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Pengaruh JASE-PIRELAK (Jalan Sehat Dan Teknik Relaksasi Nafas Dalam) terhadap Tekanan Darah dan Ankle Brachial Index pada Lansia dengan Hipertensi Betsytifani, Pahlevi; Haryanto, Joni; Pratiwi, Ika Nur
Indonesian Journal of Community Health Nursing Vol 5, No 1 (2020): FEBRUARI 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v5i1.13704

Pendahuluan: Hipertensi adalah salah satu penyakit degeneratif yang umumnya terjadi pada lansia. Hipertensi dapat menyebabkan masalah pada lansia karena bisa menjadi faktor risiko stroke, gagal jantung, dan penyakit jantung. Kombinasi antara jalan sehat dan teknik relaksasi nafas dalam efektif untuk menurunkan kadar tekanan darah dan meningkatkan ankle brachial index.Metode: Penelitian ini menggunakan desain quasy eksperimen. Responden penelitian 62 orang (31 orang kelompok intervensi dan 31 kelompok kontrol). Responden dipilih secara purposive sampling. Variabel independen adalah JASE-PIRELAK dan variabel dependen adalah tekanan darah dan ankle brachial index. Instrumen yang digunakan adalah lembar observasi. Analisis data menggunakan Independent T-test dan Mann-Whitney Test.Hasil: Hasil penelitian pada kelompok intervensi (p = 0,000) yang artinya ada pengaruh JASE-PIRELAK terhadap penurunan tekanan darah sistolik sedangkan pada kelompok kontrol (p=0,850) yang bermakna bahwa tidak terdapat perubahan signifikan pada tekanan darah sistolik. Ada pengaruh pemberian intervensi JASE-PIRELAK dan intervensi dari program Posyandu terhadap perubahan ankle brachial index pada kelompok perlakuan (p=0,000 ) dan kelompok kontrol (p=0,014)Kesimpulan: JASE-PIRELAK memiliki pengaruh untuk menurunkan tekanan darah dan meningkatkan ankle brachial index pada lansia dengan hipertensi. Penelitian selanjutnya diharapkan dilakukan dengan lebih banyak sampel dan meningkatkan waktu penelitian, dan mampu mengendalikan konsumsi natrium untuk hasil yang optimal.

Identifikasi Sikap Implikasi Sosial dari Fisika, Normalitas Ilmuwan, dan Adopsi Sikap Ilmiah Ependi, Radias; Puspitasari, Tari Okta; Sandi Pratiwi, Nur Ika
Attractive : Innovative Education Journal Vol 2 No 1 (2020): Attractive : Innovative Education Journal
Publisher : CV. Creative Tugu Pena

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51278/aj.v2i1.32

The purpose of this study was to find out how the attitude of students of SMAN 8 Jambi City towards Physics subjects. This type of research is a quantitative study with a survey research design. Data collection techniques used a questionnaire or questionnaire and used a 5-point Likert scale. This research involved 174 students of SMAN 8 Kota Jambi. Data analysis in this study used descriptive statistics. Indicators used in this study are the Social Implications of Physics, Scientific Normality and Adoption of Scientific Attitudes. The analysis results obtained on indicators of the social implications of physics are good with 54.6% presentation. Indicator of attitude toward scientific normality is sufficient with 61.5% presentation, and indicator of scientific attitude adoption is good with presentation of 49.4%. Keywords: Attitude, Social Implications Of Physics, Scientific Normality, Adoption Of Scientific Attitudes.

Investigation of Learning Activity In Secondary School Maison, Maison; Astalini, Astalini; Kurniawan, Dwi Agus; Darmaji, Darmaji; Pratiwi, Nur Ika Sandi
JPI (Jurnal Pendidikan Indonesia) Vol 10, No 2 (2021)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

This study aims to examine the activeness of student learning towards science subjects in junior high school. The research method used was a mixed research method with an explanatory design. The subjects were students of junior high school amounted to 148 students. The analysis of data using statistical techniques descriptive for quantitative data and analysis Miles Huberman for qualitative data. The results of the five indicators show that students are categorized as having good learning activeness on the indicator "High Curiosity (45,3%)" "Dare to Take Risks (73,7 %) ". "Wanted for New Experiences (55,4 %)". And "Proactive (57,4 %)". Then, students are categorized as having sufficient learning activeness on the indicator "Never Give Up (45,3 %)". The high percentage of the five indicators is supported by the results of interviews stating that students have a high curiosity seen from students who is actively asking questions and also not only rely on the material provided by the teacher, students have dared to make their own decisions and dare to face the problems given by the teacher without fear of being wrong, students are enthusiastic in conducting experiments or experiments because through theoretical experiments can be easier to understand and through experiments learning experiences can be obtained directly, and students are always looking for opportunities to learn and involved in learning activities, and students have a high enthusiasm for learning science but they are not confident in their abilities.

Nurses’ Spirituality Improves Caring Behavior Abu Bakar; Nursalam Nursalam; Merryana Adriani; Kusnanto Kusnanto; Siti Nur Qomariah; Laily Hidayati; Ika Nur Pratiwi; Lailatun Ni'mah
International Journal of Evaluation and Research in Education (IJERE) Vol 6, No 1: March 2017
Publisher : Institute of Advanced Engineering and Science

Caring was the behavior provide assistance holistically to individuals. In fact, nurses Caring behaviors made only modest, yet an art in nursing care which should always be a nurse. The good personality and spiritual be one of the factors that affect the formation of nurses Caring behaviors. Spiritual was the passion or impulse that comes out from within themselves to do the noble. The research objective was explained a spiritual relationship nurses with nurses caring behaviors. The research design was used cross sectional. The population in this researchs were associate nurses in the ward. A sample were taken of 88 nurses with consecutive sampling technique. Data collection was done at the General Hospital of Haji Surabaya, Al Irsyad General Hospital Surabaya and Muhammadiyah Gresik Hospital. Data collection was used questionnaire, with multivariate data analysis Structural Equation Modeling- Partial Least Square (PLS-SEM). The results showed no significant relationship between demographic with spiritual nurses. Demographic indicators for the hypothesis test was psychological, length of work, education, and wards. Demographics nurses with nurse caring no significant relationship. Spiritual nurses significant relationship with the caring nurses at 7.061. These results indicated that modeling should be done was draw line from the spiritual to the caring nurses and the others deleted. The conclusion of the research was the spiritual nurses significant relationship with the nurses caring behaviors. Suggestions have to do is always give spiritual training to nurses as one of supporting the implementation of nursing care.

Pengaruh Rehabilitasi Berbasis Virtual Reality dalam Menurunkan Intensitas Nyeri pada Pasien Pasca Bedah Ortopedi: Systematic Review Suharyono Suharyono; Yulis Setiya Dewi; Ika Nur Pratiwi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 4 (2021): Oktober 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12405

Virtual Reality (RV) is a promising interactive technology in nursing actions that can assist in non-pharmacological pain management, improve rehabilitation, motivate, optimize functional outcomes, and increase clinical benefits after orthopedic surgery. The aim of this review is to systematically and critically review and evaluate controlled clinical trials investigating the effectiveness of virtual reality-based rehabilitation in reducing pain intensity of post-orthopedic patients. The five electronic databases used are Scopus, PubMed, ProQuest, ScienceDirect and Google Scholar. The study quality assessment used a protocol from The Joanna Briggs Institute and is presented via a PRISMA diagram. 13 studies have been identified including inclusion criteria involving adult patients after orthopedic surgery, discussing VR-based rehabilitation, and post orthopedic pain management, studies using Randomized Controlled or Clinical Trials (RCTs) and Quasi-experimental methods published in 2016-2021. The search results found 12,346 articles, but only 13 articles met the inclusion criteria. VR-based interventions were administered during the treatment period ranging from 3 to 4 days post orthopedic surgery. Each patient will receive 30-60 minutes/day until discharge from the hospital for a minimum of 10 days and a maximum of 4 weeks. The primary outcome of this review was the effectiveness of VR, which was clinically assessed or self-reported, while the secondary outcomes were participant satisfaction, comfort, and compliance. This systematic review concluded that VR-based rehabilitation interventions are not only promising in terms of non-pharmacological pain management, but can improve ROM, balance, muscle strength and function, and gait that can improve during active VR.Keywords: virtual reality; rehabilitation; pain; orthopedic surgeryABSTRAKVirtual Reality (RV) merupakan teknologi interaktif yang menjanjikan dalam tindakan keperawatan yang dapat membantu dalam manajemen nyeri non farmakologi, meningkatkan rehabilitasi, memotivasi, mengoptimalkan hasil fungsional, dan meningkatkan manfaat klinis pasca operasi ortopedi. Tujuan dari tinjauan ini untuk meninjau dan menilai secara sistematis dan kritis uji klinis terkontrol yang menyelidiki keefektifan rehabilitasi berbasis virtual reality dalam menurunkan intensitas nyeri pasien pasca bedah ortopedi. Lima database elektronik yang digunakan yaitu Scopus, PubMed, ProQuest, ScienceDirect dan Google Scholar. Penilaian kualitas studi menggunakan protokol dari The Joanna Briggs Institute dan disajikan melalui diagram PRISMA. 13 studi telah dilakukan identifikasi termasuk kriteria inklusi yang melibatkan pasien dewasa pasca bedah ortopedi, membahas rehabilitasi berbasis VR, dan manajemen nyeri pasca operasi ortopedi, studi menggunakan Randomized Controlled or Clinical Trials (RCTs) dan metode Quasi-eksperimental yang diterbitkan dalam tahun 2016-2021. Hasil pencarian didapatkan 12.346 artikel, namun hanya 13 artikel yang memenuhi kriteria inklusi. Intervensi berbasis VR diberikan selama masa perawatan berkisar antara 3 hingga 4 hari pasca bedah ortopedi. Setiap pasien akan menerima 30-60 menit/hari hingga keluar dari rumah sakit minimal selama 10 hari dan maksimal 4 minggu. Hasil utama dari tinjauan ini adalah keefektifan VR, yang dinilai secara klinis atau dilaporkan secara mandiri, sedangkan hasil sekunder adalah kepuasan, kenyamanan, dan kepatuhan peserta. Tinjauan sistematis ini menyimpulkan bahwa intervensi rehabilitasi berbasis VR tidak hanya menjanjikan dalam hal manajemen nyeri secara non farmakologi, namun dapat meningkatkan ROM, keseimbangan, kekuatan dan fungsi otot, serta gaya berjalan yang dapat meningkat selama melakukan VR secara aktif.Kata kunci: virtual reality; rehabilitasi; nyeri; bedah ortopedi

PROGRAM KEMITRAAN MASYARAKAT “PENANGGULANGAN TUBERCULOSIS (TB) MENGGUNAKAN MODEL INTERAKSI GUNA MENCEGAH KEJADIAN DROP OUT (DO) DI SURABAYA” Tintin Sukartini; Laily Hidayati; Ika Nur Pratiwi
Dharmakarya Vol 8, No 3 (2019): September 2019
Publisher : Universitas Padjadjaran

awa Timur merupakan penyumbang kedua kasus tuberkulosis positif di Indonesia setelah Jawa Barat dengan tingkat keberhasilan pengobatan mencapai 90%. Walaupun cakupan keberhasilan pengobatan telah mencapai target WHO, namun ada kecenderungan pasien berhenti minum obat (drop out) karena ada perbaikan gejala dalam 2-4 minggu. Dukungan kader kesehatan merupakan salah satu strategi meningkatkan kepatuhan pasien terhadap pengobatan. Program pengabdian masyarakat ini bertujuan untuk meningkatkan kapasitas kader kesehatan sebagai upaya penanggulangan Tuberkulosis dalam pencegahan kejadian drop out. Metode yang digunakan melalui pelatihan pada Kader Tuberkulosis selama 6 kali pertemuan dalam 6 minggu dengan memberikan informasi memadai terkait penyakit tuberkulosis berdasarkan model interaksi kader-pasien yang mengacu pada teori sistem interaksi Imogene King. Wilayah Kerja Puskesmas yang dijadikan mitra adalah Puskesmas Perak Timur dan Tanah Kali Kedinding Surabaya yang termasuk dalam 10 besar wilayah dengan kejadian tuberkulosis tertinggi di Kota Surabaya. Analisis data menggunakan uji wilcoxon signed rank test untuk mengukur kemampuan kader sebelum dan setelah pelatihan. Diperoleh hasil tidak didapatkan perbedaan pengetahuan sebelum dan setelah pelatihan (p=0,157). Terdapat perbedaan sikap dalam pencegahan penularan (p=0,029), sikap dalam pemenuhan nutrisi (p=0,000), self efficacy (p=0,000) dan motivasi kader (p=0,000) sebelum dan setelah diberikan pelatihan. Pelatihan terbukti dapat meningkatkan kemampuan kader dalam upaya mencegah kejadian drop out TB di Surabaya.

The Resilience and Stress on Bacterial Vaginosis among Reproductive Age Women in the Coastal area of Ampenan, Kota Mataram Ika Nur Pratiwi; Elsi Dwi Hapsari; Nuring Pangastuti
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Introduction: Bacterial Vaginosis (BV) is a common vaginal condition produced by overgrowth of anaerobic bacteria. Stress can alter women’s reproductive health in many ways; one of them is increasing the risk for bacterial vaginosis. In facing stressful life conditions, resilience plays an important role to maintain optimal function and prevent traumatic experience.Methods: This research was an analytical observational study with cross sectional design. Questionnaires were given to 104 women in reproductive age between November 2013 and January 2014. Resilience and stress were assessed using The Connor-Davidson Resilience Scale (CD-RISC) and Self Reporting Questionnaire respectively, and bacterial vaginosis status was diagnosed using Amsel’s criteria. Statistical analysis was performed using chi square test and multiple logistic regressions.Results: Bivariate analysis showed significant relations between resilience (p=0,005), stress (p=0,002), frequency of sexual intercourse within 1 week (p= 0,015) and the bacterial vaginosis incidence. Multivariate analysis showed stress was the most influential factor OR=3,9 (95% CI=1,478–10,562).Discussion: Resilience and stress were significantly with increased risk of having bacterial vaginosis.

Systematic Review of Family Members in Improving the Quality of Life of People with T2DM Gabriel Wanda Sinawang; Kusnanto Kusnanto; Ika Nur Pratiwi
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.18975

ABSTRACTIntroduction: Many patients with type 2 diabetes (T2DM) experience psychological issues affecting their ability to cope and manage their disease. Unfortunately, healthcare providers, including nurses, often report a lack of resources to provide sufficient support. During short and busy consultations, nurses and physicians often focus on etiology, diagnosis, pathophysiology, and treatment of the disease, while patients are more concerned with the consequences and impact on their daily life and family relations. The study aimed to find out forms of family support to improve the quality of live T2DM.Methods: Articles were framework using POCOT searching Science Direct, Scopus, Google Scholar databases, limited to the last 5 years and framework using POCOT. The articles were from 2015 to 2020 and the language used was English. The study focused on family support and Diabetic Mellitus type 2 (T2DM).Results: From 359 articles, 15 articles were included, most of the findings of the studies showed that family plays an important role in increasing self-efficacy so it contributes to blood sugar control which supports T2DM patients’ quality of life. The support that has been carried out by the family includes communication in the patient's treatment program, diet and blood sugar check, motivation in physical activity, support for medical expenses, accompanying them for controls. Patients with higher perceived diabetes-specific family and friend support had healthier behaviors.Conclusion: Family support helps improve the quality of life and reduce physical and psychological complications in people with T2DM.

Buerger exercise dan edukasi perawatan kaki pada penderita diabetes dan hipertensi dalam upaya menurunkan resiko gangguan vaskular Ika Nur Pratiwi; Lingga Curnia Dewi; Ika Yuni Widyawati
Transformasi: Jurnal Pengabdian Masyarakat Vol. 16 No. 2 (2020): Transformasi Desember
Publisher : LP2M Universitas Islam Negeri Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20414/transformasi.v16i2.2679

[Bahasa]: Hipertensi dan diabetes melitus (DM) yaitu penyakit kronis yang membutuhkan perawatan berkelanjutan sebagai upaya untuk mengendalikan tekanan darah dan kadar gula darah. Keduanya memiliki kerentanan mengalami gangguan vaskular sehingga aliran sirkulasi darah tidak lancar, rentan mengalami gangguan ekstremitas kaki yang bermanifestasi menjadi sumbatan pada pembuluh darah, ulkus bahkan amputasi. Situasi pandemi akibat COVID-19, mengharuskan penderita tetap berada dirumah saja terutama pada individu dengan komorbid seperti hipertensi dan DM yang beresiko lebih tinggi tertular Covid-19, jika tidak ada situasi darurat. Tujuan pengabdian kepada masyarakat (PKM) ini adalah untuk memberikan pendidikan dan pelatihan buerger exercise dan perawatan kaki dalam upaya menurunkan resiko gangguan vaskular penderita DM dan hipertensi. Lokasi Kegiatan PKM di Lembaga Kesejahteraan Sosial Hargo Dedali, Surabaya dengan memperhatikan protokol kesehatan yang keta dengan melibatkan 21 peserta dengan rerata usia 59 tahun, 6 peserta (28,6%) mengalami hipertensi, 7 peserta (33,3%) mengalami DM dan 8 orang (38,1%) mengalami keduanya. Metode yang digunakan dalam PKM ini adalah pendekatan Community Based Research (CBR). Evaluasi akhir program PKM dengan membandingkan nilai pre test dan post test terhadap pengetahuan dan kondisi vaskular kaki serta pemeriksaan Ankle Brachial Index (ABI). Hasil pengukuran terhadap tingkat pengetahuan p = 0,000 (p < 0,05), kuesioner Vascular Quality of Life dengan p = 0,001 (p < 0,05) dan ABI dengan p = 0,002 (p < 0,05) sehingga terdapat perbedaan yang bermakna antara sebelum dan sesudah diberikan pendidikan dan pelatihan dalam hal peningkatan pengetahuan dan perbaikan fisik kondisi vaskular. Pemberdayaan penderita DM dan hipertensi melalui pendidikan dan praktik buerger exercise serta edukasi perawatan kaki dapat dijadikan upaya menurunkan resiko gangguan vaskular dan menguragi resiko komplikasi kaki. Kata Kunci: buerger exercise, perawatan kaki, diabetes, hipertensi [English]: Hypertension and Diabetes Mellitus (DM) are chronic diseases that need continuous treatment to control blood pressure and blood sugar levels. The diseases are susceptible to vascular problems, so that blood circulation is not smooth and made prone to leg disorders that manifest as blockages in blood vessels, ulcers, and even amputations. Covid 19 pandemic requires people with the diseases stay at home if there is no emergency since they are at high risk of being infected. This community service (PKM) aims to provide education and training about Buerger exercises and foot care to reduce the risk of vascular disorders for people with DM and hypertension. The PKM, which took place at the Lembaga Kesejahteraan Sosial Hargo Dedali, Surabaya, with strict health protocols, included 21 participants (around 59 years old); 6 participants have hypertension, 7 participants have DM, and the remaining 8 participants have both diseases. It applied the Community Based Research (CBR) approach. The program's evaluation compared the scores of pre-test and post-test, which assess the participants’ knowledge and the examination of foot vascular condition. The results of evaluation are p = 0.000 (p <0.05) on the knowledge level, p = 0.001 (p <0.05) on the Vascular Quality of Life, and ABI with p = 0.002 (p <0.05). The numbers show a significant difference between before and after the program on the level of knowledge and the physical recovery of the vascular. The empowerment of people with DM and hypertension through the education and practice of Buerger exercises and foot care can be used to reduce the risk of vascular disorders and foot complications. Keywords: buerger exercise, foot care, diabetes, hypertension

Buerger exercise dan edukasi perawatan kaki pada penderita diabetes dan hipertensi dalam upaya menurunkan resiko gangguan vaskular Ika Nur Pratiwi; Lingga Curnia Dewi; Ika Yuni Widyawati
Transformasi: Jurnal Pengabdian Masyarakat Vol. 16 No. 2 (2020): Transformasi Desember
Publisher : LP2M Universitas Islam Negeri Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20414/transformasi.v16i2.2679

[Bahasa]: Hipertensi dan diabetes melitus (DM) yaitu penyakit kronis yang membutuhkan perawatan berkelanjutan sebagai upaya untuk mengendalikan tekanan darah dan kadar gula darah. Keduanya memiliki kerentanan mengalami gangguan vaskular sehingga aliran sirkulasi darah tidak lancar, rentan mengalami gangguan ekstremitas kaki yang bermanifestasi menjadi sumbatan pada pembuluh darah, ulkus bahkan amputasi. Situasi pandemi akibat COVID-19, mengharuskan penderita tetap berada dirumah saja terutama pada individu dengan komorbid seperti hipertensi dan DM yang beresiko lebih tinggi tertular Covid-19, jika tidak ada situasi darurat. Tujuan pengabdian kepada masyarakat (PKM) ini adalah untuk memberikan pendidikan dan pelatihan buerger exercise dan perawatan kaki dalam upaya menurunkan resiko gangguan vaskular penderita DM dan hipertensi. Lokasi Kegiatan PKM di Lembaga Kesejahteraan Sosial Hargo Dedali, Surabaya dengan memperhatikan protokol kesehatan yang keta dengan melibatkan 21 peserta dengan rerata usia 59 tahun, 6 peserta (28,6%) mengalami hipertensi, 7 peserta (33,3%) mengalami DM dan 8 orang (38,1%) mengalami keduanya. Metode yang digunakan dalam PKM ini adalah pendekatan Community Based Research (CBR). Evaluasi akhir program PKM dengan membandingkan nilai pre test dan post test terhadap pengetahuan dan kondisi vaskular kaki serta pemeriksaan Ankle Brachial Index (ABI). Hasil pengukuran terhadap tingkat pengetahuan p = 0,000 (p < 0,05), kuesioner Vascular Quality of Life dengan p = 0,001 (p < 0,05) dan ABI dengan p = 0,002 (p < 0,05) sehingga terdapat perbedaan yang bermakna antara sebelum dan sesudah diberikan pendidikan dan pelatihan dalam hal peningkatan pengetahuan dan perbaikan fisik kondisi vaskular. Pemberdayaan penderita DM dan hipertensi melalui pendidikan dan praktik buerger exercise serta edukasi perawatan kaki dapat dijadikan upaya menurunkan resiko gangguan vaskular dan menguragi resiko komplikasi kaki. Kata Kunci: buerger exercise, perawatan kaki, diabetes, hipertensi [English]: Hypertension and Diabetes Mellitus (DM) are chronic diseases that need continuous treatment to control blood pressure and blood sugar levels. The diseases are susceptible to vascular problems, so that blood circulation is not smooth and made prone to leg disorders that manifest as blockages in blood vessels, ulcers, and even amputations. Covid 19 pandemic requires people with the diseases stay at home if there is no emergency since they are at high risk of being infected. This community service (PKM) aims to provide education and training about Buerger exercises and foot care to reduce the risk of vascular disorders for people with DM and hypertension. The PKM, which took place at the Lembaga Kesejahteraan Sosial Hargo Dedali, Surabaya, with strict health protocols, included 21 participants (around 59 years old); 6 participants have hypertension, 7 participants have DM, and the remaining 8 participants have both diseases. It applied the Community Based Research (CBR) approach. The program's evaluation compared the scores of pre-test and post-test, which assess the participants’ knowledge and the examination of foot vascular condition. The results of evaluation are p = 0.000 (p <0.05) on the knowledge level, p = 0.001 (p <0.05) on the Vascular Quality of Life, and ABI with p = 0.002 (p <0.05). The numbers show a significant difference between before and after the program on the level of knowledge and the physical recovery of the vascular. The empowerment of people with DM and hypertension through the education and practice of Buerger exercises and foot care can be used to reduce the risk of vascular disorders and foot complications. Keywords: buerger exercise, foot care, diabetes, hypertension

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