Impact of the COVID-19 Pandemic on Neurosurgical Practice in India: Results of an Anonymized National Survey.
Identifieur interne : 000001 ( Main/Exploration ); précédent : 000000; suivant : 000002Impact of the COVID-19 Pandemic on Neurosurgical Practice in India: Results of an Anonymized National Survey.
Auteurs : Tejas Venkataram [Inde] ; Nishant Goyal [Inde] ; Chinmaya Dash [Inde] ; Prarthana P. Chandra [Inde] ; Jitender Chaturvedi [Inde] ; Amol Raheja [Inde] ; Raghav Singla [Inde] ; Jayesh Sardhara [Inde] ; Bhoopendra Singh [Inde] ; Ravi Gupta [Inde]Source :
- Neurology India [ 1998-4022 ]
Descripteurs français
- KwdFr :
- Adulte, Affectation du personnel et organisation du temps de travail, Dépistage systématique, Enquêtes et questionnaires, Femelle, Humains, Inde (épidémiologie), Infections à coronavirus (diagnostic), Infections à coronavirus (épidémiologie), Interventions chirurgicales non urgentes (statistiques et données numériques), Mâle, Neurochirurgie (statistiques et données numériques), Neurochirurgiens (psychologie), Neurochirurgiens (économie), Pandémies, Pneumopathie virale (diagnostic), Pneumopathie virale (épidémiologie), Procédures de neurochirurgie (statistiques et données numériques), Soins ambulatoires (statistiques et données numériques), Techniques de laboratoire clinique, Types de pratiques des médecins (statistiques et données numériques), Télémédecine (statistiques et données numériques), Équipement de protection individuelle (ressources et distribution), Études transversales.
- MESH :
- diagnostic : Infections à coronavirus, Pneumopathie virale.
- psychologie : Neurochirurgiens.
- ressources et distribution : Équipement de protection individuelle.
- statistiques et données numériques : Interventions chirurgicales non urgentes, Neurochirurgie, Procédures de neurochirurgie, Soins ambulatoires, Types de pratiques des médecins, Télémédecine.
- économie : Neurochirurgiens.
- épidémiologie : Inde, Infections à coronavirus, Pneumopathie virale.
- Adulte, Affectation du personnel et organisation du temps de travail, Dépistage systématique, Enquêtes et questionnaires, Femelle, Humains, Mâle, Pandémies, Techniques de laboratoire clinique, Études transversales.
- Wicri :
- geographic : Inde.
English descriptors
- KwdEn :
- Adult, Ambulatory Care (statistics & numerical data), Betacoronavirus, Clinical Laboratory Techniques, Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Cross-Sectional Studies, Elective Surgical Procedures (statistics & numerical data), Female, Humans, India (epidemiology), Male, Mass Screening, Neurosurgeons (economics), Neurosurgeons (psychology), Neurosurgery (statistics & numerical data), Neurosurgical Procedures (statistics & numerical data), Pandemics, Personal Protective Equipment (supply & distribution), Personnel Staffing and Scheduling, Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Practice Patterns, Physicians' (statistics & numerical data), Surveys and Questionnaires, Telemedicine (statistics & numerical data).
- MESH :
- geographic , epidemiology : India.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- economics : Neurosurgeons.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- psychology : Neurosurgeons.
- statistics & numerical data : Ambulatory Care, Elective Surgical Procedures, Neurosurgery, Neurosurgical Procedures, Practice Patterns, Physicians', Telemedicine.
- supply & distribution : Personal Protective Equipment.
- Adult, Betacoronavirus, Clinical Laboratory Techniques, Cross-Sectional Studies, Female, Humans, Male, Mass Screening, Pandemics, Personnel Staffing and Scheduling, Surveys and Questionnaires.
Abstract
Background
The COVID-19 pandemic has created an unprecedented challenge for medical professionals throughout the world to tackle the rapidly changing scenario. The objective of this survey was to analyze the change in neurosurgical practice in India following the COVID-19 outbreak and assess its impact on practising neurosurgeons.
Materials and Methods
Between May 7
Results
Our survey showed a drastic fall in the number of neurosurgical patients seen in the outpatient department (OPD) as well as the number of surgeries performed. A drop of 76.25% was seen in OPD patients (P = 0.000) and that of 70.59% in surgeries performed (P = 0.000). There was no uniformity among the neurosurgeons in the number of COVID-19 tests being done before elective/emergency surgery and in the use of protective gear while examining patients. Private practitioners were more affected financially as compared to those in the government sector. The pandemic has affected the research work of 53.23% of all respondents, with those in the teaching profession (70.96%) more affected than those in the non-teaching profession (24.67%).
Conclusions
Evidence-based policies, screening COVID-19 tests with better sensitivity, and better-quality personal protective equipment kits in adequate numbers are required to protect our medical professionals from COVID-19. Mental health issues among neurosurgeons may also be an issue, this being a high risk speciality and should be closely watched for.
DOI: 10.4103/0028-3886.289004
PubMed: 32643671
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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first="Nishant" last="Goyal">Nishant Goyal</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand</wicri:regionArea><wicri:noRegion>Uttarakhand</wicri:noRegion></affiliation></author><author><name sortKey="Dash, Chinmaya" sort="Dash, Chinmaya" uniqKey="Dash C" first="Chinmaya" last="Dash">Chinmaya Dash</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneshwar, Orissa, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneshwar, Orissa</wicri:regionArea><wicri:noRegion>Orissa</wicri:noRegion></affiliation></author><author><name sortKey="Chandra, Prarthana P" sort="Chandra, Prarthana P" uniqKey="Chandra P" first="Prarthana P" last="Chandra">Prarthana P. 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sort="Raheja, Amol" uniqKey="Raheja A" first="Amol" last="Raheja">Amol Raheja</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Singla, Raghav" sort="Singla, Raghav" uniqKey="Singla R" first="Raghav" last="Singla">Raghav Singla</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Neurosurgery, Post Graduate Institute of Medical Education and Research, Chandigarh</wicri:regionArea><wicri:noRegion>Chandigarh</wicri:noRegion></affiliation></author><author><name sortKey="Sardhara, Jayesh" sort="Sardhara, Jayesh" uniqKey="Sardhara J" first="Jayesh" last="Sardhara">Jayesh Sardhara</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh</wicri:regionArea><wicri:noRegion>Uttar Pradesh</wicri:noRegion></affiliation></author><author><name sortKey="Singh, Bhoopendra" sort="Singh, Bhoopendra" uniqKey="Singh B" first="Bhoopendra" last="Singh">Bhoopendra Singh</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, Hamdard Institute of Medical Sciences and Research, New Delhi, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Neurosurgery, Hamdard Institute of Medical Sciences and Research, New 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xml:lang="en"><p><b>Background</b></p><p>The COVID-19 pandemic has created an unprecedented challenge for medical professionals throughout the world to tackle the rapidly changing scenario. The objective of this survey was to analyze the change in neurosurgical practice in India following the COVID-19 outbreak and assess its impact on practising neurosurgeons.</p></div><div type="abstract" xml:lang="en"><p><b>Materials and Methods</b></p><p>Between May 7</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Our survey showed a drastic fall in the number of neurosurgical patients seen in the outpatient department (OPD) as well as the number of surgeries performed. A drop of 76.25% was seen in OPD patients (P = 0.000) and that of 70.59% in surgeries performed (P = 0.000). There was no uniformity among the neurosurgeons in the number of COVID-19 tests being done before elective/emergency surgery and in the use of protective gear while examining patients. Private practitioners were more affected financially as compared to those in the government sector. The pandemic has affected the research work of 53.23% of all respondents, with those in the teaching profession (70.96%) more affected than those in the non-teaching profession (24.67%).</p></div><div type="abstract" xml:lang="en"><p><b>Conclusions</b></p><p>Evidence-based policies, screening COVID-19 tests with better sensitivity, and better-quality personal protective equipment kits in adequate numbers are required to protect our medical professionals from COVID-19. Mental health issues among neurosurgeons may also be an issue, this being a high risk speciality and should be closely watched for.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32643671</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>17</Day></DateCompleted><DateRevised><Year>2020</Year><Month>07</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1998-4022</ISSN><JournalIssue CitedMedium="Internet"><Volume>68</Volume><Issue>3</Issue><PubDate><MedlineDate>2020 May-Jun</MedlineDate></PubDate></JournalIssue><Title>Neurology India</Title><ISOAbbreviation>Neurol India</ISOAbbreviation></Journal><ArticleTitle>Impact of the COVID-19 Pandemic on Neurosurgical Practice in India: Results of an Anonymized National Survey.</ArticleTitle><Pagination><MedlinePgn>595-602</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/0028-3886.289004</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">The COVID-19 pandemic has created an unprecedented challenge for medical professionals throughout the world to tackle the rapidly changing scenario. The objective of this survey was to analyze the change in neurosurgical practice in India following the COVID-19 outbreak and assess its impact on practising neurosurgeons.</AbstractText><AbstractText Label="Materials and Methods" NlmCategory="UNASSIGNED">Between May 7<sup>th</sup> and 23<sup>rd</sup>, 2020, a validated questionnaire was circulated amongst practising neurosurgeons across the country by social media and e-mails, regarding changes in the patterns of patients seen, adaptations made in their practice, effect on surgeries performed, financial burden, and impact on their personal lives. The responses were kept anonymous and were analyzed for correlations between the changes observed and independent factors such as hospital affiliations, teaching professions, and neurosurgical experience.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Our survey showed a drastic fall in the number of neurosurgical patients seen in the outpatient department (OPD) as well as the number of surgeries performed. A drop of 76.25% was seen in OPD patients (P = 0.000) and that of 70.59% in surgeries performed (P = 0.000). There was no uniformity among the neurosurgeons in the number of COVID-19 tests being done before elective/emergency surgery and in the use of protective gear while examining patients. Private practitioners were more affected financially as compared to those in the government sector. The pandemic has affected the research work of 53.23% of all respondents, with those in the teaching profession (70.96%) more affected than those in the non-teaching profession (24.67%).</AbstractText><AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">Evidence-based policies, screening COVID-19 tests with better sensitivity, and better-quality personal protective equipment kits in adequate numbers are required to protect our medical professionals from COVID-19. Mental health issues among neurosurgeons may also be an issue, this being a high risk speciality and should be closely watched for.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Venkataram</LastName><ForeName>Tejas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goyal</LastName><ForeName>Nishant</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dash</LastName><ForeName>Chinmaya</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneshwar, Orissa, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chandra</LastName><ForeName>Prarthana P</ForeName><Initials>PP</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Hamdard Institute of Medical Sciences and Research, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chaturvedi</LastName><ForeName>Jitender</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Raheja</LastName><ForeName>Amol</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singla</LastName><ForeName>Raghav</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sardhara</LastName><ForeName>Jayesh</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singh</LastName><ForeName>Bhoopendra</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Hamdard Institute of Medical Sciences and Research, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gupta</LastName><ForeName>Ravi</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>Neurol India</MedlineTA><NlmUniqueID>0042005</NlmUniqueID><ISSNLinking>0028-3886</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Protocol" UI="C000657964">COVID-19 diagnostic testing</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000553" MajorTopicYN="N">Ambulatory Care</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019411" MajorTopicYN="N">Clinical Laboratory Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017558" MajorTopicYN="N">Elective Surgical Procedures</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007194" MajorTopicYN="N" Type="Geographic">India</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008403" MajorTopicYN="N">Mass Screening</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000069471" MajorTopicYN="N">Neurosurgeons</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009493" MajorTopicYN="N">Neurosurgery</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019635" MajorTopicYN="N">Neurosurgical Procedures</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000067393" MajorTopicYN="N">Personal Protective Equipment</DescriptorName><QualifierName UI="Q000600" MajorTopicYN="N">supply & distribution</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010561" MajorTopicYN="N">Personnel Staffing and Scheduling</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010818" MajorTopicYN="N">Practice Patterns, Physicians'</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017216" MajorTopicYN="N">Telemedicine</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19 (coronavirus disease of 2019)</Keyword><Keyword MajorTopicYN="N">India</Keyword><Keyword MajorTopicYN="N">neurosurgical practice</Keyword><Keyword MajorTopicYN="N">personal protective equipment</Keyword></KeywordList><CoiStatement>None</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32643671</ArticleId><ArticleId IdType="pii">ni_2020_68_3_595_289004</ArticleId><ArticleId IdType="doi">10.4103/0028-3886.289004</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Venkataram, Tejas" sort="Venkataram, Tejas" uniqKey="Venkataram T" first="Tejas" last="Venkataram">Tejas Venkataram</name></noRegion><name sortKey="Chandra, Prarthana P" sort="Chandra, Prarthana P" uniqKey="Chandra P" first="Prarthana P" last="Chandra">Prarthana P. Chandra</name><name sortKey="Chaturvedi, Jitender" sort="Chaturvedi, Jitender" uniqKey="Chaturvedi J" first="Jitender" last="Chaturvedi">Jitender Chaturvedi</name><name sortKey="Dash, Chinmaya" sort="Dash, Chinmaya" uniqKey="Dash C" first="Chinmaya" last="Dash">Chinmaya Dash</name><name sortKey="Goyal, Nishant" sort="Goyal, Nishant" uniqKey="Goyal N" first="Nishant" last="Goyal">Nishant Goyal</name><name sortKey="Gupta, Ravi" sort="Gupta, Ravi" uniqKey="Gupta R" first="Ravi" last="Gupta">Ravi Gupta</name><name sortKey="Raheja, Amol" sort="Raheja, Amol" uniqKey="Raheja A" first="Amol" last="Raheja">Amol Raheja</name><name sortKey="Sardhara, Jayesh" sort="Sardhara, Jayesh" uniqKey="Sardhara J" first="Jayesh" last="Sardhara">Jayesh Sardhara</name><name sortKey="Singh, Bhoopendra" sort="Singh, Bhoopendra" uniqKey="Singh B" first="Bhoopendra" last="Singh">Bhoopendra Singh</name><name sortKey="Singla, Raghav" sort="Singla, Raghav" uniqKey="Singla R" first="Raghav" last="Singla">Raghav Singla</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Impact of the COVID-19 Pandemic on Neurosurgical Practice in India: Results of an Anonymized National Survey.
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