Role of Cadre in Improving Knowledge and Attitude of Chronic Energy Deficiency on Teenagers in Mali-Mali Village, Banjar Regency, South Kalimantan, Indonesia

AIM: The objective of this study was to analyze the role of cadres as an effort to increase knowledge and attitudes about chronic energy deficiency among adolescents in Mali-Mali village. METHODS: This type of research is quasi experimental. Researchers trained five cadres who provide education to junior high school students. The sampling technique used a total sampling of 38 female students. The treatment duration was 4 months with the evaluation of knowledge, attitude, and upper arm circumference measurement each month. RESULTS: This study’s results were that 21.1% of respondents had good knowledge about chronic energy deficiency before treatment. The evaluation of respondents who had good knowledge about chronic energy deficiency at 1st month was 57.9%. The 2nd month was 2 94.7%, the 3rd month was 100%, and the 4th month was 100%. Wilcoxon test showed a significant difference in knowledge at months 1, 2, and 3 with p < 0.05. There was no significant difference at month 4 with a result of p > 0.05. The evaluation results of respondents who had a good attitude about chronic energy deficiency before treatment were 26.3%. In comparison, after treatment was 42.1% in the 1st month, 57.9% in the 2nd month, 57.9% in the 3rd month, and 78.9% in the 4th month. The Chi-square test results showed no differences in attitudes at month 1, 2, and 3, while at month 4 found a significant relationship. The upper arm circumference measurement showed that the number of respondents who suffer from chronic energy deficiency was 25 people for 4 months. CONCLUSION: Cadres could improve knowledge and attitudes about chronic energy deficiency in female adolescents in Mali-Mali Village.

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The Effect of Green Bean Extract To Increase of Pregnant Women's Upper Arm Circumference in The Primary Health Care Center of Gubug I Grobogan Regency

Journal of Midwifery Science: Basic and Applied Research ◽

10.31983/jomisbar.v2i2.6515 ◽

2020 ◽

Vol 2 (2) ◽

pp. 54-60

Author(s):

Siti Nur Khasanah ◽

Dhita Aulia Octaviani ◽

Intan Nugraheni

Keyword(s):

Pregnant Women ◽

Mung Bean ◽

Sampling Technique ◽

Food Sources ◽

Upper Arm ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Nutritious Food ◽

Arm Circumference ◽

Significant Difference

Chronic energy deficiency (KEK) is a nutritional problem caused by lack of food intake in a long time. Based on the Basic Health Research (Riskesdas) in 2018 in Indonesia containing pregnant women with Chronic Energy Deficiency reaching 17.3%. This shows that there are still quite a lot of pregnant women who are malnourished in Indonesia. One of local foodstuffs that can be an alternative to meet the nutrition of pregnant women with mung beans. Mung beans are rich in macro, micro nutrients, vitamins B1, B2, amino acids, folic acid, protein, carbohydrates, Ca and phosphorus. This study discusses how to increase mungbean extract to increase upper arm circumference in pregnant women Energy Deficiency in the working area of the Public Health Center Gubug 1. This study was a study of one group with pre and post tests. The population of this study is pregnant women with Chronic Energy Deficiency according to inclusion criteria. The sampling technique is to use a purposive sampling technique. Giving mung bean extract is done for 30 days. The study showed the results of the measurement of the circumference of the upper arm before training (pre test) with after administration (post test) after being involved using paired t-test obtained p value (0.001) α (0.05). Means there is a significant difference between the circumference of the upper arm before the treatment round. From the research that is expected from health workers need to educate pregnant women for nutritious food, so pregnant women do not need Chronic Energy Deficiency. Nutritious food sources can be obtained from the environment around pregnant women and are easily available at affordable prices. Keywords: Mung bean extract; Chronic Energy Deficiency; Upper Arm Circumference

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The Effect of Moringa Oleifera Leaf Biscuit on the Increase of Body Weight and Upper Arm Circumference for Chronic Energy Deficiency among Pregnant Women in Bontoramba District Jeneponto Regency

Indian Journal of Public Health Research & Development ◽

10.5958/0976-5506.2019.00842.8 ◽

2019 ◽

Vol 10 (4) ◽

pp. 1018

Author(s):

Fitriani Kasim ◽

Saifuddin Sirajuddin ◽

Ridwan Amiruddin

Keyword(s):

Body Weight ◽

Pregnant Women ◽

Moringa Oleifera ◽

Upper Arm ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Arm Circumference

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Penyuluhan Gizi Dan Pemeriksaan Kadar Hb Serta KEK Pada Remaja Putri Di Kecamatan Sukawati, Kabupaten Gianyar Tahun 2019

Jurnal Pengabmas Masyarakat Sehat (JPMS) ◽

10.33992/ms.v2i3.1035 ◽

2020 ◽

Vol 2 (3) ◽

pp. 138-144

Author(s):

Ida Ayu Eka Padmiari

Keyword(s):

Pregnant Women ◽

Community Service ◽

Adolescent Girls ◽

Young Women ◽

Reproductive Age ◽

Deficiency Anemia ◽

Upper Arm ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Arm Circumference

Nutritional anemia generally occurs in women of reproductive age and children. This situation has the greatest overall effect in terms of health problems. Iron deficiency anemia is prone to occur in young women due to the increased need for iron during their infancy. The proportion of Chronic Energy Deficiency (KEK) in pregnant women in Sukawati District in 2017 was 34 mothers and in 2018 increased to as many as 40 pregnant women experiencing KEK, while the proportion of KEK in adolescent girls was not yet available. Likewise with the Proportion of Anemia in young women there is no data yet. Therefore, the servants will carry out Hb examination and measurement of LILA (Upper Arm Circumference) on young women in Sukawati sub-district, Gianyar Regency. The purpose of the Community Service is to provide counseling on nutrition, especially in the prevention of Anemia and KEK as well as examining hemoglobin levels in young women in Sukawati District, Gianyar Regency. The method used to achieve the objectives of community service is the method of lecture, discussion and examination of Hb levels and measurement of MUAC.Examination of hemoglobin levels was performed to determine the anemia status of the target. The average Hb level was 12.85 g / dl while the lowest value was 9.1 g / dl while the highest was 14.6 g / dl. Of the 50 targets examined found 14 targets (28%) anemia and 36 targets (72%) were not anemic. Determination of KEK status is done by measuring the target upper arm circumference (MUAC). Of the 50 targets measured there were 17 targets (34%) experienced KEK and 33 targets (66%) did not experience KEK. The conclusion of this community service counseling about Anemia and KEK in the prevention of anemia and KEK has succeeded in increasing good knowledge to be above 50%, Adolescent girls who have anemia by 28%, Adolescent girls who experience chronic Less Energy (KEK) by 34% in Sukawati District Gianyar RegencyKeywords: Anemia, Chronic Energy Deficiency, Adolescent Girls

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Validitas Lingkar Lengan Atas Mendeteksi Risiko Kekurangan Energi Kronis pada Wanita Indonesia

Kesmas National Public Health Journal ◽

10.21109/kesmas.v7i2.67 ◽

2012 ◽

Vol 7 (2) ◽

pp. 83

Author(s):

Diny Eva Ariyani ◽

Endang Laksmining Achadi ◽

Anies Irawati

Keyword(s):

Body Mass Index ◽

Pregnant Women ◽

Body Mass ◽

P Value ◽

Adult Women ◽

Upper Arm ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Arm Circumference ◽

Mid Upper Arm Circumference

Lingkar lengan atas (LiLA) telah digunakan sebagai indikator proksi terhadap risiko kekurangan energi kronis (KEK) untuk ibu hamil di Indonesia karena tidak terdapat data berat badan prahamil pada sebagian besar ibu hamil. Selama ini, ambang batas LiLA yang digunakan adalah 23,5 cm. Penelitian ini bertujuan untuk menguji validitas LiLA terhadap indeks massa tubuh (IMT) yang merupakan indikator yang lebih baik untuk mengetahui status gizi wanita dewasa. Penelitian ini menggunakan data Riset Kesehatan Dasar tahun 2007 pada perempuan dewasa usia 20 – 45 tahun di seluruh Indonesia. Hasil penelitian ini ialah ambang batas LiLA yang paling optimal untuk mendeteksi risiko KEK di Indonesia berada pada titik 24,95 cm (Se = 85%; Sp = 75%). Terdapat perbedaan ambang batas antarprovinsi tetapi tidak lebih dari 2 cm, terendah di Provinsi Nusa Tenggara Timur (23,95 cm) dan tertinggi di Provinsi Sulawesi Utara dan Gorontalo (25,95 cm). LiLA mempunyai korelasi yang kuat (r = 0,67; nilai p < 0,000) dengan IMT. Direkomendasikan untuk menggunakan ambang batas LiLA 24,95 cm untuk mendeteksi risiko KEK wanita usia 20 – 45 tahun, sementara23,5 cm untuk outcome kehamilan, yaitu morbiditas dan mortalitas bayi.Kata kunci: Lingkar lengan atas, indeks massa tubuh, kekurangan energi kronisAbstractMid-upper arm circumference has been used in Indonesia as an proxy indicator of chronic energy malnutrition risk for pregnant women because there isn’t any data of prepregnancy weight in most of pregnant women. The boundary used was 23,5 cm. The objective of the study is to validate the currentboundary related to body mass index (BMI) indicator, which is believed as a better indicator in identifying women nutritional status. The study is using Riset Kesehatan Dasar 2007 data on Indonesian adult women aged 20 – 45 years old. The study found the boundary is 24,95 cm for detecting chronic energy malnutrition risk among adult women (Se = 85%; Sp = 75%). There are differences among provinces but not more than 2 cm, the lowest is in Nusa Tenggara Timur (23,95 cm) and the highest is in North Sulawesi and Gorontalo (25,95 cm). Mid upper arm circumference has a strong relationto BMI (r = 0,67; p value < 0,000). It is recommended to use mid-upper arm circumference boundary 24,95 cm to detect chronic energy malnutrition on 20 – 45 years old women and 23,5 cm to pregnancy outcome, baby morbidity, and mortality.Key words: Mid-upper arm circumference, body mass index, chronic energy deficiency

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Hubungan Paritas dengan Kejadian Kekurangan Energi Kronik (KEK) pada Ibu Hamil Di BPM Ny. “A” Desa Gombang Kecamatan Slahung Kabupaten Ponorogo.

Jurnal Delima Harapan ◽

10.31935/delima.v5i1.3 ◽

2018 ◽

Vol 5 (1) ◽

pp. 1-11

Author(s):

Sumini Sumini

Keyword(s):

Pregnant Women ◽

Statistical Test ◽

Upper Arm ◽

Significance Level ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Arm Circumference ◽

Contingency Coefficient ◽

Measuring Tool ◽

The Relationship

There are several factors that occur Chronic Energy Deficiency incident (CED),one of them is parity. Based on preliminary data generated from pregnant women's visitbook in January - December 2016 at BPM Mrs. "A" Gombang Village, Slahung Subdistrict,Ponorogo Regency, 115 pregnant women with K1, 48 pregnant women with anupper arm circumference <23.5 cm, with wires of 28 nullipara, 17 primiparas and 3multiparas. From the incidence of CED cases 50% have abortion and BBLR. This studyaims to determine the relationship parity with chronic energy deficiency incident (CED)in pregnant women in BPM Mrs. "A" Village Gombang Slahung District PonorogoRegency.The type of this research is analytic with retrospective approach using totalsampling technique. The population is all pregnant women who visit Antenatal Care atBPM Mrs. "A" Gombang Village Slahung District Ponorogo Regency from January toDecember in 2016 with the number of 115 pregnant women. The number of samples ofthis study was 115 pregnant women. Method of data analysis using ContingencyCoefficient statistical test with significance determined by value ρ <0,05. The variables ofthis research are parity (independent) and CED (dependent). The measuring tool used inthis study is to use the cohort register of pregnant women.Based on the results of the study, obtained the number of parity in pregnantwomen in BPM Mrs. "A" Gombang Village Slahung District Ponorogo regency almosthalf as many as 45 respondents (39.1%) is primipara. Meanwhile, Chronic EnergyDeficiency incident (CED) in BPM Mrs. "A" Gombang Village Slahung DistrictPonorogo Regency almost half of which is 48 respondents (41.7%) with an upper armcircumference <23.5 cm. So that the value obtained from statistical test ContingencyCoefficient with the significance level of 0.05 is ρ = 0,00 so that ρ <α then H0 is rejectedso that there is relation between parity with Chronic Energy Deficiency incident (CED) inpregnant woman in BPM Mrs. "A" Gombang Village Slahung District Ponorogo Regencyand obtained the value of Contingency Coefficient 0.374 which means the level ofcloseness of the low relationship.In this research, it is expected that the prospective mother and parity make aneffort to pay attention to nutritional condition during pregnancy that is at the time ofAntenatal Care there is measurement of upper arm circle to know whether the mother isrisk of KEK or not, do regulation of food consumption, Hb level examination, Andpregnant upper arm circumference Mother before pregnancy is less than that number,cariudara postponed because do not risk giving birth.

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Lingkar lengan atas, indeks massa tubuh, dan tinggi fundus ibu hamil sebagai prediktor berat badan lahir

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.49314 ◽

2020 ◽

Vol 16 (4) ◽

pp. 168

Author(s):

Weni Kurdanti ◽

Tri Mei Khasana ◽

Lastmi Wayansari

Keyword(s):

Body Mass Index ◽

Birth Weight ◽

Pregnant Women ◽

Body Mass ◽

Pearson Correlation ◽

Upper Arm ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Arm Circumference ◽

Child Hospital

Upper arm circumference, body mass index, and fundal height of pregnant women to estimate birth weightBackground: Accuracy of estimated infant’s birth weight is one of the most important measurements at the beginning of labor. Some anthropometric measures of pregnant women are upper arm circumference (MUAC) as a screening tool for chronic energy deficiency, body mass index (BMI) for assessment of chronic energy deficiency status, and indicators of fundal height to estimate birth weight. However, many studies with varying results are related to the accuracy of estimated birth weight.Objective: The study aimed to compare the capacity of MUAC, BMI, and fundal height indicators in predicting birth weight.Methods: The type of research is a cross-sectional study carried out at the Sadewa Maternal and Child Hospital in Yogyakarta in June-August 2018 with a 376 sample. The independent variables were MUAC, BMI, and fundal height, and the dependent variable is birth weight. Bivariate analysis using Pearson correlation and AUC and ROC curve tests.Results: There is a relationship between BMI and the fundal height of pregnant women with birth weight. The AUC BMI value (AUC=0.519) was found to be the highest compared to the MUAC (AUC=0.496) and fundal height (AUC=0.466) measurements.Conclusions: Pre-pregnancy BMI had a better capacity for predicting birth weight than MUAC and fundal height.

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ANTHROPOMETRY AND BLOOD HAEMOGLOBIN STATUS OF WOMEN IN MAKWANPUR DISTRICT, NEPAL

Journal of Nepal Medical Association ◽

10.31729/jnma.662 ◽

1970 ◽

Vol 40 (140) ◽

pp. 162-171

Author(s):

B Manandhar ◽

D Osrin ◽

B P Shrestha ◽

J R Shrestha ◽

D S Manandhar ◽

...

Keyword(s):

Nutritional Status ◽

Low Birthweight ◽

Age Groups ◽

Background Information ◽

Upper Arm ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Arm Circumference ◽

Blood Haemoglobin ◽

Mid Upper Arm Circumference

BackgroundThe nutritional situation of women in Nepal remains precarious. Low energy, protein andmicronutrient intakes contribute to high levels of stunting and anaemia throughout thelife cycle. This suboptimal nutritional status contributes to high prevalences of low birthweight and death in early infancy. As background information for an ongoing study ofperinatal health interventions in 24 Village Development Committees (VDCs) of MakwanpurDistrict, a descriptive study of nutritional status and anaemia in a sample of women wascarried out.ObjectivesTo measure weight, height, mid-upper arm circumference (MUAC) and blood haemoglobinin non-pregnant married women of reproductive age.MethodsParticipants aged between 15 and 49 years were recruited at 12 sites in five VDCs. Personaldetails were collected in each case, after which height, weight, mid-upper arm circumference(MUAC) and blood haemoglobin level were measured.ResultsResults are available for 500 women. Mean height was 149.9 cm (95% confidence intervalfor mean 149.5 – 150.4 cm); mean weight was 45.5 kg (95% CI 44.9 - 46.1 kg); mean BodyMass Index (BMI) was 20.2 kg/m2(95% CI 20.0 – 20.4 kg/m2); mean MUAC was 23.47 cm(95% CI 23.2 – 23.7 cm). Overall, 27.8% (95% CI 24.1 – 32.2%) of women showed evidenceof Chronic Energy Deficiency (CED) on the basis of BMI, and 51.5% (95% CI 47.0 –56.0%) on the basis of MUAC. There were no significant differences in BMI or MUACbetween either ethnic or age groups. 35.3% of women were anaemic (95% CI 31.1 – 39.7%),one percent severely so. There were no significant differences in prevalence between ethnicgroups, but there was some evidence of an increase in anaemia prevalence with age.ConclusionsCED and anaemia appear common in Makwanpur District. As part of a package to improvenewborn infant outcome, access to and uptake of haematinics during pregnancy should bebeneficial. Community level intervention needs to attempt to address the issue of foodintake in young girls and women before improvements in nutritional status are possibleKey Words: Anaemia, anthropometry, nutritional status, Nepal.

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PENILAIAN STATUS GIZI SISWI KELAS X DAN XI DI SMAN 1 DEPOK, KABUPATEN SLEMAN, YOGYAKARTA

Media Ilmu Kesehatan ◽

10.30989/mik.v5i1.53 ◽

2016 ◽

Vol 5 (1) ◽

pp. 66-74

Author(s):

Sicilia Sicilia ◽

Reni Merta Kusuma

Keyword(s):

At Risk ◽

Nutritional Status ◽

Upper Arm ◽

Cross Sectional ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Arm Circumference ◽

Scale Ratio ◽

The Mean ◽

Female Teenagers

Background: Teenagers, especially femalearesusceptible to problems related to malnutrition such as Chronic Energy Deficiency (CED). Objective: To determine the characteristics of nutritional status based on age, weight, height, arm circumference, and Body Mass index (BMI) in X and XI grade students at SMAN 1 Depok, Sleman District, Yogyakarta. Method: The study was an observational study with cross-sectional approach. Measurement used a digital scale, mikrotoise, and upper arm circumference tape. Subjects in this study were 250 female teenagers. Descriptivequantitative analysis was employed for data with numerical/continuous scale (ratio and interval). Results: The majority of female teenagers aged between 14-18 years (mean= 16yo). The meanweight was 50.58 kg, the meanheightwas 155.65 cm, and the mean size of the upper-arm circumference was 24.9 cm. The measurement showed the mean BMI was 20.9 kg/m2. Ten percent of students were categorized as severeunderweight (severe CED) and 7.2% were in the obesecategory. Measurement of nutritional status with upper-arm circumference showed 33.6% female teenagerswere at risk of CED. Conclusion: There were female teenagerswho had problems with nutritional status (severe underweight and obese). Upper-arm circumference measurement results showed 33.6% of teenagers were at risk of CED. Keyword: Nutritional status, BMI, upper-arm circumference, CED

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HUBUNGAN PEMBERIAN MAKANAN TAMBAHAN (PMT) DENGAN PERUBAHAN LINGKAR LENGAN ATAS IBU HAMIL KEKURANGAN ENERGI KRONIK (KEK)

Jurnal Kebidanan ◽

10.35872/jurkeb.v12i01.398 ◽

2020 ◽

Vol 12 (01) ◽

pp. 111

Author(s):

Herdini Widyaning Pertiwi ◽

Tri Martini ◽

Sri Murni Handayani

Keyword(s):

Pregnant Women ◽

Junior High School ◽

Univariate Analysis ◽

Supplementary Feeding ◽

Bivariate Analysis ◽

Upper Arm ◽

Chi Square ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Arm Circumference

ABSTRAKLatar belakang penelitian ini adalah masih banyak ibu hamil yang kekurangan energi kronik (KEK). KEK mempunyai dampak kesehatan terhadap ibu dan janin antara lain dapat meningkatkan resiko tinggi BBLR, Keguguran, lahir premature, kematian ibu dan bayi baru lahir. Tujuan penelitian ini adalah untuk mengetahui hasil pemberian makanan tambahan (PMT) dan perubahan lingkar lengan atas ibu hamil kekurangan energi kronik (KEK). Desain penelitian ini adalah eksperimen sebelum dan sesudah di berikan PMT. Populasi penelitian ini adalah seluruh ibu hamil KEK yaitu 24 responden. Dengan teknik penelitian total sampling yang berjumlah 24 responden. Pemberian makana tambahan dilakukan selama 90 hari. Teknik pengambilan data dengan metode observasi langsung. Uji statistik yang digunakan pada penelitian ini adalah Chi Square. Dari hasil analisis univariat didapatkan resonden dengan umur terbanyak <30 tahun (20 responden), pendidikan terbanyak SMP (17 responden), pekerjaan terbanyak yaitu ibu rumah tangga (14 responden), berat badan ibu hamil KEK mengalami peningkatan setelah di beri PMT sealam 3 bulan (43,6±5,04 kg) dan peningkatan LILA pada ibu hamil KEK setelah diberikan PMT selama 3 bulan (22,6±1,23 cm). Untuk analisis bivariat menggunakan Chi Square didapatkan hasil nilai signifikan (p=0,000) yang berarti ada hubungan pemberian makanan tambahan (PMT) dengan perubahan lingkar lengan atas ibu hamil kekurangan energi kronik (KEK) di wilayah kerja Puskesmas Plupuh II tahun 2019.Kata Kunci: pemberian makanan tambahan (PMT), lingkar lengan atas, ibu hamil kekurangan energi kronik (KEK).RELATIONSHIP OF SUPPLEMENT OF SUPPLEMENTARY FOOD (PMT) WITH A CHANGE OF ARMS TO PREGNANT WOMEN LACK OF CHRONIC ENERGYABSTRACTThe background of this study is that there are still many pregnant women who lack chronic energy (KEK). KEK has health impacts on the mother and the fetus, among others, can increase the high risk of LBW, miscarriage, premature birth, death of mothers and newborns. The purpose of this study was to determine the results of supplementary feeding (PMT) and changes in the upper arm circumference of chronic energy deficiency pregnant women (KEK). The design of this study was an experiment before and after being given PMT. The population of this study were all pregnant women in KEK, namely 24 respondents. With the total sampling research technique, amounting to 24 respondents. Additional feeding was carried out for 90 days. The data collection technique used direct observation method. The statistical test used in this study is Chi Square. From the results of univariate analysis, it was found that respondents with the most age were <30 years (20 respondents), the most education was junior high school (17 respondents), the most occupations were housewives (14 respondents), the weight of pregnant women in KEK had increased after being given PMT for 3 months (43.6 ± 5.04 kg) and the increase in LILA in pregnant women with KEK after being given PMT for 3 months (22.6 ± 1.23 cm). For bivariate analysis using Chi Square, a significant value was obtained (p = 0.000), which means that there is a relationship between supplemental feeding (PMT) and changes in the upper arm circumference of chronic energy deficiency pregnant women (KEK) in the work area of Plupuh II Public Health Center in 2019. Keywords: supplementary feeding (PMT), upper arm circumference, pregnant women with chronic energy deficiency (KEK).

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