CN118280563A - Evaluation system and method for assisting treatment of sepsis patient - Google Patents
Evaluation system and method for assisting treatment of sepsis patient Download PDFInfo
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Abstract
The invention relates to the technical field of computers, and discloses an evaluation system and an evaluation method for assisting treatment of sepsis patients, wherein the evaluation system comprises the following steps: the system comprises a patient information input module, a patient related information data acquisition unit, an information data uploading module, an analysis and evaluation unit, a patient evaluation information storage module, a doctor system access module, an information data display module and a network transmission module; patient information entry module: for entering information of the patient undergoing evaluation. Before the medical staff inquires, the system can evaluate the condition of the patient, obtain an evaluation judging result, and send the obtained evaluation judging result to the terminal equipment of the medical staff for the medical staff to refer in the follow-up continuous inquiry process, and the medical staff inquires the patient according to the evaluation judging result, so that some complete operations of the medical staff can be omitted, and the medical staff is not required to make comprehensive analysis again on the detection report. Thus, the period of inquiry can be greatly shortened.
Description
Technical Field
The invention relates to the technical field of computers, and particularly discloses an evaluation system and an evaluation method for assisting treatment of sepsis patients.
Background
Sepsis is a syndrome of systemic inflammatory response caused by infection, commonly seen in severely wounded or infectious disease patients. The pathogenesis includes infection caused by bacteria, fungi, viruses, parasites and the like, and the inflammation reaction and the unbalance of the immunoregulation of the organism are caused. The change condition of the body index caused by sepsis is similar to that caused by some other diseases, so that a doctor usually enables the patient to detect a plurality of items in the process of diagnosing and treating the sepsis patient, and judges the condition of the patient after the patient takes a detection report and comprehensively analyzes and judges according to the result on the detection report. The periodicity of the current sepsis diagnosis and treatment mode is longer, and quick medical treatment of patients is not facilitated, and simultaneously when more patients are treated, the waiting time of the subsequent patients is longer, and meanwhile, medical staff cannot diagnose and schedule treatment on the patients who are treated more quickly, so that the efficiency of medical inquiry is not high. Based on the above, the sepsis evaluation system and the sepsis evaluation method for assisting medical staff in carrying out inquiry can automatically evaluate and judge the result according to the physical index condition of a patient to be referred by a doctor, and the doctor carries out inquiry on the patient according to the reference result, so that the whole inquiry period can be shortened, and the efficiency of medical inquiry can be greatly improved.
Disclosure of Invention
The invention mainly provides an evaluation system and an evaluation method for assisting treatment of a patient with sepsis, which can solve the problems that the current sepsis diagnosis and treatment mode has longer periodicity, the efficiency of medical inquiry is low, and the rapid medical treatment and treatment of the patient are not facilitated.
To solve the above technical problem, according to one aspect of the present invention, more specifically, an evaluation system for assisting treatment of a sepsis patient, comprising: the system comprises a patient information input module, a patient related information data acquisition unit, an information data uploading module, an analysis and evaluation unit, a patient evaluation information storage module, a doctor system access module, an information data display module and a network transmission module; wherein:
Patient information entry module: information for entering the patient undergoing evaluation;
Patient-related information data acquisition unit: the system comprises a data acquisition module, a data acquisition module and a data processing module, wherein the data acquisition module is used for acquiring historical diagnosis disease information of a patient to be evaluated and body index parameter information in the evaluation process;
And the information data uploading module: the information data acquisition unit is used for acquiring information data of the patient and is used for uploading the information data acquired by the patient related information data acquisition unit to the analysis and evaluation unit;
Analysis and evaluation unit: is used for receiving and temporarily storing the information data transmitted by the information data uploading module, processing and analyzing the received and temporarily stored information data, thereby carrying out evaluation judgment on the condition of the patient to be evaluated, and feeding back the result of the evaluation judgment downwards;
a patient assessment information storage module: the evaluation judging unit is used for receiving the evaluation judging result fed back by the analysis and evaluation unit and storing the received evaluation judging result;
physician system access module: the terminal system of the doctor is used for accessing the terminal system of the doctor into the evaluation system, retrieving the evaluation judgment result of the patient from the patient evaluation information storage module, and acquiring the physical index parameters in the patient evaluation process acquired by the patient related information acquisition unit;
Information data display module: the system is used for showing the result of patient assessment and the physical index parameters in the patient assessment process, and simultaneously giving an alarm to a doctor when the patient is serious;
And a network transmission module: the system is used for data transmission, so that the patient assessment judging result and the physical index parameters in the patient assessment process can be transmitted to a terminal system of a doctor.
Still further, the patient-related information data acquisition unit includes: a historical diagnosis disease information acquisition module and a physical index parameter acquisition module;
Historical diagnostic disease information acquisition module: the system comprises a patient information input module, a hospital database, a patient information input module and a patient information processing module, wherein the patient information input module is used for inputting patient information to a hospital database;
The body index parameter acquisition module: for collecting body index parameter information data of a patient during an evaluation of the patient.
Still further, the historical diagnosis disease information acquisition module includes: the disease information acquisition module, the historical disease time acquisition module and the comprehensive disease time acquisition module;
Disease information acquisition module: for collecting historical diagnostic disease information for a patient undergoing evaluation;
Historical onset time acquisition module: the method comprises the steps of collecting time for a patient to cause abnormality of physical index parameters during morbidity;
the comprehensive attack time acquisition module is used for: and acquiring the comprehensive time period of the physical index parameter abnormality caused by the patient morbidity according to the time of the physical index parameter abnormality caused by the patient history during each morbidity period.
Further, the comprehensive disease time acquisition module acquires the total number of abnormal physical index parameters caused by the disease of the patient in the last period of time and acquires the time information of each abnormal physical index parameter caused by the disease of the patient, and simultaneously setsBelonging to the time of day; And then acquiring the time length information of the abnormal body index parameters caused by the disease of the patient each time, comprehensively analyzing the acquired information, and obtaining the comprehensive time period of the abnormal body index parameters caused by the disease of the patient, wherein the comprehensive time period is as follows:
wherein Z is the total number of times that the physical index parameter is abnormal due to the disease of the patient in the last period of time, Time information for each occurrence of abnormality of physical index parameters for a disease,Duration information of physical index parameter anomalies for each time a disease is caused.
Still further, the physical index parameter acquisition module includes: the device comprises a body temperature acquisition module, a heart rate acquisition module, a breathing frequency acquisition module, a white blood cell number acquisition module and a blood flow power acquisition module;
The body temperature acquisition module, the heart rate acquisition module, the breathing frequency acquisition module, the leucocyte number acquisition module and the blood flow dynamic acquisition module acquire the body temperature, the heart rate, the breathing frequency, the leucocyte number and the blood flow dynamic information data of an evaluation patient in the evaluation process respectively.
Still further, the analysis evaluation unit includes: the device comprises a data temporary storage module, a combination processing module, an evaluation judging module and a final result feedback module;
The data temporary storage module: the information data uploading module is used for receiving and temporarily storing the information data transmitted by the information data uploading module;
And (3) combining a processing module: combining and analyzing the historical diagnosis disease information with the physical index parameters in the evaluation process, suspending the physical index parameters influenced by the disease of the patient, and not sending the physical index parameters to the evaluation judgment module for analysis and treatment;
And an evaluation judging module: the system is used for analyzing and processing the body index parameter information data processed by the combination processing module so as to evaluate and judge the condition of the patient and obtain an evaluation and judgment result;
and a final result feedback module: and the final evaluation judgment result obtained by the evaluation judgment module is fed back to the patient evaluation information storage module for storage.
Furthermore, the evaluation judging module firstly judges through combining the processing module in the process of evaluating and judging the patient, if the evaluation time of the patient belongs to the period of time of abnormality of the physical index caused by the disease of the patient, the physical index parameter influenced by the disease is suspended, and the suspended physical index is not considered by the evaluation judging module in the process of evaluating and judging; then, acquiring physical index parameters of healthy personnel of the same age as the patient, and if any two of the physical indexes of the patient meet the following conditions:
the evaluation determines that the patient currently being evaluated is a sepsis patient; wherein, For the physical index parameters of the patient undergoing evaluation during the evaluation,For the corresponding normal body index parameter,Is a physical index parameter of each physical examination of the healthy personnel of the same age,The average value of the physical index parameters of the healthy people of the same age is obtained, and N is the total number of the healthy people of the same age.
Still further, the information data presentation module includes: the system comprises a body index information display module, an evaluation result display module and a severity alarm module;
The body index information display module: the system comprises a display module, a display module and a display module, wherein the display module is used for displaying physical index parameter information of a patient to be evaluated in an evaluation process;
the evaluation result display module: the evaluation judgment result is used for displaying the evaluation judgment result obtained after the patient is evaluated;
and a severity alarm module: for alerting the healthcare worker after the patient has been evaluated for a serious condition.
Further, the specific alarm process of the severity alarm module is as follows: other physical index parameter information data which are not considered by the patient in the evaluation process are acquired, and the patient to be evaluated is scored according to the physical index and the duration condition of the physical index:
the higher the score SC, the more severe the patient condition; wherein, For the physical index parameters of the patient undergoing evaluation during the evaluation,For the corresponding normal body index parameter,For the duration of the physical index of each examination of the patient of the same age,The mean value of the duration time of the physical index parameters of the patients of the same age is obtained, and N is the total number of the patients of the same age.
According to another aspect of the present invention, there is provided a method of assessing treatment of a patient with sepsis, the method being based on the above assessment system for assessing treatment of a patient with sepsis, comprising the steps of:
S1, inputting patient information to be evaluated into a system, inquiring and collecting historical disease diagnosis information of a patient to be evaluated from a hospital database according to the input patient information, and acquiring time period information of physical index parameter abnormality caused by diseases of the patient to be evaluated;
S2, acquiring body index parameter information data of body temperature, heart rate, breathing frequency, cell number and blood flow dynamics of a patient in an evaluation process;
S3, uploading the information data acquired in the step S1 and the step S2, analyzing and processing the uploaded information data, and analyzing and processing other body index parameters without considering body index parameters influenced by the time period when the patient evaluation time belongs to the abnormal body index caused by the disease of the patient, so as to obtain an evaluation and judgment result, and storing the evaluation and judgment result;
And S4, transmitting the body index parameter information acquired in the step S2 and the evaluation judgment result obtained in the step S4 to a doctor terminal system for display for reference by a doctor, and simultaneously giving an alarm to the doctor after the evaluation judgment of the patient is serious, so that the doctor can process serious patients in time.
The evaluation system and the method for assisting the treatment of the sepsis patient have the beneficial effects that: before the medical staff inquires, the system can evaluate the condition of the patient, obtain an evaluation judging result, and send the obtained evaluation judging result to the terminal equipment of the medical staff for the medical staff to refer in the follow-up continuous inquiry process, and the medical staff inquires the patient according to the evaluation judging result, so that some complete operations of the medical staff can be omitted, and the medical staff is not required to make comprehensive analysis again on the detection report. Therefore, the period of inquiry can be greatly shortened, thereby helping medical staff to diagnose patients rapidly, further improving the working efficiency of the whole inquiry treatment, saving the time of the medical staff and the waiting time of the patients, and realizing the bidirectional actions of doctors and patients. In addition, in the process of evaluation, historical disease diagnosis information of a patient to be evaluated and a period of abnormal physical index parameters caused by the disease are obtained by inquiring the disease in a hospital database, and in the process of evaluation and judgment, if the evaluation time belongs to the period of abnormal physical index parameters caused by the disease of the patient, the physical index parameters influenced by the disease are suspended and not considered, so that the evaluation and judgment result is more accurate, and the condition that the result of evaluation and judgment is inaccurate is avoided.
Drawings
The invention will be described in further detail with reference to the accompanying drawings and detailed description.
FIG. 1 is a schematic diagram of a system principle;
FIG. 2 is a schematic flow chart of the method.
Detailed Description
The application will be described in detail hereinafter with reference to the drawings in conjunction with embodiments. It should be noted that, without conflict, the embodiments of the present application and features of the embodiments may be combined with each other.
According to one aspect of the present invention, as shown in fig. 1-2, there is provided an evaluation system and method for assisting treatment of sepsis patients, firstly, patient information is entered into the evaluation system through a patient information entry module, and then, according to the entered patient information, historical diagnosis disease information of the patient and time of abnormality of physical index parameters caused by the disease are retrieved from a hospital database through a disease information acquisition module in a historical diagnosis disease information acquisition module in a patient-related information data acquisition unit and a historical onset time acquisition module. Then, according to the comprehensive morbidity time acquisition module, acquiring the total number of times of abnormality of physical index parameters caused by the patient disease in the last period, acquiring time information of abnormality of the physical index parameters each time, and simultaneously settingBelonging to the time of day(E.g., 11:35, for instance, at time 11); and then acquiring the time length information of the abnormal body index parameters caused by the disease of the patient each time, comprehensively analyzing the acquired information, and obtaining the comprehensive time period of the abnormal body index parameters caused by the disease of the patient, wherein the comprehensive time period is as follows:
wherein Z is the total number of times that the physical index parameter is abnormal due to the disease of the patient in the last period of time, Time information for each occurrence of abnormality of physical index parameters for a disease,Duration information of physical index parameter anomalies for each time a disease is caused.
And then the body temperature, heart rate, respiratory frequency, white blood cell number and blood flow dynamic information data of the estimated patient in the estimation process are acquired respectively through a body temperature acquisition module, a heart rate acquisition module, a respiratory frequency acquisition module, a white blood cell number acquisition module and a blood flow dynamic acquisition module in a body index parameter acquisition module in the patient related information data acquisition unit.
Uploading the information data acquired by the patient related information data acquisition unit to a data temporary storage module in the analysis and evaluation unit for temporary storage through an information data uploading module. Meanwhile, if the combination processing module judges that the patient evaluation time belongs to the period of abnormal physical index caused by the disease of the patient, the evaluation judging module does not consider the physical index parameters affected by the disease when analyzing and processing the physical index parameters, processes and analyzes other physical index parameters, and simultaneously acquires the physical index parameters of healthy personnel of the same age with the patient, and if any two of the physical indexes of the patient meet the following conditions:
the evaluation determines that the patient currently being evaluated is a sepsis patient; wherein, For the physical index parameters of the patient undergoing evaluation during the evaluation,For the corresponding normal body index parameter,Is a physical index parameter of each physical examination of the healthy personnel of the same age,The average value of the physical index parameters of the healthy people of the same age is obtained, and N is the total number of the healthy people of the same age. And feeding the evaluation judgment result back to the patient evaluation information storage module through the final result feedback module for storage.
After the doctor system access module accesses the terminal system of the medical staff to the evaluation system, the patient evaluation judging information stored in the patient evaluation information storage module and the physical index parameter information of the patient in the evaluation process are transmitted to the terminal system of the medical staff through the network transmission module, and the physical index parameter information of the patient in the evaluation process and the patient evaluation judging information are displayed through the physical index information display module and the evaluation result display module in the information data display module respectively so as to be checked and referenced by the medical staff. Meanwhile, the severity warning module can acquire other physical index parameter information data which is not considered by the patient in the evaluation process, and score the patient to be evaluated according to the physical index and the duration condition of the physical index:
The higher the score SC is, the more serious the patient is, and when the SC exceeds a certain threshold, alarming operation is carried out to medical staff at the moment, so that the medical staff can timely process serious patients; wherein, For the physical index parameters of the patient undergoing evaluation during the evaluation,For the corresponding normal body index parameter,For the duration of the physical index of each examination of the patient of the same age,The mean value of the duration time of the physical index parameters of the patients of the same age is obtained, and N is the total number of the patients of the same age.
Wherein the electrical components appearing herein are all electrical components present in reality.
Of course, the above description is not intended to limit the invention, but rather the invention is not limited to the above examples, and variations, modifications, additions or substitutions within the spirit and scope of the invention will be within the scope of the invention.
Claims (10)
1. An evaluation system for assisting in the treatment of a sepsis patient, comprising: the system comprises a patient information input module, a patient related information data acquisition unit, an information data uploading module, an analysis and evaluation unit, a patient evaluation information storage module, a doctor system access module, an information data display module and a network transmission module; wherein:
Patient information entry module: information for entering the patient undergoing evaluation;
Patient-related information data acquisition unit: the system comprises a data acquisition module, a data acquisition module and a data processing module, wherein the data acquisition module is used for acquiring historical diagnosis disease information of a patient to be evaluated and body index parameter information in the evaluation process;
And the information data uploading module: the information data acquisition unit is used for acquiring information data of the patient and is used for uploading the information data acquired by the patient related information data acquisition unit to the analysis and evaluation unit;
Analysis and evaluation unit: is used for receiving and temporarily storing the information data transmitted by the information data uploading module, processing and analyzing the received and temporarily stored information data, thereby carrying out evaluation judgment on the condition of the patient to be evaluated, and feeding back the result of the evaluation judgment downwards;
a patient assessment information storage module: the evaluation judging unit is used for receiving the evaluation judging result fed back by the analysis and evaluation unit and storing the received evaluation judging result;
physician system access module: the terminal system of the doctor is used for accessing the terminal system of the doctor into the evaluation system, retrieving the evaluation judgment result of the patient from the patient evaluation information storage module, and acquiring the physical index parameters in the patient evaluation process acquired by the patient related information acquisition unit;
Information data display module: the system is used for showing the result of patient assessment and the physical index parameters in the patient assessment process, and simultaneously giving an alarm to a doctor when the patient is serious;
And a network transmission module: the system is used for data transmission, so that the patient assessment judging result and the physical index parameters in the patient assessment process can be transmitted to a terminal system of a doctor.
2. An evaluation system for assisting treatment of a sepsis patient according to claim 1, wherein: the patient-related information data acquisition unit includes: a historical diagnosis disease information acquisition module and a physical index parameter acquisition module;
Historical diagnostic disease information acquisition module: the system comprises a patient information input module, a hospital database, a patient information input module and a patient information processing module, wherein the patient information input module is used for inputting patient information to a hospital database;
The body index parameter acquisition module: for collecting body index parameter information data of a patient during an evaluation of the patient.
3. An assessment system for assisting treatment of a sepsis patient according to claim 2, wherein: the historical diagnosis disease information acquisition module includes: the disease information acquisition module, the historical disease time acquisition module and the comprehensive disease time acquisition module;
Disease information acquisition module: for collecting historical diagnostic disease information for a patient undergoing evaluation;
Historical onset time acquisition module: the method comprises the steps of collecting time for a patient to cause abnormality of physical index parameters during morbidity;
the comprehensive attack time acquisition module is used for: and acquiring the comprehensive time period of the physical index parameter abnormality caused by the patient morbidity according to the time of the physical index parameter abnormality caused by the patient history during each morbidity period.
4. An assessment system for assisting treatment of a sepsis patient according to claim 3, wherein: the comprehensive disease time acquisition module acquires the total number of abnormal physical index parameters caused by the disease of the patient in the last period of time and acquires the time information of each abnormal physical index parameter caused by the disease of the patient when acquiring the comprehensive period of abnormal physical index parameters caused by the disease of the patient, and simultaneously setsBelonging to the time of day; And then acquiring the time length information of the abnormal body index parameters caused by the disease of the patient each time, comprehensively analyzing the acquired information, and obtaining the comprehensive time period of the abnormal body index parameters caused by the disease of the patient, wherein the comprehensive time period is as follows:
wherein Z is the total number of times that the physical index parameter is abnormal due to the disease of the patient in the last period of time, Time information for each occurrence of abnormality of physical index parameters for a disease,Duration information of physical index parameter anomalies for each time a disease is caused.
5. An assessment system for assisting treatment of a sepsis patient according to claim 2, wherein: the physical index parameter acquisition module comprises: the device comprises a body temperature acquisition module, a heart rate acquisition module, a breathing frequency acquisition module, a white blood cell number acquisition module and a blood flow power acquisition module;
The body temperature acquisition module, the heart rate acquisition module, the breathing frequency acquisition module, the leucocyte number acquisition module and the blood flow dynamic acquisition module acquire the body temperature, the heart rate, the breathing frequency, the leucocyte number and the blood flow dynamic information data of an evaluation patient in the evaluation process respectively.
6. An evaluation system for assisting treatment of a sepsis patient according to claim 1, wherein: the analysis and evaluation unit includes: the device comprises a data temporary storage module, a combination processing module, an evaluation judging module and a final result feedback module;
The data temporary storage module: the information data uploading module is used for receiving and temporarily storing the information data transmitted by the information data uploading module;
And (3) combining a processing module: combining and analyzing the historical diagnosis disease information with the physical index parameters in the evaluation process, suspending the physical index parameters influenced by the disease of the patient, and not sending the physical index parameters to the evaluation judgment module for analysis and treatment;
And an evaluation judging module: the system is used for analyzing and processing the body index parameter information data processed by the combination processing module so as to evaluate and judge the condition of the patient and obtain an evaluation and judgment result;
and a final result feedback module: and the final evaluation judgment result obtained by the evaluation judgment module is fed back to the patient evaluation information storage module for storage.
7. An evaluation system for assisting treatment of a sepsis patient according to claim 6, wherein: the evaluation judging module judges through the combination processing module in the process of evaluating and judging the patient, if the evaluation time of the patient belongs to the period of abnormal body indexes caused by the disease of the patient, the body index parameters influenced by the disease are suspended, and the suspended body indexes are not considered by the evaluation judging module in the process of evaluating and judging; then, acquiring physical index parameters of healthy personnel of the same age as the patient, and if any two of the physical indexes of the patient meet the following conditions:
the evaluation determines that the patient currently being evaluated is a sepsis patient; wherein, For the physical index parameters of the patient undergoing evaluation during the evaluation,For the corresponding normal body index parameter,Is a physical index parameter of each physical examination of the healthy personnel of the same age,The average value of the physical index parameters of the healthy people of the same age is obtained, and N is the total number of the healthy people of the same age.
8. An evaluation system for assisting treatment of a sepsis patient according to claim 1, wherein: the information data display module comprises: the system comprises a body index information display module, an evaluation result display module and a severity alarm module;
The body index information display module: the system comprises a display module, a display module and a display module, wherein the display module is used for displaying physical index parameter information of a patient to be evaluated in an evaluation process;
the evaluation result display module: the evaluation judgment result is used for displaying the evaluation judgment result obtained after the patient is evaluated;
and a severity alarm module: for alerting the healthcare worker after the patient has been evaluated for a serious condition.
9. An evaluation system for assisting treatment of a sepsis patient according to claim 8, wherein: the specific alarm process of the severity alarm module is as follows: other physical index parameter information data which are not considered by the patient in the evaluation process are acquired, and the patient to be evaluated is scored according to the physical index and the duration condition of the physical index:
the higher the score SC, the more severe the patient condition; wherein, For the physical index parameters of the patient undergoing evaluation during the evaluation,For the corresponding normal body index parameter,For the duration of the physical index of each examination of the patient of the same age,The mean value of the duration time of the physical index parameters of the patients of the same age is obtained, and N is the total number of the patients of the same age.
10. A method of assessing treatment of an assisted sepsis patient, characterized in that the method is implemented on the basis of an assessment system of an assisted sepsis patient's treatment according to any one of claims 1-9, comprising in particular the steps of:
S1, inputting patient information to be evaluated into a system, inquiring and collecting historical disease diagnosis information of a patient to be evaluated from a hospital database according to the input patient information, and acquiring time period information of physical index parameter abnormality caused by diseases of the patient to be evaluated;
S2, acquiring body index parameter information data of body temperature, heart rate, breathing frequency, cell number and blood flow dynamics of a patient in an evaluation process;
S3, uploading the information data acquired in the step S1 and the step S2, analyzing and processing the uploaded information data, and analyzing and processing other body index parameters without considering body index parameters influenced by the time period when the patient evaluation time belongs to the abnormal body index caused by the disease of the patient, so as to obtain an evaluation and judgment result, and storing the evaluation and judgment result;
And S4, transmitting the body index parameter information acquired in the step S2 and the evaluation judgment result obtained in the step S4 to a doctor terminal system for display for reference by a doctor, and simultaneously giving an alarm to the doctor after the evaluation judgment of the patient is serious, so that the doctor can process serious patients in time.
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CN118111936A (en) * | 2024-01-30 | 2024-05-31 | 中国人民解放军总医院第一医学中心 | Early diagnosis and intervention method and system for post-traumatic sepsis |
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CN110911011A (en) * | 2019-11-27 | 2020-03-24 | 医惠科技有限公司 | Sepsis early warning device, equipment and storage medium |
CN117174311A (en) * | 2023-08-28 | 2023-12-05 | 中国人民解放军总医院第一医学中心 | Post-traumatic sepsis course monitoring and early warning system, method and application |
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