scholarly journals Efektifitas Pendampingan Minum Tablet Tambah Darah (TTD) Oleh Kader Posyandu terhadap Peningkatan Kadar Hb Ibu Hamil di Puskesmas Kota Palangka Raya

2018 ◽  
Vol 3 (2) ◽  
pp. 82-94
Author(s):  
Seri Wahyuni

Anemia is one of the indirect causes of maternal mortality. The Government of Indonesia has made efforts to overcome anemia, including by giving iron tablets to pregnant women. To improve maternal compliance in consuming iron tablet healthcare workers should include family/cadres in the supervision of food and medicine. This study aims to know the effectiveness of accompaniment drinking iron tablet By Cadres Against Increasing Hb Level of Pregnant Women at Puskesmas Kota Palangka Raya. This research is a quasi-experimental design using "nonrandomized control group pretest-posttest design" approach. Sampling technique total sampling is with the number of samples of 62 people divided into 2 groups, 31 intervention groups, and 31 control groups. In the intervention group involving cadres as moderate blood-boosting drink companions in the control group without blood-boosting companions. The analysis technique used for the intervention and control group is using the Wilcoxon test. The result of intervention group statistic test get p-value = 0,000 (

2019 ◽  
Vol 22 (1) ◽  
pp. 23-30
Author(s):  
Lina Dewi Anggraeni ◽  
Widiyanti Widiyanti

Hospital procedures, such as infusions, are often associated with pain. Preschool-aged children who are hospitalized for infusions will often exhibit a strong fearful response because their concept of body integrity has not fully developed. One way to reduce the fear of infusion pain is by using stories as a distraction technique. The purpose of this study was to identify differences in the scale of pain between members of an intervention group, to which the distraction technique was applied, and a control group, to which it was not applied. The study used quasi-experimental methods, with intervention and control groups. The study was conducted on 46 preschool aged respondents (3-6 years old), divided into a 34 member intervention group and a 12 member control group and ran from September to December 2017 in one of the private hospitals in the East Bekasi. The research employed a questionnaire to collect demographic data and used the Wong-Baker Faces Pain Scale to assess pain levels. The data analysis technique used was the independent t-test. The results showed there was a difference of pain response between the intervention and control groups with P value < 0.05. Pediatric nurses are advised to use storytelling therapy as an option for providing atraumatic care intervention.  Keywords: Distraction Technique, Infusion installation, Pain, Stories, Preschool Abstrak Teknik Distraksi: Bercerita Menurunkan Nyeri Pada Anak Usia Pra Sekolah Selama Penggunaan Infus. Rasa sakit seringkali dikaitkan dengan salah satu prosedur rumah sakit yakni pemasangan infus. Reaksi anak prasekolah yang dipasang infus menunjukkan ketakutan yang luar biasa, hal itu disebabkan karena konsep integritas tubuhnya belum berkembang dengan baik. Salah satu cara untuk mengurangi ketakutan akibat nyeri pemasangan infus pada prasekolah adalah teknik distraksi bercerita. Tujuan penelitian ini untuk mengidentifikasi perbedaan skala nyeri antara kelompok intervensi dan kelompok kontrol. Penelitian ini merupakan penelitian kuantitatif dengan metode quasy eksperimen, yang menggunakan kelompok intervensi dan kelompok kontrol. Penelitian dilakukan terhadap 46 responden usia prasekolah (3-6 tahun) yang terdiri dari 34 kelompok intervensi dan 12 kelompok kontrol dari bulan September-Desember 2017 di salah satu Rumah Sakit Swasta di wilayah Bekasi Timur. Instrumen penelitian menggunakan kuisioner data demografi dan lembar observasi skala nyeri Wong Baker Faces Pain. Teknik analisis data menggunakan Uji Independent T test.Hasil penelitian menunjukkan terdapat perbedaan respon nyeri antara kelompok intervensi dan kelompok kontrol dengan nilai p= 0,012 (< 0.05). Perawat anak sebaiknya menggunakan metode bercerita sebagai sarana asuhan keperawatan atraumatik.  Kata kunci: Cerita, Nyeri, Pemasangan infus, Prasekolah, Teknik distraksi


2020 ◽  
Vol 8 (E) ◽  
pp. 194-197
Author(s):  
Achmad Farich ◽  
Nur Indrawati Lipoeto ◽  
Hafni Bachtiar ◽  
Hardisman Hardisman

AIM: The aim of this study was to determine the effects of community empowerment on preventing dengue fever in Lampung Province, Indonesia. METHODS: This study used a quasi-experimental design with two groups of pretest-posttest design. The number of samples in this study was 120 people in the intervention group and 120 people in the control group, who is a housewife living in Gading Rejo and Pringsewu subdistrict, Lampung, Indonesia. The sampling technique used a proportional stratified random sampling technique. Community empowerment interventions have been carried out through socialization and inculturation to gather information about community participation, knowledge, attitudes, and behavior of respondents in the prevention of dengue fever. Then, the next stage is the implementation of interventions with capacity building and planting dengue mosquito repellent plants. Data were analyzed using Wilcoxon test using the SPSS version 21.0 software. RESULTS: This study showed that there were differences in the median score of knowledge, attitudes, and behaviors between the intervention and control groups (p < 0.05). The results of the analysis based on the entomologist indicators (larvae-free numbers, house index, container index, and Breteau index) found that there were differences in larvae-free numbers, house index, and Breteau index between the intervention and control groups (p < 0.05), while there were no differences in the container index between the intervention and control groups (p > 0.05). CONCLUSION: This study confirmed the effects of community empowerment on preventing dengue fever in Lampung Province, Indonesia.


2020 ◽  
Vol 18 (3) ◽  
pp. 192-200
Author(s):  
Suparmi Suparmi ◽  
Siti Masitoh ◽  
Anissa Rizkianti ◽  
Iram Barida Maisya ◽  
Ika Saptarini ◽  
...  

ABSTRACT Reducing maternal and neonatal mortality still have many challenges. One of the Ministry of Health’s strategy is to collaborate with universities through the assitance of pregnant women by students. This study aims to determine the effect of students’mentoring on increasing knowledge of pregnant women on dangerous sign of pregnancy, postnatal and newborns. The study is an operational research with quasi-experimental design that was conducted in seven districts/cities in Indonesia. Two Puskesmas were chosen for each district and it categorized as intervention and control group with the number of samples was 280 pregnant women for each group. The results of pre-test showed no difference in the level of knowledge about the dangerous signs of pregnancy, postnatal and newborns between the intervention and control groups, but after mentoring there were significant differences (p-value <0.001). The logistic regression results show that mothers in the intervention group had a 33% higher chance of having good knowledge about the dangerous signs of pregnancy; 92% higher knowledge about dangerous signs of postnatal and 78% higher knowledge about dangerous signs of newborns compared to control group. Therefore, student mentoring can be used as an alternative method of delivering information to increase the knowledge of pregnant women. Keywords: Mentoring, pregnant women, students, danger sign of pregnancy, postnatal, newborn   ABSTRAK Upaya penurunan angka kematian ibu dan bayi baru lahir masih memiliki banyak tantangan. Salah satu strategi Kementerian Kesehatan adalah berkolaborasi dengan Perguruan Tinggi melalui kegiatan pendampingan ibu hamil oleh mahasiswa. Penelitian ini bertujuan untuk mengetahui pengaruh pendampingan terhadap peningkatan pengetahuan ibu hamil tentang bahaya kehamilan, nifas dan bayi baru lahir. Penelitian ini merupakan riset operasional berdesain quasi experiment yang dilaksanakan di tujuh Kabupaten/Kota di Indonesia. Tiap Kabupaten/Kota dipilih dua Puskesmas, satu Puskesmas sebagai lokasi intervensi dan satu Puskesmas lain sebagai kontrol. Besar sampel adalah 280 orang ibu hamil pada masing-masing kelompok intervensi dan kontrol. Hasil pretest menunjukkan tidak ada perbedaan tingkat pengetahuan tanda bahaya kehamilan, nifas dan bayi baru lahir diantara kelompok intervensi dan kontrol, namun setelah pendampingan terdapat perbedaan signifikan (p-value <0.001). Hasil regresi logistik menunjukkan bahwa ibu di kelompok intervensi memiliki peluang 33% lebih tinggi untuk memiliki pengetahuan baik tentang tanda bahaya kehamilan; 92% lebih tinggi pengetahuan tanda bahaya nifas dan 78% lebih tinggi pengetahuan tanda bahaya bayi baru lahir dibandingkan ibu kelompok kontrol. Oleh sebab itu, pendampingan mahasiswa dapat digunakan sebagai salah satu alternatif metode penyampaian informasi untuk menngkatkan pengetahuan ibu hamil.    Kata kunci: Pendampingan, ibu hamil, mahasiswa, tanda bahaya kehamilan, nifas dan bayi baru lahir


2020 ◽  
Vol 7 (1) ◽  
pp. 71-87
Author(s):  
Tasbihul Anwar ◽  
Anwar Wardi Warongan ◽  
Fitrian Rayasari

Laparotomy is one of the major surgeries. Laparotomy is an operative technique that can be performed on digestive and urinary sistem disorders that will cause pain. This study aims to determine thes effects of kinesio taping on the level of pains in post laparotomy patients. The methods of this study use a pre-post and control group quasi experimental design research. Consisting of the intervention group and the control group, the number of sample was 24 samples with 12 respondent in the kinesio taping installation intervention group and 12 respondent in the control group giving standar drug, using a simple random sampling technique. Dependent t-test obtained an average difference of 2.08 in the control group while ansaveragesdifferencesof 3.84 insthe intervention group. Independent T test results obtained P value (0.001)<(0.05). The conclusion there was assignificant difference in the level of pain in the kinesio taping intervention group and the control group that did not have kinesio taping. Variable confounding has been performed statistically. The results shows that here is no relationships between age, attitude and belief in the pain of Laparotomy, while age is related to post-Laparotomy pain, kinesio taping can be used as an independent nursing intervention to reduce the intensity of pain in post-Laparotomy patients.


2021 ◽  
Vol 1 (2) ◽  
pp. 55-67
Author(s):  
Werna Nontji ◽  
Dwi Kartika Sari ◽  
Sitti Maria Ulfa ◽  
Syafruddin Syarif ◽  
Inez Vravty Lestari ◽  
...  

Background: Educating mothers during their postpartum period could potentially help them to overcome some important phases after giving birth. The process of education is evaluated based on the mothers’ knowledge about their independent self-care. Independency is an activity that is started individually and is done based on self-capability. The independency in the postpartum care is not only important to decrease the mother’s mortality and morbidity rate, but it is also crucial to strengthen and improve the post-partum mother’s healthy behavior during the perineal care. Providing education using Android-based application called BUBI Care could be potential to facilitate a more dynamic transfer of knowledge to the postpartum mothers.Aims: To analyze the knowledge, skills, and independence of primipara postpartum mothers in independent perineal care before and after accessing BUBI Care app. Research Method: employing quasi experimental research with pre-test and post-test design with control group design. The sample for this research were 19 pregnant mothers TM III (pregnancy age of ? 38 weeks) on each group. The treatment group was educated using BUBI Care Android app that was conducted at one of Public Health Center. The control group was educated without BUBI Care that was conducted at a Midwife Practice Clinic. The research was conducted on September to October 2020. Study Result: According to the Wilcoxon test, there was a difference in the pre-test knowledge of the treatment and control groups with the similar median of 53 and p-value of 0.666, the treatment group showed their scores improved to 80 on the post-test while the control group stayed at 53 with the p-value of 0.000. It means that BUBI Care app education influences the post-test. On the other hand, the perineal care skill saw a difference between the intervention and control groups. The intervention group had a mean of 70.05 and 56.68 for the control group with the p-value of 0.002 which means that there was an influence from the BUBI Care app education. Additionally, Mann Whitney test showed that the intervention group had a mean score of 78.95, but the control group only had 49.26, the total difference between the two are 29.69 with the p-value of 0.000. It can be concluded that there is a significance in difference in the independency rate from the provision of BUBI Care Android app education.Conclusion:  there is a significance effect on the intervention group in terms of Android based usage.


2020 ◽  
Vol 2 (2) ◽  
pp. 52-67
Author(s):  
Anggi Vina Hariyati ◽  
Cahyaningrum ◽  
Adil Zulkarnain

Anemia is one of the public health problems that need more attention of the female because they experience menstruation and they are in the growth phase. From the data of Semarang City Health Office  in 2011, it is shown the incidence of anemia in adolescents aged 10-19 years old are 68.24%. The prevention effort of the case is by measuring hemoglobin and prescribing blood supplement. The objective of the study is to find out the effect of Fe tablets on Hemoglobin in Semarang Merchant Marine Polytechnique students. The objective of the study is to find out the effect of Fe tablets on Hemoglobin in Semarang Merchant Marine Polytechnique students. This research used pre-experimental design with the two group pretest posttest. The population in this Study were all Merchant Marine Polytechnique Semarang at the 4th semester of female students  amounting to 50 with the total respondents 34 respondents taken with purposive sampling technique. The data were collected by performing Hemoglobin examination. The results of the study show that the average Hemoglobin before being prescribed Fe on the intervention and control group was 11.29 g/dl. After being prescribed Fe to the intervention group, it is found the average increased to 13.69 g/dl, while in the control group it is found averaged 11.72 g/dl. Bivariate Analysis uses an independent t test, the value of t is 6.136 with a p-value of   0.000. It shows that the p-value is 0,000 <((0.05), this indicates that there is a significant difference in the decrease in Hemoglobin levels in the population after being prescribed blood supplement between the intervention and control groups in The Semarang Merchant Marine Politechnique Students. It is suggested that the female adolescents to consume more iron-containing foods or consume Fe supplements such as Fe, during menstruation. ABSTRAK  Anemia merupakan salah satu masalah kesehatan masyarakat yang perlu khusus nya pada remaja  putri yang perlu mendapatkan perhatian khusus karena remaja putri mengalami mestruasi tiap bulan dan dalam masa pertumbuhan . Hasil Data Dinas Kesehatan Kota Semarang tahun 2011.  Kejadian anemia pada remaja usia 10-19 sebanyak 68,24%. Untuk menangani masalah tersebut pencegahan yang dilakukan yaitu dengan cara mengukur hemoglobin dan pemberian suplemen tablet tambah darah . Penelitian ini bertujuan untuk melihat Pengaruh Pemberian Tablet Fe Terhadap Hemoglobin Pada Taruni Politeknik Ilmu Pelayaran Semarang. Penelitian ini bertujuan untuk melihat Pengaruh Pemberian Tablet Fe Terhadap Hemoglobin Pada Taruni Politeknik Ilmu Pelayaran Semarang. Jenis penelitian ini menggunakan  pre-eksperimen design dengan rancangan Two group pretest posttest. Populasi dalam penelitian iniadalah seluruh taruni politeknik ilmu pelayaran semarang semester 4 berjumlah 50 taruni dengan jumlah sempel 34 responden dengan tehnik pengambilan sempel purposive sampling. Pengambilan data dengan melakukan pemeriksaan Hemoglobin.  Penelitian menunjukan bahwa rata-rata Hemoglobin sebelum diberikan pada taruni kelompok intervensi  dan  kontrol sama yaitu  11,29 g/dl.  Dan setelah diberikan pada kelompok intervensi  rata-rata meningkat menjadi 13,69 g/dl, sedangkan  kelompok kontrol rata-rata sebesar 11,72 g/dl. Analisis bivariate Menggunakan uji t independen, didapatkan nilai t hitung 6,136 dengan p-value sebesar 0,000. Terlihat bahwa p-value 0,000 <a (0,05), ini menunjukkan bahwa ada perbedaan secara signifikan penurunan (selisih) kadar Hemoglobin b pada taruni sesudah diberikan tablet penambah darah antara kelompok intervensi dan kontrol pada taruni Politeknik Ilmu Pelayaran Semarang.  Hendaknya bagi remaja putri lebih banyak mengomsumsi makanan yang mengandung zat besi atau mengomsumsi suplemen yang mengandung besi seperti Fe terutama saat mestruasi


2020 ◽  
Vol 7 (1) ◽  
pp. 24
Author(s):  
Hamdiah Hamdiah ◽  
Triyana Etty ◽  
Novi Indarwati

ABSTRAKWorld Health Organization (WHO) memperkirakan setiap harinya 800 perempuan meninggal akibat komplikasi kehamilan dan proses melahirkan. Kematian maternal indikator penting dalam keberhasilan program kesehatan ibu sekaligus salah satu indikator dalam menggambarkan derajat kesehatan masyarakat. Senam hamil merupakan alternatif terapi latihan berupa aktivitas atau gerak yang diberikan pada ibu hamil untuk mempersiapkan diri, baik persiapan fisik maupun psikologis dalam kehamilan dan proses kelahiran. Tujuan penelitian ini adalah mengetahui pengaruh senam hamil terhadap durasi Tidur ibu hamil trimester III di Klinik Etam Tahun 2019. Jenis penelitian yang digunakan adalah Quasi Eksperimen  desain penelitian  non equivalent control group dengan jumlah sampel 20 Responden dengan analisis data menggunakan uji Wilcoxon. Hasil penelitian didapatkan bahwa nilai rata-rata durasi tidur pada kelompok intervensi 9,6 jam/hari dan pada kelompok control memiliki nilai rata-rata 6,4 jam/hari. Kelompok intervensi didapatkan nilai p value 0,005 dan kelompok control 0,157. Ada perbedaan efektifitas senam hamil terhadap durasi tidur pada ibu hamil trimester III.                                                    Kata kunci : durasi tidur; ibu hamil; senam hamil  PREGNANCY EXERCISE TO IMPROVE SLEEP DURATION IN TRIMESTER III PREGNANT MOTHERABSTRACTWorld Health Organization (WHO) estimates that every day, 800 women die due to pregnancy complications and childbirth. Maternal mortality is an important indicator in the success of maternal health programs as well as one indicator in describing the degree of public health. Pregnancy exercise is an alternative exercise therapy in the form of activities or movements given to pregnant women to prepare themselves, both physical and psychological preparation in pregnancy and birth process. The aim of this research was to identify effectiveness pregnant exercises towards sleep duration in pregnant mother trimester III in Etam Clinic in 2019. Type of research was quasi-experimental design with a non equivalent control group with 20 respondents. Data analysis used Wilcoxon test. The results showed that the average value of sleep duration after pregnancy exercise in the intervention group 9.6 and in the control group had an average value of 6.4. The wilcoxon test in the intervention group obtained p value 0.005 and the control group 0.157. This means that Ho is rejected; there is a difference in the effectiveness of pregnancy exercises against sleep duration in third trimester pregnant women at the etam clinic in 2019. Keyword: pregnancy exercise; sleep duration; pregnancy


Author(s):  
Dyah Dyah Dewi ◽  
Wiwik Wiwik Kusumawati ◽  
Ismarwati Ismarwati Ismarwati

Background: Maternal Mortality Rate (MMR) as an indicator of maternal health during pregnancy, childbirth, and childbirth. Anemia contributes 20% to the incidence of maternal deaths caused by bleeding during labor. The government prevents anemia by giving iron tablets at least 90 tablets for pregnant women. However, the prevalence of anemia remains high, because of the low adherence in consuming Fe tablets every day. Self-efficacy adherence is a predictor of health behavior and adherence to treatment.Objective: To improve adherence with self-efficacy in consuming Fe tablets in pregnant women with health promotion and WhatsApp reminder in Yogyakarta City Health Center.Method: This study used a quasi-experiment method with a pre-test post-test non-equivalent control group design. The sample amounted to 59, the sampling technique used was consecutive sampling which was taken by random sampling technique in which samples were taken alternately to determine the intervention group and the control group.Results: There were significant differences in the self efficacy score between the intervention groups (Mean = 6.30, SD = 8.11) and the control group (Mean = 0.89, SD = 7.83) with t-test = 2.60 and ρ = 0.012.Conclusion: There is a significant difference in self-efficacy adherence with consuming Fe tablets in pregnant women before and after being given health promotion and WhatsApp reminder intervention and control groups. Health service agencies can consider the combined service between health promotion and WhatsApp reminder to improve self-efficacy in adhering to consuming Fe tablets in increasing Hb levels in anemic pregnant women.


2021 ◽  
Vol 7 (1) ◽  
pp. 139-144
Author(s):  
Widiyanti Sarimunadi ◽  
Bunga Tiara Carolin ◽  
Rosmawaty Lubis

ABSTRACT: SEFT THERAPY (SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE) FOR ANXIETY IN DEALING WITH LABORBackground: If the concern and anxiety of pregnant women is not handled seriously, it will have an impact and influence on physical and psychological aspects, both on the mother and the fetus. Pregnant women who experience anxiety in the face of labor are afraid of being operated on, afraid of spending a lot of money, fear of not being able to care for their babies properly, fear of their baby dying, fear of pain during delivery. One of the techniques for dealing with anxiety is SEFT therapy.Objective: to determine the effect of Spiritual Emotional Freedom Technique (SEFT) on anxiety in dealing with labor process.Methodology: this research is a quasi-experimental design with pre and post-test with control group design. The sample in this study was 25 trimester III pregnant women. The sampling technique was using purposive sampling technique. The research instrument used the DASS 42 questionnaire. The results of the data normality test were normally distributed so that the data were analyzed using the paired t-test.Results: The results showed that the average score of maternal anxiety before therapy was 13.48 (moderate) while after therapy was 7.88 (normal). The bivariate test results obtained p value 0,000.Conclusions: Spiritual Emotional Freedom Technique (SEFT) can overcome the anxiety of pregnant women in facing labor.Suggestions: It is hoped that this therapy can be applied in the practice of midwifery to care for pregnant women, especially pregnant women who experience trauma or have anxiety in their pregnancy. Keywords: anxiety, pregnant women, spiritual emotional freedom technique. ABSTRAK Latar Belakang: Kekhawatiran dan kecemasan pada ibu hamil apabila tidak ditangani dengan serius akan membawa dampak dan pengaruh terhadap fisik dan psikis, baik pada ibu maupun janin. Ibu hamil yang mengalami kecemasan dalam menghadapi persalinan disebabkan karena ibu takut dioperasi, takut akan mengeluarkan biaya yang banyak, takut tidak bisa merawat bayinya dengan baik, takut bayinya meninggal, takut kesakitan saat persalinan. Salah satu teknik untuk menghadapi kecemasan adalah denga terapi SEFT.Tujuan: Mengetahui pengaruh Terapi Spiritual Emotional Freedom Technique (SEFT) terhadap kecemasan dalam menghadapi persalinan.Metodologi penelitian: Penelitian ini merupakan quasi-experimental dengan rancangan pre and post test with control group design. Sampel dalam penelitian ini berjumlah 25 ibu hamil trimester III. Teknik pengambilan sampel menggunakan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner DASS 42. Hasil uji normalitas data berdistribusi normal sehingga dianalisis data menggunakan uji paired t-test.Hasil Penelitian: Hasil penelitian menunjukan bahwa skor rata-rata kecemasan ibu sebelum terapi 13,48 (Sedang) sedangkan sesudah terapi menjadi 7,88 (normal). Hasil uji bivariate didapatkan p value 0,000.Kesimpulan: Terapi Spiritual Emotional Freedom Technique (SEFT) mampu mengatasi kecemasan ibu hamil dalam menghadapi persalinan.Saran: Diharapkan terapi ini dapat diaplikasikan dalam praktik kebidanan perawatan ibu hamil khususnya ibu hamil yang mengalami trauma atau mempunyai kecemasan dalam kehamilannya. Kata kunci: Kecemasan, ibu hamil, Terapi Spiritual Emotional Freedom Technique


Author(s):  
Nurlaela Kurnia Rahayu ◽  
Pepi Hapitria ◽  
Rani Widiyanti

As the pregnancy gets older, the attention and thoughts of pregnant women begin to focus on something that is considered as a climax, so that the anxiety experienced will intensify just before the childbirth. Excessive anxiety and sleep disorders during pregnancy can cause mental disorders in pregnant women and inhibit fetal growth. To determine the effect of prenatal gentle yoga and hypnotherapy on anxiety level and sleep quality in the third trimester pregnant women. This is a quasi-experimental study with a pre-post test with a control group. The sample was 32 respondents consisting of 16 respondents as an intervention group and 16 respondents as a control group taken by purposive sampling. The analysis used was the Paired T-test. There is a difference in the average of anxiety level in the third trimester pregnant women in the intervention and control groups with a p value 0,000; there is a difference in the average of sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,000; and there is no difference in the average of anxiety level and sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,64. Prenatal Gentle Yoga and Hypnotherapy have an effect in reducing the anxiety level and improving the sleep quality in the third trimester pregnant women.


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