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Perspectives of Volunteer Firefighters during the COVID-19 Pandemic: Stumbling Blocks and Silver Linings. 2019冠状病毒病大流行期间志愿消防员的视角:绊脚石和一线希望
Pub Date : 2022-12-01 Epub Date: 2022-09-09 DOI: 10.3390/challe13020046
Alice A Gaughan, Laura J Rush, Sarah R MacEwan, Ashish R Panchal, Ann Scheck McAlearney

The COVID-19 pandemic has profoundly affected the lives of almost every individual in every nation, with numbers of infections continuing to grow. Across these nations, first responders are essential in their roles addressing emergencies, despite their risk of exposure to COVID-19 in the course of their work. We sought to understand the impacts of the COVID-19 pandemic on the lives of volunteer firefighters in the United States, an understudied group of these first responders. Interviews were conducted with volunteer firefighters between September and November 2021. Interviews were analyzed using deductive dominant thematic analysis. Thirty-three firefighters were interviewed who had an average of 22 years of service and a mean age of 52 years. Interviewees described pandemic-related challenges including the fear of COVID exposure and frustrations with work and personal relationships. They also identified unexpected work-related benefits including a deepened commitment to serve and improvements to training and safety. Further, some volunteers noted personal benefits such as developing stronger connections with others, having a new outlook on life, and observing goodwill. Our findings provide insight into the multifaceted and complex impact of the COVID-19 pandemic on volunteer firefighters.

COVID-19大流行深刻影响了每个国家几乎每个人的生活,感染人数继续增加。在这些国家,急救人员在处理紧急情况方面发挥着至关重要的作用,尽管他们在工作过程中有接触COVID-19的风险。我们试图了解COVID-19大流行对美国志愿消防员生活的影响,这是一个未被充分研究的第一响应者群体。在2021年9月至11月期间对志愿消防员进行了采访。访谈采用演绎显性主题分析进行分析。33名消防员接受了采访,他们平均服役22年,平均年龄为52岁。受访者描述了与大流行相关的挑战,包括对COVID的恐惧以及对工作和个人关系的沮丧。他们还发现了意想不到的与工作相关的好处,包括加深了对服务的承诺,改善了培训和安全。此外,一些志愿者指出了个人的好处,比如与他人建立了更牢固的联系,对生活有了新的看法,并观察到了善意。我们的研究结果深入了解了COVID-19大流行对志愿消防员的多方面和复杂影响。
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引用次数: 0
The Medical Education Planetary Health Journey: Advancing the Agenda in the Health Professions Requires Eco-Ethical Leadership and Inclusive Collaboration 医学教育地球健康之旅:推进卫生专业议程需要生态伦理领导和包容性合作
Pub Date : 2022-12-01 DOI: 10.3390/challe13020062
M. McLean, Georgia Behrens, Hannah Chase, O. El Omrani, Finola Hackett, Karly Hampshire, Nuzhat Islam, Sarah Hsu, Natasha Sood
Climate change and the declining state of the planet’s ecosystems, due mainly to a global resource-driven economy and the consumptive lifestyles of the wealthy, are impacting the health and well-being of all Earth’s inhabitants. Although ‘planetary health’ was coined in 1980, it was only in the early 2000s that a call came for a paradigm shift in medical education to include the impact of ecosystem destabilization and the increasing prevalence of vector-borne diseases. The medical education response was, however, slow, with the sustainable healthcare and climate change educational agenda driven by passionate academics and clinicians. In response, from about 2016, medical students have taken action, developing much-needed learning outcomes, resources, policies, frameworks, and an institutional audit tool. While the initial medical education focus was climate change and sustainable healthcare, more recently, with wider collaboration and engagement (Indigenous voices, students, other health professions, community), there is now planetary health momentum. This chronological account of the evolution of planetary health in medical education draws on the extant literature and our (an academic, students, and recent graduates) personal experiences and interactions. Advancing this urgent educational agenda, however, requires universities to support inclusive transdisciplinary collaboration among academics, students and communities, many of whom are already champions and eco-ethical leaders, to ensure a just and sustainable future for all of Earth’s inhabitants.
气候变化和地球生态系统状况的恶化,主要是由于全球资源驱动型经济和富人的消费生活方式造成的,正在影响地球上所有居民的健康和福祉。虽然“地球健康”一词于1980年提出,但直到21世纪初才有人呼吁医学教育转变模式,将生态系统不稳定的影响和病媒传播疾病日益流行纳入其中。然而,医学教育的反应是缓慢的,由热情的学者和临床医生推动的可持续医疗保健和气候变化教育议程。作为回应,大约从2016年开始,医学生采取了行动,开发了急需的学习成果、资源、政策、框架和机构审计工具。虽然最初的医学教育重点是气候变化和可持续保健,但最近,随着更广泛的合作和参与(土著声音、学生、其他卫生专业人员、社区),现在出现了全球卫生势头。这个关于医学教育中行星健康演变的时间顺序描述借鉴了现有文献和我们(学者、学生和最近的毕业生)的个人经历和互动。然而,推进这一紧迫的教育议程需要大学支持学术界、学生和社区之间的包容性跨学科合作,其中许多人已经是倡导者和生态伦理领袖,以确保地球所有居民拥有一个公正和可持续的未来。
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引用次数: 1
Tapestry Thinking: An Interview with Dr. Nalini Nadkarni on an Unexpected Life in Science 挂毯思考:采访Nalini Nadkarni博士关于意外的科学生活
Pub Date : 2022-11-19 DOI: 10.3390/challe13020061
A. Logan, N. Nadkarni
In the ongoing series of Nova Interviews, Challenges Advisory Board member Alan C. Logan meets with thought leaders, scientists, scholars, healthcare professionals, artisans and visionaries concerned about health at the scales of persons, places, and the planet. In this interview, Dr. Nalini M. Nadkarni, of the University of Utah, responds to a set of questions posed by Nova for Challenges. For over forty years, Dr. Nadkarni has been studying the fragility and resiliency of rainforest ecosystems. During this time, Dr. Nadkarni has prioritized science communication with an emphasis on highlighting the interdisciplinary relevancy of research findings. Dr. Nadkarni has worked to promote an integrative way of thinking about the various branches of science and medicine, with an eye toward shifting public policy. Her research career has taken her where only a small minority of scientists have traveled—from remote cloud forests to segregated housing within prison facilities. Dr. Nadkarni successfully challenged the Mattel Corporation to update their globally-recognized toy, Barbie, with women in science in mind. Here, Dr. Nadkarni reflects on the early influences that shaped her career, updates Challenges on the latest directions of her work, and discusses the ways in which the canopy ecosystem can help us understand the complex interconnected challenges of our time.
在正在进行的新星访谈系列中,挑战咨询委员会成员Alan C. Logan会见了思想领袖、科学家、学者、医疗保健专业人员、工匠和有远见的人,他们关注人、地方和地球的健康问题。在这次采访中,犹他大学的Nalini M. Nadkarni博士回答了Nova为挑战提出的一系列问题。四十多年来,Nadkarni博士一直在研究雨林生态系统的脆弱性和弹性。在此期间,Nadkarni博士优先考虑科学传播,强调强调研究成果的跨学科相关性。纳德卡尼博士一直致力于推广一种综合思考科学和医学各个分支的方式,并着眼于改变公共政策。纳德卡尼博士成功地挑战了美泰公司(Mattel Corporation),要求其更新全球知名的芭比娃娃(Barbie)玩具,将女性纳入科学领域。在这里,Nadkarni博士回顾了影响她职业生涯的早期因素,更新了她最新工作方向的挑战,并讨论了林冠生态系统如何帮助我们理解我们这个时代复杂的相互关联的挑战。
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引用次数: 2
Emerging Arboviruses of Public Health Concern in Africa: Priorities for Future Research and Control Strategies 非洲公共卫生关注的新出现虫媒病毒:未来研究的重点和控制战略
Pub Date : 2022-11-18 DOI: 10.3390/challe13020060
Y. Tajudeen, H. Oladipo, I. Oladunjoye, Rashidat Onyinoyi Yusuf, Hammed Sodiq, Abass Olawale Omotosho, D. Adesuyi, Sodiq Inaolaji Yusuff, M. El-Sherbini
Arboviruses are most prevalent in tropical and subtropical regions, where arthropods are widespread. The World Health Organization (WHO) estimated that the mortality burden of arbovirus diseases, such as yellow fever in Africa, was 84,000–170,000 severe cases and 29,000–60,000 deaths in 2013. These epidemics emphasize the urgent need for integrated control and prevention of arboviral diseases. Challenges in managing and controlling arboviral diseases in Africa are mainly attributed to poor insect vector control, insecticide resistance, and poor sanitation and solid waste management. The removal or reduction of mosquito populations amongst susceptible individuals is identified as the most effective measure to control many vector-borne diseases. Current public health needs call for efficient vector control programs and maintenance of adequate surveillance systems through the availability of trained personnel and rapid diagnostic facilities, providing an interdisciplinary response to control and mitigate the threats of emerging and re-emerging arboviruses. Furthermore, research priorities should focus on understanding the factors responsible for adaptation to other vectors, determinants of infection and transmission, and the development of high efficiency antiviral molecules or candidate vaccines. Here, we explore and review our current understanding of arboviruses of public health importance in Africa, with a focus on emerging arboviruses, their arthropod vectors, and the epidemiology of major arboviruses. Finally, we appraise the role of planetary health in addressing the threat of arboviruses and identify other priority areas of research for effective control.
虫媒病毒在节肢动物广泛分布的热带和亚热带地区最为流行。据世界卫生组织(世卫组织)估计,2013年,非洲黄热病等虫媒病毒疾病造成的死亡负担为8.4万至17万例严重病例,2.9万至6万人死亡。这些流行病强调迫切需要综合控制和预防虫媒病毒性疾病。非洲在管理和控制虫媒病毒性疾病方面面临的挑战主要是由于病媒控制不力、杀虫剂耐药性以及卫生条件差和固体废物管理不善。消除或减少易感个体中的蚊子种群被确定为控制许多病媒传播疾病的最有效措施。当前的公共卫生需求要求制定有效的病媒控制规划,并通过提供训练有素的人员和快速诊断设施来维持适当的监测系统,提供跨学科应对措施,以控制和减轻新出现和再出现的虫媒病毒的威胁。此外,研究重点应集中于了解导致适应其他媒介的因素、感染和传播的决定因素,以及开发高效抗病毒分子或候选疫苗。在这里,我们探索和回顾我们目前对非洲具有公共卫生重要性的虫媒病毒的理解,重点是新出现的虫媒病毒、它们的节肢动物载体和主要虫媒病毒的流行病学。最后,我们评估了地球卫生在应对虫媒病毒威胁方面的作用,并确定了有效控制的其他优先研究领域。
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引用次数: 4
Challenges in Work and Employment during the COVID-19 Pandemic 2019冠状病毒病大流行期间工作和就业的挑战
Pub Date : 2022-11-14 DOI: 10.3390/challe13020059
S. Kalliola, T. Heiskanen
Since 2019, we have been living and working in close connection with the threat of an infectious disease caused by the SARS-CoV-2 virus [...]
自2019年以来,我们的生活和工作一直与SARS-CoV-2病毒引起的传染病的威胁密切相关。
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引用次数: 0
Education for Human Flourishing—A New Conceptual Framework for Promoting Ecosystemic Wellbeing in Schools 促进人类繁荣的教育——促进学校生态系统福祉的新概念框架
Pub Date : 2022-11-09 DOI: 10.3390/challe13020058
W. Ellyatt
Debates about the true purpose of education have increased globally in recent years, with climate change and the COVID-19 pandemic accelerating interest in the subject. It has become clear that education systems play a vital role not only in shaping the values, mindsets and ethical behaviours that we need for caring and responsible societies, but also in influencing our everyday interactions with the environment. To that end, wellbeing always concerns the triple nature of self, others and the natural world and there is increasing recognition of the need to move from a primary focus on personal happiness and attainment to a more balanced interest in the optimisation of human flourishing within the context of sustainable and regenerative futures. This article introduces the educational work of the Flourish Project, exploring the degree to which schools need to be understood as living systems and the way curricular frameworks, as they currently stand, may be inadvertently contributing to human languishing rather than flourishing. It explains the thinking behind the Flourish Model and describes the way in which the educational aspect of the Flourish Project hopes to contribute not only to the ongoing debate concerning the role of flourishing in education, but also to the growing global interest in the Inner Development Goals (IDGs) as skills and qualities that are vital for purposeful, sustainable, and productive lives.
近年来,关于教育真正目的的辩论在全球范围内有所增加,气候变化和COVID-19大流行加剧了人们对这一主题的兴趣。很明显,教育系统不仅在塑造关怀和负责任的社会所需的价值观、心态和道德行为方面发挥着至关重要的作用,而且在影响我们与环境的日常互动方面也发挥着至关重要的作用。为此,幸福总是关注自我、他人和自然世界的三重本质,人们越来越认识到,有必要从主要关注个人幸福和成就,转向在可持续和可再生未来的背景下优化人类繁荣的更平衡的兴趣。本文介绍了“繁荣项目”的教育工作,探讨了学校需要被理解为生命系统的程度,以及课程框架的方式,正如他们目前所处的那样,可能会无意中导致人类的衰落而不是繁荣。它解释了蓬勃发展模式背后的思想,并描述了蓬勃发展项目的教育方面的方式,希望不仅有助于正在进行的关于蓬勃发展在教育中的作用的辩论,而且有助于全球对内在发展目标(idg)的日益增长的兴趣,因为它是有目的的、可持续的和富有成效的生活的关键技能和品质。
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引用次数: 1
Understanding the Knowledge, Attitudes, and Practices of Healthcare Professionals toward Climate Change and Health in Minnesota 了解明尼苏达州医疗保健专业人员对气候变化和健康的知识、态度和实践
Pub Date : 2022-11-01 DOI: 10.3390/challe13020057
Madison Kircher, Brenna M Doheny, Kristin K. Raab, Emily Onello, Stephanie D. Gingerich, Teddie Potter
Climate change is an urgent public health issue that is impacting health locally and across the world. Healthcare professionals are on the front lines for public health, caring for people affected by climate change; yet few studies have assessed their knowledge and experiences of local climate change effects. The purpose of this study was to improve our understanding of the health impacts of climate change in Minnesota from the perspective of healthcare professionals. An electronic survey was administered by the Minnesota Department of Health (MDH) to a convenience sample of Board-certified nurses and physicians in Minnesota. Seventy-five percent of respondents agreed that climate change is happening, and 60% agreed that it is currently impacting the health of their patients. However, only 21% felt well prepared to discuss climate change, and only 4% discussed climate change with all or most of their patients. Similarly, results from open-ended questions highlighted the importance of climate change and acknowledged the challenges of discussing this topic. While most respondents recognized the health impacts of climate change, they also reported feeling uncomfortable discussing climate change with patients. Thus, there is an opportunity to develop targeted resources to support healthcare professionals in addressing climate change.
气候变化是一个紧迫的公共卫生问题,正在影响当地和世界各地的健康。卫生保健专业人员站在公共卫生的第一线,照顾受气候变化影响的人们;然而,很少有研究评估了他们对当地气候变化影响的知识和经验。本研究的目的是从医疗保健专业人员的角度提高我们对明尼苏达州气候变化对健康影响的理解。明尼苏达州卫生部(MDH)进行了一项电子调查,以方便明尼苏达州委员会认证的护士和医生的样本。75%的受访者认为气候变化正在发生,60%的受访者认为气候变化目前正在影响患者的健康。然而,只有21%的医生认为自己准备好讨论气候变化,只有4%的医生与所有或大部分病人讨论气候变化。同样,开放式问题的结果强调了气候变化的重要性,并承认讨论这一主题的挑战。虽然大多数受访者认识到气候变化对健康的影响,但他们也表示与患者讨论气候变化感到不舒服。因此,有机会开发有针对性的资源,以支持保健专业人员应对气候变化。
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引用次数: 5
Architectural Beauty: Developing a Measurable and Objective Scale 建筑美:发展可测量的客观尺度
Pub Date : 2022-10-29 DOI: 10.3390/challe13020056
A. Lavdas, N. Salingaros
After decades of being ignored, the concept of beauty, as understood by the non-architect, has recently been making a comeback in architecture, not so much in the practice itself, as in appeals for design solutions that are more human-centered and not dictated by abstract principles. Architectural beauty needs to be evaluated from its effects on human health. This study discusses two diagnostic tools for measuring the degree of architectural “beauty” and presents the results of the pilot application of one of them. The goal is to use diagnostic imaging for evaluations. Analytical elements are introduced from disciplines with which practitioners are normally not familiar, such as artificial intelligence, medicine, neuroscience, visual attention and image-processing software, etc. In addition to the diagnostic tools, this paper ties related ideas on objective beauty into a novel synthesis. These results support the idea of a feasible, “objective” way to evaluate what the users will consider as beautiful, and set the stage for an upcoming larger study that will quantitatively correlate the two methods.
在被忽视了几十年之后,美的概念,正如非建筑师所理解的那样,最近在建筑中卷土重来,与其说是在实践本身,不如说在呼吁设计解决方案时更加以人为本,而不是由抽象原则决定的。建筑美需要从对人体健康的影响来评价。本研究讨论了测量建筑“美”程度的两种诊断工具,并介绍了其中一种的试点应用结果。目标是使用诊断成像进行评估。分析元素是从从业者通常不熟悉的学科引入的,如人工智能、医学、神经科学、视觉注意和图像处理软件等。除了诊断工具外,本文还将客观美的相关思想联系到一个新的综合中。这些结果支持了一种可行的、“客观”的方法来评估用户认为什么是美的想法,并为即将进行的更大规模的研究奠定了基础,该研究将定量地将这两种方法联系起来。
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引用次数: 8
Experiences of Relatedness during Enforced Remote Work among Employees in Higher Education 高校员工在强制远程办公中的亲缘关系体验
Pub Date : 2022-10-26 DOI: 10.3390/challe13020055
Annukka Tapani, Merja Sinkkonen, Kirsi Sjöblom, Katrien Vangrieken, Anne Mäkikangas
The aim of this study was to investigate experiences of relatedness among higher education staff during enforced remote work caused by the COVID-19 pandemic. Experiences were investigated both at the earliest stages of enforced remote work (April 2020) and in November/December 2021. Remote work experiences were analysed through the lens of Deci and Ryan’s self-determination theory, especially through the concept of relatedness. Within this framework, relatedness is described as one of three basic psychological needs affecting health, well-being, and productivity. The main research focus includes ascertaining which factors affect experiences of relatedness among employees in higher education at work at the beginning of enforced remote work and at the end of it. The study uses qualitative data collected from Finnish university employees, analysed using theory-driven content analysis. The analysis of the two datasets enabled us to identify three categories of relatedness: (1) interaction among co-workers, (2) feelings of care and (3) experiences of connectedness. The results showed that the experience of relatedness was severely challenged during the enforced work period. In the future, the need for relatedness needs to be addressed more deliberately in multi-locational work conditions because remote work is especially affecting the experiences of relatedness. Positive experiences of relatedness can be achieved even in remote work conditions with deliberate and thought-out actions, for example by developing good remote interaction practices within the team and remote leadership practices that convey care for the employees.
本研究的目的是调查高等教育工作者在COVID-19大流行造成的强制远程工作期间的亲属体验。在强制远程工作的最初阶段(2020年4月)和2021年11月/ 12月对经验进行了调查。通过Deci和Ryan的自我决定理论来分析远程工作经验,特别是通过相关性的概念。在这个框架中,亲缘关系被描述为影响健康、幸福和生产力的三种基本心理需求之一。主要的研究重点包括确定哪些因素影响高等教育员工在强制远程工作开始时和结束时的工作关系体验。该研究使用了从芬兰大学员工中收集的定性数据,并使用理论驱动的内容分析进行了分析。对这两个数据集的分析使我们能够确定三类相关性:(1)同事之间的互动,(2)关心的感觉和(3)联系的经历。结果表明,在强制工作期间,亲缘关系的体验受到严重挑战。今后,需要在多地点工作条件下更慎重地处理对相关性的需求,因为远程工作特别影响到相关性的体验。即使在远程工作条件下,通过深思熟虑和深思熟虑的行动,也可以实现积极的亲缘关系体验,例如,通过在团队内部发展良好的远程互动实践和远程领导实践,传达对员工的关怀。
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引用次数: 5
Patterns of Psychoactive Substance Misuse in Undergraduate University Students: The Case of Mekelle University, Ethiopia 大学生精神活性物质滥用模式:以埃塞俄比亚Mekelle大学为例
Pub Date : 2022-10-25 DOI: 10.3390/challe13020054
Z. H. Kahsay, A. Tesema, Ferehiwot Hailemariam Tesfa, Bisrat Tewelde Gebretsadkan, Welday Hagos Gebretsadik, Maree Hackett
Background: Substance misuse is a public health concern among University students. Understanding the critical times and places for substance misuse among University students helps to inform effective preventive strategies. However, there is a dearth of studies in Ethiopian Universities on this topic. Here, we aimed to explore the patterns of psychoactive substance misuse, specifically about time and places, among undergraduate students at Mekelle University. Subject and Methods: An explorative qualitative study design was conducted in 2017. Five focus-group discussions among substance user students followed by eleven in-depth interviews with the user and non-user students, proctors, and a bar owners were conducted. In addition, four key informant researchers were involved. Participants were purposefully selected. The data were audio taped, transcribed verbatim and imported into Atlas.ti qualitative data analysis software version 7.5 for coding and analysis. Data were analyzed inductively to capture the emerging themes. Results: Our study showed that students consume alcohol in the evenings, on weekend days, holidays, after exams and at celebrations; smoke cigarettes after waking in the morning and after eating lunch. Concurrent substance use like smoking cigarettes, chewing Khat and drinking alcohol was evident. Khat chewing was reported mainly around noon, in the afternoon and on weekends. Substance use generally peaks at weekends, at the start and end of academic semesters, and when graduation approaches. However, students who become addicted may continue using substances. Students easily accessed and used substances around and inside the gates of the campuses. Conclusion: Event-specific celebrations are linked with substance misuse among University students. The ease with which students can access substances around the campuses increases the likelihood of substance misuse. Proactive interventions that include the provision of alcohol-free recreational alternatives to events on campus, high-risk substance misuse surveillance, tobacco cessation interventions, and promoting plain packaging are recommended.
背景:药物滥用是大学生关注的公共卫生问题。了解大学生药物滥用的关键时间和地点有助于制定有效的预防策略。然而,埃塞俄比亚大学缺乏关于这一主题的研究。在这里,我们的目的是探索精神活性物质滥用的模式,特别是时间和地点,在梅克尔大学的本科生中。研究对象与方法:2017年采用探索性质的研究设计。在药物使用者学生中进行了五次焦点小组讨论,随后对使用者和非使用者学生、监考人员和酒吧老板进行了11次深入访谈。此外,四名重要的线人研究人员也参与其中。参与者是有目的地选择的。这些数据被录音,逐字转录并输入Atlas。定性数据分析软件7.5版进行编码和分析。对数据进行归纳分析,以捕捉新出现的主题。结果:我们的研究表明,学生在晚上、周末、假期、考试后和庆祝活动中饮酒;早上醒来后和吃完午饭后吸烟。吸烟、咀嚼阿拉伯茶和饮酒等同时使用的物质很明显。据报道,人们主要在中午、下午和周末咀嚼阿拉伯茶。药物使用通常在周末、学期开始和结束时以及临近毕业时达到高峰。然而,成瘾的学生可能会继续使用物质。学生们很容易在校园大门内外接触和使用物质。结论:特定事件的庆祝活动与大学生滥用药物有关。学生可以在校园内轻易接触到药物,这增加了药物滥用的可能性。建议采取主动干预措施,包括在校园活动之外提供不含酒精的娱乐活动,监测高风险物质滥用,戒烟干预措施和促进平装。
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引用次数: 0
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