Academic literature on the topic 'Downton Fall Risk Index'

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Journal articles on the topic "Downton Fall Risk Index"

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Mojtaba, Mahnaz, Hassan Alinaghizadeh, and Elisabeth Rydwik. "Downton Fall Risk Index during hospitalisation is associated with fall-related injuries after discharge: a longitudinal observational study." Journal of Physiotherapy 64, no. 3 (July 2018): 172–77. http://dx.doi.org/10.1016/j.jphys.2018.05.005.

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TÖRNVALL, EVA, JAN MARCUSSON, and EWA WRESSLE. "Health-related quality of life in relation to mobility and fall risk in 85-year-old people: a population study in Sweden." Ageing and Society 36, no. 9 (August 11, 2015): 1982–97. http://dx.doi.org/10.1017/s0144686x15000896.

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ABSTRACTOptimal mobility is fundamental for healthy ageing and quality of life. This study is part of a cross-sectional population-based study of 85-year-old people residing in Linköping municipality, Sweden. The purpose was to describe 85-year-old peoples' health-related quality of life (HRQoL) in relation to mobility and fall risk while adjusting for gender and body mass index. Data collection included a postal questionnaire, a home visit and a reception visit. HRQoL was assessed with EQ-5D-3L, mobility with the Timed Up and Go test (TUG) and fall risk with the Downton Fall Risk Index (DFRI). All those who completed the DFRI, TUG and EQ-5D-3L were included in the present study (N = 327). Lower HRQoL was associated with longer time taken to complete TUG and higher fall risk in both genders but not with body mass index. Women had higher risk of falling, took a longer time to complete TUG and reported less physical activity compared with men. Health-care professionals should address mobility capacity and fall risk in order to maintain quality of life in elderly people. This is of utmost importance, especially for elderly women because impaired mobility, high risk of falling and occurrence of pain are common among women, and related to lower HRQoL.
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Butler Forslund, Emelie, Vivien Jørgensen, Kirsti Skavberg Roaldsen, Claes Hultling, Kerstin Wahman, and Erika Franzén. "Predictors of falls in persons with spinal cord injury—a prospective study using the Downton fall risk index and a single question of previous falls." Spinal Cord 57, no. 2 (July 9, 2018): 91–99. http://dx.doi.org/10.1038/s41393-018-0175-y.

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Oliveira, Márcio Rogério de, Thiago Tadashi Inokuti, Nuno Noronha da Costa Bispo, Deise Aparecida de Almeida Pires Oliveira, Rodrigo Franco de Oliveira, and Rubens Alexandre da Silva Jr. "Elderly individuals with increased risk of falls show postural balance impairment." Fisioterapia em Movimento 28, no. 2 (June 2015): 269–76. http://dx.doi.org/10.1590/0103-5150.028.002.ao07.

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Introduction Falls are a serious public health problem. Objective The aim of this study was to evaluate whether elderly individuals with increased risk of falls have a postural balance deficit, evaluated using a force platform during a one-leg stance. Materials and methods The sample consisted of 94 physically independent elderly individuals from the EELO project. The instruments used were the Downton scale, in order to assess the risk as well as the history of falls, and the force platform to measure postural balance through parameters from the center of pressure (COP). Results Elderly individuals were split into two groups according to the score observed with the Downton scale: G1 — low fall risk (score ≤ 2) — and G2 — high fall risk (score > 2). No differences were observed between the groups concerning gender (P > 0.05, Chi Square test). On the other hand, individuals from G2 showed postural instability when compared to individuals from G1, and individuals from G2 showed higher values in all COP parameters analysed (Mann-Whitney test, P < 0.05). Conclusion It can be concluded that the Downton scale has sensitivity for identifying individuals with balance impairment as well as a risk of falls. Therefore, it may be suggested that this scale may be useful in primary health care for detecting falls in the elderly.
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Bueno-García, María Jesús, María Teresa Roldán-Chicano, Javier Rodríguez-Tello, María Dolores Meroño-Rivera, Ruth Dávila-Martínez, and Noelia Berenguer-García. "Characteristics of the Downton fall risk assessment scale in hospitalised patients." Enfermería Clínica (English Edition) 27, no. 4 (July 2017): 227–34. http://dx.doi.org/10.1016/j.enfcle.2017.02.007.

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Hansen, Dinara, Tatiane Konrad Rückert, Carolina Böettge Rosa, Solange Beatriz Billig Garces, Michele Ferraz Figueiró, Jociane De Carvalho Myskiw, Janaina Coser, and Ângela Vieira Brunelli. "NÍVEL DE ATIVIDADE FÍSICA E RISCO DE QUEDAS EM IDOSOS DA COMUNIDADE." Saúde (Santa Maria) 42, no. 2 (December 14, 2016): 157. http://dx.doi.org/10.5902/2236583420966.

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A proposta deste estudo foi verificar a associação entre o risco de quedas de 127 idosos da comunidade e o nível de atividade física. O risco de quedas foi avaliado através dos instrumentos Fall Risk Score de Downton, teste Timed Up and Go (TUG) e o Teste de Alcance Funcional (TAF) e o nível de atividade física utilizando o Questionário Internacional de Atividade Física (IPAQ) versão curta. A maioria dos idosos entrevistados (88,7%) foram classificados como ativos ou muito ativos e sem risco de quedas (TUG 89,8%, TAF 97,6%, Downton 64,5%). A relação entre o nível de atividade física e risco de quedas através dos testes TUG e Downton mostrou-se significativa, estando os idosos mais ativos com menor risco de quedas e todos os instrumentos que avaliaram este risco apresentaram associação significativa entre si demonstrando que a atividade física pode reduzir o risco de quedas, minimizando perdas funcionais do envelhecimento.Descritores: Envelhecimento; Fatores de Risco; Acidentes por Quedas; Estilo de Vida.
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Rydwik, E., M. Mojtaba, and F. Alinaghizadeh Mollasaraie. "O-032: Associations between fallrisk measured with Downton Fallrisk Index and fall injuries in geriatric patients." European Geriatric Medicine 6 (September 2015): S14. http://dx.doi.org/10.1016/s1878-7649(15)30046-2.

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Haskel, Maria Vaitsa Loch, Sara Carolina Scremin Souza, Danilo Fernandes da Silva, Weber Cláudio Francisco Nunes da Silva, and Juliana Sartori Bonini. "Influence of Alzheimer’s disease on the relationship between nutritional status and risk of fall." Acta Scientiarum. Health Sciences 43 (February 11, 2021): e48747. http://dx.doi.org/10.4025/actascihealthsci.v43i1.48747.

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Although malnutrition and risk of falls in the elderly have increased in recent years, uncertainties exist as to whether these conditions are associated after controlling for sociodemographic variables, body composition, metabolic condition, and Alzheimer’s disease (AD). This study aimed to analyze the association between nutritional status and risk of fall in the elderly population. Participants were matched by gender and age, after they had been grouped on the basis of diagnosis of AD. The risk of falls, nutritional status, and mental status were assessed using the Downton Fall Risk Score (FRS), Mini Nutritional Assessment (MNA), and Mini Mental State Evaluation (MMSE), respectively. Logistic regression models adjusted for the main confounders were used in the analyses. Among the 68 elderly individuals studied, participants who were malnourished or at risk of malnutrition were more likely to fall (odds ratio = 8.29; 95% confidence interval = 1.49-46.04) than those with normal nutritional status, regardless of gender, age, education, body composition, and metabolic condition. This association did not remain significant after adjustment for AD, a potential confounder in this association. Malnutrition or its risk was independently associated with high risk of fall; thus, malnutrition should be considered in the prevention of falls among the elderly population.
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Luiz, Izabel Cristina, and Ana Karine Ramos Brum. "Fatores intrínsecos do risco de queda de idosos no domicilio: estudo descritivo." Online Brazilian Journal of Nursing 16, no. 4 (August 31, 2018): 480. http://dx.doi.org/10.17665/1676-4285.20175354.

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Goal: to associate the intrinsic factors for risk of fall with the occurrence of falls in the home environment in elderly people with chronic diseases. Method: a descriptive study with a quantitative approach, conducted between June and July 2015 with 36 octogenarian elderly, participants of a multidisciplinary chronic disease monitoring program in the state of Rio de Janeiro. We applied the Downton Scale for data collection. Results: all the elderly underwent the Mini Mental State Examination and presented a 27 point average score; 86.1% presented high intrinsic risk for falls, although sensorial handicap (P = 0.09), previous falls (p = 0.35), drug use (p = 1) and ambulation (p = 1) did not present any significant association with the occurrence of the fall during the six months of follow-up. Conclusion: There was a high intrinsic risk of falling in the elderly population studied. Among the most prevalent factors were the previous falls and use of medications, especially hypotensive drugs.
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Harris, Marcelline. "Prospective testing of fall risk index." American Journal of Medicine 88, no. 4 (April 1990): 445. http://dx.doi.org/10.1016/0002-9343(90)90512-c.

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Dissertations / Theses on the topic "Downton Fall Risk Index"

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Grönlund, Mattias, and Sebastian Olsson. "Bedömning av fallrisk hos patienter som vårdas inneliggande på sjukhus och inom kommunal vård : Med hjälp av Downton Fall Risk Index." Thesis, Högskolan Kristianstad, Sektionen för Hälsa och Samhälle, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-7566.

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Background: Fall injuries are a costly problem for society, with costs ranging up to 14 billion a year. In addition to economic loss accidental falls also creates human value losses and reduced quality of life for its victims. In order to prevent the occurrence of injury related to accidental falls healthcare providers utilize various scientifically developed risk assessment tools, one of them being Downton Fall Risk Index. Method: Empirical, quantitative cross-sectional study. Objective: The purpose of the extended essay was to describe the categories in Downton Fall Risk Index that have a bearing on patients' risk of falling while in hospital and in municipal care, and to illustrate how nurses can use the fall risk assessment tool. Results: Of the 708 participants a total of 73% had a high risk of falling according to Downton Fall Risk Index, of the patients being treated at a hospital 66% had high risk of falling and of the patients being treated in municipal care 87% had high risk of falling. Downton Fall Risk Index indicates that the medication was by far the largest category and included 576 patients (81%), followed by sensory impairment in 474 patients (67%). 335 patients (47%) had fallen previously. Discussion: Previous studies show that among patients being treated in hospitals, between 1.3 to 2.1% will fall. Downton Fall Risk Index indicates that 66% of the group of patients are at high risk of falling. This may be due to the fact that Downton Fall Risk Index focuses too much on medication. It is the nurse’s responsibility to coordinate work around the patient in order to minimize the risk of falling. For example, contact an occupational therapist or an ophthalmologist who can undertake specific actions to reduce patients' risk of falling. Nurses should also use appropriate risk assessment tools to identify risk factors in the patient and then use these to formulate a nursing diagnosis. Conclusion: Downton Fall Risk Index is too sensitive to be used on hospitalized patients, the instrument works better in patients being treated in municipal care. It is important that the nurse can use scientifically designed tool for ensuring good health care for the patient, tools such as the fall risk assessment tool.
Bakgrund: Fallskador är ett dyrt problem för samhället med kostnader som sträcker sig upp mot 14 miljarder kronor om året i Sverige. Förutom ekonomiska förluster skapar fall även humanvärdesförluster och försämrad livskvalitet för den drabbade. För att förhindra uppkomsten av fallskador används inom sjukvården olika vetenskapligt framtagna fallriskbedömningsinstrument, ett av dessa är Downton Fall Risk Index. Metod: Empirisk, kvantitativ tvärsnittsstudie. Syfte: Syftet med fördjupningsarbetet är att beskriva vilka kategorier i Downton Fall Risk Index som har betydelse för patienters fallrisk vid vistelse på sjukhus och vid kommunal vård, samt att belysa hur sjuksköterskan kan använda Fallriskbedömningsinstrument. Resultat: Av de 708 medverkande hade totalt 73% hög risk att falla enligt Downton Fall Risk Index, på sjukhus hade 66% av patienterna hög risk att falla och i kommunal vård hade 87% av patienterna hög risk att falla. Downton Fall Risk Index anger att medicinering var den klart största kategorin och inkluderade 576 av patienterna (81%), därefter kom sensorisk funktionsnedsättning med 474 patienter (67%). 335 patienter (47%) hade fallit tidigare. Diskussion: Tidigare studier visar att på sjukhus faller mellan 1,3-2,1% av patienterna. Downton Fall Risk Index anger att 66% av samma patientgrupp har hög risk för fall. Detta kan bero på att Downton Fall Risk Index fokuserar för mycket på medicinering. Det är sjuksköterskans uppgift att samordna arbetet runt patienten så att fallrisken minimeras. Till exempel ska sjuksköterskan kontakta arbetsterapeuter eller ögonläkare som kan utföra punktinsatser för att minska patientens fallrisk. Sjuksköterskan ska även använda fallriskbedömningsinstrument för att identifiera riskfaktorer hos patienten och sedan använda dessa för att utforma en omvårdnadsdiagnos. Slutsats: Downton Fall Risk Index är alldeles för känsligt för att kunna användas på patienter inneliggande på sjukhus, instrumentet fungerar bättre på patienter inneliggande i kommunal vård. Det är viktigt att sjuksköterskan kan använda vetenskapligt utformade verktyg för att säkerställa en god omvårdnad för patienten, verktyg såsom Fallriskbedömningsinstrument.
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Tiliander, Annika. "Sjuksköterskors erfarenheter av patienters delaktighet i fallriskbedömning : Vem bedömer patienten?" Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-4402.

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Hälso- och sjukvårdens utveckling har lett fram till ett marknadsstyrt system. För att kunna jämföra olika vårdgivare och utveckla kvalitén har ett flertal kvalitetsindikatorer och uppföljningsområden införts. Fallrisk är ett av dessa uppföljningsområden. I Sverige är Downton Fall Risk Index förstahandsval som fallriskbedömningsinstrument. Hälso- och sjukvård ska utformas och genomföras i samråd med patienterna. Den traditionella rollfördelningen mellan patienterna och sjuksköterskorna håller på att förändras till att patienternas rätt till delaktighet uppmärksammas. Syftet med denna uppsats var att belysa sjuksköterskornas erfarenhet av och syn på patienternas delaktighet i fallriskbedömningen. Det här är en intervjustudie med kvalitativ ansats. Åtta sjuksköterskor som arbetar på ett akutsjukhus i mellersta Sverige och använder sig av Downton Fall Risk Index vid fallriskbedömningen har intervjuats. Kvalitativ innehållsanalys som inspirerats av Graneheim och Lundman har använts. Den teoretiska utgångspunkten är Peplaus syn på relationen mellan sjuksköterskorna och patienterna som en av de viktigaste grundstenarna inom omvårdnaden. Studien kom fram till följande fem teman: fallrisk är sjuksköterskornas bedömning, standardmall har ett eget liv, fallrisk - skrämselpropaganda eller verklighet, sjuksköterskornas svårigheter med att involvera patienterna och sjuksköterskornas syn på patienternas delaktighet. Det standardiserade arbetssättet uppmuntrar inte till utvecklingen av reflektionsförmågan och kliniska blicken bland nyutbildade sjuksköterskor därför behövs det en kompetensstege för sjuksköterskor. Sjuksköterskor hittar inte plats varken för sin egen eller för patienternas delaktighet i Downton Fall Risk Index. Frågan som kan ställas är om rätt instrument har valts för fallriskbedömningen i akutsjukvården.
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Hall, Courtney D. "Fall Risk." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/560.

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Ishimoto, Yasuko. "Fall Risk Index predicts functional decline regardless of fall experiences among community-dwelling elderly." 京都大学 (Kyoto University), 2013. http://hdl.handle.net/2433/175186.

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Chung, Yu-Chun, and 鍾雨純. "The Relationship between Physical Activity Level with Inflammatory Index, Vulnerability and Fall Risk in the Elderly with Sarcopenic Obesity." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/78258442275814465649.

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博士
中國文化大學
體育學系運動教練碩博士班
102
The purpose of the study was to understand the indicator of sarcopenic obesity and daily physical activity associated with inflammation, vulnerability, and fall risk in Sarcopenic Obesity Elderly. The method was based on Twenty-one sarcopenic obesity elderly were participated in this study (age: 72.2 ± 5.73 years old, height: 158.1 ± 9.10 cm, weight: 69.2 ± 10.04 kg). All subjects were completed to fill in the modified CHAMPS physical activity questionnaire, VES-13 vulnerability scale and STRATIFY fall scale, and two c.c. of blood samples of each subject were drawn from the antecubital vein. Data were analyzed by using Pearson Product-Moment Correlation and Regression Analysis. The results were shown that the ASM/BW% was significantly negative correlated with IL-1β, scale of VES-13 and STRATIFY, explained variation were 23.2, 43.0 and 55.8 %, VFA was also significantly negative correlated with IL-4 in sarcopenic obesity elderly, but not elected predictors; Daily physical activity was significantly correlated with IL-4 in sarcopenic obesity elderly, explained variation was 38.1 %. These results concluded that the higher appendicular skeletal muscle mass has the lower inflammasome of IL-1β, vulnerability and fall risk, conversely, the higher visceral fat has the lower IL-4, but the ability to upgrade anti-inflammatory IL-4 through increased daily physical activity. Therefore, it is suggested that the sarcopenic obesity elderly should positive training the habit of daily physical activity, in particular to integrate progressive resistance training, efforts to promote or maintain muscle mass to decrease the inflammation, vulnerability and fall risk.
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Book chapters on the topic "Downton Fall Risk Index"

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Shahudin, Nurul Nadiah, Sarina Md Yusof, Fatin Abdul Razak, Mohd Hanifa Sariman, Mohd Zulkhairi Mohd. Azam, and Wan Mohd Norsyam Wan Norman. "Effects of Age on Physical Activity Level, Strength and Balance Towards Fall Risk Index Among Women Aged 20–73 Years." In Proceedings of the 2nd International Colloquium on Sports Science, Exercise, Engineering and Technology 2015 (ICoSSEET 2015), 25–34. Singapore: Springer Singapore, 2015. http://dx.doi.org/10.1007/978-981-287-691-1_3.

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Conference papers on the topic "Downton Fall Risk Index"

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Annese, V. F., and D. De Venuto. "Fall-risk assessment by combined movement related potentials and co-contraction index monitoring." In 2015 IEEE Biomedical Circuits and Systems Conference (BioCAS). IEEE, 2015. http://dx.doi.org/10.1109/biocas.2015.7348366.

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Amar, Haddad, Rached-Kanouni Malika, Badri Boukous, Mokhtar Adjadj, and Walid Medjoub. "STUDY OF THE VIABILITY OF ALEPPO PINE TREES BY USING PHF INDEX." In GEOLINKS Conference Proceedings. Saima Consult Ltd, 2021. http://dx.doi.org/10.32008/geolinks2021/b2/v3/24.

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This work, which was conducted in the Chettaba forest about the viability of the stands can be given by the PHF index, a three-digit index that gives a judgment of the position of the tree (in relation to the others and thus indicating the dominance and the stage of competition or exposure to the dominant stage), of the general shape of the crowns, and of the shape of the shafts, it allows a more detailed silvicultural interpretation to predict the future of the stand and ultimately deduce the viability of the stands. Thus, there is an essential need for a study to be conducted in this regard to understand the existing problems and to bring about proposals on the appropriate intervention in logged surface. The slenderness coefficient of a tree is defined as the ratio of the total height (H) to the diameter at 1.3 m above ground level (d). For the stand level, the slenderness coefficient is calculated using the root mean square diameter and the average tree height as (H/D). It is well known that there is a direct relationship between the stand slenderness coefficient and the risk of stem breakage. It is well known that there is a direct relationship between the stand slenderness coefficient and the risk of stem breakage or tree fall due to abiotic factors such as wind or snow. Sustainability monitoring is crucial to the credibility, validation, value of the options implemented and should be considered early on in the planning process this allows us to say that these stands are stable in the forest and always in the 6 plots studied. Analyses results show a mid-viability for the forest and more of individual listed present instability which is indicated by a medium stability of forests stand’s quality (PHF = 123) and a slenderness coefficient (H/D = 34.47).
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Awal, Rabina, and Tanvir R. Faisal. "Effect of Loading Direction and Bone Density Distribution in Assessing Hip Fracture via Finite Element Analysis." In ASME 2020 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/imece2020-24028.

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Abstract An accurate assessment of hip fracture risk requires a proper consideration of parameters affecting the fracture. In general, hip fracture is affected by bone morphology, bone mineral Density (BMD), and load amount. Hip fracture is an outcome of the interaction of all those parameters including loading directions. Assessing the effect of the parameters individually may not correctly reflect the root cause of the hip fracture. Hence, this research aims at analyzing the significance of parameters and their interaction. A multivariate regression model was used considering bone density (ρash), different loading directions during sideways fall, represented by load angle (α) on the coronal plane and angle (β) on the transverse plane as independent parameters and Fracture Risk Index (FRI) as a dependent parameter. The statistical results showing the significant value of 0.7321 for α, and 0.0001 for β and ρash indicates that the effect of loading direction about femoral shaft on the coronal plane (α) does not have impact on fracture risk while loading direction about femoral neck axis on the transverse plane (β) and ρash have the significant impact. Furthermore, the analysis of the interaction of parameters shows that the impact of β on fracture risk may depends more on bone density as the significance of interaction of β and ρash is 0.0001.
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