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Hasil Pencarian

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Akhmad Herman Yuwono
"Paduan Alumunium merupakan bahan yang banyak digunakan untuk aplikasi teknik karena memiliki beberapa keunggulan sifat yaitu : ringan, tahan karat, ulet, mampu permesinan yang baik dan lain sebagainya. Alumunium seri 6063 adalah paduan alumunium dengan unsur paduan utama Mg dan Si. Paduan ini memiliki sifat mampu tempa yang paling baik di antara jenis paduan alumunium heat treatable lainnya.
Dengan sifat mampu tempa yang tinggi disertai kekuatan mekanis dan ketahanan korosi yang memuaskan menyebabkan paduan tersebut banyak dipakai pada aplikasi komponen kendaraan bermotor dan pesawat terbang.
Tulisan ini membahas sifat mampu tempa paduan 6063 pada pembuatan shock absorber cover cup kendaraan bermotor dengan cara tempa panas. Pembahasan menitik beratkan pada pengaruh temperatur tempa pada 360°C, 410°C dan 460°C, ratio Do/ho sebesar 0,4 ; 0,5 dan 0,6 serta volume bahan awal yaitu 115% dan 125% terhadap tingkat deformasi, nilai kekerasan dan keberhasilan produk tan pa cacat.
Dari hasil pengujian didapatkan.bahwa dengan semakin tinggi rasio Do/ho, volume bahan dan temperatur proses tempa maka tingkat deformasi yang dihasilkan juga semakin besar. Sedangkan nilai kekerasan paduan bahan menurun dengan meningkatnya temperatur proses karena dimungkinkannya terjadi proses rekristalisasi."
Depok: Fakultas Teknik Universitas Indonesia, 1997
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UI - Laporan Penelitian  Universitas Indonesia Library
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Weber, Helmut E.
New York: John Wiley & Sons, 1995
621.433 WEB s
Buku Teks  Universitas Indonesia Library
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R. Gatot Sunyoto Sumowidagdo
"Penelitian fundamental gelombang kejut menggunakan shock tube untuk mempelajari gelombang kejut dan efek gelombang kejut untuk aplikasi tertentu telah banyak dilakukan. Shock tube mampu menghasilkan permukaan gelombang kejut yang dapat dikendalikan sehingga dimungkinkan untuk menganalisa energi gelombang kejut yang timbul dengan bermacam metode. Dalam penelitian ini gelombang kejut dihasilkan dari shock tube dengan memanfaatkan udara terkompresi kemudian karakter kekuatan gelombang kejut yang dihasilkan akan diukur menggunakan sensor tekanan dan strain gage yang dipasang pada spesimen pelat yang diletakkan di ujung tabung.

Shock-tube-generated shock wave has been widely used in many fundamental researches to study shock wave and/or shock wave effect to specific application. A shock tube can generate a controllable shock wave with a planar shock wave thus it is possible to evaluate various energies by shock tube experiment. Within this experimental study shock wave to be generated using compressed-air and its character to be measured by using pressure gages within tube wall and strain gages installed on thin-plate which is assembled at outlet of shock tube."
Depok: Fakultas Teknik Universitas Indonesia, 2013
T33311
UI - Tesis Membership  Universitas Indonesia Library
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Pria Agustus Yadi
"Dilakukan studi Kohort retrospektif untuk menilai pengaruh kelebihan cairan pasca operasi terhadap hasil akhir penatalaksanaan trauma dengan syok hemoragik di RSUPN Dr.Cipto Mangunkusumo. Data diperoleh dari rekam medik 42 penderita yang terbagi menjadi kelompok I (24 penderita) menerima cairan ~ 10.000 cc dan kelompok II (18 penderita) yang menerima cairan < 10.000 cc selama 24 jam I. Dari seluruh penderita, 18 penderita diantaranya meninggal dunia dan kelompok I mempunyai risiko kematian 6 kali lebih tinggi dibanding kelompok II dan perbedaan diantara keduanya bermakna secara statistik (p < 0,05). Timbulnya 2 atau 3 dari kematian (koagulopati, asidosis metabolik dan hipotermi) meningkatkan risiko kematian 28 kali lebih tinggi dan hubungannya bermakna (p < 0,001). Mereka yang hidup dan menerima cairan ~ 10.000 cc mempunyai lama rawat lebih panjang dibandingkan mereka yang menerima cairan <10.000 cc (P<0,05). Resusitasi cairan masih meningkatkan risiko kematian dan lama perawatan lebih panjang dan risiko kematian terutama dihubungkan dengan ditemukannya 2 atau 3 dari trias kematian. Diperlukan pemahaman kompleksitas respon tubuh yang terjadi pasca trauma dan syok hemoragik sehingga dapat melakukan resusitasi yang benar diikuti monitoring yang ketat untuk menurunkan morbiditas dan mortalitas penatalaksanaan trauma dengan syok hemoragik.

A retrospective cohort study was conducted! to assess the effect of postoperative excess fluid on the final outcome of trauma management with hemorrhagic shock at RSUPN- Dr.Cipto Mangunkusumo. Data was obtained from the medical records of 42 patients who were divided into group I (24 patients) receiving ~ 10,000 cc of fluid and group II (18 patients) who received 10,000 cc < liquid for 24 hours I. Of all the patients, 18 of them died and group I was at risk mortality was 6 times higher than group II and the difference between the two was statistically significant (p < 0.05). The occurrence of 2 or 3 of mortality (coagulopathy, metabolic acidosis and hypothermy) increased the risk of death 28 times higher and the association was significant (p < 0.001). Those who lived and received ~10,000 cc of fluid had a longer treatment time than those who received < 10,000 cc (P <0.05). Fluid resuscitation still increases the risk of death and length of treatment longer and the risk of death is mainly associated with the discovery of 2 or 3 of the triad of death. Understanding is required the complexity of the body's response that occurs after trauma and hemorrhagic shock so that it can perform correct resuscitation followed by strict monitoring to reduce morbidity and mortality in the management of trauma with hemorrhagic shock."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 1997
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UI - Tesis Open  Universitas Indonesia Library
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Rahmahwati
"yok kardiogenik yang terjadi pada seseorang dapat disebabkan oleh penurunan kinerja miokard yang parah dan mengakibatkan penurunan curah jantung hingga hipoperfusi organ akhir. Pemberian resusitasi cairan pada manajemen awal syok kardiogenik menjadi tantangan klinis karena seringkali sulit dinilai dan dapat bervariasi dari waktu ke waktu. Sehingga, salah satu cara untuk mengetahui efektivitas resusitasi cairan dengan syok kardiogenik adalah dengan pemantauan hemodinamik pasien menggunakan tekanan arteri rata-rata/mean arterial pressure (MAP). Metode dalam karya ilmiah ini dengan case study pada praktik klinik keperawatan kegawatdaruratan di RSUI. Pasien kelolaan adalah Tn. A berusia 74 tahun dengan diagnosis syok kombinasi kardiogenik dan intervensi utama yaitu pemantauan status sirkulasi menggunakan tekanan darah arteri rata-rata (MAP) untuk mengukur efektivitas resusitasi cairan. Hasil implementasi pemantauan MAP menunjukkan MAP dapat menjadi pengukuran efektivitas resusitasi cairan pada status sirkulasi pasien dengan syok kardiogenik. Perawat dapat menggunakan pemantauan status sirkulasi menggunakan tekanan darah arteri rata-rata (MAP) sebagai salah satu pengukuran efektivitas resusitasi cairan.

Cardiogenic shock that occurs in a person can be caused by a severe decrease in myocardial performance and result in a decrease in cardiac output to end organ hypoperfusion. Providing fluid resuscitation in the initial management of cardiogenic shock is a clinical challenge because it is often difficult to assess and can vary over time. Thus, one way to determine the effectiveness of fluid resuscitation in cardiogenic shock is to monitor the patient's hemodynamics using the mean arterial pressure (MAP). The method in this scientific work is a case study in clinical of emergency nursing at RSUI. The patient being managed is Mr. A is 74 years old with a diagnosis of combined cardiogenic shock and the main intervention is monitoring of circulation status using mean arterial blood pressure (MAP) to measure the effectiveness of fluid resuscitation. The results of implementing MAP monitoring show that MAP can be a measure of the effectiveness of fluid resuscitation on the circulation status of patients with cardiogenic shock. Nurses can use monitoring of circulation status using mean arterial blood pressure (MAP) as one measure of the effectiveness of fluid resuscitation."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2023
UI - Makalah dan Kertas Kerja  Universitas Indonesia Library
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Marpaung, Mangasi Alion
"A comprehensive study has been made on the dynamical process-taking place in the laser-plasma generation induced by a TEA CO2 laser bombardment on metal target and non-metal target from low to high pressures surrounding gas. In the case of metal target, pure zinc plate was used as a target and bombarded with 400-mJ-laser pulse energy. Dynamical characterization of plasma expansion and excitation were examined in detail both for target atomic emission (Zn I 481.0 nm) and gas atomic emission (He 1 587.6 nm) by using a unique time-resolved spatial distribution measurement and conventional emission spectroscopic detection method. The results showed that the plasma expands and develops with time. The mechanism of plasma generation can be classified into three cases depending on .the surrounding gas pressures; target shock wave plasma in the pressure range between 2 Ton and 20 Ton, coupling shock wave plasma in the pressure range between 50 Torr and 200 Torr and gas break down shock wave plasma in the pressure range between 200 Ton and I atm. In all cases in the laser-plasma generation under TEA CO2 laser bombardment on metal target, shock wave process always plays important role for exciting the target atoms and gas molecules.
In the case of non-metal target, a museum glass was used as a target and bombarded with a 400 nd laser pulse energy. By using the conventional emission spectroscopic detection method, namely temporally and spatially integrated and time-resolved spatially integrated of plasma emission, it was shown that the plasma mainly consists of target atomic emission. Only weak gas atomic emission intensity could be observed even at I atm of surrounding gas pressure. These results indicate that the gas breakdown is not a major process responsible to the plasma formation even at high pressure surrounding gas. Shock wave process was considered as an important role in this plasma formation. By the use of shadowgraph technique to detect the density jump signal due to the shock wave front involving a He-Ne laser as a probe light, simultaneous detection of the shock wave front and the emission front was successfully implemented. The result showed that at the initial stages of plasma expansion shock wave front and emission front coincide and move together with time. At the later stages of plasma expansion the two fronts became separate with the emission front left behind the shock wave front. These results are completely coinciding with the shock wave plasma model. Unfortunately, in this experiment we succeed to detect the density jump signal only for high pressure surrounding gas, above 100 Torr. At the pressures lower than 100 Torr the density jump signal was very weak and it is difficult to distinguish with the noise including in the signal.
The other important experimental results that support the shock wave plasma model were also obtained in this experiment, namely the coincidence of emission front regardless of their atomic weight and sub-target effect. By using lead glass as a sample, which contain Pb, Si, and Ca, it was confirmed that the emission front of the Pb I 450.8 nm, Si 1288.2 nm and Ca I 422.6 nm almost coincide regardless of their atomic weight. This result also supports the shock wave plasma model because, by the stagnation of the propelling atoms, the front position of the all atoms coincides regardless of its mass. In the case of sub-target effect, confirm that plasma could be produced even for soft target if sub-target is set behind the sample. In this case we use a quartz sample as a sub-target and a vinyl tape was attached to the quartz sample as a target. The TEA CO2 laser bombardment was used at 150 ml and at 1 atm of air. The main role of the subtarget is to produce a repulsion force for atom gushing with high speed. For shock wave, high speed is necessary condition to compress the gas.
Coincidence of the movement of the shock wave front and the emission front in the initial stages of plasma expansion is a direct proof of the shock wave plasma model. By improving the detection technique of the density jump associated with the shock wave, the correlation between the shock wave front and the emission front was examined in detail. For this purpose rainbow interferometer system, which has higher sensitivity compared with the shadowgraph technique, was used to detect the density jump signal. We succeed to realize simultaneous detection of shock wave front and emission front from 3 Ton until 1 atm of air when a quartz sample is bombarded with a 600 nil TEA C02 laser. In all pressure that were examined, the shock wave front and the emission front always coincide and move together with time in the initial stages and separate at the later stages with emission front left behind the shock wave front. The coincidence of the shock wave front and emission front and move together with time at the initial stages of plasma expansion was also obtained by using ruby as a sample at 10 Torr and 100 Ton of air as well as with museum glass at the same laser pulse energy.
Another important experimental result obtained in this experiment is that confirmation of the coincidence of the target atomic emission front and gas atomic emission front and density jump. This confirmation was obtained by examined a Quartz sample in 50 Ton of helium and a zinc sample in 100 Ton of helium. This result strongly supports the shock wave plasma model because, in ordinary shock tube experiment, gas emission takes place just behind the shock wave.
From a practical point of view of direct microanalysis for spectrochemicaI application of alloy metal samples such as brass, selective vaporization effect was also studied. The results showed that even for Nd-YAG laser with short pulse duration (8 ns) and high power density (30 GWcm 2), selective vaporization take place to a certain extend. It was demonstrated in this experiment that selective vaporization is enhanced if the laser irradiation was repeated on the same spot of sample surface. Meanwhile it was also shown in this experiment that the effect of selective vaporization could be significantly suppressed by increasing the surrounding gas pressure from 2 Toff to around 50 Torr of air."
Depok: Fakultas Teknik Universitas Indonesia, 2000
D234
UI - Disertasi Membership  Universitas Indonesia Library
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Sitti Robbyah Nauli Mansur
"Bercampurnya mahasiswa yang berasal dari latar belakang yang berbeda seperti suku bangsa, agama, bahasa, dan adat istiadat dapat memungkinkan terjadinya kontak antar budaya, yang berpotensi menimbulkan gegar budaya. Gegar budaya adalah perasaan kehilangan, kebingungan, dan rasa tidak mampu karena individu memasuki lingkungan yang baru. Hal ini dapat menimbulkan stres yang merupakan masalah yang paling sering dialami oleh mahasiswa kedokteran. Penanganan terhadap stres atau mekanisme koping yang baik membuat seseorang dapat beradaptasi terhadap lingkungannya. Penelitian ini bertujuan untuk melihat hubungan antara mekanisme koping dan strategi adaptasi terhadap culture shock (gegar budaya) pada mahasiswa asal luar Jawa di Fakultas Kedokteran Universitas Indonesia Angkatan 2015-2018. Penelitian ini merupakan penelitian potong lintang dengan total samplingdari mahasiswa asal luar Jawa di Fakultas Kedokteran Universitas Indonesia angkatan 2015-2018. Responden diminta secara sukarela untuk mengisi kuesioner Brief COPE, kuesioner strategi adaptasi, dan kuesioner gegar budaya yang telah divalidasi di penelitian sebelumnya dan diujicoba dalam penelitian ini. Jumlah responden yang mengisi kuesioner dengan lengkap dan benar adalah 91 responden (response rate= 95%). Terdapat korelasi positif yang bermakna antaradysfunctional coping/maladaptive coping dengan kejadian gegar budaya (r=0,284, p=0,006). Sebaliknya, tidak terdapat hubungan yang bermakna antara strategi adaptasi dengan gegar budaya (p>0,05). Penelitian ini menunjukkan bahwadysfunctional coping/maladaptive copingmemiliki korelasi positif yang bermakna dengan kejadian gegar budaya, namun strategi adaptasi tidak menunjukkan hubungan yang bermakna dengan kejadian gegar budaya.

The mixed of students who come from different ethnicities, religions, languages, and customs enable intercultural contact, which may lead to culture shock. Culture schock can be defined as a feeling of loss, confusion, and a sense of inadequacy because individuals enter a new environment. It can cause stress which is the most common problem experienced by medical students. Response to stress or coping mechanism enables someone to adapt to their environment. The purpose of this study is to assess the relationship between coping mechanisms and adaptation strategies with culture shock of students from out of Java in Faculty of Medicine Universitas Indonesia from academic year 2015 to 2018. This study was a cross sectional study with a total sampling of students whocome out of Java in Facultyof Medicine Universitas Indonesia from Academic Year 2015to 2018. A total of 91 respondents (response rate = 95%) completedthe BriefCOPE, Adaptation Strategies, and Culture Shock questionnairesthat had been validated in previous studies. There was a significant positive correlation between dysfunctional/maladaptive coping and the incidence of culture shock (r = 0.284, p = 0.006). On the other hand, there is no significant relationship between adaptation strategies and culture shock (p> 0.05). This study shows that dysfunctional/maladaptive coping correlates positively with culture shock whereas adaptation strategy does not correlate with culture shock."
Depok: Fakultas Kedokteran Universitas Indonesia, 2019
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UI - Skripsi Membership  Universitas Indonesia Library
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Dian Rahmawati
"Latar belakang: Syok septik merupakan kondisi klinis umum yang terkait dengan tingkat kematian yang tinggi diantara pasien sakit kritis. Pasien syok sangat memerlukan pemantauan ketat terhadap tanda-tanda klinis serta status hemodinamik dan status intravaskuler. Perawat intensif memiliki peran penting untuk pengenalan dini sepsis dan identifikasi perburukan, sehingga perawat intensif perlu memiliki pengetahuan dan sikap yang baik dalam penanganan syok septik. Tujuan penelitian: menganalisis hubungan antara tingkat pengetahuan dengan sikap perawat intensif dalam penanganan pasien syok septik di Intensive Care Unit RS Grup X Jakarta. Desain penelitian menggunakan deskriptif analitik korelasi dengan pendekatan cross sectional, analisis penelitian dengan uji Fisher Exact pada 110 responden perawat intensif dilakukan di 3 RS pada Grup X Jakarta. Pengumpulan data dengan menggunakan kuesioner. Kesimpulan: ada hubungan signifikan antara tingkat pengetahuan dengan sikap perawat intensif dalam penanganan pasien syok septik di RS Grup X Jakarta (p-value 0.044 < α= 0.05). Rekomendasi: Pengetahuan perawat dalam mengidentifikasi dan melakukan tatalaksana syok septik, serta skrining pencegahan syok septik (qSOFA dan SOFA) harus ditingkatkan dalam bentuk peningkatan pengetahuan terstruktur.

Septic shock is common clinical condition associated with high mortality rate among critically ill patients. Septic shock patient should be closed monitoring of clinical signs and hemodynamic also intravascular status. Intensive nurses have an important role for early identify and prevent septic shock. So, critical nurses have to good knowledge and attitudes in management of septic shock. Aim: this study was to analyze the correlation knowledge level and nurse’s attitude of septic shock management in intensive care unit at Group X Hospital Jakarta. Study Design: descriptive analytic correlation with a cross-sectional using Fisher Exact test on 110 intensive nurse respondents at 3 Hospital of Group X Jakarta. Conclusion: there is a significant correlation between the level of knowledge and attitude intensive nurses in management of septic shock patients at Group X Hospital Jakarta (p < α = 0.05). Recommendation: Knowledge nurses to identify and management septic shock, screening to prevent septic shock (q-SOFA and SOFA) must be improved with knowledge structured improvement."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2022
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UI - Skripsi Membership  Universitas Indonesia Library
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Mulyono
"Resusitasi cairan yang berlebihan selama pengobatan awal syok septik pediatri berhubungan dengan komplikasi seperti edema paru dan disfungsi organ. Pada pasien dewasa, penggunaan vasopresor dini dianjurkan untuk mengembalikan perfusi tanpa menyebabkan kelebihan cairan. Namun, penelitian mengenai penggunaan awal norepinefrin (NE) pada anak dengan syok sepsis masih terbatas. Penelitian ini bertujuan untuk menilai pengaruh pemberian NE dini terhadap jumlah cairan resusitasi, kadar laktat, dan kejadian edema paru pada anak dengan syok sepsis. Penelitian ini merupakan uji klinis acak dengan label terbuka yang dilakukan di satu pusat yaitu RS Cipto Mangunkusumo Jakarta pada bulan Maret hingga Mei 2024. Penelitian ini melibatkan 42 pasien anak dengan sepsis. Peserta dibagi secara acak menjadi dua kelompok: kelompok intervensi yang menerima loading cairan dengan tambahan NE dini 0,1 mcg/kg/menit (n=21) dan kelompok kontrol yang mendapat loading cairan sesuai protokol standar (n=21). Parameter jumlah cairan yang diberikan, kadar laktat, edema paru, dan hemodinamik dievaluasi dengan melakukan pemeriksaan klinis serta pemeriksaan USCOM, dan ultrasonografi paru. Hasil penelitian didapatkan bahwa pemberian NE sejak awal resusitasi tidak terbukti mengurangi jumlah cairan resusitasi pada anak dengan syok sepsis yang bermakna, namun tren jumlah cairan resusitasi lebih sedikit pada kelompok perlakuan dibanding kelompok kontrol (p=0,060), Selain itu, juga tidak terbukti adanya perbedaan kadar laktat pasca-pemberian NE dini dibandingkan kontrol [8/21(38%) vs 4/21 (28,6%), p=0,306], serta tidak terbukti adanya perbedaan kejadian edema paru pasca-pemberian NE dini dibandingkan kontrol [7/21 (33%) vs 5/21 (24%); p=0,734]. Sedangkan untuk pengukuran stroke volume index, cardiac index, dan systemic vascular resistancy index, tidak terbukti terdapat perbedaan antara kelompok loading cairan ditambah NE dini dengan kelompok loading cairan saja. Simpulan dari penelitian ini adalah pemberian NE dini tidak terbukti mengurangi jumlah cairan resusitasi pada anak dengan syok sepsis, namun tren jumlah cairan resusitasi lebih sedikit.

Excessive fluid resuscitation during initial treatment of pediatric septic shock is associated with complications such as pulmonary edema and organ dysfunction. In adult patients, early use of vasopressors is recommended to restore perfusion without causing fluid overload. However, research on the early use of norepinephrine (NE) in children with septic shock is limited. This study aims to assess the effect of early NE administration on the amount of resuscitation fluid, lactate, and pulmonary edema in children with septic shock. This study was a single-site, randomized, open-label clinical trial conducted at Cipto Mangunkusumo Hospital, Jakarta from March to May 2024. This study involved 42 pediatric patients with sepsis. Participants were divided randomly into two groups: the intervention group received fluid loading with additional early NE 0.1 mcg/kg/minute (n=21), the control group received fluid loading according to standard protocol (n=21) Parameters such as the amount of fluid administered , lactate levels, pulmonary edema, and hemodynamics were evaluated using clinical examination, USCOM, and lung ultrasonography. The research results showed that it was not proven to reduce the amount of resuscitation fluid in children with septic shock, but the trend was that the amount of resuscitation fluid was less in the treatment group than the control group (p=0.060), it was not proven that there was no increase in lactate levels after early NE administration compared to controls [8/21 (38%) vs 4/21 (28.6%), p=0.306], and there was no proven difference in the incidence of pulmonary edema after early NE administration compared to controls [7/21 (33%) vs 5/21 (24%) ; p=0.734]. Meanwhile, measurements of stroke volume index, cardiac index, and systemic vascular resistance index did not prove to be a difference between the fluid loading plus early NE group and the fluid loading only group. The conclusion of this study is that early NE administration is not proven to reduce the amount of resuscitation fluid in children with septic shock, but the trend for the amount of fluid to be less."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2024
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UI - Tugas Akhir  Universitas Indonesia Library
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