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Timothy Dombrowski, DO, MPHChief Medical Officer
Benehree important topics that members of Kennedy’s Medical Staff should be aware
of are featured below:
First, the 2016 data for the Acute Ischemic Stroke Program at Kennedy shows the
average time for door (arrival) to CT scan is 10 minutes and door to IV t-PA is 50
minutes. All patients (100%) who arrive at Kennedy EDs within 2 hours of symptom
onset are treated with IV t-PA within three hours of symptom onset, which meets orexceeds the standards for acute ischemic stroke protocols. The length of stay (LOS)
for stroke patients is now 4.6 days, a decrease of one day over prior LOS in 2015. Of
the 369 acute ischemic stroke patients at Kennedy’s EDs in 2016, 73 received t-PA.
The main cause for only 20% of patients receiving t-PA is patient arrival four hours
after symptom onset.
Secondly, when an inpatient case is challenging/complex, and the patient has
multiple chronic conditions, suffers from behavioral health issues, is frail or elderly,
or requires frequent re-admissions, a Complex Care Consultation can be requested
by contacting the Chief Medical Officer, Tim Dombrowski, DO, MPH, or the ChiefNurse Executive, Helene Burns, MSN, RN, NEA-BC. The CMO or CNE screens the
patients for appropriateness, identifies personnel involved in the consultation and
arranges for a meeting (or conference call) to discuss the issues. Those involved in
the consultation include medical staff, nursing, behavioral health staff, case managers,
social workers, and other appropriate individuals. The Complex Care Consultation
provides interprofessional expertise, care coordination and improved communication
early in the patient’s care to ensure effective communication and coordinated
care planning.
Lastly, the Accreditation Council for Graduate Medical Education (ACGME)announced on March 10th that residency programs can increase shift hours from
16 to 24 hours for first-year trainees, beginning in July 2017, to improve continuity
of care, clinical teamwork and the residents’ learning experiences. The maximum
number of hours any resident can log weekly remains at 80. Please see Dr. ChristopherBarone’s article on page 6 of this issue for more information about the upcoming
ACGME changes.
Thank you for your continued commitment to Kennedy.
S P R I N G 2 0 1 7
A P U B L I C A T I O N F O R T H E M E D I C A L S T A F F O F K E N N E D Y U N I V E R S I T Y H O S P I T A L
ImportantUpdates forKennedy’s
Medical Staff
NotaT
TAKE NOTE THISof
2
Dr. David Condoluci(Infectious Diseases)
has been named
Senior Vice President
and Chief Patient
Safety & Quality Officer
for Kennedy Health.
Previously, Dr. Condoluci served as Kennedy’s
Chief Patient Safety & Quality Officer. In
his new, expanded role, Dr. Condoluci is
responsible for overseeing the quality and
safety issues throughout the health care
system, including regulatory inspections
and clinical improvement initiatives.
Dr. Condoluci was also on a panel
representing Kennedy University Hospital
among New Jersey’s six other Leapfrog
Top Hospitals in February at the New Jersey
Health Care Quality Institute’s first 2017
“Quarterly Quality Breakfast.” These
gatherings bring stakeholders from diverse
health care industries together to discuss
timely health care quality issues, innovations
and improvements.
Dr. Cindy M. Hou (Infectious Diseases &
Internal Medicine) will represent Kennedy
Health and present “Everything You Ever
Wanted to Know About
Antibiotic Stewardship
in 60 Minutes” at
the 44th Annual
Association for
Professionals in
Infection Control and
Epidemiology (APIC)
Conference in Portland, OR, this June.
APIC’s annual conference brings together
nearly 5,000 health care professionals from
around the globe to network, learn, and
explore the newest products and technology
in infection prevention.
PHYSICIANnews PHYSICIAN KUDOS
Department of PsychiatryLeslie Madrak, DO Charles J. Trigiani, DO
Department of SurgeryAnesthesiologyBurhan Haleem, DOAmy R. Martz, APN-AMichelle Ann Medina, APN-A Catherine Y. Morse, APN-A Luis W. Torres Jr., APN-A Michael D. Van Fossen Jr., APN-A
Cardiothoracic Surgery Christopher C. Derivaux, MDDuane R. Monteith, MD
Cardiothoracic Vascular Surgery Joseph A. Kuchler, MD Pasquale A. Luciano, DO Clinton S. Pinkham, CRNFA
Colon Rectal Surgery William C. Cody, MD Miguel L. deLeon, MD
General DentistryKathryn M. Wooten, CDA, RDA
General Surgery Joseph P. Costabile, MD Eugene L. McEady, APN Justine Sullivan, CRNFA
Orthopedic SurgeryMark L. Wang, MD
OtorhinolaryngologyGurston G. Nyquist, MDDavid Rosen, MD
Plastics and ReconstructionMatthew P. Jenkins, MD
Vascular Surgery Constantine T. Andrew, MDYury Bak, DOCharles K. Field, MD
New Appointments
Department of Emergency Medicine Michael R. D'Ambrosio, DO Kevin T. Dwyer, DO James J. Flowers, DO
Department of Family Practice Han Nah Cho, APN Christina Mach, APN Scott Evan Spagnolo-Hye, DO (Osteopathic Sciences)
Department of Medical ImagingMohamed Sfaxi, MDDavid Shook, MD (Telemedicine)Douglas B. Tsai, MD
Department of MedicineCardiologyJohn J. Finley IV, MDJoanne D. Lyons, APN
General Internal MedicineTuba Ali, MD Lori J. Ciavaglia, APNMuhammad F. Ijaz, MDJinhee Jang, APNSoofia Kashif, MDAnne M. Pinto, APN Ana Prospero, APN Swathi Sanghi, MD
Radiation OncologyKeith Allen Meritz, MD
NephrologyMichael D. Yoslov, DO
Department of NeurosciencesNeurosurgerySonia Anand-Nichols, MD
Department of Obstetrics/Gynecology Suheil Guzman, APN, CNMSandy Nosseir, MD
Department of Pediatrics NeonatologyMichael A. Friedman, MD
Emergency MedicineInna Lee, MDSuzanne Pavlou, MD
Ruth M. Viray, MD
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Dr. Ricardo Perez(Internal Medicine)
was recently named
Kennedy’s Chief
Clinical Officer for
Accountable Care.
In his new role, Dr.
Perez will lead a team of associates assigned to
develop new payment models and work closely
with Kennedy’s Chief Financial Officer, Glenn
Zirbser, to negotiate new payment models.
Dr. Brian Smeal (Wound
Care) was recently named
Medical Director of the
Center for Advanced
Wound Care & Hyperbaric
Oxygen Therapy at
Kennedy. Board certified
by the American Board
of Surgery, he is a Certified Wound Specialist
through the American Board of Wound
Management. Dr. Smeal has treated chronic
wounds for more than 11 years, most recently
serving as Medical Director at the Center for
Wound Healing & Hyperbaric Medicine at
Trinitas Medical Center in Elizabeth, NJ.
Kennedy Physicians Awarded Honorary Status
The following Kennedy physicians were recently recognized at the
Annual Medical Staff Meeting and were awarded Honorary Status.
Congratulations to:
Gary Agia, DO Pulmonary Medicine 36 years of service
Carl Mogil, DO Orthopedic Surgery 44 years of service
William Ranieri, DO Psychiatry 43 years of service
Richard Weiss, DO Family Practice 33 years of service
Geetha Kumar, MD Psychiatry 30 years of service
Carman Ciervo, DO, FACOFP, has been named Executive Vice
President with Kennedy Health. He will also retain his title as Chief
Physician Executive at Kennedy, which he has held since 2014.
In this expanded role, Dr. Ciervo will
work directly with President & CEO
Joseph W. Devine in providing over-
sight of the multi-hospital system’s
strategic growth and initiatives in several
key areas. He will also work closely
with other Kennedy leaders and staff to
advance the organization’s mission, expand services, and continue
to expand physician services for area community members.
As a member of Kennedy’s senior leadership team since 2010,
Dr. Ciervo has played a key role in Kennedy’s continued growth
and transformation, working directly on hospital and health system
initiatives related to the employed-physician model, population
health and clinical excellence. He has also overseen the progressive
growth of the Kennedy Health Alliance’s network of primary and
specialty medical practices. Additionally, Dr. Ciervo spearheaded
the recruitment and growth of many physician subspecialty
services, and developed a strong physician leadership team,
elevating the clinical care continuum for Kennedy patients.
It was also recently announced that South Jersey Biz magazine
selected Dr. Ciervo as one of its annual “Best of Health Care”
winners. He was featured in the magazine’s March cover story,
along with this year’s other winners.
Dr. Carman Ciervo Named ExecutiveVice President at Kennedy HealthReceives Special Honor from South Jersey Biz Magazine
FOUR-TIME WINNER!Thank you for believing in Kennedy.
t’s been one recognition after another for Kennedy’s life-saving Sepsis Program! On Friday, Jan. 20, the New Jersey
Hospital Association (NJHA) presented Kennedy with the prestigious 2017 Excellence in Quality ImprovementAward at its 98th annual meeting.
The NJHA, the state’s oldest and largest health care trade association, honored several individuals and organizations for
their commitment to the state’s health care system and the patients and communities they serve. Kennedy was the only
statewide winner in the Excellence in Quality Improvement category.
In 2016, Kennedy was also named a
national “Sepsis Hero” by the Sepsis
Alliance for its impressive efforts in the
early diagnosis and treatment of this
often-deadly medical condition.
Shown at the awards ceremony are,
from left:Dr. Kelly Schiers, Kennedy – WT
ICU Medical Director; Dr. David Condoluci,Kennedy's Senior Vice President and Chief
Patient Safety & Quality Officer; Dr. CindyHou, Kennedy's Infection Control Officer;
and Marianne Kraemer, Chief Nursing
Officer at Kennedy – ST.
Nikunj Vyas, PharmD, BCPS, a Kennedy Health Clinical Pharmacy Specialist (pictured
at right) presented before the New Jersey Hospital Association (NJHA) Antimicrobial
Stewardship Learning Action Collaborative in February about the importance of using
data to drive quality improvement.
Kennedy Infection Control Officer Dr. Cindy Hou serves as Physician Champion for the
collaborative, which launched in January for acute care hospitals and long-term care facilities.
The collaborative – which also has Kennedy representation on its leadership team from Senior Vice President and
Chief Patient Safety & Quality Officer Dr. David Condoluci and Stratford Director of Nursing Marianne Kraemer– promotes and measures use of the appropriate agent, dose, duration and route of administration of antimicrobial
agents, both in acute care and post-acute care settings.
The collaborative’s overall goal is to improve quality of patient care and patient safety, while reducing excessive
costs related to inappropriate antimicrobial use, as well as working to establish antibiotic stewardship in all
hospital and post-acute care settings.
Kennedy Proudly Leads NJHA Antimicrobial Stewardship Collaborative
Sepsis Program Wins NJHA Excellence in Quality Improvement Award
I
4
Kennedy Pediatricians Shine Among South Jersey’s Best!South Jersey Magazine recently asked its readers to nominate their favorite area pediatricians – ones they relyon in times of need. Published in the February 2017 issue, 27 Kennedy Health doctorsmade the magazine’s“Best Doctors for Children” list. Congratulations to the following Kennedy physicians:
General PediatricsDr. Christopher AmatoDr. Marc BackalDr. Wendy S. CookDr. Jacqueline M. KaariDr. Lee LerchDr. Jennifer L. McHughDr. Mahbod MohazzebiDr. Jared PasternakDr. Richard C. SimmersDr. Mary K. Stailey-Sims
Pediatric & AdolescentGynecologyDr. Roberta Felsenstein
Pediatric CardiologyDr. Katharine T. Levinson
Pediatric DermatologyDr. Jonathan Winter
Pediatric Emergency MedicineDr. George F. “Trey” Katzenbach IIIDr. Adam Richards
Pediatric NeurologyDr. Adel Amer
Pediatric OphthalmologyDr. Debra Prieto
Pediatric Orthopedic SurgeryDr. Pedro BeredjiklianDr. Theodore Conliffe Jr.Dr. Peter PizzutilloDr. John P. Salvo Jr.
Dr. Mark WangDr. Michael Wolf
Pediatric Pain Management &RehabilitationDr. Debora Cummings Reeh
Pediatric Specialist: AbusedChildrenDr. Martin A. Finkel
Pediatric Specialist: Neonatal-Perinatal MedicineDr. Jane Coleman
Pediatric SurgeryDr. Rajeev Prasad
SJ Magazine also asked area physicians and readers to tell them which doctor they would recommend if their
child (under 16 years old) needed medical attention. Included in the magazine’s March 2017 issue, 22 Kennedy
Health pediatriciansmade the “Top Docs for Kids” lists. Congratulations to:
Doctors’ PicksAdolescent MedicineDr. Lori Feldman-WinterDr. Jacqueline Kaari
CardiologyDr. Terry AndersonDr. Aaron Dorfman
Child AbuseDr. Martin Finkel
Ear/Nose/ThroatDr. Ryan Walker
Emergency MedicineDr. Autumn Lane
Family PracticeDr. Joshua CorenDr. Anthony DiBona Jr.
General PediatricsDr. Tanya Kadrmas-IannuzziDr. Lee LerchDr. Mahbod Mohazzebi
NeonatologyDr. Jane Coleman
OrthopedicsDr. Peter Pizzutillo
Plastic SurgeryDr. Brooke Burkey
PsychiatryDr. Nazli Gulab
Sports MedicineDr. R. Robert FranksDr. Michael Wolf
SurgeryDr. Rajeev Prasad
Readers’ PicksCardiologyDr. Guillermo Sanchez
Family PracticeDr. Karen Calabrese
General PediatricsDr. Christopher Amato
5
6
ince 1968, the residency programs at Kennedy
have been under the auspices of the American
Osteopathic Association (AOA). Our hospitals
and graduate medical education programs were all
accredited by the AOA. Beginning in 2015, the AOA,
the American Association of Colleges of Osteopathic
Medicine (AACOM) and the Accreditation Council
for Graduate Medical Education (ACGME) signed a
memorandum of understanding to have a single
accreditation system for all graduate medical
education programs under the ACGME. By 2020, theAOA will cease accrediting residency programs.
Kennedy has begun the path to single accreditation
by first gaining institutional accreditation for
Rowan University School of Osteopathic Medicine
(RowanSOM) and Kennedy University Hospital (KUH),
effective July 1, 2015. Since then, multiple programs
have completed their application and attained
pre-accredited status. By the end of 2017, all baseresidencies will be in pre-accredited status with
site visits completed or scheduled to obtain full initial
accreditation. This move is a “sea change” for our
hospitals, physicians and other clinical staff.
The biggest impact will be how we manage coverage
today versus how we will plan coverage beginning this
summer when we must comply with the ACGME rules.
One of the biggest differences will be for first-year
residents. The term “INTERN” can no longer be used; all
first-year house staff are considered residents under
ACGME. We can no longer use our pool of first-year
house staff (61) for general house coverage. Under
ACGME standards, first-year residents can only perform
“call” in their specialty. “House coverage” as we know it
today will go away. In real numbers, it means going from
seven “interns” available each night for house coverage
in our hospitals to no more than three Internal Medicine
first-year residents available for after-hours coverage, and
ONLY for medicine patients on medical teaching services.
First-year residents in other specialties will be integrated
into their specialty call schedule. The call for second-year and above residents will largely be unchangedfrom what we have today. To fill in this enormous gap
in the type of after-hours coverage we have now, KHA is
recruiting nocturnists, and perhaps mid-level providers,
to help cover their medical patients during off hours.
As I said, this is a significant change from how we have
practiced at Kennedy for many decades. Physician andnursing education on these changes is paramount.
Daytime service coverage will also be impacted, as each
first-year resident will spend on average only two months
on services outside of their specialty. Attendings, upper-
level residents and fellows will, by necessity, become much
more involved in the day-to-day care of their patients. As
we work through more details of what service coverage
and off-hours coverage will be like, we will share this
information with you. Full engagement and cooperationfrom our medical staff is one of the key factors in oursuccessful transition to a single accreditation system
under the ACGME. Thank you in advance for your
support and participation in this important initiative.
The Transition to ACGME AccreditationBy Dr. Christopher Barone, Vice President of Medical Affairs & Graduate Medical Education
Congratulations to Kennedy’s New Medical Staff Officers
Kennedy University Hospital’s new Medical Staff Officers were elected at
the recent Annual Medical Staff Meeting in March. Henry Schuitema, DO,FACOEP, has been elected Chief of Staff; Mark Schuster, DO, has been named
Vice Chief of Staff; and Daniel Tarditi, DO, FACC, has been elected Treasurer.
All three terms are for two years. The Medical Staff Officers represent the
interests of Kennedy physicians, and work closely with administration in
strategic planning, quality improvement and other health care delivery issues.
S
Shown, from left to right, are: Dr. Schuitema, Dr. Schuster and Dr. Tarditi.
7
The Kennedy University Hospital Diabetes Health & Nutrition Wellness Centers have joined with theKennedy Health Alliance’s (KHA) Nutrition Services to form the Kennedy Nutrition Center.
This comprehensive program provides both individual and group consultation with a Registered Dietitian for children/adolescents andadults who are either referred by their physician ortaking steps on their own to improve their health.
Services at the Kennedy Nutrition Center are offered by appointment at four ambulatory hospital-based locations in Cherry Hill, Somerdale,Voorhees and Washington Township, NJ, and also on a rotating basis throughout KHA primary care, surgical, and endocrinology practices.
Administrative/operations oversight of the programis provided by Dr. Anthony Wehbe and AmandaKimmel, Kennedy’s Corporate Director of ClinicalIntegration. Clinical oversight is provided by Dr. Greg Barone and Cheri Leahy, RD, RDN, KHA’sDirector of Nutrition and Culinary Counseling.
The program promotes teamwork between the center’s physician and staff of Certified DiabetesEducators, Registered Nurses, Registered Dietitians,and Health Coaches. The entire Kennedy NutritionCenter team is committed to ensuring referring medical providers are always kept up-to-date onpatient progress.
The program provides patient support for: • Weight Loss and Maintenance• Diabetes and Pre-Diabetes• Heart Disease• Pregnancy and Nutrition• Sports Nutrition• Gastrointestinal Disorders• Eating Disorders• Oncology• Eating Disorders• Food Allergies• Healthier Eating• Bariatric Surgery
Since each client’s health needs and concerns are different, Kennedy’s Nutritional CounselingProgram provides an individual, highly personalizedplan. Nutrition instruction and recommended lifestylechanges include:• Analysis of Current Diet• Assessment of Nutritional Needs• Identification of Achievable Goals• Development of a Personalized Nutrition Plan
Kennedy's Comprehensive Diabetes EducationProgram, a component of the Kennedy NutritionCenter, has been awarded recognition by theAmerican Diabetes Association for following theNational Standards for Diabetes Self-ManagementEducation Programs.
The Kennedy Nutrition Center accepts self andphysician referrals. The program’s services are alsocovered by most health insurance plans.
For more information, please contact AmandaKimmel at (609) 238-8549.
Introducing the NewKennedy Nutrition Center
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Nearly 1,000 Kennedy Health supporters enjoyed an evening of dancing and dining at the organization’s annual fundraisinggala, held at Atlantic City’s BorgataHotel Casino & Spa on Feb. 25. The black-tie event was Kennedy’smost successful of the 21 galaevents held, raising more than $1 million for Kennedy’sNeuroscience Center, a member ofthe Jefferson Neuroscience Network.
CBS3 TV anchorman UkeeWashington served as emcee for the evening’s festivities, and entertainment was provided by pop-rock band Huey Lewis & The News. The gala’s presentingsponsor was Parsippany, NJ-basedMed-Metrix.
Huey Lewis & The News Serenades Hundreds of Guests at Kennedy’s 21st Annual Record-breaking Gala
Grammy Award-winning pop-rock bandHuey Lewis & The News performs atKennedy’s 21st annual gala, held atAtlantic City’s Borgata Hotel Casino & Spa.
Bruce Paparone, Chair of theKennedy Health Care Foundation,looks on as Michelle Gollapalli,Kennedy Health’s Vice Presidentof Development & ExecutiveDirector of the Kennedy HealthCare Foundation, addresses nearly1,000 gala audience members.
Shown, from left, are: Joseph W. Devine; Danielle Davi; Huey Lewis; and Joseph Davi,President & CEO of Med-Metrix, the 2017 gala’s presenting sponsor.
Shown, from left, are: John F. Durante, Chairman of Kennedy University Hospital’s Board of Trustees;Dr. Steven K. Klasko, President & CEO of Thomas Jefferson University and Jefferson Health; JosephW. Devine, President & CEO of Kennedy Health; Albert E. Smith, Chairman of Kennedy Health’sBoard of Directors; and Colleen Wyse, Vice President of Visit Philadelphia and Dr. Klasko’s wife.
Practicing Mindfulness Can Help Decrease PhysicianBurnout & Improve Relationships with Patients
9
By Todd Levin, DO
p to 60 percent of practicing physicians report symptoms of burnout, which can be defined as emotionalexhaustion, treating patients as objects instead of people, and a low sense of accomplishment. Burnout
can be associated with poorer quality of care, patient dissatisfaction, increased medical errors, lawsuits, and
decreased ability to express empathy. The practice of mindfulness has been shown to decrease physician
burnout. Mindfulness can be defined as paying attention, on purpose, in the present moment non-judgmentally.Nearly half of all third-year medical students report burnout and there are strong associations between burnout
and suicidal ideation.
As physicians and medical students, we need to place more emphasis on taking care of ourselves, both physically
and mentally. Mindfulness is a way we can learn to focus our mind, which results in better care of ourselves and
our patients. A 2009 study published in JAMA looked at physicians’ well-being, psychological distress, burnout,
and capacity for relating to patients,
before and after a course including
mindfulness meditation, self-awareness
exercises, narratives about meaningful
clinical experiences, appreciative
interviews, didactic material, and
discussion. Physicians demonstrated
improvements in mindfulness, burnout,
depersonalization, personal accomplish-
ment, empathy, and emotional stability
after participating in the program.1
Another study published in Annals of
Family Medicine in 2013 looked at 45
clinicians who practiced different levels
of mindfulness and correlated that with
patient-clinician communication quality
when caring for patients with HIV. High-
mindfulness clinicians were more likely to
be characterized by a patient-centered pattern of communication, displayed a more positive emotional tone
with patients, and engaged in more rapport building and discussion of psychosocial issues. Patients were more
likely to give high ratings on clinician communication and overall satisfaction with high mindfulness clinicians.2
Over the past year, we have started offering weekly group mindfulness sessions to all Kennedy associates –
including physicians and medical students – at the Washington Township campus. Each Thursday at 1 p.m.,
the 20-minute sessions are led by Lesley Williams, MSN, RN, and held in the First Floor Classroom. Please
make an effort to attend so we can all benefit from the practice of mindfulness.
1 Krasner et al. Association of an Educational Program in Mindful Communication with Burnout, Empathy, and Attitudes Among Primary Care Physicians. JAMA. 2009; 302(12): 1284.2 Beach et al. A Multicenter Study of Physician Mindfulness and Health Care Quality. Ann Fam Med 2013; 421.
U
Dr. Larry Cohen is Dancing with Cherry Hill’s Stars
Joseph W. DevinePresident & Chief Executive Officer
Carman A. Ciervo, DOExecutive Vice President & Chief
Physician ExecutiveTimothy Dombrowski, DO, MPH
Chief Medical Officer
Nota Bene is published for the Medical Staff
of Kennedy University Hospital
Medical Staff Officers:Henry Schuitema, DO
Chief of Staff
Mark Schuster, DOVice Chief of Staff
Daniel Tarditi, DOTreasurer
Michael BarattaManaging Editor(856) 566-2033
Dana EarleyConsulting Editor
Nicole PensieroConsulting Editor
1099 White Horse RoadVoorhees, NJ 08043
Tickets are on sale now to see Dr. Larry Cohen and his partner
Diane Alcavage (“Dances by Diane”) put on their dancing shoes for
the 9th Annual Dancing with the Cherry Hill Stars event!
When: Sunday, April 30Time: 7 p.m.Place: Cherry Hill High School West Auditorium
Presented by the Cherry Hill Education Foundation, proceeds from the
show support curricular and extra-curricular initiatives for the more than
11,350 children in Cherry Hill’s public schools.
Since the foundation’s 2007 launch, more than $1 million in grants and donations
have been made to fund district initiatives, with last year’s show raising $50,000.
To purchase tickets, vote for Dr. Cohen, or donate, visit:
cherryhilleducationfoundation.com/events/dancing-with-the-cherry-hill-stars
Email info@cherryhilleducationfoundation.com for more information.
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