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                  <text>Prosiding STIKES Bethesda VOL 4 NO 1 2024</text>
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                <text>CASE REPORT: ASUHAN KEPERAWATAN BERSIHAN JALAN NAFAS TIDAK EFEKTIF PADA PASIEN BRONKOPNEUMONIA DENGAN PEMBERIAN FISIOTERAPI DADA</text>
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                <text>Bronkopneumonia, Bersihan Jalan Nafas Tidak Efektif, Fisioterapi Dada</text>
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                <text>Bronchopneumonia is inflammation or infection of the lung parenchyma, usually associated with filling&#13;
of the alveoli with fluid. The dominant signs in children with bronchopneumonia are coughing, dyspnea,&#13;
additional sounds such as rhonchi, wheezing and wheezing. Therefore, in children with&#13;
bronchopneumonia there will be problems with ineffective airway clearance nursing. The impact of&#13;
impaired airway clearance is ineffective if not treated immediately, resulting in ventilation imbalance and&#13;
changes in the alveolar membrane. Non-pharmacological measures to overcome airway clearance&#13;
disorders are not as effective as chest physiotherapy. The aim of the research was to carry out chest&#13;
physiotherapy on children with cases of bronchopneumonia in theImpatient Room of One of the Private&#13;
Hospital in Semarang. Patient An. A, aged 6 years, said he had a cough with phlegm and shortness of&#13;
breath. The standard treatment that can be given to patients who have pneumonia is chest physiotherapy.&#13;
Evaluation of ineffective road cleaning for 3 x 24 hours resulted in the mother saying her child was still&#13;
coughing up phlegm, rumbling breath sounds, the mother said she could do chest physiotherapy, the&#13;
phlegm was reduced. Sleep pattern disturbances were obtained as a result of the mother saying her child&#13;
was able to sleep soundly and was not fussy. The knowledge deficit was obtained as a result of the mother&#13;
being calmer and more understanding about her child's illness. Nurses gain knowledge regarding the&#13;
prevention of bronchopneumonia in patients. Prevention that can be done is by applying chest&#13;
physiotherapy therapy.&#13;
Keywords: Bronchopneumonia, Ineffective Airway Clearance, Chest Physiotherapy</text>
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                <text>1&#13;
Iswuri Widya Pertiwi, 2Ethic Palupi*, 1Ardianto Is Nugroho,&#13;
&#13;
2Triyanto Nugroho</text>
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                  <text>Prosiding STIKES Bethesda VOL 4 NO 1 2024</text>
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                <text>KOMPRES DINGIN UNTUK MENGURANGI BENGKAK DAN MENURUNKAN SKALA NYERI PADA KLIEN MULTIPLE ODONTEKTOMI : CASE REPORT</text>
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                <text>bengkak; nyeri; kompres dingin; multiple&#13;
odontektomi.</text>
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                <text>Backgraound : Impaction is a condition where teeth are prevented from growing to&#13;
their normal position. The action performed on clients who experience impaction is&#13;
surgery, this surgery is called odontectomy. The effects of odontectomy include&#13;
bleeding, swelling and pain. Main Symptoms: The client experiences swelling of the&#13;
cheek and gum pain after surgery. Therapeutic Intervention: Applying a cold compress&#13;
to reduce swelling and reduce the pain scale. Outcome: There was a decrease in&#13;
swelling and a decrease in the pain scale after being given a cold compress.&#13;
Conclusion: Giving a cold compress is a non-pharmacological action given to clients&#13;
after surgery to reduce swelling and reduce the pain scale.&#13;
Keywords: swelling-pain-cold compress-multiple odontectomy.</text>
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                <text>1,3Hesty Wulandari Arsanti Putri 2Brahmono Widiharto, 3Nining Indrawati*</text>
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        <name>bengkak; nyeri; kompres dingin; multiple odontektomi.</name>
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                <text>RELAKSASI OTOT PROGESIF UNTUK MENGURANGI KECEMASAN&#13;
PADA PASIEN PRE LAPARATOMI KOLESISTEKTOMI: CASE REPORT</text>
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                <text>Background: Preoperative anxiety is an anticipatory response to an experience that the&#13;
patient may perceive as a threat to his or her role in life, body integrity, or even life itself.&#13;
Anxiety can be overcome by using relaxation techniques, one of which is progressive&#13;
muscle relaxation, because it can suppress the sympathetic nerves which can reciprocally&#13;
suppress the feeling of tension experienced by the individual, resulting in counter&#13;
conditioning (elimination). Main Symptoms: tense appearance, difficulty sleeping,&#13;
trembling voice, cold sweat on both palms and feet, frequent urination, Hamilton Anxiety&#13;
Rating Scale (HARS): 17. Therapeutic intervention: Progressive muscle relaxation therapy&#13;
with 14 movements carried out for 20 minutes. Outcome: Hamilton Anxiety Rating Scale&#13;
(HARS): 11, Concentration improves, sleeps well, muscle tension appears to decrease,&#13;
speech is clear without shaking, No cold sweat on palms and feet, blood pressure&#13;
measurement 120/70 mmHg. Conclusion: Anxiety can be overcome by using progressive&#13;
muscle relaxation techniques.</text>
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                <text>1,3Retno Andini,&#13;
&#13;
2Brahmono Widiharto 3Nining Indrawati*</text>
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        <name>relaksasi otot progresif; kecemasan; preoperatif</name>
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                  <text>Prosiding STIKES Bethesda VOL 4 NO 1 2024</text>
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                <text>CASE REPORT : ASUHAN KEPERAWATAN NYERI AKUT DENGAN MANAJEMEN NYERI TERAPI MUSIK PADA PASIEN POST APPENDICTOMY</text>
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                <text>Appendictomy, Nyeri Akut, Terapi Musik</text>
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                <text>Appendicitis merupakan salah satu penyakit infeksi yang paling sering ditemukan pada infeksi yang terjadi di&#13;
abdomen dan membutuhkan tindakan pembedahan secara darurat. Appendicitis dengan adanya komplikasi&#13;
membutuhkan tindakan pembedahan appendictomy emergency untuk meminimalisir tingkat keparahan&#13;
penyakit yang diderita. Tindakan pembedahan appendiktomy dapat menimbulkan nyeri yang bersifat akut&#13;
pada pasien yang dapat menyebabkan proses penyembuhan luka menjadi lama. Penatalaksanaan nyeri pada&#13;
pasien yang mengalami nyeri dapat dilakukan secara farmakologi dan nonfarmakologi. Tindakan&#13;
nonfarmakologi untuk mengatasi nyeri seperti terapi music. Mendengarkan musik dapat memproduksi zat&#13;
endorphin (substansi sejenis morfin yang dapat mengurangi rasa sakit/nyeri) berperan dalam menghambat&#13;
transmisi impuls nyeri di sistem saraf pusat, sehingga sensasi nyeri yang dirasakan dapat berkurang. Tujuan&#13;
penelitian untuk mengetahui asuhan keperawatan nyeri akut dengan manajemen nyeri terapi musik pada&#13;
pasien post operasi appendictomy di RS Panti Wilasa Semarang. Penulis menemukan pasien dengan nama&#13;
Nn. W, usia 18 tahun, jenis kelamin perempuan dengan diagnosa medis apendicitis, memiliki keluhan utama&#13;
pasien mengatakan nyeri pada perut kanan bawah. Hasil pengkajian yang didapat adalah nyeri dibagian perut&#13;
post operasi appendictomy. Diagnosa keperawatan adalah nyeri akut. Intervensi yang diberikan kepada pasien&#13;
sesuai dengan prioritas masalah pasien dengan diberikan musik klasik. Implementasi yang diberikan&#13;
berdasarkan intervensi yaitu memberikan musik klasik. Setelah pemberian musik klasik nyeri post operasi&#13;
appendectomy pasien menjadi berkurang. Diharapkan dapat mengajarkan pemberian terapi musik untuk&#13;
mengurangi nyeri pasien.&#13;
Kata Kunci: Appendictomy, Nyeri Akut, Terapi Musik</text>
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                <text>1Dian Kartiningrum,2Ethic Palupi*, 1Aris Sudarsono</text>
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                  <text>Prosiding STIKES Bethesda VOL 4 NO 1 2024</text>
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                <text>GAMBARAN SIKAP MAHASISWI TINGKAT IV DALAM MENGHADAPI SIKLUS MENSTRUASI TIDAK TERATUR DI STIKES BETHESDA YAKKUM YOGYAKARTA</text>
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                <text>Latar Belakang: Seorang wanita dalam usia subur akan mengalami menstruasi. Siklus menstruasi&#13;
berpengaruh terhadap banyak perubahan pada sistem reproduksi wanita, dan banyak wanita mengalami&#13;
gangguan siklus menstruasi yang mempengaruhi kesehatannya. Sebanyak 80% wanita di dunia&#13;
mengalami menstruasi tidak teratur dan mahasiswi tingkat IV di STIKES Bethesda Yakkum mengalami&#13;
siklus menstruasi tidak teratur. Sebagian besar mahasiswi memiliki pengetahuan yang baik sehingga&#13;
tidak takut dan menerima ketika mengalami gejala yang dialami sehingga dapat mengatasinya dengan&#13;
baik dan ada beberapa mahasisiswi memiliki pengetahuan kurang sehingga tidak mengatahui cara&#13;
mengatasinya. Tujuan: Untuk mengetahui gambaran sikap mahasiswi tingkat IV dalam menghadapi&#13;
siklus menstruasi tidak teratur di STIKES Bethesda Yakkum Yogyakarta. Metode: Desain penelitian&#13;
ini yaitu metode deskriptif kuantitatif, pengambilan sampel menggunakan teknik purposive sampling,&#13;
dan didapatkan 30 responden. Instrumen dalam penelitian ini menggunakan kuesioner sikap. Analisis&#13;
univariat menggunakan rumus pearson product moment secara komputerisasi. Hasil: Hasil penelitian&#13;
ini menunjukkan bahwa sikap mahasiswi tingkat IV dalam menghadapi siklus menstruasi tidak teratur&#13;
yaitu sikap positif sebanyak 28 responden (93,3%) dan sikap negatif 2 responden (6,7%). Kesimpulan:&#13;
Penelitian ini menunjukkan sikap mahasiswi tingkat IV dalam menghadapi siklus menstruasi tidak&#13;
teratur di STIKES Bethesda Yakkum Yogyakarta Tahun 2023 adalah sebagian besar positif. Saran:&#13;
Untuk peneliti selanjutnya diharapkan dapat meneliti faktor-faktor yang mempengaruhi sikap&#13;
mahasiswa dalam menghadapi siklus menstruasi tidak teratur.&#13;
Kata kunci: Sikap; siklus menstruasi; mahasiswi</text>
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                <text>1Dita Eka Ristiyawati, 2*Santahana Febrianti</text>
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        <name>Sikap; siklus menstruasi; mahasiswi</name>
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                  <text>Prosiding STIKES Bethesda VOL 4 NO 1 2024</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>DUKUNGAN KELUARGA PADA LANSIA DALAM MENGIKUTI POSYANDU PUSKESMAS HARAPAN</text>
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                <text>Background: Elderly Posyandu is a health service program to monitor the health of the elderly. The&#13;
condition of the elderly who are getting older and decreasing physiological, physical and psychological&#13;
functions require support from the family. Research objective: to determine family support for the elderly&#13;
in participating in the elderly Posyandu at Harapan Health Care Center. Method: This type of research is&#13;
a quantitative descriptive conducted in June 2023. The population is the elderly with a totalsample of 30&#13;
people by means of purposive sampling. Data were obtained using a questionnaire and analyzed&#13;
univariately. Results: Family support for the elderly in participating in elderly Posyandu activities supports&#13;
as many as 28 people (93.3%) and less supports as many as 2 people (6.7%). This shows that most families&#13;
provide support to the elderly in participating in elderly posyandu activities. Conclusion: Families support&#13;
the elderly to join the elderly posyandu at the Harapan Health Care Center.&#13;
Keyword : Family Support, Posyandu, Elderly</text>
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                <text>1Endah Purwanti Handayani, 2Eftyaningrum Dwi Wahyu Astutik, 3Viertianingsih Patungo,&#13;
&#13;
4Nasrianti,&#13;
5Nurhilmi</text>
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                  <text>Prosiding STIKES Bethesda VOL 4 NO 1 2024</text>
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                <text>EVALUASI PELAKSANAAN SASARAN KESELAMATAN PASIEN DI RUMAH SAKIT SWASTA TIPE C SEMARANG</text>
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                <text>evaluation, patients, nurses, safety goals.</text>
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                <text>Hospitals are required to provide excellent service, including patient safety, which determines the&#13;
quality of the hospital. Healthcare providers, especially nurses, are expected to be competent in&#13;
implementing a patient safety culture to prevent the occurrence of adverse events. The implementation&#13;
of patient safety goals needs to be evaluated periodically. This study aims to determine how to evaluate&#13;
the implementation of patient safety goals in Type C private hospitals in Semarang. This study was used&#13;
a quantitative descriptive design that describes the evaluation of the implementation of patient safety&#13;
goals in Type C private hospitals in Semarang in 2023. The sample size was 42 associate nurses used&#13;
random sampling techniques. The instrument used was the Hospital Survey on Patient Safety Culture&#13;
observation sheet. The data were analyzed with univariate. This study describe the implementation of&#13;
patient safety goals mostly in the good category, namely 25 respondents (59.5%), 15 (35.7%) in the&#13;
moderate category, and 2 (4.8%) in the poor category. The hospital accreditation rating system that&#13;
contains the implementation of patient safety goals encourages nurses to carry out nursing care services&#13;
according to patient safety standards. Hospital policies, monitoring, and evaluation that have been&#13;
carried out motivate nurses to obey the procedures for implementing nursing actions. The evaluation of&#13;
the implementation of patient safety goals in Semarang Type C hospitals is mostly in the good category.&#13;
It is necessary to improve the practice of patient safety culture of nurses.&#13;
Keywords: evaluation, patients, nurses, safety goals.</text>
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                <text>1Fitri Arum Sari, 2Vivi Retno Intening*,2Yullya Permina, 2&#13;
&#13;
I Wayan Sudarta</text>
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                <text>Peri Irawan</text>
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                  <text>Prosiding STIKES Bethesda VOL 4 NO 1 2024</text>
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                <text>PEMBERIAN NUTRISI ENTERAL DENGAN METODE GRAVITY DRIP&#13;
KOMBINASI HEAD UP 30o DALAM MENURUNKAN VOLUME RESIDU LAMBUNG: CASE REPORT</text>
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            <description>An account of the resource</description>
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                <text>Critically ill patients admitted to the Intensive Care Unit (ICU) are mostly dying,&#13;
experiencing multi-organ failure, using ventilators and requiring technological support.&#13;
One of the important things that must be considered is the fulfillment of nutritional needs&#13;
to release ventilator dependence, accelerate healing and shorten the length of&#13;
hospitalization. The Gravity Drip method is a method of providing enteral nutrition with&#13;
the help of gravity carried out above the height of the stomach with the speed of&#13;
administration determined by gravity. Gravity Drip is a method of providing enteral&#13;
nutrition with a syringe connected to the gastric tube at a speed following the force of&#13;
gravity given 4-6 times a day for 5-10 minutes. Performed to the patient attached ETT and&#13;
Ventilator mode ASV100 PEEP 5 fiO2 50% VTE428 and NGT size 16. The results of&#13;
monitoring the volume of gastric residues before and after enteral nutrition obtained an&#13;
average of 3-3.8 ml of gastric residues. This enteral nutrition with the gravity drip method&#13;
in combination with head up 30o can be a reference in fulfilling nutrients and can reduce&#13;
gastric residual volume and prevent the risk of aspiration in critical patients, especially&#13;
those installed on ventilators.&#13;
Keywords: enteral nutrition, gravity drip, head up 30o, gastric residue, ICU</text>
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                <text>1Kidung Madah Gusti, 1Dwi Nugroho Heri Saputro, 2Danarso</text>
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                <text>HUBUNGAN LEVEL PERAWAT KLINIS DENGAN PELAKSANAAN&#13;
KELENGKAPAN DOKUMENTASI ASUHAN KEPERAWATAN&#13;
RUANG RAWAT INAP RUMAH SAKIT SWASTA TIPE C</text>
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                <text>Kelengkapan dokumentasi asuhan keperawatan dirawat inap di Rumah Sakit Swasta tipe C di Klampok&#13;
Banjarnegara masih belum sesuai dengan target capaian 95%. Tidak lengkapnya dokumentasi asuhan&#13;
keperawatan dapat berdampak pada penurunan kualitas pelayanan. Penelitian ini bertujuan mengetahui&#13;
hubungan antara level perawat klinis dengan pelaksanaan kelengkapan dokumentasi asuhan&#13;
keperawatan di ruang rawat inap Rumah Sakit Swasta tipe C di Klampok Banjarnegara Tahun 2023.&#13;
Metode penelitian menggunakan desain kuantitatif korelasi. Populasi berupa dokumen rekam medis&#13;
asuhan keperawatan di tiap bangsal sejumlah 3161 dokumen. Teknik sampel dengan Proportional&#13;
random sampling dengan jumlah sampel 100 rekam medis dokumentasi asuhan keperawatan pasien&#13;
rawat inap. Analisis data menggunakan uji rank spearman. Hasil penelitian ini menunjukkan mayoritas&#13;
dokumen rekam medis pasien paling banyak dengan kategori dewasa akhir usia 36 - 45 tahun sejumlah&#13;
39 (39%), jenis kelamin perempuan 90 (90%) dan lama kerja perawat paling banyak dengan rentang 1-&#13;
5 tahun sejumlah 41 (41%). Level perawat klinis mayoritas dengan PK III sejumlah 45 (45%).&#13;
Kelengkapan dokumentasi asuhan keperawatan mayoritas dengan kategori tidak lengkap sejumlah 52&#13;
(52%). Kesimpulan dalam penelitian ini yaitu ada hubungan antara level perawat klinis dengan&#13;
pelaksanaan kelengkapan dokumentasi asuhan keperawatan di ruang rawat inap Rumah Sakit Swasta&#13;
Tipe C di Klampok Banjarnegara Tahun 2023, dengan p-value 0,00 (&lt;0,05) dan r 0,510 (hubungan kuat).&#13;
Dari hasil penelitian ini perlu dilakukan review bagi perawat klinis terkait dengan kelengkapan&#13;
dokumentasi keperawatan khususnya di rawat inap.&#13;
Kata Kunci: asuhan keperawatan, dokumentasi, kelengkapan, perawat klinis, rawat inap</text>
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                <text>1Kristinah, 2Vivi Retno Intening*, 2&#13;
&#13;
I Wayan Sudarta, 2&#13;
&#13;
Ignasia Yunita Sari</text>
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                  <text>Prosiding STIKES Bethesda VOL 4 NO 1 2024</text>
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                <text>TERAPI UAP MINYAK KAYU PUTIH UNTUK MENINGKATKAN BERSIHAN&#13;
JALAN NAFAS PADA ANAK DENGAN ISPA: CASE REPORT</text>
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                <text>Acute Respiratory Infections (ARI) are common diseases in children. The World Health Organization&#13;
(WHO) estimates the incidence of ARI in developing countries to be 0.29% (151 million people) and in&#13;
industrialized countries to be 0.05% (5 million people). These acute respiratory infections cause four&#13;
out of 15 million estimated child deaths each year, with two-thirds of the deaths being infants. The&#13;
purpose of this case study is to determine the application of eucalyptus oil steam therapy on airway&#13;
clearance in children with ARI. The research design used is a quantitative descriptive method with a&#13;
case study approach through applying eucalyptus oil steam therapy for 3 days. The results of&#13;
administering eucalyptus oil steam therapy showed improved breathing patterns, improved respiratory&#13;
frequency, reduced rhonchi, and the ability to expel sputum. The conclusion is that eucalyptus oil steam&#13;
therapy effectively improves airway clearance in children.&#13;
Keywords: Eucalyptus oil steam therapy; airway clearance; ARI</text>
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                <text>1Manik Indriastuti, 2*Ignasia Yunita Sari, 1Sri Dini Kusumaningrum</text>
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        <name>Terapi uap minyak kayu putih; bersihan jalan napas; ISPA</name>
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