ividdd | ante 60-85. age gee Genich ple Ae-e thae'@st fraheld aq Cn classi, ications PHYSIOLOGY OF. AGEING stemicrAnaes @ CARDIOVASCULAR i) Decveas Wi) Jeney 4 iti) “Comm an mdcjocytes e An “edllagen ction’ abnovmealli WV) Decrease v) vb " J vi) Decrease. response tt rep Lice ee increased gystotic Bn £ Verctiveculose: hey Vi) Decrease: mascthauti: HR response vx) conjestives HF) 24 hey 3 PULMONARY, /RESPIRATORY SYSTEM © i) Reduced ehestwratl compliance due te Jméveased bulk of breectoion Recdiivced -maaxiamal vert llocte ) Reduced vespinatony Aespomse, £ hypoxca 50" ii) Decrea seq cbary punecren } | duced cough amel S$epallocormnc fumction J } Jtuced Pp. TM NEUROLOGIC CHANGES @ 4)| Decrease win Costtical geuey matter , i) Neuronal volume it) Corn plese ite Of, mecvonal connections ®. Gyrethesis of Neutotransmiuttees De minal tomd chornges i) Newtonal Loss J ) Demyetiniection Rediiced seeblaxes ) Reclucee pALopsctoce ption Vision onid-Heasinge hess. + ip Lup hrcentt..% AMoAe 4%) Decree Adnenocéptore. wespomsivenes. | chofamime Jencreas cot conceretyettior ctlacting Vo EXCRETORY | RENAL CHANGES nal Blood ; sed’ ‘Aemmovire cde aval @ 7 — bloec| volume fficcetey inn (jces tangs hepovolarnia Haermomhage , Low co and hypotension ) . | vi) Renal insutficte ney 9 | es { ‘teoture Vi DRUG REACTION @ > \ hoc ' Decveas so Lean Doc y ; uncreased p stoposction W) Decyeas pocotern bin Certain. drugs it) Atterntion sus vena function ava gprchange treks amd hdd \ditiatien! of ) Adverse dauige ion woth mo of dautg admimi Sct ne : } 4 oe CHANGIFS IN VISION Decreased) tens, comm ) Reduced accommodation iti) Recluced fo day eyes 1) Reducel} “perp tts rx +oemectionMEochaced paper |urut en neretaul: Adaptat ion an Moclit cecctions asses, {il Aduals and dtberc MopiFicaT Lon Hoh To Ancyease. ease. ob amd independe nite Physiotirec apist priomascy ool J adelaess hoane ncpac. ond ma ierct: 6 Hoa > po: ctially present as Auk oA i Lira, ine access £0 64 Birt, boaric Safety and pareve at aqoaies eee ion cre. ) fall pacventren Fixe sapety amd paévention 3) Sfeneval eather j Recce Ons Imacescible’ bet tubs rage Qeas poowlighttang “Multilevel hories ‘ voath oat band rail, haow and AER augs, q Abundomt how ks [ peapheles'] aa face deoaknobsod Ficections tl horives band rail, LCG Auge 7 both sides hamdles, amd, factce “Cabinet! doors and asc gate Srnok forledg pdalk tn oa ve showe Girab 6 an “the! shewery to4 and tub $ Hand hetd -Fleacyble ehower bea'd Rempeyiow wert walkiaag supa cz Repaiai ng ess ( enky aed exit i" ITP Ss 4or ace © Rags can te cacltec Ags the cecuved * Secure oa ammacttior wape. ts and hand! to Ge bacpping hazards - Remove i hemibey 20, ae men face d caxpr et gale, Fauce Olever ste atte tne need hevey -tuois Gieot.J +thalk ran "8 cocks Ky?) Tnqiarad, tar0"e"g ripping oe kes, Legit, BL zhires pis laqe chigh' eficens Ww se chan es) bo + \encrease + Pnovacle ¢ Susyparceqlare Ay © {ooriser Laces < tdous“Coverion Easy en Tote vecker sc H2-ys above +loor Non qe task Lighting wosk dr2e as ~ © Conamon bathroom modificatiens § + Hoatzoatal and ve erticol! grab boots é * Bath. seats 3 betel ver cli epcncige ‘ a0 t dbowber poritte slid tilaathes than doo Jhouger, U2 ed totlebrasett voit O4ms p root eo = Compo sot- ist R 5 to the seact’ hexqnt AAA and otf A ; eer c sand Hand qsips Mov Givab bars 3 come im various erate Je “Vo ov Ip rameter t angry wa setn barBove ' Hand pilimts or Dr addtional Alien foe eeceh i ewalks and ste id Fosuve atleast Derbehsesictg. o-ling onal q J ewe lL Werte sc} jbeokem., 0% badly Repair ar te mg oh Lacpping he “pret cache eeatit | floor andiSmeoth exqht ot f ey ALSELS| OF getting oto that vimpack si (ucktee ecunimay S castbe Removieng ¢ * Removing ow $ MMatng? smoke and’ Oe coe Moving ¢ PR LEY cigs é mr monoxide = of} pathevays foul s for emergence able phones doow pall 4 AEAANTLA e qnab bax Joo evs modipication Limi te eso 1 £.l1Balance abd Falls Inthe Elderly Definition ws an. evert vobich nm coming Lyre Ho), on the lower level Frequency oF Fallswouthout Able > AblPlease set setfely co.cat garnetrank vetat 30cm. Cjo inelsecd CaN each © inches) foreare ( a 1O./4 i ring +0 look y le = eet r mg Trstractior 1 Leot lireck Up > At nd you ¥ +toeoard the left ald t to Ae Eocarciner noay pitt 20x AL J + cormplet meg cafely and connplet eo. QosecordsXe » Able rod coreplete 8 RQ —> Able te complete 4 step? witout aid cath supervision Al A > Able te midincel dently arrod holdFall Related Hospital Admission Hip Practice cond Fracmcte and capper Lumb Lengex hospital Apjunes “Hip Fractur patal stay -eactend dbin ayeAGING, WITH DISABILITY Feltomyelih’s ) Mesis. Dennyetnakior © £ LSpinot comdolimimished gpeocal ser mp atament 5 t gniti forte) tions oq sqcho at del amd RetreatBENEFITS Peevert’ And reanage, mo Commmen disease of su PlacemerEN ERAKISET Jsormetaric exce Mancral sests Wt bearieng ¢ STRENGITHE NINGL (ge to‘mausdesol Past h moental history capecional histo s Gyotolie pees 4 «| | Teropexaturr = Measured porta. ak nie: 14Respivatonu note '5-as breccths |roin Chie completa TR POMERee an [anc Objecnve -A Poin hor xc eeoinaction (My s estions in H>-eamesohether ~ penton) | oaiemtact ore pe 5 us rally them to place ard ther Merpoxtig p Merrouy- Aesting “iovolves tmemoFy, she termA compbirc 5 letters Ih potierct = heacin 1h patient acer z t 2 wt alsing equence MI bow eee in both. 3 er : O.skferent, tlavoun es nator nooecth aed ( ifs ‘Ge pia iris sk+ Pom, eat CAACOT aware reeasute gate ard och. tapelire areount Syroptem Sake a gaia Jon el [fate | poor WPS eh tereeh noesaroding wlth = 9 Fle acc ext>| a iegs Fete) 2p $iege~ re Preretion Jeupirahon : -Rebsarsd Test \ 3 + Tapping foot painting + ore) re Bacpnc= ASSESSMENT a Balance “Conteel of cente= of neass over bc (eo 5 Baler fe ea Henr~ 2. > I e stotat ¥ a tnd and Stand ave) dynamWME: © ogi) fe eel ols wrpelmdeypberst et evith ce Stop coakch wher poctient begin wlth go and ends Oben. pectieny eetuen +o start postti Seated inthe chaie PAIN A Posture Assesimentr os | ~ Sit is Z Antevioz hex Postesto> Latesal schon, ASviteds BCD ce ingle ible lirab +iPAIN ASSESSMENT Poin usualig- aabsescey 6: 4 — Complete e — Medif 5 - Sapesvsion ae ae mada Pees ots BARTHEL INDEX 92) IndexPOO are, ADL a ntege ae es |ARDIO- RESPIRATORY ASSESMENT | Heart tate 5 | Re: Perea wate - eae Kejcjer> Sat Che. expo - Palpitotilor : + Acscaltection. e Fess Dyeproeea Se feizodtions * % * Le taste ¥ TAR A AENT B L Amncthreponretx Rom ¢ Both eer ents PROM # ARON)eccarnine pevelpP 5 divides) elan FINDINGS CEnyes Ti SrATIONAY x— sa a MRI“4, * Medial Manaqment ) >| Sustaicat | Suregica | Physiothe g AIMS GLOALS rang Man’, 1G, Managment J gqment Jamidal symptom ¢ mental sta to. archi— psychotic wed seb + Abrupt Stei Fk represemching- type» Of elemerch& y Roper serchimg. 20/- ¢ oe r na affecting. naore ft Wwomer: 3 Climtcal fe A econ i 6> Physical and d Educabonet —> Focal weakness 5 Gtak aimlpaiemon! _ 5 hamgeage “fe 7 Vn Bak 8 ia > Fat lapy —sFanc ono) Sratus = Toansdes ng TrikestruodiQle Oo funct ol Asst Beate. for £1M I (Modified BZ) Bootbel dndexoy mental! eccaminatien Attention Liale and delayed yeca)) Fron te merre coctive Yioe guage OF rechte 4 © Medical Anti- p Arch: depNTIA Mannan , peme SE ashipmany eiethe by farady eam Member Phy siorwoerape p aseres dard Pratevork, Rrogtéshe IHO cacre.) For Wenrenctton, Dement —general patinc iple Pie s \¥i HIN, PMpe a 4 Reafeernarit. Shatus<5 clectieuesLicalsrs At oral, .artake a. Precimonia sr Physitian Odea S i. ne rk (POKSEND OF “LIFE CARE \Wii DEMENTIA { ing esive allpess faro.ily vole as Voie” Y farnily \rt education Stalbf: \edecaction Gta be Nekcooaktne gpecratist paltit ie WIeRBILy WHO DEFINITION FOR DISABILITY ond Disability Any, ces taicton Os fesct lack of abdily Co | peaborr? an acti yalg had or in the manner oa cotbid the, aquage au CONS d momma or a humanerna metard OS A vresalt oy Oh. Arvpaiament - A dtsa — tore, Oboe Rople couth A { on LballeeaS 15/2 oR woomld po § dp people Jmpaiament Anqoless:,0% AbpdarcallT 1 4) psychelony physactogoal or dhatomicalll structure” oA cunckion, WbEtoer we PPO Y 1 Ohs penpenant {arab slely +o MONE hogs 2 easily at the nae - Handicap tris & per 5 Thonct vestyicts 0 persons Loring * (eq = -Particapxti om in fe eh funge Bee, 4Dee a's EEL: . ae l Jrparrmne 8. Sensory 2 9 o% SOs sea aight S.sblabd , ov-tu beaning ‘tne correck oy ae AL & Visdalty cenpaied ei d din palue Be P od i “ bebe e 3) Leasring C jabs fA Apacs ee oc, tial es meakes> 2b clef aceult Store. process "and - F te ts nok @ reental ' TL abbects a. persons abil chy times eee Drees and unite dpe ts teamed Novisible Meast 2) informrediay wecrbile ob Lee, @iqns eq Liyperactivaty realt forstay oF bite plays 07 de) ONL. things me & ear t A Aatcosder fras addHooy_ y depbicertt | memory >) Over atlenhon Qo, Stes o> ore something “bog axtong/ eve ts AgniBcanp Atal ctor weacling > aT Jo Speltross . a d wra to modes Causes 5 Umpawenan- energtase of houses» ¥ DeubLic pA amd oberwoxthortk armpairment - Q seumnp it jt mnakes whealcbare event levele.e recor asy fos any Ae SA DxbI pa ICE Wtevnatioral farachor ing which trl \ ond uct ¢ Healifr Thowrocction dala ) o dition Le. Teak descibiclily 5 \be. past Teonsth.y bad Convert, having ar uid. you have 404 Pe eeandatezon : rm _ Port La formar Pe dy bu? av Poor 6 Impatient body etvadsve Cabchon Pail To Tenparsenent oh dbodkays bP ae) ate. wenport ont ° J i waite 2 4 i 5 reeOma Mental fane tions onctous level Inrelleclaal capacities < entation leeh 6). Attention 6, Memory Erno-onall Senso ay func Vasion Heastinx dee iramcinclogtcn nO wetions of Grenutayning Ueination | +unchHien Cognitive, 4 ¢ perceptial teioction: snctiors forts and parsy eech: function. cy , he meatplegical | and: aécpiro bony. A westive wreetabolic ed erdecsine.Vay. efecotion. i t roaintainence nal charsaey sae Be productive fret!ery wromusctlockeleteed Lunckier Vic| power vena ih. Kone pra vt,» vil) Punctions kine and ealeded alructur nyt Tb <2 Impaiomont Of Body Static © - No umpaiensent An Mild Moderate, N 3B - Severe a Complete 5 ~ Net applicable pireladess 8, grteqor’s eanninodic 5 Inonpare the jete VID Btouclare ve extacroalfHewk = stsuctures and Pastiupa Activaly linailation Vesteiction vades No clifficeufy ae Nat — Mederale Severe - Cornplele Not applicable. a Tt indedes Dhearring- Qew®ko anding, muttiple: tagk § G Brun ication bye reakion, Ww) 4 ve] Cs ong Obes deiving idasbin AdiBesdammiz FG pasts, dred aig sFollabing arn duinking.’ iyM!) Tyterpessondh in beract BOE icons and inion t vit) Mojox aye ions & Lvartteyaction Packt Isemndor pstact: pordiapat J 2 Eevrenmental rattan Grading | 0 — No bawriet es Mitd Q - Medevale i = Severe 4 ~ Complele i 6 ~ Not applicabi~ > It includes 6 comper pee, sad wpe bity and ianspo stati : a wonmmental and heme rs >) Ce i) Natuval er P eee € envt — Cliroote made change* to light anf gourd »WSupporls!| ddd Re [acborchps Piece reenty J ee 2a NMetghbous. , commun heath px qopes Bicone Ls J people, 12 pesstion ob aceibont y- i tv) Attiterdes,. + godividera parity and heat. Jeoteeeere of xonen ds paofessiorals,. i DSer iced; Syeterns ail eusing servic: mo ats rans bated ton. sh vedewet A Lakbow cack vcby alicres oP iO lage! an VI) Any crtio ne bets o epvize nmental factors,REHABILITATION MEASURES Byredcors ots Senda ; OR Tomsiuns tsabality x ei sol eppu } EOD 3% een es cya Pps govt oak SoC say stale Zornes Cha ar Sa 54 Deen tial a ele ephe i. ADA Relalslital D Aochitectur ob Boor Bee adil ie adkiohta tant AS e “3 onmornue es live < devices | Piacente or wivon reent | ubviicksemabled RSP» | ger we about] satel ar | rect: and tbe facile exe. | the buat binvt Types © ; + Nor Anbalatory Coneté pdn/adaabs Or axe 2. Seri A j iy ta Lees CTI EAE 0s | Sind jivectaal asing & aes Roos & a oe ate, Pag amputees ye monde? in thom B) Counte acceclble | Gi Geaking g Raditonare of 4 ot NX vin « } pacity eet qe iS P26 : Accessibt= ben par hed), (v4 AYO? alg of locations peop a viewing: oy fate to give To Impoe 8 Creme t pace | ror aye x 4° Esgonomic Me dibcations | APL 4, Fe Jed ecience. of ning oe FP emsonod cove sage | level ot promol hgh - \4- deals cout 4 peatib oapety’ ¢ Lornfoatt uy +’ preverction )aah, lee pete \tvease independence \ncsease Beth estennr, Decrease buaden of care oo MopiFication, FOR PARAPLEGTIA Moelification s iricémpaom bed : gassing inte *i2¢ chair bed to chai ation 3a tack (4% refurnir ge at beleco thee catist drreedir ising corer as! Conch. highter qnecerg,—cteredhe cations rorn chaicr to vehicle xtting: thei VeRiele’ lack net-(adebags, made{bees bacrin, Aixoplane.) Using peebLit, +¢ \ cating: oprooming wee i inctmumental ADL Cook! oe {opin d Jhersuce achivetier 1) ADL J Eating £pmoking ng ¢ pee } Rockey kKoives Universal arhbs Plale quards Non -skid gésbhes f cups ttl Lids _ stick x Pall-on clot Buttor extenders BoingUi ¥Poming . Toothpaste dispensee Sloss hoider ects shower Sackion arp El a Denture hotder Adaptive nail dev Pre -metstened, wipes Raised toilet seat- Bedside tommmode Urinalhates ,ow customia Dai pain abilittes tS of PF custom Hitt orto poe Eee per benefit sercorme A TorreyConseqdences OCCUPATIONAL Orcupational diseases Tey ane thos ce Cure those exphsure! Ke S woomicplgce Chavactewstits Occums mm Fxposw L vibration ,UVR de fonizing ra toch on ‘ \Burns ypeat exhaustion Heat stroke Heat crarnps ffecks odivect: Light WWarninatie? ung Wom ditory ae aver peren™ereney., irtensilg ae J ndividlual suet dails 3 ee [Eb teremcaunter jo And haroreers Continous work o-~ egects hands £ arms B fingers may b pas injuries Of the j wo shoulder: / tp such, machines ecOMe INCTER In sitive to Ib mag pred of the, hands, elbe 8 ey UVR A Mainly, eccerrs in electaia weletien ; Proce N to UVR: . a cols: cya cavigaay. vilves 4) lonixing: Radiation c ~cbr to ey compo Macthormation And. ulti makelye deat.a) Cane bernitad’ Hazard s [cab acte Duss Gases Metal and their compour a li f : Chemicals cause V0" allergy \pkalaction stechom on hesrtedstis €chema uleex, even cance? chemical Ls : E Lo, NHz> Gras poisoning et 4 eas <5 Cherorcal loz ) Gases N22 H2S2502 pipet a cluslé a Lbrocests 5 lices B) (otto dust €) Tobact? olen tompounds ' tien (ane bo inbalalBidlogtca| -Htaxaads « Workers exposed Hoiinhedtive, ard Pastasitic agents tet “the place O-f prevalent develoginy . ) People. exposed +0 O° uy? ike “houloed the care 6c tng worker Aye in higbraisk of bepot 478 HIV edaphatites ete : - Aqricerttuval uso rkers , ! sband my anin iWyisk b+ x00 fanus ct work eoctitvies *Main ty f seople coorking on animal products, Are Wow ngs hanitcal Hazavd Due to protruding, mering ‘ g oe pans achined rch 4 2. roc fi Duk oton carelessness . crushir acerde Peyche social ttazards tnclitde foustraction Lack or joe satishaction bi hurpan velotionsh, onal tenston or Rmott gtwess ele 4CUPATIONAL +1 . For Workers Decepational health Be eteal naminia hisdteotiel boell- Leis io relation. to u | Root Decerpactionat die | Have a long Latent period |. Mosk occuepattional dis ca be Areal | + A-ocetpaborsatailssean prevencte Elements OF Occupational Health Serie | th oM, Aé (funcional capaaty : Preventive Health Measure mac cal Teeatnroenct ent-and Cont. vo teneral > Pocvertion, OF Occ mee | 4 Adtcintotend: * Erqines Feqone mics 4+ Medical meas mgs. nneasu Be $ © &The IEA [rte onal Fegonamic A ~qonemics inte 3 | Ptecotca a beogras sey lagers tional ergors ioorkioy postures, rr "nerea efPicierncy anc prrodet } vequeir a aL + Poe. ermplet irrencts ore 2. Periodic rriedicat © JP ayatiealtt...promotc™ SPI an 4 tier ic Healtth..2XK vray Silica 2: Periodic medical Bichon \rory Bvaluction of 4 1 health en stale * yi VEaaticst ore, .ovnd prerenctian. 1 DP ork, related Atsovd ey ae \ 1 ,cenctrol ‘and preverd Fatty de @ ohrch oF pester. job ‘i UT peatthsto! phasiethexapist ib Uechniaar B-'t ~7 Raining” and educator Medical suwe Irom Awiza Identify » mon Skaeds Manas sore proqrar™ Violence: prevendtsa high BPsJ ,ob tack and ¢ co Haining par! bated ig : bockion aon Treatmer = ro veh nya braska . meat v j tomplete aehabstit? mov > | , who ave injured oF ox xe Peete 84°. cxferiehees - AO MR, pein team 4hclads d other kk D Phystce deman ODL ftic capacity Sos Woe elery Wanalysis — fob task anatysu iE > Vocatiemal veqguuements ene] A | Reman \evel | t uw |) Physteat demand Duin} Saree) >) oul i aaly acing alling Lod pa id “4 pee are Y FE focal aie© neay) \ dtoctsclepthb) 7) ) Slippery %) PD vibyat én demanAF WGAdten |venbalinaeenupr? Fog ce eno ee ranehior Se Job placement Assesment |Je + BOURKE and otherMets ption rmination inform” SOURCECesvical mobi Cisteew't Fastener board ‘telerenc. Fine moncpularties Flara Hes HInG viaap strength Keyboard Aolerence Kneeling. Lanpenen cokegowes 2 Jo bars tl ee onally 3 0-2 bars equentty > 2 [a beis~ 5 }abrs Jz >> Mairctaink Lunet! balance Lt Fnclude.) FOX braiding ad beam in activities “that mic Ising y heel waltking’s i oping + Te. oblity felbeod | SS vdpetively Aclede pict: mnigrt without Ip, ie nelucle AA EO fomaiy or cha onky slept! only ox a eh rp pre AOU Ho ala oe dae Roigktt involve pulsb er i storie objeclé or moval} on le Standing -plecce. o¥ f Using ri Reaching | and oak ) ( Jn ac po ainkainin F oitheak © cant welade Pe oe BP Bee > ow q L motionof kime. manpel gingert j hand -and tovdes can be odolerat tscughocct thes overalhcoook tary Oalk ren The Lot tinne Spemg. ~ ry vorctiena delay Briypitecing ov es sfancesd |S Faro apfoct suahace. ad chee go MESS | ; 2 a ¥ toorke Carrseyion {opos am objee | Oatking > withs Waele dloe. wunrlateral ) inive cide ov that mid siche y AE war pod pasties gmal|, tools * cenor Movi nq that ariclu roov+ 5 back dos hy, 14) Cao uchia4 Me obits oves by ar ros posture bidrreolenenst 1D Fastene” Hans. The and’ hand J i pleas Apols cary ba Pak Be Markl oan! i hae ofr ee atl 4 nalator as mest nar A 4 ¢. o S) ting TI aegneey or a had fi tices a mr goasrin gy amd St Rp eivceng? 5 tras JB ntteoe el loferenewbe ] the fee eee aaa O°” run ec asiogse poth nb hernd Sven,Kneeling We. abs ro Pesform Dh e jo% polt ken cleecle. bt wir Rierchdonccal gebab t eqing innivedietty crerite scare phase begine oa os “brouoh After @N. Layury, and conthOQows feer ? 1 c eed” wobréh,. pain and heat rn nli zedpunckior flammatory phase Inf} Lee 4 Sub ces by eee or Age es Ocoupation \.t oo) Lancet! of defen’ —‘innacin’ * ; ow pe ? Mechani ae at © WORK p Acute conic : + Duvetion of Ttensily (vr9) 9 Fevequeney | ennee et-h{- 2 dedsing die a ae Pinch eesgirsaees J + fant yernanena } ohtoama ical of . fadaniowel ae < jean dd a 6 Kean > é t dseymnaley amitfies re lees Defer th ee Afaophy Scaref abla pained “exep fis Fojuscyef etait chic fei mngbalis® B Sinks. ¢ ve eT Weyer? dequs rece, NR cal os ae t palse x paxcesthiesta fedanq’ Ese Laching aM bse | ee rvested, | Medically stb att feete phase of / a Sailing mess, Xt ps t Jipa. y w tol um paiesry onk Reefer al gerorn’ Oo" P™ nodker Condit sentation eee onins ectione.| 7 Ses Biri sit a soucdy: B-tinnes 0) ? ss eatmocresten © Ages , Ain 8502 PHA casusable Om Qiee ction. waltpete ronsaciehy pester “a ro ofp Popes FASS Iulate ok Keli v4 to, aecto're Ibe. wouker & pHogessive vc tn Mid A Spec t J proprars ERCAD tS a tpaaehebiry (£0 physizan, rntcst cpp cope Cie. and) Cp Re cep gos ¢ nidderesses the 210 belevence of fhe Cea SSerey¢ uot : i} pieae 4fasys)-ok ea enihe oy eo Ay te schioning cd ase Ds ral fo t copproe Aeoeh te estas per fone » Omientation : a Spea Viccibitcts ye 0 it ceca 3 Slerengthenimg ex avr Cy to Waite mich 4 §& functiona 5 gob simula & Edach | Bod Educ” an n Educ g. 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