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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Revisiones sistem&#225;ticas previas han apoyado la eficacia del consejo m&#233;dico&#44; como intervenci&#243;n breve&#44; en el abordaje de bebedores excesivos detectados en la asistencia primaria&#46; Sin embargo&#44; estos resultados no pueden extrapolarse directamente a poblaciones que&#44; como las mediterr&#225;neas&#44; no est&#225;n representadas en dichas revisiones&#46; El objetivo de este estudio fue actualizar la evidencia sobre la eficacia de la intervenci&#243;n breve en consumidores excesivos de alcohol seg&#250;n estudios espa&#241;oles&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">B&#250;squeda de estudios en bases bibliogr&#225;ficas y consultas a expertos para localizar estudios no publicados&#46; Se calcularon las estimaciones combinadas para dos variables de resultado&#44; la reducci&#243;n del consumo de alcohol y la disminuci&#243;n de la frecuencia de bebedores excesivos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Dos de los 5 estudios localizados no estaban incluidos en una revisi&#243;n previa&#46; La eficacia de la intervenci&#243;n breve fue moderada para la disminuci&#243;n del consumo de alcohol &#40;d &#61; &#8211;0&#44;46&#59; intervalo de confianza &#40;IC&#41; del 95&#37;&#44; &#8211;0&#44;29 a &#8211;0&#44;63&#59; p &#60; 0&#44;0005&#59; el grupo tratado mejor&#243; un 22&#37; m&#225;s que el control&#41; y peque&#241;a para la disminuci&#243;n de la frecuencia de bebedores excesivos &#40;OR &#61; 1&#44;55&#59; IC del 95&#37;&#44; 1&#44;06 a 2&#44;26&#59; p &#61; 0&#44;02&#59; el grupo tratado mejor&#243; un 11&#37; m&#225;s que el control&#41;&#46; El an&#225;lisis basado en el cumplimiento del protocolo sobrestim&#243; 1&#44;5 veces el tama&#241;o del efecto respecto del an&#225;lisis basado en la intenci&#243;n de tratamiento&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los resultados del estudio se&#241;alan que&#44; en nuestro pa&#237;s&#44; la intervenci&#243;n breve en atenci&#243;n primaria sobre bebedores a riesgo es eficaz&#44; aunque su efecto sea s&#243;lo moderado&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Former systematic reviews have backed the efficacy of medical counselling&#44; a form of brief intervention&#44; on the treatment of excessive drinkers detected in primary care settings&#46; Nevertheless&#44; these results cannot be applied without criticism to Mediterranean populations which&#44; so far&#44; have not been represented in the aforementioned studies&#46; The aim of the present study was to update the results on the efficacy of brief interventions in primary care by pooling Spanish studies&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Studies were searched for by using appropriate databases and also by consulting to experts in the field to retrieve grey literature&#46; Pooled estimations of effect sizes were calculated for two outcomes&#44; the reduction in the amount of alcohol consumption and the decrease in the number of excessive drinkers&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Two over the 5 retrieved studies were not included in a former review&#46; The effect size regarding the decrease of alcohol consumption was medium &#40;d &#61; &#8211;0&#46;46&#59; 95&#37; CI&#44; &#8211;0&#46;29 to &#8211;0&#46;63&#59; p &#60; 0&#46;0005&#59; the intervention group outperformed the control by a 22&#37;&#41; and small for the decrease in the frequency of excessive drinkers &#40;OR &#61; 1&#46;55&#59; 95&#37; CI&#44; 1&#46;06 to 2&#46;26&#59; p &#61; 0&#46;02&#59; the intervention group outperformed the control by a 11&#37;&#41;&#46; The analysis by complimented protocols at the end of the study showed an effect size 1&#46;5 times larger than the analysis performed on intention-to-treat basis&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The results of this meta-analysis support the efficacy of brief intervention for excessive drinkers in primary care settings in Spain&#46;</p>"
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                    0 => array:1 [
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                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
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                        "volumen" => "109"
                        "paginaInicial" => "121"
                        "paginaFinal" => "124"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Why do people change addictive behavior&#63;"
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                            0 => "W&#46;R&#46; Miller"
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                        "tituloSerie" => "The 1996 H&#46; David Archibald Lecture&#46; Addiction"
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                        "paginaInicial" => "163"
                        "paginaFinal" => "172"
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                    0 => array:1 [
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                        "tituloSerie" => "Br J Addict"
                        "fecha" => "1986"
                        "volumen" => "81"
                        "paginaInicial" => "23"
                        "paginaFinal" => "46"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3457598"
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                        "paginaFinal" => "1552"
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                        "paginaFinal" => "2341"
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                          0 => array:2 [
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Eficacia del consejo médico para la reducción del consumo excesivo de alcohol. Metaanálisis de estudios españoles en atención primaria
Effectiveness of medical advice for reducing excessive alcohol conssumption. Meta-analysis of Spanish studies in primary care
J. Ballesterosa,b,
Autor para correspondencia
onpbaroj@lg.ehu.es

Correspondencia: J. Ballesteros. Departamento de Neurociencias. Universidad del País Vasco. Barrio Sarriena s/n. 48940 Leioa (Vizcaya). España.
, J. Ariñoc, A. González-Pintoa, I. Querejetad,e
a Departamento de Neurociencias. Universidad del País Vasco. Leioa (Vizcaya). España
b Instituto de Investigaciones Psiquiátricas. Bilbao. España
c Módulo Psicosocial Deusto-San Ignacio. Bilbao. España
d Servicio de Psiquiatría. Hospital Donostia. San Sebastián. España
e Escuela Universitaria de Trabajo Social. Universidad del País Vasco. San Sebastián. España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Former systematic reviews have backed the efficacy of medical counselling&#44; a form of brief intervention&#44; on the treatment of excessive drinkers detected in primary care settings&#46; Nevertheless&#44; these results cannot be applied without criticism to Mediterranean populations which&#44; so far&#44; have not been represented in the aforementioned studies&#46; The aim of the present study was to update the results on the efficacy of brief interventions in primary care by pooling Spanish studies&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Studies were searched for by using appropriate databases and also by consulting to experts in the field to retrieve grey literature&#46; Pooled estimations of effect sizes were calculated for two outcomes&#44; the reduction in the amount of alcohol consumption and the decrease in the number of excessive drinkers&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Two over the 5 retrieved studies were not included in a former review&#46; The effect size regarding the decrease of alcohol consumption was medium &#40;d &#61; &#8211;0&#46;46&#59; 95&#37; CI&#44; &#8211;0&#46;29 to &#8211;0&#46;63&#59; p &#60; 0&#46;0005&#59; the intervention group outperformed the control by a 22&#37;&#41; and small for the decrease in the frequency of excessive drinkers &#40;OR &#61; 1&#46;55&#59; 95&#37; CI&#44; 1&#46;06 to 2&#46;26&#59; p &#61; 0&#46;02&#59; the intervention group outperformed the control by a 11&#37;&#41;&#46; The analysis by complimented protocols at the end of the study showed an effect size 1&#46;5 times larger than the analysis performed on intention-to-treat basis&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The results of this meta-analysis support the efficacy of brief intervention for excessive drinkers in primary care settings in Spain&#46;</p>"
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                      "titulo" => "Why do people change addictive behavior&#63;"
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                      "Revista" => array:5 [
                        "tituloSerie" => "The 1996 H&#46; David Archibald Lecture&#46; Addiction"
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                        "paginaInicial" => "163"
                        "paginaFinal" => "172"
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              "identificador" => "bib0015"
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                0 => array:2 [
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                      "titulo" => "Alcohol-related problems in the primary health care setting&#58; a review of early intervention strategies"
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                  "host" => array:1 [
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                      "Revista" => array:7 [
                        "tituloSerie" => "Br J Addict"
                        "fecha" => "1986"
                        "volumen" => "81"
                        "paginaInicial" => "23"
                        "paginaFinal" => "46"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3457598"
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                            0 => "T&#46;H&#46; Bien"
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                  "host" => array:1 [
                    0 => array:1 [
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                        "paginaInicial" => "315"
                        "paginaFinal" => "336"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8461850"
                            "web" => "Medline"
                          ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Effectiveness of physician-based interventions with problem drinkers&#58; a review"
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                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Kahan"
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                            2 => "L&#46; Becker"
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Can Med Assoc J"
                        "fecha" => "1995"
                        "volumen" => "152"
                        "paginaInicial" => "851"
                        "paginaFinal" => "859"
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673605758542"
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                          "etal" => false
                          "autores" => array:1 [
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                    0 => array:2 [
                      "doi" => "10.1006/pmed.1999.0467"
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                        "tituloSerie" => "Prev Med"
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                        "volumen" => "28"
                        "paginaInicial" => "503"
                        "paginaFinal" => "509"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10329341"
                            "web" => "Medline"
                          ]
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                    0 => array:2 [
                      "titulo" => "Meta-analysis of randomized control trials addressing brief interventions in heavy alcohol drinkers"
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                            0 => "A&#46;I&#46; Wilk"
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Gen Intern Med"
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                        "volumen" => "12"
                        "paginaInicial" => "274"
                        "paginaFinal" => "283"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9159696"
                            "web" => "Medline"
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                      "titulo" => "Criterios operativos para la prevenci&#243;n del alcoholismo"
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                        "paginaInicial" => "584"
                        "paginaFinal" => "588"
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                        "tituloSerie" => "BMJ"
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                        "paginaInicial" => "1549"
                        "paginaFinal" => "1552"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8019314"
                            "web" => "Medline"
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                        "paginaFinal" => "1704"
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                        "tituloSerie" => "Una revisi&#243;n sistem&#225;tica de estudios espa&#241;oles&#46; Trastornos Adictivos"
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                        "paginaFinal" => "145"
                        "link" => array:1 [
                          0 => array:2 [
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                            "web" => "Medline"
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                    0 => array:2 [
                      "titulo" => "Diagnostic statistical procedures in medical meta-analyses"
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                            0 => "I&#46; Olkin"
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                        "paginaFinal" => "2341"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10474143"
                            "web" => "Medline"
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                    0 => array:2 [
                      "titulo" => "Parametric measures of effect size"
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                      "LibroEditado" => array:4 [
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                        "paginaFinal" => "244"
                        "serieFecha" => "1994"
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                    ]
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                ]
              ]
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                      "titulo" => "Statistical power analysis for the behavioral sciences"
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            15 => array:3 [
              "identificador" => "bib0080"
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                      "titulo" => "Effectiveness of brief intervention on nondependent alcohol drinkers &#40;EBIAL&#41;&#58; a Spanish multi-centre study"
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                  "host" => array:1 [
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                      "Revista" => array:6 [
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                        "paginaFinal" => "568"
                        "link" => array:1 [
                          0 => array:2 [
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                        "tituloSerie" => "Aten Primaria"
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                        "link" => array:1 [
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                    0 => array:2 [
                      "titulo" => "A systematic review of the effectiveness of promoting lifestyle change in general practice"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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                        "tituloSerie" => "Fam Pract"
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                        "paginaInicial" => "160"
                        "paginaFinal" => "176"
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                          0 => array:2 [
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                  ]
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                    0 => array:1 [
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                        "paginaInicial" => "169"
                        "paginaFinal" => "186"
                      ]
                    ]
                  ]
                ]
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                    0 => array:2 [
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                        "tituloSerie" => "Prev Med"
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                        "volumen" => "32"
                        "paginaInicial" => "66"
                        "paginaFinal" => "72"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11162328"
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                    ]
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                    0 => array:1 [
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                        "tituloSerie" => "Aten Primaria"
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                        "paginaInicial" => "896"
                        "paginaFinal" => "902"
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                    0 => array:2 [
                      "titulo" => "Prevention in routine general practice&#58; activity patterns and potential promoting factors"
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                            0 => "J&#46; L&#243;pez-de-Munain"
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                        ]
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                    ]
                  ]
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                    0 => array:2 [
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                        "paginaInicial" => "13"
                        "paginaFinal" => "22"
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                          0 => array:2 [
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "A meta-analysis of trials evaluating patient education and counseling for three groups of preventive health behaviors"
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                        0 => array:2 [
                          "etal" => false
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
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                            0 => "S&#46;E&#46; Wutzke"
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                          0 => array:2 [
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ISSN: 02139111
Idioma original: Español
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