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Li YT, Bai JX, He JM, Yang SW, Huang HL. The Mediating Role of Attitudes Towards Dementia on the Relationship Between Dementia Knowledge and Behaviors Towards Persons with Dementia: A Cross-Sectional Study. J Multidiscip Healthc 2023; 16:4213-4225. [PMID: 38156291 PMCID: PMC10752817 DOI: 10.2147/jmdh.s443189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 12/19/2023] [Indexed: 12/30/2023] Open
Abstract
Purpose To examine the mediating effect of attitudes towards dementia on the relationship between dementia knowledge and behaviors towards persons with dementia. Participants and Methods A cross-sectional survey was conducted with 313 adults (age ≤ 20 years). Participants were recruited using non-probability convenience sampling from medical clinics, community centers, and supermarkets located in the Wanhua District of Taipei City. Data were collected with the following self-report questionnaires: a demographic survey, validated instruments for dementia knowledge and attitudes towards dementia (assessed using the Alzheimer's Disease Knowledge Scale and the Approaches to Dementia Questionnaire, respectively), and a researcher-developed survey on unfriendly behaviors towards persons with dementia. Results Pearson's correlation and multiple linear regression analysis indicated that higher scores for dementia knowledge and more positive attitudes about dementia were significantly associated with lower levels of unfriendly behaviors towards persons living with dementia. Mediation analysis using a robust bootstrap test with 5000 samples indicated that attitudes toward dementia had a partial mediating effect on the relationship between dementia knowledge and unfriendly behaviors. Conclusion Our findings suggest that increasing public awareness and knowledge about dementia could help the general population develop better attitudes towards dementia, which could subsequently help improve behaviors towards persons living with dementia.
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Affiliation(s)
- Yang-Tzu Li
- Department of Long-Term Care, College of Health Technology, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
| | - Jing-Xuan Bai
- Department of Information Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
| | - Jia-Ming He
- Department of Information Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
| | - Shao-Wei Yang
- Department of Health Administration, College of Health Technology and Management, Tzu Chi University of Science and Technology, Hualien City, Taiwan
| | - Hsiu-Li Huang
- Department of Long-Term Care, College of Health Technology, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
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Thanh Nguyen HT, Dinh DX. Knowledge and attitudes of community pharmacists regarding dementia: A nationwide cross-sectional study in Vietnam. Int J Geriatr Psychiatry 2023; 38:e5981. [PMID: 37526328 DOI: 10.1002/gps.5981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 07/22/2023] [Indexed: 08/02/2023]
Abstract
OBJECTIVE To investigate Vietnamese community pharmacists' knowledge and attitudes towards dementia. METHODS 1066 community pharmacists in eight provinces/centrally-governed cities were recruited using a non-probability convenience sampling technique. Their dementia knowledge was measured using a set of 14 questions developed through a literature review. The Approaches to Dementia Questionnaire was used to assess pharmacists' attitudes towards dementia. Cronbach's alpha was 0.88 for the overall questionnaire (0.70 for the knowledge part and 0.81 for the attitude part). RESULTS Participants were mostly female (74.2%), 20-39 years old (79.1%), and had work experience in pharmacies of less than 10 years (77.0%). Medicines for dementia were available in only 40 community pharmacies (3.8%), including galantamine (3.0%) and donepezil (0.8%). Pharmacists' average knowledge and attitude scores were 8.03 ± 2.61 and 64.81 ± 7.34, respectively. There were considerable differences in pharmacists' knowledge and attitudes between rural and urban areas and among eight provinces (p < 0.001). Higher knowledge and attitude scores were found among those with higher education levels and longer work experience (p < 0.001). Using reliable sources to seek information on dementia, such as books and scientific articles, also helped pharmacists to have better knowledge and more positive attitudes (p < 0.001). There was a positive relationship between knowledge and attitude scores (r = 0.326, p < 0.001). CONCLUSION Community pharmacists demonstrated moderate levels of knowledge and attitudes towards dementia. Their knowledge about the symptoms of dementia was inadequate. Educational interventions and training programs are urgently needed to enhance their dementia knowledge and attitudes.
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Affiliation(s)
- Huong Thi Thanh Nguyen
- Faculty of Pharmaceutical Management and Economics, Hanoi University of Pharmacy, Hanoi City, Vietnam
| | - Dai Xuan Dinh
- Faculty of Pharmaceutical Management and Economics, Hanoi University of Pharmacy, Hanoi City, Vietnam
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Hall AJ, Manning F, Goodwin V. Qualitative study exploring health care professionals' perceptions of providing rehabilitation for people with advanced dementia. BMJ Open 2023; 13:e072432. [PMID: 37524545 PMCID: PMC10391829 DOI: 10.1136/bmjopen-2023-072432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/02/2023] Open
Abstract
OBJECTIVES The aim of this study was to explore healthcare professionals' principles for providing and delivering rehabilitation interventions for people with advanced dementia. DESIGN This was a qualitative study with three focus groups undertaken virtually. The data were analysed using a process of reflexive thematic analysis in order to gain an in-depth understanding of rehabilitation principles for this population. SETTING AND PARTICIPANTS 20 healthcare professionals who were specialists in treating and rehabilitating people with advanced dementia were recruited. These healthcare professionals had a wide range of experience in a variety of different settings including primary care, secondary care as well as specialist mental health teams. Purposive sampling focused on the requirement for participants to have significant experience of treating people with dementia. Participants were from the UK and Denmark. Data collection was undertaken during August and September 2022. RESULTS Three overarching themes were developed following analysis-organisational culture, knowledge and personal values of the healthcare professional. The first explored how the culture of an organisation affects a person with advanced dementia as well as the healthcare professional. The organisation needed to promote positive approaches to person-centred care and provide effective situational leadership to embed such approaches. Knowledge was a key consideration and was closely linked to the personal values of the healthcare professional, which formed the final theme. This study suggests that the interrelationship of these three factors influences the outcomes for the person with dementia and effective outcomes required consideration of all domains. CONCLUSIONS Effective interventions for people with advanced dementia require the healthcare professional to have the knowledge about dementia and positive personal values, but the culture of the organisation is also key to ensure that the healthcare professional is able to deliver successful interventions.
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Affiliation(s)
- Abigail J Hall
- Public Health and Sports Science, University of Exeter, Exeter, UK
| | - Fay Manning
- Department of Medical Imaging, University of Exeter Medical School, Exeter, UK
| | - Victoria Goodwin
- Public Health and Sports Science, University of Exeter, Exeter, UK
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Liu DM, Yan L, Wang L, Lin HH, Jiang XY. Dementia-related contact experience, attitudes, and the level of knowledge in medical vocational college students. World J Clin Cases 2022; 10:10097-10108. [PMID: 36246808 PMCID: PMC9561600 DOI: 10.12998/wjcc.v10.i28.10097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 06/27/2022] [Accepted: 08/21/2022] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Dementia is a severe neurological and psychological disease that occurs in older adults worldwide. The knowledge and attitude of medical-vocational college students play an important role in supporting primary healthcare systems.
AIM To investigate the level of knowledge, contact experience, and attitudes toward dementia among medical-vocational college students in China.
METHODS A cross-sectional survey was conducted, and 3-year medical and medical-related students from eight vocational colleges in Anhui province were recruited. The contact experience, attitudes, and knowledge level of students toward dementia were assessed using a questionnaire designed according to the Chinese version of the Alzheimer’s Disease Knowledge Scale (ADKS).
RESULTS A total of 2444 medical and medical-related students completed the survey, of whom 86.7% of respondents had interests and concerns regarding Alzheimer’s disease (AD), and 29.2% of respondents had experiences of contact with dementia patients. Overall attitudes toward dementia were negative. Only 35.4% of students were interested in participating in the caregiving of dementia patients. The mean score of students’ knowledge about AD as assessed by the ADKS was 21.16 (standard deviation, 3.43) out of 30.
CONCLUSION Dementia-related knowledge of medical-vocational college students was at a medium level, and their overall attitudes toward dementia were negative.
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Affiliation(s)
- Dong-Mei Liu
- School of Nursing, Anhui Medical College, Hefei 230062, Anhui Province, China
| | - Ling Yan
- School of Nursing, Anhui Medical College, Hefei 230062, Anhui Province, China
| | - Li Wang
- School of Nursing, Anhui Medical College, Hefei 230062, Anhui Province, China
| | - Hui-Hui Lin
- School of Nursing, Anhui Medical College, Hefei 230062, Anhui Province, China
| | - Xia-Yan Jiang
- School of Nursing, Anhui Medical College, Hefei 230062, Anhui Province, China
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Dodd S, Carter G, Christie A, Mitchell G. Exploring nurse and nursing student experience of using an artist-produced photobook to learn about dementia. BMC Nurs 2022; 21:237. [PMID: 36008807 PMCID: PMC9406272 DOI: 10.1186/s12912-022-00991-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 07/12/2022] [Indexed: 11/21/2022] Open
Abstract
Background Improving understanding about dementia in nursing is a priority area for educators and policymakers. This is due to poor professional understanding about dementia and suboptimal healthcare practice. While many educational interventions exist, there has been a paucity of research which has considered the use of artist-produced photobooks to improve knowledge and understanding about dementia. The aim of this study is to understand the impact of an artist-produced photobook on nurses’ attitudes and beliefs about dementia. Results Following a thematic analysis of four focus group interviews with 22 nurses and nursing students from Northern Ireland, three themes emerged. Theme one was about how the artist-produced photobook helped participants to humanise the person living with dementia. Theme two related to how the artist-produced photobook supported participants to actively construct their own meanings about dementia based on their previous professional and personal experiences. Theme three explored how an artist-produced photobook could be successfully used to complement existing dementia education in the future. Conclusions Using an artist-produced photobook was an innovative way to learn about dementia for nurses and nursing students. The photobook functioned as a tool underpinned by arts-based pedagogy (ABP), supporting nurses to understand the person behind the dementia disease. As such, an artist-produced photobook has the potential to be a useful complementary resource for supporting professional education about dementia. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-022-00991-2.
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Affiliation(s)
- Savannah Dodd
- School of History, Anthropology, Philosophy, and Politics, Queen's University Belfast, 25 University Square, County Antrim, Belfast, BT7 1NN, Northern Ireland, UK.
| | - Gillian Carter
- School of Nursing and Midwifery, Medical Biology Centre, Queen's University Belfast, 97 Lisburn Road, County Antrim, Belfast, BT9 7BL, Northern Ireland, UK
| | - Andrena Christie
- School of Nursing and Midwifery, Medical Biology Centre, Queen's University Belfast, 97 Lisburn Road, County Antrim, Belfast, BT9 7BL, Northern Ireland, UK
| | - Gary Mitchell
- School of Nursing and Midwifery, Medical Biology Centre, Queen's University Belfast, 97 Lisburn Road, County Antrim, Belfast, BT9 7BL, Northern Ireland, UK
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Rosi A, Govoni S, Del Signore F, Tassorelli C, Cappa S, Allegri N. Italian Dementia-Friendly Hospital Trial (IDENTITÀ): efficacy of a dementia care intervention for hospital staff. Aging Ment Health 2022; 27:921-929. [PMID: 35773241 DOI: 10.1080/13607863.2022.2084507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
This study investigated the short-term impact and the retention of a dementia care intervention for healthcare staff working in an Italian acute hospital setting. Additionally, we identified the predictors of improvement across the intervention. Sixty-two healthcare staff from an Italian public hospital participated in a dementia care intervention consisting of 5 modules delivered in a 5-hour training program focusing on dementia management, knowledge, and care. A pre-test/post-test and six-months follow-up design was used to evaluate participants' changes in knowledge, attitudes, and confidence in dementia. The intervention significantly improved healthcare staff's dementia knowledge and confidence immediately after the end of the intervention. No significant changes were observed from post-test to follow-up, indicating retention of these outcomes over six months. Regarding attitude to dementia, we found an immediate improvement only in the Recognition of Personhood scale. Looking at the predictors of improvement, healthcare staff with lower levels of knowledge, attitudes, and confidence in dementia at pre-test were those who improved more following the intervention. These findings provide further evidence that dementia care interventions are suitable initiatives to promote knowledge and skills required to manage the needs of people with dementia in an acute hospital setting.
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Affiliation(s)
- Alessia Rosi
- Brain and Behavioral Sciences Department, University of Pavia, Pavia, Italy
| | - Stefano Govoni
- Drug Sciences Department, University of Pavia, Pavia, Italy.,CEFAT (Center of Pharmaceuticals Economics and Medical Technologies Evaluation), University of Pavia, Pavia, Italy
| | - Federica Del Signore
- CEFAT (Center of Pharmaceuticals Economics and Medical Technologies Evaluation), University of Pavia, Pavia, Italy
| | - Cristina Tassorelli
- Brain and Behavioral Sciences Department, University of Pavia, Pavia, Italy.,IRCCS Mondino Foundation, Pavia, Italy
| | - Stefano Cappa
- IRCCS Mondino Foundation, Pavia, Italy.,University School for Advanced Studies, IUSS, Pavia, Italy
| | - Nicola Allegri
- CEFAT (Center of Pharmaceuticals Economics and Medical Technologies Evaluation), University of Pavia, Pavia, Italy
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Brooke J. Dementia care: Research and clinical innovation. J Clin Nurs 2021; 31:E17-E19. [PMID: 34779064 DOI: 10.1111/jocn.16137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 11/02/2021] [Indexed: 11/27/2022]
Affiliation(s)
- Joanne Brooke
- Centre of Social Care, Health and Related Research, Birmingham City University, Birmingham, UK
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Urashima S, Greiner C, Ryuno H, Yamaguchi Y. Factors affecting the quality of dementia care at acute care hospitals: A cross-sectional study. J Clin Nurs 2021; 31:2198-2207. [PMID: 34490678 DOI: 10.1111/jocn.16036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 08/02/2021] [Accepted: 08/17/2021] [Indexed: 11/26/2022]
Abstract
AIM AND OBJECTIVES The purpose of this study was to investigate which factors are associated with the quality of dementia care in acute care hospitals. BACKGROUND The number of people with dementia who are admitted to acute care hospitals is increasing. Improving the quality of dementia care in acute care hospitals is an important issue. Prior studies have demonstrated that not only knowledge and nursing experience, but also psychological factors and the nursing practice environment are related to high-quality care on general wards. DESIGN Cross-sectional hypothesis-testing design. METHODS Participants were nurses providing care to people with dementia at acute care hospitals. Questionnaires were distributed to 300 acute care hospitals in Japan, 10 copies each and 773 valid responses were received. Based on the hypothesis model, variables were tested using multiple regression analysis. The model described the relationship between quality of care, personal attributes and the nursing practice environment. The Strengthening the Reporting of Observational Studies in Epidemiology checklist was used. RESULTS Almost 90% of the study sample was female, the mean age was 37.4 ± 9.3 years, and the mean nursing experience was 14.0 ± 8.7 years. The results showed that nursing foundations for quality of care, staffing and resource adequacy, specialist consultation, promoting systematic recreation and exchange, knowledge, and feelings towards people with dementia were associated with the quality of dementia care in acute care hospitals. The adjusted coefficient of determination was 0.367. CONCLUSION This study identified factors associated with the quality of dementia care in acute care hospitals. Knowledge and feelings towards people with dementia are important, and the nursing practice environment plays an important role in improving the quality of dementia care. RELEVANCE TO CLINICAL PRACTICE Not only improving nurse's practical ability but also a supportive nursing practice environment enhances the quality of dementia care in acute care hospitals.
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Affiliation(s)
- Shoko Urashima
- Graduate School of Health Sciences, Kobe University, 7-10-2 Tomogaoka Suma-ku, Kobe-City, Japan
| | - Chieko Greiner
- Graduate School of Health Sciences, Kobe University, 7-10-2 Tomogaoka Suma-ku, Kobe-City, Japan
| | - Hirochika Ryuno
- Graduate School of Health Sciences, Kobe University, 7-10-2 Tomogaoka Suma-ku, Kobe-City, Japan
| | - Yuko Yamaguchi
- Graduate School of Health Sciences, Kobe University, 7-10-2 Tomogaoka Suma-ku, Kobe-City, Japan
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Mulyani S, Suti Lasmani P, David Saifullah A, Fawadya A, Iffah A, Pramestya S. The Attitudes of Nurses in the Hospital toward Vulnerable People. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.6372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background: Vulnerable people are at higher risk for ill health and often experience discrimination in health services. Persons with disabilities, People with Dementia (PWD), and People with HIV/AIDS (PLWHA) are some groups of people with vulnerabilities who often need hospital care. Nurses are the largest group of health personnel and frequently meet with these patients so that the attitude of nurses can have a consequence on the quality of health care.
Research Objectives: To identify nurses' attitudes towards vulnerable people and factors related to their attitudes.
Methods: This quantitative research used a cross-sectional design. The research subjects were 386 nurses in the main public Dr. Sardjito hospital selected using a convenience sampling technique. Data were collected in January-February 2021 with a Google Form. Researchers used a demographic data questionnaire, an attitude questionnaire (Attitude Toward Disabled Person Scale Form O, Dementia Attitude Scale, and AIDS Attitude Scale), and a knowledge questionnaire (Self-Administered Questionnaire about Knowledge), Dementia Knowledge Assessment Scale, and HIV-Knowledge Questionnaire-18). Data were analyzed using non-parametric statistical tests, specifically the Spearman rank, Mann-Whitney, and Kruskal-Wallis tests.
Results: The score of nurses' attitudes towards persons with disabilities was 54.00 out of 120; the score of nurses' attitudes to PWD was 102.00 out of 140; and the score of nurses' attitudes toward PLWHA was -0.65 out of +5. Knowledge, history of interaction, and experience in caring have a significant effect on nurses' attitudes towards vulnerable people (p value <0.05). The education level only affects the attitudes of nurses towards persons with disabilities (p value = 0.042). Family history only affects nurses' attitudes to PWD (p value = 0.013). Age and special education/training only affect the attitudes of nurses on PWD and PLWHA (p value <0.05).
Conclusion: Nurses tend to present positive attitudes toward PWD, but nurses are inclined to show negative attitudes against people with disabilities and PLWHA. Knowledge, caring experience, and interaction are confirmed to have an effect on nurses' attitudes with the result that programs to increase knowledge and experience of nurses towards vulnerable groups are recommended for this group.
Keywords: Attitude, Dementia, Disability, HIV/AIDS, Knowledge, Nurse.
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Zhao W, Wu ML, Petsky H, Moyle W. Health Professionals' Recommendations for a Dementia Plan for China. J Appl Gerontol 2021; 41:1020-1029. [PMID: 34098810 DOI: 10.1177/07334648211022090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
There is no specific national dementia plan concerning people with dementia in China. The purpose of this study was to explore health professionals' recommendations for a dementia plan for China to meet the needs of people with dementia. Semi-structured interviews were conducted with 24 doctors and nurses using purposive maximum variation sampling. Data were interpreted inductively using thematic analysis. Four themes were identified. Themes on policy recommendations emphasized a need to support people with dementia and those who care for them, including the development of community daycare centers, specialized dementia care units in hospitals, and specialized nursing homes. Improvement in dementia care in China is needed, including services across all care settings. Programs to train and support family caregivers and help health professionals to detect, diagnose and treat dementia are crucial. Further support for the families of people with dementia is required.
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Affiliation(s)
- Wenhong Zhao
- Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.,School of Nursing and Midwifery, Nathan, Griffith University, Brisbane, Queensland, Australia
| | - Min-Lin Wu
- Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.,School of Nursing and Midwifery, Nathan, Griffith University, Brisbane, Queensland, Australia
| | - Helen Petsky
- Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.,School of Nursing and Midwifery, Nathan, Griffith University, Brisbane, Queensland, Australia
| | - Wendy Moyle
- Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.,School of Nursing and Midwifery, Nathan, Griffith University, Brisbane, Queensland, Australia
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