展的CKD患者和年龄超过70岁的患者。我们采用了一份由10项知识、8项态度和7项CKD实践组成的问卷(共25项)。数据采用面对面访谈的方式收集。在适当的情况下,使用描述性和比较统计(独立样本t检验和单向方差分析检验)进行数据分析。结果:女性受访者比例较高(69.6%)。受访者平均年龄49.8±11.3岁。知识水平(69.6%)和态度(60.7%)均为中等。大多数人还报告说,如果他们发现患有慢性肾病,通常会有一个良好的假设实践。知识与性别、教育程度、职业、收入显著相关(p<0.05),态度与性别、职业、收入显著相关(p<0.05)。结论:本研究中T2DM患者对CKD的认知和态度大多处于中等水平,总体上有良好的假设实践。孟加拉国需要适当的健康意识项目来提高T2DM患者对CKD的KAP。
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引用次数: 1
Engagement e Burnout na docência no ensino superior na área da saúde: revisão integrativa 卫生领域高等教育教学中的承诺与倦怠:综合综述
Pub Date : 2021-06-09 DOI: 10.17267/2594-7907IJHE.V5I1.3395
L. Meyer, Tamires Elisa Gehr, Letícia Santos Gonçalves, J. Mendes, Débora Maria Vargas Makuch, I. P. S. Zagonel
Teaching in higher education in the health field fits as a professional category intensely exposed to psychosocial stressors. Therefore, the factors linked to engagement and the Burnout Syndrome are constructs that permeate teaching. OBJECTIVE: to investigate the scientific literature on engagement and Burnout Syndrome in teaching in higher education in the health area. The search for studies was carried out in BVS, Web of Science and Science Direct databases; once the inclusion and exclusion criteria were applied, 6 articles resulted. RESULTS: According to the year of publication, 33.3% of the articles were developed in 2017, 33% in 2013 followed by 17% in 2012 and 2011 respectively; when it comes to the results of the selected works, as for BS, the variables age, sex, marital status and teacher extension activities are more frequently; in order for there to be prevention of BS, it is necessary to provide a healthy work environment, where the amplification of policies, procedures and systems designed must be observed, in order to make employees capable of achieving organizational objectives and, concomitantly, achieve satisfaction in their professional occupation. CONCLUSION: Thus, it is concluded that from adequate work environments, incentives for teacher development, healthy labor relations, a favorable structure for teaching practice, and favoring the physical, mental and psychological health of these professionals, the institutions will perceive positive results in the process of teaching and learning.
卫生领域的高等教育教学是一个极易受到社会心理压力的专业类别。因此,与敬业度和倦怠综合症相关的因素是贯穿教学的概念。目的:调查卫生领域高等教育教学敬业度与职业倦怠综合征的相关文献。在BVS、Web of Science和Science Direct数据库中进行研究检索;应用纳入和排除标准后,得到6篇文章。结果:按发表年份划分,2017年、2013年、2012年、2011年分别有33.3%、33%、17%的文章是开发的;从所选作品的结果来看,对于BS而言,年龄、性别、婚姻状况和教师推广活动的变量出现频率更高;为了预防BS,有必要提供一个健康的工作环境,其中必须遵守设计的政策,程序和系统的放大,以使员工能够实现组织目标,同时,在他们的职业生涯中实现满意度。结论:充分的工作环境、对教师发展的激励、健康的劳动关系、有利的教学实践结构、有利于这些专业人员的身心健康,这些因素都会使学校在教与学的过程中产生积极的效果。
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引用次数: 0
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