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The Factors Influencing of Professional Consciousness of Long-term Care Workers (요양보호사의 직업의식과 영향요인)

  • Kim, Hyang Soo;Kim, Hee Kyung;Park, Yeon Suk
    • 한국노년학
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    • v.31 no.3
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    • pp.591-606
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    • 2011
  • The purpose of this study was to propose basis data to nursing intervention development in order to raise the professional consciousness of long-term care workers grasping influence factor and professional consciousness. The subjects were about 185 long-term care workers at D megalopolis and 4 cities of 3 provinces from November to December, 2009. The data were analyzed using the SPSS program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression. The correlated factors of professional consciousness included self-efficacy(r=.420, p=.000), sense of the calling(r=.636, p=.000), education training effectiveness(r=.441, p=.000), internal locus control(r=.378, p=.000), and external locus control(r=-.356, p=.000). Factors influencing of professional consciousness of them were to show in order of sense of the calling(B=.329, p=.000), education training effectiveness(B=.250, p=.000), internal locus control(B=.216, p=.000), external locus control (B=-.165, p=.002), consideration and opplicable job choose characteristic(B=.207, p=.004), these variables accounted for 57.5% of the variance of professional consciousness. Further research needs to develop well organized educational program, training of enhancing internal locus control, and clear examination about roles and tasks of long-term care workers. Also, it suggests education and research that can enhance professional consciousness by utilizing these factors.

In Vitro Evaluation of Shear Bond Strengths of Zirconia Cerami with Various Types of Cement after Thermocycling on Bovine Dentin Surface (지르코니아 표면 처리와 시멘트 종류에 따른 치면과의 전단 결합 강도 비교 연구)

  • Cho, Soo-Hyun;Cho, In-Ho;Lee, Jong-Hyuk;Nam, Ki-Young;Kim, Jong-Bae;Hwang, Sang-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.3
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    • pp.249-257
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    • 2007
  • State of problem : The use of zirconium oxide all-ceramic material provides several advantages, including a high flexural strength(>1000MPa) and desirable optical properties, such as shading adaptation to the basic shades and a reduction in the layer thickness. Along with the strength of the materials, the cementation technique is also important to the clinical success of a restoration. Nevertheless, little information is available on the effect of different surface treatments on the bonding of zirconium high-crystalline ceramics and resin luting agents. Purpose : The aim of this study was to test the effects of surface treatments of zirconium on shear bond strengths between bovine teeth and a zirconia ceramic and evaluate differences among cements Material and methods : 54 sound bovine teeth extracted within a 1 months, were used. They were frozen in distilled water. These were rinsed by tap water to confirm that no granulation tissues have left. These were kept refrigerated at $4^{\circ}C$ until tested. Each tooth was placed horizontally at a plastic cylinder (diameter 20mm), and embedded in epoxy resin. Teeth were sectioned with diamond burs to expose dentin and grinded with #600 silicon carbide paper. To make sure there was no enamel left, each was observed under an optical microscope. 54 prefabricated zirconium oxide ceramic copings(Lava, 3M ESPE, USA) were assigned into 3 groups ; control, airborne-abraded with $110{\mu}m$ $Al_2O_3$ and scratched with diamond burs at 4 directions. They were cemented with a seating force of 10 ㎏ per tooth, using resin luting cement(Panavia $F^{(R)}$), resin cement(Superbond $C&B^{(R)}$), and resin modified GI cement(Rely X $Luting^{(R)}$). Those were thermocycled at $5^{\circ}C$ and $55^{\circ}C$ for 5000 cycles with a 30 second dwell time, and then shear bond strength was determined in a universal test machine(Model 4200, Instron Co., Canton, USA). The crosshead speed was 1 mm/min. The result was analyzed with one-way analysis of variance(ANOVA) and the Tukey test at a significance level of P<0.05. Results : Superbond $C&B^{(R)}$ at scratching with diamond burs showed the highest shear bond strength than others (p<.05). For Panavia $F^{(R)}$, groups of scratching and sandblasting showed significantly higher shear bond strength than control group(p<.05). For Rely X $Luting^{(R)}$, only between scratching & control group, significantly different shear bond strength was observed(p<.05). Conclusion : Within the limitation of this study, Superbond $C&B^{(R)}$ showed clinically acceptable shear bond between bovine teeth & zirconia ceramics regardless of surface treatments. For the surface treatment, scratching increased shear bond strength. Increase of shear bond strength by sandblasting with $110{\mu}m$ $Al_2O_3$ was not statistically different.

A Study on the Effect of Cold Application Using a Sponge Bath in Healthy Adults (냉요법 적용방법에 따른 냉요법 효과에 관한 연구-건강한 성인 여성에서 스폰지 목욕방법을 중심으로)

  • Chung, Hyun-Sook;Kang, Kyu-Sook;Hwang, Ae-Ran
    • The Korean Nurse
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    • v.28 no.3
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    • pp.68-82
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    • 1989
  • This study was a quasi-experimental research study to test the characteristics of temperature regulation according to sponge bath methods of cold application. Thirteen volunteers were selected from among nursing college students according to an established criteria using a purposive sampling technique. Four different cold application methods were used: $\circled1$ tepid water sponge bath at $28^{\circ}C$, $\circled2$ 20% alcohol sponge bath at $28^{\circ}C$, $\circled3$ 40% alcohol sponge bath at $28^{\circ}C$ and $\circled4$ tepid water sponge bath at 28$^{\circ}$C plus an ice bag to the head. Changes in rectal temperature, mean skin temperature, mean body temperature, heat content change and thermal discomfort during the cold application were measured at 5 minute intervals over a 120 minute period. The data collection period was from Dec. 20, 1988 to Feb. 3, 1989. The data were analyzed using descriptive statistics, simple regression, ANOVA, Duncan's multiple range test and Pearson correlation coefficient using the SPSS-X Program. The results of the study are summarized as follows. Five general hypothesis were tested. Hypothesis 1 that "Change in heat content will be decreased for each cold application method according to the cold application time" was rejected. (tepid water sponge bath: after 10 minutes of cold application, 20% alcohol sponge bath: after 25 minutes of cold application: 40% alcohol sponge bath: after 45 minutes of cold application, tepid water sponge bath plus an ice bag to the head: after 80 minutes of cold application) Hypothesis 2 that "Thermal discomfort will be changed for each cold application method according to the cold application time" was rejected after 5minutes of cold application. Hypothesis 3 that "Change in heat content will differ among the cold application methods" was accepted except 0~5, 0~10, 0~65, 0~105 and 0~120 minute. This difference showed significance only between sponge bath methods and tepid water sponge bath plus an ice bag to the head. Hypothesis 4 that "Thermal discomfort will differ among the cold application methods" was accepted at 15, 20, 35, 45, 75, 80, 90, 95, 100, 105, 110, 115 and 120 minute of cold application time. This difference showed significance only between sponge bath methods and tepid water sponge bath plus an ice bag to the head. Hypothesis 5 that "The higher the change in heat content, the higher the thermal discomfort during the cold application time" was accepted for between 10~60 and 75 minute of cold application. In conclusion, this study showed that in sponge bath at $28^{\circ}C$, 10~80 minute was a effective cold application time in the view of heat loss through the skin. Concerning the effects of evaporation and thermal discomfort, it was found that there was no difference with regard to the solutions; tepid water sponge bath; 20% alcohol sponge bath or 40% alcohol sponge bath at a $28^{\circ}C$ controlled solution temperature. So it was thought that the type of solution itself did not have a big influence on the heat loss through skin. The combined effect of sponge bath with an ice bag to the head showed a significant difference and also showed a slight increase in thermal discomfort. On the basis of this research it can be concluded that cold application, for example, an ice bag to the head during a tepid water sponge bath is a good method as it increase heat loss through conduction, although fit can also cause a slight increase in thermal discomfort. The correlation between changes in heat content and thermal discomfort were not high. So factors other than change in heat content are considered to have an effect on the cognition of thermal discomfort.

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MICROLEAKAGE AND WATER STABILITY OF RESIN CEMENTS

  • Choi Sun-Young;Lee Sun-Hyung;Yang Jae-Ho;Han Jung-Suk
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.3
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    • pp.369-378
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    • 2003
  • Statement of Problem: Recently, resin cements have become more widely used and have been accepted as prominent luting cements. Current resin cements exhibit less microleakage than conventional luting cements. However, the constant contact with water and exposure to occlusal forces increase microleakage even in resin cements inevitably. Most bonding resins have been modified to contain a hydrophilic resin such as 2-hydroxyethylmethacrylate (HEMA) to overcome some of the problems associated with the hydrophobic nature of bonding resins. By virtue of these modifications, bonding resins absorb a significant amount of water, and there may also be significant stresses at bonding interfaces, which may adversely affect the longevity of restorations. Therefore the reinforcement of water stability of resin cement is indispensable in future study. Purpose: This study was conducted to examine the influence of water retention on microleakage of two resin cements over the period of 6 months. Materials and Methods: 32 extracted human teeth were used to test the microleakage of a single full veneer crown. Two resin cements with different components and adhesive properties - Panavia F (Kuraray Co., Osaka, Japan) and Super-Bond C&B (Sun Medical Co., Kyoto, Japan)- were investigated. The storage medium was the physiological saline solution changed every week for 1 month, 3 months, and 6 months. One group was tested after storage for 1 day. At the end of the each storage period, all specimens were exposed to thermocycling from $5^{\circ}C$ to $55^{\circ}C$ of 500 cycles and chewing simulation of 50,000 cycles, and then stained with 50% silver nitrate solution. The linear penetration of microleakage was measured using a stereoscopic microscope at ${\times}40$ magnification and a digital traveling micrometer with an accuracy of ${\pm}3{\mu}m$. Values were analyzed using two-way ANOVA test, Duncan's multiple range tests (DMRT). Results : Statistically significant difference of microleakage was shown in the 3-month group compared with the1-day or 1-month group in both systems (p<0.05) and there were statistically significant differences in microleakage between the 3-month group and the 6-month group in both systems (p<0.05). The two systems showed different tendency in the course of increased microleakage during 3 months. In Panavia F, microleakage increased slowly throughout the periods. In Super-Bond C&B, there was no significant increase of microleakage for 1 month, but there was statistically significant increase of microleakage for the next 2 months. For the mean microleakage for each period, in the 3-month group, microleakage of Super-Bond C&B was significantly greater than that of Panavia F. On the other hand, in the 6-month group, microleakage of Panavia F was significantly greater than that of Super-Bond C&B (p<0.05). Conclusion: Within the limitation of this study, water retention of two different bonding systems influence microleakage of resin cements. Further studies with the longer observation periods in viro are required in order to investigate water stability and the bonding durability of the resin cement. CLINICAL IMPLICATIONS Microleakage at the Cement-tooth interfaces did not necessarily result in the failure of the crowns. But it is considered to be a major factor influening the longerity of restorations. Further clinical approaches for decreasing the amount of microleakage are required.

Evaluation of Critical Patient Severity Classification System(CPSCS) for neurocritical patients in intensive unit (신경계중환자에게 적용한 중환자 중증도 분류도구 연구)

  • Kim, Hee-Jeonh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5238-5246
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    • 2012
  • This study was done to identify the evaluation of CPSCS for neurocritical patients and provide effective nursing interventions for these patients. Data were collected from medical records of 203 neurocritical patients over 18 years of age who were admitted to the ICU of C University Hospital during the period from January 2008 to May 2009 and from October 2011 to December 2011. Collected data were analyzed through t-test, ANOVA test, Person's correlation analysis, trend analysis, stepwise multiple regression. The average CPSCS score was $112.09{\pm}18.91$ and there was a significant trendency for higher severity to lead to higher CPSCS's scores(survival: J-T:9.795, die: J-T:5.415, p=<.001). The scores of the respective areas follows measurement of vital sign($3.74{\pm}2.15$), monitoring($28.97{\pm}4.31$), activity daily living ($34.99{\pm}3.66$), feeding($.19{\pm}.98$), intravenous infusion ($18.20{\pm}8.27$), treatment/procedure ($16.93{\pm}4.90$), respiratory therapy($8.61{\pm}7.07$). By means of stepwise multiple regression analysis, the intravenous therapy & medication, respiratory therapy, activities of daily living, and monitoring area that contains the model showed a significant (F=2073.963, p<.001), and they explained 98.1% of CPSCS. These findings provide information that is relevant in designing interventions to enhance CPSCS among neurocritical patients in hospital.

Effect of heat treatment of core fabricated by Ni-Cr alloy on marginal and internal fit (열처리가 Ni-Cr 합금으로 제작된 하부구조물의 변연 및 내면 간격에 미치는 영향)

  • Kim, Jae-Hong;Kim, Ki-Baek;Jung, Jae-Kwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.9
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    • pp.244-250
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    • 2017
  • The most important aspect determining the completeness of aprosthesis is itsmarginal and internal fit. Alloysare processed using a softening/hardening heat treatment methodin order to improve their mechanical, physical properties and polishing properties. To examinehow the heat treatment method affects the marginal and internal fit of the Ni-Cr alloy core,thirty dental stone models of the abutment of the mandibular left molar were manufactured.The Ni-Cr alloy coreswere manufactured by the dipping method for the experiment and dividedinto three groups; A for no heat treatment, B for softening heat treatment and C for hardening heat treatment. The marginal and internal fitsof all of the groups were measured by the silicone replica technique. A statistical analysis was performed using one-way ANOVA(${\alpha}=0.05$) in order to examine whether there is a significant difference in the average values of the marginal and internal fits among the three groups and it was found that themarginal fits (1, 6) were significantly different (p<0.05), but the internal fits (2, 3, 4, 5) were not significantly different (p>0.05). These results show that Ni-Cr alloys should not be processed bythe heat treatmentmethod.However, they need to be confirmed in further clinical application studies.

Effects of Physical Activity University Students on Time Perspective in Leisure Constraints and Leisure Flow (신체활동 대학생들의 시간관이 여가제약, 여가몰입에 미치는 영향)

  • Seo, Soo-Jin
    • Journal of Digital Convergence
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    • v.15 no.11
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    • pp.567-579
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    • 2017
  • The purpose of this study was conducted to clarify physical activity university students on time perspective in leisure constraints and leisure flow. To achieve this purpose, subjects of this study were sampled 295 Physical Activity University Students participant using purposeful sampling method for 2 months from May to June of 2017. Using questionnaires stratified cluster random sampling in university students in D city and C city. The analysis method was used t-test, one-way ANOVA, multiple regression analysis, correlation analysis methods in order to solve problems of the study. According to the study Result, First, studies show that female have high levels of leisure constraints than males. Males have higher levels of leisure flow than females. The first grader show high level of individual constraints and past negation were also high. In the series of majors, natural affiliates and humanities are high in the past negation, present destiny, the service major currently high in pleasure and of leisure, autotelic experience of leisure flow. In the rhythmic type of Activity type, the past negation, present destiny and leisure constraints are highly likely to be higher. In the competitive have shown that is high. Second, leisure constraints on students' participation in physical activities have been found to have negative influence on their students. Third, leisure flow have shown that they have a positive effect on past affirmation and present pleasure.

SHEAR BOND STRENGTH OF REPAIRED COMPOSITE RESIN RESTORATIONS (수리된 복합레진 수복물의 전단결합강도 연구)

  • Choi, Soo-young;Jeong, Sun-Wa;Hwang, Yun-Chan;Kim, Sun-Ho;Yun, Chang;Oh, Won-Mann;Hwang, In-Nam
    • Restorative Dentistry and Endodontics
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    • v.27 no.6
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    • pp.569-576
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    • 2002
  • This study was peformed to evaluate the interfacial shear bond strength of base (direct and indirect) and repair composites with aging and surface treatment methods. Direct composite resin specimens ($Charisma^{\circledR}$, Heraeus Kulzer, Germany) were aged for 5 min, 1 hour, 24 hours, and 1 week in $37^{\circ}C$ distilled water before surface treatment, and then divided into five groups Group 1, grinding; Group 2, grinding and application of bonding agent, Group 3, grinding, etching with 37% phosphoric acid for 30sec, and application of bonding agent, Group 4, grinding, etching with 37% phosphoric acid for 30sec, silane treatment, and application of bonding agent ; Group 5, grinding, etching with 4% hydrofluoric acid for 30sec. silane treatment, and application of bonding agent. Indirect composite resin specimens ($Artglass^{\circledR}$, Heraeus Kulzer, Germany) were aged for 1 week in $37^{\circ}C$ distilled water and divided into seven groups Group 1 - Group 5, equal to Charisma specimens; Group 6, grinding, etching with 37% phosphoric acid for 60sec, silane treatment, and application of bonding agent; Group7, grinding, etching with 4% hydrofluoric acid for 60 sec, silane treatment, and application of bond-ing agent. The repair material($Charisma^{\circledR}$) was then added on the center of the surface (5 mm in diameter. 5 mm in height). The shear bond strength was tested and the data was analyzed using one-way ANOVA and the Student- Newman-Keuls test. The following conclusions were drawn. 1 The shear bond strength of $Charisma^{\circledR}$ specimens aged for 1 hour was significantly higher in Group 2 and Group 5 than in Group 1 (p<0.05), and that of $Charisma^{\circledR}$ specimens aged for 1 week was signifi-cantly higher in Group 3 and Group 5 than in Group 1 (p<0.05). No significant difference was found in the bond strength of specimens aged for 5 min and 24 hours. 2. In Group 2 of the $Charisma^{\circledR}$ specimens, there was significant difference between the bond strength of 24 hours and that of 1 week (p<0.05). 3. In Group 4 of the $Charisma^{\circledR}$ specimens, the shear bond strength of specimens aged for 24 hours was significantly higher than the others(p<0.05) 4. There was no significant difference between the shear bond strength of the $Artglass^{\circledR}$ specimens, 5. Most of the $Charisma^{\circledR}$ specimens showed cohesive fractures. Artglass^{\circledR}$ specimens that were etched with acid (phosphoric or hydrofluoric) for 30 sec showed more cohesive fractures.

Evaluation of New LED Curing Light on Resin Composite Polymerization (발광 다이오드 광중합기의 복합레진 중합 평가)

  • Kang, Jieun;Jun, Saeromi;Kim, Jongbin;Kim, Jongsoo;Yoo, Seunghoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.2
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    • pp.152-156
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    • 2014
  • The purpose of this study is to compare efficiency of broad spectrum LEDs ($VALO^{(R)}$, Ultradent, USA) with conventional LED curing lights ($Elipar^{TM}$ Freelight 2, 3M ESPE, USA) using a microhardness test. The light curing units used were $VALO^{(R)}$ in three different modes and $Elipar^{TM}$ Freelight 2. The exposure time was used according to the manufacturer's instructions. After cured resin specimens were stored in physiological saline at $37^{\circ}C$ for 24 hours, microhardness was measured using Vickers microhardness tester. The microhardness of upper and lower sides of the specimens were analyzed separately by the ANOVA method (Analysis of Variance) with a significance level set at 5%. At upper side of resin specimens, an increased microhardness was observed in the broad spectrum LED curing light unit with a high power mode for 4 seconds and plasma emulation mode for 20 seconds (p < 0.05). However, at the lower side of resin specimens, there were no significant differences in microhardness between broad spectrum LED curing light unit and conventional LED curing light unit.

Shear Bond Strength between Veneered Ceramics and Core Materials for Esthetic Restorations (심미보철용 코어재료와 베니어 세라믹 계면의 전단결합강도 비교)

  • Kim, Ki-Won;Park, Hang-Min;Chung, In-Sung
    • Journal of Technologic Dentistry
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    • v.31 no.2
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    • pp.45-52
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    • 2009
  • Esthetic restorations have been widely used in dental practice, although many studies have focused on the development and improvement of all ceramic restorations. The success of esthetic restorations depends primarily on an optimal bond strength between various veneered ceramics and core materials for esthetic restorations. The purpose of this study was to compare the shear bond strength between various veneered ceramics and core materials for esthetic restorations. 30 metal cores and 20 zirconia cores were fabricated and divided into five groups according to veneered ceramic materials such as Creation porcelain powder, Cercon Ceram Kiss, and IPS e.max ZirPress. Thirty spacimens were prepared using Creation porcelain powder, veneered 3mm height and 3mm in diameter, over the metal cores (n=10). Twenty specimens were prepared using Cercon Ceram Kiss and Zirpress, veneered 3mm height and 3mm in diameter, over the zirconia cores (n=10). The shear bond strength test was performed in a universal testing machine with a crosshead speed of 1mm/min. Ultimate shear bond strength data were analyzed with One-way ANOVA and the Scheffe's test (p=.05). Within the limits of this study, the following conclusions were drawn: The mean shear bond strengths (MPa) were: 18.44 for Uni metal VH/Creation (NCUC); 18.72 for Heraenium/Creation (NCHC); 16.23 for Wirobond C/Creation (NCWC); 13.88 for Zirconia core/$110{\mu}m$ $Al_2O_3$ sandblasting/Cercon Ceram Kiss (ZS110P); 14.61 for Zirconia core/No surface treatment/IPS e.max ZirPress (ZNTH). The mean shear bond strength for NCUC (Uni metal VH/Creation), NCHC (Heraenium/Creation) and NCWC (Wirobond C/Creation) were significantly superior to ZS110P (Zirconia core/$110{\mu}m$ $Al_2O_3$ sandblasting/Cercon Ceram Kiss) and ZNTH(Zirconia core/No surface treatment/IPS e.max ZirPress) (p<0.05).

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