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Expanded Medicare coverage for CGM to go into effect next month, Bigfoot Biomedical wins FDA clearance for Bigfoot Unity Android app, Vivani Medical wants to bring a subdermal drug delivery implant to the diabetes market, Eli Lilly is cutting the price of insulin by 70%, SonoThera licenses GE HealthCare microbubbles for guided gene therapy delivery, Subscribe to Drug Deliverys E-Newsletter. Study record managers: refer to the Data Element Definitions if submitting registration or results information. During the 10 minute session, be sure to alternate between CPEP and CHFO. All rights reserved. 0000014570 00000 n 0000009437 00000 n 0000007220 00000 n This surgical robotic arm could 3D bioprint inside the human body, Medtechs top R&D spenders and the projects they launched, How Penumbras smart-sucking algorithms and catheters speed up clot removal, IBS researchers develop high-resolution ultra-thin endoscope. 0000004067 00000 n (2016, September 22). The Matter of Pressure- ETT Cuff Pressures, Catecholaminergic Polymorphic Ventricular Tachycardia: Recognize And Treat It Early, 4Ts versus 3Ls: heparin induced thrombocytopenia probability scoring, Docusate for Cerumen Impaction? Well-designed studies are needed to distinguish which LE approach has the greatest potential to optimize patient care, clinical outcomes and cost savings. The therapy is well tolerated by stable patients and appears to offer an alternative in patients with chest wall compliance. Indications. hb``e``eg`e`Pd`@ j5y```RRh``6h 1@Z"|_'10^. Hillrom. The therapy may therefore be helpful in treating these complications of COVID-19. Age 18 years Post-thoracic, -upper abdominal or -aortic surgery Open surgical procedure Incision at or above the umbilicus. The MetaNeb is designed for use on a number of patient types from postsurgery patients, such as thoracic or cardiac patients, to patients with chronic conditions or diseases such as cystic fibrosis or COPD. CT Imaging of the 2019 Novel Coronavirus (2019 . A., & Jones, S. W. (2013). Huynh TT, Liesching TN, Cereda M, et. 0000027320 00000 n ON. And you take time to switch back and forth.. position. Listing a study does not mean it has been evaluated by the U.S. Federal Government. 0000024185 00000 n to 10ft. Just as healthcare professionals must constantly seek out life-saving innovations for the surgical suite, the devices and approaches that can make a significant difference during the recovery process merit keen attention. System to a 50 psi oxygen source. With any therapy, the key is to ensure quality of life and so we have uniquely designed our device with a single hose, which helps us accommodate a softer start and an active inflate and deflate. Retrieved from. TM. 2 . doi:10.1016/j.chest . interviewer says fair enough. Your email address will not be published. All of the secretion clearance devices on the market work according to the same principle of oscillation, so how should RTs choose which is best for them? 0000019337 00000 n 165 0 obj <> endobj Save my name, email, and website in this browser for the next time I comment. The MetaNeb System, offered by Hill-Rom, addresses post-surgical respiratory problems that can impair a patient's recovery. As a result, the CoughAssist T70 is a more gentle, comfortable way to remove secretions, keeping airways clear longer than trached suction and with fewer complications, Diacopoulos said. Demographic, clinical & outcome data will be collected for eligible patients during the two stages of the study. Learn how your comment data is processed. 0000051450 00000 n The study will be conducted in two stages. 0000011922 00000 n Infection Bloody sputum (hemoptysis) Get in the know to get the most value out of your solution. 10. Medical Design and Outsourcing. Patients who may benefit from The MetaNeb System include those with pulmonary atelectasis or secretions associated with the following conditions: *Therapy times may differ depending on patient needs and ordered therapies. The MetaNeb System, offered by Hill-Rom, addresses post-surgical respiratory problems that can impair a patients recovery. It's events, podcasts, webinars and one-on-one exchanges of ideas & insights. No The MetaNeb System may be used in appropriate patients with an indication for airway clearance and/or lung expansion therapy. A lung-expansion therapy, MetaNeb enhances mucus clearance and helps resolve or fully prevent patchy atelectasis. Provide temporary CSF drainage in patients with infected . With the exception of standard airway clearance and lung expansion procedures, other components of the patients respiratory care regimen will remain the same as during the standard therapy period, however the CHANGE IN PRACTICE will incorporate the use/treatment with The MetaNeb System as an alternative to usual airway clearance and lung expansion procedures. Atelectasis and secretion retention in combination are major risk factors for those prone to alveolar collapse such as those with muscular weakness, patients on ventilators, and the pediatric population. The purpose of this prospective randomized clinical trial is to evaluate three different types of hyperinflation respiratory therapies, Intermittent Positive Pr. Add normal saline, hypertonic saline, and/or albuterol to the medication cup. The therapy can be administered by the patient or the RT. The SmartVest SQL Airway Clearance System from Electromed is a wearable garment surrounding an inflatable air bladder and a programmable air pulse generator. The results demonstrated that incorporating MetaNeb therapy led to a significant reduction in postoperative pulmonary complications, less time on mechanical ventilation, and reduced hospital length of stay.. Among the specific conditions that can see benefits are patients with neuromuscular diseases, ALS, or any illness that prevents them from adequately expectorating secretions, and who are at an increased risk for developing respiratory infections. If performing with an artificial airway, deflate the cuff slightly during therapy remembering to re-inflate after therapy is completed. 0000007907 00000 n In Stage II, a CHANGE IN PRACTICE will be made and patients will receive standard care with the addition of therapy with The MetaNeb System. Critical Care Pulmonologists share their insights on using Oscillation & Lung Expansion (OLE) therapy with ventilated COVID-19 patients. J Am Coll Surg. Nov 1, 2014 | Clinical, COPD, Cystic fibrosis, Monitoring & Treatment, Other Chronic Diseases, Therapy Devices |. Surgical Workflow & Precision Positioning. It is recommended for mobilization of secretions, lung . It consists of a pneumatic compressor that delivers OLE therapy using both continuous high-frequency oscillation (CHFO) and continuous positive expiratory pressure (CPEP). 0000039345 00000 n Paul, MN 55126, PatientsImportance of Respiratory HealthManage My TherapyProductsPatient Stories, Healthcare ProfessionalsBreak the Vicious CycleManage My PatientsProductsVA Government Options, ResourcesVideo LibraryEducation OptionsReimbursement ServicesInsurance CoverageGlossary of Terms, About UsInnovation MilestonesOur VisionCustomer ServiceIn the NewsEvents, Privacy Policy | Terms of Use | HIPAA Notice of Privacy Practices. Skarvan noted that in these cases it may be used as a preventative treatment to help keep hospital patientsincluding those who will be prone for long periods of timeclear of secretions and possible infections. According to Egans, comparative studies show that IPV is equivalent to other airway clearance strategies in improving short term pulmonary function tests results enhancing sputum expectoration in patients with cystic fibrosis. The MetaNeb System combines lung expansion, secretion clearance, and aerosol delivery into a single integrated therapy sessionwithout having to switch between different devices. Pathology can be described as a respiratory disease that often progressed into pneumonia with bilateral ground-glass opacities. You coach the patientthis is a spontaneously breathing patient who is coherent enough to walk through the therapy with youyou encourage on the deep breathing mode, the CPEP mode, you start them there and stay there for a couple of minutes, and then you switch over to that oscillatory mode, CHFOwhich starts to percuss in those recruited airways to bring up those secretions, while the nebulizer is running consistently, Mellor said. Learn more about MetaNeb System. Monaghan Medical Corps Aerobika Oscillating Positive Expiratory Pressure (OPEP) Therapy System device is a handheld device that provides intermittent resistance, positive pressure, and oscillation simultaneously, helping to move and assist mucus clearance into the upper airways, so it can be coughed out. These results have significant implications in the care of surgical patients who are at high risk for postoperative pulmonary complications, since the integration of MetaNeb System into the respiratory care not only results in reduced complications, but also reduced ventilator time and length of stay in the hospital, notes Huynh. 472 0 obj <> endobj Subscribe to Medical Design & Outsourcing. When treating many chronic respiratory diseases, one of the key elements of therapy is clearing lung secretions, which helps to minimize infections and to limit return hospital stays. OLE therapy delivered by The MetaNeb System helps expand the lungs and mobilize secretions using Continuous Positive Expiratory Pressure (CPEP), and Continuous High Frequency Oscillation (CHFO). Metaneb is utilized for mobilization of secretions, lung expansion, and can be used for the prevention and treatment of atelectasis. The MetaNeb System is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when used with compressed oxygen. The MetaNeb System is an LE expansion modality that incorporates all the physiological effects of IPV while providing additional therapeutic advantages intended primarily to more effectively treat or prevent pulmonary atelectasis. The use of oscillatory therapy also helps promote lung expansion, No major difference has shown between choosing over the other as the method of therapy, Both therapies have shown to be helpful in patients with chest wall complications. This presents challenges to the assignment of isolation categories because ofconflicting information and uncertainty about possible routes of transmission. Patient Requires Prolonged Mechanical Ventilation, Patient requires prolonged respiratory support for > 24 hours post-surgery, Diagnosis of Pneumonia Within Seven (7) Days, Readmission to ICU (or transfer to an elevated level of care) for pulmonary complications within seven (7) days of discharge. View this study on Beta.ClinicalTrials.gov. Put a spring-valve "tee" adapter into the inspiratory limb of the ventilator circuit. 0000024074 00000 n Researchers at the 47th Society of Critical Care Medicine reported this week that Hill-Rom's (NYSE:HRC) Metaneb System may help reduce the incidence of post-operative pulmonary complications in high-risk patients.. A 419-patient study found that patients using the Metaneb System combined with standard respiratory therapy spent 1.6 fewer days in the hospital on average compared to the group . If done in line with ventilation then the clinician can leave fragment in the CHFO mode. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This site uses Akismet to reduce spam. %%EOF I Sh*t You Not, Adrenal Crisis: Early Recognition and Management Save Lives, Prehospital Management of Traumatic Brain Injury, Differentiating Peak and Plateau Pressures, Sodium Bicarbonate for cardiac arrest: Time to put it away. Epub 2019 Jul 27. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02627742. al. 0000009831 00000 n 0000029883 00000 n %PDF-1.6 % Instead of introducing a suction catheter into the airway, air is delivered noninvasively through a facemask, a mouthpiece, or a simple adapter that allows the device to function with an endotracheal or tracheostomy tube. The use of nebulized medications, including albuterol, N-acetylcysteine, and dornase alfa, administered via the MetaNeb system was not directed by protocol. The SmartVest is also used in acute care settings, where it is administered by RTs. Accept Read More. Read our, ClinicalTrials.gov Identifier: NCT02627742, Interventional MedTech 100 is a financial index calculated using the BIG100 companies covered in The device was put to the test in a study performed at the Robarts Research Institute, Western University, London, Ontario, and researchers found that the study subjects had improvements in increased mucus clearance, decreased cough frequency and breathlessness, and enhanced exercise tolerance. All Rights Reserved. Please remove one or more studies before adding more. Hill-Rom reserves the right to make changes without notice in design, specifications and models. Efficacy of oscillation and lung expansion in reducing postoperative pulmonary complication. However,SARS-CoV while still classified as a droplet, is estimated to travel anywhere from 6ft. The therapy cycle is about 10 minutes long, with the CPEP and CHFO transition occurring four times during the session. endstream endobj startxref To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. 0000011442 00000 n Radiological Society of North America. The MetaNeb from Hill-Rom is currently only available to clinicians as an in-hospital device. Select two study versions to compare. Please do not continue treatment with an empty medication cup as this can cause irritation. Philips Respironics CoughAssist T70 is a second-generation manual insufflator/exsufflator, which the company introduced to the market approximately 1 years ago. Typical self-administered patient treatments consist of two 15- to 30-minute sessions per day. 0000028659 00000 n Connect the MetaNeb. CPEP mode provides aerosol combined with continuous positive pressure helping with lung expansion. The therapy may therefore be helpful in preventing and/ or treating such complications. (2020, March 2). IPV utilizes short fast pressurized bursts of flow to deliver aerosolized medication to the airways and alveoli in efforts of lung recruitment and mobilization of secretions. Patients will receive standard care with the addition of therapy with The MetaNeb System. St. Paul, MN. MedTech 100 is a financial index calculated using the BIG100 companies covered in The MetaNeb Systems simple connect and go design uses single patient use circuits that includes a mouthpiece and adaptors for a face mask, tracheostomy, and in-line ventilation. Learn more about the Center of Disease Control and Society (CDC) of Critical Care Medicine (SCCM) guidelines. Get in the know to get the most value out of your solution. Set mode to CPEP. View Product Details Contact a Respiratory Health representative for more information Call us at (800) 426-4224 or Would love your thoughts, please comment. Mellor of Hill-Rom noted that ultimately its a question of finding a provider that offers a quality product and stands behind it. 0000027826 00000 n The guidelines related to airborne precautions, provided by the CDC should be followed when delivering the therapy.5, Efficacy of Oscillation and Lung Expansion in Reducing Postoperative Pulmonary Complication, Learn how to reduce the length of stay for pneumonia patients. Al(C0. For medication delivery, an Aero Eclipse nebulizer (Trudell Medical International, London, Canada) in continuous mode was used. J Am Coll Surg. 0000024296 00000 n The MetaNeb System, by mobilizing mucous secretions and lung expansion, may have contributed to these clinical improvement, Huynh says. Researchers from three medical centers in the U.S. examined the efficacy of integrating the MetaNeb System in the respiratory care for patients undergoing major chest or abdominal surgery, explains Huynh. Recently presented at the Society of Critical Care Medicine (SCCM) Annual Congress, the research by Toan Huynh, MD, and colleagues specifically considered the incidence of post-operative pulmonary complications (PPCs) in high-risk patients, evaluating the impact of strategically employing aggressive pulmonary utilizing the MetaNeb system. The MetaNeb System circuit filter is tested in accordance with ISO 23328-1:2008 with a filtration efficiency of greater than 99%. Talk with your doctor and family members or friends about deciding to join a study. b`C01`y)c&00gpI#5@Nj}iF 0 D" 0000006477 00000 n Huynh, Toan; Cereda, Maurizio; Diette, Gregory; Liesching, Timothy After 2 minutes of CPEP, switch to CHFO mode at a lower frequency setting. The MetaNeb System Three therapies. It contains 10 distinct measures: Speech Salivation Swallowing Handwriting Cutting food and handling utensils (with or without gastrostomy) Dressing and hygiene turning in bed and adjusting bed clothes Walking Breathing Climbing stairs These 10 parameters are scored on a scale of 0-4, based on the patients' ability to perform tasks. Youre really facilitating it in a physical and a physics type treatment delivering that oscillatory breath across the area of the secretion, thinning it down where it can be expectorated by the patient.. Elderly patients and those with underlying conditions like hypertension, cardiovascular disease Cytokinetics Enrolls 700 ALS Patients in Phase 3 Study of Tirasemtiv, Praxair Approved to Market Inhaled Nitric Oxide in Canada, aTyr Announces Phase 2 Study of SSc-ILD Drug, Mercks Keytruda Meets Primary Endpoint in Phase 3 Trial for Lung Cancer, Dynarex Accepting Applications for 2023 Scholarship Program, Bacteremia with COVID-19 More Deadly Than Known Risk Factors Like Age and Sex, Toolkit to Support Clinicians in Quicker Diagnosis of ILDs, RT: For Decision Makers in Respiratory Care. I think it is important to note that a large majority of that therapy relies on that expansion to get that air space opened up.. The device begins by offering continuous positive expiratory pressure (CPEP) therapy, which helps expand the lungs, and then seamlessly moving on to the secretion clearance part of the treatment, which the company refers to as continuous high frequency oscillation (CHFO) therapy, at regular intervals. Read full description Request More Information Overview Education & Documentation Overview The study included 417 patients and found that use of the MetaNeb system decreased PPCs from 22.9 percent to 16.4 percent. The MetaNeb System is indicated for mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when used with compressed oxygen. The MetaNeb Systems simple connect and go design uses single patient use circuits that includes a mouthpiece and adaptors for a face mask, tracheostomy, and in-line ventilation. Additional interests are ventilators, new innovations in healthcare, and traveling. The main difference between the two modalities lies within the Venturi. Set CPEP 10-30 based on patient tolerance. Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand. Add 20 mL of normal saline or hypertonic saline to the medication cup. The device can be used in treating patients with a number of respiratory diseases and conditions, including cystic fibrosis and COPD. Metaneb is utilized for mobilization of secretions, lung expansion, and can be used for the prevention and treatment of atelectasis. MetaNeb System therapy can be utilized to deliver treatment across various inpatient departments, including ED and ICU. https://assets.hillrom.com/is/image/hillrom/MetaNeb_ai0444_0078_shadow?$recentlyViewedProducts$, /en/products/request-more-information/?Product_Inquiry_Type=More%20Information&I_am_most_interested_in=Non-Invasive%20Respiratory%20Therapy&Product_Name=MetaNeb_System, hillrom:care-category/non-invasive-respiratory-therapy, hillrom:sub-category/therapy-oscillation-lung-expansion,hillrom:care-setting/acute-care, https://www.hillrom.com/en/products/the-metaneb-system/#overview-0, https://www.hillrom.com/en/products/the-metaneb-system/#educationdocumentation-1, MetaNeb System Controller close-up, front facing, An older patient in a hospital bed receives therapy from the MetaNeb system, his clinician nearby, A clinician with a gloved hand adjusts a control knob on the MetaNeb System Controller, A clinician with a gloved hand adjusts the MetaNeb Circuit, patient in background, A clinician connects the MetaNeb system to administer therapy to a patient who has been intubated, A clinician with gloved hands connects the MetaNeb system for use with ventilation, A young patient in a hospital bed receives therapy from the MetaNeb system, with help from her clinician, Chronic Obstructive Pulmonary Disease (COPD), Patients who need Post Operative Airway Management, Patients who need Emergency Room Airway Management, Introduces continuous high-frequency oscillation (CHFO) therapy immediately after lungs have been expanded through continuous positive expiratory pressure (CPEP), Integrates aerosol delivery of medications for maximum efficiency. Explore Hillrom's products and medical technologies across the health care industry. Another modality option is Metaneb. Metaneb delivers high-frequency oscillatory breaths during both inspiration and expiration. 0000006582 00000 n For further information, contact [emailprotected]. Information provided by (Responsible Party): To determine if a therapy regimen including treatment with The MetaNeb System has a positive impact on the rate of pulmonary complications that occur in high risk post-operative patients. Indications would be worsening oxygenation, increasing FIO2 and/or PEEP, evidence of lung collapse or mucus plugging, and/or retained pulmonary secretions in the absence of an effective cough. With the MetaNeb, you can seamlessly switch between recruiting an expansion of the lung, which is ultimately what patients need, to take a deep breath, through CPEP, and transition over to CHFO and pull those secretions from that expanded air space and clear their lungs, Mellor said. Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number): Why Should I Register and Submit Results? The continuous mist helps hydrate secretions allowing for the facilitation of trapped sticky mucus. Weighing only 9 lbs, the CoughAssist T70 is easily portable, and a detachable battery adds a new level of flexibility for patients and caregivers. As such, certain precautions must be taken (airborne precautions) when treating these patients. Alternating between the cycles of CPEP and CHFO helps maximize therapy effectiveness when combined with aerosol therapy. Earlier this year, the Aerobika received the Gold award at the Medical Design Excellence Awards (MDEA). 27 44 The handheld, lightweight, easy-to-clean device has been available for about 1 years for use both clinically and at-home by patients. CHFO. 0000026667 00000 n Ultimately, the goal is to drive those secretions out to prevent chronic infections. A variety of strategies have been shown to reduce the risk for development of post-operative atelectasis including lung expansion (LE) therapies. 0 0000005309 00000 n Attention: Not all products/options are available in all countries. A hose connects the generator and the garment. 0000001552 00000 n One each from columns A and B. Choosing to participate in a study is an important personal decision. For general information, Learn About Clinical Studies. https://doi.org/10.1097/BCR.0b013e318257d83e. Contact a Respiratory Health representative for more information, Advanced Respiratory, Inc. A Hillrom Company1020 County Road F WestSt. MassDevice is the leading medical device news business journal telling the stories of the devices that save lives. An effective and efficient solution. al. PURPOSE: The management of pulmonary complications of patients with chronic debilitation conditions such as cerebral palsy . While oscillating technology is essential to secretion clearance, RTs and other clinicians have a number of options for the way it can be done, as the following representative devices from Hill-Rom, Philips Respironics, Electromed, and Monaghan Medical Corp illustrate. The MetaNeb System therapy be used in appropriate patients with an indication for airway clearance and/or lung expansion therapy. If performing by the mouthpiece, allow the patient to take a break and cough or huff cough. 0000027706 00000 n You add on top of that the nebulizer and you have that three in one benefit. The Additionally, the CoughAssist T70 incorporates a new feature called Cough-Trak, which gives patients the ability to synchronize the treatment with their own breathing pattern for optimal comfort, explained Eli Diacopoulos, VP, general manager, Home Respiratory for Philips. 0000003127 00000 n The CoughAssist T70 clears secretions from the lungs by gradually applying positive air pressure (insufflation) to the airway and then rapidly shifting to negative air pressure (exsufflation). To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. As discussed in chest physiotherapy Part 1, CPT is a modality commonly utilized by respiratory therapists in patients in whom the chest x-ray reveals focal lung opacity, evidence of retained secretions, and/or ineffective cough. Please check availability with your local Hillrom representative or click on Request More Information to contact Hillrom customer service. The CoughAssist T70 is designed for use with any patient unable to cough or clear secretions effectively due to reduced peak cough expiratory flow (less than 5-6 liters per second), resulting from high spinal cord injuries, neuromuscular deficits, or severe fatigue associated with intrinsic lung diseases. To watch the webinar, follow the link below to register, and you will receive a link to view the video. Improve respiratory status and reduce pulmonary complications 1,2; The Vest Airway Clearance System and The MetaNeb System provide therapy using single patient use disposable wraps and circuits. What are the respiratory complications related to COVID-19? Using the MetaNeb System During the COVID-19 Pandemic 1. 17: TREATMENT WITH METANEB THERAPY REDUCES POSTOPERATIVE PULMONARY COMPLICATIONS: A MULTICENTER TRIAL. Unlike the former, manual approach, oscillation technology affords a more consistent, uniform, and gentle approach to secretion clearance. 144, 575-580. A lung-expansion therapy, MetaNeb enhances mucus clearance and helps resolve or fully prevent patchy atelectasis. When delivering therapy, caregivers should follow the CDC guidelines for treating patient when there is a risk of airborne transmission2. 0000027091 00000 n Sometimes pressure trauma in your lung may cause pneumothorax. 0000002608 00000 n Patients who may benefit from IPV/Metaneb: This site uses Akismet to reduce spam. Like most modalities, Chest Physiotherapy is not only dependent on the practitioner performing it but the patients willingness to have it done and work with the practitioner. Designed and Developed by Scimple Education, LLC for CriticalCareNow, This website uses cookies to improve your experience. The MetaNeb System: A Guide to Clinical Outcomes (206762 rev 2). Hospitalized COVID-19 patients are often in need of respiratory support.1. Philips Respironics also has clinical experts available for in-service training sessions, as well as product support for clinicians and patients. The MetaNeb System is indicated for the mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and has the ability to provide supplemental oxygen when used with compressed oxygen. In Stage I of the study, a retrospective review of medical records for post-surgical patients, who received STANDARD THERAPY as defined by current hospital and respiratory care department policies and procedures will be performed. Higher. DeviceTalks is a conversation among medical technology leaders. %PDF-1.5 % The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of WTWH Media. Set the mode to . @2020 - All Right Reserved. 0000026299 00000 n Among its benefits for patients are its simplicity of use, portability, accessory options (oximetry accessory, remote control accessory, external suctioning accessory interface), and power management options (detachable battery, external DC battery, universal battery pack). And then youre able to loosen it and bring it up through the airway.

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