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Evaluation of vaccination coverage in cochlear implant patients at a referral hospital in Northern Spain.

Identifieur interne : 000003 ( Main/Exploration ); précédent : 000002; suivant : 000004

Evaluation of vaccination coverage in cochlear implant patients at a referral hospital in Northern Spain.

Auteurs : María Fernández-Prada [Espagne] ; Jaime Madro Al-Menéndez [Espagne] ; Carmen Martínez-Ortega [Espagne] ; Pedro Ramos-Martín [Espagne] ; Federico Fernández-Noval [Espagne] ; Ismael Huerta-González [Espagne] ; José Luis Llorente-Pendás [Espagne] ; Justo Ram N G Mez-Martínez [Espagne]

Source :

RBID : pubmed:30579509

Descripteurs français

English descriptors

Abstract

BACKGROUND AND OBJECTIVE

The risk of bacterial meningitis increases in cochlear implant patients. Therefore, pneumococcal, influenza and Haemophilus influenzae type b vaccination is indicated in this group. The aim of this study was to determine compliance with the vaccination calendar in patients implanted in a referral hospital.

MATERIALS AND METHODS

Patients with cochlear implant operated between 2005 and 2015 were included. Vaccine coverage for seasonal influenza, Haemophilus influenzae type b and pneumococcal conjugate 13-serotypes and pneumococcal polysaccharide 23-serotypes was evaluated. The sample was divided into 2 age groups (<14 years and≥14 years). A univariate and bivariate analysis was performed.

RESULTS

Of the 153 patients studied (28.01% 0-13 years old and 71.9%≥14), only 2 (5.71%) had 100% adherence to the vaccination schedule, while 65.71% had compliance of 50% or less. Overall, vaccination coverage against the sequential pneumococcal pattern was 48.57%. The paediatric population exceeded 90% coverage for the vaccine against Haemophilus influenzae type b and pneumococcal conjugate 13-serotypes while in those over 14 years of age it barely exceeded 50%. Influenza coverage was less than 40%. An inverse correlation was obtained between age and compliance, although not statistically significant.

CONCLUSIONS

Vaccination coverage in patients with cochlear implant is lower than expected. Close collaboration between Otolaryngology departments and the Vaccination Units is proposed as the main strategy for improvement.


DOI: 10.1016/j.otorri.2018.08.001
PubMed: 30579509


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Adolescent (MeSH)</term>
<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Cochlear Implantation (MeSH)</term>
<term>Cochlear Implants (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Disease Susceptibility (MeSH)</term>
<term>Haemophilus Vaccines (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Infant, Newborn (MeSH)</term>
<term>Influenza Vaccines (MeSH)</term>
<term>Meningitis, Bacterial (prevention & control)</term>
<term>Middle Aged (MeSH)</term>
<term>Pneumococcal Vaccines (MeSH)</term>
<term>Postoperative Complications (prevention & control)</term>
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<term>Vaccination Coverage (statistics & numerical data)</term>
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<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Complications postopératoires (prévention et contrôle)</term>
<term>Couverture vaccinale (statistiques et données numériques)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Espagne (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Implantation cochléaire (MeSH)</term>
<term>Implants cochléaires (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Méningite bactérienne (prévention et contrôle)</term>
<term>Nourrisson (MeSH)</term>
<term>Nouveau-né (MeSH)</term>
<term>Prédisposition aux maladies (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Vaccins anti-Haemophilus (MeSH)</term>
<term>Vaccins antigrippaux (MeSH)</term>
<term>Vaccins antipneumococciques (MeSH)</term>
<term>Études transversales (MeSH)</term>
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<term>Haemophilus Vaccines</term>
<term>Influenza Vaccines</term>
<term>Pneumococcal Vaccines</term>
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<term>Spain</term>
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<term>Meningitis, Bacterial</term>
<term>Postoperative Complications</term>
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<term>Complications postopératoires</term>
<term>Méningite bactérienne</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Vaccination Coverage</term>
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<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr">
<term>Couverture vaccinale</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cochlear Implantation</term>
<term>Cochlear Implants</term>
<term>Cross-Sectional Studies</term>
<term>Disease Susceptibility</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Middle Aged</term>
<term>Young Adult</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Espagne</term>
<term>Humains</term>
<term>Implantation cochléaire</term>
<term>Implants cochléaires</term>
<term>Jeune adulte</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Prédisposition aux maladies</term>
<term>Sujet âgé</term>
<term>Vaccins anti-Haemophilus</term>
<term>Vaccins antigrippaux</term>
<term>Vaccins antipneumococciques</term>
<term>Études transversales</term>
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<term>Espagne</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND AND OBJECTIVE</b>
</p>
<p>The risk of bacterial meningitis increases in cochlear implant patients. Therefore, pneumococcal, influenza and Haemophilus influenzae type b vaccination is indicated in this group. The aim of this study was to determine compliance with the vaccination calendar in patients implanted in a referral hospital.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MATERIALS AND METHODS</b>
</p>
<p>Patients with cochlear implant operated between 2005 and 2015 were included. Vaccine coverage for seasonal influenza, Haemophilus influenzae type b and pneumococcal conjugate 13-serotypes and pneumococcal polysaccharide 23-serotypes was evaluated. The sample was divided into 2 age groups (<14 years and≥14 years). A univariate and bivariate analysis was performed.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Of the 153 patients studied (28.01% 0-13 years old and 71.9%≥14), only 2 (5.71%) had 100% adherence to the vaccination schedule, while 65.71% had compliance of 50% or less. Overall, vaccination coverage against the sequential pneumococcal pattern was 48.57%. The paediatric population exceeded 90% coverage for the vaccine against Haemophilus influenzae type b and pneumococcal conjugate 13-serotypes while in those over 14 years of age it barely exceeded 50%. Influenza coverage was less than 40%. An inverse correlation was obtained between age and compliance, although not statistically significant.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Vaccination coverage in patients with cochlear implant is lower than expected. Close collaboration between Otolaryngology departments and the Vaccination Units is proposed as the main strategy for improvement.</p>
</div>
</front>
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<DateCompleted>
<Year>2020</Year>
<Month>04</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>04</Month>
<Day>08</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1988-3013</ISSN>
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<Volume>70</Volume>
<Issue>6</Issue>
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<MedlineDate>2019 Nov - Dec</MedlineDate>
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</JournalIssue>
<Title>Acta otorrinolaringologica espanola</Title>
<ISOAbbreviation>Acta Otorrinolaringol Esp</ISOAbbreviation>
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<ArticleTitle>Evaluation of vaccination coverage in cochlear implant patients at a referral hospital in Northern Spain.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.otorri.2018.08.001</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND AND OBJECTIVE" NlmCategory="OBJECTIVE">The risk of bacterial meningitis increases in cochlear implant patients. Therefore, pneumococcal, influenza and Haemophilus influenzae type b vaccination is indicated in this group. The aim of this study was to determine compliance with the vaccination calendar in patients implanted in a referral hospital.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Patients with cochlear implant operated between 2005 and 2015 were included. Vaccine coverage for seasonal influenza, Haemophilus influenzae type b and pneumococcal conjugate 13-serotypes and pneumococcal polysaccharide 23-serotypes was evaluated. The sample was divided into 2 age groups (<14 years and≥14 years). A univariate and bivariate analysis was performed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 153 patients studied (28.01% 0-13 years old and 71.9%≥14), only 2 (5.71%) had 100% adherence to the vaccination schedule, while 65.71% had compliance of 50% or less. Overall, vaccination coverage against the sequential pneumococcal pattern was 48.57%. The paediatric population exceeded 90% coverage for the vaccine against Haemophilus influenzae type b and pneumococcal conjugate 13-serotypes while in those over 14 years of age it barely exceeded 50%. Influenza coverage was less than 40%. An inverse correlation was obtained between age and compliance, although not statistically significant.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Vaccination coverage in patients with cochlear implant is lower than expected. Close collaboration between Otolaryngology departments and the Vaccination Units is proposed as the main strategy for improvement.</AbstractText>
<CopyrightInformation>Copyright © 2018 Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello. Publicado por Elsevier España, S.L.U. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
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<LastName>Fernández-Prada</LastName>
<ForeName>María</ForeName>
<Initials>M</Initials>
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<Affiliation>Servicio de Medicina Preventiva y Salud Pública, Hospital Vital Álvarez Buylla, Mieres, Asturias, España. Electronic address: mariafdezprada@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Madroñal-Menéndez</LastName>
<ForeName>Jaime</ForeName>
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<AffiliationInfo>
<Affiliation>Centro de Salud de Pravia, Área Sanitaria III, Asturias, España.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Martínez-Ortega</LastName>
<ForeName>Carmen</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Servicio de Medicina Preventiva y Salud Pública, Hospital Valle del Nalón, Langreo, Asturias, España.</Affiliation>
</AffiliationInfo>
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<Affiliation>Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario La Paz, Madrid, España.</Affiliation>
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<Author ValidYN="Y">
<LastName>Fernández-Noval</LastName>
<ForeName>Federico</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Servicio de Vigilancia Epidemiológica, Dirección General de Salud Pública, Consejería de Sanidad del Principado de Asturias, Oviedo, Asturias, España.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Huerta-González</LastName>
<ForeName>Ismael</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>Servicio de Vigilancia Epidemiológica, Dirección General de Salud Pública, Consejería de Sanidad del Principado de Asturias, Oviedo, Asturias, España.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Llorente-Pendás</LastName>
<ForeName>José Luis</ForeName>
<Initials>JL</Initials>
<AffiliationInfo>
<Affiliation>Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Asturias, España.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Gómez-Martínez</LastName>
<ForeName>Justo Ramón</ForeName>
<Initials>JR</Initials>
<AffiliationInfo>
<Affiliation>Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Asturias, España.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<Language>spa</Language>
<PublicationTypeList>
<PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<VernacularTitle>Evaluación de las coberturas de vacunación en pacientes con implante coclear de un hospital de referencia del norte de España.</VernacularTitle>
<ArticleDate DateType="Electronic">
<Year>2018</Year>
<Month>12</Month>
<Day>20</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>Spain</Country>
<MedlineTA>Acta Otorrinolaringol Esp</MedlineTA>
<NlmUniqueID>14540260R</NlmUniqueID>
<ISSNLinking>0001-6519</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D018073">Haemophilus Vaccines</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D022242">Pneumococcal Vaccines</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019929" MajorTopicYN="N">Cochlear Implantation</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003054" MajorTopicYN="Y">Cochlear Implants</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004198" MajorTopicYN="N">Disease Susceptibility</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018073" MajorTopicYN="N">Haemophilus Vaccines</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016920" MajorTopicYN="N">Meningitis, Bacterial</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D022242" MajorTopicYN="N">Pneumococcal Vaccines</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000073887" MajorTopicYN="N">Vaccination Coverage</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Cochlear implant</Keyword>
<Keyword MajorTopicYN="N">Gripe</Keyword>
<Keyword MajorTopicYN="N">Haemophilus influenza type b</Keyword>
<Keyword MajorTopicYN="N">Haemophilus influenzae tipo b</Keyword>
<Keyword MajorTopicYN="N">Implante coclear</Keyword>
<Keyword MajorTopicYN="N">Influenza</Keyword>
<Keyword MajorTopicYN="N">Neumococo</Keyword>
<Keyword MajorTopicYN="N">Pneumococcus</Keyword>
<Keyword MajorTopicYN="N">Vaccine</Keyword>
<Keyword MajorTopicYN="N">Vacuna</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2018</Year>
<Month>07</Month>
<Day>18</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2018</Year>
<Month>08</Month>
<Day>27</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2018</Year>
<Month>12</Month>
<Day>24</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2020</Year>
<Month>4</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2018</Year>
<Month>12</Month>
<Day>24</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">30579509</ArticleId>
<ArticleId IdType="pii">S0001-6519(18)30179-1</ArticleId>
<ArticleId IdType="doi">10.1016/j.otorri.2018.08.001</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Espagne</li>
</country>
<region>
<li>Communauté de Madrid</li>
</region>
<settlement>
<li>Madrid</li>
</settlement>
</list>
<tree>
<country name="Espagne">
<noRegion>
<name sortKey="Fernandez Prada, Maria" sort="Fernandez Prada, Maria" uniqKey="Fernandez Prada M" first="María" last="Fernández-Prada">María Fernández-Prada</name>
</noRegion>
<name sortKey="Fernandez Noval, Federico" sort="Fernandez Noval, Federico" uniqKey="Fernandez Noval F" first="Federico" last="Fernández-Noval">Federico Fernández-Noval</name>
<name sortKey="G Mez Martinez, Justo Ram N" sort="G Mez Martinez, Justo Ram N" uniqKey="G Mez Martinez J" first="Justo Ram N" last="G Mez-Martínez">Justo Ram N G Mez-Martínez</name>
<name sortKey="Huerta Gonzalez, Ismael" sort="Huerta Gonzalez, Ismael" uniqKey="Huerta Gonzalez I" first="Ismael" last="Huerta-González">Ismael Huerta-González</name>
<name sortKey="Llorente Pendas, Jose Luis" sort="Llorente Pendas, Jose Luis" uniqKey="Llorente Pendas J" first="José Luis" last="Llorente-Pendás">José Luis Llorente-Pendás</name>
<name sortKey="Madro Al Menendez, Jaime" sort="Madro Al Menendez, Jaime" uniqKey="Madro Al Menendez J" first="Jaime" last="Madro Al-Menéndez">Jaime Madro Al-Menéndez</name>
<name sortKey="Martinez Ortega, Carmen" sort="Martinez Ortega, Carmen" uniqKey="Martinez Ortega C" first="Carmen" last="Martínez-Ortega">Carmen Martínez-Ortega</name>
<name sortKey="Ramos Martin, Pedro" sort="Ramos Martin, Pedro" uniqKey="Ramos Martin P" first="Pedro" last="Ramos-Martín">Pedro Ramos-Martín</name>
</country>
</tree>
</affiliations>
</record>

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