By The Joint Commission, National Quality Forum (NQF) for KP Nor Cal’s Advance Alert Monitor program for predicting risk, saving lives among hospitalized patients
By Antonia Ehlers, PR and Media Relations, Kaiser Permanente Northern California
OAKLAND, Calif., April 19, 2022 – Kaiser Permanente Northern California’s life-saving Advance Alert Monitor (AAM) program – an early detection system that helps care teams predict when hospitalized patients are at risk for clinical deterioration – has been recognized by The Joint Commission and National Quality Forum (NQF).
The program has been honored with the 2021 John M. Eisenberg Award for Local Level Innovation in Patient Safety and Quality. The prestigious national award recognizes those initiatives that improve patient safety and overall quality of care.
AAM uses a predictive algorithm developed by physician researchers at the Kaiser Permanente Division of Research that scans almost 100 elements from patient health records hourly at 21 hospitals in Northern California, giving clinicians a 12-hour lead time prior to clinical deterioration, permitting early detection and intervention.
“Advance Alert Monitor is another example of how our physicians and staff maximize our extensive clinical and operational expertise, our technologically advanced systems, and our integrated care delivery model to provide exceptional care to our patients,” says Richard Isaacs, MD, FACS, who is the CEO and Executive Director of The Permanente Medical Group. “By combining the groundbreaking use of predictive analytics with clinical workflows, we’ve created a Northern California virtual center that is saving lives by helping us identify patients in medical-surgical and transitional care units who may need expedited care.”
The output of the algorithm is monitored remotely by clinical staff who virtually observe all Kaiser Permanente Northern California hospitals, and who immediately contact the patient’s local care team in the event of an alert, enabling physicians and nurses to provide critical and potentially life-saving treatment more quickly.
A recent analysis of the program by the physician researchers who developed it, published in the New England Journal of Medicine, found the system was responsible for preventing on average 520 deaths per year over a 3-and-a-half-year study period. It also showed a lower incidence of ICU admissions and shorter hospital stays.
“This award is a testament to the ongoing work of Kaiser Permanente Northern California to provide our clinical care teams cutting edge technology that enables them to predict and prevent serious complications before they happen,” said Carrie Owen Plietz, FACHE, president of Kaiser Permanente’s Northern California region. “Our staff is intervening early and swiftly, providing the appropriate medical attention to keep patients safe with improved outcomes.”
Last year, Kaiser Permanente Northern California was recognized by the International Hospital Foundation with the Autsco Excellence Award for Quality and Patient Safety for the AAM program, which is in place at all 21 Kaiser Permanente Northern California hospitals, with nurses handling more than 16,000 alerts a year.
How it works
AAM predicts the probability that hospitalized patients are likely to decline, require transfer to the intensive care unit or emergency resuscitation, and benefit from interventions. Early warnings could be helpful for patients at risk of deterioration where intervention may improve outcomes.
To do this, AAM analyzes electronic hospital patient data to identify those at risk of deteriorating and alerts a specialized team of Virtual Quality Nurse Consultants who determine if on-site intervention is needed. The virtual nurses contact the Rapid Response Team of nurses, which performs an assessment, and then works with the supportive-care team and the patient and/or family to develop a patient-centered treatment plan.
“Analytics tools allow us to use complex patient data to improve our care in real-time,” said Vincent Liu, MD, MS, a research scientist with the Division of Research, whose advanced analytics group developed the algorithm that underpins AAM. “They support clinicians’ practice by finding signals hidden within the electronic health record,” added Liu, whose advanced analytics group developed the algorithm with leadership from retired DOR investigator Gabriel Escobar, MD.
Nurses confirm AAM’s value
Vincent Emeziem, an ICU nurse at Kaiser Permanente Antioch Medical Center, is part of the Advance Alert Monitor team at the hospital. He said he’s seen firsthand how the program saves lives, including a recent case where a hospitalized patient was declining rapidly and because of early intervention was rushed into surgery for a life-threatening aneurism.
“This program has been very useful, and a lot of patients have benefited,” said Emeziem, a Kaiser Permanente nurse for 18 years. “These patients are getting the care they need very fast.”
The success of the Advance Alert Monitor program is attributed to the integration of care, collaboration between the clinical care teams, and the early intervention provided to patients, said Dr. Vanessa Martinez, DNP, MHA, RN, director of Virtual Nursing Care at Kaiser Permanente Northern California. “This advance technology and the expertise of our clinical care teams is allowing us to help those patients who are at most risk for severe complications and provide the necessary treatment to improve patient outcomes,” she said.
About Kaiser Permanente
Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve almost 12.5 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. http://about.kaiserpermanente.org
Read MoreBy Don Martin II, DCRR Racing Media
Antioch, CA…April 16…Zack Neeley scored the win in the 20 lap Wingless Spec Sprint Main Event Saturday night at Antioch Speedway. This was only his second ever start in the John Hendrickson owned car, and he had to withstand some serious pressure from Jacob Williams in the waning laps.
The race had multiple yellow flags before a lap was recorded, and two-time champion Dan Gonderman took the early lead ahead of Josh Gillis and Neeley. Neeley slipped into second on the fourth lap and made a Turn 2 pass on Gonderman for the lead a lap later. Jimmy Christian gained second with a Turn 4 pass on the sixth lap and set his sights on Neeley. Unfortunately, contact between Christian and Neeley on the front straightaway on Lap 8 left Christian with damage as the yellow flag waved. Neeley led Williams on the restart. A Lap 11 red flag waved after a tangle between Gonderman and Ethon Lanfri saw Lanni roll in Turn 4. Neeley continued to lead Williams and James East on the restart. Williams begin pressuring Neeley for the lead, and the duo went side by side on the 18th lap. Williams went low in Turn 4 as they worked the 19th lap. Williams appeared to make the winning pass, but a yellow flag waved for a Clint Motta spin in Turn 2. Neeley led the final restart and the remaining circuits to win ahead of Williams, East, Bernard and Gonderman.
NorCal Dwarf Car stat Michael “Spanky” Grenert won the 20 lap Delta Dwarf Car Main Event. Grenert had to battle point leader Danny Wagner to get the lead. David Rosa took the early lead, only to surrender it to a low pass in Turn 3 by Dan Geil on the second lap. David Michael Rosa moved into the second spot a lap later. Devan Kammermann settled into third and made a low pass in Turn 4 on lap five for second. However, there was contact on the backstretch between Kammermann and Geil on Lap 9, allowing Grenert and Wagner to race by for the first two positions. An outside pass on the frontstretch on Lap 12 put Wagner into the lead, and David Michael Rosa lost a tire on the backstretch for a yellow flag moments later. Grenert made a big move on the restart that ended with him going low in Turn 4 to get the lead. It was close between the lead duo for a few laps, but Grenert would prevail at the checkered flag. Wagner settled for second ahead of Kammermann, Chance Russell and Geil.
Sage Boardenave won the 20 lap WMR Midget Main Event. The race had a few mishaps and was a battle of attrition. Local star Bryant Bell took the early lead ahead of Boardenave and Brody Petrie. The red flag waved after two laps when Logan Mitchell flipped in Turn 2. Bell continued to lead Boardenave and Petrie on the restart, but another red flag fell when Tyler Dolacki flipped in Turn 4 on Lap 4. Bell led Boardenave and Petrie on the next restart. Multi-time champion David Prickett headed for the pits, and Bell was slowed when he hit a rut going through Turns 3 and 4 on Lap 10. A lap later, Boardenave made a Turn 4 pass to get the lead with Petrie following intp second. Bell ended up pitting, and Boardenave got the win ahead of Petrie, Kyle Hawse, Bell and Prickett.
Tom Brown won the 20 lap Mini Stock Main Event. The reigning Antioch and Petaluma champion settled into an early second behind the Dana Gardner, but a high pass in Turn 4 of the fifth lap gained Brown the lead. Brown pulled away a little bit on Gardner, leaving Shan Titman and Dan Abitz to battle for the third position. Abitz slowed on the backstretch on the 10th lap and would get lapped a couple of laps later. Brown was never really challenged after getting the lead and he won ahead of Gardner, Titman, Abitz and Laina Bales.
When five Pacific Coast General Engineering Hobby Stock drivers came out to do some practice laps, track officials elected to give them an exhibition race. Jason Robles won that 10 lapper. Robles led from the start ahead of Danny Aves and reigning champion Larry McKinzie Jr. Aves and McKinzie had a side-by-side battle for several laps before McKinzie gained second on Lap 6. Robles won ahead of McKinzie, Aves, Michael Mates and Angela Brown.
Next up on the CoCo Farms Calendar will be the Wingless Spec Sprints next Saturday night. Joining them will be the IMCA Sport Modifieds, Pacific Coast General Engineering Hobby Stocks and Delta Dwarf Cars. For further information, go to www.antiochspeedway.com.
Unofficial Race Results April 16 Antioch Speedway
Wingless Spec Sprints
Heat Winners (8 laps) – Ethon Lanfri, Jacob Williams. Main Event (20 Laps) – Zack Neeley, Jacob Williams, James East, Tony Bernard, Dan Gonderman, Clint Motta, Steve Maionchi, Ethon Lanfri, Jimmy Christian, Josh Gillis.
Delta Dwarf Cars
Heat Winners (8 Laps) – Michael “Spanky” Grenert, Danny Wagner, Jack Haverty. Main Event (20 Laps) – Michael “Spanky” Grenert, Danny Wagner, Devan Kammermann, Chance Russell, Dan Geil, Jack Haverty, Isaak Geil, David Rosa, Brenden Shrum, Ellie Russo.
WMR Midgets
Heat Winners (8 laps) – Brody Petrie, Sage Bordenave. Main Event (20 Laps) – Sage Bordenave, Brody Petrie, Kyle Hawse, Bryant Bell, David Prickett, Tyler Dolacki, John Bordenave, Gary Dunn, Logan Mitchell, Nate Wait.
Mini Stocks
Heat Winner (8 laps)-Tom Brown. Main Event (20 laps) – Tom Brown, Dana Gardner, Shan Titman, Dan Abitz, Laina Bales.
Read MoreTo inspire, educate and impart life skills to future mental health professionals
By Alex Madison, Content Marketing Writer III, Kaiser Permanente
Like many high schoolers, students at Dozier-Libbey Medical High School in Antioch, California, are unsure about their career moves post-graduation. With the help of a mentorship program led by Kaiser Permanente Northern California’s Mental Health Training Program, these students are getting a window into the behavioral health medical profession.
“Everyone has a different path in life, and my mentor allowed me to see the huge variety of pathways available to me,” said 18-year-old Syncere Jordan. “She told me what it took to get where she is today and what the day-to-day responsibilities of a health care worker are.”
Kaiser Permanente Northern California partnered with the 800-student high school last year to create a mentorship program in which 12 students meet virtually every week for 30 minutes with a mental health provider to talk about career pathways, resumes, college, and the realities of working as a mental health professional.
“I really appreciate the diversity the program allows,” said 16-year-old Emma Mauri. “My mentor and I have talked about everything from life skills, to education, to just telling stories. She’s inspired me to stop being so nervous about the decisions I’m facing about the future of my career.”
Giving back to student and mentor
Reflecting Kaiser Permanente’s core commitment to support mental health and wellness in the communities it serves, every mental health trainee of the Mental Health Training Program is required to complete over 30 hours of community outreach. The outreach focuses on improving the mental health of the local community in some important respect, beyond treating Kaiser Permanente members.
The mentors said educating young people on the importance of mental health and helping guide their future has been very fulfilling.
“My mentor and I have talked about everything from life skills, to education, to just telling stories. She’s inspired me to stop being so nervous about the decisions I’m facing about the future of my career.” – Emma Mauri
“As a first-generation Mexican American and first in my family to graduate college, I’m incredibly passionate about supporting these young people and creating awareness around the complex experiences of being a first-generation student,” said Irais Castro, PhD, a psychology postdoctoral resident at Kaiser Permanente Antioch.
“It’s important to foster these student’s interest in mental health or whichever field they are interested in,” said Nicole Wilberding, PhD, a psychology postdoctoral resident at Kaiser Permanente Walnut Creek. “We encourage them to talk about their concerns and fears so they don’t feel overwhelmed about their future.”
Increasing awareness of mental health care
A goal of the 8-week mentorship program is to increase awareness about the field of clinical psychology and mental health among diverse youth populations. Kaiser Permanente shares in the U.S. challenge to meet the demand for mental health care that has been greatly exacerbated by the national shortage of trained mental health professionals.
Although many of the students involved in the mentorship program had not considered a career in mental health, some of them said they are now interested in learning more about the profession as a possible career choice.
Kathryn Wetzler, PsyD, regional director of Mental Health Training Programs, said, “It’s really valuable to identify the young people who are interested in mental health as a career and provide them with the understanding of what being a mental health professional is all about.”
Castro explained that it’s a vital time to educate people about the importance of mental health as a profession.
“We need more clinicians of color and diverse populations in the field, so I am grateful to have the opportunity to create awareness of the need.”
For Jordan, who is 3 months away from graduating high school, her relationship with her mentor is a “bond I will never forget and hope to continue after I graduate.”
Learn more about the Northern California Mental Health Training Program.
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Opportunity for a real delicious ‘Taste of Freedom’ for entire Jewish Community
Authentic Matzah – Great Company
For thousands of years Jews around the world have been celebrating our freedom from Egypt. Residents of the Delta Region are warmly invited to attend an authentic Passover Seder. All Jews, regardless of affiliation or background, are encouraged to participate in an evening replete with the Mah NishTanah, [four questions] traditional handmade matzah, four cups of wine, lively dialogue, and an exquisite three course kosher for Passover meal. The Passover Seder is on Friday April 15th.
The Seder will take participants through the wondrous liberation of our ancestors from Egyptian bondage, as well as help participants understand the Seder’s relevance to today’s Jew. This Seder is sure to provide an inviting atmosphere of warmth and acceptance.
“This Seder is an opportune time to bring unity to the community, and just get together to enjoy each other’s company,” says Mrs. Mashie Goldshmid “It’s the Seder that has kept families together for thousands of years.”
Passover teaches, inspires, empowers and challenges us to leave “Egypt” each day, from our self-imposed “slavery”. It illuminates how to subdue the “Pharaoh” within, i.e. the impulse to live a life which does not conform to who we truly are.
“This is an exciting opportunity to meet new people, share and enjoy really great food,” says Rabbi Peretz Goldshmid, Executive Director of Chabad of the Delta. “The Seder meal will be interactive, warm and vibrant, interspersed with lively discussion through group participation as well as individual involvement.”
Seder will take place on April 15th at 7:30 pm at the Brentwood Senior Center. 193 Griffith Lane. Please visit www.JewishDelta.com/passover to RSVP.
For further inquiries please call 925-420-4999 or email info@JewishDelta.com.
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By Don Martin II, DCRR Racing Media
Antioch, CA…April 9…Nick DeCarlo won the 20 lap IMCA Modified Main Event Saturday night at Antioch Speedway. It was the second win of the season for the current point leader, and he overtook rookie Trevor Clymens to get the job done.
Clymens raced into the early lead ahead of Sean Wilson and Kenneth Robles. DeCarlo started deeper in the field, and Clymens had a straightaway advantage wiped out by a Lap 7 yellow flag. Clymens continued to lead Robles on the restart with DeCarlo already up to third. DeCarlo went around Robles on the frontstretch to take second on the ninth lap. DeCarlo was working the outside groove very well and made an outside pass on the backstretch on the 12th lap to take the lead from Clymens. A late yellow flag bunched the field on Lap 17, but it didn’t stop DeCarlo. As DeCarlo charged on ahead of everybody else, Aaron Crowell made an outside pass in Turn 4 to take second from Clymens. DeCarlo got the win ahead of Crowell, and Bobby Motts Jr beat Clymens back to the checkered flag in a drag race for third. Robles settled for fifth.
Ryan Smith won an eventful 20 lap Super Stock Main Event. The division got a major boost when a race down south got canceled due to the weather, sending several drivers to Antioch Speedway. For the first 12 laps, Tri State Pro Stock Series star Richard Brace Jr led as Ryan.Smith and.Chris Smith battled with Jay Sears for the second position. A backstretch pass on Lap 13 gained Ryan Smith the lead. Sears and Brace battled fiercely for second until Sears headed pitside on Lap 17. Ryan Smith went on to win ahead of Brace, Jim Freethy, Jimmy Robbins and Chad Hammer.
Misty Welborn won the 20 lap Pacific Coast General Engineering Hobby Stock Main Event. On this occasion, she started on the front row and proceeded to lead all 20 laps in victory. Michaela Taylor gave chase early on before surrendering to Larry McKinzie Jr. When McKinzie had problems and stalled in Turn 1, he was clobbered in the rear end by Jewell Crandall for a Lap 9 yellow flag. Welborn led Taylor on the restart, leaving the battle for third. Aiden Ponciano held that position until being passed by Chris Long on Lap 18. Welborn won by a straightaway ahead of Taylor, Long, Taylor DeCarlo and Ponciano.
Troy Foulger won the 20 lap IMCA Stock Car Main Event. He started in the back as Anthony Giuliani took the early lead ahead of reigning champion Travis Dutra. Foulger got up to third very quickly and made an inside pass in Turn 4 on Lap 4 to take second. Foulger worked on reeling in Giuliani. The duo ran a couple of side-by-side laps before Foulger went low in Turn 2 on Lap 12 to take the lead. Giuliani had a mechanical issue on Lap 16 for a yellow flag. Foulger led Dutra and Jason Robles on the restart, and they would finish in that order as Jason Jennings and Joe Gallaher completed the Top 5.
Racing continues next Saturday night with a visit from the WMR Midgets and the season debut for the Wingless Spec Sprints. Also competing will be the Delta Dwarf Cars and Mini Stocks. For further information, go to www.antiochspeedway.com.
Antioch Speedway April 9 Unofficial Race Results
IMCA Modifieds
Trophy Dash (4 laps) – Aaron Crowell. Heat Winners (8 laps) – Kenneth Robles, Nick DeCarlo, Terry DeCarlo, Jr. Main Event (20 laps) – Nick DeCarlo, Aaron Crowell, Bobby Motts, Jr., Trevor Clymens, Kenneth Robles, Buddy Kniss, Troy Foulger, Terry DeCarlo, Jr., Terry DeCarlo, Sr., Gary Hylton.
Super Stocks
Trophy Dash (4 laps) – Jim Freethy. Heat Winners (8 laps) – Mike Walko, Jim Freethy. Main Event (20 laps) – Ryan Smith, Richard Brace, Jr., Jim Freethy, Jimmy Robbins, Chad Hammer, Jay Sears, Cody Smith, Michael Burch, Paul Hanley, Mike Walko.
IMCA Stock Car
Heat Winners (8 laps)-Travis Dutra, Troy Foulger. Main Event (20 laps) – Troy Foulger, Travis Dutra, Jason Robles, Jason Jennings, Joe Gallaher, Scott Foster, Dave Hill, Dan Gonderman, Anthony Giuliani.
Pacific Coast General Engineering Hobby Stocks
Heat Winners (8 laps)-Charlie Bryant, Chris Long. Main Event (20 laps) – Misty Welborn, Michela Taylor, Chris Long, Taylor DeCarlo, Aidan Ponciano, James Graessle, Jon Haney, Jess Paladino, Jewel Crandall, Danny Aves.
Read MoreBy Ted Asregadoo, PIO, Office of the District Attorney, Contra Costa County
Martinez, Calif. – San Pablo Police have arrested, and the Contra Costa District Attorney’s Office charged, a dental assistant with four counts of sexual acts with a child under 10-years-old.
The suspect is 22-year-old Bonerge Maldonado-Zaldana from Richmond. He worked at the San Pablo Towne Centre Dental Office where the action with a minor allegedly took place on April 5, 2022. Investigators collected evidence and took statements from the victim’s mother, dental office staff, and the suspect on April 6th and determined there was probable cause to arrest Maldonado-Zaldana on April 8th.
The Contra Costa District Attorney’s Office filed charged against the suspect April 8th, who is currently in the Martinez Detention Facility. His arraignment is Monday, April 11, 2022, at 1:30 pm in Martinez.
In addition to working at the San Pablo Towne Centre Dental Office Maldonado-Zaldana was formerly employed with Western Dental in El Cerrito. If anyone has further information relating to this investigation, please call Detective Ricky Vasquez at San Pablo Police Department (510) 215-3286.
Court Docket Number: 02-22-00057
Read MoreConcord – During the Board meeting on April 6, Contra Costa Water District’s Board President, Lisa M. Borba, announced that she will resign from the Board effective April 22, 2022, after 12 years representing the community on water issues.
Lisa M. Borba, AICP, was first appointed to the Contra Costa Water District’s Board of Directors in April 2010 and has successfully been elected to the office since. She represents Division 1, which includes the cities and communities of Concord, Pacheco, Clyde, Bay Point, and Pittsburg. She has served as Board President since 2016.
Borba’s professional experience put her in close contact with public agencies, and she has used that experience to set policies that prioritize customer interests, basing decisions on the present needs of community now and for the future. Borba worked as a Land Planner for Blackhawk Services in Danville for 13 years and for Brookfield Homes or the past two years.
In her tenure on the Board, her highest priorities have been the responsible management of public money and providing quality customer service.
As Board President, Borba facilitated robust and thoughtful discussions on future infrastructure investments to improve the Contra Costa Canal and complete the next phase of expanding Los Vaqueros Reservoir. She noted that “transparency in how public dollars are being spent is paramount when looking at investing millions in infrastructure for safe and reliable water service for the future.”
“Over the past 12 years, this Board has worked together cooperatively and productively to make tough decisions in the interest of our customers,” said Borba. “It has been my honor to represent the customers of Contra Costa Water District.”
When asked about the timing of her retirement, Borba responded, “This was a tough decision, but the District is in good hands with this Board and this staff. I am excited about the initiatives underway to advance the good work serving the needs of our customers.”
Borba’s last day will be April 22, and the Board will need to decide to fill the vacancy for Division 1 by appointment or election.
Allen D. Payton contributed to this report
Read MoreBy Ted Asregadoo, PIO, Office of the District Attorney, Contra Costa County
Martinez, Calif. – A former Richmond school teacher is facing multiple charges of child molestation. The Contra Costa District Attorney’s Office filed 29 counts against Anessa Paige Gower on April 8, 2022, in Contra Costa County Superior Court. Gower was a biology teacher at Making Waves Academy in Richmond and allegedly engaged in numerous acts of a sexual nature with minors between 2021-2022.
Richmond Police, with assistance from the Sacramento County Sheriff’s Office, arrested Gower at Sacramento International Airport on April 6, 2022, as she was returning to California from Hawaii. She is currently in custody in Richmond.
The case involves seven minors, so their identities are being withheld.
Investigators took statements from the victims and witnesses about a number of incidents involving sex acts with minors, inappropriate touching, and sharing sexually graphic photos over online platforms.
The Richmond Police Department posted the following message on their Facebook page Friday evening:
“Today, the Contra Costa County District Attorney’s Office formally charged a Richmond teacher with 29 counts of sex crimes against minors. This was an excellent collaborative effort by multiple agencies, including extensive follow-up by Richmond PD officers and detectives, our allied agencies, and our prosecutors’ office.
We are grateful for our ongoing partnership, working together to prevent further victimization of our community’s most vulnerable population – our children.”
Court Docket Number: 202204080002
Read MoreI am happy to announce that East Bay Regional Park District will be offering guided tours of the former Roddy Ranch Golf Course this spring! It is an opportunity to see the site in-person, learn more about the recently released preferred design concept, and to ask questions and provide feedback to the planning team. The tours will cover about 1.5 miles of former cart paths with various stops along the way to highlight features of the design plans and natural history elements. Registration is required.
Two tours will be offered on Saturday, May 7, 2022 at the following times:
- 9:30am-11:30am(program #44166)
- Noon-2pm(program #44169)
Registration will open tomorrow, April 8 at 9am. You can reserve online or by calling 1-888-EBPARKS (1-888-327-2757), option 2. Please sign up for one tour, with space limited to two participants per reservation.
Of course, please let me know if you have any questions and be sure to go out and enjoy your Regional Parks!
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