Lumbar puncture SlideShare

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Lumbar Puncture - SlideShar

A lumbar puncture is where a thin needle is inserted between the bones in your lower spine. It should not be painful, but you may have a headache and some back pain for a few days. It's carried out in hospital by a doctor or specialist nurse. When a lumbar puncture may be needed Lumbar puncture, also known as spinal tap, is an invasive procedure where a hollow needle is inserted into the space surrounding the subarachnoid space in the lower back to obtain samples of cerebrospinal fluid (CSF) for qualitative analysis. Most of the disorders of the central nervous system are diagnosed in relation to the changes in the composition and dynamics of the CSF Anatomy. A lumbar puncture is an invasive test designed to access the subarachnoid space in the lower spinal canal. The brain and spinal cord are covered by three layers of meninges- the dura, arachnoid, and pia mater (Figure 1). The subarachnoid space lies between the arachnoid and pia mater and contains a solution called cerebrospinal fluid (CSF).CSF is a clear, colourless fluid that.

Lumbar Puncture Interpretation Low CSF Glucose Syndromes Bacterial meningitis Syphilis Tuberculous meningitis Chemical meningitis Fungal meningitis Subarachnoid - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 4970ec-MmVl Lumbar puncture (LP), also known as a spinal tap, is a medical procedure in which a needle is inserted into the spinal canal, most commonly to collect cerebrospinal fluid (CSF) for diagnostic testing. The main reason for a lumbar puncture is to help diagnose diseases of the central nervous system, including the brain and spine.Examples of these conditions include meningitis and subarachnoid. Pediatric lumbar puncture 1. LUMBAR PUNCTURE Pediatric nursing Lab 1 By: Zainab Neamat Al-Taee 2. CSF Facts • Clear, colourless fluid • Found in sub-arachnoid space within the brain (ventricles) and spinal cord • Produced by choroid plexus and cerebral vessels at rate of 500ml/day • Reabsorbed into venous sinus blood via arachnoid granulations • Choroid creates, arachnoid absorbs. One of a series of films we produced to help patients, their families and carers learn more about some of the most common tests and procedures used to diagno.. Lumbar puncture is the introduction of a hollow needle into the subarachnoid space of the lumbar portion of the spinal column to diagnose suspected infection and remove blood or pus. Cerebrospinal fluid (CSF) is completely replaced about three times a day. Although about 500 mL of CSF is formed every day, much of it is reabsorbed into the blood

Lumbar puncture is a procedure that is often performed in the emergency department to obtain information about the cerebrospinal fluid (CSF). Although usually used for diagnostic purposes to rule out potential life-threatening conditions (eg, bacterial meningitis or subarachnoid hemorrhage), it is also sometimes used for therapeutic purposes. 3. Kanegaye, J.T., Soliemanzadeh, P. & Bradley, J.S. Lumbar puncture in pediatric bacterial meningitis: defining the time interval for recovery of cerebrospinal fluid pathogens after parenteral antibiotic pretreatment. Pediatrics 108, 1169-74 (2001). 4. Joffe, A.R. Lumbar puncture and brain herniation in acute bacterial meningitis: a review Post lumbar puncture headache is the most common complication of LP. The post LP headache develops in 5 - 40% of patients undergoing lumbar puncture. It is a headache that begins within 72 hours of LP and usually lasts less than 5 days A lumbar puncture is usually done in an outpatient facility or a hospital by a doctor or a nurse. Your doctor or nurse will talk to you about the potential risks, and any discomfort you might feel during the procedure. If a child is having a lumbar puncture, a parent may be allowed to stay in the room in some cases View and Download PowerPoint Presentations on Lumbar Puncture PPT. Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Lumbar Puncture PP

This Video describes the procedure of Lumbar Puncture technique in a detailed manner Post-lumbar puncture headache, which is more precisely termed PDPH, is the most common complication of lumbar puncture, occurring in up to 40 % of patients after diagnostic lumbar puncture. 28 The headache begins within 48 hours in about 80 % and within 72 hours in about 90 % of patients.66, 75 The onset can be immediately after the lumbar puncture 81 or delayed for as long as 14 days. 127. LUMBAR PUNCTURE DR. OGUNDARE E. O LUMBAR PUNCTURE (Spinal Tap) An invasive procedure to gain access into the sub-arachnoid space. Just as the cisternal & ventricular - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3d7ff3-MTFh Lumbar puncture for CSF analysis is contraindicated. It can lead to life threatening brain herniation. Clinical features 1. Features of raised intracranial pressure - Headache, vomiting, altered consciousness and visual disturbances (blurred vision, diplopia) are the commonest symptoms. Alteration in consciousness i Boonmak, P. & Boonmak, S. Epidural blood patching for preventing and treating post-dural puncture headache. Cochrane Database Syst Rev, CD001791 (2010). Joffe, A.R. Lumbar puncture and brain herniation in acute bacterial meningitis: a review. J Intensive Care Med 22, 194-207 (2007)

http://www.seattlesciencefoundation.orgSeattle Science Foundation is a non-profit organization dedicated to the international collaboration among physicians,.. Lumbar puncture always wrongly correlate with paralysis or not being able to walk as part of complication of this procedure especially by the older generation in context of this region. The real fact is the disease that affecting the brain, spinal cord or other parts of the nervous system itself may cause paralysis with or without lumbar puncture being performed

The lumbar puncture should be performed in the morning, as early as possible. Here is an outline of the timing of the procedure: Cisternogram with Pledgets. Beginning: Location: Interventional Radiology Division on the eighth floor of the North Tower of Cedars-Sinai Medical Center Lumbar puncture (LP) is a procedure that involves the insertion of a needle into the spinal canal. An LP is also called a spinal tap. Get the facts on side effects and complications Lumbar puncture 1. • A lumbar puncture (or LP, and colloquially known as a spinal tap) is a diagnostic procedure that is performed in order to collect a sample of cerebrospinal fluid (CSF Title: Lumbar Puncture 1 Lumbar Puncture. 8/8/07 HVA ; 8/9/07 LUMC; 2 This Is A Spinal Tap 3 The Lumbar Puncture. History ; Heinrich Irenaus Quincke ; Quinckes most notable contribution, however, was his introduction of the lumbar puncture as a diagnostic and therapeutic technique. He arrived at this in an interesting and local fashion World's Best PowerPoint Templates - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. Winner of the Standing Ovation Award for Best PowerPoint Templates from Presentations Magazine. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect

lumbar puncture and go on to train junior doctors Training advanced practitioners to perform lumbar puncture Authors Joanna Lavery and Tracy Whitaker are advanced nurse practitioners, acute medical unit, Aintree University Hospital, Liverpool. Abstract Lumbar puncture, a diagnostic procedure often undertaken in acute medica Saved from slideshare.net. Cerebrospinal fluid (CSF) and interpreting lumbar puncture. Cerebrospinal fluid - interpreting lumbar punctures By JP Byass, 4th year, HYMS. Saved by Jane. 46. Multiple Sclerosis Funny Nervous System Anatomy Lumbar Puncture Spinal Canal Pseudotumor Cerebri Intracranial Hypertension Cerebrospinal Fluid Human Body.

Lumbar Puncture (LP) Clinical Guideline V1.0 Page 2 of 16 Summary Decision to perform a lumbar puncture (LP) - this must be made by a consultant or registrar caring for the patient. Performing a lumbar puncture - this must be done by, or under the direct supervision of, someone competent in performing lumbar puncture Lumbar puncture has been widely practiced since the late 1800s. The most notable contributor to the prac-tice was Heinrich Irenaeus Quincke, who identified the usefulness of lumbar puncture as a diagnostic tool in clinical practice.5 The indications for lumbar

Lumbar Puncture PPT - SlideShar

INTRODUCTION — Lumbar puncture (LP) with examination of cerebrospinal fluid (CSF) is an important diagnostic tool for a variety of infectious and noninfectious neurologic conditions.. The techniques, indications, contraindications, and complications of LP in adults will be reviewed here. Technique of LP in children and for spinal and other types of neuraxial anesthesia is discussed separately Recommendations to Reduce Post-Procedural Complications. • Smaller gauge needle - can use 25g. • Minimize number of lumbar puncture attempts. • Passive removal of CSF. • Safe to collect up to 30 mL of CSF. • Bedrest not shown to reduce post lumbar puncture complaints This is a short video demonstrating how to perform an adult spinal tap or lumbar puncture.Note: One correction here...The bevel of needle is oriented parall.. A lumbar puncture (LP) or spinal tap may be done to diagnose or treat a condition. For this procedure, your healthcare provider inserts a hollow needle into the space surrounding the spinal column (subarachnoid space) in the lower back to withdraw some cerebrospinal fluid (CSF) or inject medicine Lumbar puncture (shown) is a procedure often performed in the emergency department for either therapeutic or diagnostic purposes. Most commonly, lumbar puncture is employed as a diagnostic procedure to diagnose meningitis, subarachnoid hemorrhage, or other infectious/inflammatory conditions

Lumbar punture - SlideShar

Managment of common neonatal problems

NEONATAL LUMBAR PUNCTURE (Neonatal) 1 I. Definition The lumbar puncture is used to sample the cerebral spinal fluid (CSF) to determine if an infection exists, to diagnose certain disease states, or (with order of Attending/Fellow) to drain CSF in cases of hydrocephalus. II Lumbar Puncture: Guideline for the Emergency Department Aim The aim of this guideline is to direct clinical staff in the optimal performance of a lumbar puncture. Definition of terms CSF, cerebrospinal fluid; LP, lumbar puncture Target patient population Children in whom a LP is necessary for either diagnostic or therapeutic indications Lumbar Puncture. Lumbar puncture functions both as a therapeutic and a diagnostic tool in medical science. It helps doctors know whether the intense headache you have is due to a simple lack of sleep or a life-threatening bacterium Rob Orman from ERCAST.org dubbed this video for us as part of another project. Several images were added and one correction made

Position. Lumbar puncture may be performed with the child lying on their side or sitting up. Position back and bottom close to edge of bed. Aim for maximum flexion of spine (curl into foetal position), but avoid over-flexing neck, especially in infants, as this may cause respiratory compromise Lumbar puncture has been in widespread clinical use for nearly a century. It is used in emergency medicine primarily as a tool for the diagnosis of meningoencephalitis and subarachnoid hemorrhage. The development of computed tomography has changed the position that lumbar puncture has held in the di Lumbar puncture (LP) may be considered one of the most well-known diagnostic procedures in the field of pediatric infectious diseases. It is an essential procedure for analyzing cerebrospinal fluid (CSF) in the evaluation for meningitis, sepsis, fever, or subarachnoid hemorrhage (SAH) in neonates. 2. History

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'lumbar puncture' on SlideShar

  1. Ebinger F, Kosel C, Pietz J, Rating D. Headache and backache after lumbar puncture in children and adolescents: a prospective study. Pediatrics 2004; 113:1588. Crock C, Orsini F, Lee KJ, Phillips RJ. Headache after lumbar puncture: randomised crossover trial of 22-gauge versus 25-gauge needles. Arch Dis Child 2014; 99:203
  2. ation of neuronal autoantibodies in autoimmune encephalitis. New screening techniques have increased sensitvity for pathogen.
  3. Newly added variation of puncture pads, elderly, thick body and epidural enriches trainings. New supporters allow both sitting position and lateral position
  4. Lumbar puncture is performed in adults, children, and infants to obtain CSF for cell count, glucose, protein, culture, and other specialized analyses.. It is frequently used in the evaluation of infection of the meninges, subarachnoid hemorrhage, and demyelinating diseases. CSF analysis results may also be helpful, although nonspecific, in diagnosing systemic lupus erythematosus with central.
  5. Lumbar puncture is also commonly called a spinal tap. This involves placing a needle in the lower back to obtain fluid that bathes the brain and spinal cord (this fluid is called cerebrospinal fluid or CSF). The correctly placed needle enters a sac below the actual spinal cord
  6. Lumbar puncture is a strict aseptic technique requiring full sterile procedures. Encourage patients to drink well before and after the procedure. Positioned the patient carefully, laying on one side in a curled up position with the lumbar spine exposed (knees drawn up to the chest)
  7. Lumbar punctures are essential for the diagnosis of meningitis, but clinicians may defer lumbar puncture if the risk for meningitis is low or if there are substantial concerns regarding the risk associated with the procedure. Awareness of the epidemiology and microbiology of meningitis in infants, as well as valid contraindications to.

Lumbar puncture is a procedure that is often performed in the emergency department to obtain information about the cerebrospinal fluid (CSF). Although usually used for diagnostic purposes to rule out potential life-threatening conditions (eg, bacterial meningitis or subarachnoid hemorrhage), it is also sometimes used for therapeutic purposes. Autumn Rivers Date: February 25, 2021 A lumbar puncture may be required to gauge the pressure of cerebrospinal fluid with a manometer.. A lumbar puncture, or spinal tap, involves putting a needle into the lower spine.The point of this procedure is often to retrieve cerebrospinal fluid (CSF) to test for infection, though a spinal tap also can be used to administer medications or relieve spinal. A lumbar puncture (LP) procedure, also called a spinal tap, spinal puncture, thecal puncture, or rachiocentesis, collects cerebrospinal fluid (CSF) from the spine by needle. The CSF is analyzed for diagnosing cancers and tumors of the brain or spinal cord; bleeding around the brain; inflammatory diseases such as meningitis, encephalitis and syphilis; autoimmune diseases such as multiple. Lumbar Puncture. malli.nisa@gmail.com . Accepted for publication March 9, 2020. Published online first on April 3, 2020. This poem is one of the finalists of Anesthesiology's 2019 annual creative writing competition, The Letheon. malli.nisa@gmail.com . Anesthesiology June 2020, Vol. 132, 1586. Nisa Malli; Lumbar Puncture

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Lumbar puncture - NH

Post-Lumbar Puncture and Other Low-Pressure Headaches - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals - Medical Professional Version Pediatric lumbar puncture trainers are less available than adult trainers; most are the newborn size and quite expensive. Due to age-based practice patterns for fever diagnostic testing, most pediatric lumbar punctures are performed on young infants, and residents have fewer opportunities to perform lumbar punctures on older children. 1 Adult lumbar puncture trainers have been created using a. Lumbar puncture and brain herniation in acute bacterial meningitis: a review. J Intensive Care Med. 2007 Jul-Aug. 22(4):194-207. . Oliver WJ, Shope TC, Kuhns LR. Fatal. Lumbar Puncture Page 1 What is a lumbar puncture? A lumbar puncture is a procedure which is carried out to get a sample of cerebrospinal fluid (CSF) for testing. CSF covers the brain and spinal cord. A sample is obtained by inserting a special hollow needle into the lower part of the back and into the space around the spina

Lumbar Puncture (Spinal Tap) - Nursing Responsibilities

  1. Lumbar puncture is a procedure used for diagnosing and treating certain serious medical conditions. Know more about the side effects of this procedure, through this write-up. Lumbar puncture, a.k.a. spinal tap or spinal puncture, is a diagnostic procedure employed for collecting a sample of cerebrospinal fluid (CSF) — a fluid that surrounds the brain and the spinal cord
  2. Antiplatelet medication use within 1 week of lumbar puncture was associated with a 3% incidence of bloody tap and 4% incidence of traumatic tap that cleared. In the group of patients who waited for a lumbar puncture at least 4 weeks after discontinuation of antiplatelet drug, there was a 5% incidence of bloody or traumatic tap
  3. Background. The first reports of a lumbar puncture (LP) being undertaken are from the late 19 th century [1]. Heinrich Irenaeus Quince (with whom the Lumbar Puncture is commonly associated with) reported to the tenth congress of Internal Medicine in April 1891­­ that he had performed in one case 3 lumbar punctures in a patient with suspected tuberculous meningitis who was comatose [1,2]

Lumbar Puncture (LP) - OSCE guide Geeky Medic

<p>A lumbar puncture, also called a spinal tap, is a procedure that takes a sample of your child's cerebrospinal fluid (CSF), which surrounds the brain and spinal cord. Doctors perform a lumbar puncture to see if leukemia has spread into the central nervous system (CNS) Lumbar puncture is one procedure where ultrasound has potential to increase success. 1,2 . The evidence. Meta-analysis of PoCUS guided LPs in the ED with adult and pediatric patients showed improved success rates (NNT 11) and fewer traumatic taps (NNT 6), less pain and less time to obtaining a CSF sample. 4 Lumbar puncture. A lumbar puncture is a test to check the fluid that circulates around the brain and spinal cord. This is called the cerebrospinal fluid or CSF. Why you have a lumbar puncture . Certain types of brain tumours can spread from the brain to the CSF. So doctors might take some of the CSF to test for tumour cells Lumbar Puncture. 778 likes · 1 talking about this. The Official Band Of KPC Medical College & Hospita

PPT - Lumbar Puncture PowerPoint presentation free to

The lumbar puncture is usually done to find out if your child has an infection of the lining or the fluid around their brain. This type of infection is called meningitis (see Meningitis fact sheet). Occasionally lumbar punctures are done for other reasons that your doctor will explain Lumbar Puncture . WHAT YOU SHOULD KNOW: - Lumbar puncture, also called an LP or spinal tap, is a procedure where a needle is inserted in your back and into the spinal canal. This is done to collect cerebrospinal fluid (CSF) or treat certain medical conditions A lumbar puncture or LP is a procedure which is used to obtain a sample of cerebrospinal fluid (CSF). This is the fluid that bathes, protects and cushions your brain and spinal cord. This fluid can hold important clues about the health of the brain and spinal cord

Lumbar puncture - Wikipedi

Pediatric lumbar puncture - SlideShar

Post-lumbar puncture or, more precisely termed, postdural puncture headache (PDPH), is the most common complication of lumbar puncture, occurring in up to 40% of patients.[6] The headache begins within 48 hours in 80% and within 72 hours in 90%, although the onset can be immediately after the procedure or delayed for as long as 14 days 45 Preparation for a lumbar puncture Preparation for a lumbar puncture overview A lumbar puncture is an invasive procedure that involves the insertion of a needle into the subarachnoid space. This will be performed to assist with diagnosis or to permit treatment. For diagnostic purposes, a sample of the cerebrospinal fluid (CSF) is taken i Lumbar puncture is the gold standard for diagnosis and antibiotics are the treatment. 1,2 Obtaining CSF studies is an urgent concern, but may not be emergent as therapy can be initiated before results are obtained when clinical suspicion is high. 3 Recent investigation of CT before LP has shown that not all patients need imaging and that CT can delay time to antibiotics. 4 Delayed time to. Lumbar Puncture. apanese. Lumbar Puncture 腰椎穿刺 Lumbar puncture, also called a spinal puncture or spinal tap, is a test where a small amount of fluid is removed from the space around the spinal cord. The fluid, called cerebrospinal fluid or CSF, is tested for problems. An adult family member or friend needs t

Having a lumbar puncture - YouTub

Lumbar Puncture. A lumbar puncture uses a thin, hollow needle and a special form of real-time x-ray called fluoroscopy to remove a small amount of cerebrospinal fluid for lab analysis. It also may be used to deliver an injection of chemotherapy or other medication into the lower spinal canal Lumbar puncture is a method of collecting cerebrospinal fluid (CSF) by inserting a needle between the 1st and 2nd lumbar vertebrae. Cerebrospinal fluid surrounds brain and spinal cord and acts as a buffer against traumatic impact. Lumbar vertebrae form part of the vertebral column, corresponding to the lower back Lumbar puncture (LP) is a useful diagnostic tool in a wide spectrum of paediatric clinical situations. A common indication is to rule out a serious intracranial infection in a febrile child. Success rate can be optimised by proper positioning, appropriate technique and enhanced operator's skill in p

Lumbar Puncture Nurses Zone Source of Resources for Nurse

The study is carried out in a prospectively randomly controlled way. In the context of acknowledgement and understanding from parents, by comparing with traditional process (lying without the pillow and fasting water and food for four hours following lumbar puncture), an optimized postoperative management (lying without the pillow for half an hour following lumbar puncture) is randomly selected lumbar puncture definition: 1. the act of putting a needle between the bones of the lower back in order to remove fluid for. Learn more Lumbar Puncture - Neonatal Clinical Guideline V2.0 Page 4 of 11 account and the lower L4-L5 interspace used for significantly preterm babies to avoid possible cord penetration. L3-L4 can be used in term babies. Figure 1. Diagram illustrating the position for optimal needle insertion during a Lumbar Puncture. Illustration: Kim Smith, RCHT Introduction: Cerebrospinal fluid collection by lumbar puncture (LP) is performed in the diagnostic workup of several neurological brain diseases. Reluctance to perform the procedure is among others due to a lack of standards and guidelines to minimize the risk of complications, such as post-LP headache or back pain Post-lumbar puncture syndrome (PLPS) is a frequent and important complication of diagnostic lumbar puncture. PLPS is primarily caused by perforation of the dura mater, leading to persistent leak of the cerebrospinal fluid, and, as a result, intracranial hypotension. Effective therapeutic options are

Lumbar Puncture: Background, Indications, Contraindication

Lumbar Puncture 50 K/microliter 1.5 Coagulopathy Threshold Note: This algorithm is used by Acute Care Procedures Team, also known as Mobile Procedure Team (MPT) Department of Clinical Effectiveness V3 Approved by the Executive Committee of the Medical Staff on 08/18/2020 Coagulopathy (INR > 1.5 and platelets < 50 K/microliter) Threshold t Dr. Nir Friedman (https://twitter.com/doctorpezo) reviews the positioning, landmarks, technique and EBM in POCUS assisted lumbar puncture Episode 31: LP, Spontaneous Pneumothorax and Ultrasound Guided Fracture Reduction. In this episode, Dr. Jordan Chenkin & Dr. Jamie Blicker discuss positioning, landmarking, and best technique for lumbar puncture, how to minimize post-LP headache and traumatic taps, as well as when CT head is not required prior to LP Click for pdf: Lumbar_puncture_in_pediatrics Background Although the attempts at retrieval and analysis of the cerebrospinal fluid date back well over a century, it was not until the 1950s when the lumbar puncture was widely popularized. Then workup of any significant central nervous system condition was not considered complete until a lumbar puncture was performed Lumbar puncture may also be performed for therapeutic purposes, including management of IIH or administration of intrathecal medications. A lumbar puncture often elicits great concern from both patients and the family/caregivers due to concerns of pain and a misunderstanding of risk to the spinal cord

Post dural puncture headacheEncephlitisOcular manifestations of syphilisPost Dural Puncture HeadacheCerebrospinal fluidevaluation of csf3lab fluoroscopy

A lumbar puncture (or LP, and colloquially known as a spinal tap) is a diagnostic and at times therapeutic procedure that is performed in order to collect a sample of cerebrospinal fluid (CSF) for biochemical, microbiological, and cytological analysis, or very rarely as a treatment (therapeutic lumbar puncture) to relieve increased intracranial pressure. It is one of the most common. ISSN: 2328-5745 (Print); ISSN: 2328-5753 (Online) Lumbar Puncture: Nurses` Knowledge, Practice and. Patients' Satisfaction with Nursing Care. Rasha Ali Ahmed Abdelmowla 1, *, Samia Youssef Sayed. Lumbar puncture is a procedure that is commonly performed in the emergency department (ED) for both diagnostic and therapeutic reasons. Post lumbar puncture (LP) headache is one of the most common complications from LPs (6 - 36% incidence) and is essentially a clinical diagnosis based on a history of a dural puncture and the postural nature of the headache with associated symptoms lumbar puncture. A time-out was completed verifying correct patient, procedure, site, positioning, and special equipment if applicable. The procedure was described to the patient in the presence of ***. All the indications and potential side effects of the procedure were discussed in details (including but not limited to risk of bleeding. A lumbar puncture is a test to check for cancer cells in the fluid that travels around your brain and spinal cord. Find out about having a lumbar puncture including what it is, how you have it and what happens afterwards In the Alphabetic Index, the choices for body part under Drainage include Spinal Canal, Spinal Cord, and Spinal Meninges. Lumbar puncture is accomplished by removing fluid from the spinal canal for, in many cases, diagnostic evaluation. The correct code for a diagnostic lumbar puncture in ICD-10-PCS is 009U3ZX

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