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Person-Centered Relational Care Experienced by Critical Care Nurses: An Interpretative Phenomenological Analysis Study
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Myoung Sun Jang, Sungjae Kim
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J Korean Acad Nurs 2019;49(4):423-436. Published online January 15, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.4.423
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Abstract
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- Abstract
Purpose
The aim of the study was to explore nurses’ experience of person-centered relational care in the context of critical care.
Methods
Key interview questions were developed based on the human-to-human relationship model suggested by Travelbee. Data were collected through in-depth interviews with a purposive sample of 11 nurses having more than 2 years of working experience in intensive care units. An interpretative phenomenological analysis was conducted to analyze the data.
Results
Four super-ordinate and nine sub-ordinate themes were identified. Emerged super-ordinate themes were as follows: (1) encountering a live person via patient monitoring systems; (2) deep empathic connection; (3) humanistic and compassionate care, and (4) accompanying the journey to the end. Study findings revealed that nurses in intensive care units experienced ‘balancing emotions’ and ‘authenticity’ in caring when entering human-to-human relationships with dying patients. The phenomenon of person-centered relational care in intensive care units was found to subsume intrinsic attributes of empathy, compassion, and trust, similar to the central concepts of Travelbee's theory.
Conclusion
The interpretative findings in this study provide deeper understanding of Travelbee's human-to-human relationship model. The technological environment in intensive care units did not hinder experienced nurses from forming human-to-human relationships. These themes need to be emphasized in critical care nursing education as well as in nursing management. The results of this study will contribute to understanding nurse-patient caring relationships in depth, and help improve the quality of nursing care in intensive care units.
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Citations
Citations to this article as recorded by 
- Framework of humanistic care for patients in theICU: A preliminary study
Yuchen Zhang, Li Zhao, Meng Zhang, Xiaojing Guo, Chen Xin, Yubiao Gai Nursing in Critical Care.2024; 29(1): 125. CrossRef - Exploring Healthcare Providers’ and Women’s Perspectives of Labor Companionship during Childbirth: An Interpretative Phenomenological Analysis Study
Anwar Nader AlKhunaizi, Areej Ghalib Al-Otaibi, Manal F. Alharbi, Ghareeb Bahari Healthcare.2024; 12(9): 869. CrossRef - Experience of Clinical Adaptation among Nurses in Intensive Care Unit
Jin Young Hong, Sue Kyung Sohn Journal of Korean Critical Care Nursing.2024; 17(1): 1. CrossRef - Self-reflection of a General Ward Nurses on the Experience of End-of-Life Care for a Patient who Decided to Suspend Life-sustaining Treatment: van Manen's Hermeneutic Phenomenological Approach
Hee Jung Hong Korean Journal of Adult Nursing.2023; 35(3): 273. CrossRef - The impact of family care visitation programme on patients and caregivers in the intensive care unit: A mixed methods study
Hye Jin Yoo, JaeLan Shim Journal of Clinical Nursing.2023; 32(13-14): 3797. CrossRef - Effective Teaching Behaviors of Clinical Nursing Teachers: A Qualitative Meta-Synthesis
Jian Zhang, Fenhua Zhou, Jinxia Jiang, Xia Duan, Xin Yang Frontiers in Public Health.2022;[Epub] CrossRef - Nurse Spiritual Care Therapeutics Scale
Kyung-Ah Kang, Elizabeth Johnston Taylor, Jiyoung Chun Journal of Hospice & Palliative Nursing.2022; 24(6): E250. CrossRef - Person-centred care among intensive care unit nurses: A cross-sectional study
Hyuna Youn, Miyoung Lee, Sun Joo Jang Intensive and Critical Care Nursing.2022; 73: 103293. CrossRef - The Effect of a Multifaceted Family Participation Program in an Adult Cardiovascular Surgery ICU*
Hye Jin Yoo, JaeLan Shim Critical Care Medicine.2021; 49(1): 38. CrossRef - Conceptualization of Person-Centered Care in Korean Nursing Literature: A Scoping Review
Ji Yea Lee, Sewon Lee, Eui Geum Oh Korean Journal of Adult Nursing.2020; 32(4): 354. CrossRef - Critical care nurses’ communication experiences with patients and families in an intensive care unit: A qualitative study
Hye Jin Yoo, Oak Bun Lim, Jae Lan Shim, Liza Heslop PLOS ONE.2020; 15(7): e0235694. CrossRef
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Effects of a Relapse Prevention Program on Insight, Empowerment and Treatment Adherence in Patients with Schizophrenia
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Jaewon Joung, Sungjae Kim
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J Korean Acad Nurs 2017;47(2):188-198. Published online April 28, 2017
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DOI: https://doi.org/10.4040/jkan.2017.47.2.188
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Abstract
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Purpose
The purpose of this study was to develop a relapse prevention program (RPP) and examine the effects of the RPP on insight, empowerment, and treatment adherence in patients with schizophrenia.
Methods
A non-equivalent control group pretest-posttest design was used. Participants were 54 inpatients who had a diagnosis of schizophrenia (experimental group: 26, control group: 28). The study was carried out from February 7, 2012 to February 6, 2013. Over a 10-day period prior to discharge each participant in the experimental group received three one-hour sessions of RPP a one-to-one patient-nurse interaction. Data were collected using Assess Unawareness of Mental Disorder (SUMD), Empowerment Scale, and Insight and Treatment Attitude Questionnaire (ITAQ) and analyzed using PASW 18.0 with chi-square test, independent t-test, Mann-Whitney U test, and ANCOVA.
Results
The experimental group had a significant increase in insight and treatment adherence compared to the control group. However, there was no significant difference in empowerment between the two groups.
Conclusion
Findings indicate that the RPP for patients with schizophrenia was effective in improving insight and treatment adherence. A longitudinal study is needed to confirm the persistence of these effects of RPP in patients with schizophrenia.
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Citations
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- Effects of a nonviolent communication-based anger management program on psychiatric inpatients
Jiyeon Kim, Sungjae Kim Archives of Psychiatric Nursing.2022; 41: 87. CrossRef - Effects of Adherence to Pharmacological Treatment on the Recovery of Patients with Schizophrenia
Alejandra Caqueo-Urízar, Alfonso Urzúa, Patricio Mena-Chamorro, Josefa Bravo de la Fuente Healthcare.2021; 9(9): 1230. CrossRef - Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia
Jae Woon Lee, Hyun Sook Park Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(4): 342. CrossRef - Effects of an Empowerment Program for Patients with Schizophrenia
Ju Hyun Woo, Ji Hye Jang, Jeong Hee Cho Journal of Korean Academy of Psychiatric and Mental Health Nursing.2018; 27(2): 123. CrossRef - The Effects of Group Motivational Interviewing Compliance Therapy on Drug Attitude, Medicine Application Self-efficacy and Medicine Application in Psychiatric Patients
Dawoon Lee, Sungjae Kim Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(4): 391. CrossRef
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Recognizing the Two Faces of Gambling: The Lived Experiences of Korean Women Gamblers
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Sungjae Kim, Wooksoo Kim, Suzanne S. Dickerson
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J Korean Acad Nurs 2016;46(5):753-765. Published online October 31, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.5.753
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Abstract
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Purpose
The aim of this study was to explore the lived experiences of women problem gamblers, focusing on the meaning of gambling to them, how and why these women continue to gamble or stop gambling, and their needs and concerns. In order to effectively help women problem gamblers, practical in-depth knowledge is necessary to develop intervention programs for prevention, treatment, and recovery among women problem gamblers.
Methods
The hermeneutic phenomenology approach was used to guide in-depth interviews and team interpretation of data. Sixteen women gamblers who chose to live in the casino area were recruited through snowball sampling with help from a counseling center. Participants were individually interviewed from February to April 2013 and asked to tell their stories of gambling. Transcribed interviews provided data for interpretive analysis.
Results
In the study analysis one constitutive pattern was identified: moving beyond addiction by recognizing the two faces of gambling in their life. Four related themes emerged in the analysis-gambling as alluring; gambling as 'ugly'; living in contradictions; and moving beyond.
Conclusion
Loneliness and isolation play a critical role in gambling experiences of women gamblers in Korea. In other words, they are motivated to gamble in order to escape from loneliness, to stop gambling for fear of being lonely as they get older, and to stay in the casnio area so as not to be alone. The need for acceptance is one fo the important factors that should be considered in developing intervention program for women.
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Citations
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- Association Between Gambling Motives, Violence and Early Maladaptive Schemas in Women with Gambling Disorder
A. Estévez, P. Jauregui, J. Momeñe, L. Macía Journal of Gambling Studies.2024; 40(3): 1701. CrossRef - Asian perspectives on personal recovery in mental health: a scoping review
Jonathan Han Loong Kuek, Toby Raeburn, Timothy Wand Journal of Mental Health.2023; 32(2): 517. CrossRef - Qualitative Descriptive Study of Illegal Behaviors among Those with Gambling Disorder in South Korea: Their Efforts for Recovery and Role of Mental Health Care Providers
Soojeong Kim, Jane Dimmitt Champion Issues in Mental Health Nursing.2022; 43(3): 265. CrossRef
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Psychometric Properties of Korean Minimal Insomnia Screening Scale
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Inja Kim, Sungjae Kim, Beomjong Kim, Heejung Choi
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J Korean Acad Nurs 2012;42(6):853-860. Published online December 31, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.6.853
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Abstract
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Purpose
The purposes of this study were to develop a Minimal Insomnia Screening Scale for Korean adults (KMISS) and to evaluate psychometric properties and discriminant ability of the developed scale.
Methods
Data from a cross-sectional survey of 959 Korean adults were analyzed to develop the summated insomnia scale, which was evaluated in terms of reliability, validity, and discriminant ability by receiver operating characteristics (ROC) curve analysis.
Results
Item-total correlations ranged between .71-.79 and Cronbach's α was .87. Adequate validity was also evident. ROC-curve analysis showed area under ROC was .87 (95% CI: .84-.90) and identified the optimal cut-off score as ≤ 20 (sensitivity, .83; specificity, .75; positive/negative predictive values, .40/.95). Using this cut-off score, the prevalence of insomnia in the study sample was 26.3% and most frequent among women and the oldest group.
Conclusion
Data supports the psychometric properties of KMISS as a possible insomnia screening instrument. KMISS also shows promise as a convenient ultra-short screening measure of insomnia for adults and epidemiological studies in community health care settings.
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- Assessing Sleep Quality Using Mobile EMAs: Opportunities, Practical Consideration, and Challenges
Jiyoun Lim, Chi Yoon Jeong, Jeong Muk Lim, Seungeun Chung, Gague Kim, Kyoung Ju Noh, Hyuntae Jeong IEEE Access.2022; 10: 2063. CrossRef - Factors that Influence Sleep among Residents in Long-Term Care Facilities
Da Eun Kim, Ju Young Yoon International Journal of Environmental Research and Public Health.2020; 17(6): 1889. CrossRef - Psychometric Properties of the Korean Versions of Three Sleep Evaluation Questionnaires
Heejung Choi, Sungjae Kim, Beomjong Kim, Inja Kim Clinical Nursing Research.2015; 24(5): 526. CrossRef - Prevalence and Risk Factors of Sleep Disturbance in Community Dwelling Adults in Korea
Heejung Choi, Beomjong Kim, Inja Kim Korean Journal of Adult Nursing.2013; 25(2): 183. CrossRef
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A Proposal to Improve Nursing Fee Differentiation Policy for General Hospitals Using Profitability-Analysis in the National Health Insurance
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Sungjae Kim, Jinhyun Kim
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J Korean Acad Nurs 2012;42(3):351-360. Published online June 29, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.3.351
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Abstract
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Purpose
The purpose of this study was to propose optimal hospitalization fees for nurse staffing levels and to improve the current nursing fee policy.
Methods
A break-even analysis was used to evaluate the impact of a nursing fee policy on hospital's financial performance. Variables considered included the number of beds, bed occupancy rate, annual total patient days, hospitalization fees for nurse staffing levels, the initial annual nurses' salary, and the ratio of overhead costs to nursing labor costs. Data were collected as secondary data from annual reports of the Hospital Nursing Association and national health insurance.
Results
The hospitalization fees according to nurse staffing levels in general hospitals are required to sustain or decrease in grades 1, 2, 3, 4, and 7, and increase in grades 5 and 6. It is suggested that the range between grade 2 and 3 be sustained at the current level, the range between grade 4 and 5 be widen or merged into one, and the range between grade 6 and 7 be divided into several grades.
Conclusion
Readjusting hospitalization fees for nurse staffing level will improve nurse-patient ratio and enhance the quality of nursing care in hospitals. Follow-up studies including tertiary hospitals and small hospitals are recommended.
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Citations
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- Impact evaluation of nurse staffing policy reform in Korea: A quasi‐experimental study
Jinseon Yi, Jinhyun Kim Journal of Nursing Management.2022; 30(7): 3457. CrossRef - Improvement Plan of Nurse Staffing Standards in Korea
Sujin Shin, Jong Duck Park, Juh Hyun Shin Asian Nursing Research.2020; 14(2): 57. CrossRef - An Empirical Analysis of Costs related to Nursing Practice
Yu Kyung Ko, Bo-Hyun Park Journal of Korean Academy of Nursing Administration.2017; 23(2): 139. CrossRef - Study on Factors Associated with the Rise in Grade of Nursing Management Fee among Korean Hospitals
Hyun-Min Choi, Nam-Kyung Han, Sang-Kyu Lee, Han-Sung Kim, Sungkyoung Choi, Woojin Chung Health Policy and Management.2015; 25(1): 40. CrossRef - Financial Projection of the Nursing Fee Differentiation Policy Improvement Proposal in the National Health Insurance: Using a Break-even Analysis Model for the Optimal Nursing Fee
Sungjae Kim, Jinhyun Kim Journal of Korean Academy of Nursing Administration.2013; 19(5): 565. CrossRef
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Healing Effects of the Forest Experience on Alcoholics
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Jingyung Cha, Sungjae Kim
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J Korean Acad Nurs 2009;39(3):338-348. Published online June 29, 2009
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DOI: https://doi.org/10.4040/jkan.2009.39.3.338
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Abstract
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Purpose
The purpose of this study was to explore and describe healing effects of the forest on alcoholics through a forest experience program.
Methods
The qualitative data was gathered from one focus group discussion with 6 alcoholics and individual interviews with 8 alcoholics. They had all participated in a "healing forest" program. All interviews were recorded and transcribed according to thematic content analysis processes.
Results
The four main themes on the attributes of forest were "a lively living being", "placidity and tranquility", "acceptive atmosphere", and "beautifulness as it is" which revealed the participants' perceived nature of the forest which was attributed to the healing effects. Eight other themes on participants' positive changes included "revived senses", "aspired to live", "relieved and relaxed from being tense", "gaining insight on self", "having an acceptive attitude", "becoming compliant with his/her life", "learning that life is being together" and "recognizing the value of one's existence".
Conclusion
The findings of the study illustrated the participants' self-healing processes through interactions with the nature of the forest. Nursing interventions utilizing healing atmospheres such as "healing forest" programs can be considered helpful in providing a venue to alcoholics to reflect on their lives affirmatively.
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Paul H. Gobster, Courtney L. Schultz, Linda E. Kruger, John R. Henderson Forests.2022; 13(10): 1613. CrossRef - Effects of an Urban Forest-Based Health Promotion Program on Children Living in Group Homes
Min Kyung Song, Kyung-Sook Bang, Sungjae Kim, Gumhee Lee, Yeseul Jeong Journal of Psychosocial Nursing and Mental Health Services.2020; 58(6): 18. CrossRef - Environmental influence in the forested area toward human health: incorporating the ecological environment into art psychotherapy
Ju-hyoung Lee, Ji-sook Park, Sunnam Choi Journal of Mountain Science.2020; 17(4): 992. CrossRef - The Effects of the Forest Environment on Internet Addition Treatment
Chang-Hong Oh, Sang-Gyu Park, Jung-Hwan Park, In-Ja Oh Journal of the Korea Academia-Industrial cooperation Society.2016; 17(4): 489. CrossRef - A Study on the Development of Forest Healing Village Based on the Survey on the Stakeholder Perception
Mi-Ae Jeong, Jeong-Weon Seo Journal of Korean Society of Rural Planning.2016; 22(3): 11. CrossRef - Physiological and Psychological Effects of Walking Around and Viewing a Lake in a Forest Environment
Chorong Song Journal of Korean Forest Society.2015; 104(1): 140. CrossRef - Concept Analysis of Healing: Focusing on Patient Health related Literatures
Jiyoung Kim, Nayeon Shin Asian Oncology Nursing.2015; 15(1): 51. CrossRef - Comparing the Current Health Status and Health Behaviors of Residents from Urban and Forested Areas
Insook Lee, Kowoon Lee, Sung Jae Kim, Kyung Sook Bang, Hee Seung Choi Perspectives in Nursing Science.2015; 12(1): 14. CrossRef - An Analysis of Health Promotion Programs Utilizing Forests based on Korea's Regional Healthcare Program Plans
Insook Lee, Sungjae Kim, Kyung-Sook Bang, Heeseung Choi, Chinkang Ko, Jieun Kim, Sunyoung Kim Perspectives in Nursing Science.2014; 11(1): 10. CrossRef - The Effectiveness of a Forest-experience-integration Intervention for Community Dwelling Cancer Patients' Depression and Resilience
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Cervical Cancer Screening in Korean American Women: Findings from Focus Group Interviews
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Hooja Kim, Kyung Ja Lee, Sun Ock Lee, Sungjae Kim
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Journal of Korean Academy of Nursing 2004;34(4):617-624. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.4.617
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Abstract
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Purpose
Korean American women have twice the rate of cervical cancer than white women and demonstrate low rates in participation in cervical cancer screening. This study was to describe the perceptions about cervical cancer and factors related to cervical cancer screening among Korean American women.
Method
Focus group methods.
Results
Five themes emerged. First, knowledge about cervical cancer; misconceptions about cervical cancer, its causes, reproductive anatomy and the treatment Second, perceived meanings of having cervical cancer; most of the women felt that cervical cancer represented a loss of femininity and existential value of womanhood. Third, knowledge about cervical cancer screening ; regular medical check-ups were necessary for early detection and prevention of cervical cancer. Forth, experiences and perceived meanings of cervical cancer screening; the participants expressed their feelings; embarrassment, fear, shame and shyness. Fifth, practices of cervical cancer screening; various intervals in participating in cervical cancer screening. But they mentioned several deterrents, language, insurance, time constraint, embarrassment, fear of the screening results, misbelief about susceptibility, lack of health prevention behavior, and lack of information written in Korean.
Conclusion
Results emphasize the critical need for culturally appropriate health education to encourage participation of Korean American women in cervical cancer screening.
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Fatma Ersin, Zuhal Bahar Asian Pacific Journal of Cancer Prevention.2013; 14(9): 4977. CrossRef - Korean Americans' Beliefs about Colorectal Cancer Screening
Shin-Young Lee, Eunice E. Lee Asian Nursing Research.2013; 7(2): 45. CrossRef - Age-Related Differences in Health Beliefs Regarding Cervical Cancer Screening Among Korean American Women
Eunice E. Lee, Young Eun, Shin-Young Lee, Karabi Nandy Journal of Transcultural Nursing.2012; 23(3): 237. CrossRef - Psychometric Evaluation of Uterine Cervical Cancer Screening Embarrassment Questionnaire among Korean Women: Complementary Use of Rasch Model
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