Добірка наукової літератури з теми "Medical purposes"

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Статті в журналах з теми "Medical purposes"

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Maher, John. "English for Medical Purposes." Language Teaching 19, no. 2 (April 1986): 112–45. http://dx.doi.org/10.1017/s0261444800012003.

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Bielialieva, O. M., Y. V. Lysanets, I. V. Znamenska, L. B. Slipchenko, and I. V. Rozhenko. "Developing Professional Communication Skills in Medical English for Academic Purposes." Bulletin of Luhansk Taras Shevchenko National University, no. 2 (325) (2019): 329–37. http://dx.doi.org/10.12958/2227-2844-2019-2(325)-329-337.

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Lysanets, Y. V., O. M. Bielialieva, I. V. Znamenska, L. B. Slipchenko, and N. M. Nikolaieva. "Mastering the Writing Skills in Medical English for Academic Purposes." Bulletin of Luhansk Taras Shevchenko National University, no. 2 (325) (2019): 352–60. http://dx.doi.org/10.12958/2227-2844-2019-2(325)-352-360.

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Lebedev, Ye V., N. A. Galatenko, R. A. Rozhnova, and D. V. Kulesh. "Serial Production of Domestic Biologically Active Glue for Medical Purposes." Science and innovation 12, no. 1 (March 19, 2016): 54–57. http://dx.doi.org/10.15407/scine12.01.054.

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Canada, Health. "MARIHUANA FOR MEDICAL PURPOSES REGULATIONS." Canadian Journal of Addiction 5, no. 4 (December 2014): 20. http://dx.doi.org/10.1097/02024458-201412000-00010.

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Druzhkin, E. V., T. N. Khatsevich, and N. V. Brovka. "Thermal viewer for medical purposes." Journal of Optical Technology 82, no. 7 (July 1, 2015): 408. http://dx.doi.org/10.1364/jot.82.000408.

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Garg, Geeta, and Gurvinder P. Thami. "Micropigmentation: Tattooing for Medical Purposes." Dermatologic Surgery 31, no. 8 (March 21, 2006): 928–31. http://dx.doi.org/10.1111/j.1524-4725.2005.31807.

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Wells, D. "Laser standards for medical purposes." Optics & Laser Technology 21, no. 4 (August 1989): 249–52. http://dx.doi.org/10.1016/0030-3992(89)90085-6.

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Schmidl, Mary K. "Food products for medical purposes." Trends in Food Science & Technology 4, no. 6 (June 1993): 163–68. http://dx.doi.org/10.1016/0924-2244(93)90118-t.

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Pinkas, Jarosław, Piotr Jabłoński, Michal Kidawa, and Waldemar Wierzba. "Use of marijuana for medical purposes." Annals of Agricultural and Environmental Medicine 23, no. 3 (July 15, 2016): 525–28. http://dx.doi.org/10.5604/12321966.1219200.

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Дисертації з теми "Medical purposes"

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Paulsson, Fredrik, and Fredrik Eklund. "Development of an Adaptive Voice Amplifier for Medical Purposes." Thesis, Mälardalens högskola, Akademin för innovation, design och teknik, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-11263.

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Анотація:
The problem that will be discussed in this thesis report will be whether it is possible to construct an adaptive voice amplifier that rivals the already commercially available ones. The report first attempts to give some insight and background into the fields considered by this thesis and after that the implementation section of the report will try to give some deeper insight into which problems occured and how some of them were solved. The result of this thesis report was that it is quite possible to construct an adaptive voice amplifier given enough time. This report will give an insight into the results acquired and some guidelines for constructing such a device. Also found in this report are some possible improvements to the system that would make the system perform even better. This thesis has been very rewarding as a thesis project since the problems has been very challenging and very fun to work with.
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Komarova, O. P., and I. Y. Korneev. "Development of a new sticky material for medical adhesive plaster." Thesis, Харківський національний медичний університет, 2015. http://repository.kpi.kharkov.ua/handle/KhPI-Press/19466.

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Stoker, Alexander. "Building a Medical App: Approach, Infrastructure, and Challenges of Developing a Congenital Heart Defects App for Educational Purposes." Thesis, The University of Arizona, 2016. http://hdl.handle.net/10150/603666.

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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
Mobile software application (apps) have exploded in popularity since 2008, when Apple’s App Store opened and have become increasingly present in medical education and medical practice. As evidence of educators realizing the potential apps have for educating students, the University of Arizona has created a department called the Office of Instruction and Assessment (OIA), which has a programming team that is committed to assisting faculty in the design, development and implementation of apps for University of Arizona Students. Congenital heart defects are the most common type of birth defect in the United States, affecting nearly 1% of, or about 40,000, births per year. There are complex three‐dimensional relationships involved in many of the congenital heart defects that may be difficult for students to fully understand through the traditional method of reading and looking at two‐dimensional diagrams. The principle goal of this project was to participate in the design and development of an educational mobile app that allows the user to interactively rotate digital 3D models of hearts with congenital heart defects. Multiple approaches to developing an educational medical app were explored including utilizing basic app‐building programs that do not require computer coding or programming, paying a for‐profit company to develop an app, and collaborating with a larger educational institution that has the resources available for developing an app and has a potential use for the app. This thesis aims to describe the resources available to develop an educational app, the major factors that determine the best approach for app development and the challenges associated with each approach. Through the case example of developing “Heart Defects” with the Office of Instruction and Assessment at the University of Arizona and publishing the app on the Apple App Store it was determined that the major factors guiding the approach to app development are complexity of the app, computer programming experience of the individual planning to develop an app, and having access to a larger institution with the ability to develop apps and the institution having a perceived benefit from developing the app.
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Zarrouk, Hajer. "The impact of problem-based learning methodology on learners of English for Academic Medical Purpose." Thesis, Le Havre, 2016. http://www.theses.fr/2016LEHA0025/document.

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Le but de cette étude était de considérer la possibilité de la mise en œuvre de l’approche d'apprentissage par problèmes (APP), Problem Based Learning (PBL), comme une méthodologie d'enseignement, épistémologiquement solide, pour enseigner l'anglais de spécialité (ASP), en particulier, dans le domaine académique de la médecine, English for Academic Medical Purposes (EAMP). Dans un premier temps, l'étude a examiné si PBL est compatible avec l'enseignement des langues et a cherché à déterminer les avantages que cette méthode peut apporter à l'enseignement de l'ASP. L'étude a également tenté de résoudre des problèmes d'apprentissage en anglais qui ont été identifiés dans les Collèges de Santé de l’Année préparatoire (Branche Féminine) au sein de l'Université de Hail, Arabie Saoudite. Une analyse des besoins a été menée dans l'institution pour mieux identifier ces problèmes d'apprentissage. En conséquence, PBL a été mis en œuvre pour déterminer si cette approche est capable de fournir une solution possible à la question, puisque PBL a été initialement mis en œuvre en médecine pour faire face à des problèmes similaires. Cela a entraîné un changement dans les niveaux macro-méthodologique et micro-méthodologique, comme Demaizière (1996 ; 66) les appelle. Dans la partie empirique, une étude longitudinale a été menée avec 13 étudiantes qui ont été observées dans une période de 8 semaines au cours de cinq PBL tutoriels, qui a eu lieu pendant quinze séances. En général, les résultats étaient en faveur de la mise en œuvre de cette approche dans l'enseignement de l'anglais médical. Ils ont également montré que PBL peut améliorer l'autonomie des apprenants ; leurs permettre de développer des stratégies d'apprentissage ; les aider à exploiter leurs compétences linguistiques ; et d'apprendre le contenu orienté vers leur domaine
The purpose of this study was to consider the implementation of Problem Based Learning (PBL) as an epistemologically sound teaching methodology to teach English for Specific Purposes (ESP) and particularly English for Academic Medical Purposes (EAMP). The study examined whether PBL is compatible with language teaching and determined the benefits that this methodology can bring to ESP. The study also attempted to solve problems with English learning that were identified in the Preparatory Year Health Colleges (Female Branch) within Hail University, Saudi Arabia. A needs analysis was conducted in the institution to examine the English learning situation and better identify these learning problems. Then PBL was implemented to determine if it provided a possible solution to the issue. This entailed a change in the macro-methodological and micro-methodological levels, as Demaizière (1996) called ‘le niveau macromethodologique’ and ‘le niveau micromethodologique’ (p.66). In the empirical part of this study, a longitudinal study was conducted with 13 students who were observed through a period of 8 weeks and over five PBL tutorials, which took place over fifteen sessions. During these fifteen sessions, learners’ behaviors or indicators of autonomy were observed at the group level for the first and third session of each PBL tutorial and at the individual level in session 2. In general, the results favored the implementation of this approach in teaching English for Academic Medical Purposes (EAMP). They also showed that PBL can improve learners’ autonomy; enable learners to develop learning strategies; help learners harness their language skills; and learn content oriented to their field
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Fentner, David A. "A Comparative Image Quality Analysis between Multi-Slice Computed Tomography and Cone Beam Computed Tomography for Radiation Treatment Planning Purposes." University of Toledo Health Science Campus / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=mco1372413982.

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Tarawhiti, Nancy Waireana. "The Development of a Certified Nursing Assistant English for Specific Purposes Curriculum: Teaching Materials and Methods." Diss., CLICK HERE for online access, 2005. http://contentdm.lib.byu.edu/ETD/image/etd967.pdf.

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Lasseter, Gemma Michelle. "Consent study : assessing the public's willingness to provide informed consent for their identifiable general practice medical records to be accessed for different research purposes." Thesis, University of Bristol, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.702735.

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Анотація:
Objectives: Patient involvement in primary care research is often hindered by confidentiality concerns regarding the use of their identifiable medical records. Consequently there is no universal 'pre-consent' process in England, whereby patients provide prior informed consent for their identifiable data to be accessed for different research purposes. This mixed-methods two-phase study investigated patients' opinions about this proposed 'pre-consent' process and the effectiveness of different invitation methods. Methods: Phase 1 used cognitive and semi-structured interview methods to optimise recruitment documents for, and ascertain participants' attitudes towards, providing an informed consent decision for the 'pre-consent' process. Phase 2 tested the feasibility of different recruitment documents ('standard' and 'modified') and invitation methods (postal, consultation and new) to determine the most effective in terms of allowing patients the opportunity to provide an informed consent decision. Results: Phase 1: Readability of the 'standard' recruitment documents impacted on participants' abilities to provide consent decisions, consequently a 'modified' version was created using participant feedback. Opinions about the 'pre-consent' process were chiefly affected by an individual's personal attitudes; key findings were 'data security' concerns and 'public benefit' motives. Phase 2: Recruitment documents affected response rates, with patients that received 'standard' documents 43% less likely to re~pond than those receiving the 'modified' documents. Postal, consultation and new invitation methods biased the types of patients invited, the number and types of patients responding, and the consent levels provided. Of the 2550 patients invited to participate in the 'pre-consent' process, only 30% (n=767/2550) responded, undermining the feasibility of this process. Discussion: The 'pre-consent' process seems currently unfeasible. However, engaging with the public to identify the most effective recruitment documents, invitation methods and consent options could streamline research in primary care. These approaches, employed on a study-by-study basis, would ensure primary care research remains cost-effective and representative of the general population.
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Lear, Darcy Whilldin. "Communicative Needs Of English-Speaking Health Care Professionals Who Work With Spanish-Speaking Clients: A Case Study." Columbus, OH : Ohio State University, 2003. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1053113899.

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Анотація:
Thesis (Ph. D.)--Ohio State University, 2003.
Title from first page of PDF file. Document formatted into pages; contains xii, 318 p.: ill. Includes abstract and vita. Advisor: Charles R. Hancock, College of Education. Includes bibliographical references (p. 308-318).
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Zouetchou, Heribert. "Direct-To-Consumer Advertisements and Medical Services Utilization Among Adult Dermatology Patients in the United States." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/1954.

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Pharmaceutical product claim and help-seeking advertisements have prompted the types and purposes of medical dermatology service(s) that patients have used in the United States. Indeed, researchers have demonstrated that 94% of working nurse practitioners affirmed receiving from their patients a request for a cancer drug advertised. However, adult dermatology patients members of Saint Nicholas Catholic Church or/and patients at MedStar Clinic in Houston, Texas, have not been of interest for any study so far. The purpose of this quantitative study was to assess the relationship between product claim, help-seeking, types, and purposes of medical dermatology services used amongst males and females aged at least 18 years. Prospect theory (PT) was the theoretical framework used to analyze the purpose of this study. A cross-sectional survey approach permitted to collect primary data from 120 participants who were members of Saint Nicholas Catholic Church or/and patients at MedStar Clinic. The results, based on a forced entry multiple regression analysis at 95% confidence interval, indicated that product claim and help-seeking significantly explained (p -?¤ .05) the variances of certain types and purposes of medical dermatology services used. Thus, product claim and help-seeking predicted the types and purposes of medical services used by the study population. Pharmaceutical announcers may benefit from the results of this study by using the study results to create new direct-to-consumers advertisements for the dermatology health promotion. The study population may benefit healthy skin, hairs, and nails by using medical dermatology services after exposure to the new pharmaceutical direct-to-consumer advertisements.
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Terschová, Kateřina. "Regulace zdanění léčivých přípravků a potravin pro zvláštní lékařské účely." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2016. http://www.nusl.cz/ntk/nusl-241567.

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This thesis focuses in its content on the impact of changes in the rate of value added tax on the subjects of the pharmaceutical market. Thesis explains the basic concepts of taxation and simultaneously describes the theoretical basement of price and reimbursement regulation of medicines and foods for special medical purposes. The thesis contains an analysis of the actual impact of changes in the rate of value added tax on the expenses of health insurance companies and patients.
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Книги з теми "Medical purposes"

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United States. Congress. House. A bill to establish a medical education trust fund, and for other purposes. [Washington, D.C.?]: [United States Government Printing Office], 1999.

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Fletcher, Gillian M. For medical purposes only!: A caring services approach to English comprehension. London: McGraw-Hill, 1985.

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United States. Congress. Senate. A bill to provide reimbursement under the Medicare program for telehealth services, and for other purposes. [Washington, D.C.?]: [United States Government Printing Office], 1997.

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Office, General Accounting. Marijuana: Early experiences with four states' laws that allow use for medical purposes. [Washington, D.C.]: U.S. G.A.O., 2002.

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United States. Congress. Senate. A bill to repeal the Medicare and Medicaid Coverage Data Bank, and for other purposes. [Washington, D.C.?]: [United States Government Printing Office], 1994.

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United States. Congress. Senate. A bill to temporarily increase the Federal medical assistance percentage for the Medicaid program, and for other purposes. [Washington, D.C.?]: [United States Government Printing Office], 2002.

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United States. Congress. Senate. A bill to contain health care costs and improve access to health care through accountable health plans and managed competition, and for other purposes. [Washington, D.C.?]: [United States Government Printing Office], 1993.

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Affairs, United States Congress Senate Select Committee on Indian. Relating to native Hawaiian health care, and for other purposes: Report (to accompany S. 2681). [Washington, D.C.?: U.S. G.P.O., 1992.

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United States. Congress. Senate. A bill to restore health care equity for Medicare-eligible uniformed services retirees, and for other purposes. Washington, D.C: U.S. G.P.O., 2000.

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United States. Congress. House. A bill to amend the Family and Medical Leave Act of 1993, and for other purposes. Washington, D.C: U.S. G.P.O., 1999.

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Частини книг з теми "Medical purposes"

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Ferguson, Gibson. "English for Medical Purposes." In The Handbook of English for Specific Purposes, 243–61. Chichester, UK: John Wiley & Sons, Ltd, 2012. http://dx.doi.org/10.1002/9781118339855.ch13.

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Feijen, J. "Biodegradable Polymers for Medical Purposes." In Polymeric Biomaterials, 62–78. Dordrecht: Springer Netherlands, 1986. http://dx.doi.org/10.1007/978-94-009-4390-2_5.

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Basturkmen, Helen. "English for Medical Doctors." In Developing Courses in English for Specific Purposes, 88–107. London: Palgrave Macmillan UK, 2010. http://dx.doi.org/10.1057/9780230290518_6.

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Bos, Gert. "ISO 13485:2016: Medical Devices— Quality Management Systems— Requirements for Regulatory Purposes." In Medical Affairs, 169–89. 3rd ed. New York: Jenny Stanford Publishing, 2021. http://dx.doi.org/10.1201/9781003207696-17.

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Leeuwenburgh, Sander C. G., Joop G. C. Wolke, Marijke C. Siebers, Joop Schoonman, and John A. Jansen. "Electrosprayed Calcium Phosphate Coating for Biomedical Purposes." In Thin Calcium Phosphate Coatings for Medical Implants, 263–300. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-77718-4_10.

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Foster, Claire. "Regulation for Ethical Purposes: Medical Research on Humans." In Regulation of the Pharmaceutical Industry, 181–94. London: Palgrave Macmillan UK, 2003. http://dx.doi.org/10.1057/9780230372597_9.

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Gotti, Maurizio. "2. Variations in Medical Discourse for Academic Purposes." In Medical Discourse in Professional, Academic and Popular Settings, edited by Pilar Ordóñez-López and Nuria Edo-Marzá, 9–30. Bristol, Blue Ridge Summit: Multilingual Matters, 2016. http://dx.doi.org/10.21832/9781783096268-003.

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Lipatov, D. Y., Y. R. Shaltaeva, V. V. Belyakov, A. V. Golovin, V. S. Pershenkov, V. V. Shurenkov, and D. Y. Yakovlev. "Modeling of IMS Spectra in Medical Diagnostic Purposes." In 3rd International Conference on Nanotechnologies and Biomedical Engineering, 404–8. Singapore: Springer Singapore, 2016. http://dx.doi.org/10.1007/978-981-287-736-9_96.

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Zhbankov, R. G., S. P. Firsov, P. T. Petrov, M. P. Lapkovski, V. M. Tsarenkov, M. K. Marchewka, and H. Ratajczak. "FTR-Spectroscopic Study of Carbohydrates for Medical Purposes." In Spectroscopy of Biological Molecules: Modern Trends, 285–86. Dordrecht: Springer Netherlands, 1997. http://dx.doi.org/10.1007/978-94-011-5622-6_128.

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Chernyak, Nadezda. "English for specific purposes course for Russian medical students." In Intercultural Competence in Higher Education, 164–68. First edition. | New York : Routledge, 2017.: Routledge, 2017. http://dx.doi.org/10.4324/9781315529257-17.

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Тези доповідей конференцій з теми "Medical purposes"

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Noumeir, Rita, Alain Lemay, and Jean-Marc Lina. "Pseudonymisation of radiology data for research purposes." In Medical Imaging, edited by Osman M. Ratib and Steven C. Horii. SPIE, 2005. http://dx.doi.org/10.1117/12.594696.

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Saunders, Jr., Robert S., and Ehsan Samei. "Characterization of breast masses for simulation purposes." In Medical Imaging 2004, edited by Dev P. Chakraborty and Miguel P. Eckstein. SPIE, 2004. http://dx.doi.org/10.1117/12.535946.

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Ionescu, Rodica E., Kun Jia, Timothee Thoury, Evgeni Eltzov, and Robert Marks. "Acoustic biosensors for medical and environmental purposes." In Nanoscale Phenomena in Polar Materials. IEEE, 2011. http://dx.doi.org/10.1109/isaf.2011.6014153.

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Lippitsch, Max E., and Sonja Draxler. "Family of lifetime sensors for medical purposes." In Photonics West '95, edited by Joseph R. Lakowicz. SPIE, 1995. http://dx.doi.org/10.1117/12.208472.

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Akbay, Cansu, and Onur Kocak. "Vibrational Viscosimeter Design for Biomedical Purposes." In 2018 Medical Technologies National Congress (TIPTEKNO). IEEE, 2018. http://dx.doi.org/10.1109/tiptekno.2018.8596811.

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Rodríguez Pérez, Sunay, Nicholas W. Marshall, Lara Struelens, and Hilde Bosmans. "Validation study of the thorax phantom Lungman for optimization purposes." In SPIE Medical Imaging, edited by Thomas G. Flohr, Joseph Y. Lo, and Taly Gilat Schmidt. SPIE, 2017. http://dx.doi.org/10.1117/12.2254074.

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Waldhäusl, Peter, Brigitta Balogh, Gerald Forkert, and Michael Rasse. "Photogrammetric surveys of human faces for medical purposes." In Close-Range Photogrammetry Meets Machine Vision. SPIE, 1990. http://dx.doi.org/10.1117/12.2294333.

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Neznakomova, Margarita, and Dilyana Gospodinova. "Waterless Cleaning Of Thermobonded Nonwovens For Medical Purposes." In 2021 13th Electrical Engineering Faculty Conference (BulEF). IEEE, 2021. http://dx.doi.org/10.1109/bulef53491.2021.9690819.

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Wegrzyn-Wolska, Katarzyna, Lamine Bougueroua, and Grzegorz Dziczkowski. "Social media analysis for e-health and medical purposes." In 2011 International Conference on Computational Aspects of Social Networks (CASoN 2011). IEEE, 2011. http://dx.doi.org/10.1109/cason.2011.6085958.

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Ponce, Laura Briz, Juan Antonio Juanes Méndez, and Francisco J. García-Peñalvo. "Analysis of certificated mobile application for medical education purposes." In the Second International Conference. New York, New York, USA: ACM Press, 2014. http://dx.doi.org/10.1145/2669711.2669871.

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Звіти організацій з теми "Medical purposes"

1

Tohti Bughda, Enver. Uyghurs in China: Personal Testimony of a Uyghur Surgeon. Institute of Development Studies (IDS), July 2021. http://dx.doi.org/10.19088/creid.2021.010.

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Dr Enver Tohti Bughda is a qualified medical surgeon and a passionate advocate for Uyghur rights. Having been ordered to remove organs from an executed prisoner, Enver has since taken up a major role in the campaign against forced organ harvesting and is determined to bring China’s darkest secret to light. In this personal testimony, Enver shares his experience working as a surgeon in Xinjiang and reflects more broadly on the situation of Uyghurs in China, explaining that unless Uyghurs earn the sympathy and support of China’s Han majority, unless it is understood that all Chinese people are the victims of the same authoritarian regime, ethnic animosity will continue to serve the political purposes of the Chinese Communist Party (CCP).
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de Miguel Beriain, Iñigo, Aliuska Duardo Sánchez, and José Antonio Castillo Parrilla. What Can We Do with the Data of Deceased People? A Normative Proposal. Universitätsbibliothek J. C. Senckenberg, Frankfurt am Main, 2021. http://dx.doi.org/10.21248/gups.64580.

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The health and genetic data of deceased people are a particularly important asset in the field of biomedical research. However, in practice, using them is compli- cated, as the legal framework that should regulate their use has not been fully developed yet. The General Data Protection Regulation (GDPR) is not applicable to such data and the Member States have not been able to agree on an alternative regulation. Recently, normative models have been proposed in an attempt to face this issue. The most well- known of these is posthumous medical data donation (PMDD). This proposal supports an opt-in donation system of health data for research purposes. In this article, we argue that PMDD is not a useful model for addressing the issue at hand, as it does not consider that some of these data (the genetic data) may be the personal data of the living relatives of the deceased. Furthermore, we find the reasons supporting an opt-in model less convincing than those that vouch for alternative systems. Indeed, we propose a normative framework that is based on the opt-out system for non-personal data combined with the application of the GDPR to the relatives’ personal data.
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Stone, J., R. Kumar, and F. Andreasen. Media Gateway Control Protocol (MGCP) Voiceband Data (VBD) Package and General-Purpose Media Descriptor Parameter Package. RFC Editor, February 2012. http://dx.doi.org/10.17487/rfc6498.

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Brown, Yolanda, Twonia Goyer, and Maragaret Harvey. Heart Failure 30-Day Readmission Frequency, Rates, and HF Classification. University of Tennessee Health Science Center, December 2020. http://dx.doi.org/10.21007/con.dnp.2020.0002.

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30 Day Hospital Readmission Rates, Frequencies, and Heart Failure Classification for Patients with Heart Failure Background Congestive heart failure (CHF) is the leading cause of mortality, morbidity, and disability worldwide among patients. Both the incidence and the prevalence of heart failure are age dependent and are relatively common in individuals 40 years of age and older. CHF is one of the leading causes of inpatient hospitalization readmission in the United States, with readmission rates remaining above the 20% goal within 30 days. The Center for Medicare and Medicaid Services imposes a 3% reimbursement penalty for excessive readmissions including those who are readmitted within 30 days from prior hospitalization for heart failure. Hospitals risk losing millions of dollars due to poor performance. A reduction in CHF readmission rates not only improves healthcare system expenditures, but also patients’ mortality, morbidity, and quality of life. Purpose The purpose of this DNP project is to determine the 30-day hospital readmission rates, frequencies, and heart failure classification for patients with heart failure. Specific aims include comparing computed annual re-admission rates with national average, determine the number of multiple 30-day re-admissions, provide descriptive data for demographic variables, and correlate age and heart failure classification with the number of multiple re-admissions. Methods A retrospective chart review was used to collect hospital admission and study data. The setting occurred in an urban hospital in Memphis, TN. The study was reviewed by the UTHSC Internal Review Board and deemed exempt. The electronic medical records were queried from July 1, 2019 through December 31, 2019 for heart failure ICD-10 codes beginning with the prefix 150 and a report was generated. Data was cleaned such that each patient admitted had only one heart failure ICD-10 code. The total number of heart failure admissions was computed and compared to national average. Using age ranges 40-80, the number of patients re-admitted withing 30 days was computed and descriptive and inferential statistics were computed using Microsoft Excel and R. Results A total of 3524 patients were admitted for heart failure within the six-month time frame. Of those, 297 were re-admitted within 30 days for heart failure exacerbation (8.39%). An annual estimate was computed (16.86%), well below the national average (21%). Of those re-admitted within 30 days, 50 were re-admitted on multiple occasions sequentially, ranging from 2-8 re-admissions. The median age was 60 and 60% male. Due to the skewed distribution (most re-admitted twice), nonparametric statistics were used for correlation. While graphic display of charts suggested a trend for most multiple re-admissions due to diastolic dysfunction and least number due to systolic heart failure, there was no statistically significant correlation between age and number or multiple re-admissions (Spearman rank, p = 0.6208) or number of multiple re-admissions and heart failure classification (Kruskal Wallis, p =0.2553).
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GONCHAROVA, OKSANA. electronic methodological guide "Methodological guidelines for the implementation of practical classes in the discipline "Medical and biological foundations of life safety" for students of the specialty 20.02.02 "Emergency protection" of secondary vocational education institutions". SIB-Expertise, June 2021. http://dx.doi.org/10.12731/er0462.02062021.

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Methodological guidelines for the implementation of practical classes in the discipline "Medical and biological foundations of life safety" ARE INTENDED FOR STUDENTS OF THE SPECIALTY 20.02.02 "PROTECTION IN EMERGENCY SITUATIONS" OF SECONDARY VOCATIONAL EDUCATION INSTITUTIONS. THE PURPOSE OF THE GUIDELINES IS TO PROVIDE A CLEAR ORGANIZATION OF PRACTICAL CLASSES IN THE DISCIPLINE, TO CREATE AN OPPORTUNITY FOR STUDENTS WHO WERE ABSENT FROM THE PRACTICAL LESSON TO INDEPENDENTLY PERFORM THE WORK, TO ISSUE A REPORT AND TO PROTECT THE WORK IN A TIMELY MANNER.
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Erwin, Terry L. Mosquito Information Management Project (MIMP): Application of a Computerized General Purpose Information Management System (SELGEM) to Medically Important Arthropods (Diptera: Culicidae). Fort Belvoir, VA: Defense Technical Information Center, April 1989. http://dx.doi.org/10.21236/ada209220.

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Svynarenko, Radion, Theresa L. Profant, and Lisa C. Lindley. Effectiveness of concurrent care to improve pediatric and family outcomes at the end of life: An analytic codebook. Pediatric End-of-Life (PedEOL) Care Research Group, College of Nursing, University of Tennessee, Knoxville, 2022. http://dx.doi.org/10.7290/m5fbbq.

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Implementation of the section 2302 of the 2010 Patient Protection and Affordable Care Act (ACA) enabled children enrolled in Medicaid/Children's Health Insurance Program with a prognosis of 6 months to live to use hospice care while continuing treatment for their terminal illness. Although concurrent hospice care became available more than a decade ago, little is known about the socio-demographic and health characteristics of children who received concurrent care; health care services they received while enrolled in concurrent care, their continuity, management, intensity, fragmentation; and the costs of care. The purpose of this study was to answer these questions using national data from the Centers of Medicare and Medicaid Services (CMS), which covered the first three years of ACA – from January 1, 2011, to December 31, 2013.The database included records of 18,152 children younger than the age of 20, who were enrolled in Medicaid hospice care in the sampling time frame. Children in the database also had a total number of 42,764 hospice episodes. Observations were excluded if the date of birth or death was missing or participants were older than 21 years. To create this database CMS data were merged with three other complementary databases: the National Death Index (NDI) that provided information on death certificates of children; the U.S. Census Bureau American Community Survey that provided information on characteristics of communities where children resided; CMS Hospice Provider of Services files and CMS Hospice Utilization and Payment files were used for data on hospice providers, and with a database of rural areas created by the Health Resources and Services Administration (HRSA). In total, 130 variables were created, measuring demographics and health characteristics of children, characteristics of health providers, community characteristics, clinical characteristics, costs of care, and other variables.
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Moridis, G. User's Manual of the TOUGH+ Core Code v1.5: A General-Purpose Simulator of Non-Isothermal Flow and Transport through Porous and Fractured Media. Office of Scientific and Technical Information (OSTI), August 2014. http://dx.doi.org/10.2172/1165988.

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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, July 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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Lewis, Dustin, and Naz Modirzadeh. Taking into Account the Potential Effects of Counterterrorism Measures on Humanitarian and Medical Activities: Elements of an Analytical Framework for States Grounded in Respect for International Law. Harvard Law School Program on International Law and Armed Conflict, May 2021. http://dx.doi.org/10.54813/qbot8406.

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For at least a decade, States, humanitarian bodies, and civil-society actors have raised concerns about how certain counterterrorism measures can prevent or impede humanitarian and medical activities in armed conflicts. In 2019, the issue drew the attention of the world’s preeminent body charged with maintaining or restoring international peace and security: the United Nations Security Council. In two resolutions — Resolution 2462 (2019) and Resolution 2482 (2019) — adopted that year, the Security Council urged States to take into account the potential effects of certain counterterrorism measures on exclusively humanitarian activities, including medical activities, that are carried out by impartial humanitarian actors in a manner consistent with international humanitarian law (IHL). By implicitly recognizing that measures adopted to achieve one policy objective (countering terrorism) can impair or prevent another policy objective (safeguarding humanitarian and medical activities), the Security Council elevated taking into account the potential effects of certain counterterrorism measures on exclusively humanitarian activities to an issue implicating international peace and security. In this legal briefing, we aim to support the development of an analytical framework through which a State may seek to devise and administer a system to take into account the potential effects of counterterrorism measures on humanitarian and medical activities. Our primary intended audience includes the people involved in creating or administering a “take into account” system and in developing relevant laws and policies. Our analysis zooms in on Resolution 2462 (2019) and Resolution 2482 (2019) and focuses on grounding the framework in respect for international law, notably the U.N. Charter and IHL. In section 1, we introduce the impetus, objectives, and structure of the briefing. In our view, a thorough legal analysis of the relevant resolutions in their wider context is a crucial element to laying the conditions conducive to the development and administration of an effective “take into account” system. Further, the stakes and timeliness of the issue, the Security Council’s implicit recognition of a potential tension between measures adopted to achieve different policy objectives, and the relatively scant salient direct practice and scholarship on elements pertinent to “take into account” systems also compelled us to engage in original legal analysis, with a focus on public international law and IHL. In section 2, as a primer for readers unfamiliar with the core issues, we briefly outline humanitarian and medical activities and counterterrorism measures. Then we highlight a range of possible effects of the latter on the former. Concerning armed conflict, humanitarian activities aim primarily to provide relief to and protection for people affected by the conflict whose needs are unmet, whereas medical activities aim primarily to provide care for wounded and sick persons, including the enemy. Meanwhile, for at least several decades, States have sought to prevent and suppress acts of terrorism and punish those who commit, attempt to commit, or otherwise support acts of terrorism. Under the rubric of countering terrorism, States have taken an increasingly broad and diverse array of actions at the global, regional, and national levels. A growing body of qualitative and quantitative evidence documents how certain measures designed and applied to counter terrorism can impede or prevent humanitarian and medical activities in armed conflicts. In a nutshell, counterterrorism measures may lead to diminished or complete lack of access by humanitarian and medical actors to the persons affected by an armed conflict that is also characterized as a counterterrorism context, or those measures may adversely affect the scope, amount, or quality of humanitarian and medical services provided to such persons. The diverse array of detrimental effects of certain counterterrorism measures on humanitarian and medical activities may be grouped into several cross-cutting categories, including operational, financial, security, legal, and reputational effects. In section 3, we explain some of the key legal aspects of humanitarian and medical activities and counterterrorism measures. States have developed IHL as the primary body of international law applicable to acts and omissions connected with an armed conflict. IHL lays down several rights and obligations relating to a broad spectrum of humanitarian and medical activities pertaining to armed conflicts. A violation of an applicable IHL provision related to humanitarian or medical activities may engage the international legal responsibility of a State or an individual. Meanwhile, at the international level, there is no single, comprehensive body of counterterrorism laws. However, States have developed a collection of treaties to pursue specific anti-terrorism objectives. Further, for its part, the Security Council has assumed an increasingly prominent role in countering terrorism, including by adopting decisions that U.N. Member States must accept and carry out under the U.N. Charter. Some counterterrorism measures are designed and applied in a manner that implicitly or expressly “carves out” particular safeguards — typically in the form of limited exceptions or exemptions — for certain humanitarian or medical activities or actors. Yet most counterterrorism measures do not include such safeguards. In section 4, which constitutes the bulk of our original legal analysis, we closely evaluate the two resolutions in which the Security Council urged States to take into account the effects of (certain) counterterrorism measures on humanitarian and medical activities. We set the stage by summarizing some aspects of the legal relations between Security Council acts and IHL provisions pertaining to humanitarian and medical activities. We then analyze the status, consequences, and content of several substantive elements of the resolutions and what they may entail for States seeking to counter terrorism and safeguard humanitarian and medical activities. Among the elements that we evaluate are: the Security Council’s new notion of a prohibited financial “benefit” for terrorists as it may relate to humanitarian and medical activities; the Council’s demand that States comply with IHL obligations while countering terrorism; and the constituent parts of the Council’s notion of a “take into account” system. In section 5, we set out some potential elements of an analytical framework through which a State may seek to develop and administer its “take into account” system in line with Resolution 2462 (2019) and Resolution 2482 (2019). In terms of its object and purpose, a “take into account” system may aim to secure respect for international law, notably the U.N. Charter and IHL pertaining to humanitarian and medical activities. In addition, the system may seek to safeguard humanitarian and medical activities in armed conflicts that also qualify as counterterrorism contexts. We also identify two sets of preconditions arguably necessary for a State to anticipate and address relevant potential effects through the development and execution of its “take into account” system. Finally, we suggest three sets of attributes that a “take into account” system may need to embody to achieve its aims: utilizing a State-wide approach, focusing on potential effects, and including default principles and rules to help guide implementation. In section 6, we briefly conclude. In our view, jointly pursuing the policy objectives of countering terrorism and safeguarding humanitarian and medical activities presents several opportunities, challenges, and complexities. International law does not necessarily provide ready-made answers to all of the difficult questions in this area. Yet devising and executing a “take into account” system provides a State significant opportunities to safeguard humanitarian and medical activities and counter terrorism while securing greater respect for international law.
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