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Oral health-related quality of life in patients with cleft lip and/or palate or Robin sequence. J Orofac Orthop 2024; 85:98-109. [PMID: 35852562 PMCID: PMC10879386 DOI: 10.1007/s00056-022-00414-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Accepted: 06/19/2022] [Indexed: 10/17/2022]
Abstract
PURPOSE To compare the oral health-related quality of life (OHRQoL) in patients with cleft lip and/or palate or Robin sequence versus a healthy control group using the Child Oral Health Impact Profile (COHIP-G19). Factors such as age, gender, and cleft type were considered. METHODS Over an 8-month period, the OHRQoL was surveyed by using the COHIP-G19 questionnaire. Included were patients with a craniofacial disorder (n = 61; average age 11.24 years) and a healthy control group (n = 70, average age 12.63 years) for a total of 131 patients (average age 11.99 years) from the Department of Orthodontics University Hospital Tübingen, Germany. These were divided into two age groups (6-11 years; 12-18 years). RESULTS Statistically, patients with a craniofacial disorder presented a significantly lower OHRQoL than the control group (p = 0.0055). In the craniofacial disorder group, older patients revealed a significantly (p = 0.005) lower OHRQoL than the younger patients. Female patients showed in nearly all groups a better OHRQoL than male patients, but this difference was not statistically significant (p > 0.05). Males with a craniofacial disorder scored significantly lower than males without (p = 0.016); females showed no differences between the groups. Visibility, location, and severity of the craniofacial malformation did not have a significant influence on the OHRQoL. CONCLUSION The occurrence of a craniofacial malformation impacted the OHRQoL especially in older and male affected patients, unrelated to the expression level or localization. An early instruction about oral health, rehabilitation and functional training should be considered in therapy.
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Tooth agenesis in German orthodontic patients with non-syndromic craniofacial disorder: a retrospective evaluation of panoramic radiographs. Clin Oral Investig 2022; 26:5823-5832. [PMID: 35618960 PMCID: PMC9474355 DOI: 10.1007/s00784-022-04538-2] [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: 09/14/2021] [Accepted: 05/03/2022] [Indexed: 11/29/2022]
Abstract
Objectives The study objective was to evaluate the tooth agenesis in German orthodontic patients with non-syndromic cleft lip and/or palate and Robin sequence compared to a control group without craniofacial disorder. Materials/methods A total of 108 panoramic radiographs were examined using the binary system of Tooth Agenesis Code (TAC) (excluding the third molar). Patients were divided into the craniofacial disorder group 1 (n = 43) and the healthy control group 2 (n = 65). Parameters such as skeletal class malformation, sex, localization of the cleft, craniofacial disorder, and interobserver reliability were assessed. Results Permanent tooth agenesis was observed in 44% of group 1 and 14% in group 2 with a statistically significant higher prevalence (p = 0.00162 (χ2)). Fourteen different TAC patterns were observed in group 1, ten of these occurring only once in separate patients. The distribution of the TAC codes in group 2 showed nine different possibilities of TAC code patterns; seven TACs were unique. In group 1, the most frequently absent teeth were the maxillary lateral incisor of the left side (30%); in group 2, the second premolar of the lower jaw on the right side (9%). Male patients with craniofacial disorder showed a higher percentage of tooth agenesis than female. Conclusion The data presented here shows a statistically significant higher prevalence of tooth agenesis in German patients with non-syndromic craniofacial disorder. Clinical relevance Radiographic evaluation enables the diagnosis of tooth agenesis. Recognizing early on the higher prevalence of tooth agenesis in patients exhibiting a craniofacial disorder is an important issue when developing long-term and comprehensive interdisciplinary treatment.
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FLASH Modalities Track (Oral Presentations) NEW R&D PLATFORM WITH UNIQUE CAPABILITIES FOR ELECTRON FLASH AND VHEE RADIATION THERAPY AND RADIATION BIOLOGY UNDER PREPARATION AT PITZ. Phys Med 2022. [DOI: 10.1016/s1120-1797(22)01512-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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4
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Resilience trinity: safeguarding ecosystem functioning and services across three different time horizons and decision contexts. OIKOS 2020. [DOI: 10.1111/oik.07213] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Severe odontogenic infections with septic progress - a constant and increasing challenge: a retrospective analysis. BMC Oral Health 2019; 19:173. [PMID: 31375095 PMCID: PMC6679486 DOI: 10.1186/s12903-019-0866-6] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Accepted: 07/26/2019] [Indexed: 12/01/2022] Open
Abstract
Background More than 90% of all infections in the head and neck region can be traced back to an odontogenic origin. In rare cases they can lead to sepsis, which may pose a vital threat to the patient. The purpose of this study was to analyse characteristics concerning etiology and progress of severe odontogenic infections with a fulminant development. Methods All patients with odontogenic infections requiring hospital admission were included in a retrospective analysis conducted from 02/2012 to 09/2017. Of 483 patients 16 patients (13 male, 3 female) showed severe exacerbation with septic progress. The average age was 52.8 years. All patients underwent at least one surgical procedure that involved an extraoral incision and drainage as well as high volume irrigation intraoperatively. At least one revision was required for four of the patients. Three patients showed an exceedingly severe disease progression with multiorgan dysfunction syndrome (MODS) and circulatory arrest. Antibiotic treatment was adjusted according to the results of an antibiogram and resistogram. Irrigation with saline was done several times a day. Results Sixteen patients showed odontogenic infections that spread over multiple maxillo-facial and cervical regions accompanied by septic laboratory signs. All these patients needed intensive care and a tracheostomy. The hospitalization period was 27.8 days on average. In 16 cases risk factors for the development of odontogenic abscesses like diabetes mellitus, obesity, chronic alcohol and nicotine abuse, rheumatism and poor oral hygiene were present. Intraoperative swabs showed a typical polymicrobial aerobic and anaerobic spectrum of oral bacteria, especially anaerobes and streptococci, mainly Streptocococcus viridans. Conclusion Odontogenic infections with fulminant progression should be treated based on clinical and imaging data with immediate surgical incision and drainage including elimination of odontogenic foci as well as intensified intra- and postoperative irrigation. If needed, repeat imaging followed by further incisions should be performed. Immediate antibiotic treatment adapted to the antibiogram is of utmost importance. A combination of tazobactam and piperacillin has proven to be a good first choice and can be recommended for abscesses that spread over multiple levels with initial signs of severe infections.
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A squeeze in the suitable fire interval: Simulating the persistence of fire-killed plants in a Mediterranean-type ecosystem under drier conditions. Ecol Modell 2018. [DOI: 10.1016/j.ecolmodel.2018.10.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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The role of landscape heterogeneity in regulating plant functional diversity under different precipitation and grazing regimes in semi-arid savannas. Ecol Modell 2018. [DOI: 10.1016/j.ecolmodel.2018.04.009] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Notizen: Messung der Hauptdielektrizitätskonstanten der homogen geordneten kristallinflüssigen Phase des p-Azoxyanisols bei Frequenzen zwischen 10 MHz und 50 MHz. ACTA ACUST UNITED AC 2014. [DOI: 10.1515/zna-1966-0824] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Kinematics and Center of Mass Mechanics During Terrestrial Locomotion in Northern Lapwings (Vanellus vanellus, Charadriiformes). ACTA ACUST UNITED AC 2012; 317:580-94. [DOI: 10.1002/jez.1750] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2012] [Revised: 07/02/2012] [Accepted: 07/10/2012] [Indexed: 11/09/2022]
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Beitrag zur enzephalographischen Darstellung der Liquorräume im Bereich der hinteren Schädelgrube. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1232462] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Beitrag zur Röntgendiagnostik multipler Aneurysmen der Pulmonalarterien. ROFO-FORTSCHR RONTG 2009. [DOI: 10.1055/s-0029-1231680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Erfahrungen und Schwierigkeiten bei der Implementierung von Impfregistern in Sachsen-Anhalt. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2004; 47:1189-95. [PMID: 15583890 DOI: 10.1007/s00103-004-0950-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
In the German Federal State of Saxony-Anhalt, the Health Department must be notified of vaccines administered to children <7 years of age including their names. The goal of this mandatory notification is to improve and stabilize the age-appropriate vaccination coverage. However, difficulties have been encountered in implementing mandatory notification. Therefore, the Health Departments of Magdeburg and Halle have launched a model project focusing on analysing and eliminating these problems. Mandatory notification requires parents' approval, endorsement of vaccantors, and availability of human and technicely resources in the Health Department. An enquiry among paediatricians and family doctors in private practice revealed widespread reservations about mandatory notification because of privacy issues related to data and legal protection. Furthermore, family doctors believed that parents disapproved of notification by name. However, a survey among young mothers revealed this not to be the case. Winning young mothers' approval depends largely on the positive attitude of the vaccinators. To implement the mandatory notification of vaccinations to the Health Department, it is necessary to dispel physicians' concerns and to inform young parents about the practical benefits. However, this places high demands on the Health Departments for maintaining immunization registries, communicating with physicians and notifying parents when immunisations are due or late.
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Generation of GW radiation pulses from a VUV free-electron laser operating in the femtosecond regime. PHYSICAL REVIEW LETTERS 2002; 88:104802. [PMID: 11909361 DOI: 10.1103/physrevlett.88.104802] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/18/2001] [Indexed: 05/23/2023]
Abstract
Experimental results are presented from vacuum-ultraviolet free-electron laser (FEL) operating in the self-amplified spontaneous emission (SASE) mode. The generation of ultrashort radiation pulses became possible due to specific tailoring of the bunch charge distribution. A complete characterization of the linear and nonlinear modes of the SASE FEL operation was performed. At saturation the FEL produces ultrashort pulses (30-100 fs FWHM) with a peak radiation power in the GW level and with full transverse coherence. The wavelength was tuned in the range of 95-105 nm.
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[Quality assurance in Riva-Rocci blood pressure measurement: simultaneous sphygmomanometry with open and covered pressure display]. ZEITSCHRIFT FUR KARDIOLOGIE 1988; 77:537-42. [PMID: 3176598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
The indirect measurement of arterial blood pressure according to Riva-Rocci is one of the most frequently performed medical diagnostic procedures. When properly performed, this method yields accurate readings compared with intraarterial measurements. However, measurements by means of conventional sphygmomanometers are subject to observer error and variability. Therefore, to eliminate important sources of bias (terminal digit preference of the observer, rate of inflation and deflation of the cuff), and to quantify interobserver variability, a new sphygmomanometer has been developed. The new instrument makes possible "simultaneous-blind" blood pressure readings by two observers, according to the Riva-Rocci method. Simultaneous-blind blood pressure readings were made by four observers with experience in blood pressure determination. In 448 measurements made under resting conditions, values obtained by different observers with the new device were very consistent with each other: there were no differences in 50% of systolic and 43% of diastolic measurements. Differences of more than 5 mmHg were observed only in 9% of the systolic and 11% of the diastolic measurements. In 165 measurements made during exercise, the differences between blood pressure readings by different observers were larger (more than 5 mmHg in 40% of systolic and 35% of diastolic values). This variability among observers may be substantial in blood pressure readings made in therapeutic and epidemiologic studies, even when the observers are carefully selected and trained. Compared with the conventional open measurements, blind measurements (n = 100) gave mean values 2 mmHg lower, depending on heart rate and cuff deflation rate. The new sphygmomanometer allows quantification and control of the variability among observers during both open and blind measurements.
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[Possibilities of client-centered psychotherapy in the care of psychiatric patients]. PSYCHIATRIE, NEUROLOGIE, UND MEDIZINISCHE PSYCHOLOGIE 1981; 33:674-80. [PMID: 7330120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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[Spinal changes caused by heavy physical work in foundry workers]. ZEITSCHRIFT FUR ARZTLICHE FORTBILDUNG 1981; 75:821-4. [PMID: 7345793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Abstract
Both, the differing definitions of glucoamylase activity and the different determination of the fragment, glucose, preclude a comparison of literature data. Specific enzymatic determination of the fragment, glucose, with an enzyme electrode is proposed. The contribution describes the manufacture of an enzyme electrode from a commercial pO2-electrode and immobilized GOD. The measurement may be carried out by kinetic determination of utilized oxygen or oxygen peroxide formed. The continuous measurement proposed for serial experiments is made via a calibration curve, whose regression coefficient was determined to be 0.999. Depending on the enzyme activity, the reaction time is between 15 s and 3 min.
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[Urodynamic studies on normal bladders and bladders in metabolic disorders using diabetes mellitus as an example]. ZEITSCHRIFT FUR UROLOGIE UND NEPHROLOGIE 1979; 72:897-901. [PMID: 95239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
In various diseases of the kidney and the urinary bladder, in disturbances of potency and diseases of the outer genital the diabetes mellitus play an essential role. It was the aim the present investigations to establish with the help of manometric examinations of the urinary bladder in diabetics as well as in a comparative group which had no disturbed metabolism in what extent there exist objectively provable differences of the parameters chosen by us. From the results is to be stated that in diabetics, despite a slight increase of the capacity of the urinary bladder, a significant increase of the sphincter opening pressure and of the voluntary tonus of the sphincter is present. We explain these changes as an expression of a beginning disturbance of the innervation of the urinary bladder. In males of this age group from this result disturbances of miction which may lead to incorrect judgments, particularly in connection with a prostatic adenoma.
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[Epidemiological studies for the need of psychotherapy]. PSYCHIATRIE, NEUROLOGIE, UND MEDIZINISCHE PSYCHOLOGIE 1979; 31:589-96. [PMID: 547293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Preliminary results obtained in epidemiological studies are reported. The data obtained shows extensive need for psychotherapy, with marked differences between urban and rural communities. Considerations on the present situation in psychotherapy are given and suggestions made for changes in the present system of treatment.
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Test colors for specifying color reproduction. APPLIED OPTICS 1975; 14:1768-1769. [PMID: 20154916 DOI: 10.1364/ao.14.001768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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[Results of the evaluation of an individual patient card index]. ZEITSCHRIFT FUR ARZTLICHE FORTBILDUNG 1974; 68:1193-6. [PMID: 4456841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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23
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[Diagnosis and differential diagnosis of hepatocerebral degeneration (Westphal-Strümpell-Wilson disease)]. ZEITSCHRIFT FUR ARZTLICHE FORTBILDUNG 1972; 66:670-4. [PMID: 4636967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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[Depression of tissue respiration in mouse liver by artificial impulse irradiation]. THE SCIENCE OF NATURE - NATURWISSENSCHAFTEN 1969; 56:91-2. [PMID: 5360093 DOI: 10.1007/bf00590585] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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[Confrontation with pain]. DEUTSCHES ZENTRALBLATT FUR KRANKENPFLEGE 1968; 12:669-71. [PMID: 5190807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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[The admission to the psychiatric hospital as the first therapeutic intervention]. DEUTSCHES ZENTRALBLATT FUR KRANKENPFLEGE 1968; 12:570-3. [PMID: 5189487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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[The therapeutic atmosphere in the hospital]. DEUTSCHES ZENTRALBLATT FUR KRANKENPFLEGE 1968; 12:341-3. [PMID: 5185957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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[Human rights, human dignity and euthanasia]. DEUTSCHES ZENTRALBLATT FUR KRANKENPFLEGE 1967; 11:10-4. [PMID: 5180379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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[The dependent society in a therapeutic democracy]. DEUTSCHES ZENTRALBLATT FUR KRANKENPFLEGE 1966; 10:372-83. [PMID: 5179514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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[The patient and society]. DEUTSCHES ZENTRALBLATT FUR KRANKENPFLEGE 1966; 10:200-2. [PMID: 5176798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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[Some perspectives of hospital organization]. DEUTSCHES ZENTRALBLATT FUR KRANKENPFLEGE 1966; 10:143-52. [PMID: 5176794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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