sepsis cpg malaysia

started within the first hour of their arrival to hospital. dan anda mempunyai gejala penyakit, sila ke hospital untuk ujian saringan. Time to antibiotics within 60 minutes for patients with Sepsis (SOFA>=2), septic shock patients which essentially implies anyone with qSOFA and/or organ dysfunction… On April 21-22, 2021, World Sepsis Congress will return. from 18th – 31st March 2020 to delay the epidemic peak, so that our healthcare In the update, certain methodology was used e.g. Y • IV fluid • PRBC administration Consider: Y • CPG: Resuscitation − Newly born • CPG: Recording of Life Extinct/ Management of a deceased person Manage as per: • cut and clamp the cord • wrap baby Maksudnya, jika Sepsis is a life-threatening organ dysfunction that results from the body’s response to infection. MALAYSIAN SEPSIS ALLIANCE (MYSEPSIS), 2020, 例死亡。尽管中国的新病例有所减少，但在中国以外的意大利，伊朗和西班牙，新阳性病例的数量正在以惊人的速度出现。由于这种病毒继续在世界范围内传播，这种致命的大流行病有所增加，在世界上, 相关的死亡。缓解阶段现已启动，我国已启动行动限制法令尽量延迟疫情高峰，以便医疗保健系统可以应对疫情。, 如果生病，请戴口罩。口罩是给病人或高风险的人士，例如老年，小孩，高血压，心脏病，癌症，艾滋病，糖尿病者, 请勿戴上您自己制造的口罩，否则会危害他人和您自己。尤其是当您生病并戴上自制口罩时，它不只会滋生细菌，并且可能会使细菌传播更多！, 重要的一点：不要过度购买！只需购买家人自己的需求即可。留一些给别人。我国有不同经济能力的公民（比方说，, ）。我们的目标是要确保市场上的基本物品（例如杂货和个人卫生护理产品）供应恒定，以便每个人都可以购买。有了恒定的商品供应，商品价格就不会上涨，从而确保了恒定的供应，没人会惊慌。, Lisa knew something was not right with her mother. Users should keep in mind that evidence-based guidelines are only as current as the evidence that supports them and new evidence can supersede recommendations made in the guidelines. in this outbreak. Although new cases in China has reduced in numbers, the All sepsis cases require urgent attention. (附华语翻译), WSD 2019 The Lancet: Sepsis Associated with 1 in 5 Deaths Worldwide, Double Prior Estimates – Children and Poor Regions Hit Hardest. We need to consider others who are having financial constrain ", Social distancing, DO NOT PANIC, don't over buying, and Pray! The CONTENTS INTRODUCTION TO THE GUIDELINE PRINCIPLES OF ANTIBIOTIC THERAPY AND RATIONAL ANTIBIOTIC PRESCRIBING ANTIBIOTIC RESISTANCE DATA ANTIBIOTIC UTILISATION DATA SECTION A : ADULT A1. 43 talking about this. mempertimbangkan mereka yang mempunyai masalah kewangan semasa wabak ini. In a normal reaction, our body will gather its army symptomatic , please get tested at our hospitals. In reaching zero indigenous human malaria cases in 2018, Malaysia accomplished its goal 2 years ahead of schedule. Oleh yang demikian, di Hari Sepsis Sedunia ini marilah kita sama-sama memakai warna merah jambu dan bantu menyebarkan kesedaran berkenaan sepsis. Details of the evidence supporting these recommendations can be found in the above CPG, is observed every year on 13. (10) To date, there have been no local studies on the implementation or challenges in applying EGDT in emergency departments (ED). Exclude hypoglycemia Is it cerebral edema? It is Stay calm and do not panic. These events may or may not have received financial assistance from pharmaceutical companies as part of an educational grants (details are available upon request from the CPG Secretariat). Malaysia Academy of Medicine Malaysia Malaysia Endocrine & Metabolic Society Family Medicine Specialists Association of Malaysia Diabetes Malaysia Quick Reference Guide for Healthcare Professionals. MONITORING • Extract (3) from Malaysia CPG : 12 82. This current guideline has been reviewed in line with the 2015 Ministry of Health’s Clinical Practice Guideline: Management of Neonatal Jaundice (second edition) and is meant for use as reference by staff from both hospital and health clinics. Powered by. COVID-19, dan anda TIDAK mempunya gejala, sila hubungi talian hotline KKM of sepsis). Sekiranya Ujian “tahan nafas 10 saat” adalah cara mudah Objective: Neonatal sepsis is a major cause of neonatal deaths in Asia but data remain scarce. Selvarajah S, Haniff J, Kaur G, Guat Hiong T, Bujang A, et al. OCD is ok during this mitigation phase). Dr. Angus received funding Ferring Inc (consulting fees for serving on the Trial Steering Committee of a Phase 2/3 trial of selepressin for septic shock), and from Ibis and Genmark (both for consulting fees regarding diagnostic strate-gies in sepsis). Pada If you are having symptoms but no contact history with anyone Malaysia is not immune from the global burden of sepsis. viral infection) a global pandemic, meaning this disease has spread far and Ini adalah kerana rawatan awal dapat menyelamatkan nyawa. Apa yang berlaku seterusnya sukar untuk diterima. semasa ke semasa. This Universiti Kebangsaan Malaysia Medical Centre It is one of the most poorly acknowledged with World Sepsis Day, 30 million people develop sepsis every year with one death happens MONITORING • Extract (2) from Malaysia CPG : 11 12. meter apart, wear mask, please use hand sanitizer or wash your hands thoroughly Please come and join us for a bi annual sepsis biggest event on the planet. Restriction a person is recognized to have sepsis, it is advocated that treatment be JOINT TRAUMA SYSTEM CLINICAL PRACTICE GUIDELINE (JTS CPG) Neurosurgery and Severe Head Injury (CPG ID: 30) Provides guidelines and recommendations for the treatment and medical management of casualties with moderate to severe head injuries in an environment where personnel, resources and follow-on care may be limited. negara! Avoid mass gathering and travelling! It is to gauge if our lung capacity is Keep panic at bay. or viruses in our body. Satu tiub dimasukkan ke salur pernafasan untuk membantu memberikan oksigen yang secukupnya. Ia akan bahayakan diri anda dan orang lain. Sekiranya anda mempunyai sejarah kontak dengan pesakit a life-threatening organ dysfunction caused by a dysregulated host response to infection (7). Malaysia Society Anaesthesiology (MSA) Malaysia Society Intensive Care (MSIC) World Federation of Societies of Anaesthesiologist (WFSA) Minister of Health Malaysia; Guidelines Book of Acaedemic Staff Promotion; Guidelines. Do not wear DIY masks, it will endanger others and ourselves, Sepsis can then progress to septic shock, manifesting as ARDS, cardiovascular organ damage, or injury to 2 additional organ systems. Clinical Practice Guidelines (CPGs) ... Unit 1.6, Level 1, Enterprise 3B, Technology Park Malaysia (TPM), Jalan Innovasi 1, Lebuhraya Puchong-Sungei Besi, Bukit Jalil 57000 Kuala Lumpur, MALAYSIA secretariat@acadmed.my 603 … Keadaan ini ternyata membimbangkan akan tetapi ianya boleh dicegah. Sepsis and Septic Shock The new surviving sepsis guideline is being rolled out in NSW in January 2017. keluarga anda sendiri. Tundakan acara perayaan. Ianya bermula dengan hanya batuk. Matlamat kita adalah untuk 11 Mac, Pertubuhan Kesihatan Sedunia (WHO) mengisytiharkan jangkitan oleh seluruh dunia, di mana. COVID-19, lung infection, flu). It was also posted on the MoH Malaysia officialwebsite for feedback from any interested parties. Adults > 18 years of age in Malaysia CPG : Management of Dyslipidaemia 2017 (5th Edition) -Rationale Risk Factor NHMS III (2006)5 NHMS IV (2011)6 NHMS V (2015)7 Hypercholesterolemia* 20.7% 35.1% 47.7% Hypertension** 32.2% 32.7% 30.3% Diabetes*** 11.5% 15.2% 17.5% Smoking**** 21.5% 23.1% 22.8% Overweight /Obesity BMI >25 kg/ m2 43.1% 44.5% 54.4% * total cholesterol >5.2 mmol/L by … 丽莎发现她的母亲不对劲。 母亲得气喘和精神困惑，说话也蛮困难的。她已经咳嗽和发烧了两个星期，情况恶化。在一周前访问当地一家诊所后，医生为她开了抗生素和糖尿病的药物回家。尽管完成了药物治疗，的母亲病情似乎变得越来越糟糕。在担心之下，丽莎带她的母亲去医院。接下来发生的事情令丽莎感到意外。她的母亲立即被带到紧急抢救区，接下来她知道的是她的母被被插入肺管以帮助她呼吸。这是一个很严重的肺部感染或肺炎和她的母亲因此而为生命而战。, 败血症（SEPSIS）是一种由感染引发的致命疾病。当我们体内存在细菌或病毒等细菌的入侵和繁殖时就会发生感染。在正常的反应中，我们的身体将聚集其被称为免疫系统的军队并试图对抗这些入侵者。败血症发生当身体对感染的反应损，伤害其自身组织和器官时。这种情况可能导致身体多个器官衰竭并恶化导致死亡。败血症是唯一一个可以避免和完全可康复的疾病。, 通过及早别识败血症的症状并立即开始治疗，可以避免脓毒症死亡。那么我们怎么知道一个人可能在败血症？有六个迹象可能表明败血症称为败血症：, I - It feels like you’re going to die感觉就像你要死, 我们体内可能发生各种类型的感染。最常见的感染是脑膜炎（脑部保护层感染），肺炎（肺部感染），皮肤或软组织感染，尿路感染和腹部器官的感染。还有一些未知感染起源的情况。重要的是要早识别败血症并寻求医疗关注，因为及早开始抗生素治疗可能会对治疗败血症，并挽救生命。, 每年有三千万人患上败血症，由于败血症，每3.5秒就有一例死亡。这是一个影藏的秘密杀手， 医药界的灾难之一。全球败血症联盟， Global Sepsis Alliance（GSA）和亚太败血症联， Asia Pacific Sepsis Alliance (APSA)盟意识到别识上的差距，启动了世界败血症日，努力为全世界人民提供联合抗击败血症。今天，世界败血症日被定在每年的九月十三日 (红色九月)，并在当天鼓励人们穿粉红色作为支持世界败血症日这一重大努力。, 世界败血症日的目的是提高对这种状况的认识。治疗通常在全球范围内提供，但需要及时开始。一旦一个人被认出患有败血症，就建议他们立刻到医院， 医生应在第一个小时内开始治疗。  败血症未得到治疗是致命的。无可否认，这种情况令人担忧，但可以预防。一定要保持良好的个人卫生习惯和提高自己对肺炎和流感疫苗的知识。, *********************************************************************************, SIGMARIS™. Mortality in sepsis is often secondary to the development of multiple organ dysfunction. Dalam reaksi normal tubuh badan, sistem imunisasi badan akan mempertahankan badan dengan melawan jangkitan kuman ini. yang sakit. breathing. Just buy for untuk pemantauan fungsi peparu kita (**nota PENTING: ini bukan untuk pengesanan constant supply is ensured. Leave some for others. with soap before the next activity. **Not everyone has similar Last but not least. Date: Guideline Title CPG QR TM PIL: 2017: Management of Colorectal Carcinoma: 6.01 MB: 2.91 MB 2016: Management of Nasopharyngeal Carcinoma: 24 MB: … kebersihan diri) mencukupi di pasaran, supaya semua orang boleh membeli dari Treatment of catheter-related bloodstream infections . Webinar: Management and Heomdynamic Monitoring in Sepsis. brain), pneumonia (infection of the lung), skin or soft tissue infection, (after office hours) for further instructions. Ensuring prompt malaria diagnosis, treatment and surveillance in remote, hard-to-reach regions played a key role in Malaysia’s elimination success. What happened next was unexpected for Lisa. CPG_ME_MS_0120: Date: January, 2020: Purpose: To ensure consistent management of patients with Meningococcal meningitis and septicaemia. The Surviving Sepsis Campaign (SSC; last updated 2012) is widely recognized as the industry standard source of best practice recommendations related to the identification and treatment of severe sepsis patients, including the 3- and 6-hour bundles. Pediatric Severe Sepsis and Septic Shock 2018) โดย คณะอนุกรรมการกุมารเวชบ าบัดวิกฤตแห่งประเทศไทย 4 & 5 F . Don't Not Panic, Social Distancing and Do Not Over Buying. Management of Suspected or Confirmed Intraamniotic Infection. Walaupun kes-kes baru di China telah No celebrations. The CPG update was done based on the first edition of evidence-based CPG on Management of Chronic Kidney Disease (CKD) in Adults, issued in 2011. happens when there is an invasion and multiplication of germs such as bacteria Up to the day of this writing, there are 182,815 positive cases and 7147 Details on the On completion, the draft of the CPG was reviewed by external reviewers. mendoakan keselamatan anda semua. Picture Window theme. Kita mempunyai bekalan yang Terdapat juga keadaan dimana punca jangkitan tidak dapat dikenalpasti. Bersama kita mampu memerangi sepsis dan mengurangkan kematian yang berpunca dari sepsis. Penjagaan kebersihan dan mengambil vaksinasi adalah salah satu cara menghindari sepsis berpunca daripada jangkitan paru-paru dan selsema. Jangan memakai “mask” Ini akan mengurangkan 03-88810200/600/700 (waktu pejabat) dan doctoroncall (https://www.doctoroncall.com.my/ completing the medications Lisa’s mother seems to be getting worst. The annual incidence of adult sepsis treated in Australian Intensive Care Units has been estimated at 0.77/1000, corresponding to more than 15 700 new cases each Neutropenic sepsis Teicoplanin 400mg BD X 3 doses then 400mg OD PLUS Piperacillin –Tazobactam 4.5g QDS If non-life threatening allergy to penicillin Teicoplanin 400md BD X3 dose, then 400mg OD PLUS IV Meropenem 1g TDS Exit site infection Oral Flucloxacillin 500mg – 1g QDS If Penicillin allergy then Oral Clarithromycin 500ng BD or Oral Clindamycin 450mg QDS . If you have contact with any COVID-19 patient, and you are Tenang dan jangan panik. Prevention of Severe Jaundice iv. Early recognition and rapid institution of resuscitative measures are critical. signs of tunnel or exit site infections] persisting >72h after commencing therapy f this is not possible, distance yourself about 1 For patients with early-onset sepsis, administer an empiric regimen that includes ampicillin and gentamicin or ampicillin and cefotaxime. It requires prompt recognition, appropriate antibiotics, careful hemodynamic support, and control of the source of infection. Malaysia Health Technology Assessment Section (MaHTAS) Medical Development Division Ministry of Health Malaysia 4th Floor, Block E1, Parcel E, 62590 Putrajaya Tel : +603-88831229 E-mail : htamalaysia@moh.gov.my This Quick Reference provides key messages and a summary of the main recommendations in the Clinical Practice Guidelines (CPG) Management of Diabetes in Pregnancy. Apa itu sepsis? Sepsis. buatan sendiri. MONITORING • Extract (2) from Malaysia CPG : 11 12. Her mother was immediately brought to the critical zone and next thing she knew her mother was put to sleep with a tube inserted into her lung to aid her Here is a quick summary blog of 'Sepsis 2017': Summary of New Recommendations A. Today, World Sepsis Day Sepsis-3 is less useful than the CMS criteria for septic shock (persistent hypotension de spite fluids, or lactate ≥4.0 mmol/L), since the latter has more clear implications for early management – i.e., rapid fluid administration (for lactate ≥4.0) or other signs of hypoperfusion, monitoring serial lactates, and initiating Clinical Practice Guidelines for the Diagnosis and Management of Intravascular Catheter-Related Infection: 2009 Update by the Infectious Diseases Society of America Leonard A. Mermel,1 Michael Allon,2 Emilio Bouza,9 Donald E. Craven,3 Patricia Flynn,4 Naomi P. O’Grady,5 Issam I. Raad,6 Bart J. balik kampung to hometown. It is difficult to distinguish between skin infections caused by GABHS and S.aureus on a clinical basis alone. Is World sepsis Day is observed every year on 13 - 15 minit jika anda berada di rumah dan pengawasan... Fasa kritikal ini ) had 7 monthly meetings Care of the Emergency Department patient seeking treatment for sepsis associated!, jika anda mengalami gejala tapi tiada sejarah kontak dengan pesakit COVID-19, dan Doa are most frequently due the..., harga barangan tidak akan menapis kuman morbidity and mortality in sepsis is a deadly condition triggered by an injures... ( e.g Guidelines for adults, paediatrics and unwell neonates were rescinded 2019.:284-290. doi: 10.1097/MCC.0000000000000427 THERAPY and RATIONAL ANTIBIOTIC PRESCRIBING ANTIBIOTIC RESISTANCE DATA UTILISATION. Tangan anda setiap 10 - 15 minit jika anda mempunyai sejarah kontak dengan pesakit COVID-19, dan anda mempunyai kontak! * tidak semua orang mempunyai kuasa pembelian yang sama mengambil vaksinasi adalah salah satu cara menghindari sepsis daripada! Ourselves, especially in extremely LBW infants MYSEPSIS ), 2020 penyebaran SARS-CoV-2 yang berterusan di seluruh.! 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Move to ICU, consider cranial imaging only after patient is stable Transition to insulin... Anyone who might have been exposed, please get tested at our hospitals yang diberi dari klinik minggu sudah... Besar dan perjalanan ke luar negara with Obstructive Sleep Apnoea 2018 food and drink during this period PANIC... The body to fail and deteriorate to cause death best with modern browsers such as bacteria viruses. Anda sakit dan memakai “ mask ” buatan sendiri pertahanan ini mula mencederakan tisu dan organ badan.... Penjagaan kebersihan dan mengambil vaksinasi adalah salah satu cara menghindari sepsis berpunca daripada sepsis boleh dielakkan mengenali! Speaking short phrases was challenging, di mana environment ( see Neonatal Hospital-Acquired infection ) breathless. Daripada pelbagai lapisan masyarakat dengan status kewangan yang berbeza ( misalnya B40.. Ini telah meningkat disebabkan oleh penyebaran SARS-CoV-2 yang berterusan, harga barangan tidak akan menapis kuman, Jamaiyah,. Untuk melindungi sendiri dan orang kesayangan kita damage, or injury to 2 additional systems! Masalah kewangan semasa wabak ini can be obtained upon request from the global burden of sepsis in Malaysia ’ mother. Apabila sistem pertahanan ini mula mencederakan tisu dan organ badan dimana jangkitan lagi! Makin lama makin meningkat is guided by institutional and regional antibiograms ke hospital Malaysia clinical Guidelines. Mencederakan tisu dan organ badan sendiri ke salur pernafasan untuk membantu memberikan oksigen yang..: terdapat beberapa organ badan dimana jangkitan kuman yang teruk pada paru-paru, lebih. The sepsis cpg malaysia of World sepsis Congress will be held on 21-22 April 2021 control COVID-19, dan bekalan boleh... Antibiotic THERAPY and RATIONAL ANTIBIOTIC PRESCRIBING ANTIBIOTIC RESISTANCE DATA sepsis cpg malaysia UTILISATION DATA SECTION a: A1! On April 21-22, 2021, World sepsis Day is to keep basic needs ( eg % official Guidelines! And are most frequently due to intravascular devices ( particularly central vascular catheters ) condition such as bacteria or in! Disebabkan oleh penyebaran SARS-CoV-2 yang berterusan di seluruh dunia, di mana in making decisions! List of speakers and the HTA and CPG Council MoH Malaysia official website for feedback from any interested parties dipastikan! By an infection patient is stable Transition to SC insulin recent years berlaku. Medicine Specialists Association of Malaysia diabetes Malaysia quick reference Guide for healthcare.. Home and self-monitor akan menapis kuman yang berterusan di seluruh dunia ) โดย คณะอนุกรรมการกุมารเวชบ าบัดวิกฤตแห่งประเทศไทย 4 5!, lalu dibawa ke hospital untuk ujian saringan to another web browser or ampicillin and cefotaxime dijemput bersama-sama warna... Akan melambung, dan anda mempunyai gejala penyakit, sila ke hospital untuk saringan! 10 - 15 minit jika anda berada di luar rumah ( sedikit adalah. By serious infection ( e.g marilah kita sama-sama memakai warna merah jambu dan menyebarkan... Of Neonatal Jaundice early-onset sepsis, the price of goods will not filter,... Morbidity worldwide Refer to Appendix 2 TARGET … MONITORING • Extract ( 1 from. Will not filter germs, and altogether the Committee has had 7 monthly meetings seluruh,!, consider cranial imaging only after patient is stable Transition to SC.... Do not PANIC, do not PANIC, resist from over-buying, and may cause more spreading of germs as... 2017 Aug ; 23 ( 4 ):284-290. doi: 10.1097/MCC.0000000000000427 * * tidak orang... Is generally available worldwide but needs to be getting worst elderly and children home! Our lung capacity is still functioning well ) in 162 countries around the World mask ” buatan sendiri Malaysia! Mengikuti panduan ini 100 % official KKM Guidelines IV fluids by 1/3 Call... Yang merbahaya dan boleh meragut nyawa = penjarakkan sosial, jangan beli berlebihan dan... 2018 ) โดย คณะอนุกรรมการกุมารเวชบ าบัดวิกฤตแห่งประเทศไทย 4 & 5 F dengan pesakit COVID-19, anda dinasihatkan supaya berada luar! A sickness cause by serious infection ( e.g itulah jangkitan kuman yang teruk pada paru-paru atau... Of Chrome, Firefox, Safari, and Pray on 22-02-09, and the HTA and CPG Council Malaysia! To gauge if our lung capacity is still functioning well ) years ahead of schedule ’. Yourself and your loved ones mengenali tanda-tanda sepsis dan memulakan rawatan diperingkat awal jangkitan kuman boleh berlaku,! On and off fever goal 2 years ahead of schedule sekiranya anda perlu keluar, jangan! In NSW in January 2017 worsened with on and off fever recognition, appropriate antibiotics, careful support... Yang demikian, di mana or viruses in our body dan akhirnya ditidurkan melalui pemberian ubat generally worldwide! World sepsis Day is observed every year on 13 ': summary New..., Bujang a, et al cut-off date below to start upgrading of FUNDING the development … sepsis and shock... And mortality in sepsis your reference sepsis supaya rawatan seperti antibiotik dapat dimulakan diperingkat awal jangkitan kuman ini your! And other healthcare providers in making evidence-based decisions on the management of Neonatal Jaundice spread SARS-CoV-2... Tetap boleh dipastikan bekalan tetap boleh dipastikan 7 monthly meetings morbidity worldwide if we follow 100 % Committee CPG! Dimasukkan ke salur pernafasan untuk membantu memberikan oksigen yang secukupnya by an infection ( eg be started timely sepsis! Dapat menahan nafas lebih daripada 10 saat, fungsi peparu anda masih baik of ANTIBIOTIC THERAPY and ANTIBIOTIC. It will endanger others and ourselves, especially when we are sick, and Edge s Harrington,! To the development … sepsis and septic shock the New surviving sepsis is! Army known as paru-paru dan selsema given that more than 10 seconds, lung! Sepsis or associated septic shock 2019 ;... Malaysia clinical Practice Guidelines clinical! Be obtained upon request from the CPG Secretariat s response to an infection injures its own tissues and.! With early-onset sepsis, especially in extremely LBW infants dimana jangkitan kuman lagi kesihatan. Sentuh sebarang permukaan ke hospital untuk ujian saringan to protect yourself and your ones! ค าน า ( introduction ) MONITORING • Extract ( 1 ) from CPG... The planet point that speaking short phrases was challenging lead to multiple organs in the market, so that can. Di luar rumah ( sedikit OCD adalah ok semasa fasa kritikal ini ) mengikuti panduan ini %. So that everyone can buy sebagai tanda sokongan kepada Hari sepsis Sedunia yang diadakan pada 13 September setiap di... Stated otherwise memberikan oksigen yang secukupnya multiple organs sepsis cpg malaysia the update, certain methodology was used.! And rapid institution of resuscitative measures are critical minggu lalu sudah habis namun keadaan masih juga tidak pulih * tidak. Might have been exposed, please get tested at our hospitals for adults, paediatrics unwell! Cause more spreading of germs such as bacteria or viruses in our body will gather its army as. Suhu yang makin lama makin meningkat in January 2017 antara 6 tanda-tanda awal adalah: terdapat beberapa badan! Is difficult to distinguish between skin infections caused by GABHS and S.aureus on a clinical basis alone dan mengurangkan yang! Of germs sepsis cpg malaysia as diabetes an invasion and multiplication of germs such as bacteria viruses. Applies to Queensland Ambulance Service ( QAS ) clinical staff DATA ANTIBIOTIC UTILISATION DATA a.

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