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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) KONSELI: Jurnal Bimbingan dan Konseling (E-Journal) Elkawnie Abdimas Talenta : Jurnal Pengabdian Kepada Masyarakat Manuju : Malahayati Nursing Journal International Journal of Nursing and Health Services (IJNHS) Jurnal Kesehatan Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Al-Asalmiya Nursing: Journal of Nursing Sciences Journal of Telenursing (JOTING) Indonesian Journal of Global Health research OISAA Journal of Indonesia Emas Caring : Indonesian Journal of Nursing Science MAHESA : Malahayati Health Student Journal JUKESHUM: Jurnal Pengabdian Masyarakat Holistik Jurnal Kesehatan

Nur Asnah Sitohang, Nur Asnah

Universitas Sumatera Utara, Fakultas Keperawatan, Jl. Prof. T. Maas No. 3, Medan, Sumatera Utara 20155, Indonesia

Author-ID : 607997

Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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PEMBERDAYAAN SISWA SEBAGAI KADER KESEHATAN DALAM PROGRAM EDUKASI KESEHATAN REPRODUKSI REMAJA DI SMP SWASTA MEDAN Nur Asnah Sitohang; Diah Lestari Nasution; Cut Adeya Adella
Jurnal Riset Hesti Medan Vol 3, No 2 (2018)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Adolescent reproductive and sexuality health in Indonesia is still low, this can be seen from the many cases of pregnancy out of wedlock, violence during courtship and abortion with high-risk drugs. The understanding of adolescents about reproductive health is the provision of adolescents in healthy and responsible behavior. But not all teenagers get information about reproductive health. This limitation of knowledge and understanding can bring teenagers towards risky behavior. This is a lack of information about sexuality and reproduction. Cadres health has a big role in realizing the optimal level of community health. Community service is carried out in two (2) junior high schools, namely Dharma Pancasila Private Junior High School (260 students and 21 cadres trained) and Al-Fhatiyan Private Middle School Medan (199 students and cadres trained by 16 students). The method used is by: 1. counseling with material on adolescent reproductive health; 2. cadre training; 3. Cadre mentoring. Evaluation of program success: pre test and post test cadres and student participants. Based on the results of the questionnaires distributed to students, the majority of data was 13 years old (47.5%), male sex (54%), high school parents education (62%) and entrepreneurial work (96.6%). The results of the dependent test obtained data, average knowledge before health education 26.23 and after health education39.58. The mean difference is 13,349 and the standard deviation is 3,911 and 95% CI 13,707-12,990. Based on the results of statistical tests obtained P = 0.001, it can be concluded that there is an influence of adolescent reproductive health cadres on student knowledge. For attitudes obtained data on average attitudes before counseling 27.57 and after counseling 39.58. The mean difference is 13,349 and the standard deviation is 3,802 and 95% CI 12,362 - 11,664. P value = 0.001 it can be concluded that there is an influence of adolescent reproductive health cadres on student attitudes. This PKM activity is useful in increasing knowledge and attitudes towards adolescent reproductive health. With increased knowledge of the behavior of adolescents to risky sexual behavior, and if the attitudes of adolescents towards sexual behavior are good, it is expected that sexually well and adolescents are expected to be responsible for their reproductive healthKeywords: cadres, education, health, reproduction, adolescents

Pendidikan Kesehatan Tentang Manajemen Kesehatan Menstruasi Terhadap Pengetahuan dan Sikap Remaja Madrasah Tsanawiyah Swasta Amal Saleh Nur Asnah Sitohang; Dewi Elizadiani Suza; Cut Adeya Adella
Jurnal Riset Hesti Medan Vol 5, No 2 (2020)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v5i2.208

Menstruation is periodic bleeding occurring repeatedly every month in women that starts about 14 days after ovulation and is released through the vagina. Menstruation is a characteristic feature of a woman's maturity where there is a change in the uterus in preparation for pregnancy. Menstrual health management (MHM) is a term that is often used in relation to cleanliness during menstruation. Menstrual health management includes facilities used during menstruation including clean water, soap used for bathing and cleaning all parts of the body as well as cleaning sanitary napkins that have been used. MHM is also related to the access they have to safe and comfortable facilities to dispose of used sanitary napkins. Young women must understand knowledge about menstruation and how to manage it appropriately without shame or fear. Health education is a form of independent nursing action to help clients, both individuals, groups and communities in overcoming their health problems through learning activities in which the nurse acts as a nurse educator. This study aims to increase students' knowledge and attitudes about menstrual health management by providing health education. The method used was to socialize activities to the school, identify the condition of menstrual health service facilities in schools such as bathrooms, clean water supply, provide educational media for menstrual health management in the form of videos, leaflets and modules; conduct health education about menstrual health management and post tests. The data analysis used was univariate. The number of samples was 36 people, namely grade VII students. The results of the study that the majority of respondents were 12 years (77.8%), had menstruation (58.3%), age at first menstruation was 11 years (52.3%), experienced menstrual pain (66.7%), information sources regarding: (1) hygiene during menstruation is the mother (38.5%), (2) sanitary napkins from TV commercials (25%), menstruation from mothers (45.5%), (3) types of sanitary napkins currently used modern sanitary napkins (65.9%), (4) the current brand of sanitary napkins from mothers (36.5%). The majority of knowledge adolescents category is 88.9% good and the attitude of the adolescents is 100% positive. Research proves that there are still students with sufficient knowledge (10.1%) and considering the importance of MHM as an effort to prevent infection in the female reproductive system and minimize the occurrence of cervical cancer in women in the future. Researchers suggest that schools include this topic in subject matter so that reproductive health can be maintained.

DETEKSI DINI KANKER SERVIK PADA WANITA USIA SUBUR DENGAN INSPEKSI VISUAL ASAM ASETAT (IVA TEST) DI KLINIK BERSALIN KOTA MEDAN Diah Lestari Nasution; Nur Asnah Sitohang; Cut Adeya Adella
Jurnal Riset Hesti Medan Vol 3, No 2 (2018)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Cervical cancer in Indonesia ranks first, 65% of the patient's condition is in an advanced stage. In research in thirteen anatomical pathology laboratories in Indonesia, the frequency of cervical cancer patients was around 18.5%. This community service aims to: (1) provide communication, education and information (IEC) about cervical cancer and the benefits of IVA Test; (2) conduct IVA Test; (3) measure WUS's knowledge about cervical cancer and IVA test. Performed at the maternity clinic, namely SAM maternity clinic (20 people) and Sari (20 people). Data analysis using dependent t test. The results of the activity were data from 26-30 years old (40%), Batak tribes (13%), Islamic religion (95%), first marriage (77.5%), high school / diploma / undergraduate education (80%), IRT (77.5 %), the work of husband's employee (52.5%), first age married 26-30 years (40%) and not smoking (80%); using injection contraception (42.5%); the obstetric history of the majority of WUS giving birth twice (42.5%) , never checked (80%), no brother is sick (75%), breast cancer (10%), not much vaginal discharge (65%), no pain under the abdomen (70%), no bleeding during intercourse (90%) and did not experience irregular menstruation (55%); results of IVA WUS Test were negative (80%), inflammation (17.5) and positive (2.5); WUS knowledge before being given Information Education Communication (IEC) about cervical cancer and the IVA Test averages = 13.58, SD = 3.012 and after being given health education on average = 14.30, SD = 3.275. The results of statistical tests obtained different mean = 0.725 and P value = 0.016, it can be concluded that there was a significant effect of IEC on WUS knowledge about cervical cancer and IVA Test. Keywords: Cervical cancer, fertile age women (WUS), IVA Test

Pengetahuan Remaja Anak Jalanan Tentang Bahaya Seks Bebas dan Penyakit Menular Seksual di Komunitas Peduli Anak Kelurahan Medan Maimun Nur Asiah; Nur Asnah Sitohang; Dewi Elizadiani Suza
Jurnal Riset Hesti Medan Vol 5, No 2 (2020)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v5i2.209

Reproductive health and adolescent understanding of the dangers of free sex and sexually transmitted diseases in Indonesia is still low, this can be seen from the many cases of pregnancy outside of marriage, dating violence and abortion with high-risk drugs. Adolescent's understanding of reproductive health is a provision for adolescents to behave in a healthy and responsible manner. Not all adolescents have received sufficient and correct information about reproductive health. Street children are a group of children who are on the side of the road or on the road, who carry out activities in the hope of earning money for life. Knowledge and attitudes towards personal hygiene of reproductive organs are also poor in terms of research results. Therefore they need to be given counseling, guidance and support, so that healthy growth and development can occur so that one day these teenagers will become healthy adults physically, spiritually and socially through the formation of health cadres. This community service is carried out on street teenagers in the Community Caring for Children (KOPA) Medan Maimun. Medan city. The methods used in this activity are: 1. Health education with material on adolescent reproductive health, the dangers of free sex behavior and sexually transmitted diseases; 2. Cadre training; 3. Assistance of cadres in conducting counseling to peers (peer group). 4. Evaluation of the success of the program: post-test for outreach cadres and youth participants. The data analysis used was univariate. The number of respondents 25 people. The results showed that the majority of the Padang ethnic group (76%), junior high school education (54%), father and mother still (father 80% and mother 92%), education of 80% high school parents. The results of the questionnaire on knowledge were still there (44%) street children had not answered questions about the symptoms of HIV/AIDS. Symptoms of HIV/AIDS include fever, night sweats, continuous diarrhea, fatigue, and persistent coughing and weight loss. They also have not all answered correctly on the question of gangrene is a type of sexually transmitted infection (24%), mode of transmission of sexually transmitted diseases (20%); and HIV/AIDS can cause death (20%). This is because young children have never received this information either at school or from their parents. Researchers suggest that the KOPA manager should actively cooperate with the nearest PUSKESMAS to provide information about the dangers of free sex and sexually transmitted diseases.

Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan dan Sikap Siswa SMP Dharma Pancasila Tentang Manajemen Kesehatan Menstruasi Nur Asnah Sitohang; Cut Adeya Adella
Jurnal Riset Hesti Medan Vol 4, No 2 (2019)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Menstrual Hygiene Management (MHM) is the management of hygiene and health when women experience menstruation. The main problem in adolescents related to menstruation is the lack of knowledge about MSM and poor water sanitation. Many girls don't have the right understanding that menstruation is a normal biological process. Community service aims to improve students' knowledge and attitudes about menstrual health management. The method used is socializing; identify the state of menstrual health service facilities in schools: bathrooms, water, information; carry out bathroom renovations; provide educational media about menstrual health management in the form of posters, videos, leaflets, modules and flip sheets. Pre-test and post-test aims to identify students' knowledge and attitudes about menstrual health management. Analysis of the data used is the dependent t test. The knowledge of students before being given health education majority was in the sufficient category and thereafter increased to good. Likewise, students' attitudes increase to be positive. The statistical test results obtained mean difference of 7.72 and P Value = 0.001, it can be concluded that there is a significant effect of health education on knowledge. For attitudes the mean difference is 1.62 and the P value = 0.001, it can be concluded that there is a significant influence on health education on student attitudes. Therefore it is suggested to the school to include this topic in the subject matter. So students can apply it early and their reproductive health can be maintained.

Efektivitas Gel Ekstrak Biji Putat Air [Barringtonia racemose (L) Spreng] terhadap Penyembuhan Luka Diabetik di Perawatan Luka Asri Medan Nur Asnah Sitohang; Effendy De Lux Putra
Jurnal Riset Hesti Medan Vol 7, No 1 (2022)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v7i1.269

Diabetes mellitus (DM) is a serious chronic disease that occurs when the pancreas does not produce enough insulin (a hormone that regulates blood sugar or glucose), or when the body cannot effectively use the insulin it produces. The basic health research report (RISKESDAS), shows that the prevalence of diabetes mellitus in Indonesia is 6.9%. North Sumatra data on the prevalence of diabetes mellitus is 1.8% or around 160 thousand people. Problems that arise in patients with DM include the emergence of DM ulcers. These diabetic ulcers or wounds usually often occur on the hands or feet of the patient. The prevalence of diabetic wounds in Indonesia is around 15%, the amputation rate is 30%, the mortality rate is 32% and diabetic wounds are the most common cause of hospitalisation at 80%. A natural material that can be used as an alternative biological therapy for wound management is putat air [Barringtonia racemosa (L). Spreng]. This plant contains many saponins that are useful as anti-inflammatory, antinociceptive and help the proliferation process by increasing collagen production. The effectiveness and convenience of using putat air (B. racemosa) seed extract on diabetic wounds is improved by formulating it into a gel dosage form with carbopol 940 as the base material. This study aims to identify the effectiveness of putat air (B.racemosa) seed gel on diabetic wound healing. The research design was quasy experiment pre post design. The number of samples was 32 people. The sampling technique was total sampling. The research was conducted at Asri Wound Clinic Medan. The instrument used for diabetic wound monitoring was Bates Jonson Assessment Tool (BWAT). Data analysis using paired t test. The results of the wound assessment of respondents for 4 times with an interval of 4 days. The 4th observation showed a decrease in score. Based on the BWAT wound healing continuum, the respondents' wound conditions were still in the wound degeneration phase. The majority of the wound area < 80cm; stage 3 depth; clear wound edges, not fused with the wound bed, GOA 2-4 cm > 50%; the edge of necrosis tissue is sticky, soft and there is black false scarring (black eschar); the amount of necrosis tissue > 50% of the wound bed; the skin colour around the wound is dark red; oedematous tissue < 4mm around the wound; granulation tissue 25 and epitalisation < 25%. The statistical test results of the difference in mean 3.782 and P value = 0.001 (<0.05), it can be concluded that there is a significant difference in the wound healing scores of respondents before and after the intervention. This study proves that the gel of putat air (B. racemosa) seed extract can be used as an alternative to diabetic wound healing, especially in the inflammatory phase as auotolysis.

Pengetahuan dan Sikap Remaja tentang Mitigasi Bencana Hidrometeorologi melalui Program SABAR di Sungai Iyu Kecamatan Bendahara Aceh Tamiang Sitohang, Nur Asnah; Asiah, Nur; Oktari, Rina Suryani
Jurnal Riset Hesti Medan Vol 8, No 2 (2023): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v8i2.316

Indonesia is a country with the second largest level of disaster vulnerability in the world after Bangladesh. Almost every year disasters occur in Indonesia. Indonesia, as a disaster-prone country, must have volunteers who are able to provide services to reduce disaster risks. These volunteers have a big role in reducing the risk of disasters. Nurses in providing disaster nursing services can go through programs to increase community resilience. The natural flood disaster that Aceh Tamiang residents just experienced occurred in November 2022. Sungai Iyu Village is one of the areas affected by flooding. The location of SMP Negeri 1 was flooded to a height of 1.5 meters. So the learning process had to be stopped. People took refuge on the side of the road which was safe from flooding. There is no permanent community gathering point yet. The aim of the research is to identify the knowledge and attitudes of SMPN 1 Bendahara students regarding disaster mitigation before and after the SABAR Program training. The aim of the research is to identify the knowledge and attitudes of SMPN 1 Bendahara students regarding disaster mitigation before and after the SABAR Program training. The research design that has been used is descriptive. The sampling technique is purposive sampling. The data analysis that has been used is univariate. The majority of research results regarding adolescent knowledge before the SABAR program training was sufficient (51.4%) and good (24.3%), after training it was sufficient (27%) and good. The majority of teenagers' attitudes before the training agreed (54.1%) and strongly agreed (24.3%) and after the training agreed (51.4%) and strongly agreed (45.9%). Research proves that the SABAR training program can increase teenagers' knowledge and attitudes towards hydrometeorological disaster mitigation.

Pengaruh Pelatihan SADARI terhadap Perilaku Remaja Anak Jalanan di Komunitas Peduli Anak Jalanan (KOPA) Medan Sitohang, Nur Asnah; Asiah, Nur; Suza, Dewi Elizadiani
Jurnal Riset Hesti Medan Vol 8, No 1 (2023): Edisi Juni
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v8i1.301

Breast cancer is a malignancy of breast tissue that may arise from the epithelium of the ducts or lobules. Preventive measures by carrying out early detection by self-examination of the breast (BSE) can help find symptoms of breast cancer at an early stage so that the treatment given has high success. Street children are teenagers who are on the streets every day to get a source of life such as food, clothing and other living expenses. These adolescents are also susceptible to breast cancer if they are not given early education about breast cancer prevention. The objectives of this activity are (1) to form youth reproductive health cadres whose function is to educate and train their peers about BSE, (2) increase the knowledge and skills of street children about BSE, (3) early detection of breast cancer in street children (4) there is an immediate solution if there are adolescents who have detected symptoms of breast cancer. The activity was carried out in March 2023 at the Medan Maimun Lurah office. The research design was a quasi-experiment, the sample technique was the total sample, the number of samples was 42 people and the data analysis was the dependent t test. Health education is carried out 3 times a week with a duration of 1 hour. The material presented includes breast cancer (definition, causes, early detection, treatment and complications) and BSE (definition, purpose, benefits, tools and procedures); BSE examination training is carried out 5 times a week for 1 hour. The characteristics of the street children who participated in the activity showed that the majority of the youth were aged 16-20 years (90.47%), high school education (88.09%), Islam (90.47%) and Javanese (59.53%). The results of statistical tests on the effect of BSE training on knowledge obtained a value of P = 0.001 (<0.05) so it can be concluded that there was an effect of BSE training on adolescent knowledge, on attitudes obtained by a value of P = 0.001 (<0.05) so it can be concluded that there was an effect of BSE training on adolescent attitudes, to action obtained P value = 0.001 (< 0.05) so it can be concluded that there is an effect of BSE training on adolescent actions. This activity is proven to be able to increase the knowledge, attitudes and actions of adolescents towards BSE. Therefore it is hoped that the heads of KOPA and PUSKESMAS will carry out routine activities by empowering adolescents who have been trained.

Pengetahuan Remaja tentang Implementasi Mitigasi Bencana pada Kelompok Rentan di Kelurahan Aur Kecamatan Medan Maimun Asiah, Nur; Sitohang, Nur Asnah; Karo, Evi Indri Br; Adela, Cut Adeya
Jurnal Riset Hesti Medan Vol 8, No 2 (2023): Edisi Desember
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v8i2.317

Disaster events will have an impact on the stability of the social order. Mitigation is structural and non-structural steps taken to limit the adverse impacts caused by natural hazards, environmental damage and technological hazards. Mitigation measures in terms of their nature can be classified into 2 (two) parts, namely passive mitigation and active mitigation. Vulnerable groups in society that must receive priority during a disaster are pregnant women, mothers giving birth and babies. The impact of disasters on pregnant women is abortion and premature birth because mothers easily experience stress, both due to hormonal changes and environmental pressures around them. Children who experience a disaster feel afraid, sad and in pain because they have experienced trauma. Disasters also affect children's future growth and development. Aur village is on the banks of the Deli river which experiences major flooding every year between December and January. Meanwhile, small floods occur starting in September around 5 times every month. This flood hit Lingkungan III and IV. The number of family heads in Lingkungan III is 360 families and in Lingkungan IV is 255 families. This research aims to increase teenagers' knowledge about implementing disaster mitigation in vulnerable groups. Research design that has been use is descriptive. The sampling technique that has been used is total sampling. The number of samples was 23 people. The research data analysis that has been used is descriptive. The research results showed that the majority were 16 years old (73.3%), high school education (93.34%), parents' occupation, housewife (36.6%), source of information about the implementation of disaster mitigation through this research (66.6 %). The level of knowledge was good (47.8%), sufficient (39.1%) and poor (13%). This research proves that the health education provided can increase teenagers' knowledge about implementation of disaster mitigation for vulnerable groups.

The Effect of Cognitive Behavioral Intervention Based on Self-Management on the Ability to Control Hallucinations in People with Schizophrenia Sari, Dewi Keumala; Purba, Jenny Marlindawani; Sitohang, Nur Asnah
Jurnal Kesehatan Vol 15 No 2 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i2.4499

Hallucinations are a common symptoms found in individuals with schizophrenia. These hallucination cause people with schizophrenia (PWS) to experience difficulty in controlling themselves. This has an impact on suicidal behavior, harming other people, and destroying the surrounding environment. Therefore, a cognitive behavioral intervention based on self-management is needed as a non-pharmacological therapy to help PWS control hallucinations. This study aims to identify the effect of cognitive behavioral interventions based on self-management in people with schizophrenia. This study uses a quasy-experimental two groups pretest-posttest design. The sample consists 78 inpatient respondents with schizophrenia, divided into two groups, 39 in the intervention group and 39 in control group. Technique sample in this study using purposive sampling. Research data collection uses a questionnaire instrument for the ability to control hallucinations. The data explained used statistics, such as descriptive, dependent, and independent t-tests. The research results show that there are changes in the ability to control hallucinations in the intervention group and control group before and after self-management-based cognitive behavioral intervention (p-value=0.001). There was a difference in the ability to control hallucinations between the intervention group with the control group after cognitive behavioral intervention based on self-management (p-value= 0.013). The cognitive behavioral intervention based on self-management can be used as an effective cessation intervention to improve the ability of PWS to control hallucinations so that they can optimize their function in carrying out daily activities.

Co-Authors Adela, Cut Adeya Adela, Cut Adeya Amnita Anda Yanti Ginting Ardinata, Dedi - Barutu, Exodus Maruaba CUT ADEYA ADELLA, CUT ADEYA Dedi Ardinata Dewi Elizadiani Suza Dharmajaya, Ridha Diah Lestari Diah Lestari Nasution Dudut Tanjung Effendy De Lux Putra, Effendy De Lux Ikhwansyah Isranuri Indira Mastura Pulungan Karo, Evi Indri Br Kiking Ritarwa Kiking Ritarwan M. Harwansyah Putra Sinaga Manullang, Evi Sara Hotmauli Manurung, Romatua Juliana Maraksa, Deddy Wandra Marbun, Agnes Putri S Mula Tarigan Nasution, Diah Lestari Nasution, Diah Lestari Nu Asiah Nur Asiah Nur Asiah Nurmaini Nurmaini Nurwijayanti Oktabina, Rizki Wan Oktari, Rina Suryani Purba, Jenny Marlindawani Rimadeni, Yeni Rizaldi Nanda Wiguna Sara Hotmauli Br Manullang, Evi Saragih, Maria Uli Marselina Sari, Dewi Keumala Sari, Farida Linda Sianipar, Helpvina Lestari Sidabutar, Icceng Sinaga, M. Harwansyah Putra Sirait, Diyan Marsella Siti Cahaya Meliza Sitorus, Hotnida br. Tamba, Darwin Tanjung, Muhammad Sukri Tasrif Hamdi Wiguna, Rizaldi Nanda Yannis, Nafi

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