| 1. |
- Broeren, Jurgen, et al.
(författare)
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Virtual rehabilitation after stroke.
- 2008
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Ingår i: Studies in health technology and informatics. - 0926-9630 .- 1879-8365. ; 136, s. 77-82
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this project was to investigate the effects of Virtual Reality technology and haptics for stroke rehabilitation. Twenty-nine stroke subjects, 17 women, and 12 men aged 44-85 years, participated in three different studies. All participants responded favorable to the use of the VR activity station. A change of attitude took place after the subjects were exposed to playing computer games. The general experience with the VR application approach suggests that this treatment concept is promising in stroke rehabilitation, with a wide range of applicability.
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| 2. |
- Chen, Rong, 1972-, et al.
(författare)
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The openEHR Java reference implementation project
- 2007
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Ingår i: Studies in Health Technology and Informatics. - Amsterdam, Netherlands : IOS Press. - 0926-9630 .- 1879-8365. ; 129:Pt 1, s. 58-62, s. 58-62
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Tidskriftsartikel (refereegranskat)abstract
- The openEHR foundation has developed an innovative design for interoperable and future-proof Electronic Health Record (EHR) systems based on a dual model approach with a stable reference information model complemented by archetypes for specific clinical purposes.A team from Sweden has implemented all the stable specifications in the Java programming language and donated the source code to the openEHR foundation. It was adopted as the openEHR Java Reference Implementation in March 2005 and released under open source licenses. This encourages early EHR implementation projects around the world and a number of groups have already started to use this code. The early Java implementation experience has also led to the publication of the openEHR Java Implementation Technology Specification. A number of design changes to the specifications and important minor corrections have been directly initiated by the implementation project over the last two years. The Java Implementation has been important for the validation and improvement of the openEHR design specifications and provides building blocks for future EHR systems.
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| 3. |
- Eriksson, Magnus G., et al.
(författare)
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A haptic VR milling surgery simulator - using high-resolution CT-data
- 2006
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Ingår i: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 119, s. 138-143
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Tidskriftsartikel (refereegranskat)abstract
- A haptic virtual reality milling simulator using high resolution volumetric data is presented in this paper. We discuss the graphical rendering performed from an iso-surface generated using marching cubes with a hierarchical storage method to optimize for fast dynamic changes to the data during the milling process. We also present a stable proxy-based haptic algorithm used to maintain a tip position on the surface avoiding haptic fall-through.
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| 4. |
- Falkman, Göran, 1968-, et al.
(författare)
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Collaboration Patterns in an Online Community of Practice in Oral Medicine
- 2008
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Ingår i: eHealth Beyond the Horizon – Get IT There. - Amsterdam : IOS Press. - 9781586038649 ; 136, s. 175-80
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Konferensbidrag (refereegranskat)abstract
- SOMWeb is an online collaboration system based on Semantic Web technologies, which is used for knowledge sharing and dissemination within an oral medicine community in Sweden. Based on a previous study of the use of SOMWeb, general patterns of interaction and communicative activities involved in community collaboration have been identified. The patterns for one such activity, distance consultation, are described and modeled using techniques from the Pragmatic Web. It is also shown how patterns could inform system design
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| 5. |
- Falkman, Göran, 1968-, et al.
(författare)
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SOMWeb - Towards an Infrastructure for Knowledge Sharing in Oral Medicine
- 2005
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Ingår i: Connecting Medical Informatics and Bio-Informatics: Proceedings of MIE2005 - The XIXth International Congress of the European Federation for Medical Informatics. - Amsterdam : IOS Press. - 1586035495 ; 116, s. 527-32, s. 527-532
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Konferensbidrag (refereegranskat)abstract
- In a net-based society, clinicians can come together for cooperative work and distance learning around a common medical material. This requires suitable techniques for cooperative knowledge management and user interfaces that are adapted to both the group as a whole and to individuals. To support distributed management and sharing of clinical knowledge, we propose the development of an intelligent web community for clinicians within oral medicine. This virtual meeting place will support the ongoing work on developing a digital knowledge base, providing a foundation for a more evidence-based oral medicine. The presented system is founded on the use and development of web services and standards for knowledge modelling and knowledge-based systems. The work is conducted within the frame of a well-established cooperation between oral medicine and computer science.
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| 6. |
- Florin, Jan, et al.
(författare)
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Partient participation in decision making in nursing.
- 2006
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Ingår i: Studies in health technology and informatics. ; , s. 54-57:122, s. 54-57
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Konferensbidrag (refereegranskat)abstract
- Patient participation in decision making concerning nursing needs is an important aspect of high quality care, of interest for both planning and implementing care. However, patients' perspective on participation in clinical decision making has not been studied extensively and the literature is inconclusive of what roles patients prefer to adopt. The aim was to investigate associations between patient demographics and preferences for participation in clinical decision making and to compare patients and RNs perceptions of the patients' preferences for participation. A cross sectional study including 80 nurse-patient dyads was adopted. The Control Preference scale was used to collect data. The findings showed that younger and more educated patients preferred to be more active in some aspects of decision making than older and less educated patients did. Further, in comparison with RNs inference of patient preferences for participation, patients preferred to be more passive in decision making in relation to nursing needs in general, as well as for physical and psychosocial needs. Differences in perceptions between patients and RNs concerning patient participation could hamper high quality care and need to be addressed.
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| 7. |
- Göransson, Katarina, 1974-, et al.
(författare)
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The use of qualitative data analysis software (QDAS) to manage and support the analysis of think aloud (TA) data
- 2006
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Ingår i: Consumer-Centered Computer-Suppported Care for Healthy People. - Amsterdam, Netherlands : IOS Press. - 9781586036225 ; , s. 143-6, s. 143-6:122, s. 143-6
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Konferensbidrag (refereegranskat)abstract
- This methodological paper describes how qualitative data analysis software (QDAS) is being used to manage and support a three-step protocol analysis (PA) of think aloud (TA) data in a study examining emergency nurses' reasoning during triage. The authors believe that QDAS program QRS NVivo will greatly facilitate the PA and will allow them to identify and describe the information that triage nurses concentrate on during triage, and how they structure this information to make a triage decision. These findings could assist in designing and creating decision support systems to guide nurses' triaging. Additionally, details about how to use QRS NVivo for PA of TA data may assist and guide future informatics research using similar methodology are presented here. This innovative use of QDAS holds great promise for future nursing informatics research.
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| 8. |
- Kashfi, Hajar, 1980, et al.
(författare)
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A Migration to an openEHR-Based Clinical Application
- 2009
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Ingår i: Medical Informatics in a United and Healthy Europe,Proceedings of MIE 2009, IOS press. - 0926-9630 .- 1879-8365. - 9781607500445 ; 150, s. 152-156
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Konferensbidrag (refereegranskat)abstract
- MedView is a suit of clinical applications for recording, retrieving and visualizing patient records, which has been developed and in use for more than ten years. By the introduction of the openEHR architecture, the MedView project started an investigation to migrate from its locally developed framework to openEHR. Issues related to this process, have been discussed in this paper.
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| 9. |
- Kashfi, Pariya, 1980
(författare)
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An openEHR-Based Clinical Decision Support System: A Case Study
- 2009
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Ingår i: Studies in Health Technology and Informatics. - 1879-8365 .- 0926-9630. - 9781607500445 ; 150, s. 348-348
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Konferensbidrag (refereegranskat)abstract
- Experiences in developing a Clinical Decision Support System (CDSS) for dry mouth revealed that traditional approaches for creating clinical applications are not suitable because of the lack of structured knowledge in the domain and the complex nature of existing knowledge. Nevertheless, openEHR offers various benefits. This paper presents the issues related to developing an openEHR-based CDSS for this disease.
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| 10. |
- Lind, Leili
(författare)
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Evaluation of the use of digital pens for pain assessment in palliative home healthcare
- 2008
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Ingår i: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 136, s. 101-106
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Tidskriftsartikel (refereegranskat)abstract
- An information system supporting pain assessment in palliative home healthcare was implemented at the hospital-based home care clinic of University Hospital in Linköping, Sweden. Using digital pens and pain diaries, pain assessments were sent from the patients’ home to the professional caregiver. A total of 12 patients participated in the study. Patients, spouses and professional caregivers were interviewed. Qualitative content analyses were performed on the study material. All patients managed to use the pain assessment method, they experienced an improved contact with the caregivers and had a sense of increased security. After an initial cautious outlook the caregivers experienced positive outcomes for themselves and their patients. The medical records showed that the method had had impact on treatment. In conclusion, the home healthcare solution provided an effortless method for pain assessment with a high degree of user acceptance for palliative patients and had positive influences on the care.
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| 11. |
- Razavi, Amir Reza, et al.
(författare)
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A Data Mining Approach to Analyze Non-compliance with a Guideline for the Treatment of Breast Cancer
- 2007
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Ingår i: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 129, s. 591-597
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Tidskriftsartikel (refereegranskat)abstract
- Postmastectomy radiotherapy (PMRT) is prescribed in order to reduce the local recurrence of breast cancer and improve overall survival. A guideline supports the trade-off between benefits and adverse effects of PMRT. However, this guideline is not always followed in practice. This study tries to find a method for revealing patterns of non-compliance between the actual treatment and the PMRT guideline. Data from breast cancer patients admitted to Linköping University Hospital between 1990 and 2000 were analyzed in this study. Cases that were not treated in accordance with the guideline were selected and analyzed by decision tree induction (DTI). Thereafter, four resulting rules, as representations for groups of patients, were compared to the guideline. Finding patterns of non-compliance with guidelines by means of rules can be an appropriate alternative to manual methods, i.e. a case-by-case comparison when studying very large datasets. The resulting rules can be used in a knowledge base of a guideline-based decision support system to alert when inconsistencies with the guidelines may appear.
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| 12. |
- Scandurra, Isabella, 1973-, et al.
(författare)
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Application of the Multi-disciplinary Thematic Seminar Method in two Homecare Cases : A Comparative Study
- 2008
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Ingår i: EHealth Beyond the Horizon – Get IT There. - Amsterdam : IOS Press. - 9781586038649 - 9781607503330 ; 136, s. 597-602
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Konferensbidrag (refereegranskat)abstract
- A significant problem with current health information technologies is that they poorly support collaborative work of healthcare professionals, sometimes leading to a fragmentation of workflow and disruption of healthcare processes. Objective: This paper presents two homecare cases, both applying multi-disciplinary thematic seminars (MdTS) as a collaborative method for user needs elicitation and requirements specification. Methods: This study describes the MdTS application to elicit user needs from different perspectives to coincide with collaborative professions' work practices in two cases. Results: Despite different objectives, the two cases validated that MdTS emphasized the "points of intersection" in cooperative work. Different user groups with similar, yet distinct needs reached a common understanding of the entire work process, agreed upon requirements and participated in the design of prototypes supporting cooperative work. Conclusion: MdTS was applicable in both exploratory and normative studies aiming to elicit the specific requirements in a cooperative environment.
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| 13. |
- Chen, Rong, et al.
(författare)
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An archetype-based testing framework
- 2008
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Ingår i: eHealth Beyond the Horizon. - Amsterdam, Netherlands : IOS Press. - 9781586038649 ; 136, s. 401-6
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Konferensbidrag (refereegranskat)abstract
- With the introduction of EHR two-level modelling and archetype methodologies pioneered by openEHR and standardized by CEN/ISO, we are one step closer to semantic interoperability and future-proof adaptive healthcare information systems. Along with the opportunities, there are also challenges. Archetypes provide the full semantics of EHR data explicitly to surrounding systems in a platform-independent way, yet it is up to the receiving system to interpret the semantics and process the data accordingly. In this paper we propose a design of an archetype-based platform-independent testing framework for validating implementations of the openEHR archetype formalism as a means of improving quality and interoperability of EHRs.
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| 14. |
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| 15. |
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| 16. |
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| 17. |
- Göransson, Ola, et al.
(författare)
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Personals attitudes towards robot assisted health care - a pilot study in 111 respondents.
- 2008
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Ingår i: Studies in health technology and informatics. - 0926-9630. ; 137, s. 56-60
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The aim of this survey was to examine health care professional's attitudes towards technology involving support from artificial intelligence (AI), robots and humanoids. Within 10-15 years, every third student has to choose occupation within the health care sector to obtain the current personal level, due to the aging population and retirement within the health service sector. MATERIAL & METHODS: The preliminary investigation interviews presented a wide range of activities. These were nursing tasks, service tasks, monitoring/alarms, telemedicine and social communication. First, a five minutes presentation movie was presented. The movie demonstrated expected personal needs in the future and what robots and AI can do today and tomorrow. After this presentation, the 111 respondents, from different representative care institutions, replied on a questionnaire that dealt with selected areas identified above. The questions included different views of robots as supported aids in healthcare. RESULTS & DISCUSSION: The respondents were overall negative using AI and robot technology related to caring activities. However, all groups were positive in using robots in service tasks, monitoring/alarms, telemedicine communication. Of 29 assertions, 18 were mostly positive and 13 of them were over 70 % positive. The frequency of positive and negative attitudes, were similar in the central areas. Within the caring area, a positive robot assisted task requires an interaction (collaboration): caregiver-robot-individual and subsequently, within the nursing area; robot assisted tasks must involve a certain degree of human caring.
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| 18. |
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| 19. |
- Klein, Gunnar O., 1953-, et al.
(författare)
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Another HISA - the new standard : health informatics - service architecture
- 2007
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Ingår i: MEDINFO 2007. - : IOS Press. - 9781586037741 - 9781607502661 ; 129:Pt 1, s. 478-82
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Bokkapitel (refereegranskat)abstract
- In addition to the meaning as Health Informatics Society of Australia, HISA is the acronym used for the new European Standard: Health Informatics - Service Architecture.This EN 12967 standard has been developed by CEN - the federation of 29 national standards bodies in Europe. This standard defines the essential elements of a Service Oriented Architecture and a methodology for localization particularly useful for large healthcare organizations.It is based on the Open Distributed Processing (ODP) framework from ISO 10746 and contains the following parts:Part 1: Enterprise viewpoint.Part 2: Information viewpoint.Part 3: Computational viewpoint.This standard is now also the starting point for the consideration for an International standard in ISO/TC 215. The basic principles with a set of health specific middleware services as a common platform for various applications for regional health information systems, or large integrated hospital information systems, are well established following a previous prestandard. Examples of large scale deployments in Sweden, Denmark and Italy are described.
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| 20. |
- Klein, Gunnar O., 1953-, et al.
(författare)
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eHealth tools for patients and professionals in a multicultural world
- 2009
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Ingår i: Medical Informatics in a United and Healthy Europe. - : IOS Press. - 9781607500445 - 9781607504566 ; 150, s. 297-301
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Bokkapitel (refereegranskat)abstract
- In many countries today, an important challenge for health care is the fact that the population is mixed as regards cultural background and not the least with regard to preferred language. In our country Sweden almost 20% of the population has some connection to another country and many patients seeking health care do not have sufficient mastering of the dominant Swedish language to get optimal care. We propose in this study a set of eHealth services that could be implemented within a country and in multinational co-operation to deal with some of these issues in an effective way which both empowers the citizens, improves patient safety and at the same time may offer cost savings for the publicly financed health care systems in the countries of the European Union. The basic idea is to use a set of people-people communication strategies using ICT tools combined with semantic tools for information sharing and conversion. This requires new and challenging organizational contexts.
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| 21. |
- Klein, Gunnar O., 1953-, et al.
(författare)
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Translation of SNOMED CT : strategies and description of a pilot project
- 2009
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Ingår i: Connecting Health and Humans. - : IOS Press. - 9781607500247 - 9781607504436 ; 146, s. 673-7
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Bokkapitel (refereegranskat)abstract
- The translation and localization of SNOMED CT (Systematized Nomenclature of Medicine - Clinical Terms) have been initiated in a few countries. In Sweden, we conducted the first evaluation of this terminology in a project called REFTERM in which we also developed a software tool which could handle a large scale translation with a number of translators and reviewers in a web-based environment. The system makes use of existing authorized English-Swedish translations of medical terminologies such as ICD-10. The paper discusses possible strategies for a national project to translate and adapt this terminology.
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| 22. |
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| 23. |
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| 24. |
- Sundvall, Erik, 1973-, et al.
(författare)
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Graphical Overview and Navigation of Electronic Health Records in a prototyping environment using Google Earth and openEHR Archetypes
- 2007
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Ingår i: MEDINFO 2007 - Proceedings of the 12th World Congress on Health (Medical) Informatics – Building Sustainable Health Systems. - : IOS Press. - 9781586037741 ; 129:Pt 2, s. 1043-7
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Konferensbidrag (refereegranskat)abstract
- This paper describes selected earlier approaches to graphically relating events to each other and to time; some new combinations are also suggested. These are then combined into a unified prototyping environment for visualization and navigation of electronic health records. Google Earth (GE) is used for handling display and interaction of clinical information stored using openEHR data structures and ‘archetypes’. The strength of the approach comes from GE's sophisticated handling of detail levels, from coarse overviews to fine-grained details that has been combined with linear, polar and region-based views of clinical events related to time. The system should be easy to learn since all the visualization styles can use the same navigation.The structured and multifaceted approach to handling time that is possible with archetyped openEHR data lends itself well to visualizing and integration with openEHR components is provided in the environment.
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| 25. |
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