• 제목/요약/키워드: Health Policy Budget

검색결과 112건 처리시간 0.034초

보건소(保健所) 행정(行政)의 기선을 위(爲)한 연구(硏究) (A Study on the Administrative Enhancement for Health Center Activities)

  • 문옥륜
    • Journal of Preventive Medicine and Public Health
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    • 제3권1호
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    • pp.97-110
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    • 1970
  • This survey was conducted to evaluate not only the present status of health center directors-their personal histories, their will to private practice in the future, their responses to governmental policies, -but also the distribution of doctorless myons, budget and subsidy, and director's opinions to the enhancement of health center activities. This survey questioned 116 health center directors and 16 health personnel from August to October of 1970 and obtained the following results; 1) The average ages of directors of kun, city, and total health centers were $43.2{\pm}7.8,\;42.1{\pm}7.7,\;and\;42.9{\pm}10.3$ respectively. 2) The average family sizes of directors of kun, city, and total health centers were $5.6{\pm}2.7,\;5.6{\pm}2.1,\;and\;5.6{\pm}2.6$ respectively. 3) Directors holding M. D. degrees were 79.3%, those holding qualified M. D. degrees ('approved director') were 20.7%. 4) M. P. H., M. S., and Ph. D. holders were 6.0%, 6.1%, and 4.3% respectively. 5) The average duration of present directorship in kun and city were 30.2 months and 20.4 months respectively. 6) The majority of directors had been employed in related fields before assuming current position : directorship at other health center 26.7%, army 22.4%, health subcenter 21.6%, private practice 19.0%. 7) Average length of directorship is 41.8 months. Average length of public health career, including health subcenter and present position, is 56.5 months. 8) Both rural and urban experience in health centers for regular directors is 16.3% and for approved directors, 12,5%. A total of 15.5% of all survey directors had experience in both rural and urban health center. 9) A total of 70.7% of health center directorships were staffed by local doctors. 10) Nearly 40% wanted to quit the directorships within 3 years and 60.3% had already experienced private practice. 11) Of the regular directors 17.4% felt strongly about devoting their lives to public health fields, but only 4.1% of the approved approved directors felt so. 12) There wire 432 doctorless myons among 996 respondent myons and 4.5 doctorless myons per kun. 13) The percentage of doctorless myon by Province are as follows, Cholla buk-do 57.2%, Cholla nam-de 55.0%, Kyungsang nam-do 52.0%, Kyungsang buk-do 49.7%, Chungchong but-do 42.4%, Kyonggi-do 32.9%. Cheju-do 30.8%, Kangwon-do 25.8%. 14) Two thirds of health critters have experienced the abscence of the director for a certain period since 1966 and the average span of the abscence was 18.2 months. 15) The percentage of doctorless myons increased proportionally with the span of the director's abscence. 16) The average budgets of health centers, kun, city and ku, were $W15.03\;million{\pm}W4.5\;million,\;W22.03\;million{\pm}W17.80\;million,\;W13.10\;million{\pm}W7.9\;million$ respectively. 17) Chunju city had the highest health budget per capita(W344) while Pusan Seo ku had the lowest(W19). 18) Director's medical subsidies are W30,000-50,000 in kun, and roughly W20,000 in city. 19) The older of priority in health center activities is T.B. control(31.1%), Family Planning and M. C. H.(28.0%), prevention of acute communicable disease and endemic disease (18.2%) and clinical care of patients(14.3%). 20) Nearly 32% opposed in principle the governmental policy of prohibiting medical doctors from going abroad. 21) Suggestions for immediate enhancing the position of director of health centers and subcenters: (1) Raise the base subsidy (48.2%), (2) Provide more opportunities for promotion (20.7%), (3) Exemption from army services(12.1%), (4) Full scholarship to medical students for this purpose only (7.8%). 22) A newly established medical school was opposed by 56.9% of the directors, however 33.6% of them approved. 23) Pertaining to the division of labor in Medicine and Pharmacy, the largest portion (31.9%) urged the immediate partial division of antibiotics and some addictive drugs to be given only by prescription. 24) More than half wanted a W70,000 level for the director's medical subsidies, white 36.2% stated W50,000. 25) Urgently needed skills in the kun are clinical pathologist (38.6%) and doctor (health center director) (25.5%); while in the city nurse (37.1%), doctors(clinical)(31.4%) and health educators(14.4%) are needed. 26) Essential treatment for the better health center administration; raising the base subsidy (22.7%), obtaining the power of personal management (19.3%) and the establishment of a Board of Health (14.3%). etc.

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한방건강증진HUB보건소사업 실태분석 (An Analysis on Actual Condition of Health Promotion Program through Oriental Medicine in Health Center)

  • 조우영;유왕근
    • 대한예방한의학회지
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    • 제10권2호
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    • pp.81-93
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    • 2006
  • This study was carried out to examine the actual condition of health promotion program through oriental medicine in the health center and to provide basic data to develop proper policy of oriental medical health promotion program for the community people. The data were collected from 26 health centers which have been implementing the oriental medical health promotion program, using selfadministered questionnaire for two weeks from 1 October to 15 October 2006. The results are as follows : Generally, the respondents have the positive views on the level of budget and facilities/equipments of the oriental medical health promotion program in health center. However, they have the negative views on the level of manpower and education/training of the program. And also more than 70% of the respondents have the negative opinion on capabilities of formulating and evaluating the oriental medical health promotion program. The respondents indicated that there was the lack of coordination between the oriental medical health promotion program and existing health promotion in health center, and that low rate of utilizing community resources. With regard to the method of selecting the target group for the program, there are differences according to the each program. Many programs tended to select the target group not through the criteria of life-course and illness group but through the efficiency of selecting group. And many programs such as stroke prevention program, constitutional medicine program, oriental medical prenatal program, oriental medical prenatal and postnatal program, oriental medical child care program are mainly composed of the development of educational program and lecture. Regarding the number of the present oriental medical health promotion programs, around 65% of respondents answered that the number of the programs was many and thus they needed to decrease to the proper level. And with regard to the priority of the need, effectiveness and the satisfaction for each programs, on the whole, Qui gong program, stroke prevention program, area-specialty program and oriental medical home visiting program have high score. In particular, oriental medical quit-smoking program has lowest score. From these results, it requires to develop and improve the oriental medical health promotion program in health center considering the need and characteristics of community.

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삶의 질 향상을 위한 강원도 스포츠복지 정책방향 연구 (A Study on the Policy Directions of Sports Welfare in Gangwon Province for Improving Quality of Life)

  • 김흥태;김태동
    • 한국엔터테인먼트산업학회논문지
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    • 제13권8호
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    • pp.411-424
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    • 2019
  • 본 연구는 강원도민의 건강을 통한 삶의 질 향상은 물론 행복하고 즐거운 삶을 영위할 수 있는 실현가능한 스포츠복지 정책방향을 모색하는 것이 목적이다. 연구의 주요내용은 스포츠복지 개념 및 정책동향, 강원도 스포츠강좌이용권 사업 현황, 스포츠복지정책 방향 등 크게 세 부분으로 구성하였다. 스포츠강좌이용권 사업 중심의 강원도 스포츠복지 정책 방향으로는 다음과 같은 방향을 제시하였다. 첫째, 수요자 맞춤형 스포츠복지정책 추진이다. 이를 실현하기 위해, 스포츠강좌이용권 사업 고도화를 추진하여야 한다. 또한 생애주기별 보편적 복지로의 접근 강화 추진을 제안하였다. 둘째, 공공체육시설 활용과 다양한 프로그램 개발을 제안하였다. 강원도내 스포츠강좌이용권 사업 활성화를 위한 공공체육시설을 적극 활용할 것을 제안하였다. 또한 다양하고 차별화된 교육프로그램을 개발·보급하고, 수혜 대상자에게 효과적으로 전달하기 위해, 강원도체육회 또는 강원도 사회복지모금공동회에 「스포츠복지 관련 교육 프로그램」을 개설하고 「스포츠복지 전문가 육성」을 통해 스포츠복지 중요성에 대한 인식의 확산 도모, 「지역 스포츠복지 연구회를 구성하여 적극적인 활동을 지원토록 할 것을 제안하였다. 셋째, 인적자원 육성과 네트워크화이다. 이의 효율적인 추진을 위해, 「스포츠복지사 교육기관 설립」을 설립과 함께 전문가의 시각에서 스포츠복지 진흥 발굴 및 활용을 위한 「스포츠복지 연구·개발」 네트워크 구축 등을 제안하였다. 넷째, 제도 정비 및 지원체계구축이다. 이는 가칭 「강원도 스포츠복지추진위원회」의 구성, 행정지원체계의 일원화를 위해 단기적으로는 보건복지여성국 또는 문화관광체육국내에 가칭 「스포츠복지 사업 지원팀」 신설, 도내 인구학적 특성을 반영한 수요에 대응하여 장기적으로는 가칭 「강원도스포츠복지 지원센터」로 확대할 것을 제안하였다. 또한 강원도 지역 특성에 적합하고 전 도민이 혜택을 부여받을 수 있는 맞춤형 스포츠복지 실현을 위해서는 예산과 인력이 필요하기 때문에 「강원도스포츠복지 진흥 조례」 제정으로 법적 근거를 마련하고, 스포츠 복지진흥의 저변 확대를 목적으로 스포츠강좌이용권 사업을 보완한 가칭 「강원도 스포츠복지 경진대회」 개최를 추진할 것을 제안하였다.

시스템다이내믹스를 이용한 산업재해율 분석 (System Dynamics Modeling for Policy Analysis of Occupational Injuries)

  • 정희태
    • 디지털콘텐츠학회 논문지
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    • 제16권3호
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    • pp.417-424
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    • 2015
  • 산업의 고도화 및 새로운 기계의 도입, 화학물질 사용 등 산업재해의 다양한 양상과 더불어 생산설비들의 자동화, 대형화로 인해 산업재해 발생의 양상이 점차 다양해지고 있다.국내 산업재해는 OECD(Organization for Economic Cooperation and Development) 경제협력개벌기구대비, 상대적 하위수준에 있어 기업 발생 산업재해는 근로자들의 심리적 및 치료와 보상 손실에도 타격이 되어 기업 총 생산과 이윤 추구에도 중요문제가 야기되고 있다. 더불어, 장애자와 사망유족들의 증가로 생활 안정문제 등 사회적 문제도 제기된다. 이러한 동기에서 본 논문은 산업재해 통계와 산재예방사업을 분석하고, 시스템다이내믹스 법론을 이용하여 산업재해율을 예측하고 평가하는 모델을 개발하였다. 모델은 근로자수 모델, 재해자수 모델, 재해율 모델 등 총 12개의 모델로 구성되었고, 규모별 분석에서는 근로자수를 기준으로 12개 그룹으로, 업종별 분석에서는 제조업, 건설업 등 총 10개의 업종으로 구분하여 개발하였다. 개발된 모델을 토대로 업종별 규모별 산업재해율을 예측하고 산재예방사업을 다각도로 평가하는 방법론을 제시하였다.

지방정부의 대기환경예산 지출이 대기오염 정도에 미치는 영향 (The Impact of Local Government's Expenditure on Air Quality in Korea)

  • 권혜연;정창훈;김용표
    • 한국대기환경학회지
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    • 제32권6호
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    • pp.583-592
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    • 2016
  • In this study, we attempt to provide empirical evidence for the effect of the expenditure of the local governments on the air quality management. Based on the statistical data, the concentrations of air pollutants including $PM_{10}$, $O_3$, and $NO_2$ were analyzed in accordance with local characteristics of the local governments' environmental expenditure, demographic characteristics, and economic and human resources between 2008 and 2014. The results showed that government spending is estimated to have insignificant impact on air pollutants concentration. All these results are consistently corroborated from the analysis based on different alternative measure of local governments' expenditure (budget composition and measure of expenditure residuals). Subsequently, this study implies that environmental expenditures of local governments have not been effectively enforced to enhance the air quality of the region in Korea.

Macroeconomic Dynamics of Standard of Living in South Asia

  • Siddiqui, Muhammad Ayub;Mehmood, Zahid
    • 유통과학연구
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    • 제11권7호
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    • pp.5-13
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    • 2013
  • Purpose - The study explores social well-being of the community of five selected countries of the South Asia: India, Pakistan, Sri Lanka, Nepal and Bangladesh. The study compares effectiveness of macroeconomic policies across the countries through interactive effects of the macroeconomic policy variables with the regional dummy variables. Research design, data, and methodology - Using the data set for the period of 1990-2008, this study employs panel data models, quantile regression methods, and the fixed effects method, which the constant is treated as group or country-specific. The model can also be known as the least-squares dummy variables estimator. Results - The results reveal significant chances of improvement in the well-being of the people while living in India and Pakistan as compared to the other countries of the region where India relatively stands with better chances of providing opportunities to improve the well-being of the people. Conclusions - This study recommends an increasing allocation of budget on education and health in order to enhance social well-being in the South Asian region. Inflation is the main cause of deteriorating well-being of the South Asian community by escalating the cost of living. Comprehensive study is recommended by employing the micro data models in the region.

산림공익기능 증진 관련 정책 및 조치에 관한 연구 (Study on Policies and Actions Associated with Promotion of Social and Environmental Benefits of Forest)

  • 최수임;주린원;김기동;김재성;전현선;김재준;박동균
    • 한국산림과학회지
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    • 제99권1호
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    • pp.75-84
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    • 2010
  • 우리나라 산림공익기능 증진 관련 정책 및 조치는 2001년 산림법 체계에서 산림기본법 중심의 기능별 법체계 개편 이후 산림법의 분법화가 본격적으로 진행되면서 새롭게 제정된 법령에 근거하여 다양한 정책이 추진되고 있다. 이러한 정책에는 1970년대부터 수원함양림조성, 사방사업 등 국민들의 일상생활과 크게 밀접하지 않은 수자원 보전기능과 국토보전유지기능이 중요한 산림공익기능 증진 정책으로 지속적으로 추진되고 있다. 특히 최근에는 보건휴양기능, 산림생태계와 동 식물 보전관리의 중요성에 따른 생물다양성보전기능 정책이 활발히 추진되고 있다. 이중 보건휴양기능은 주 5일제의 정착 이후 다양한 산림휴양수요에 적극 대응하기 위하여 예산규모는 적지만 다양한 정책이 추진되고 있는 것이 특징적이다. 이는 보건휴양기능이 국민의 일상생활과 밀접하게 관련되어 있는 기능으로서 짧은 기간에 정부투자의 가시적인 성과와 국민들로부터 높은 호응을 얻을 수 있기 때문으로 판단된다.

직업성 요통환자에서 재활 프로그램(Back School Program) 도입의 비용-편익분석 (Cost-Benefit Analysis of Back School Program for Occupational Low Back Pain Patients)

  • 주영수;하미나;한상환;권호장;조수헌;김창엽;김선민
    • Journal of Preventive Medicine and Public Health
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    • 제29권2호
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    • pp.347-357
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    • 1996
  • Although occupational low back pain accounts for $20\sim40%$ of all occupational illness and injury, there are limited numbers of studies regarding the effectiveness of back school program. The objective of this study was to evaluate the economic benefit of back school program for early return to work of occupational low back pain patients in the current occupational injury compensation and management system. The cost-benefit analysis in this study was conducted to evaluate the relative magnitude of benefit to cost. The total cost was estimated by calculating the value of components in back school program according to governmental budget protocol. The back school program was consisted of three major approaches, pain center, work-hardening program and funcional restoration program and each of components had various facilities and experts. The total amount of cost was estimated as 250,866,220 won per year. The most promising type of back school program were quite intensive (a 3 to 5-week stay in a specialized center), therefore, if we adopted the 5-week stay course, 10 courses could be held in a year. Following to the medical act, 20 patients per doctor could participate in a each course, ie, total 200 patients in a year. As a result, we could estimate the cost of 1,254,331 won a patient. We estimated the benefit by using data of a few local labor offices about average medical treatment beneficiary and off-duty beneficiary of 46 occupational low back pain patients in 1994. Ullman and Larsson (1977) mentioned that the group of chronic low back pain patients who participated in back school program needed less time to recover by 48.4% of beneficiary duration. And in the trying to estimate the benefit, we asked 10 rehabilitation board certificate doctors about reduction proportion of treatment cost by introducing back school program. The answered reduction proportions were in the range of $30\sim45%$, average 39%. As a final result, we could see that the introduction of back school program in treatment of chronic occupational low back pain patients could produce the benefit to cost ratio as 3.90 and 6.28. And we could conclude that the introduction of back school program was beneficial to current occupational injury compensation and management system.

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한국의 보건소 이용률에 영향을 미치는 요인 분석 (Analysis of Factors Influencing the Utilization Rate of Public Health Centers in Korea)

  • 박언아;최성용
    • 한국산학기술학회논문지
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    • 제20권3호
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    • pp.203-215
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    • 2019
  • 본 연구는 전국 보건기관 이용률과 보건기관 이용에 영향을 미치는 요인 중 개인특성과 지역특성변수를 규명하는데 목적이 있다. 자료는 개인특성변수 선정을 위해 2016 지역사회건강조사자료를 이용하였고, 지역특성변수는 국가통계포털과 한국환경공단의 대기환경 연보 자료를 이용하였다. 자료 분석은 독립표본 t-test, 분산분석, 다중로지스틱회귀분석을 이용하였고 보건기관 이용률에 대한 개인특성변수와 지역특성변수를 함께 분석하기 위해 다수준회귀분석을 이용하였다. 연구결과, 전체 보건기관 이용률은 25.54%이고 군, 시, 대도시 순으로 나타났다. 다수준회귀분석 결과, 고령지역, 여자, 높은 연령, 낮은 교육수준과 낮은 소득수준, 걷기 실천자, 영양표시 독해자, 우울감 경험자, 고혈압 진단을 받은 자, 건강검진을 받은 자, 필수 의료서비스 미충족자, 배우자가 있는 자, 기초생활수급권자에서 보건소 이용률이 증가하였다. 반면, 스트레스 인지자, 인구 천명당 보건의료인 수가 전국 평균이상이고 보건복지예산 비중과 재정자주도, 그리고 실업율이 평균 이상으로 높은 지역에서 보건소 이용이 감소하는 것으로 나타났다. 이상의 결과에서 중앙정부와 지자체는 지역보건의료정책 수립시 지역주민의 건강행태와 정신심리적 변수 등 개인특성 뿐 아니라 지역특성 변수들을 포괄적으로 분석하고 동시에 고려하는 것이 필요함을 시사한다.

순회진료사업(巡回診療事業)의 문제점(問題点)과 개선방향(改善方向) (일부(一部) 무의지역에 대(對)한 지역사진단(地域社診斷)을 중심(中心)으로) (A Study on the Mobile Medical Service Program -Based on the Community Diagnosis of a Remote Farm Area-)

  • 박항배;최동욱
    • Journal of Preventive Medicine and Public Health
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    • 제11권1호
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    • pp.86-97
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    • 1978
  • The mobile medical service has been operated for many years by a number of medical schools and hospitals as a most convenient means of medical service delivery to the people residing in such area where the geographical and socioeconomic conditions are not good enough to enjoy modern medical care. Despite of official appraisal showing off simply with numbers of outpatients treated and medical persons participated, however, as well recognized, the capability (in respect of budget, equipment and time) of those mobile medical teams is so limitted that it often discourages the recipients as well as medical participants themselves. In the midst of rising need to secure medical service of good quality to all parts of the country, and of developing concept of primary health care system, authors evaluated the effectiveness of and problems associated with mobile medical servies program through the community diagnosis of a village (Opo-myun, Kwangju-gun) to obtain the information which may be halpful for future improvement. 1. Owing to the nationwide Sae-Maul movement powerfully practiced during last several years, living environment of farm villages generally and remarkably improved including houses, water supply and wastes disposal etc. Neverthless, due to limitations in budget time and lack of knowledge (probably the most important), these improvements tend to keep up appearances only and are far from the goal which may being practical benefit in promoting the health of the community. 2. As a result of intensive population policy led by the government since 1962, there has been considerable advances in understanding and the rate of practicing family planning through out the villages and yet, one should see many things, especially education, to be done. Fifty eight per cent of mothers have not received prenatal check and the care for most (72%) delivery was offered by laymen at home. 3. Approximately seven per cent of the population was reported to have chronic illness but since only a few (practically none) of the people has had physical check up by doctors, the actual prevalence of chronic diseases may reach many times of the reported. The same fact was observed also in prevalence of tuberculosis; the patients registered at local health center totaled 31 comprising only 0.51% while the numbers in two neighboring villages (designated as demonstration area of tuberculosis control and mass examination was done recently) were 3.5 and 4.0% respectively. Prevalence rate of all dieseses and injuries expereinced during one month (July, 1977) was 15.8%. Only one tenth of those patients received treatment by physicians and one fifth was not treated at all. The situation was worse as for the chronic patients; 84% of all cases either have never been treated or discontinued therapy, and the main reasons were known to be financial difficulty and ignorance or indifference. 4. Among the patients treated by our mobile clinic, one third was chronic cases and 45% of all patients, by the opinion of doctors attended, were those who may be treated by specially trained nurses or other paramedics (objects of primary care). Besides, 20% of the cases required professional managements of level beyond the mobile team's capability and in this sense one may conclude that the effectiveness (performance) of present mobile medical team is quite limitted. According to above findings, the authors would like to suggest following for mobile medical service and overall medicare program for the people living in remote country side. 1. Establishment of primary health care system secured with effective communication and evacuation (between villages and local medical center) measures. 2. Nationwide enforcement of medical insurance system. 3. Simple outpatient care which now constitutes the main part of the most mobile medical services should largely be yielded up to primary health care unit of the village and the mobile team itself should be assigned on new and more urgent missions such as mass screening health examination of the villagers, health education with modern and effective audiovisual aids, professional training and consultant services for the primary health care organization.

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