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INDONESIA
Indonesian Journal of Medicine
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490265     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Indonesian Journal of Medicine (IJM) is an international, open-access, and double-blind peer-reviewed journal, focusing on the intersection of biomedical science, clinical medicine, and community medicine. The journal began its publication on August 20, 2015, and is published online three times yearly. It is academically designed for all physicians, health researchers, and health care professionals, regardless of their medical specialties, or type of employment.
Arjuna Subject : -
Articles 273 Documents
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Functional Outcome Evaluation of Grade III Open Tibial Fracture Treated by External Fixation as Definitive Treatment Soetjahjo, Bintang; Ermawan, Rieva; Saputra, Rhyan Darma; Hancoro, Udi Herunefi; Nugroho, Bagus Jati; Anugra, Jiva Yori
Indonesian Journal of Medicine Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2021.6.4.381

Abstract

Background: Tibial shaft fractures including open tibial fractures grade III are one of the most common fractures of long bones. There are many methods of conservative and operative treatment, one of them is external fixation. External fixation is more common used temporary in polytraumatized patients with tibial shaft fractures. The study was undertaken to see if the patient can be treated with external fixation as the definitive treatment and evaluate the functional outcome after the treatment.Subjects and Method: A retrospective review of a prospectively-collected database was performed. Data was taken from the Orthopaedic Department of RSUD Dr. Moewardi Hospital patients’ database. The study included all patients who underwent grade III open tibial fracture treatment from May 2018 to May 2019. A total of 8 patients who were included in our study were a patient with open tibial fractures grade III planned for external fixaton as definitive treatment. They were evaluated radiographically and clinically to determine the union rate. The data were reported descriptively.Results: External fixator time ranged in this study around 240 days. In this study, there were a few patients whose progress were remain unknown due to loss of contact. Fractures studied 5 out of 8, no patient were union after 8 months of external fixator used. 4 out of 8 patients were reported non-union after 8 months based on their radiological examination (50%) and 1 out of 8 patients were reported has been performed Removal of External Fixation (ROEF) after 5 months of treatment. The rest of the 3 patients’ results were remain unknown.Conclusion: Open tibial fractures grade III  of the leg can be managed with use of external fixator as a definitive treatment. However, the use of external fixation does not provide maximum results in grade III A tibial fractures.Keywords: open tibial fractures, external fixation, union, malunionCorrespondence: Bintang Soetjahjo. Dr. Moewardi General Hospital. Jl. Kolonel Sutarto 132, Jebres, Surakarta, Central Java, Indonesia. 57126. Email: bjortho@yahoo.com. Indonesian Journal of Medicine (2021), 06(04): 452-459https://doi.org/10.26911/­theijmed.2021.06.04.11
Effect of "TRISNA" Cultural Approach on Anxiety Reduction and Coping Increase in Drug Patients Adriani, Rita Benya; Sulistyowati, Endang Caturini
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.660

Abstract

Latar Belakang: Prevalensi penyalahgunaan narkoba di Provinsi Jawa Tengah relatif tinggi setelah Jawa Barat dan Jawa Timur yaitu 450.000 kasus dengan prevalensi 2,5%. Dukungan psikososial diperlukan untuk mengurangi kasus penyalahgunaan narkoba. Penelitian ini bertujuan untuk mengetahui pengaruh pendekatan budaya “Trisna” terhadap penurunan kecemasan dan peningkatan coping pada pasien program terapi rumatan metadon. Subyek dan Metode: Penelitian ini menggunakan Quasi-Experimental Design yang dilakukan di RSUD Moewardi Surakarta pada bulan Juli sampai Oktober 2017. Populasi penelitian adalah 12 pasien Program Terapi Rumatan Metadon di RSUD Moewardi Surakarta. Penelitian menggunakan teknik total sampling. Variabel independen dalam penelitian ini adalah dukungan psikososial dengan pendekatan budaya “Trisna”, sedangkan variabel dependennya adalah kecemasan dan coping. Instrumen penelitian yang digunakan dalam penelitian ini adalah kuesioner kecemasan dengan menggunakan Hamilton Anxiety Rating Scale (HARS). Analisis data dilakukan untuk mendeskripsikan karakteristik sampel. Analisis bivariat diukur dengan Independent T-Test dengan Aplikasi SPSS. Hasil: Dukungan psikososial yang cukup besar dapat menurunkan kecemasan sebelum intervensi (Mean = 24.50; SD= 20.66) dan setelah intervensi (Mean= 21.33; SD= 18.10) dan secara statistik tidak signifikan p = 0.693. Terdapat peningkatan coping pada pasien kecanduan narkoba, sebelum intervensi (Mean = 24.50; SD= 8.70) dan setelah intervensi (Mean= 25.92; SD= 8.14) dan secara statistik tidak signifikan p = 0.683. Kesimpulan: Terdapat perubahan berupa penurunan kecemasan dan peningkatan coping pada pasien program terapi rumatan metadon yang mendapatkan intervensi dukungan psikososial dengan pendekatan budaya “Trisna”. Kata Kunci: dukungan psikososial, kecemasan, coping. Korespondensi: Rita Benya Adriani, Kementerian Kesehatan Surakarta, Politeknik Kesehatan Surakarta, Jalan Letjend Sutoyo, Mojosongo, Surakarta 57127, Jawa Tengah, Indonesia. Email: benyaadriani@gmail.com. Ponsel +628122617033.
The Impact of the COVID-19 Pandemic on the Resistance Level of Mycobacterium Tuberculosis in Suspected Tuberculosis Patients at the Surakarta Central General Hospital Sutanto, Yusup Subagio; Sutanto, Magdalena; Harti, Agnes Sri
Indonesian Journal of Medicine Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2022.7.1.465

Abstract

Background: Analysis of the impact of the Covid-19 pandemic on the resistance level of Mycobacterium tuberculosis (MTb) isolates to Anti Tuberculosis Drugs (ATD) needs to be carried out considering the level of MTB resistance is an important factor in the occurrence of Multidrug-Resistant TB (MDR-TB) in Indonesia. The purpose of the study was to analyze the impact of the Covid-19 pandemic on the level of resistance of MTb isolates of patients with suspected TB in Surakarta.Subjects and Method: This research is a quantitative descriptive study with a retrospective Cohort based on the medical record data of suspected TB patients  at Surakarta Central General Hospital in 2020 – 2021. The sampling technique was random sampling with a total of 200 samples each year. Data analysis used the SPSS 21 program.Results: Characteristics of respondents with suspected TB patients who visited the Surakarta Central General Hospital in 2020 and 2021, mostly in men and occurring in productive ages 36-55 years. The most effective type of ATD against MTb isolates is Rifampicin with a mean rank of 6.00 and a p=0.035. While Ethambutol is ineffective as an ATD with a mean rank of 58.00 and a p<0.001. The results of the Wilcoxon test analysis showed  there was a significant difference in the level of resistance or sensitivity of MTb isolates in 2020 and 2021 with a p-value=0.000.Conclusion: There is a significant effect of the impact of the Covid-19 pandemic on the level of resistance or sensitivity of MTb isolates of patients with suspected TB in the Surakarta area in 2020 and 2021.Keywords: pandemic, Covid-19, resistance, MTb isolates, ATDCorrespondence: Yusup Subagio Sutanto. Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: yusupsubagiosutanto@gmail.com. Mobile: +62811284165.Indonesian Journal of Medicine (2022), 07(01): 28-38https://doi.org/10.26911/theijmed.2022.07.01.04
Hypertension Self-Care Behavior and Its Associated Factors among Patients with Hypertension Azmiardi, Akhmad; widiyanto, Aris; Atmojo, Joko Tri; Anasulfalah, Hakim; Mubarok, Ahmad Syauqi; Iswahyuni, Sri
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.649

Abstract

Background:  Hypertension is a chronic medical condition that affects millions of people worldwide and can lead to severe health complications. Hypertension self-care behavior is important in managing their condition and reducing their risk of complication. This study aimed to to determine factors that associated with self-care behavior among patients with hypertension. Subjects and Method:  This was cross-sectional study, conducted at Boyolali Regency, Central Java. A total of 122 participant are included in this study. The Independent variables were including age, sex, education level, income, and duration of hypertension. The dependent variable was Hypertension self-care behavior. The data of Hypertension self-care behavior were collected by Hypertension self-care behavior questionnaire (HSCBQ). Knowledge about hypertension was measured using a modified questionnaire of hypertension evaluation of lifestyle and management (HELM). The data were analyzed by multiple logistic regression. Results:  Age ≥ 50 years (aOR=3.76; 95%CI=1.30 to 10.50; p=0.014), higher level of education (aOR=6.06; 95%CI=1.91 to 22.85; p=0.003) higher income (aOR=2.89; 95%CI=1.07 to 7.80; p=0.035), longer duration of hypertension (aOR=3.35; 95%CI=1.13 to 9.93; p=0.029) and good knowledge of hypertension (aOR=10.56; 95%CI=3.51 to 31.71; p<0.001) were associated and statistically significant with Hypertension self-care behavior. Conclusion:  Older age, higher level of education, higher income, longer duration of hypertension and good knowledge had statistically significant association with good Hypertension self-care behavior. Keywords:  age, duration of hypertension, hypertension self-care behavior, income, knowledge, level of education. Correspondence: Akhmad Azmiardi. School of Health Science Mamba’ul ‘Ulum Surakarta. Jln. Ringroad, Mojosongo, Jebres, Surakarta, Central Java, Indonesia. Email: aazmiardi@gmail.com. Mobile: +6285245412021.  
Meta-Analysis: Effectiveness of Electroacupuncture in Reducing Anxiety and Depression Astuti, Yessy Widhi; Murti, Bhisma; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.648

Abstract

Background:  Anxiety and depression can happen to anyone, especially in patients with certain diseases. Anxiety and depression can affect activity, and reduce quality of sleep, and life. Electroacupuncture is one of the therapies with small side effects to reduce anxiety and depression and provide a sedative effect. This study aims to analyze and estimate the effectiveness of electroacupuncture therapy to reduce anxiety and depression in patients based on the results of similar studies.Subjects and Method:  This study used a systematic review and meta-analysis based on PICO, Population: Patients. Intervention: Electroacupuncture. Comparison: NonElectroacupuncture. Outcome: Decreased anxiety and depression. Data were obtained from Google Scholar, PubMed, Science Direct Hindawi, BMC, and Springer Link databases from 2010 to 2023. The search process used the keywords "electroacupuncture" AND "anxiety" OR "depression" AND "RCT". Article selection used the PRISMA flowchart and the results were analyzed using Review Manager 5.3 software.Results: 9 articles from Brazil, Spain, Hong Kong, and China with a sample size of 458 subjects were used in a meta-analysis of the effectiveness of electroacupuncture to reduce anxiety. And as many as 11 articles from Brazil, Spain, Hong Kong, and China with a sample size of 555 subjects were used for a meta-analysis of the effectiveness of electroacupuncture to reduce depression with an RCT study design. The results of the meta-analysis showed that patients who received electroacupuncture therapy intervention experienced an average of 0.68 units lower in anxiety (SMD=0.68; 95% CI= 1.04 to 0.33; p=0.001) and 0.51 units lower in depression (SMD =0.51; 95% CI= 0.86 to 0.16; p=0.004) compared to the group without electroacupuncture therapy.Conclusion:  Electroacupuncture therapy reduces anxiety and depression.Keywords:  acupuncture, electroacupuncture, anxiety, depressionCorrespondence:  Yessy Widhi Astuti, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: widhiyessy123@gmail.com. Mobile: +6285754174209.Indonesian Journal of Medicine (2023), 08(03): 295-309https://doi.org/10.26911/theijmed.2023.08.03.07
Meta-Analysis: Effect of Acupuncture Therapy in Lowering Frozen Shoulder Pain Murti, Mehdya Vikia; Prasetya, Hanung; Adriani, Rita Benya
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.646

Abstract

Background:  Acupuncture therapy has become a popular non-drug therapy with good curative effects, convenient application, non-toxic side effects, and low cost, and it has been widely used in the treatment of Frozen Shoulder. This study aims to analyze and estimate the effect of acupuncture therapy on reducing the degree of pain in Frozen shoulders. Subjects and Method:  This study used a systematic review and meta-analysis by following PICO, Population: Frozen Shoulder patients. Intervention: acupuncture therapy. Comparison: no acupuncture therapy. Result: reduction in the degree of Frozen shoulder pain. The data used was obtained from scientific research articles from electronic databases including PubMed, Google Scholar, Hindawi, BMC, Scopus, and Science Direct Randomized Control Trial (RCT) designs from 2011 to 2022 which report effect sizes with mean and SD. The keywords used in the search for scientific articles are “Acupuncture” AND “Frozen Shoulder” AND “Frozen Shoulder Pain”. The selection of articles was carried out using the PRISMA flowchart. Data were analyzed using Review Manager software version 5.4.1. Results:  A total of 9 articles with eligible RCT designs from Asia and Europe were selected for the systematic review and meta-analysis. The results of the meta-analysis showed that patients with Frozen Shoulders who received acupuncture therapy experienced a degree of pain 0.48 units lower than without acupuncture and was statistically significant (SMD= -0.48; 95% CI= -1.14 to -0.18; p=0.15). Conclusion:  Acupuncture therapy reduces the degree of Frozen Shoulder pain. Keywords:  acupuncture, pain, frozen shoulder. Correspondence: Mehdya Vikia Murti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126. Email: mehdyvikiamurti@gmail.com. Mobile: +62895363037033.
Effect of Early Warning Score on Length of Stay and Mortality of Non-Surgical Patients in the Intensive Care Room at Dr. Moewardi Hospital Surakarta Khoirunnisa, Luthfiana Nadhiifa; Arifin, Arifin; Pamungkasari, Eti Poncorini
Indonesian Journal of Medicine Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.3.653

Abstract

Background: One of the efforts to improve the quality of life and patient safety in hospitals is the use of the Early Warning Score (EWS). The purpose of this study was to analyze the effect of EWS on the length of stay and mortality of non-surgical patients in the intensive care unit of Dr. Moewardi Hospital Surakarta.Subjects and Method:  This study is an observational study conducted using a prospective cohort study. A purposive sampling study conducted on June 10 - July 10 was carried out by taking a sample of 120 non-surgical patients in the ICU of Dr. Moewardi Hopital, Surakarta with inclusion and exclusion criteria. This study chose the early warning score as the independent variable and length of stay and mortality as the dependent variable. The method of collecting data on EWS, length of stay, and mortality was using an observation sheet filled out by the researcher. This study assessed differences in baseline characteristics and outcomes using the Chi-Square test and one-way analysis of variance (ANOVA).Results:  There is a statistically significant effect of EWS on length of stay (p = 0.024). EWS also has a statistically significant effect on mortality p<0.001.Conclusion:  There is an effect of EWS on the length of stay and mortality of non-surgical patients.Keywords:  EWS, length of stay, mortality, non-surgical patients, intensive careCorrespondence:  Luthfiana Nadhiifa Khoirunnisa. Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: luthfiana@student.uns.ac.id. Mobile: +62 82111170000.Indonesian Journal of Medicine (2023), 08(03): 310-316https://doi.org/10.26911/theijmed.2023.08.03.08
Differences in Post-Operative Complaints between Patients with and without Anatomical Variations of Ostiomeatal Complex Based on CT Scan of Chronic Rhinosinusitis at Dr. Moewardi Hospital Putro, Prasetyo Sarwono; Duswanto, Yudo; Wujoso, Hari; Soewondo, Widiastuti
Indonesian Journal of Medicine Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2021.6.2.402

Abstract

Background: The ostiomeatal complex has various anomalous variants that can vary in type and number for each person. These ano­malies can contribute to the development of chronic rhinosinusitis and the accompanying symptoms. This study aims to determine the differences in post-treatment complaints between patients with and without anatomical variations of the ostiomeatal complex in chro­nic rhinosinusitis at RSUD Dr. Moewardi.Subjects and Method: A cross-sectional study was conducted in Dr. Moewardi hospital, Surakarta. A sample of 30 of chronic rhino­sinusitis patients who were subjected to a CT scan in the radiology department and surgery by an ENT-KL specialist at Dr. Moewardi, from January 2019 to June 2020, was selected for this study. The study variables were anatomical variations of ostimeatal complex and post-operative complaints. Difference of post-opera­tive complaints between chronic rhino­sinusitis patients with and without anatomical variations of ostiomeatal complex were described in frequency (n) and percent (%).Results: This study indicated that there is no difference in post-operative complaints between patients with and without anatomical variations of the ostiomeatal complex based on CT Scan of chronic rhinosinusitis (p= 0.856).Conclusion: There is no difference in post-operative complaints between patients with and without anatomical variations of the ostio­meatal complex based on CT Scans of chronic rhinosinusitis.Keywords: ostiomeatal complex, CT scan, post-operative complaintsCorrespondence: Yudo Duswanto. Department of Radiology, Dr. Moewardi Hospital, Surakarta, Indonesia. Email: yudoduswanto7@gmail.com.Indonesian Journal of Medicine (2021), 06(02): 212-219https://doi.org/10.26911/theijmed.2021.06.02.10 
Meta Analysis the Effectiveness of Acupuncture vs Sham Acupuncture on Low Back Pain Nugraha, Nurtama Aditya; Murti, Bhisma; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2021.6.3.442

Abstract

Background: Low Back Pain is pain, aches and pains that occur in the lower back area and can be local pain or radicular pain. Acupuncture is a non-pharmacological therapy that can be used as an option to treat low back pain. This study aims to examine the effectiveness of acupuncture and sham acupuncture on reducing pain in cases of low back pain.Subjects and Method: Meta-analysis was carried out with PICO as follows: The population in this study were patients with low back pain with an age range of 20-95 years. Intervention in the form of acupuncture therapy. Comparison in the form of sham acupuncture. Outcome in the form of pain scale. A meta-analysis study was applied to this study with electronic data sources Clinical Key, Google Scholar, MEDLINE/PubMed, Science Direct, Scopus, and Springer. The article used is a full-text article with a Randomized Control Trial (RCT) study design. There are 9 articles used in this study. Articles were analyzed using the Review Manager 5.3 application. The results of this study aim to determine the Standardized Mean difference (SMD) and the heterogeneity of the research sample.Results: The heterogeneity in the results of this study was I^2=79%; p < 0.001, so it was analyzed by Random Effects Model (REM). Acupuncture was more effective in reducing pain than sham/placebo acupuncture, with a statistical significance of (SMD -0.59; 95% CI = -0.88 to -0.30; p<0.001.Conclusion: Acupuncture is more effective than sham/placebo acupuncture in reducing pain scale in cases of low back pain.Keywords: Acupuncture, Sham Acupuncture, Low Back PainCorrespondence: Nurtama Aditya Nugraha. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­ta­mi 36A, Surakarta 57126, Central Java. Email: nurtamaaditya@gmail.com. Mobile: +628222­0212767.Indonesian Journal of Medicine (2021), 06(03): 336-346https://doi.org/10.26911/theijmed.2021.06.03.11 
Meta-Analysis of the Effect of Pelvic Floor Muscle Training in Reducing Urinary Incontinence and Elevating Quality of Life in Women Addini, Ragil Aidil Fitriasari; Pamungkasari, Eti Poncorini; Murti, Bhisma
Indonesian Journal of Medicine Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2021.6.3.417

Abstract

Background: Urinary incontinence is a com­plaint of involuntary loss of urine and often occurs in women due to bladder dysfunction or weakened pelvic floor muscles. Pelvic floor muscle training (PMFT) is an exercise to treat urinary incontinence. This study aimed to ana­lyze the effectiveness of pelvic floor muscle training to reduce urinary inconti­nence and improve quality of life in women.Subjects and Method: This was a systematic review and meta-analysis. The data was obtained through journal databases including PubMed, Science Direct, and Google Scholar by selecting articles published in 2010-2020. The keywords used were ("pelvic floor muscle train­ing" OR "pelvic floor exercise" OR "kegel") AND ("urinary incontinence" OR "leaking urine" OR "urinary leakage") AND ("women" OR "fe­male") AND "quality of life" AND "rando­mized controlled trial". The inclu­sion criteria were full paper articles with the Randomized Controlled Trial (RCT) research method. The size relation­ship used's of Mean SD, the intervention given was pelvic floor muscle training; female re­search subjects were 20-75 years old and ex­perienced urinary inconti­nence. Search articles were done by using the PICO model. Popu­lation= Women with urinary incontinence, In­ter­vention= pelvic floor muscle training, Com­parison= not given PMFT, and Outcome= de­creased urinary incontinence and improved quality of life. Articles were collected by using PRISMA flow diagrams and analyzed using the Revman 5.3 application.Results: Meta-analysis of 7 articles showed that pelvic floor muscle training could reduce urinary incontinence by 0.56 times higher compared to other interventions or no intervention (SMD= -0.56; 95% CI= -1.03 to -0.09; p= 0.020). Meta-analysis of 9 articles showed that pelvic floor muscle training improved quality of life by 0.32 times higher compared to other interventions or no intervention (SMD= -0.32; 95% CI= -0.66 to 0.02; p=0.070).Conclusion: Pelvic Floor Muscle Training (PMFT) reduces urinary incontinence and improves the quality of life in women.Keywords: pelvic floor muscle training, uri­nary incontinence, quality of lifeCorrespondence: Ragil Aidil Fitriasari Addini. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ragilaidilfa@gmail.com. Mobile: 0896­09133808.Indonesian Journal of Medicine (2021), 06(03): 258-270https://doi.org/10.269¬11/theijmed.2021.06.03.03 

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