Tag Archives: HSC

Bournemouth University Clinical Research Unit (BUCRU) Annual Report

Posted in BU research, Health, Health, Wellbeing & Ageing, Research news by Louise Ward

At the Bournemouth University Clinical Research Unit (BUCRU) we think it is important to review our activities on a regular basis, to document our achievements and to outline our plans for the future. We have decided that the best way to do this is to prepare an Annual Report. It was completed some months ago and now we would like to share it more widely with our colleagues in the University. It can be found on our microsite at http://microsites.bournemouth.ac.uk/bucru/news/ we hope it is of interest.

The support and collaborations we offer are available to staff within the University, and to staff in the NHS. In the next year we will be particularly trying to develop new collaborations between University and health service staff that will lead to high quality grant applications.

If you would like further information please contact Louise Ward (wardl@bournemouth.ac.uk Tel: 01202 961939)

http://microsites.bournemouth.ac.uk/bucru/ 

Realities of fieldwork: Sheetal Sharma, HSC PhD student on fieldwork in rural Nepal.

Posted in BU research, Culture & Society, Health, Health, Wellbeing & Ageing, PG research by ssharma

(c) Sheetal Sharma

Open air focus group in rural Nepal, (c) Sheetal Sharma 2013.


Roosters crowing, cows mooing, bleating goats, birds chirping, mobile phones ringing, children screaming, laughing and running around while women, breastfeeding, talk over one another excitedly in the sun as they need to leave us soon to drop the children off to school and/or head to the field to cultivate the season’s crop this spring it is wheat, last summer, rice. Women do this work as most of their husbands are away in the capital, Kathmandu or in the Arab Gulf. This is the reality of conducting focus groups in rural Nepal.

Although we, as researchers, spend considerable time to perfect the ideal ‘tool’ of the interview schedule and imagine the transcription clear and the background; a researcher must be prepared for every eventuality. Noise, din and interruptions: Today a dog nibbled on a nearby goat and a few men kept creeping to listen in why was this videshi (foreigner) recording conversations and making notes. The women shooed them away as today was a discussion on contraception; also that the discussion of the focus groups should be in ‘controlled environment’, safe, quiet; and in Nepal where women are not the main decision-maker for their reproductive health, it should mean a lieu women should be able to discuss freely these issues. In this Green Tara’s (www.greentaratrust.com) intervention area, which my PhD, supervised at HSC BU by Catherine Angell, Vanora Hundley, Edwin van Teijlingen and University of Sheffield’s Padam Simkhada, aims to evaluate both quantitatively and qualitatively, shows one the decision-making outcomes improved: increased the use of contraception in the Pharping area from 4.3% (2008) to 24.6% (2012) after 5 years of health promotion conducted by two auxiliary nurse-midwives.
40 minutes later recording (with 2 digital recorders) and once the demographic data and recording is double-checked and any last questions answered we set off walking 2 hours downhill visiting a tea-shop on the way for a cup of chai.

Edwin van Teijlingen and Emma Pitchforth, Qualitative Research: Focus group research in family planning and reproductive health care J Fam Plann Reprod Health Care 2006;32:1 30-32doi:10.1783/147118906775275299

http://jfprhc.bmj.com/content/32/1/30.citation

PhD student at HSC? BEACON needs you

Posted in BU research, Health, Health, Wellbeing & Ageing, PG research by ssharma

Ref: (http://www.sterlingtimes.org/kitchener.jpg)

Wondered if you had thought of writing a few lines for this years Beacon on your PhD study.

Just a short summary.  It could be as little as 150 words, nothing to big.  Just to raise the awareness of your work internally.

Please email <ssharma@bournemouth.ac.uk> Thanks Sheetal!

Pain, perception and partner institutions

Posted in BU research, Featured academics by Jo Garrad

“Assessing agreement between kinaesthesis, visual perception and body imagery” is a collaborative study bringing together expertise from BU and AECC.

The project aims to assess whether there are differences in perception and body image between those with chronic low back pain and controls. To do this we are using a variety of measures (outlined below) and it is hoped that the insight we gain from a group of people with chronic pain we can expand the techniques to other populations where body image may become distorted. These include for example those with complex regional pain syndrome, or following an amputation and for those with eating disorders.

The project is being conducted by Dr. Carol Clark, Gill Glasgow (BU) and Dr. Neil Osborne (AECC) along with Dr. Sharon Docherty (AECC) in the AECC Experimental Research Facility. Professors Ahmed Khattab (BU) and Jeff Bagust (AECC & BU) are also involved.

The Kinaesthetic Assessment Bench (KAB)

Lumbar spine kinaesthesis is assessed by using an ultrasound motion analysis system to measure how accurately the subject can reposition their lower body on a motorised bench.

Lower body repositioning

The Computerised Rod and Frame Test (CRAFT)

CRAFT assesses an individual’s perception of vertical using a specialist computerised software system. The test has been employed in studies investigating the perception of vertical in those with acute and chronic neck pain.

The CRAFT in use

The Body Motor Imagery Test (Recognise TM)

The aim of this test is to assess the activation of cortical networks in relation to body laterality with minimal limb movement. This test employs simple computerised software and has been employed in studies to assess and treat body imagery impairments in those with pain.

The Assessment of Body Image Cognitive Distortions (ABCD)

The ABCD aims to assess cognitive distortions related to body image perception.

Seed corn funding was awarded from HSC in March 2012. This small grant has enabled us:-

-       To investigate new concepts in relation to body image and perception

-       To record data using the tools in order to establish published results. We are in the process of carrying out the initial data collection

-       To develop in-depth knowledge about body image and perception

-       To establish contact with researchers at the University of South Australia and Imperial College London.

-       To offer two undergraduate research dissertation projects

-       To establish interprofessional collaborative working between CC, GG, NO, SD, AK and JB.

-       To enable closer collaboration between BU and one of its partner organisations AECC.

For further information please do not hesitate to contact: Carol Clark (HSC), Neil Osborne (AECC) or Sharon Docherty (AECC)

Anyone wishing to take part in the study, please contact Dr Sharon Docherty (SDocherty@aecc.ac.uk) for more details.

HSC Student receives Graduate Scholar Award at University of Berkeley Conference.

Posted in BU research, Health, PG research, Research news by ssharma

 

Sheetal Sharma, HSC presented at the Science in Society conference (SiS) at Berkeley University in November 2012 where she received a Graduate Scholar Award http://science-society.com/the-conference/graduate-scholar-award

As a PhD student presenting it’s an opportunity to practice for the inevitable viva and a chance to reflect on your work, as there’s always a question you do not expect. For instance, I had a few questions on cultural aspects of my PhD mixed-methods evaluation. That helped me prepare for my transfer viva, where I was asked on the cultural context of the health promotion intervention, specifically in a country context, run by Green Tara Nepal: http://www.greentaratrust.com/ The plenary was the Presidential Commission for the Study of Bioethical Issues http://www.bioethics.gov/cms/node/778 on ethics and morality of science.

Conferences can be competitive, in the sense, you need to be accepted. Secondly you also can compete for a ‘free space’ and in this instance you were able to compete to be a chair. At SiS, graduate students were invited to, through a very formal application process, to be chair of session. Although it means you won’t attend certain talks, the trade-off is worth is as one is forced to think of questions or how to manage, and be critical and aware of several issues of research.

Being ‘forced’ to be critical led to my planning more what aspects I want to present to the audience. This conference was concerned with the science of health, its epistemology and helped me think of how to discuss the development of theory. As in a PhD viva one might need to answer ‘new knowledge to the field’ how the theory or models proposed are better than competing theories.

I was also lucky to visit Howard University, where I spend time researching cultural ‘appropriateness’ of health programmes, specifically should postnatal care be done again at 40 days. For my PhD evaluation of the Green Tara Nepal that the cultural sensitive aspect led to its increase in health services uptake. I encourage those interested to visit their work as they are ranked school in the top 20% of social work programmes. The World Bank and USAID frequently have invitations to talks, the ones I attended highlighted the focus of women in development, what role programmes can play to develop rural areas; as it is women in Nepal who ‘stay’ in the villages to farm and care for the family as men migrate abroad or to the capital city Kathmandu.

This experience helped me begin the reflection of what my evaluation means, whether in a policy context or the epistemological context; on my return I spoke to my supervisory team. Prof. Edwin van Teijlingen, Prof. Vanora Hundley, Dr. Catherine Angell and my external supervisor Dr. Padam Simkhada (University of Sheffield) who encouraged me to on this basis strengthen my writing for my discussion on what the research done has meant.

 

Case is made for fusion of the Arts and Social Sciences

Posted in BU research by Kip Jones

Kip Jones, Reader in Peformative Social Science, HSC and The Media School makes a case for the potential of arts-based social science to reach audiences and engage communities in an article in The Qualitative Report (Vol 17: 18, 1-8) published electronically today. http://www.nova.edu/ssss/QR/QR17/jones.pdf

 Entitled, “Connecting Research with Communities through Performative Social Science” (PSS), the paper contextualises both the use of the Arts in Social Science, as well as the utility of Social Science in the Arts and Humanities. PSS is conceived of as a fusion of the Arts and Social Sciences, creating a new paradigm where tools from the Arts and Humanities are explored for their utility in enriching the ways in which we investigate Social Science subjects and involve communities in our research efforts and diffusion of our collaborative endeavours. Performative Social Science is redefined in terms of a synthesis that can break down old boundaries, open up channels of communication and empower communities through engagement.

The article harks back the beginnings of PSS by recalling the influential AHRC funded series of workshops, “Social Science in Search of its Muse” held at BU throughout 2006-07, reported in a short video (https://vimeo.com/4327950). This was followed by a Special Issue on Performative Social Science for the online, qualitative journal, Forum: Qualitative Social Research (Jones et al., May, 2008), providing a wide range of examples and manifestations of PSS, with contributions from various disciplines/subject areas, and realized through a wide variety of approaches to research practice.

 Since these early efforts in PSS, the impact of these explorations has been measurable, including several completed PhDs utilizing principles of PSS, many journal articles, films and conference presentations nationally and internationally and further funding by Research Councils UK of research based in Performative Social Science methods.

Jones then turns to examples from his own work to illustrate what happens when Art talks to Social Science and Social Science responds to Art. The benefits of such interaction and interdisciplinarity are outlined in relation to a recently completed project using multi-methods, which resulted in the production and current dissemination of the professional short film, Rufus Stone.

Jones said, “Performative Social Science provides the overarching intellectual prowess, strategies and methodological and theoretical bases to engage and unite scholars across disciplines and, in turn, connect researchers’ endeavours with communities and stakeholders. Performative Social Science or a fusion of the arts and sciences are central to both community engagement and as catalysts for change”.

#hwbbu – Health and Wellbeing Community Hashtag (and biscuits)

Posted in BU research by Kirsty Stanley

#hwbbu – Twitter hashtags

As Carol Bond indicated in the comments to the recent blog post about the successful HSC Health and Wellbeing Community Conference the community agreed to select a twitter hashtag in order to collect information from any tweets relevant to the activities of the community.

I was tasked with organising this, being familiar with the concept, and after a wait for the registration to come through I can confirm that the hashtag is #hwbbu (Health and Wellbeing at Bournemouth University). The hashtag is registered with the Healthcare Hashtags Project here. This project maintains a date-searchable archive of the tweets of healthcare relevant hashtags as well as allowing analysis of activity and reach.

We went for a short hashtag because this is good practice with Twitter being limited to only 140 characters for each tweet.

Biscuits – Light is alright

As you’ll see from the rather fetching picture from the conference post, I took part in the biscuit taste test organised by Dr Heather Hartwell who was talking to us about the concept of ‘Health by Stealth’. We tried two Rich Tea biscuits from the same company and, despite what the picture shows, most people preferred biscuit A. This was actually the ‘Light’ version! Less fat, less calories, slightly more sugar needed to bond it but crunchier (less claggy) and the same price. The problem is we tend to think of ‘healthy’ versions as not being as tasty. I did manage to guess by sight which was the healthiest so was therefore surprised to prefer its taste. As someone who likes a sweet snack I think it’s definitely worth trying out lighter versions in future.

 

Public Health: Knowledge into Action

Posted in BU research by Julie Northam

1 day conference  – 26th June 2012

Jointly hosted by BU and the NHS

Public health is at a crossroads … moving back into local authorities where it began with the appointment of the first medical officers for health.  This move presents opportunities to improve health and wellbeing by taking a more integrated approach. The purpose of this one day conference was to discuss these opportunities and identify action that can be taken to improve health and wellbeing using the best available evidence.  The event was very successful and well attended and included local public health practitioners, local councillors and BU staff.

For further information please contact: Ann Hemingway, Public Health Academic at Bournemouth University – ahemingway@bournemouth.ac.uk or Lindley Owen Consultant in Public Health NHS Bournemouth and Poole – Lindley.Owen@bp-pct.nhs.uk

Presentations

Munchausen by Internet

Posted in BU research, Featured by Jo Garrad

Online health forums offer much needed support, advice and friendship for people suffering with illnesses. But within this supportive atmosphere, unwelcome visitors sometimes lurk; a breed of malicious, hurtful Internet trolls masquerading as real group members.

Munchausen by Internet (MBI) sees people faking illnesses and fabricating serious health conditions in online support groups, building relationships with genuine sufferers and generating sympathy for their invented condition.

In one case documented in 2011, a brother and sister posed as relations of a multiple sclerosis sufferer on a social networking website and created an elaborate narrative, which included diagnosis of terminal cancer and Hodgkin’s lymphoma, a baby miscarriage, pneumonia and the death of a loved one through a heart attack. They trapped their victim – a genuine MS sufferer called Elizabeth – into providing half a year of time-consuming and emotionally draining interaction with themselves and their fake personas.[i]

Events such as these can have devastating effects on online health communities, destroying trust when the hoax is exposed and sometimes damaging the communities beyond repair. But what can be done to manage this more effectively?

Andy Pulman and Dr Jacqui Taylor from Bournemouth University are the authors of a recent article on MBI and its motivation, opportunity, detection, effects and consequences. They suggest that MBI trolling should be formally acknowledged: “This will help patients, caregivers and practitioners to more effectively identify cases of MBI and minimise the growth of this behaviour as more and more people seek reassurance and support about their health in an online environment,” they explain.

Pulman and Taylor also suggest that more research is required in order to provide victims of suspected MBI trolls with the right advice and for facilitators of discussion groups to effectively manage interactions. “There is a clear, compelling need to recognise that in addition to MBI being classed as a condition in its own right, there is a subsection of people currently tagged as MBI sufferers who are MBI trolls intentionally harming well intentioned support groups and abusing members for their own pleasure or enjoyment. It is this area which needs urgent attention and action either by group users or the creators of the software that host them.”

‘Munchausen by Internet (MBI): Current research and future directions’ is published by the Journal of Medical Internet Research (JMIR). Read it online here.

[i] Case documented in Cunningham JM, Feldman MD. Munchausen by Internet: current perspectives and three new cases. Psychosomatics 2011 Apr;52(2):185-189.

Rufus Stone scoops 2 awards at the prestigious Rhode Island International Film Festival!

Posted in BU research by Corrina Dickson

Rufus Stone  has just scooped two awards at the prestigious Rhode Island International Film Festival in the USA, the only short to win in two categories at the festival:  the Grand prize in the Alternative Spirit category and the Youth Jury Award for best GLBT film at the festival.

The Rhode Island International Film Festival consisted of six days and nights of screenings, meetings and greetings featured more than 200 films selected from more than 4,000 entrants.

The Youth Jury is a programme that introduces youth to the world of independent film. The youth attend multiple screenings during the Festival, Q&amp;A’s, and festival events. Their goal is to deliberate, and choose a Best Feature, Best Documentary, and Best Short to receive the Youth Jury award.

Just few reactions to Rufus Stone from audience members at earlier screeings:

“Critically the authenticity of the film shone through – the characters were real and genuine”.

  •   “emotionally gripping”
  •   “technically innovative and striking”
  •   “a brilliant way to portray research”
  •   “beautiful and very intense”
  •   “a quite remarkable film”
  •   “a brilliant film, beautifully crafted and full of empathy”

“Rarely does one get the chance of seeing a love affair between two men portrayed on screen credibly and realistically, not to say very movingly”.

“A kind of ‘ To Kill a Mocking Bird’ type film that makes you really think about your morals”.

Bournemouth University’s Kip Jones (The Media School &; HSC) said, “Winning at prestigious film festivals such as RIIFF is important in getting the film seen by a wide audience. This is the kind of impact that we imagined from the outset of the research project itself”. 

“I am particularly pleased for our director, Josh Appignanesi, who took on board the concept of fusion of research and a professional film and visually brought it to life through Rufus Stone.”

“Gay and Pleasant Land? -a study about positioning, ageing and gay life in rural South West England and Wales” was  funded by Research Councils UK.The Rufus Stone microsite gives more information about the film, and the research that inspired it.

BUCRU – Seminar presenting Breaking News!

Posted in BU research, Nursing & Midwifery, Post-award, Publishing, Research news, Uncategorized by Louise Ward

 

BREAKING  NEWS…

We would like to invite you to an afternoon seminar by one of our Visiting Faculty, Professor Mike Wee, presenting some exciting new research findings to come out of a recently completed Research for Patient Benefit funded study comparing two methods of pain relief during labour (abstract and biography below).  This paper was just voted best paper of the conference at the Obstetric Anaesthetists Association Annual Conference in Liverpool and was featured recently in the Bournemouth Echo http://www.bournemouthecho.co.uk/news/9770928.Pain_relief_in_labour__study_at_Poole_hospital_makes_important_discovery/

The seminar is scheduled for Thursday 19th July 2-3pm in BG10 Bournemouth House (after the HSC end of term lunch and next door for your convenience).

We hope you can make it and look forward to seeing you then.

BUCRU

Website: http://microsites.bournemouth.ac.uk/bucru/

Administrator: +44 (0)1202 961939 / wardl@bournemouth.ac.uk

Title: The IDvIP Trial: A two-centre double blind randomised controlled trial comparing i.m. diamorphine and i.m. pethidine for labour analgesia

Research team and affiliations: MYK Wee, JP Tuckey,* P Thomas,† S Burnard,* D Jackson.

Poole Hospital NHS Foundation Trust, Poole, UK, *Royal United Hospital, Bath, UK, †Bournemouth University Clinical Research Unit, Bournemouth, UK.

Abstract:

Background: Intramuscular pethidine, the commonest parenteral opioid analgesic used in obstetrics and more recently diamorphine usage has increased in the UK.  The maternal, fetal and neonatal side effects are well known for pethidine but there are no sufficiently powered large RCTs comparing pethidine with diamorphine. The aim of this trial is to address this.

Methods: After ethical approval, informed consent was obtained from 484 women randomised to receive either 7.5mg diamorphine i.m. or 150mg pethidine i.m. for labour analgesia. The sample size calculation derived from a small RCT giving 90% power (at the 5% significance level) is based upon the maternal primary outcome measure of pain relief at 60mins and the neonatal primary outcome measures of Apgar Score of <7 at 1min and neonatal resuscitation. Secondary outcome measures include verbal pain intensity at 60mins and over 3hrs post-analgesia, pain relief over first 3hrs, maternal oxygen saturation, sedation, nausea and vomiting and maternal satisfaction with analgesia. Fetal and neonatal secondary outcomes include CTG trace, meconium staining, UApH, UVpH, time of delivery to first breath, Apgar Score at 5mins, naloxone use, neonatal oxygen saturations, sedation and feeding behaviour for the first 2hrs after delivery.

Results: Reported using CONSORT guidelines. At 60mins post-administration and over a 3hr period, diamorphine is better at reducing pain scores than pethidine (p<0.001). There were no statistical differences between the two groups regarding Apgar Scores of <7 at 1min and the need for neonatal resuscitation.  The time between first dose administered and delivery is on average 82mins longer with the diamorphine group compared to pethidine (p<0.001). The vast majority of women experienced moderate to severe pain at all times. Women receiving diamorphine were more satisfied with their analgesia. There were no statistically significant differences in maternal sedation, nausea and vomiting or oxygen saturations over the 3hr period. There were no statistically significant differences in the fetal and neonatal outcomes including feeding behaviour between the two groups within 2hrs of birth but neonates in the pethidine group were more likely to be moderately or severely sedated at delivery.

Discussion: Intramuscular 7.5mg diamorphine gives significantly better analgesia than 150mg pethidine but prolongs delivery by approx. 82mins.  Women given diamorphine are more likely to be satisfied with their analgesia.  The mechanism for the prolongation of delivery time in the diamorphine group should be investigated further.

Acknowledgement: This research was funded by the NIHR Research for Patient Benefit Programme (PB-PG-0407-13170).

References

1. Tuckey JP, Prout RE, Wee MYK. Prescribing intramuscular opioids for labour analgesia in consultant-led maternity units: a survey of UK practice. International Journal of Obstetric Anesthesia 2008, 17(1):3-8.

2. Fairlie FM, Marshall L, Walker JJ et al. Intramuscular opioids for maternal pain relief for labour: a randomised controlled trial comparing pethidine with diamorphine. British  Journal of Obstetrics and Gynaecology 1999; 106(11): 1181 -1187.

Biography of speaker:

Michael Wee is a consultant anaesthetist from Poole Hospital and Royal Bournemouth Hospitals.  He has a special interest in obstetric anaesthesia and is the lead obstetric anaesthetist at Poole Hospital.  He is chair of the Research and Innovations Group at Poole Hospital and is a Board member of the Western Comprehensive Local Research Network.  He was awarded a visiting professorship at Bournemouth University in 2009.  He is a referee for several medical journals.  His research interests include patient information, safety in anaesthesia, maternal analgesia and simulation in epidural anaesthesia.  He is a co-supervisor of a PhD student at BU and chief investigator of the MObs study investigating early warning scores in obstetrics.

BU Wellbeing Theory Keynote in Montreal

Posted in BU research by Corrina Dickson

The theme of the 31st International Human Sciences Research Conference was ‘Renewing the Encounter between the Human Sciences, the Arts & the Humanities.’ Professors Les Todres and Kate Galvin presented one of four keynote addresses on their Dwelling-Mobility theory of Wellbeing. They illustrated their theory with film clips, poetry, and phenomenological-reflective writing. A video of their talk can be viewed in due course on the conference website.  BU was further represented by two  staff members and one PhD student: Caroline Ellis-Hill from the School of Health and Social Care, presented her  research on ‘caring following a stroke’; Sean Beer from the School of Tourism presented data and analysis from his studies on experiences that shaped peoples’ perceptions of what made food and drink authentic to them; and Regina Hess, a PhD student, spoke poetically of the survival of the 2004 Asian Tsunami. This interdisciplinary conference will be held next year in Denmark.

Rufus Stone featuring in this year’s FLICKERS: Rhode Island International Film Festival

Posted in BU research by Corrina Dickson

BU’s Kip Jones, Executive Producer and Author of the short film based on his research findings, ”Rufus Stone” has just been notified that the film has been selected for acceptance by the judges for exhibition during this year’s FLICKERS: Rhode Island International Film Festival  August 7-12, 2012. The event is the largest public film festival in New England and an Academy of Motion Pictures Arts & Sciences qualifying event.

In 2002, Flickers was notified by the Academy of Motion Picture Arts and Sciences (AMPAS) that it had elected to recognize the Rhode Island International Film Festival as a qualifying festival for the Short Films category for the Annual Academy Awards. With more than 7,000 film festivals worldwide, only 65 have this recognition “One of the top 10 Short Film Festivals and Top 10 International Film Festivals in the United States” – Chris Gore, author of The Ultimate Film Festival Survival Guide, 2nd edition.

 
Well done and good luck Kip!

BU wins a prestigious HEA studentship!

Posted in Awarded & submitted bids, BU research by Julie Northam

Last week the Higher Education Academy (HEA) announced the winners of their Doctoral Programme awards, which form part of the HEA’s strategy to undertake research to develop pedagogical knowledge and evidence-based practice in higher education. The 15 awards have been made to academics to support Doctoral studentships in fields including the impact of retention strategies on part-time mature students in HE, and unpacking the dynamics of group interaction in problem-based learning.

Professor Jonathan Parker in the School of Health and Social Care was awarded one of the studentships for a student to research male students in qualifying social work education.

This is an excellent achievement, especially taking into account the popularity of the scheme! Congratulations Jonathan :)

BUDI@ Alzheimer Research UK event

Posted in BU research by Anthea Innes

On the 25th May 2012 Southampton Solent University hosted an annual Alzheimer’s Research UK (ARUK) public awareness event. BUDI (Bournemouth University Dementia Institute) was invited to set up a display and provide information about BUDI’s services and research. Clare Cutler from BUDI, along with scientists and clinicians from the local ARUK network demonstrated and provided information about Alzheimer’s disease and other dementias, current treatments and the latest research. The event was attended by many members of the public, carers and students. BUDI was able to provide information about the services it can provide and insight from ongoing research. The day was very well received by the public and was said to be an ‘excellent event”.

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