Hundreds of forms cause delays, pain and suffering to patients waiting for relief

 

SPRINGFIELD, IL -- February 3, 2014 - Cancer patients waiting in pain for relief ... quality of life being compromised ... these are just a few of the concerns legislators will hear Wednesday, February 5th when the Illinois House Human Services Committee takes up a bill designed to standardize the hundreds of different forms used by insurance companies to authorize medical treatment.

Health advocacy organizations from around the state are urging the Illinois General Assembly to support House Bill 3638 sponsored by Rep. Laura Fine (D-Glenview) and Senate Bill 2585 sponsored by Senator Dan Kotowski (D-Park Ridge) and Senator Mattie Hunter (D-Chicago) to ensure prompt patient access to life-saving medications by streamlining the prior authorization process in the state - a process where patients must wait until the insurance company approves the use of a medication recommended by their physician. It has meant mounds of paperwork for doctors and nurses, and days, even weeks, of delays for patients seeking critical care.

According to a 2010 American Medical Association survey on prior authorization, physicians and staff spend about 20 hours per week on average dealing with prior authorizations. In Illinois alone, there are more than 300 different forms used by various insurance companies for prior authorization, which according to health care providers, is causing alarming, even dangerous delays in access to medication.

"The prior authorization process can absolutely have an impact on the health of our patients," said Nancy Leone, a registered nurse in Antioch. "Recently, a patient needed a specific type of chemotherapy for abdominal cancer. It was denied by the insurance company, and then it took about a month of waiting and back and forth before the patient was finally approved and could receive it."

At least 20 Illinois health advocacy organizations, representing tens of thousands of patients, have sent a letter to the Illinois General Assembly supporting HB 3638 and SB 2585 and stating, in part:

 

Standardization of prior authorization should be part of Illinois' efforts to improve health care and reduce costs, as it has clear implications for improved efficiency and enhanced patient outcomes. As organizations that represent a wide variety of patients, we urge you to support legislation that would standardize the state's prior authorization system.

 

Organizations include :

AIDS Foundation of Chicago

American Cancer Society-Cancer Action Network

American Heart Association/American Stroke Association

American Lung Association of Illinois

American Nurses Association of Illinois

Chicago Hispanic Health Coalition

Epilepsy Foundation of Chicago

Epilepsy Foundation of North Central Illinois, Iowa and Nebraska

Epilepsy Foundation of Greater Southern Illinois

Epilepsy Therapy Project

Gateway Hemophilia Association

Gilda's Club of Chicago

Illinois African American Coalition for Prevention

Illinois Psychiatric Society

Illinois Rural Health Association

Illinois Society for Advance Practice Nursing

Leukemia and Lymphoma Society-Gateway Chapter

Leukemia Lymphoma Society of Illinois

Lupus Foundation of America-Illinois Chapter

Mental Health America of Illinois

NAMI Greater Chicago
State Pain Policy Action Network

"There have been times when I've had to wait for up to three weeksafter requesting my prescriptions, because the doctor must fill out any number of forms and wait for approval from the insurance company," said Columbia resident and arthritis sufferer Kim Kitowski. "Access to medication is critical to my ability to go to work, care for my twin boys - live my day-to-day life."

HB 3638 and SB 2585 would amend the Illinois Public Aid Code and the Illinois Insurance Code and require the Department of Healthcare and Family Services and the Department of Insurance to jointly develop a uniform prior authorization form for prescription drug benefits on or before July 1, 2014.

"Pain remains one of the most feared and burdensome symptoms for cancer patients and survivors, and waiting for prior authorization approval can have significant negative impacts on a patient's treatment and quality of life," said Heather Eagleton, director of public policy & government relations of the American Cancer Society-Cancer Action Network. "When a person has a disease like cancer, they need to be focusing on getting better and fighting the disease, not administrative barriers to care."

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New York, NY (January 30, 2014)- As the temperature drops and winter lingers, women are seeking ways to warm up their dull winter skin. Taking a note from Hollywood A-listers, many are abandoning the fake-baked looks achieved from UV tanning in favor of a more natural glow. This is an important and timely shift, as research shows that melanoma incidence among young women ages 18-39 has jumped an alarming 800 percent in the past 40 years1. Additionally, there is evidence showing that just one indoor tanning session increases users' chances of developing melanoma by 20 percent, and each additional session during the same year boosts the risk almost another two percent2.

 

This new trend of natural radiance means having youthful and refreshed skin, not wrinkles, age spots and a leathery appearance. "A glowing skin tone can be achieved through a healthy skincare and sun protection regimen," said Skin Cancer Foundation spokesperson Amy Forman Taub, MD. "Adopting sun safety is a great way to keep your skin looking youthful, and will help prevent future sun damage, which often presents itself in the form of premature skin aging."

 

To help brighten winter skin, Dr. Taub and The Skin Cancer Foundation offer these tips:

 

Protect Against Sun Damage

Sun protection is a crucial tool in the battle against premature skin aging. More than 90 percent of the visible changes commonly attributed to skin aging are caused by the sun. Since UV damage is cumulative over a lifetime, it is something to be concerned about on a daily basis. The Skin Cancer Foundation recommends adopting a complete sun protection regimen that includes seeking shade, covering up with clothing (including a wide-brimmed hat and UV-blocking sunglasses) and wearing sunscreen daily with an SPF of 15 or higher, applying about one ounce (a shot glass full) to all exposed areas.

 

Shimmer Like a Pro

A proper skincare regimen is essential when working toward a healthy, glowing complexion. Follow this routine to help achieve glowing skin:

1. Start with a Morning Cleanse­-- Glowing skin starts with proper cleansing in the morning, and remember- it doesn't have to lather or foam to work. Many cleansing cloths, for instance, don't lather, yet take all the effort out of face washing.
2. Smooth on a Serum-- If using a serum, try one with Vitamin C, which has anti-aging benefits.
3. Apply Moisturizer with Sunscreen-- Next, reach for a moisturizer with an SPF of 15 or higher.

4. Prime the Skin­-- A primer creates a smooth canvas for makeup.

 

Go With Your Own Glow

Through The Skin Cancer Foundation's Go With Your Own Glow™ campaign, the Foundation strongly advocates embracing one's natural skin tone. The campaign encourages women to love and protect their skin, whatever its natural hue. For those who can't resist the bronzed look but won't sacrifice their health to achieve it, consider sunless (UV-free) tanners. They are available in many different formulations, including creams, lotions, gels, pump sprays, aerosols and wipes.
1.  Reed KB, Brewer JD, Lohse CM, Bringe KE, Pruit CN, Gibson LE. Increasing Incidence of Melanoma Among Young Adults: An Epidemiological Study in Olmsted County, Minnesota.
Mayo Clinic Proceedings 2012; 87(4):328-334.

 

2. Boniol M, Autier P, Boyle P, Gandini S. Cutaneous melanoma attributable to sunbed use: systematic review and meta-analysis. BMJ 2012; 345:e4757. doi: 10.1136/bmj.e4757

 

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About The Skin Cancer Foundation
The Skin Cancer Foundation is the only global organization solely devoted to the prevention, early detection and treatment of skin cancer. The mission of the Foundation is to decrease the incidence of skin cancer through public and professional education and research. Since its inception in 1979, the Foundation has recommended following a complete sun protection regimen that includes seeking shade and covering up with clothing, including a wide-brimmed hat and UV-blocking sunglasses, in addition to daily sunscreen use. For more information, visit SkinCancer.org.

 

Eating a well-planned, balanced mix of foods every day has many health benefits for older adults. Research shows that smart food choices can help reduce risk of chronic diseases like heart disease, diabetes, and osteoporosis.

The National Institute on Aging, part of the National Institutes of Health, now offers an engaging online nutrition resource, What's On Your Plate? Smart Food Choices for Healthy Aging. 

Explore What's On Your Plate? for reliable information based on scientific research, including:

  • ·         recommended eating plans
  • ·         how to shop for food that's good for you, even on a tight budget
  • ·         food safety
  • ·         practical tips to help older adults lead healthy lives

You can also print the resources to use on-the-go or to share with others. Visitwww.nia.nih.gov/health/publication/whats-your-plate today!

The National Institute on Aging offers a wealth of information on healthy aging. Subscribe to get regular updates.

Physican Shares 4 Tips for Enjoying Life to the Fullest

Have you ever felt like you need an upgrade on your life? Most of us have - and there's a way to get it, says veteran physician Sanjay Jain.

"First, I tell people, 'Don't be afraid of making your life clearer.' Many argue that life is not simple and, therefore, there are no easy answers, but as we have paraphrased from Chinese philosopher Laozi, 'The journey of a thousand miles begins with the first step,' " says Jain, whose specialties include integrative medicine. He's also an international speaker and author of Optimal Living 360 - available February 2014 (www.sanjayjainmd.com).

"Lives are built from many small components which, when viewed as an assembled whole, can appear overwhelmingly complex," Jain says. "But when we break them down and consider the pieces as we make decisions in our lives, it's much easier to see how small adjustments can result in a better return on all of the investments we make - not only in health, but in relationships, finances, and all the other essential aspects of our lives."

Jain offers four points to keep in mind as you start the journey.

• Life is short, so live it to its fullest potential. Live it optimally. This is your life, so don't waste its most precious resource - time. No matter one's spiritual leanings, economic and education status, health, intelligence level, etc. - one thing is true for all: Our time on Earth is finite. There will be a time for most of us when, perhaps after a frightening diagnosis from a doctor, we reflect deeply upon our time and consider the most important moments, and all the time that may have been squandered.

• Balance is key. Too much or too little of something, no matter how good, is actually not good. Balance is one of the easiest tenets to understand, but arguably the most difficult to maintain. Obviously, too much alcohol is bad; then again, there are some health benefits to moderately imbibing red wine. What about too much of a good thing; can a mother love her children too much? Yes, if she is an overprotective "helicopter parent." The best antidote to overkill of anything is awareness; try to be aware of all measures in your life.

• Learn to tap your strengths and improve upon your weaknesses. Engaging your strengths at work and in your personal life is important. When we do what we're good at and what comes easily, we feel self-confident and satisfied. Some people, however, are not in jobs that utilize their strengths, or they don't put their talents to work at home because they're mired in the prosaic work of living. It's important to identify your strengths and find ways to engage them. It's equally important to recognize our weaknesses and work on improving them (because we can!) This is essential for achieving balance.

• Life is about making the right choices. Integrative decision-making makes this easier. There are many different types of decision-making, including systematic, hierarchal, impulsive, decisive and flexible. Integrative decision-making can be used for problems large and small, and includes the following process: 1. Define the problem. 2. Frame the problem. 3. Develop all your options. 4. Analyze your options. 5. Make the decision. 6. Execute your decision. 7. Debrief yourself. While experts may be the best consultants for compartmentalized areas of your life, only you know the other aspects that affect your well-being and can determine how a decision in one area will affect another area.

About Sanjay Jain, MD, MBA: Sanjay Jain is a U.S.-trained physician with certifications in Diagnostic Radiology, Integrative Medicine, and Healthcare Quality and Management and more than 15 years of clinical experience. He graduated from Northeastern Ohio Universities College of Medicine and The Ohio State University, where he earned a master's in business administration. This unique blend and perspective has made him a highly sought after domestic and international speaker. He remains actively involved with many medical organizations at both the local and national levels.

Ruth Fenner Barash's new book, "For Better or Worse: Lurching from Crisis to Crisis in America's Medical Morass," reveals a medical system gone haywire, a system that's become a nightmare for sick and elderly Americans and their loved ones.

Her cautionary tale traces the long death of her husband, Philip, through a medical journey she says was fraught with mismanagement and excess, useless interventions and a sometimes complete disregard for pain - even when there was no hope of healing.

The Barashes were a long-married couple who tried to keep their heads above the quicksand of illness. Amidst the welter of statistics and cost analyses, their ordeal is a critical and moving look at a medical system that prioritizes itself above its patients.

Barash shares the deeply personal story of a man who, not through his own choice, overused the medical system, resulting in a long, slow death. She laments the state of our wildly expensive MD/hospital/Big Pharma complex, which all too often creates additional suffering for patients and their families.

"Patients and their loved ones cannot blindly turn themselves over to this massive, technology-based system and trust that it will care - or take care of them," says Barash, who adds that she had always expected much more from America's medical system.

"We did experience some wonderful health-care professionals - brilliant, compassionate and helpful doctors and nurses - but they were not the rule. I learned a great deal from our experience, and with so many people now gaining access to health care, I want others to benefit from what I've learned.

"You can navigate the system; you just have to know how. Above all, you have the power to say No."

Each one of us has a stake in advocating for a better health-care system; one that puts the emphasis on the patient and not gratuitous tests, mysterious technology or complicated insurance plans, she says. Until we get to that point as a nation, she says there are many things patients and their families can do to improve the medical experience, including avoiding the emergency room whenever possible, being skeptical and questioning everything, and asking about the costs - no matter who's paying.

About Ruth Fenner Barash

Ruth Fenner Barash studied philosophy at City College of New York and did graduate work at the University of Chicago. In 1958, she met and married Philip Barash, a private practice attorney. She went on to work in public relations and real estate, served on education and civic boards, and taught art in various media. Her long marriage was a "harmonious adventure" despite the couple's treacherous journey through the health-care system. Her husband died in 2012.

JOIN OUR WEBCAST

Ever wonder when food, something seemingly so basic, became such a challenge to understand? We feel that way too, so when the news about a trans fat ban hit our radar, we reached out to the experts for some straight talk on the subject.

Now, we're bringing food experts Toby Amidor, Joy Dubost, Carolyn O'Neil and Jennifer Seymour to you in our Trans Fats: Moving off the Label webcast.

Join us on Tuesday, Feb. 11 from 2-3 p.m. CSTto get the facts about trans fats with straight talk and some humor from four experts who know and love food.

The Center For Food Integrity

Best Food Facts is administered by The Center for Food Integrity (CFI). CFI seeks to share accurate, balanced information and correct misinformation to address issues that are important to consumers. Visit the CFI website here.

Is Your Inner Child Keeping You Trapped in a Bad Relationship?

5 Questions to Ask Yourself; The Answers May Help Set You Free

It happens when we see politicians repeatedly make the same self-destructive mistakes - think former legislator Anthony Weiner's repeated sexting scandals.

Or we hear friends complain repeatedly about the horrible job they're "stuck" in.

Or, in a rare glimmer of insight, we wonder why we're still hanging on to a "romance" that makes us miserable.

"When people seem mentally healthy and it looks like they could easily make a change that would make them happier, we're absolutely baffled by why they don't," says Steven Jay Fogel (www.StevenJayFogel.com), author of the new book Your Mind Is What Your Brain Does for a Living (March 2014).

When you're the "stuck" person, the why may seem more evident: You're scared, or you think, "If I just keep doing the right things, it will all work out."

Either way, it's likely they?and you?aren't making a conscious choice at all, Fogel says.

"We think we're making decisions based on the present, but we're usually not. We tend to operate on automatic pilot, responding to situations based on the coping strategies and thinking patterns we developed in childhood," he says.

"When those strategies are dysfunctional, we just keep repeating the same behaviors over and over again."

The good news is that we can learn to recognize that "default" thinking and rewire the brain to change it, says Fogel.

The cofounder of Westwood Financial Corp., one of the nation's leading private commercial real estate owners, Fogel draws from decades of neuroscience and mindfulness research to offer solutions.

What can you do to get yourself unstuck? Get started, he suggests, by answering these questions?in writing!

· What is causing your pain? Think about whether you're in a relationship or job that's become less and less satisfying and increasingly painful over a long period. Describe in writing the elements of the relationship or situation that are persistently causing you pain and how long you've been experiencing these problems. Knowing that there are three ways to end your suffering - accept the situation, change it, or remove yourself from it - write down the reasons you're staying even though you're suffering and what is preventing you from choosing Door 1, 2 or 3.

· How are you interpreting your partner's behavior? If you repeatedly fight about the same issues, describe the issues. Think about whether you're unconsciously investing the issue with a meaning based on your "autopilot" thinking. For instance, if you're arguing because your partner's messy and ignores your requests to be neat, are you interpreting that as disrespect toward you? Do you further interpret that disrespect as a lack of love for you? Is it possible that your partner is just not a neat person and that has nothing to do with his feelings for you?

· Do you have impulsive autopilot behaviors that are causing problems? We can often check the impulses that stem from our autopilot brain just by stopping to think before we act. Bursts of anger are one example; suppressed anger that turns into passive-aggressive behavior is another.

· Do you feel shamed or blamed by your partner's critical comments? Write down the comments accurately?as they were spoken. Then think mindfully about whether your partner was really shaming you or if you interpreted the comments in that way because of your own inner critic. If it was the former, have a conversation with the person about how you feel when this happens, and state that you'll be more open to the feedback if the criticism can be expressed objectively.

· Did you bring a myth with you into the relationship? If so, describe the myth. For example, you might have believed that you will cure everything that's wrong with the other person. Or that she will fix all of your problems. Describe how you came to believe that myth and what it would take for you to release it.

About Steven Jay Fogel: Steve Fogel is a principal and cofounder of Westwood Financial Corp., one of the largest owner-operators of retail properties in the United States. He is a licensed real estate broker and past chairman of the California Arts Council. Your Mind Is What Your Brain Does for a Living, publishing March 11, 2014, is his third book. He is also the author of My Mind Is Not Always My Friend: A Guide for How to Not Get in Your Own Way (Fresh River Press, 2010) and The Yes-I-Can Guide to Mastering Real Estate (Times Books-Random House).

Nationally Recognized Physician Explains Why
You Should Know the Difference

For a malady that's as common to aging as waning vision, festoons - also called "malar mounds" -- aren't well understood by the public, says Adam J. Scheiner, M.D., an international eyelid and facial cosmetic surgeon specializing in the treatment of Festoons and featured on "The Dr. Oz Show" and "The Doctors."

"The more people know about the causes of Festoons and how they are often misdiagnosed, the better informed they are to be their own effective health-care advocates," says Dr. Scheiner, who educates the public through his popular blog at www.adamscheinermd.com and his new book, The True Definition of Beauty.

"A growing part of my practice is correcting treatments with less than favorable results that patients have had done elsewhere; like fillers used under the eyes to treat 'bags,' or lower eyelid surgery that doesn't address the patients' Festoons," Dr. Scheiner says.

"The lack of awareness around Festoons and how ubiquitous they are ? and how often they are misdiagnosed ? is why my practice has executed an educational marketing campaign to bring clarity to combat the misinformation and confusion surrounding this condition," he adds.

What is the difference between "bags" and Festoons?

"'Bags' are caused by fat protruding through the skin in the lower eyelid area, while Festoons, which also protrude, are primarily on the upper part of the cheek," Dr. Scheiner says. "The two together can look like one large protrusion, but they're separate issues."

Physicians will perform procedures to help a patient's lower eyelid "bags," but often they leave the Festoons behind. This is because Festoons are notoriously hard to treat. The result? When they are not repaired at the same time as the "bags," Festoons can actually look worse compared against the newly rejuvenated lower lid.

Festoons can also be a marker for pre-cancerous skin conditions on other parts of the face ? another good reason to know the difference between Festoons and "bags."

Dr. Scheiner offers tips for evaluating whether you have "bags" or Festoons, the causes of both, and solutions:

· Are they "bags" or Festoons? "Bags" often appear as puffy circles directly beneath the eye. "If you touch them, they're usually firmer, and you can't easily move them from side to side. That's an indication they're 'bags,'" Dr. Scheiner says. "Also, if you look up, they become more prominent."

Festoons, on the other hand, are high on the cheek, although they can extend to the lower lid area. "They feel squishy to the touch, and they can be easily moved from side to side. They don't become more prominent when you look up."

· What causes them? "Bags" are generally associated with aging, although younger people can also get them, Dr. Scheiner says.

Festoons are usually the result of damage. Sun exposure, smoking and aging are among the possible causes, and the results can be worsened by the contrasting pull of underlying facial muscles over the years. Fair-skinned people tend to be more susceptible to Festoons.

· What can you do about them? "Effective treatments for removing 'bags' have been available for quite some time, but physicians have struggled with removing Festoons," Dr. Scheiner says. "Festoons are complicated to treat."

Medications and steroid injections can provide temporary improvement, and some older surgical procedures offer mixed results.

One of the biggest problems with Festoons and eye "bags" is that they occur around the most expressive area of the face?our eyes. The eyes speak volumes, but they can give off the wrong message if they are framed by Festoons or eye "bags."

"My patients say people are always asking them if they're sick or if they're tired," Dr. Scheiner says. "It's hard to hear that over and over again, and it begins to impact how you feel about yourself, as well as your energy level. What I love about the advanced laser and heading protocol that I developed is that it fundamentally changes the quality and the health of the skin?it takes swollen, sun-damaged skin and makes it smooth, tight and younger. It cleans up the messages around the eyes so that people can appear well and rested."

About Dr. Adam J. Scheiner

Adam J. Scheiner, M.D. is world-renowned in laser eyelid and facial plastic surgery for his groundbreaking treatment for Festoons. He wrote the medical text on the condition and treated two complex causes of Festoons for the Dr. Oz and The Doctors TV shows.

Need a little motivation to live healthier and be more active in 2014? Sign up and join the Live Healthy Iowa 10 Week Wellness Challenge that runs from January 27 to April 4. It is a great way to increase physical activity, eat healthier, lose weight, or maintain your current healthy lifestyle.

For a fee of $20, participants will receive a challenge t-shirt, weekly motivational emails, unlimited access to recipes, workouts, health information, free registration for Winter and Summer Iowa Games Fitness Walks, magazine subscription, and chances to win a variety of small and large prizes! Registration is now open!
Get Started Now:

1. Build or join a team of 2 to 10 people and choose a team name.

2. Go to www.livehealthyiowa.org and click 'Join Today'. If there are multiple teams formed from one location or organization, a group ID number will be given to link the teams together.

3. Complete the required registration information and submit payment online.

For more information on the Live Healthy Iowa Wellness Challenge, please visit the Scott County website: www.scottcountyiowa.com/health.

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Two Individuals honored for their dedication and efforts in working with mental illness.

DAVENPORT, Iowa - On January 11, 2014, the Vera French Community Mental Health Center honored two dedicated individuals with the Courage and Compassion in the Advocacy of Mental Health Award for their efforts and contributions to improving conditions for people with mental illness.

For almost 40 years, Chris McCormick Pries has worked at Vera French Community Mental Health Center and is currently a Board Certified Advanced Registered Nurse Practitioner and the Clinical Director. Chris is also a major provider of community services for individuals, educators, counselors, and care givers in the Quad Cities. She is involved with Jason's Box, the Mental Health Legal Task Force, Eating Disorders Consortium, the Safety Net in Peril Committee, a trainer for the Davenport and Bettendorf police and a public speaker bringing awareness to eradicate the stigma of mental illness. Chris has dedicated her life to providing quality, accessible and comprehensive care to those suffering from mental illness and has worked compassionately to make their lives more complete.

Dr. William Nissen has been working with the patients of the Vera French Community Mental Health Center since 1980. He is an Adult Psychiatrist responsible for evaluating patients for the presence of psychiatric disorders, medication management and hospital care.  Dr. Nissen completed his MD, Master of Science in Anatomy, and Bachelor of Science Degrees at the University of Iowa.  He has served as Medical Director of Adult Services and continues as the Medical Director at the Vera French Pine Knoll Residential Facility. Dr. Nissen's work with individuals with persistent mental illness has helped many to live the best lives possible in the community. He encourages patients to understand their illness and to take appropriate steps to maintain their health and safety.

"Both award winners are exemplary examples of courage and compassion, not only for Vera French clients but also for their co-workers, board members and the community," stated Anne Armknecht, CEO of the Vera French Community Mental Health Center. "They have gone above and beyond in leading efforts to combat the negative social stigma and providing services that improve the lives for those suffering from mental illness."

About Vera French Community Mental Health Center:

Vera French Community Mental Health Center serves as mental health advocate for all populations in Scott County,

Iowa. Through the center's clinical and community outreach services, our staff seeks to help people live well, coping

with depression and other forms of mental illness. Services include individual, group and family therapy for children

and adults in a clinic setting. Vera French also offers school-based therapy available in elementary schools in the

Davenport, Bettendorf, Pleasant Valley and North Scott school districts.

 

Additional programs for chronically ill adults include the Pine Knoll Residential care facility for 24-hour support and

three voluntary outpatient programs to assist individuals in gaining new skill sets needed to live independently.

An Adult Day Program offering group therapy helps patients transition to or remaining in a non-hospitalized status.

The Carol Center provides a place for learning skill sets, receiving a subsidized meal and peer interaction.

For more information, visit  http://www.verafrenchmhc.org

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