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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.
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Articles 407 Documents
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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, Universitas Sebelas Maret, Indonesia

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, Universitas Sebelas Maret, Indonesia

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, Universitas Sebelas Maret, Indonesia

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, Universitas Sebelas Maret, Indonesia

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, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

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, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

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, Universitas Sebelas Maret, Indonesia

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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 
Long Covid-19, Radiological Findings, and Its Management: A Systematic Review Soewondo, Widiastuti; Putro, Prasetyo Sarwono; Hermansah, Muhamad Lukman; Lestari, Lilik; Reviono, Reviono; Harsini, Harsini; Adhiputri, Artrien
Indonesian Journal of Medicine Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: COVID-19 is a disease caused by SARS-CoV-2 and has numerous clinical spectrums. Mild respiratory infection is the common clinical manifestation of COVID-19, and the less common is pneumonia accompanied by fever, cough, and breathing difficulty. Long COVID can be defined as prolonged signs and symptoms which cannot be explained for other reasons 4 weeks after being diagnosed with SARS-CoV-2. This study aimed to describe the cause of illness is confirmed or suspected COVID-19 patients, specifically on long COVID.Subjects and Method: We performed literature searches of the latest articles with Medline, CINAHL (EBSCO), Global Health (Ovid), WHO Global Research on COVID-19 database, LitCovid and Google Scholar databases published from 2019 to 2020. Two reviewers searched all articles independently (P and W, with 7 and 10 years of experience, respectively). We conducted a systematic review to provide recent evidence of symptoms and complications in long COVID. We followed PRISMA guidelines.Results: A total of 22 papers was identified and screened for eligibility from medical databases. There were 15 papers included in this review. Reason for the continuous symptoms covid an extent of organ destruction, continuous response of chronic inflammation or immunology reaction, non-specific effect of hospital admission, some critical disease, post ICU syndrome, complications from COVID-19 infection,  morbidities and adverse effects of medications used. Common symptoms are fatigue, shortness of breath, cough, chest pain, palpitations, dizziness, arthralgia, myalgia and weakness, sleep problems, sharp pain, gastrointestinal problems, rash and hair loss, impaired balance and ataxia, neurologic problems such as dementia, concentration disorders and poor quality of life.Conclusion: The incidence of long-term manifestations of COVID-19 has been increasing and systemic clinical symptoms affect many organs and systems. This can be due to numerous reasons like post-ICU syndrome, post-viral fatigue syndrome, permanent organ deterioration or others. Correspondence: Widiastuti Soewondo. Department of Radiology, Dr. Moewardi General Hospital/ Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Indonesia. Email: widiastuti.sprad56@staff.uns.ac.idIndonesian Journal of Medicine (2021), 06(04): 387-392https://doi.org/10.26911/theijmed.2021.06.04.04
Consumption of Jelly Combination of Salacca Seed (Salacca zalacca) and Moringa Leaves Flour (Moringa oleifera) on Hemoglobin level in Female Adolescents with Moderate Anemia Wijayanti, Poppy; Dewi, Yulia Lanti Retno; Indarto, Dono
Indonesian Journal of Medicine Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Adolescent girls are at risk for iron-deficiency anemia. Various food fortifications have been developed to reduce the incidence of anemia. This study aimed to investigate the effect of consumption of jelly combined with salacca pondoh seed flour and Moringa leaf flour on hemoglobin levels in adolescent girls with moderate anemia.Subjects and Method: The Randomized Control Trial study was conducted in high schools, Banyuwangi, East Java, from August to September 2020. A total of 75 high school girls with moderate anemia were randomly divided into three groups with 25 people in each group, namely: (1) Control group (C) get a combination of 100g plain jelly, and iron tablets; (2) Treatment group 1 (T1) received 100g of jelly combined with 14.9g of salacca pondoh seed flour and 5.7g of Moringa leaf flour; and (3) Treatment group 2 (T2) received 100g of jelly which had been combined with 7.5g of salacca pondoh seed flour and 3g of Moringa leaf flour. The treatment was given twice per week for 8 weeks. The dependent variable is hemoglobin level. The independent variable was administering a combination of jelly with salacca seed flour and Moringa leaf flour. Hemoglobin data was taken by laboratory examination on days 30 and 60. Data were analyzed using One Way Anova.Results: After the intervention, the average hemoglobin levels in the three groups increased during the 30th day of observation: C (Mean= 14.68; SD= 0.75), T1 (Mean= 15.50; SD= 0.90), and T2 (Mean= 14.47; SD= 0.79). There was an average increase in hemoglobin levels in the three groups during the 60th day of observation, namely: C (Mean= 14.96; SD= 0.81), T1 (Mean= 15.20; SD= 0.78), and T2 (Mean= 14.96; SD= 0.69). On the 30th and 60th day observations, the difference in mean between the three groups was not statistically significant (p= 0.412) and (p= 0.703).Conclusion: The administration of jelly combined with salacca pondoh seed flour and Moringa leaves is effective compared to plain jelly with iron tablets in increasing Hb levels.Keywords: combination jelly, salacca seeds, moringa leaves, hemoglobin, anemia, young womenCorrespondence: Poppy Wijayanti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: popzala04@gmail.com. Mobile: +6285235925411.Indonesian Journal of Medicine (2021), 06(03): 307-314https://doi.org/10.26911/theijmed.2021.06.03.08  
Determinants of Stunting in Children Aged 12 to 60 Months in Kota Waingapu District, East Nusa Tenggara, Indonesia Manalu, Samuel Bungaran Partahi Saud; Eyanoer, Putri C
Indonesian Journal of Medicine Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stunting is a problem that is often not recognized in the community because short stature is so common and often considered normal. In Indonesia, the incidence of stunting under five is a major nutritional problem, with an average prevalence from 2015-2017 of around 36.4%. This study aimed to investigate the determinants of stunting in children aged 12 months - 60 months in the Waingapu District.Subjects and Method: This was a cross-sectional study conducted at Posyandu, Waing­apu District, in December 2020. A total of 105 samples were selected based on inclusion and exclusion criteria using non-probability conse­cutive sampling. The dependent variable was stunting. The independent variables were exclusive breastfeeding, birth weight, house­hold income, maternal education, mater­nal nutritional status, and maternal age. The data were collected by questionnaire and analyzed by Chi-square.Results: The prevalence of stunting in children aged 12 to 60 months in the Waingapu District was 24.8%. The bivariate analysis elucidated that the incidence of stunting was significantly increased by poor maternal education (OR= 3.40; 95% CI= 1.29 to 8.97; p= 0.011), poor maternal nutritional status (OR= 3.06; 95% CI= 1.05 to 8.89; p= 0.034), and low household income (p = 0.002).Conclusion: Poor maternal education, poor maternal nutritional status, and low household income significantly increase the incidence of stunting.Keywords: stunting, determinant, nutritional status, childrenCorrespondence: Samuel Bungaran Partahi Saud Manalu. Faculty of Medicine, Universitas Sumatera Utara. Email: samuel.manalu.4th@gmail.comIndonesian Journal of Medicine (2021), 06(02): 220-229https://doi.org/10.26911/theijmed.2021.06.02.11 

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