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1.
International Journal of Cardiology Congenital Heart Disease ; : 100434, 2022.
Article in English | ScienceDirect | ID: covidwho-2165364

ABSTRACT

Background The COVID-19 pandemic has significantly increased stress and strain on health professionals. With a focus on paediatric cardiac care, this study explored health professionals' concerns about COVID-19, perceptions of the impact of pandemic on healthcare, and experiences of psychological stress. Methods Paediatric health professionals working at a large quaternary hospital in Australia were invited to complete a survey between June 2020 and February 2021. Demographic factors, clinical role characteristics, and anxiety and depressive symptoms were assessed. Qualitative data on experiences and perceived effects of the pandemic on paediatric cardiac care were also collected. Results 228 health professionals (152 nurses, 37 medical doctors, 22 allied and mental health professionals, 17 medical research and administrative staff) participated in the survey (54.4% response rate, 85% women). Half the sample (52.2%) endorsed ‘moderate' to ‘extreme' worry about COVID-19 and 38% of participants perceived healthcare services as adversely impacted by the pandemic to a ‘great' or ‘very great' extent. Almost one in five health professionals reported anxiety (18%) and 11% reported depressive symptoms indicative of a need for clinical intervention. Six themes were identified in the qualitative data: (1) Concern about the consequences of visitor restrictions and disrupted patient services, (2) Intensified strain on healthcare workers, (3) Feelings of fear and loss, (4) Social isolation and disconnection, (5) Adapting to change, and (6) Gratitude. Conclusion Timely, tailored policies, supports, and interventions are needed to address health professionals' mental health needs during and beyond the pandemic, to minimize the far-reaching impact of situational stressors.

2.
Midwifery ; : 103581, 2022.
Article in English | ScienceDirect | ID: covidwho-2165714

ABSTRACT

Objective Mental health issues in the perinatal period are common, and can have negative consequences for maternal and child health. Healthcare professionals (HCPs) who provide women with perinatal care are well-placed to detect mental health issues and provide support. This study therefore examines HCPs experiences and perceptions of providing mental health support during the perinatal period, including during the COVID-19 pandemic. Design An exploratory realist qualitative study was conducted. Setting Republic of Ireland Participants A purposive sampling strategy was employed to recruit HCPs (e.g., general practitioners, midwives, public health nurses, practice nurses, doulas, and breastfeeding counsellors), via professional bodies in Ireland. An invitation to participate was also circulated via Twitter. A total of 18 HCPs participated in semi-structured interviews conducted between 18/8/2020 and 24/5/2021. Measurements and Findings Semi-structured interviews were conducted according to a topic guide designed by a multidisciplinary team. Data were analysed using thematic analysis. Four themes were developed: ‘Supporting women in healthcare settings,' ‘Skills and capacity to provide adequate care,' ‘Structural barriers to care provision,' and ‘The impact of the COVID-19 pandemic on stress support.' Key Conclusions HCPs reported providing emotional support and advocacy, but highlighted challenges, including limited capacity to address women's concerns, clinical culture and hierarchy, insufficient organisational investment, and social inequities in support access. Some HCPs felt these barriers could lead to additional psychological harm. HCPs also reported that the pandemic had introduced novel stressors and changed the nature of the mental health support they provided. Implications for Practice Interventions incorporating education and physical resources for HCPs, increased investment in specialist perinatal mental health services, increased investment in holistic supports, and changes to address cultural challenges in care environments, may facilitate – or enhance – support for women.

3.
The Lancet Regional Health - Southeast Asia ; : 100131, 2022.
Article in English | ScienceDirect | ID: covidwho-2165669

ABSTRACT

Background COVID-19 pandemic imposed a devastating effect on the psychological health of health professionals as they worked nonstop to withstand the hardship of the pandemic. The present study intended to determine the post-traumatic stress disorders (PTSD) and coping strategies among health professionals during the COVID-19 pandemic in Bangladesh. Methods This country-wide cross-sectional study was conducted from July to December 2021 among 1394 health professionals (596 physicians, 713 nurses, 85 medical technologists) who served COVID-19 patients at the secondary, tertiary, and specialized government healthcare facilities in Bangladesh and completed at least one month after exposure to COVID-19 patient-care. Data were collected through face-to-face interviews using a semi-structured questionnaire and analyzed by SPSS software. All the ethical issues were maintained strictly. Findings Most of the participants, 877(62∙9%) [95% CI: 60∙3-65∙5], were female, and 327(23∙5%) [95% CI: 21∙3-25∙8] developed PTSD. Females (AOR:1∙42 [95% CI: 1∙083-1∙868] p=0∙011), having an elderly family member (AOR:1∙515 [95% CI: 1∙173-1∙956] p=0∙0014), working in specialized hospitals (AOR:2∙685 [95% CI: 1∙928-3∙739] p<0∙001), and working ≥8 hours/day (AOR:1∙897 [95% CI: 1∙350-2∙666] p=0∙0002) had higher odds of developing PTSD. Most of the participants adopted spiritual approaches 96(29∙4%) [24∙5-34∙6] and distraction by watching TV/YouTube 59(18∙0%) [14∙0-22∙6] as coping strategies. Interpretation The study findings would be helpful for health policymakers and managers to develop comprehensive measures for restoring the mental well-being of health professionals by alleviating PTSD induced by a pandemic like COVID-19. Funding The study got funding from the Directorate General of Medical Education under the Ministry of Health and Family Welfare, Bangladesh.

5.
JMIR Nurs ; 5(1): e39866, 2022 Nov 14.
Article in English | MEDLINE | ID: covidwho-2154530

ABSTRACT

BACKGROUND: Digital health literacy is the use of information and communication technology to support health and health care. Digital health literacy is becoming increasingly important as individuals continue to seek medical advice from various web-based sources, especially social media, during the pandemics such as COVID-19. OBJECTIVE: The study aimed to assess health professionals' digital health literacy level and associated factors in Southwest Ethiopia in 2021. METHODS: An institution-based cross-sectional study was conducted from January to April 2021 in Ethiopia. Simple random sampling technique was used to select 423 study participants among health professionals. SPSS (version 20) software was used for data entry and analysis. A pretested self-administered questionnaire was used to collect the required data. Multivariable logistic regression was used to examine the association between the digital health literacy skill and associated factors. Significance value was obtained at 95% CI and P<.05. RESULTS: In total, 401 study subjects participated in the study. Overall, 43.6% (n=176) of respondents had high digital health literacy skills. High computer literacy (adjusted odds ratio [AOR] 4.43, 95% CI 2.34-5.67; P=.01); master's degree and above (AOR 3.42, 95% CI 2.31-4.90; P=.02); internet use (AOR 4.00, 95% CI 1.78-4.02; P=.03); perceived ease of use (AOR 2.65, 95% CI 1.35-4.65; P=.04); monthly income of >15,000 Ethiopian birr (>US $283.68; AOR 7.55, 95% CI 6.43-9.44; P<.001); good knowledge of eHealth (AOR 2.22, 95% CI 1.32-4.03; P=.04); favorable attitudes (AOR 3.11, 95% CI 2.11-4.32; P=.04); and perceived usefulness (AOR 3.43, 95% CI 2.43-5.44; P=.02) were variables associated with eHealth literacy level. CONCLUSIONS: In general, less than half of the study participants had a high digital health literacy level. High computer literacy, master's degree and above, frequent internet use, perceived ease to use, income of >15,000 Ethiopian birr (>US $283.68), good knowledge of digital health literacy, favorable attitude, and perceived usefulness were the most determinant factors in the study. Having high computer literacy, frequent use of internet, perceived ease of use, perceived usefulness, favorable attitude, and a high level of education will help to promote a high level of digital health literacy.

6.
Psicología Conductual ; 30(3):709-726, 2022.
Article in English | ProQuest Central | ID: covidwho-2164855

ABSTRACT

El objetivo del estudio fue analizar las características sociolaborales, el estrés percibido, las estrategias de afrontamiento y la sintomatología psicopatológica de profesionales sanitarios y la relación entre ellas, durante la pandemia de Covid-19. Participaron 135 sanitarios (médicos, enfermeros y otros), quienes obtuvieron valores superiores a los datos normativos en las puntuaciones medias de las medidas de estrés percibido, ansiedad fóbica y ansiedad. El grupo de médicos mostró un nivel de ansiedad y somatización más bajo que el grupo formado por otros profesionales sanitarios. Ser profesional médico, tener un menor grado de estrés subjetivo percibido, más afrontamiento activo y menos afrontamiento pasivo eran predictores significativos de la presencia de menos síntomas psicopatológicos. La descripción del perfil del profesional sanitario español con un menor riesgo de mostrar sintomatología psicopatológica puede ser de utilidad para identificar a grupos de sanitarios con mayor vulnerabilidad psicológica. Los hallazgos sugieren factores psicológicos específicos de interés a considerar en las intervenciones destinadas al abordaje de las necesidades de salud mental de esta población en el contexto sanitario generado por la Covid-19.Alternate :The objective of this study was to analyze the socio-occupational features, perceived stress, coping strategies and self-reported psychopathological symptoms of different groups of health professionals and the relationship among these variables during the Covid-19 pandemic. One hundred and thirty-five healthcare workers participated (medical staff, nursing staff and other health professionals), who obtained higher values than the normative data in the mean scores of perceived stress, phobic anxiety, and anxiety measures. The medical staff group showed a lower level of anxiety and somatization than the other group of healthcare professionals. Being a medical professional, having a lower level of perceived subjective stress, a greater proportion of active coping and lesser passive coping were significant predictors of fewer psychopathological symptoms. The description of a health professional profile with a lower risk of showing psychopathological symptoms can help identify healthcare groups with greater psychological vulnerability. The findings suggest specific psychological factors of interest to consider in interventions aimed at addressing the mental health needs of this population in the health context generated by Covid-19.

7.
European Research Journal ; 8(6):851-858, 2022.
Article in English | EMBASE | ID: covidwho-2164414

ABSTRACT

Objectives: Main purpose of this study was evaluating inactive severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) vaccine subsequent anti-S1 IgG feedback and the aspects involved in such reactions for professionals in healthcare (HCP) as the dominant risk group. Method(s): Thirty-six HCPs with previous COVID-19 infection and 164 with no priors, 200 in total, who was working in the Ankara Public Health Molecular Diagnosis Laboratory were included. Main tool of identifying humoral immune response quantifably in serum samples which were obtained 28 days after administering each of two doses of vaccine was Roche Elecsys SARS-CoV-2 kit. Result(s): Average antibody levels of 164 negative HCPs were 15.82 +/- 8.59 IU/mL and 26.042 +/- 10.73 IU/mL while 36 positive HCPs demonstrated antibody responses as 66.083 +/- 33.927 IU/mL and 90 +/- 27.012 IU/mL 28 days after each of two doses of vaccine for both individual groups respectively. A statistically meaningful difference was found in antibody levels after two vaccine doses in both groups (p < 0.0001). The authors observed statistically higher average antibody levels after initial vaccine dosage in HCPs with infection than the antibody levels of naive individuals after second dose (p < 0.0001). Age, gender and vaccination feedback did not have a statistically meaningful disparity (p > 0.05). Conclusion(s): It was concluded that the average antibody level achieved after inital dose n HCPs with COVID-19 infection was surpassing the average antibody level obtained after the second dose in naive HCPs. The authors recommend further clinical researches on antibody levels and the extent of protection to prohibit COVID-19. Copyright © 2022 by Prusa Medical Publishing.

8.
Iranian Journal of Microbiology ; 14(6):778-791, 2022.
Article in English | EMBASE | ID: covidwho-2164402

ABSTRACT

The ongoing 2022 multicountry monkeypox epidemic has drawn worldwide attention. Human monkeypox is a virus that spreads from animals to humans. It is an endemic disease in the rain forests of Central and West Africa. However, the disease recently emerged in India, and also in United States through imported wild rodents from Africa, even though the world is still struggling to escape from the clutches of the COVID-19 pandemic. Monkeypox is one of the contagious zoonotic diseases caused by the monkeypox virus (MPXV), transmitted to humans by direct contact with an infected person or animal or contact with virus-contaminated material. Its lesions are similar to smallpox in humans with various medical complications including flu-like symptoms, fever, malaise, back pain, headache, and a characteristic rash. Public health experts around the world are very concerned about the rapid spread of the infection, which has intensified efforts to find the source and cause of this phenomenon. Several viral infections with epidemic potential threaten global health security. Early recognition of cases and timely intervention of potential transmission chains are necessary to contain further outbreaks. At this early stage of monkeypox outbreaks, the current review provides updated information on the current worldwide monkeypox outbreak status, disease aetiology, clinical presentation, therapy, and preventive measures worldwide. Our review will also provide useful information to health professionals and the general public. Copyright © 2022 The Authors. Published by Tehran University of Medical Sciences.

9.
Int J Environ Res Public Health ; 19(23), 2022.
Article in English | PubMed | ID: covidwho-2163356

ABSTRACT

Healthcare professionals are at higher risk of developing and experiencing burnout. Parents may also suffer from prolonged stressful conditions that lead to physical and emotional exhaustion. Residential youth care workers assume a caregiving role that can lead to persistent stressful conditions that affect their relationship with the youth. In addition, the COVID-19 lockdown has had a negative impact on both the organization and the work, as well as on the lifestyle of workers and minors. In fact, during the pandemic, contact with families was not possible due to restrictions and this increased the need for caregivers to assume a parental role. This research aims to examine the risk of burnout in a sample of 75 healthcare professionals working with youths and the association with psychological traits. Then, we aim to evaluate these aspects during the COVID-19 lockdown The measurements, conducted in both February 2019 and April 2021, included six questionnaires: MBI to assess burnout, TAS_20 to explore alexithymic traits, COPE_NVI to assess coping strategies, FDS_R to quantify frustration intolerance at work, IRI for empathy, and FFMQ to investigate awareness and emotional regulation. Our sample shows a medium-high risk of developing burnout, which worsened during the pandemic. A worsening of emotional skills, paralleled by a greater empathic investment required by the emergency situation, and an assumed parental role is observable. Coping strategies correlate with burnout risk, as avoidance strategies were strongly associated with emotional exhaustion. These findings suggest an urgent need to develop targeted and timely interventions for healthcare professionals in order to prevent long-term consequences.

10.
Economic and Industrial Democracy ; 2022.
Article in English | Web of Science | ID: covidwho-2162113

ABSTRACT

This article revisits the concept of responsible autonomy, analysing the interplay of employee autonomy, management control and trust experienced by knowledge professionals in the UK compelled to work remotely during the coronavirus pandemic. The authors theorise about the tensions and paradoxes of responsible autonomy in the contemporary context of the COVID-19 crisis, drawing on empirical findings gathered in May 2020 and May 2021. Many participants experienced increased autonomy and discretion, but also work intensification and blurred work-life boundaries. Interestingly, many accepted this paradox as a palatable trade-off for the autonomy of being able to work from home, particularly where there was reciprocal trust between employee and manager. Trust is the glue in responsible autonomy, yet exists in tension with intrusive managerial control.

11.
Appl Physiol Nutr Metab ; 2022.
Article in English | Web of Science | ID: covidwho-2161980

ABSTRACT

Physical activity has declined further during the coronavirus disease 2019 (COVID-19) pandemic. Physicians are at the front lines of proactively educating and promoting physical activity to patients;however, physicians do not feel confident and face numerous barriers in prescribing exercise to patients. Exercise referral schemes, comprising collaborations with qualified exercise professionals, represent a fruitful option for supporting physicians hoping to promote physical activity to more patients. Herein, we provide practical suggestions for establishing and creating a successful referral scheme. Ultimately, exercise referral schemes offer an alternative to help physician burnout and mitigate patient physical inactivity during and beyond the COVID-19 pandemic.

12.
2022 29th International Conference on Nuclear Engineering, ICONE 2022 ; 14, 2022.
Article in English | Scopus | ID: covidwho-2161772

ABSTRACT

The development of nuclear energy, technology and applications programmes s creates a continuous need for a global workforce of highly qualified professionals with appropriate nuclear technical and managerial competence. The International Atomic Energy Agency (IAEA) provides the Nuclear Energy Management (NEM) School programme to help the Member States build and train future leaders in managing the national peaceful applications of nuclear science and technology. As the country with the fastest growth of nuclear energy in the world, China has a complete nuclear industrial chain, and the development of nuclear energy enjoys incomparable advantages. China cooperates with IAEA and holds the China-IAEA NEM School to share its experience and contribute its wisdom to the global nuclear energy development, and to personnel training of emerging nuclear energy countries. This paper reports a case study from the China-IAEA NEM School which investigates the joint cultivation and training mode for young professionals who show managerial potentiality and inherent ability for future leadership positions in the field of nuclear energy and technology in IAEA's Member States that plan to develop or are in the process of embarking upon a nuclear power programme. This study explores the school's training system which is reflected in different aspects, i.e. training format, curriculum, and lecturers. A questionnaire survey is also conducted to analyze trainees' evaluation of the school. The research findings are discussed in light of future developments and implications on young future leaders' cultivation and training in the nuclear field in post COVID era. Copyright © 2022 by ASME.

13.
Journal of the American Medical Directors Association ; 2022.
Article in English | ScienceDirect | ID: covidwho-2159177

ABSTRACT

Objectives This study aimed to investigate the risk factors surrounding an increase in both burnout levels and depression amongst healthcare professionals in Taiwan through use of a longitudinal study design. Design This is a 2-year observational study which took place from January 2019 to December 2020. Setting and Participants Data amongst healthcare professionals was extracted from the Overload Health Control System of a tertiary medical center in central Taiwan. Methods Burnout was measured through use of the Chinese version of the Copenhagen Burnout Inventory (C-CBI), while depression was ascertained by the Taiwanese Depression Questionnaire. Each participant provided both burnout and depression measurements during a non-pandemic period (2019), as well as during the COVID pandemic era (2020). Risk factors surrounding an increase in burnout levels and depression were analyzed through a multivariate logistic regression model with adjusting confounding factors. Results Two thousand nineteen (2,019) participants completed the questionnaire over two consecutive years, including 132 visiting doctors, 105 resident doctors, 1,371 nurses and 411 medical technicians. After adjustments, sleeplessness, daily working hours >8, and stress due to one's workload were all found to be risk factors for an increase in depression levels, while sleeplessness, lack of exercise, and stress due to one's workload were all found to be risk factors for an increase in personal burnout level. Being a member of the nursing staff, at a younger age, sleeplessness, and lack of exercise were all risk factors for an increase in work-related burnout levels. Conclusions and Implications Poor sleep, lack of exercise, long working hours and being a member of the nursing staff were risk factors regarding an increase in person burnout level, work-related burnout and depression amongst healthcare professionals. Leaders within the hospital should investigate the working conditions and personal habits of all medical staff regularly and systematically during the COVID-19 pandemic and take any necessary preventive measures, such as improving resilience for nursing staff, in order to best care for their employees.

14.
Clinical Psychology Forum ; - (345):34, 2021.
Article in English | ProQuest Central | ID: covidwho-2157135

ABSTRACT

The Covid-19 pandemic has led to changes in work practices for all mental health professionals. This study explored the experiences of staff working within Child and Adolescent Mental Health Services (CAMHS) in Coventry and Warwickshire, during the outbreak.

15.
Clinical Psychology Forum ; - (337):63, 2021.
Article in English | ProQuest Central | ID: covidwho-2156820

ABSTRACT

With the spread of Covid-19 and the corresponding lockdown, mental health problems in the UK are rising exponentially (The Lancet Infectious Diseases, 2020). So it has become more important than ever to consider and discuss our mental health. Mental health difficulties can happen to anyone from any background. It is like any other illness requiring steps to be taken to attain recovery. We generally hear the viewpoint of mental health professionals who share their experiences of therapy and promote their idea of wellbeing, but the service user voice is often unheard. This paper outlines the author's experiences of mental health problems and treatments. He will then discuss CFT and emphasise the importance of the therapeutic relationship between psychologist and client.

16.
Journal of Allied Health ; 51(4):240, 2022.
Article in English | ProQuest Central | ID: covidwho-2156525
17.
Advances in Human Biology ; 12(2):144-150, 2022.
Article in English | Web of Science | ID: covidwho-2155507

ABSTRACT

Introduction: The most effective preventive measures against COVID-19 among health-care personnel (HCP) are personal protective equipment (PPE) and hand hygiene. The documented side effects of continuous use of mask or PPE are dermatitis, but side effects on the Eustachian tube are untouched areas. The aim of this study was to investigate the Eustachian tube dysfunctions among HCP due to the continuous use of masks. Materials and Methods: This web-based cross-sectional study was conducted among 217 eligible HCP. The sample size was calculated as 97, considering the unknown prevalence of Eustachian tube dysfunctions among HCP (50%), so all HCP were included in the study. A structured questionnaire with close-ended responses was developed to collect study participants' responses. Results: Out of 217 participants, only 207 participants provided their written consent after understanding the study objectives and 206 were included in the analysis as one subject has pre-existing ear disease. The daily hours of mask usage among 52.4% of participants were between 4 and 8 h. About 2.6% of doctors experienced severe pain and pressure in the ear. Eustachian Tube Dysfunction Patient Questionnaire-7 score was significantly higher among females and masked usage of four or more hours (P < 0.05). Conclusion: The present study revealed that 42.3% of participants had Eustachian tube dysfunctions. The study findings might help local administration to provide practical recommendations for medical workers prior head supported masks instead of ear-supported masks, use of ear protectors.

18.
Inclusion ; 10(4):314-326, 2022.
Article in English | Academic Search Complete | ID: covidwho-2154205

ABSTRACT

Direct support professionals (DSPs) and frontline supervisors (FLSs) play an invaluable role in delivering home and community-based services to people with intellectual and developmental disabilities (IDD). DSPs provide support with employment, community living, developing social connections, health and well-being, and many other areas. FLSs' primary responsibility is to provide direction and guidance to DSPs in their work;however, they also frequently provide direct support to people with IDD. This workforce has been in crisis with high turnover and vacancy which threaten the inclusion of individuals with disabilities in their communities. The COVID-19 pandemic exacerbated an already fraught situation. [ FROM AUTHOR]

19.
European Psychiatry ; 65(Supplement 1):S622, 2022.
Article in English | EMBASE | ID: covidwho-2154138

ABSTRACT

Introduction: Occupational burnout has become a pervasive problem in human services. Medical professionals are particularly vulnerable to burnout, which may lead to reduced motivation, medical errors, and voluntary absenteeism. To ensure effect functioning of medical systems, better understanding of burnout among medical professionals is warranted. Objective(s): We aimed to investigate the structural brain correlates of burnout severity among medical professionals. Method(s): Nurses in active service underwent structural magnetic resonance imaging. We assessed their burnout severity using self-reported psychological questionnaires. This study was approved by the Committee on Medical Ethics of Kyoto University and was conducted in accordance with the Code of Ethics of the World Medical Association. Result(s): The results reflected considerable individual differences in burnout severity in our sample. Our findngs revealed that the levels of burnout severity were associated with the regional gray matter volumes in brain areas such as ventromedial prefrontal cortex and insula. Conclusion(s): Since the outbreak of the COVID-19 pandemic, medical professionals have faced even greater stress. We hope that our findings will contribute to a better understanding of the mechanisms of burnout and offer useful insights for developing effective interventions to manage stress and burnout.

20.
European Psychiatry ; 65(Supplement 1):S541-S542, 2022.
Article in English | EMBASE | ID: covidwho-2154108

ABSTRACT

Introduction: The COVID pandemic brought an overwhelming impact on hospital systems and personnel in the world. Objective(s): Our study aimed to examine the impact of the COVID pandemic on the attitude and mental health of healthcare professionals working in COVID departments. Method(s): We included 23 healthcare professionals working in the COVID departments of the Hospitals of Sfax. Sociodemographic data, medical history and COVID related details were collected from the participants. Their mental health was assessed by the Hospital anxiety and depression scale (HADS). Result(s): In our sample, 26.1% were men and 73.9% were women, they were aged from 26 to 52. They worked for 57 hours per week, including 27.38 hours of direct contact with COVID positive patients and 5.43 nightshifts per month. A rate of 52.2% of the participants claimed having enough protection tools and 13% confirmed having enough equipment for patient management. 30.4% feared the lack of equipment and 39.1% considered themselves trained enough to manage COVID patients. As for the protective measures, 95.7% reduced contact with family members, 30.4% stopped visiting their parents, 8.7% left the family house and 4.3% didn't take any particular measure. The mean HADS depression score was 9.61, and 60.86% had a Depression score equal or greater than 8, indicating depression. As for the HADS Anxiety score, its mean was 10.61 and 69.56% had a score equal or greater than 8, indicating anxiety. Conclusion(s): The pandemic had a big impact on healthcare professionals working in COVID departments, as shows the relatively high depression and anxiety rate.

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