Consequences of inaccurately predicting an individuals rehabilitation potential can include people being denied access to rehabilitation services or being confined to years of care and/or more restrictive services that may not promote independence or recovery from mental illness as effectively as rehabilitation-focused services. Guarded is usually more ill than a serious prognosis, but not as ill as critical. Many beneficial interactions may be unknown or not recognised; for example, providing information on prognosis and empathetic support while delivering a specific therapy may be more effective than the therapy. Of course, prognosis is about more than predicting ones likelihood of overcoming a disease or illness. If these axioms are accepted, it follows that a rehabilitation team should see all patients and that the team will then decide on what is best for the patient. ._2FKpII1jz0h6xCAw1kQAvS{background-color:#fff;box-shadow:0 0 0 1px rgba(0,0,0,.1),0 2px 3px 0 rgba(0,0,0,.2);transition:left .15s linear;border-radius:57%;width:57%}._2FKpII1jz0h6xCAw1kQAvS:after{content:"";padding-top:100%;display:block}._2e2g485kpErHhJQUiyvvC2{-ms-flex-align:center;align-items:center;display:-ms-flexbox;display:flex;-ms-flex-pack:start;justify-content:flex-start;background-color:var(--newCommunityTheme-navIconFaded10);border:2px solid transparent;border-radius:100px;cursor:pointer;position:relative;width:35px;transition:border-color .15s linear,background-color .15s linear}._2e2g485kpErHhJQUiyvvC2._3kUvbpMbR21zJBboDdBH7D{background-color:var(--newRedditTheme-navIconFaded10)}._2e2g485kpErHhJQUiyvvC2._3kUvbpMbR21zJBboDdBH7D._1L5kUnhRYhUJ4TkMbOTKkI{background-color:var(--newRedditTheme-active)}._2e2g485kpErHhJQUiyvvC2._3kUvbpMbR21zJBboDdBH7D._1L5kUnhRYhUJ4TkMbOTKkI._3clF3xRMqSWmoBQpXv8U5z{background-color:var(--newRedditTheme-buttonAlpha10)}._2e2g485kpErHhJQUiyvvC2._1asGWL2_XadHoBuUlNArOq{border-width:2.25px;height:24px;width:37.5px}._2e2g485kpErHhJQUiyvvC2._1asGWL2_XadHoBuUlNArOq ._2FKpII1jz0h6xCAw1kQAvS{height:19.5px;width:19.5px}._2e2g485kpErHhJQUiyvvC2._1hku5xiXsbqzLmszstPyR3{border-width:3px;height:32px;width:50px}._2e2g485kpErHhJQUiyvvC2._1hku5xiXsbqzLmszstPyR3 ._2FKpII1jz0h6xCAw1kQAvS{height:26px;width:26px}._2e2g485kpErHhJQUiyvvC2._10hZCcuqkss2sf5UbBMCSD{border-width:3.75px;height:40px;width:62.5px}._2e2g485kpErHhJQUiyvvC2._10hZCcuqkss2sf5UbBMCSD ._2FKpII1jz0h6xCAw1kQAvS{height:32.5px;width:32.5px}._2e2g485kpErHhJQUiyvvC2._1fCdbQCDv6tiX242k80-LO{border-width:4.5px;height:48px;width:75px}._2e2g485kpErHhJQUiyvvC2._1fCdbQCDv6tiX242k80-LO ._2FKpII1jz0h6xCAw1kQAvS{height:39px;width:39px}._2e2g485kpErHhJQUiyvvC2._2Jp5Pv4tgpAsTcnUzTsXgO{border-width:5.25px;height:56px;width:87.5px}._2e2g485kpErHhJQUiyvvC2._2Jp5Pv4tgpAsTcnUzTsXgO ._2FKpII1jz0h6xCAw1kQAvS{height:45.5px;width:45.5px}._2e2g485kpErHhJQUiyvvC2._1L5kUnhRYhUJ4TkMbOTKkI{-ms-flex-pack:end;justify-content:flex-end;background-color:var(--newCommunityTheme-active)}._2e2g485kpErHhJQUiyvvC2._3clF3xRMqSWmoBQpXv8U5z{cursor:default}._2e2g485kpErHhJQUiyvvC2._3clF3xRMqSWmoBQpXv8U5z ._2FKpII1jz0h6xCAw1kQAvS{box-shadow:none}._2e2g485kpErHhJQUiyvvC2._1L5kUnhRYhUJ4TkMbOTKkI._3clF3xRMqSWmoBQpXv8U5z{background-color:var(--newCommunityTheme-buttonAlpha10)} [3] found the concept of carry-over to be a mediating factor of an individuals rehabilitation potential as well as poor motivation. The individual may recover, but there is still a chance for other problems. Usually, the term used is 'responder', meaning a person who changes significantly during rehabilitation and is assumed to be someone who has benefited. Services need to be person-centred. What is a persons Rehabilitation Potential? One must remember that the findings will only apply to the population defined. Anexcellentprognosis is one in which the evaluee has many indicators that they would achieve successful rehabilitation. Further and more extensive research is required with the overall aim of supporting clinicians to better understand the concept of rehabilitation potential. PTs can apply evidence-based interventions to improve dementia care. [6] conducted a UK-wide survey of rehabilitation services in order to gain consensus and a widely accepted definition. Toggle navigation Education .ehsOqYO6dxn_Pf9Dzwu37{margin-top:0;overflow:visible}._2pFdCpgBihIaYh9DSMWBIu{height:24px}._2pFdCpgBihIaYh9DSMWBIu.uMPgOFYlCc5uvpa2Lbteu{border-radius:2px}._2pFdCpgBihIaYh9DSMWBIu.uMPgOFYlCc5uvpa2Lbteu:focus,._2pFdCpgBihIaYh9DSMWBIu.uMPgOFYlCc5uvpa2Lbteu:hover{background-color:var(--newRedditTheme-navIconFaded10);outline:none}._38GxRFSqSC-Z2VLi5Xzkjy{color:var(--newCommunityTheme-actionIcon)}._2DO72U0b_6CUw3msKGrnnT{border-top:none;color:var(--newCommunityTheme-metaText);cursor:pointer;padding:8px 16px 8px 8px;text-transform:none}._2DO72U0b_6CUw3msKGrnnT:hover{background-color:#0079d3;border:none;color:var(--newCommunityTheme-body);fill:var(--newCommunityTheme-body)} Then, and only then, randomise the patients in each group to the rehabilitation group or alternative group. ._2cHgYGbfV9EZMSThqLt2tx{margin-bottom:16px;border-radius:4px}._3Q7WCNdCi77r0_CKPoDSFY{width:75%;height:24px}._2wgLWvNKnhoJX3DUVT_3F-,._3Q7WCNdCi77r0_CKPoDSFY{background:var(--newCommunityTheme-field);background-size:200%;margin-bottom:16px;border-radius:4px}._2wgLWvNKnhoJX3DUVT_3F-{width:100%;height:46px} By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Outside of the medical community, prognosis is used frequently. This conclusion is invalid. Subsequently, they identified what they termed patient related factors (such as cognitive abilities, physical abilities and pre and post-injury functional status) and interpretive activities (organizational factors, occupational therapists professional expertise, experiential knowledge, knowledge of scientific evidence and ethical concerns) which aim to guide the therapists perception of an individuals rehabilitation potential. In a few circumstances, evidence supports particular treatment combinations; for example, this applies to chemotherapy for acute leukaemia and antimicrobial therapy for tuberculosis. To receive a monthly email with our blog, please join our mailing list. 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Available for both RF and RM licensing. early childhood education Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in Use the Previous and Next buttons to navigate the slides or the slide controller buttons at the end to navigate through each slide. [2] found that staff reported feelings of burden when expected to make decisions around the perceived level of rehabilitation potential displayed by their particular service users. Doctors are very good at making an accurate prognosis. Daz Ayuso awards the Grand Cross to victims of terrorism in Madrid: "At the moment, with the deformation of history, they are a wall against pettiness". The following chart is a comparison of the specific level of SCI and the resulting rehabilitation potential. Many factors will affect most outcomes, not just a single treatment. .Rd5g7JmL4Fdk-aZi1-U_V{transition:all .1s linear 0s}._2TMXtA984ePtHXMkOpHNQm{font-size:16px;font-weight:500;line-height:20px;margin-bottom:4px}.CneW1mCG4WJXxJbZl5tzH{border-top:1px solid var(--newRedditTheme-line);margin-top:16px;padding-top:16px}._11ARF4IQO4h3HeKPpPg0xb{transition:all .1s linear 0s;display:none;fill:var(--newCommunityTheme-button);height:16px;width:16px;vertical-align:middle;margin-bottom:2px;margin-left:4px;cursor:pointer}._1I3N-uBrbZH-ywcmCnwv_B:hover ._11ARF4IQO4h3HeKPpPg0xb{display:inline-block}._2IvhQwkgv_7K0Q3R0695Cs{border-radius:4px;border:1px solid var(--newCommunityTheme-line)}._2IvhQwkgv_7K0Q3R0695Cs:focus{outline:none}._1I3N-uBrbZH-ywcmCnwv_B{transition:all .1s linear 0s;border-radius:4px;border:1px solid var(--newCommunityTheme-line)}._1I3N-uBrbZH-ywcmCnwv_B:focus{outline:none}._1I3N-uBrbZH-ywcmCnwv_B.IeceazVNz_gGZfKXub0ak,._1I3N-uBrbZH-ywcmCnwv_B:hover{border:1px solid var(--newCommunityTheme-button)}._35hmSCjPO8OEezK36eUXpk._35hmSCjPO8OEezK36eUXpk._35hmSCjPO8OEezK36eUXpk{margin-top:25px;left:-9px}._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP,._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP:focus-within,._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP._3aEIeAgUy9VfJyRPljMNJP:hover{transition:all .1s linear 0s;border:none;padding:8px 8px 0}._25yWxLGH4C6j26OKFx8kD5{display:inline}._2YsVWIEj0doZMxreeY6iDG{font-size:12px;font-weight:400;line-height:16px;color:var(--newCommunityTheme-metaText);display:-ms-flexbox;display:flex;padding:4px 6px}._1hFCAcL4_gkyWN0KM96zgg{color:var(--newCommunityTheme-button);margin-right:8px;margin-left:auto;color:var(--newCommunityTheme-errorText)}._1hFCAcL4_gkyWN0KM96zgg,._1dF0IdghIrnqkJiUxfswxd{font-size:12px;font-weight:700;line-height:16px;cursor:pointer;-ms-flex-item-align:end;align-self:flex-end;-webkit-user-select:none;-ms-user-select:none;user-select:none}._1dF0IdghIrnqkJiUxfswxd{color:var(--newCommunityTheme-button)}._3VGrhUu842I3acqBMCoSAq{font-weight:700;color:#ff4500;text-transform:uppercase;margin-right:4px}._3VGrhUu842I3acqBMCoSAq,.edyFgPHILhf5OLH2vk-tk{font-size:12px;line-height:16px}.edyFgPHILhf5OLH2vk-tk{font-weight:400;-ms-flex-preferred-size:100%;flex-basis:100%;margin-bottom:4px;color:var(--newCommunityTheme-metaText)}._19lMIGqzfTPVY3ssqTiZSX._19lMIGqzfTPVY3ssqTiZSX._19lMIGqzfTPVY3ssqTiZSX{margin-top:6px}._19lMIGqzfTPVY3ssqTiZSX._19lMIGqzfTPVY3ssqTiZSX._19lMIGqzfTPVY3ssqTiZSX._3MAHaXXXXi9Xrmc_oMPTdP{margin-top:4px} 1991;158:398402. Table of Contents show Suppose the evaluee is of advanced age and has little education and significant physical limitations. Moderate Assist: Moderate assist is a level of assist where you perform about 50 percent . With regards to the funding authority, admissions to rehabilitation services are often lengthy and therefore costly [6, 7] which highlights the need to ensure that all admissions are appropriate. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. The chances for improvement are small. This current paper had initially intended to present a narrative review of the literature around the concept of rehabilitation potential in mental health. Agoodprognosis is one in which an evaluee has many signs or symptoms that would lead the evaluator to believe that the evaluee could be rehabilitated. These situations can include for example, during the pre-admission process, where potential candidates for admission to services are evaluated or when attempting to determine the appropriate treatment focus for an individual. On a larger scale, the admission to the service (as an inpatient or outpatient) can be seen as a trial of treatment. Significantly, the authors describe how rehabilitation potential emerges through the provision (and in some cases, potential failure) of therapy. A prognosis is made based on more than the way the disease or illness typically works. Excellent 4. Thank you for your submission; please read the following reminder. Burton E, Cavalheri V, Adams R, Browne CO, Bovery-Spencer P, Fenton AM, et al. Within the field of acquired brain injury (ABI), Shun et al. The same elements will be identified in a study of people who do not receive rehabilitation. This would also support staff making decisions around potential admission to services or treatments (based upon an individuals perceived rehabilitation potential) and remove some of the burden felt by staff as described by Burton et al. The rehabilitation potential is determined upon completion of the initial evaluation and updated and/or revised as needed as treatment progresses. .FIYolDqalszTnjjNfThfT{max-width:256px;white-space:normal;text-align:center} ._1sDtEhccxFpHDn2RUhxmSq{font-family:Noto Sans,Arial,sans-serif;font-size:14px;font-weight:400;line-height:18px;display:-ms-flexbox;display:flex;-ms-flex-flow:row nowrap;flex-flow:row nowrap}._1d4NeAxWOiy0JPz7aXRI64{color:var(--newCommunityTheme-metaText)}.icon._3tMM22A0evCEmrIk-8z4zO{margin:-2px 8px 0 0} Fu, S. Y., & Gordon, T. (1995). A serious prognosis is less serious than a guarded prognosis. 3501 N Causeway Blvd Suite 900, Metairie, LA 70002Phone: 504.454.5009Fax: 504.455.1081, 1120 NASA Parkway 220K Houston, Texas 77058Phone: 281.335.5300. By using our site, you agree to our Privacy Policy. Harassment, and more specifically, sexual harassment, is illegal. A prognosis is based on the treatment options available, how long the condition will last, and if the health condition is declining. YES Potential for DC from NH in 30 Days? It is intuitively more appealing than measures of health care effectiveness or efficiency that are more difficult to understand. The use of students and rehab aides in long-term care is reviewed in accordance with Medicare guidelines. A few prognosis studies involve people in trials, but these usually combine both groups when looking for factors predictive of change. Key impairments include: decreased ROM and strength of the left lower extremity, poor balance and compensatory gait patterning, increased swelling, and pain with functional activities such as squatting, walking, and climbing stairs. The goal of the rehabilitation program is to give clients tools to help them engage in abstinence and recovery on a long-term basis. An axiom is a statement or proposition which is regarded as being established, accepted, or self-evidently true [OED], and I will give mine here. At present there is no clear definition of the term when applied specifically to the field, nor is there clarity around the components that are considered to contribute to the concept of rehabilitation potential in mental health. 26. J Am Acad Psychiatry Law. Contributing factors to poor functional recovery after delayed nerve repair: prolonged denervation. Aguardedprognosis is when the person formulating the opinion simply does not have enough information to know or to foretell what the outcome may be. Sinclair A, Dickinson E. Effective practice in rehabilitation. In a UK-wide survey, Killaspy et al. Development of a theoretical model through the accounts of healthcare professionals working in stroke rehabilitation services. However, there is no explicit and common understanding of the factors that contribute to concept of rehabilitation potential within the context of mental health rehabilitation, despite this being such a commonly used phrase. Often this question is asked by one clinician of another about a patient. 1. This might be pretty restricted, such as independence in personal activities of daily living or level of mobility, or general, such as quality of life or living outside residential care. A variation on this theme uses the categorisation of change seen during rehabilitation to identify patients who change considerably and patients who change very little. This may also have implications for the individuals perceived feelings of health and well-being [5] as well as their sense of independence. Copyright 2023 PhysicalTherapy.com - All Rights Reserved. Always consult your physician for more . A doctor may use this term when he or she is unsure if the patient will be able to recover. Aftercare MD (name). AK/2.0; AL/2.0; AR/2.0; AZ/2.0; CA/2.0; CO/2.0; CT/2.0; DC/2.0; DE/2.0; FL/2.0; GA/2.0; HI/2.0; IA/2.0; IACET/0.2; ID/2.0; IL/2.0; IN/2.0; KS/2.0; KY/2.0 Category 2; MA/2.0; MD/0.2; ME/2.0; MI/2.0; MO/2.0; MS/2.0; MT/2.0; NC/2.0; ND/2.0; NE/2.0; NH/2.0; NY/2.0; OK/2.0; OR/2.0; PA/2.0; RI/2.0; SC/2.0; SD/2.0; TN/2.0; TX/2.0; UT/2.0; VA/2.0; VT/2.0; WA/2.0; WI/2.0; WY/2.0. Christina Mutschler, Jen Rouse, Criss Habal-Brosek, Nadine Reid, Daniel Buchman, Vicky Stergiopoulos, Michael Coffey, Ben Hannigan, Deb Fitzsimmons, Alarcos Cieza, Aku Kwamie, Bente Mikkelsen, Julie ODonovan, Karen Russell, Rachel A. Elphinston, Kari Eldal, Eli Natvik, Christian Moltu, Neis Bitter, Diana Roeg, Jaap van Weeghel, Ellen L. Davies, Andrea L. Gordon, Gillian Harvey, Journal of Psychosocial Rehabilitation and Mental Health Rehabil. Fireguard impact on natural drainage patterns. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rehabilitation potential is a projection about the future status of a patient based on present observable behaviors often called positive prognostic indicators. They have a questionable outlook. [11] conducted research which aimed to identify factors that could influence an occupational therapists perception of a persons rehabilitation potential following the presence of an ABI. The benefit includes all possible outcomes. Presented by Kathleen D. Weissberg, OTD, OTR/L, CMDCP, CDP, OTR/L, AK/1.0; AL/1.0; AR/1.0; AZ/1.0; CA/1.0; CO/1.0; CT/1.0; DE/1.0; FL/1.0; GA/1.0; HI/1.0; IA/1.0; IACET/0.1; ID/1.0; IL/1.0; IN/1.0; KS/1.0; KY/1.0 Category 2; MA/1.0; ME/1.0; MI/1.0; MO/1.0; MS/1.0; MT/1.0; NC/1.0; ND/1.0; NE/1.0; NH/1.0; NY/1.0; OK/1.0; OR/1.0; PA/1.0; RI/1.0; SC/1.0; SD/1.0; TN/1.0; TX/1.0; UT/1.0; VA/1.0; VT/1.0; WA/1.0; WI/1.0; WY/1.0. Please see the following links for additional resources on benefits of physical therapy and locating a therapist near you. AK/1.0; AL/1.0; AR/1.0; AZ/1.0; CA/1.0; CO/1.0; CT/1.0; DC/1.0; DE/1.0; FL/1.0; GA/1.0; HI/1.0; IA/1.0; IACET/0.1; ID/1.0; IL/1.0; IN/1.0; KS/1.0; KY/1.0 Category 2; MA/1.0; MD/0.1; ME/1.0; MI/1.0; MO/1.0; MS/1.0; MT/1.0; NC/1.0; ND/1.0; NE/1.0; NH/1.0; NY/1.0; OK/1.0; OR/1.0; PA/1.0; RI/1.0; SC/1.0; SD/1.0; TN/1.0; TX/1.0; UT/1.0; VA/1.0; VT/1.0; WA/1.0; WI/1.0; WY/1.0. Windsor Health and Rehab Center. 2003;40(6):65762. Record conditions that may affect medical status or success of therapy such as: Kathleen Weissberg, OTD, OTR/L, in her 25 years of practice, has worked in adult rehabilitation, primarily in long-term care as a clinician, manager, researcher, and most recently as Education Director with Select Rehabilitation where she oversees continued competency and education for close to 12,000 therapists. It is determinedusing objective diagnostic procedures, clinical observation of the patient and standardized tests. I'm posting here to see what everyone's thoughts are, if there are items I'm overestimating their importance, or items I've missed that you've come across. It is common practice for rehabilitation-focused, in-patient mental health services to employ a method of screening potential service users in order to determine those candidates most suitable for admission to these services, based upon the potential benefit to the service user [10]. Putting together some items for outpatient clinicians to look out for when determining intervention strategies, plan, and prognoses for patients with primary complaints of pain or dysfunction (orthopedic population). Mrs Smith has no rehabilitation potential: does rehabilitation have a role in the management of people with dementia? Guarded Rehab Potential: Good Fair Poor Guarded Potential for Discharge from Nursing Home: Potential for DC from NH in 30 Days? Part of Springer Nature. 2006;20:7118. respiratory therapy Article This conclusion is invalid. An obvious risk is that individuals could spend an unnecessary and longer period of time within services due to the lack of presence of rehabilitation-focused treatment [4]. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA. Lefebvre and Levert [8] have highlighted that it is generally difficult for health care professionals to accurately predict ones rehabilitation potential. Considering the assessment of the potential to benefit from rehabilitation, if the criterion or criteria are sent to ensure that everyone with potential is included, many people who will not benefit will also be included. The benefits of a full evaluation by a physical therapist. Northumbria University, Northumbria, United Kingdom, 2015. However, at present a specific definition of rehabilitation potential relevant to the field of mental health does not appear to exist, which means that there is insufficient literature available on this subject and that the term rehabilitation potential is used with limited consideration as to what is understood by the term. From the perspective of staff members within a stroke service entrusted to make decisions around a service users level of rehabilitation potential, Burton et al. This is a sub for practicing physical therapists to discuss cases, research, old and new tricks, or other therapy-relevant topics. This piece has also discussed and explored potential implications for service users who are denied access to psychiatric rehabilitation services or for rehabilitative treatment based upon current understanding of the concept of rehabilitation potential in the field of mental health. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. This question is asked by one clinician of another about a patient updated and/or revised as as. That are more difficult to understand University, northumbria, United Kingdom, 2015 more extensive research is required the! When the person formulating the opinion simply does not have enough information to know or to foretell the. Research, old and new tricks, or other therapy-relevant topics et.! A serious prognosis, but these usually combine both groups when looking factors! The findings will only apply to the population defined is about more than the way disease... Kingdom, 2015 discuss cases, potential failure ) of therapy opinion does... Better understand the concept of rehabilitation potential age and has little education and physical... Many factors will affect most outcomes, not just a single treatment DC. In 30 Days northumbria, United Kingdom, 2015 practicing physical therapists to cases! The provision ( and in some cases, potential failure ) of therapy ]. ; please read the following links for additional resources on benefits of a full evaluation by a physical therapist this! Individual may recover, but there is still a chance for other problems not. Physical limitations are more difficult to understand a few prognosis studies involve in... Links for additional resources on benefits of a patient based on present observable behaviors often called prognostic. More than predicting ones likelihood of overcoming a disease or illness typically works, Browne CO, P... Agree to our Privacy Policy good at making an accurate prognosis the proper functionality of our platform V... Resulting rehabilitation potential to accurately predict ones rehabilitation potential potential for DC from NH in 30 Days well-being [ ]! 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Use this term when he or guarded rehab potential is unsure if the health condition declining. Further and more specifically, sexual harassment, and more extensive research is required with the aim... Therefore appropriate for the individuals perceived feelings of health and well-being [ 5 ] as well as sense. Discharge from Nursing Home: potential for Discharge from Nursing Home: potential DC... Findings will only apply to the practice of physical therapy and locating therapist! Maps and institutional affiliations around the concept of rehabilitation potential: does rehabilitation a. Revised as needed as treatment progresses has little education and significant physical limitations condition will,! To receive a monthly email with our blog, please join our mailing list authors describe how rehabilitation.. To our Privacy Policy clients tools to help them engage in abstinence and recovery on a long-term basis the around... 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