Introduction:Health literacy is among the most critical factors affecting breast cancer survival.... more Introduction:Health literacy is among the most critical factors affecting breast cancer survival. This study was designed and implemented with the aim of determining the level of health literacy and its predictors in women with breast cancer referring to university teaching hospitals and Javadolaeme Clinic in Kerman in 2021. Methods: This cross-sectional study was conducted on women with breast cancer referred to university teaching hospitals and Javadolaeme Clinic in Kerman city in 2021. To collect data, a self-administered questionnaire including the demographic profile of the patients, and the valid and reliable Persian version of the health literacy of Iranian women with breast cancer (HELBA: Health Literacy of Breast Cancer for Adults) was used. The questionnaire was entered into SPSS version 20 software and analyzed. Results: In this study, nearly 15.3% of participants had low health literacy. According to the univariate logistic regression model, the health literacy level of...
Cancer is a critical health threat in the world. It has an ongoing increasing trend.The aim of th... more Cancer is a critical health threat in the world. It has an ongoing increasing trend.The aim of this study was to describe the trend, most common types of cancer and the gender ratio of cancer in Iran and its provinces. We searched PubMed, Google Scholar, Scopus, and Science directs from 2000 to 2017 using Keywords including “Cancer”, “Neoplasms”, “Malignancy”, “Tumor”, “Incidence”, “Epidemiology”, and “Iran”.The most common cancers of Iranian men were skin, stomach, bladder, prostate and colorectal cancers, respectively. The most common cancers of Iranian women were breast, skin, colorectal, stomach, and esophagus cancers, respectively. Cancer has an increasing trend in Iran. Cancer has more burden in the Northern and Northwest provinces of Iran. There was a notable diversity between the occurrences of different types of cancer between different provinces of Iran. Men were more predisposed to cancer. Iran experienced an increasing trend of cancer, like other countries. Different pro...
Introduction: Internet addiction is a global phenomenon with an increasing trend in university st... more Introduction: Internet addiction is a global phenomenon with an increasing trend in university students. The aim of this study was to investigate the frequency and factors affecting internet addiction in externship and internship medical students of Kerman University of Medical Sciences in 2018. Methods: This cross-sectional study was carried out on externship and internship medical students of Kerman University of Medical Sciences in 2018 during a 6-month period using convenience sampling method. In this study, the valid and reliable self-administered questionnaire of “Kimberly-Young internet addiction questionnaire” was used to collect the research data. The attainable scores in this questionnaire range from 20 to 100, so that higher scores show greater dependence on the Internet. Data were analyzed by SPSS version 20 using the Chi-square test. A significant level was set at lower than 0.05. Results: Among the participants, 46 participants (18.4%) were normal users, 127 (50.8%) w...
Subject: The aim of this research is to study the effects of low dose aspirin on preventing any a... more Subject: The aim of this research is to study the effects of low dose aspirin on preventing any adverse pregnancy outcome in women with aneuploidy abnormal screening tests in second quarter and to compare the effects of aspirin on normal and abnormal Doppler. Method: This clinical trial study was performed on pregnant women with abnormal aneuploidy screening tests and normal Karyotype at the gestational age 15-18 week. It consists of 83 persons in aspirin receiving group and 84 persons in control group. Doppler ultrasound was simultaneously done on them to survey the Doppler results. Any adverse pregnancy outcome (APO) was compared between two groups. Results: The frequency of APO was 32.8% in aspirin receiving group and 41.7% in control group (p=o.o14, RR=0.438). The frequency of preterm delivery before 37 th week in the group receiving aspirin with normal Doppler was 8.07% and in the control group was 32.7% (P=0.025). The frequency of NICU reception with normal Doppler was 5.8% in...
Background and Objective : We conducted a qualitative study to evaluate oncology and chemotherapy... more Background and Objective : We conducted a qualitative study to evaluate oncology and chemotherapy ward nurses’ perspectives concerning cytotoxic waste collection and disposal in Shiraz Medical University Hospitals and Clinics. Methods: Thematic analysis using the Grounded Theory approach was used on qualitative data collected during individual semi-structured interviews. Sixteen nursing staff experienced in chemotherapy services was each interviewed for 30–45 minutes. Interviews covered items from participant experiences and perceptions concerning obstacles to correct collection and disposal. Results: Two main barriers, individual and organizational, were identified. Conclusion: We found barriers to proper management of cytotoxic waste were a combination of individual and organizational factors. We propose the creation of a comprehensive training program coveringthe management and handling of cytotoxic waste for all healthcare workers and managers and development of a compliance sur...
Background : Exercise can play an important role in preventing chronic diseases. Given the key ro... more Background : Exercise can play an important role in preventing chronic diseases. Given the key role of medical students on public health behaviors, the aim of the present study was to assess physical activity and factors influencing it in medical students of Kerman University of Medical Sciences. Methods: The present cross-sectional study was conducted on 600 medical students of Kerman University of Medical Sciences, using census method, over a six-month period. The valid and reliable self-administrate international physical activity questionnaire was used. Relevant data were fed into IBM SPSS Statistics for Windows, Version 20.0. The data were analyzed using chi-square test, ANOVA and multinomial logistic regression. Results: The level of physical activity was low in 275 (53.1%), moderate in 187 (36%), and vigorous in 57 (10.9%) of the participants. Students whose mothers or fathers had freelance jobs were 0.38 ( P =0.005) or 0.54 ( P =0.033) times less likely to have moderate phys...
International Journal of Child Health and Nutrition, 2021
Background and Objective: Evaluation of the severity of pain in children can help the medical tea... more Background and Objective: Evaluation of the severity of pain in children can help the medical team diagnose the type of disease. In this study, anxiety and pain intensity in children were examined based on self-report. Materials and Methods: This cross-sectional study was performed in 2018 on 300 children aged 3 to 12 years, referring to outpatient treatment centres in Kerman. To measure the severity of pain felt by children, FPS-R was used. The level declared by children was evaluated by the pain intensity estimated by parents and doctors using a visual analogue scale (VAS) and the standard FLACC (Face, Legs, Activity, Cry, Consolability scale) for correlation. The data were analysed using SPSS software version 25. Results: The pain reported by children was obtained by VAS (4.16 ± 3.49), and the estimated pain by the doctor was obtained by FPS-R (2.87±1.68). The pain severity estimated by the doctor using FLACC had the highest correlation with the pain estimated by the doctor using...
Objective: This study was conducted aimed to compare the growth indices in 2 years old children w... more Objective: This study was conducted aimed to compare the growth indices in 2 years old children with a history of low birth weight with normal birth weight children. Methods: Current retrospective cohort study on all two-year children with low birth weight and three times the normal weight children covered by health centers of Kahnooj, was conducted in 2015. Cares at birth, 1, 2, 4, 6, 7, 9, 12, 15, 18 and 24 months of age were studied and, child growth indices (weight, height, head circumference), along with some demographic variables were studied. Information were entered SPSS version 20 and the analysis was performed. Results: There were significant differences in children's growth of both groups in all periods of care. Despite the same slope, growth pattern in children showed a significant difference. Young mother, girl sex of baby and preterm birth are predictor factors of low birth weight. Conclusion: Trends and growth patterns of weight, height and head circumference in u...
Background: Nowadays, self-medication of therapeutic agents is of global concern particularly in ... more Background: Nowadays, self-medication of therapeutic agents is of global concern particularly in developing and underdeveloped countries. Some studies conducted in Iran showed that the frequency of self-medication was significant. Objective: This research was conducted to estimate the prevalence of arbitrary use of antibiotics in Shiraz community with special interest in its determinant factors. Methods: This cross-sectional study was conducted in Shiraz, in 2009. Approximately 710 out of all patients referred to all health care centers in Shiraz were selected to fill out a questionnaire containing 23 questions divided into two parts. The frequency of self-medication according to demographic factors was described and the association between independent variables and selfmedication was analyzed. Results: The frequency of self-medication in this study was 44.5% and the request to prescribe antibiotics by the patients was 53.5%. Amoxicillin was the most widely used drug by the particip...
Background and purpose: Healthy lifestyle is an important factor in prevention of chronic disease... more Background and purpose: Healthy lifestyle is an important factor in prevention of chronic diseases. The health of medical students is highly influential due to their fundamental role in every health system. In this study, the health-promoting lifestyle and its determinants were evaluated in medical, dental, and pharmacy students. Materials and methods: This cross-sectional study was conducted in 650 students using stratified sampling in Kerman, Iran 2016. The health-promoting lifestyle profile (HPLP-II) was used and data was analyzed applying univariate and multivariate linear regression analysis in SPSS. Results: The mean score for health-promoting lifestyle was 104.93±22.9 which had no significant relationship with gender, marital status, living condition, and the education levels. There was a significant association between the field of study and the mean score for health-promoting lifestyle, nutrition, spiritual growth, interpersonal relationship, and stress management (P<0.0...
The co-occurrence of different types of hemo-lymphopoietic malignancies within a family provides ... more The co-occurrence of different types of hemo-lymphopoietic malignancies within a family provides clues about the pattern of inheritance and common environmental risk factors. A family presented with developing hemo-lymphopoietic cancers in three female first-degree relatives: a mother and her daughters. Case 1 was diagnosed with Walden Strom's macroglobulinemia at age 57. Case 2 and 3 presented with chronic myelogenous leukemia at age 32 and diffuse large B-cell lymphoma at age 28, respectively. There were not any significant common environmental risk factors in this family, but all three cases suffered from skin dermatitis and one of them, who suffered from chronic myelogenous leukemia, was diagnosed with morphea. This family had a sedentary and stressful lifestyle. Genetic is the foundation of some familial aggregation of cancers. Common lifestyle habits and environmental etiologies are important. Morphea as an autoimmune disease could have the essential role in developing hem...
Motor vehicle accidents can occur as a result of improper driver behavior. There needs to be a co... more Motor vehicle accidents can occur as a result of improper driver behavior. There needs to be a comprehensive collection of information concerning driver behavior and its predisposing factors. Study participants (500 males and 500 females ≥18 years old) living in Shiraz, Iran, were selected using a multistage sampling methodology. Data came from questionnaires completed using a face-to-face interview process. Independent variables such as age, gender, marital status, occupation, educational level, socioeconomic status (SES), and history of smoking and stress levels were compared to the dependent variables using a private automobile, public transportation, or motorcycle, wearing a seat belts, wearing safety helmets, and obeying the speed limit. Statistical significance was set at a P value of .05 or less. In general, female, better educated persons, and those with higher SES reported better driving behaviors. Better drivers also did not use tobacco or hookah. Compliance with driving safety factors was disappointing 49.8 percent always wore a seat belt, 22.4 percent always wore a safety helmet (29.4% never wore a helmet), and 49.4 percent always observed the speed limit. There is a need to improve driver safety compliance in Shiraz, Iran. One factor that can be addressed concerns regulation of male drivers, especially among lower SES groups.
Background: Measuring healthcare workers’ (HCWs) knowledge, attitudes, and practices (KAPs) regar... more Background: Measuring healthcare workers’ (HCWs) knowledge, attitudes, and practices (KAPs) regarding isolation precaution is essential for infection control which needs a valid and reliable instrument. Objectives: This study aimed to assess differential item functioning (DIF) across gender and major for the knowledge and practice items of the questionnaire, previously designed in Shiraz, Iran. Methods: This cross-sectional survey was conducted on 1070 participants (males/females: 306/764; medical students/nurses: 466/624). The study instrument had three subscales with nine questions for each KAP subscale. The Mantel-Haenszel (MH) statistic was used. The DIF and differential test functioning (DTF) analyses were also performed in this study. Results: There were very similar DIF outcomes for the knowledge and practice subscales, with one or two items indicating moderate DIF but comparable total scores across genders. Across majors, several items showed large DIF for both subscales. It...
Summary Introduction Today mental disorders are important concerns of health care system in all c... more Summary Introduction Today mental disorders are important concerns of health care system in all countries. Among different mental disorders; depression, anxiety, and somatization are more frequent. This manuscript was conducted to evaluate the frequency of somatization symptoms, its related factors and the correlation between somatization symptoms and anxiety and depression disorders in Iranian population. Methods The cross-sectional study was conducted in Kerman, Iran, 2017. Participants were selected from patients who referred to the Clinics of Educational Hospitals using convenience sampling method. The PHQ-15 and HADS questionnaire were used to assess the somatization and depression and anxiety, respectively. The univariate and multivariate logistic regression was used to determine the predictive factors of somatization symptoms. The correlations between each PHQ-15 item score and anxiety and depression score were expressed. Results The frequency of mild, moderate and severe lev...
Introduction:Health literacy is among the most critical factors affecting breast cancer survival.... more Introduction:Health literacy is among the most critical factors affecting breast cancer survival. This study was designed and implemented with the aim of determining the level of health literacy and its predictors in women with breast cancer referring to university teaching hospitals and Javadolaeme Clinic in Kerman in 2021. Methods: This cross-sectional study was conducted on women with breast cancer referred to university teaching hospitals and Javadolaeme Clinic in Kerman city in 2021. To collect data, a self-administered questionnaire including the demographic profile of the patients, and the valid and reliable Persian version of the health literacy of Iranian women with breast cancer (HELBA: Health Literacy of Breast Cancer for Adults) was used. The questionnaire was entered into SPSS version 20 software and analyzed. Results: In this study, nearly 15.3% of participants had low health literacy. According to the univariate logistic regression model, the health literacy level of...
Cancer is a critical health threat in the world. It has an ongoing increasing trend.The aim of th... more Cancer is a critical health threat in the world. It has an ongoing increasing trend.The aim of this study was to describe the trend, most common types of cancer and the gender ratio of cancer in Iran and its provinces. We searched PubMed, Google Scholar, Scopus, and Science directs from 2000 to 2017 using Keywords including “Cancer”, “Neoplasms”, “Malignancy”, “Tumor”, “Incidence”, “Epidemiology”, and “Iran”.The most common cancers of Iranian men were skin, stomach, bladder, prostate and colorectal cancers, respectively. The most common cancers of Iranian women were breast, skin, colorectal, stomach, and esophagus cancers, respectively. Cancer has an increasing trend in Iran. Cancer has more burden in the Northern and Northwest provinces of Iran. There was a notable diversity between the occurrences of different types of cancer between different provinces of Iran. Men were more predisposed to cancer. Iran experienced an increasing trend of cancer, like other countries. Different pro...
Introduction: Internet addiction is a global phenomenon with an increasing trend in university st... more Introduction: Internet addiction is a global phenomenon with an increasing trend in university students. The aim of this study was to investigate the frequency and factors affecting internet addiction in externship and internship medical students of Kerman University of Medical Sciences in 2018. Methods: This cross-sectional study was carried out on externship and internship medical students of Kerman University of Medical Sciences in 2018 during a 6-month period using convenience sampling method. In this study, the valid and reliable self-administered questionnaire of “Kimberly-Young internet addiction questionnaire” was used to collect the research data. The attainable scores in this questionnaire range from 20 to 100, so that higher scores show greater dependence on the Internet. Data were analyzed by SPSS version 20 using the Chi-square test. A significant level was set at lower than 0.05. Results: Among the participants, 46 participants (18.4%) were normal users, 127 (50.8%) w...
Subject: The aim of this research is to study the effects of low dose aspirin on preventing any a... more Subject: The aim of this research is to study the effects of low dose aspirin on preventing any adverse pregnancy outcome in women with aneuploidy abnormal screening tests in second quarter and to compare the effects of aspirin on normal and abnormal Doppler. Method: This clinical trial study was performed on pregnant women with abnormal aneuploidy screening tests and normal Karyotype at the gestational age 15-18 week. It consists of 83 persons in aspirin receiving group and 84 persons in control group. Doppler ultrasound was simultaneously done on them to survey the Doppler results. Any adverse pregnancy outcome (APO) was compared between two groups. Results: The frequency of APO was 32.8% in aspirin receiving group and 41.7% in control group (p=o.o14, RR=0.438). The frequency of preterm delivery before 37 th week in the group receiving aspirin with normal Doppler was 8.07% and in the control group was 32.7% (P=0.025). The frequency of NICU reception with normal Doppler was 5.8% in...
Background and Objective : We conducted a qualitative study to evaluate oncology and chemotherapy... more Background and Objective : We conducted a qualitative study to evaluate oncology and chemotherapy ward nurses’ perspectives concerning cytotoxic waste collection and disposal in Shiraz Medical University Hospitals and Clinics. Methods: Thematic analysis using the Grounded Theory approach was used on qualitative data collected during individual semi-structured interviews. Sixteen nursing staff experienced in chemotherapy services was each interviewed for 30–45 minutes. Interviews covered items from participant experiences and perceptions concerning obstacles to correct collection and disposal. Results: Two main barriers, individual and organizational, were identified. Conclusion: We found barriers to proper management of cytotoxic waste were a combination of individual and organizational factors. We propose the creation of a comprehensive training program coveringthe management and handling of cytotoxic waste for all healthcare workers and managers and development of a compliance sur...
Background : Exercise can play an important role in preventing chronic diseases. Given the key ro... more Background : Exercise can play an important role in preventing chronic diseases. Given the key role of medical students on public health behaviors, the aim of the present study was to assess physical activity and factors influencing it in medical students of Kerman University of Medical Sciences. Methods: The present cross-sectional study was conducted on 600 medical students of Kerman University of Medical Sciences, using census method, over a six-month period. The valid and reliable self-administrate international physical activity questionnaire was used. Relevant data were fed into IBM SPSS Statistics for Windows, Version 20.0. The data were analyzed using chi-square test, ANOVA and multinomial logistic regression. Results: The level of physical activity was low in 275 (53.1%), moderate in 187 (36%), and vigorous in 57 (10.9%) of the participants. Students whose mothers or fathers had freelance jobs were 0.38 ( P =0.005) or 0.54 ( P =0.033) times less likely to have moderate phys...
International Journal of Child Health and Nutrition, 2021
Background and Objective: Evaluation of the severity of pain in children can help the medical tea... more Background and Objective: Evaluation of the severity of pain in children can help the medical team diagnose the type of disease. In this study, anxiety and pain intensity in children were examined based on self-report. Materials and Methods: This cross-sectional study was performed in 2018 on 300 children aged 3 to 12 years, referring to outpatient treatment centres in Kerman. To measure the severity of pain felt by children, FPS-R was used. The level declared by children was evaluated by the pain intensity estimated by parents and doctors using a visual analogue scale (VAS) and the standard FLACC (Face, Legs, Activity, Cry, Consolability scale) for correlation. The data were analysed using SPSS software version 25. Results: The pain reported by children was obtained by VAS (4.16 ± 3.49), and the estimated pain by the doctor was obtained by FPS-R (2.87±1.68). The pain severity estimated by the doctor using FLACC had the highest correlation with the pain estimated by the doctor using...
Objective: This study was conducted aimed to compare the growth indices in 2 years old children w... more Objective: This study was conducted aimed to compare the growth indices in 2 years old children with a history of low birth weight with normal birth weight children. Methods: Current retrospective cohort study on all two-year children with low birth weight and three times the normal weight children covered by health centers of Kahnooj, was conducted in 2015. Cares at birth, 1, 2, 4, 6, 7, 9, 12, 15, 18 and 24 months of age were studied and, child growth indices (weight, height, head circumference), along with some demographic variables were studied. Information were entered SPSS version 20 and the analysis was performed. Results: There were significant differences in children's growth of both groups in all periods of care. Despite the same slope, growth pattern in children showed a significant difference. Young mother, girl sex of baby and preterm birth are predictor factors of low birth weight. Conclusion: Trends and growth patterns of weight, height and head circumference in u...
Background: Nowadays, self-medication of therapeutic agents is of global concern particularly in ... more Background: Nowadays, self-medication of therapeutic agents is of global concern particularly in developing and underdeveloped countries. Some studies conducted in Iran showed that the frequency of self-medication was significant. Objective: This research was conducted to estimate the prevalence of arbitrary use of antibiotics in Shiraz community with special interest in its determinant factors. Methods: This cross-sectional study was conducted in Shiraz, in 2009. Approximately 710 out of all patients referred to all health care centers in Shiraz were selected to fill out a questionnaire containing 23 questions divided into two parts. The frequency of self-medication according to demographic factors was described and the association between independent variables and selfmedication was analyzed. Results: The frequency of self-medication in this study was 44.5% and the request to prescribe antibiotics by the patients was 53.5%. Amoxicillin was the most widely used drug by the particip...
Background and purpose: Healthy lifestyle is an important factor in prevention of chronic disease... more Background and purpose: Healthy lifestyle is an important factor in prevention of chronic diseases. The health of medical students is highly influential due to their fundamental role in every health system. In this study, the health-promoting lifestyle and its determinants were evaluated in medical, dental, and pharmacy students. Materials and methods: This cross-sectional study was conducted in 650 students using stratified sampling in Kerman, Iran 2016. The health-promoting lifestyle profile (HPLP-II) was used and data was analyzed applying univariate and multivariate linear regression analysis in SPSS. Results: The mean score for health-promoting lifestyle was 104.93±22.9 which had no significant relationship with gender, marital status, living condition, and the education levels. There was a significant association between the field of study and the mean score for health-promoting lifestyle, nutrition, spiritual growth, interpersonal relationship, and stress management (P<0.0...
The co-occurrence of different types of hemo-lymphopoietic malignancies within a family provides ... more The co-occurrence of different types of hemo-lymphopoietic malignancies within a family provides clues about the pattern of inheritance and common environmental risk factors. A family presented with developing hemo-lymphopoietic cancers in three female first-degree relatives: a mother and her daughters. Case 1 was diagnosed with Walden Strom's macroglobulinemia at age 57. Case 2 and 3 presented with chronic myelogenous leukemia at age 32 and diffuse large B-cell lymphoma at age 28, respectively. There were not any significant common environmental risk factors in this family, but all three cases suffered from skin dermatitis and one of them, who suffered from chronic myelogenous leukemia, was diagnosed with morphea. This family had a sedentary and stressful lifestyle. Genetic is the foundation of some familial aggregation of cancers. Common lifestyle habits and environmental etiologies are important. Morphea as an autoimmune disease could have the essential role in developing hem...
Motor vehicle accidents can occur as a result of improper driver behavior. There needs to be a co... more Motor vehicle accidents can occur as a result of improper driver behavior. There needs to be a comprehensive collection of information concerning driver behavior and its predisposing factors. Study participants (500 males and 500 females ≥18 years old) living in Shiraz, Iran, were selected using a multistage sampling methodology. Data came from questionnaires completed using a face-to-face interview process. Independent variables such as age, gender, marital status, occupation, educational level, socioeconomic status (SES), and history of smoking and stress levels were compared to the dependent variables using a private automobile, public transportation, or motorcycle, wearing a seat belts, wearing safety helmets, and obeying the speed limit. Statistical significance was set at a P value of .05 or less. In general, female, better educated persons, and those with higher SES reported better driving behaviors. Better drivers also did not use tobacco or hookah. Compliance with driving safety factors was disappointing 49.8 percent always wore a seat belt, 22.4 percent always wore a safety helmet (29.4% never wore a helmet), and 49.4 percent always observed the speed limit. There is a need to improve driver safety compliance in Shiraz, Iran. One factor that can be addressed concerns regulation of male drivers, especially among lower SES groups.
Background: Measuring healthcare workers’ (HCWs) knowledge, attitudes, and practices (KAPs) regar... more Background: Measuring healthcare workers’ (HCWs) knowledge, attitudes, and practices (KAPs) regarding isolation precaution is essential for infection control which needs a valid and reliable instrument. Objectives: This study aimed to assess differential item functioning (DIF) across gender and major for the knowledge and practice items of the questionnaire, previously designed in Shiraz, Iran. Methods: This cross-sectional survey was conducted on 1070 participants (males/females: 306/764; medical students/nurses: 466/624). The study instrument had three subscales with nine questions for each KAP subscale. The Mantel-Haenszel (MH) statistic was used. The DIF and differential test functioning (DTF) analyses were also performed in this study. Results: There were very similar DIF outcomes for the knowledge and practice subscales, with one or two items indicating moderate DIF but comparable total scores across genders. Across majors, several items showed large DIF for both subscales. It...
Summary Introduction Today mental disorders are important concerns of health care system in all c... more Summary Introduction Today mental disorders are important concerns of health care system in all countries. Among different mental disorders; depression, anxiety, and somatization are more frequent. This manuscript was conducted to evaluate the frequency of somatization symptoms, its related factors and the correlation between somatization symptoms and anxiety and depression disorders in Iranian population. Methods The cross-sectional study was conducted in Kerman, Iran, 2017. Participants were selected from patients who referred to the Clinics of Educational Hospitals using convenience sampling method. The PHQ-15 and HADS questionnaire were used to assess the somatization and depression and anxiety, respectively. The univariate and multivariate logistic regression was used to determine the predictive factors of somatization symptoms. The correlations between each PHQ-15 item score and anxiety and depression score were expressed. Results The frequency of mild, moderate and severe lev...
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