The PN is assisting the nurse with admission physical assessment of a client diagnosed with pneumonia. What symptoms are the client likely to exhibit? Select All That Apply
A. Dyspnea
B. Bradycardia
C. Lung crackles
D. Ankle Edema
E. Painful Cough

In a motor vehicle collision, the impact of the victim within the passenger compartment is called the "secondary collision."

The impact of the victim within the passenger compartment of a motor vehicle collision is commonly referred to as the "second collision" or the "internal collision". This occurs when the vehicle comes to a sudden stop due to the external collision with another object, causing the victim's body to continue moving forward and impact the interior of the vehicle.

This can result in serious injuries, particularly if the victim is not properly restrained by a seatbelt or airbag. Hope this helps!

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The contaminant that has been associated with learning and cognitive disorders in children who drink contaminated water is c. lead.

Lead exposure has been linked to a range of cognitive and behavioral disorders, including reduced IQ, attention deficit hyperactivity disorder (ADHD), and learning disabilities. Other contaminants, such as manganese and parathion, may also have neurotoxic effects on the brain and nervous system, but lead is the most well-known and studied in relation to cognitive disorders. Copper is not typically associated with cognitive disorders. Other contaminants, such as manganese, copper, and parathion, can also cause cognitive and learning issues, but lead is the most common source of contamination in water supplies.

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The middle ear muscles, also known as the stapedius and tensor tympani muscles, play important roles in the hearing process. The stapedius muscle is attached to the stapes bone in the middle ear and the tensor tympani muscle is attached to the eardrum.

The primary function of these muscles is to protect the delicate structures of the inner ear from damage caused by loud sounds. When exposed to loud noises, these muscles contract and reduce the transmission of sound vibrations to the inner ear. This helps prevent damage to the hair cells in the inner ear that are responsible for hearing. In addition to their protective function, the middle ear muscles also play a role in regulating the sensitivity of the hearing mechanism. They can adjust the tension on the eardrum and ossicles, which helps to optimize hearing in different listening environments.

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The number of rescuers preferred to carry patients on portable stretchers depends on several factors, such as the weight of the patient

This ensures that the weight of the patient is evenly distributed, reducing the risk of injury to the patient or the rescuers. However, for heavier patients or those with complex medical conditions, additional rescuers may be required to ensure the safety of everyone involved.

It is important to follow proper lifting techniques and to communicate effectively with all team members when carrying patients on portable stretchers to prevent accidents or injuries.

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Nociceptors are specialized receptors that detect potentially harmful stimuli in our environment. They are able to detect different types of stimuli because they are specialized to respond to specific types of energy, and this ability is essential for our survival.

Nociceptors are specialized sensory receptors that are responsible for detecting potentially harmful stimuli in our environment, such as heat, cold, pressure, and chemicals. These receptors are found throughout our body, particularly in our skin, muscles, and organs.

When a nociceptor is stimulated by a potentially harmful stimulus, it sends an electrical signal to the spinal cord and brain, where it is interpreted as pain or discomfort. This process is known as nociception.

Nociceptors are able to detect different types of stimuli because they are specialized to respond to specific types of energy. For example, some nociceptors are activated by high temperatures, while others are activated by low temperatures or pressure.

The ability of nociceptors to detect different types of stimuli is essential for our survival. It allows us to avoid potentially harmful situations and protect our bodies from injury or damage.

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The nurse should advise the patient to consume a diet to increase high-density lipoprotein (HDL) levels due to its potential to reduce the risk of cardiovascular disease.

HDL is often referred to as "good" cholesterol because it helps remove low-density lipoprotein (LDL), or "bad" cholesterol, from the bloodstream, thus reducing the risk of plaque formation in arteries and cardiovascular disease.

Consuming a diet that increases HDL levels can be beneficial in managing hyperlipidemia, as it can help improve the lipid profile and lower the risk of developing heart disease.

The nurse's rationale for advising the patient to consume a diet to increase HDL levels is based on the well-established association between higher HDL levels and reduced cardiovascular risk, as supported by scientific evidence and clinical guidelines.

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In Electronic health records (EHR) the search or query function and the dashboard or summary page are two activities that are most likely to provide the end user with multiple patient reports.

Electronic health records (EHRs) have become increasingly common in healthcare, providing healthcare providers with access to vast amounts of patient data. However, accessing and making sense of this data can be a challenge, especially when dealing with large patient populations.

To address this challenge, EHRs often include tools that allow the end user to generate reports based on patient data. One such tool is a search or query function, which allows the user to filter patient data based on various criteria and generate reports based on the results of the search.

For example, a physician may want to generate a report on all patients with a particular diagnosis, or all patients who are taking a certain medication. The search or query function allows them to do this quickly and easily.

Another tool that can provide the end user with multiple patient reports is a dashboard or summary page. This page displays multiple patient reports in a single view, providing the user with a quick overview of important patient information.

For example, a dashboard may display a list of patients with upcoming appointments, lab results, and medication orders. This can be particularly useful for healthcare providers who need to quickly access patient data and make informed decisions about patient care.

In conclusion, the search or query function and the dashboard or summary page are two activities that are most likely to provide the end user with multiple patient reports. These tools allow healthcare providers to efficiently access and make sense of large amounts of patient data, helping to improve patient care and outcomes.

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The medication given to decrease painful symptoms of opioid withdrawal and block the euphoric effects of opioids is called Naltrexone.

It is an opioid antagonist medication that works by binding to the same receptors in the brain that opioids bind to, but it does not produce the same euphoric effects. By blocking these receptors, it can prevent the person from experiencing the pleasurable effects of opioids, thus reducing the risk of relapse. Naltrexone is also effective in reducing cravings for opioids and is sometimes used in medication-assisted treatment (MAT) for opioid use disorder (OUD). It is typically given after the person has completed detoxification and is no longer physically dependent on opioids.

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For the diagnosis and monitoring of scleroderma, several lab tests may be ordered. These may include antinuclear antibody (ANA) testing, rheumatoid factor (RF) testing, anti-Scl-70 antibody testing, and erythrocyte sedimentation rate (ESR) testing.

For diagnosing Scleroderma, some important lab tests to consider include:
1. Antinuclear Antibody (ANA) test: This test helps identify the presence of autoimmune disorders, including Scleroderma.
2. Anti-Scl-70 (anti-topoisomerase I) antibody test: This test is specific to Scleroderma, particularly the diffuse form.
3. Anti-centromere antibody test: This test is associated with the limited cutaneous form of Scleroderma, also known as CREST syndrome.
4. Erythrocyte Sedimentation Rate (ESR) and C-reactive protein (CRP) tests: These tests measure inflammation, which can be elevated in Scleroderma.
5. Complete Blood Count (CBC): This test can help identify anemia and other blood cell abnormalities that may occur in Scleroderma patients.

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Clinical Intervention for Constipation:-The first line of treatment for constipation typically involves lifestyle modifications, such as increasing dietary fiber, hydration, and physical activity. Stimulant Laxatives are a type of laxative that works by stimulating the muscles in the intestines to push stool through the colon. They are typically used for short-term relief of constipation.

Constipation is a common condition that can be managed with lifestyle modifications, such as increasing fiber intake and physical activity. However, if these measures do not provide relief, clinical interventions may be necessary, such as over-the-counter or prescription medications, biofeedback therapy, manual disimpaction, or surgery in rare cases. Stimulant laxatives are a type of medication used for short-term relief of constipation, and they work by irritating the intestines to stimulate muscle contractions.

Common types of stimulant laxatives include bisacodyl, senna, cascara sagrada, and castor oil.

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The correct way to clean the forearm is by using a)  downward straight motion, starting from the wrist.

This method ensures that dirt and bacteria are pushed towards the hand, making it easier to wash away. It also helps prevent the spread of germs from the forearm to other parts of the body.

When cleaning the forearm, it is essential to use an upward straight motion, beginning at the elbow and working your way towards the wrist. This method ensures that the entire forearm is cleaned effectively without any missed areas or uneven coverage.

When cleaning your forearm, remember to use a downward straight motion starting from the wrist to ensure proper cleaning and hygiene.

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All of the above PPE (face shield, hazmat suit, respiratory mask, and safety goggles) are required to be worn during chemotherapy compounding.

All of the above PPE (face shield, hazmat suit, respiratory mask, and safety goggles) are required to be worn during chemotherapy compounding to ensure the safety of the worker handling the chemotherapy drugs. This is because chemotherapy drugs are hazardous and can pose a risk to the worker's health if not handled properly. It is important to follow proper PPE guidelines and protocols when handling these drugs to prevent exposure and minimize the risk of contamination.

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Swimming would be the best sport activity to suggest for a child with hemophilia. This is because swimming is a low-impact activity that puts minimal strain on the joints and muscles, which can help prevent bleeding episodes in children with hemophilia.

Sports that involve contact or high-impact activities, such as soccer, basketball, or field hockey, should be avoided as they increase the risk of injury and bleeding. Swimming

The nurse should suggest swimming as a sport activity for a 10-year-old child with hemophilia. Swimming is a low-impact exercise that carries a lower risk of injury and bleeding compared to higher-impact sports like soccer, basketball, and field hockey.

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The correct answer is Antibiotic.

Luer-lock syringe tips must be used when withdrawing chemotherapy medications from a vial. This type of syringe ensures a secure connection, reducing the risk of leaks and contamination.

There are two types of syringe tips: plain and locking. Plain tips are the simpler of the two types and are simply pushed onto the syringe. Locking tips, on the other hand, have a mechanism to secure them in place for a more stable connection. This can be especially important when working with volatile or dangerous substances that need to be handled carefully. Locking syringe tips are typically used in medical and laboratory settings, where precision and accuracy are critical. The locking mechanism can vary depending on the type of syringe and tip, but typically involves some type of twist or clip mechanism that holds the tip firmly in place on the syringe.

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A winged scapula and shoulder droop can be caused by an injury to the long thoracic nerve. This nerve damage impairs the function of the serratus anterior muscle, leading to instability in the shoulder blade and the characteristic winged appearance.

Winged scapula is a medical condition in which the shoulder blade protrudes outward from the back, giving the appearance of a wing. This can be caused by damage to the long thoracic nerve, which supplies the serratus anterior muscle that is responsible for stabilizing the shoulder blade against the chest wall. When the nerve is damaged, the serratus anterior muscle may weaken or become paralyzed, causing the shoulder blade to lift away from the chest and protrude outward. Winged scapula can be caused by a variety of factors, including injury, inflammation, nerve compression, or underlying medical conditions such as muscular dystrophy. Treatment for winged scapula may include physical therapy, bracing, or surgery depending on the severity and cause of the condition.

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The highest flow rate measured during expiration can vary from person to person and depends on several factors such as age, sex, height, and lung capacity. However, in general, the peak expiratory flow rate (PEFR) is considered as the highest flow rate measured during expiration.

PEFR is the maximum speed at which a person can blow air out of their lungs and is usually measured using a peak flow meter. The average PEFR for a healthy adult is around 400-600 liters per minute, while it may be lower in children and older adults.

PEFR is an important indicator of lung function and can be used to monitor respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). In these conditions, the airways become narrowed, which can reduce the flow of air during expiration, leading to shortness of breath and other symptoms.

In summary, the highest flow rate measured during expiration is the peak expiratory flow rate (PEFR), which varies from person to person and depends on various factors. PEFR is an essential measure of lung function and can help in the diagnosis and management of respiratory conditions.

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The age group that experiences more conscious risk-taking, especially among boys, where death rates are 2x as high as for girls, is typically adolescents and young adults, specifically between the ages of 15 and 24. This age group is known to engage in riskier behaviors, which can lead to increased mortality rates among males compared to females.

According to studies, adolescent boys between the ages of 15 to 24 experience higher rates of conscious risk-taking compared to girls of the same age group. This behavior is attributed to a combination of biological, psychological, and social factors such as the influence of peer pressure, the need for adventure, and the desire to assert their masculinity. These factors contribute to a higher tendency among boys to engage in risky activities such as extreme sports, reckless driving, drug and alcohol abuse, and violence, which can lead to serious injuries and death. In fact, statistics show that death rates for boys in this age group are twice as high as those for girls.

It is important to note that while girls may not engage in as many risky behaviors as boys, they still face unique challenges and risks during adolescence. Girls may experience higher rates of depression, anxiety, and eating disorders, which can have long-term consequences for their mental and physical health. Additionally, girls may face societal pressures and gender-based discrimination that can negatively impact their self-esteem and overall well-being. Therefore, it is important to provide support and resources for all adolescents, regardless of their gender, to help them navigate the challenges and risks of this stage of life.

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A child is in traction and is at risk for impaired skin integrity. the intervention is most effective is frequent assessment and proper care of the skin.

This involves inspecting the skin at least once every shift or more often if the child is at higher risk, paying close attention to bony prominences and areas under the traction. Maintaining a clean, dry, and wrinkle-free environment is crucial in preventing pressure ulcers and skin breakdown. Proper positioning and repositioning, along with the use of pressure-relieving devices, can help distribute pressure evenly and minimize the risk of skin impairment. Additionally, it is important to ensure adequate nutrition and hydration for optimal skin health.

Encouraging the child to participate in their care and providing age-appropriate education on the importance of skin care can also contribute to preventing skin integrity issues while in traction. Overall, a combination of vigilant assessment, appropriate care, and patient education is key to effectively minimize the risk of impaired skin integrity in a child in traction. A child is in traction and is at risk for impaired skin integrity. the intervention is most effective is frequent assessment and proper care of the skin.

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Performing a complete bath daily may not necessarily be directly related to conserving energy and reducing the chance of infection.

a. "Provide yourself with four to six small, easy-to-eat meals daily."
b. "Perform your care activities in groups to conserve your energy."
c. "Stop activity when shortness of breath or palpitations is present."
d. "Allow others to perform your care during periods of"
e. "Drink small quantities of protein shakes and nutritional supplements daily."
The nurse would instruct the client to provide themselves with four to six small, easy-to-eat meals daily to maintain their energy levels. They would also advise the client to perform their care activities in groups to conserve their energy and to stop activity when shortness of breath or palpitations are present. Additionally, the nurse may suggest that the client allows others to perform their care during periods of fatigue and to drink small quantities of protein shakes and nutritional supplements daily to maintain their energy levels.

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The brush side of the sponge brush is typically used to clean the nails and cuticles.

The bristles on the brush side of the sponge brush are designed to effectively scrub away dirt and grime from underneath the nails and around the cuticles. This can be particularly helpful for individuals who work with their hands frequently, or who have jobs that involve getting their hands dirty. While the sponge side of the brush can be used to clean other areas of the hands, such as the palms or backs of the hands, the brush side is specifically designed for nail and cuticle care.
This is important for maintaining proper hygiene and ensuring your hands are clean.

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Subcutaneous emphysema is a medical condition in which air or gas becomes trapped under the skin, typically in the chest, neck, or face. This can occur due to injury to the airways or lungs, infections, or medical procedures such as mechanical ventilation or surgery.

The symptoms of subcutaneous emphysema can include a crackling sensation or sound when the affected area is touched, swelling, pain, and sometimes difficulty breathing or swallowing.

Treatment for subcutaneous emphysema depends on the underlying cause and severity of the condition. Mild cases may not require treatment and may resolve on their own, while more severe cases may require medical intervention. In some cases, treatment options may include:

1. Observation and monitoring: In some cases, subcutaneous emphysema may not require any treatment and may go away on its own. However, the patient may need to be monitored closely for any signs of worsening.

2. Oxygen therapy: If the patient is having difficulty breathing, they may require oxygen therapy to help them breathe easier.

3. Pain management: Pain relievers may be prescribed to help manage any discomfort or pain associated with subcutaneous emphysema.

4. Antibiotics: If the condition is caused by an infection, antibiotics may be prescribed to help treat the underlying infection.

5. Surgical intervention: In some cases, surgical intervention may be necessary to remove the trapped air or gas and repair any underlying damage to the airways or lungs.

It is important to seek medical attention if you suspect you have subcutaneous emphysema or any other medical condition.

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Depression was not mentioned as a risk factor for male-to-female domestic violence (DV).

The other listed factors such as alcohol/drug use, witnessing IPV in childhood, use of violence for conflict resolution, inability to manage anger/frustration, poor social skills, problems at school, association with violent friends, acceptance of DV, mental illness, and peer pressure have all been identified as potential risk factors for male-to-female DV.

Depression is a mental health disorder characterized by persistent feelings of sadness, hopelessness, and disinterest in activities that were once enjoyable. While depression can contribute to relationship problems and may be a factor in some cases of domestic violence, it is not commonly cited as a specific risk factor for male-to-female DV.

However, it's essential to note that domestic violence is a complex issue, and there is often no one specific cause or risk factor. It is essential to understand the multiple factors that may contribute to domestic violence to better prevent and address it.

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Before activating an air medical transport, there are several factors that must be considered to ensure the safety of the patient, crew, and aircraft.

The first step is to determine if air transport is necessary and if it will provide a significant benefit to the patient's care. This decision is made by the attending physician and medical team based on the patient's condition, distance to the hospital, and available resources.

Once the decision to transport by air is made, the next step is to select the appropriate aircraft and crew. The aircraft must be able to meet the specific needs of the patient, such as the ability to accommodate medical equipment or provide specialized medical care during the flight. The crew must be trained and experienced in air medical transport and able to manage the patient's condition during the flight.
Before the flight, a thorough safety check of the aircraft and equipment must be completed, and the crew must receive a comprehensive pre-flight briefing to review the flight plan, weather conditions, and any potential hazards or challenges. The patient must also be properly prepared for transport, including securing any medical devices or equipment and stabilizing their condition.

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Fever/night sweats with lymphadenopathy can be indicative of a variety of conditions, ranging from infections to cancer. To determine the diagnosis and appropriate investigations, a thorough physical examination and medical history should be taken by a healthcare provider.

Some possible investigations that may be recommended include blood tests, imaging studies (such as a CT scan or MRI), and a biopsy of the affected lymph node. The specific diagnosis will depend on the results of these investigations and any additional symptoms or findings. It is important to seek medical attention if you are experiencing these symptoms.

Fever/night sweats and lymphadenopathy may suggest an infection or an underlying medical condition. To establish a diagnosis, a doctor will conduct investigations such as blood tests, imaging studies like X-ray or ultrasound, and possibly a biopsy of the affected lymph nodes.

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Prinzmetal variant angina is a type of angina that is caused by sudden spasms in the coronary arteries. The main goal of pharmaceutical therapeutics for this condition is to relieve the symptoms and prevent the occurrence of future episodes.

The primary treatment for Prinzmetal variant angina involves the use of calcium channel blockers, which work to relax the smooth muscle in the walls of the coronary arteries, reducing the frequency and severity of spasms. Nitroglycerin may also be used to relieve symptoms during an acute episode of angina. In addition, antiplatelet agents such as aspirin may be prescribed to reduce the risk of blood clots forming in the coronary arteries. Statins may also be used to lower cholesterol levels, which can contribute to the development of atherosclerosis and exacerbate the symptoms of Prinzmetal variant angina. Other treatment options may include beta blockers and angiotensin-converting enzyme (ACE) inhibitors, which can help to lower blood pressure and reduce the workload on the heart. Lifestyle modifications, such as quitting smoking, maintaining a healthy weight, and engaging in regular exercise, may also be recommended to help manage the symptoms of Prinzmetal variant angina.

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For the sampling schemes more likely to be used by a researcher conducting q qualitative study: Convenience sampling is more likely to be used by a researcher conducting a qualitative study. The correct option is  (A).

Convenience sampling is a non-probability sampling technique that involves selecting the most readily available participants for a study. This type of sampling is commonly used in qualitative research because it allows researchers to quickly and easily collect data from participants who are easily accessible.

Qualitative research is focused on in-depth exploration and understanding of phenomena, and convenience sampling is often useful in identifying the types of participants that will help the researcher achieve the desired level of understanding.

This sampling technique is not appropriate for studies that require a representative sample or aim to generalize results to a larger population.

Therefore, convenience sampling is typically used in exploratory research, where the primary goal is to generate hypotheses or gather preliminary information to inform further research.

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Infection by the bacterium Helicobacter pylori is the most common cause of peptic ulcers. Peptic ulcers are open sores that develop in the lining of the stomach, esophagus, or small intestine.

The bacterium Helicobacter pylori can cause inflammation in the stomach and small intestine, leading to the development of peptic ulcers. Other risk factors for peptic ulcers include regular use of nonsteroidal anti-inflammatory drugs (NSAIDs) and excessive alcohol consumption. Peptic ulcers can cause a range of symptoms, including abdominal pain, bloating, nausea, and vomiting. Treatment for peptic ulcers typically involves a combination of medications to reduce stomach acid and antibiotics to eliminate the Helicobacter pylori infection. It is important to seek medical attention if you are experiencing symptoms of a peptic ulcer, as untreated ulcers can lead to serious complications such as bleeding, perforation, and intestinal obstruction.

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The nurse should first change the client's position to try and alleviate the variable decelerations in fetal heart rate. Variable decelerations can occur due to fetal distress or compression of the umbilical cord.

Changing the mother's position can alleviate compression on the cord and improve fetal oxygenation. The nurse should also assess the client's labor progress, cervix dilation, and the strength and frequency of contractions. If the variable decelerations persist, the nurse should notify the healthcare provider and prepare for further interventions, such as amnioinfusion or fetal scalp stimulation. Administering oxygen may also be necessary to improve fetal oxygenation, but it is not the first intervention the nurse should take in this situation. Emergency cesarean section would only be necessary if the fetal distress is severe and immediate intervention is needed to prevent harm to the fetus. Checking for placenta previa is not necessary in this situation as variable decelerations are more commonly caused by umbilical cord compression or fetal distress.

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In case of a supply-chain breakdown during an emergency, the Strategic National Stockpile (SNS) ensures access to medications.

The SNS is a national repository of antibiotics, vaccines, chemical antidotes, and other critical medical supplies that can be deployed to states and territories during public health emergencies, such as natural disasters or acts of terrorism.

Healthcare Ready is a non-profit organization that works to ensure patient access to healthcare during disasters and disease outbreaks. While Healthcare Ready does not directly provide medications, it works with pharmaceutical manufacturers, distributors, and healthcare providers to maintain a steady supply of medicines and medical supplies during emergencies.

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