国际医药卫生导报最新文献

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Reconstruction of philtrum by strainless suture with symmetrical suture embedding for bilateral complete cleft lip 对称埋线无应变缝合修复双侧完全性唇裂中部重建
国际医药卫生导报 Pub Date : 2017-01-01 DOI: 10.3760/CMA.J.ISSN.1007-1245.2017.01.017
Liu Yulan, Chen Bo, Xiao Liqun
{"title":"Reconstruction of philtrum by strainless suture with symmetrical suture embedding for bilateral complete cleft lip","authors":"Liu Yulan, Chen Bo, Xiao Liqun","doi":"10.3760/CMA.J.ISSN.1007-1245.2017.01.017","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-1245.2017.01.017","url":null,"abstract":"Objective To explore the effect of the reconstruction of philtrum by strainless suture with symmetrical suture embedding for bilateral complete cleft lip. Methods 19 cases of serious bilateral complete cleft lip were randomly selected and underwent the following therapy: arc-shaped cut was designed on the anterior lip operatively; anatomical dissociation were made in the lateral lip’s muscle and were sutured strainlessly by symmetrical suture embedding. The result was observed postoperatively. Results The incisions in all the 19 cases primarily healed. Satisfactory configurations were achieved in the upper lips either during moving or in still and all philtrums had upper-narrow and infra-wide outline with obvious concave and ridge on them in 18 cases. Only 1 elderly patients got poor treatment effect because of too little tissue in anterior lip. Conclusions Strainless suture through symmetrical suture embedding for Serious bilateral complete cleft lip can achieve a satisfactory contour of philtrums but not for the elderly patients with too little tissue in anterior lip. Key words: Serious bilateral complete cleft lip; Cleft lip repair; Strainless suture with symmetrical suture embedding; Reconstruction of philtrum","PeriodicalId":14405,"journal":{"name":"国际医药卫生导报","volume":"23 1","pages":"53-56"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69927393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application values of contrast-enhanced ultrasound versus contrast-enhanced MRI in differential diagnosis of benign and malignant orbital tumors 超声增强与MRI增强在眼眶良恶性肿瘤鉴别诊断中的应用价值
国际医药卫生导报 Pub Date : 2017-01-01 DOI: 10.3760/CMA.J.ISSN.1007-1245.2017.01.033
W. Xiaohong
{"title":"Application values of contrast-enhanced ultrasound versus contrast-enhanced MRI in differential diagnosis of benign and malignant orbital tumors","authors":"W. Xiaohong","doi":"10.3760/CMA.J.ISSN.1007-1245.2017.01.033","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-1245.2017.01.033","url":null,"abstract":"目的 探讨超声造影与增强MRI在眼眶良恶性肿瘤疾病临床鉴别中的应用价值。 方法 选择2014年2月至2016年5月本院接收的符合研究选取标准的73例眼眶肿瘤疾病患者,所有患者分别行增强MRI检查及超声造影检查。以病理检查结果作为金标准,对比两组诊断准确度、特异度及敏感度。 结果 超声造影诊断与病理检查结果相符者60例(82.19%)、增强MRI 59例(80.82%),两组对比差异无统计学意义(χ2=0.045,P>0.05);超声造影诊断特异度(87.67%)高于增强MRI(73.97%),超声造影诊断敏感度(64.38%)低于增强MRI(79.45%),两组数据对比,差异均有统计学意义(χ2=4.419、4.104,P<0.05)。 结论 超声造影及增强MRI在眼眶良恶性肿瘤的鉴别中准确度无显著差异,超声造影诊断敏感度低于增强MRI,但特异度高于增强MRI,临床实际可综合患者病情特征、经济状况等因素联合采用两种诊断方式,为临床治疗方案的制定提供可靠依据。","PeriodicalId":14405,"journal":{"name":"国际医药卫生导报","volume":"258 1","pages":"98-100"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69927094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evidence-based nursing care of percutaneous radiofrequency ablation for primary liver cancer 经皮射频消融治疗原发性肝癌的循证护理
国际医药卫生导报 Pub Date : 2017-01-01 DOI: 10.3760/CMA.J.ISSN.1007-1245.2017.01.041
Song Yueyun, Wu Weijing, Liang Hui-hong
{"title":"Evidence-based nursing care of percutaneous radiofrequency ablation for primary liver cancer","authors":"Song Yueyun, Wu Weijing, Liang Hui-hong","doi":"10.3760/CMA.J.ISSN.1007-1245.2017.01.041","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-1245.2017.01.041","url":null,"abstract":"目的 探讨循证护理在经皮射频消融治疗复发性肝癌的应用效果和体会。 方法 查阅经皮射频消融治疗复发性肝癌的相关文献,根据循证护理的基本程序,制定相应的循证护理方案,评估该方案在护理安全和护理满意度的效果。 结果 新的循证护理方案提高了护士对复发性肝癌射频消融治疗的全面了解,确保了围手术期心理护理、疼痛护理和并发症护理的有效执行,提升了护理工作的安全性,患者对护理工作的满意度达到100.0%。 结论 循证护理方案可以有效提高复发性肝癌射频消融治疗的效果,改善护理的安全性和满意度。","PeriodicalId":14405,"journal":{"name":"国际医药卫生导报","volume":"23 1","pages":"118-119"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69927809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High-quality nursing service in cardiovascular interventional therapy 心血管介入治疗的优质护理服务
国际医药卫生导报 Pub Date : 2017-01-01 DOI: 10.3760/CMA.J.ISSN.1007-1245.2017.01.037
Zhu Jianying, Cheng Suzhen, Xie Ruizhen
{"title":"High-quality nursing service in cardiovascular interventional therapy","authors":"Zhu Jianying, Cheng Suzhen, Xie Ruizhen","doi":"10.3760/CMA.J.ISSN.1007-1245.2017.01.037","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-1245.2017.01.037","url":null,"abstract":"目的 探讨优质护理服务在心血管介入治疗中的应用效果。 方法 选择2015年5月至2016年6月本院100例心血管疾病介入治疗患者作为研究对象,随机将其化分为对照组与观察组。对照组给予常规护理服务,观察组给予优质护理服务。对比两组临床疗效和护理满意度。 结果 观察组治疗总有效率为92.0%,对照组为80.0%,差异有统计学意义(P<0.05);观察组护理满意度为90.0%,对照组为78.0%,差异有统计学意义(P<0.05)。 结论 在心血管介入治疗中纳入优质护理服务,显著提高了患者的临床疗效和护理满意度,值得在临床上推广。","PeriodicalId":14405,"journal":{"name":"国际医药卫生导报","volume":"23 1","pages":"108-110"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69927763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of patient samples in verifying results consistency after biochemistry reagent lot change 患者样品在生化试剂批次变更后检验结果一致性中的应用
国际医药卫生导报 Pub Date : 2014-12-15 DOI: 10.3760/CMA.J.ISSN.1007-1245.2014.24.001
Yunxiu Wang, Haibiao Lin, Ze-min Wan, Weiye Chen, Xiaobin Wu
{"title":"Application of patient samples in verifying results consistency after biochemistry reagent lot change","authors":"Yunxiu Wang, Haibiao Lin, Ze-min Wan, Weiye Chen, Xiaobin Wu","doi":"10.3760/CMA.J.ISSN.1007-1245.2014.24.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-1245.2014.24.001","url":null,"abstract":"Objective To study the role of clinical patient samples in verifying consistency of clinical results between different reagent lots.Methods The results of 5 clinical samples,Roche quality control materials and Biorad quality control materials for 13 clinical routine biochemical tests were obtained by using both old and new reagent lot,and performed the statistics.The bias of 13 measurands were computed after changing reagent lots,and also were judged according to the 1/3 limits of CLIA' 88 defined acceptable error,whether the bias was conform to clinical requirements or not.Results QC material results had no significant difference between two reagent lots (P > 0.05).The results of ALT,UA,TC and ApoA for patient samples had significant difference (P < 0.05),but the bias of these items were within the 1/3 limits of CLIA' 88 defined acceptable error,which were 2.57%,4.41%,1.81% and 3.84% respectively,in accordance with clinical requirement.Conclusions As there is matrix effect of quality control materials,the results for QC materials should not be used to verify the consistency of results for patient samples when changing reagent lots.To overcome this situation,we should use quality control materials together with clinical samples to compare consistency of results after changing reagent lots. \u0000 \u0000Key words: \u0000Lots of reagents;  Clinical samples;  Quality control materials;  Matrix effect","PeriodicalId":14405,"journal":{"name":"国际医药卫生导报","volume":"20 1","pages":"3663-3666"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69927171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
噻托溴铵联合双水平气道正压通气对老年IV级COPD稳定期的疗效分析 噻托溴铵联合双水平气道正压通气对老年IV级COPD稳定期的疗效分析
国际医药卫生导报 Pub Date : 2014-12-15 DOI: 10.3760/CMA.J.ISSN.1007-1245.2014.24.036
冯静, 臧金萍, 陈思
{"title":"噻托溴铵联合双水平气道正压通气对老年IV级COPD稳定期的疗效分析","authors":"冯静, 臧金萍, 陈思","doi":"10.3760/CMA.J.ISSN.1007-1245.2014.24.036","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-1245.2014.24.036","url":null,"abstract":"目的 观察噻托溴铵联合双水平气道正压通气(Bi-level positive airway pressure ventilation,BiPAP)对老年Ⅳ级慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者稳定期治疗的临床疗效.方法 选取确诊为Ⅳ级COPD的78例老年患者进行随访,根据随访期间家庭型无创呼吸机使用情况分为对照组和BiPAP组.对照组37例,BiPAP组41例,对照组仅给予噻托溴铵治疗,BiPAP组给予噻托溴铵联合BiPAP治疗.分析两组患者治疗前及治疗3个月后肺功能检查、动脉血气分析、运动耐力评分及呼吸困难程度分级等数据变化.结果 治疗后两组患者的肺功能检查、动脉血气分析、运动耐力评分及呼吸困难程度分级,均较治疗前有了明显的改善(P<0.05),而且BiPAP组治疗后改善幅度明显大于对照组(P<0.05).结论 噻托溴铵联合BiPAP治疗老年稳定期Ⅳ级COPD患者的疗效明显优于单用噻托溴铵治疗,值得在临床工作中进行推广。","PeriodicalId":14405,"journal":{"name":"国际医药卫生导报","volume":"20 1","pages":"3780-3782"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69927184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
加温湿化经鼻导管正压通气在新生儿呼吸窘迫综合征有创机械通气撤离后的临床应用 加温湿化经鼻导管正压通气在新生儿呼吸窘迫综合征有创机械通气撤离后的临床应用
国际医药卫生导报 Pub Date : 2014-12-15 DOI: 10.3760/CMA.J.ISSN.1007-1245.2014.24.020
缪涛瀚
{"title":"加温湿化经鼻导管正压通气在新生儿呼吸窘迫综合征有创机械通气撤离后的临床应用","authors":"缪涛瀚","doi":"10.3760/CMA.J.ISSN.1007-1245.2014.24.020","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-1245.2014.24.020","url":null,"abstract":"目的 探析新生儿呼吸窘迫综合征有创机械通气撤离后应用加温湿化高流量经鼻导管正压通气疗法的临床效果.方法 选取2012年5月至2013年12月我院收治的新生儿呼吸窘迫综合征患儿70例,按照治疗方法的不同分为观察组和对照组,各35例.观察组进行加温湿化高流量经鼻导管正压通气疗法(HHFNC),对照组进行经鼻持续正压通气疗法(nCPAP).比较两组的拔管成功率、术后并发症及住院费用情况.结果 观察组、对照组的拔管成功率分别为80.0%、77.1%,差异无统计学意义(P>0.05);两组无创通气时间、拔管前FiO2、拔管前平均气道压等呼吸支持参数差异无统计学意义(P>0.05);观察组住院时间显著短于对照组,差异具有统计学意义(P< 0.05);观察组、对照组并发症发生率分别为2.8%、17.1%,差异具有统计学意义(P<0.05).结论 新生儿呼吸窘迫综合征在有创机械通气撤离后应用加温湿化高流量经鼻导管正压通气疗法,可改善撤机后新生儿呼吸困难症状,使拔管成功与nCPAP组相当,但并发症发生率降低,且医疗成本较nCPAP组低,值得临床推广。","PeriodicalId":14405,"journal":{"name":"国际医药卫生导报","volume":"20 1","pages":"3732-3734"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69927366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Refined hospital management improves hospital safety and management-Using Cataract Department of Zhongshan Ophthalmic Center, Sun Yat-sen University's refined management in day-care unit as an example 精细化医院管理提高医院安全和管理水平——以中山大学中山眼科中心白内障科日托病房精细化管理为例
国际医药卫生导报 Pub Date : 2014-12-15 DOI: 10.3760/CMA.J.ISSN.1007-1245.2014.24.003
Jiawei Wang
{"title":"Refined hospital management improves hospital safety and management-Using Cataract Department of Zhongshan Ophthalmic Center, Sun Yat-sen University's refined management in day-care unit as an example","authors":"Jiawei Wang","doi":"10.3760/CMA.J.ISSN.1007-1245.2014.24.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-1245.2014.24.003","url":null,"abstract":"As a modern management concept,refined management has been widely applied to enterprise management,with significant positive results received.This article illustrates the definition and significance of refined management,introduces the practice of refined hospital management in Cataract Department of Zhongshan Ophthalmic Center,Sun Yat-sen University,which leads to shorten hospital stay,simplified registration procedure,lower hospital costs,higher hospital turn-over rate,safe-guard the quality and safety of clinical service,improves hospital' s competiveness,pushes forward hospital reform and development.Refined management,which includes educating and training employees,implementing procedure-oriented management,enhancing data analysis and information system,should be widely applied to each procedure and segment of hospital management to improve overall safety and quality of clinical service. \u0000 \u0000Key words: \u0000Refinement;  Management;  Hospital;  Quality service","PeriodicalId":14405,"journal":{"name":"国际医药卫生导报","volume":"20 1","pages":"3670-3674"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69927218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Research on the influence of Lamaze childbirth method of minus pain combined with head massage on delivery mode of primiparas 拉玛兹无痛分娩结合头部按摩对初产妇分娩方式影响的研究
国际医药卫生导报 Pub Date : 2014-12-15 DOI: 10.3760/CMA.J.ISSN.1007-1245.2014.24.011
Lixuan Zheng, Xiaoan Zhuang, Q. Yang
{"title":"Research on the influence of Lamaze childbirth method of minus pain combined with head massage on delivery mode of primiparas","authors":"Lixuan Zheng, Xiaoan Zhuang, Q. Yang","doi":"10.3760/CMA.J.ISSN.1007-1245.2014.24.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-1245.2014.24.011","url":null,"abstract":"Objective To probe the influence of Lamaze childbirth method of minus pain combined with head massage on primiparas' stage of labor and delivery outcome.Methods According to random and voluntary principle,170 primiparas choosing vaginal delivery were divided into experimental group (Lamaze childbirth method of minus pain) and control group,85 cases in each group.Chi-square test and variance test were used to compare the differences in pain degree during stage of labor,delivery process,delivery mode between two groups.Results There were statistically significant differences in pain degree during stage of labor,first delivery process and total delivery process,delivery mode between two groups (P < 0.01),no statistically significant differences in second and third delivery process (P > 0.05).Conclusion Lamaze childbirth method of minus pain combined with head massage can relieve pain degree,shorten delivery process,reduce pregnancy rate,worthy of clinical application. \u0000 \u0000Key words: \u0000Lamaze childbirth method of minus pain;  Head massage;  Primipara;  Delivery mode","PeriodicalId":14405,"journal":{"name":"国际医药卫生导报","volume":"20 1","pages":"3698-3701"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69927260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The application of tibialis anterior muscle flap combined with stamp skin grafting and vacuum sealing drainage in the treatment of soft-tissue defect and bone exposure after distal tibial fracture 胫骨前肌瓣联合镫骨植皮及真空封闭引流在胫骨远端骨折软组织缺损及骨外露中的应用
国际医药卫生导报 Pub Date : 2014-12-15 DOI: 10.3760/CMA.J.ISSN.1007-1245.2014.24.028
Hao-jun Wu, Hang Chen, Guang-hua Chen
{"title":"The application of tibialis anterior muscle flap combined with stamp skin grafting and vacuum sealing drainage in the treatment of soft-tissue defect and bone exposure after distal tibial fracture","authors":"Hao-jun Wu, Hang Chen, Guang-hua Chen","doi":"10.3760/CMA.J.ISSN.1007-1245.2014.24.028","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-1245.2014.24.028","url":null,"abstract":"Objective To investigate the application effect of tibialis anterior muscle flap combined with stamp skin grafting and vacuum sealing drainage in the treatment of soft-tissue defect and bone exposure after distal tibial fracture.Method 19 cases of soft-tissue defect and bone exposure after distal tibial fracture underwent tibialis anterior muscle flap transfer and vacuum sealing drainage in the first phase,stamp autologous split-thickness skin grafting and vacuum sealing drainage in the second phase.Results Muscle flap and wound granulation grow well in 18 cases after surgery,healed after stamp split-thickness skin grafting.There was 1 case of distal muscle flap necrosis,whose wound healed in the second phase after debridement dressing.Healing time of all patients varied from 10 d to 28 d,with the average of 19.5 d.Follow-up was 1 to 24 months,with the average of 12.5 months.Color,texture,flexibility of skin graft were good,with al 1 fractures healed.Conclusion Tibialis anterior muscle flap combined with stamp split-thickness skin grafting and vacuum sealing drainage is applicable to soft-tissue defect and bone exposure after distal tibial fracture. \u0000 \u0000Key words: \u0000Bone exposure;  Tibialis anterior muscle flap;  Stamp skin grafting;  Vacuum sealing drainage","PeriodicalId":14405,"journal":{"name":"国际医药卫生导报","volume":"20 1","pages":"3758-3760"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69927069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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