MDMLG News

Volume 28 Number 5
June 2002

 

 

Sue Skoglund, Editor
Valerie Reid, Webmaster


Table of Contents

The Year in Review 2001-2002
MDMLG Members Honored by Hospital Libraries Section, MLA
Legal Resources
Profile on Members:  Interesting Things Our Members Do
Copyright Law and Online Information, Part II
MDMLG Election Results
Overview of Recent NLM Technical Bulletins, Part II
CHLA Conference Notes
MDMLG Summer Luncheon Meeting
MHSLA Conference Coming Soon
Announcements / Upcoming Dates

 

The Year in Review 2001-2002

My year as serving as president of MDMLG is winding down. It has been quite a learning experience for me as well as, I hope, beneficial for the membership.

My first duty as president, unfortunately, was to meet with Ellen Marks and Sandra Martin of Wayne State University and discuss the cancellation of the CAM-ERA conference. It was decided that although a great deal of work had already been done there wasn’t enough time or manpower to complete the tasks at hand. We decided that it was better to not present a conference than to present it and not have it go well. My thanks to Ellen Marks and Sandra Martin on taking this negative situation and turning it into a positive. Their offer to assist MDMLG in future programs has been invaluable. As a result, we are able to offer three full day continuing education (CE) programs in June with the National Library of Medicine and have already offered a four-hour course in April with Ovid Technologies.

Working with Swets Blackwell, Inc. we were able to offer another four hour CE course in March at the Hyatt Regency in Dearborn. This coordinated effort between Swets Blackwell and MDMLG allowed us to offer this at a much lower rate and include lunch! I hope this will set a precedent that future courses can be offered at reduced rates in conjunction with other vendors. This is also an opportunity for us to see the "latest and greatest" from vendors. It is a win-win situation for all. Reduced institutional funding for travel make continuing education opportunities such as these so much more important.

The updating of the bylaws was completed to reflect the changes occurring within MDMLG. Offering additional categories of membership allows us to better serve our members by offering reduced rates to retired members as well as students. Changing the length of committee membership terms and chairperson requirements allows for more flexibility within the committees. It is becoming more difficult to recruit committee members. Library staff time is more precious than ever and being able to get away to attend meetings can be difficult. Times have changed and we need to change in order to effectively serve the membership and each other.

I have had the wonderful opportunity to work with a supportive and dedicated executive board, committee chairs and committee members. My thanks to: Diane LeBar-for fulfilling all the secretary duties and recording all those meeting minutes; Karin Werner-for her timely treasurer’s reports and for the positive account balances!; Patty Scholl-for doing the audit; Misa Mi-for the new brochure and all the outreach survey information; Gina Hug-for keeping the online directory information current; Barb Platts-for answering my questions; Sue Skoglund-for the new online newsletter format--the pictures and graphics added a great new look!; Diana Balint and Gayle Williams-for all the compensation and benefits survey work; Sandra Martin-for keeping the archives information straight and for helping with the CE classes; Donna Marshall-for chairing the nominating committee (the arm I twisted has healed nicely, I’m happy to report) and providing a slate for us to vote on; Marilyn Kostrewski-for coordinating all the continuing education classes; Diane O’Keefe-for providing interesting programs and a summer luncheon I’m looking forward to; Joan Emahiser-for keeping us updated on the activities at MHSLA; Valerie Reid-for all her helpful suggestions and many timely updates to the web site—a ton of work! Thanks so much Val!

Thank you for giving me the opportunity to serve the membership of MDMLG as president. I hope my involvement in the organization has been helpful to you in some way.

Audrey Bondar
President

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MDMLG Members Honored by Hospital Libraries Section, MLA

We proudly announce that MDMLG members Carole Gilbert and Toni Janik and former MDMLG member Michele S. Klein-Fedyshin have been listed on the Scroll of Exemplary Service for the Hospital Libraries Section of the Medical Library Association. They are honored for their exemplary service in the area of leadership, publishing, service or through a special project or event on the job or in their community within the last five years. The Scroll was unveiled and the names listed on this Scroll were read at the Hospital Libraries Section Business Meeting on Sunday, May 19, 2002. Congratulations to them for the award!

Misa Mi
MDMLG Public Relations Committee

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Legal Resources

Is it Legal?

Is it legal for a nurse to remove a chest tube? Questions like this are not uncommon for medical librarians and they are always challenging. Searching for legal information often takes librarians outside of their normal area of expertise. A little understanding of how the law is structured can make these tough questions a little easier.

Structure of the law

There are three major types of law: statutory law, administrative law and case law. Statutory law is the law that is created by legislation. As a result, statutory law can change frequently as new bills are passed by the legislature. In Michigan this law can be found in one of two multi volume sets: Michigan Compiled Laws (MCL) or, if working from the more common annotated version, Michigan Compiled Laws Annotated (MCLA). This is where the Public Health Code of Michigan can be found.

The second type of law is Administrative law. It is also known as regulatory law. It includes regulations propagated by governmental agencies such as the Michigan Board of Nursing. The regulatory law will often contain more specific and detailed information that is unique to a particular area, because the administrative agency that creates the regulations will have the technical expertise to manage such issues. In Michigan it can be found in the Michigan Administrative Code.

Because of the differing levels of expertise between the legislature and the agencies, these two types of laws usually work together. For example, the MCL has a section creating, authorizing and empowering the State Board of Nursing to make rules (MCL 333.16145). When the agency actually makes the rules, they will appear in the Michigan Administrative Code. The result is that the MCL is very general and the Administrative Code is very specific. For example, MCL states the requirement for licensure to practice nursing in Michigan:

333.17211 License or authorization required. A person shall not engage in the practice of nursing or the practice of nursing as a licensed practical nurse unless licensed or otherwise authorized by this article.

This is very brief. By contrast, the Administrative Code rules, set forth by the Board of Nursing, go into much more detail. They define the educational requirements to sit for a licensure exam, what exams are accepted, what scores are accepted, what the requirements are to maintain licensure, etc.

Lastly, there is case law, also know as common law. Generally when a case is decided by a court, the circumstances of the case and rationale of the court are recorded in published opinions. These precedents then provide guidance to courts when they are faced with similar legal and factual questions in the future. No two opinions are ever identical however, because no two factual situations are ever completely identical – and therefore case law is the least predictable and clear source of law. However, because it deals most directly with specific facts and applications, it can be very flexible and provide guidance in areas where the MCL and the Administrative Code are silent. In Michigan, two of our major courts record their opinions: Michigan Supreme Court and Michigan Court of Appeals.*

To locate this information, the Internet is invaluable. Although direct websites are available for each division mentioned above, there is one convenient meta-site on Michigan law compiled by the Institute for Continuing Legal Education: http://www.icle.org/michlaw/ .

Our question

Will any of these sources lead me to an answer about the chest tubes?  No. Absolutely not. Although the MCL will discuss the general legislative judgment about the practice of medicine, and the Administrative Code will give concrete technical findings on issues facing health professionals, the "law" concerning nursing, allied health and medical practice is not procedure specific. It speaks largely in generalities about issues such as delegation, supervision, specialty/advanced practice and continuing education requirements. Elected officials have neither the time nor the subject specialty to create rules at that level of specificity. Even case law, which is grounded in specific fact-situations and therefore can provide guidance to health professionals, will not absolutely answer the question because it cannot say categorically what the answer is in all cases, but only in those situations which have already come before the courts. But then, who does decide such important issues? And how can the information be found?

The professions themselves in their "scope of practice" statements determine the legality of their practice. When attempting to determine if malpractice has occurred, it is the scope of practice and the standard of care that is the yardstick. A nurse, physician or respiratory therapist will be judged on whether he or she performed in a manner that is similar to what another ordinary, reasonable and prudent professional of similar licensure would have done. So, in a court, the standard argued will be derived from core texts, standards and practice statements. Often experts will be called in to testify as to these standards.

With regard to our question, the answer would be found by reviewing various nursing standards, guidelines and scope of practice statements from both general and specialty nursing organizations. As it happens, the American Association of Critical Care Nurses (AACN) covers chest tube removal in their AACN Procedure Manual for Critical Care (W.B. Saunders, 1993). Keep in mind that it never states that it is "legal" for a nurse to perform the function. It merely demonstrates that the function is commonly within the nurse’s scope of practice.

*NB The same structure is present at the federal level with the statutory United Stated Code (USC/USCA), the administrative Code of Federal Regulations (CFR), and the case law of the Supreme Court and other federal courts. A good meta-page for these sites can be found at http://www.findlaw.com/casecode/. Practice issues are not addressed at this level though other health related issues such as the Health Insurance Portability and Accountability Act (HIPPA) could be found there.

Bridget Faricy, RN, MLIS  
William Beaumont Hospital

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Profile on Members:  Interesting Things Our Members Do

When I sent out this mini survey, I was looking for a common denominator to link our medical librarian backgrounds together. There isn’t any. Gardening comes the closest. We have a weaver, a flutist, a vintner and three still trying to be musicians. We could have a great party. Toni will cater it. I’ll see to it!

In my spare time, I'm take piano lessons, am enrolled in a two year Jewish studies program, and am in two book groups-I also try and work out and stay in shape (not always as successful as I’d like), so maybe scratch that last part.

Robin Terebelo: Bryant Information Group, Inc.

I play flute in the Ann Arbor Concert Band. I've played the flute for 27 years and with the AACB for two. We perform 4 times a year - October is our Children's Concert, December is our Christmas Concert, March, and May (which features our Young Soloist Competition winner). We rehearse once a week. I enjoy it tremendously and Christopher loves going to "Mommy's concerts."

Alexia Estabrook: Providence Hospital DeRoy Medical Library

I mow a lot of grass (1.3 acres, no pun intended), keep part of it natural for bees and butterflies, promote biodiversity by giving plants to my library technician, walk and ride my bike in the park, read horror books and books about Atlantis, UFO's, Mars, etc. and watch my favorite shows: StarTrek, Wolf Lake, Wall Street Week, Antiques Roadshow, etc.

Cherrie Mudloff : Detroit Receiving Hospital and University Health Center

I sing in a church choir and take voice lessons. I am a board member of Women of Wayne and immediate past president (a constituent group of Wayne State University Alumni Association). I enjoy gardening although this year it has been a case of pulling weeds, something familiar to you, I am sure. I am attempting to learn American Sign Language, having conquered finger spelling. And occasionally, I go dancing!

Carol Vandenberg: Madonna University Library

I am an avid gardener spending most of the spring weekends playing in our over 10 flower beds and berry patch, enjoying them in July while I vacation at home. Volunteer church organist and web master. Love catering large family and friends’ events. My husband and I spend our winters with friends making fruit wines from fruit we have grown ourselves. Mother of two university age children and learning how to adapt to the almost empty nest.

Toni Janik:Hotel Dieu Grace Hospital

I spend as much off-work time as possible knitting and weaving. I am a member of the Ann Arbor Fiber Arts Guild and sell goods at their sales, under my business name "Cats Cradle". Right now I primarily make hats, scarfs, pillows, sweaters, and vests. In my next life, I’ll open a retail business under that name to supply knitters and weavers and teach weaving classes.

Pat Martin: Taubman Medical Library

 

Gay Byrnes
Providence Hospital

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Copyright Law and Online Information, Part II

The previous article on copyright in the February issue dealt with some tips that I learned from a conference on copyright law. I thought, in all fairness, we should also review some recent books about copyright law and how it applies to online information. Frequent questions that are brought to everyone's attention include the following:

 
  1. fair use specifically in libraries

  2. liability for Web content

  3. interlibrary loan or resource sharing on the net

  4. downloading and printing rights

  5. hyperlinks

  6. recent legislation

  7. copyright laws for scanning documents

  8. international agreements – how are they different in Europe

  9. CONTU guidelines- more interpretations of the Committee on New Technological Uses of Copyrighted Works

 

The three books that I selected were Digital Reference Service in the New Millennium, Digital Property: Currency of the 21st Century, and Copyright in Cyberspace: Questions and Answers for Librarians.

Digital Reference Service in the New Millennium discusses new trends in the changing reference culture. It states that "digital reference is meant to include both direction, or guidance or delivery, or presentation of the desired answer, in so far as possible and practical."  (3) They talk about the "Fair Digital Use" in an explosive growth of Web based e-commerce products. Because of the speed of e-commerce, more contract and license law guidelines will evolve drawing an open market among publishers for library budgets. Most of these issues that have been raised in the past have evolved because of the entertainment industry.

 

The law, as it stands, was provided to protect movie and music publishers from illegal copying of information taken from CD & DVD editions. Nobody has really provided a fixed set of guidelines for acquiring and using electronic reference information. We do have main points in copyright guidelines that rule our libraries as to how, what, where and why we are able to copy certain papers. This book also talks about the guidelines for "classroom copying" and for-profit institutions which have been prepared by a group, which is the Authors League of America, the Association of American Publishers and a Committee of Educational Institutions and Organizations. Fair Use Guidelines that have been developed are by a group called College & University Multi-Media Centers (CCUMC). It goes into detail and describes "safe harbor" content. It has an excellent bibliography in the back of the book about maintaining, building and supporting a "virtual reference desk."

 

The second book that I wish to discuss is the title Digital Property: Currency Of the 21st Century. Lesley Ann Harris is a Toronto-based copyright lawyer and a frequent speaker throughout North America. Digital property is in any content on your computer or on the Internet. She talks about a new language including phrases we are familiar with like the "information highway" or "digital economy." Other topics include how we can find, store and distribute content on the internet and how we can make money using it. She discusses the new U.S. Task Force Report on "Intellectual Property and the National Information Infrastructure."  She regards the web as the "world’s largest library because it contains such a wealth of text, images, music, video clips, recorded interviews, speeches, conversations which is available for free to the public." (1) There is also a chapter discussing electronic commerce and making money through credit cards and how society will see an increase in electronic money or cybercash, as it becomes more popular in the years to come.

 

An example of libraries digitizing their collections is the George Bush Digital Library which consists of "36 million pages of documents, 1.5 million photographs, 6,000 hours of video and 40,000 museum artifacts." (1) She also devotes some of the chapter to virtual libraries and explains services being provided in some communities as related to geography, recreation and local businesses. She shows how to set up and sell digital property on the Internet and discusses statutory and copyright collectives and regulations. Chapter four is devoted to "value digital property" who has the rights on the Web and factors to consider when the IP is being created and licensed. Chapter five contains information on license agreements/contracts, clauses in license agreements, definitions, e-rights, usage, copyright ownership in digital works, copyright warnings and warranties. This book was good in describing the agreements, copyright law, tips and traps to avoid if at all possible. It also gives a historical perspective on the world’s first copyright law and how the law works in different countries and who is basically protected by it.

 

Copyright in Cyberspace: Questions and Answers for Librarians is a good collective source book for historical applications of copyright law to cyberspace. It begins with the British history of copyright and then gives an excellent overview of fair use. It goes into more detail about recent legislation, like the Sonny Bono Copyright Term Extension, and explains also about the Uniform Computer Information Transaction Act. This book not only has a general overview of copyright but it also includes hyperlinking, framing, browsing, downloading and copying images from Web pages. Another aspect is legal liability for librarians creating web pages, URLs and metatags. Other chapters deal with interlibrary loan and resource sharing and, of course, CONTU Guidelines. It gives the most complete description of what can be copied, number of copies that can be made, and guidelines which help us as librarians determine what is allowed. This book was written as a great helpful easy-to-understand guide which can be applied to help any library respond to everyday copyright issues.

 

1. Harris, Lesley Ellen. Digital Property: Currency of the 21st Century. Toronto: McGraw-Hill Ryerson, 1998, p. 8-9.

 

2. Hoffman, Gretchen McCord. Copyright in Cyberspace: Questions & Answers for Librarians.  New York: Neal-Schuman Publishers, Inc., 2001.

 

3. Lankes, R.David, Collins III, John W., Kasowitz, Abby S., editors. Digital Reference Service in the New Millennium: Planning, Management and Evaluation. New York: Neal-Schuman Publishers, Inc., 2000, p. 91.

Laura Lewis
Henry Ford Hospital

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MDMLG Election Results

The MDMLG Nominating Committee has announced the election results for the 2002-2003 elections.

President Toni Janik
Executive Board Ellen O'Donnell
Nominating Committee Carol Attar
Gina Hug
Andrea Rogers

 

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Overview of Recent NLM Technical Bulletins, Part II

Many of you contacted me to express your appreciation at the summary of the latest NLM Technical Bulletins, so here is this issue’s installment.

March-April, 2002:

2002 indexing now includes a new publication type - Patient Education Handout. http://www.nlm.nih.gov/pubs/techbull/ma02/ma02_new_pt.html 

As a brief news item, it was noted that the PubMed Tutorial has been updated.

May-June, 2002 (issue not complete):

On May 15, 2002, a new version of the NLM Gateway was released. The OLDMEDLINE collection now includes journal citations for 1957 through 1965.

If it’s not already saved in your Favorites, the Technical Bulletins can be found at http://www.nlm.nih.gov/pubs/techbull/tb.html .

Bridget Faricy, RN, MLIS  
William Beaumont Hospital

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CHLA Conference Notes

The Spirited Connection--Liens Animés

The Canadian Health Libraries Association/Association des bibliothèques de la santé du Canada held its annual conference in Waterloo, Ontario from May 28-June 1. The program included aboriginal health information services, as well as complementary and alternative medicine resources, evidence-based librarianship, and a number of other topics. Lynda Baker presented a paper "Stories of Dying: Information Needs at the End of Life."

Some attendees were able to sample alternative and complementary therapies, including massage, aromatherapy, and therapeutic touch.

I took the class on complementary and alternative medicine, and I acquired information on the regulation (or lack thereof) of "natural products" and alternative practitioners.

We had excellent speakers, as well as some of the usual exhibitors--Swets Blackwell, Ebsco, Login, OCLC, CISTI, MLA, etc.

Speakers included two librarians from Australia, who talked about providing library services across the time zones and hundreds of miles. One of them pointed out the difficulties when the Information Technology department is separated by half a continent from the libraries it serves. Some of us laughed in agreement with that comment!

I enjoyed the speakers, the visit to the St. Jacobs farmers market at 7:30 a.m. I bought some rhubarb picked that morning on a Mennonite Farm, as well as some excellent bread from a nearby bakery!

I don't know if I will make it to Edmonton next year or to Newfoundland in 2004, but the conferences would be well worth attending if this one in Waterloo is typical.

Maureen W. LeLacheur
Henry Ford Hospital

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MDMLG Summer Luncheon Meeting

Mark your calendar! Our favorite meeting is just around the corner! This year’s MDMLG summer luncheon will be held June 20th at the Edsel and Eleanor Ford House. Thanks to the generous sponsorship of Gale Group publishers in Farmington Hills, there is no cost to MDMLG members for this welcome opportunity to join colleagues for a lovely lunch and tour of this grand estate.

The mansion, on Lake Shore Drive, between Eight and Nine Mile roads, was built by the Fords as a family home and willed to the public by Eleanor Clay Ford upon her death in 1976. Designed by architect Albert Kahn in the English cottage style, and complemented by 87 acres of lakefront property beautifully landscaped by landscape architect Jen Jenson, the 60-room house took three years to complete. The home is filled with English and French antiques and priceless works of art gathered by the Fords. For pictures and more information about the estate, go to http://www.fordhouse.org/.

Registration forms were mailed and were due by June 5th to Andrea Rogers at Bon Secours Cottage Health Services. The lunch menu offers a choice of Chicken Pastry Puff or Florentine Quiche as a main entry, accompanied by a salad, roll, beverage, and chocolate mousse for dessert. Registration will be from noon to 12:30, with lunch from 12:30 to 2:00. After lunch, Ellen Bowden will talk about Gale Group’s special resources in medicine and health. Following the program those who wish may tour the house and grounds. The tour will include the Playhouse, built for Josephine Ford on her 7th birthday, as a gift from her grandmother.

Kudos for planning this meeting go to both Andrea Rogers and Diane O’Keefe, who shared the responsibility!

Carol Attar
Attar Associates

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MHSLA Conference Coming Soon

Mark your calendars for the 29th annual Michigan Health Sciences Libraries Association Fall Education Conference, to be held October 16-18, 2002 at the Campus Inn in the heart of Ann Arbor. The theme of the conference is "Mastering the Information Maize." MDMLG is the host.

This year’s keynote speaker will be Dr. Robert Schumacher, Associate Professor, Pediatric & Communicable Diseases Department, University of Michigan.

Three continuing education courses will be held at the conference. A full day course, The Business Case, is being taught by Rosalind Lett. In addition, two half day courses will be offered: Palmtop Computers in the Library, taught by Mari Stoddard and Finding the Best Evidence to Meet Nursing Information Needs, taught by Peg Allen.

All work and no play makes for very cranky librarians. This year’s special event includes dinner at the Pendleton Room in the Michigan Union. Attendees will be entertained by the Kevin Gio Trio while they dine. Afterwards, tours of the University of Michigan Museum of Art will be given, and a Digital Scavenger Hunt will be held.

Look for your registration in the mail around the beginning of July 2002. Please note: the hotel will release our block of rooms 60 days before the conference (August 16, 2002). To ensure you get a room at the conference rate be sure and make your reservation early.

Alexia Estabrook
Providence Hospital and Medical Centers

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  Volunteers are needed to staff the Registration and Hospitality tables at the MHSLA conference in October. Contact Diana Balint (balint@pilot.msu.edu) for more information or to sign up.

  Congratulations to Bridget Faricy on her recent engagement to Mathew Beredo, an attorney from Cleveland. The wedding date is January 10, 2003 at St. John's Seminary in Plymouth. They will be settling in Cleveland.

  The MHSLA Research Committee has mailed a survey to randomly selected physicians throughout the state. The survey is to test the hypothesis that the hospital library is a physician recruitment and retention tool. Contact Carole Gilbert (cgilbert@providence-hospital.org) for more information.

  Karin Werner is now working at Plunkett & Cooney, a law firm specializing in the defense of physicians and healthcare institutions. You may e-mail her at kwerner@plunkettcooney.com.

  Mary Carr is the new director of the medical library at Mt. Clemens General Hospital. Her e-mail address is mcarr@mcgh.org.

  The library at St. John Detroit Riverview Hospital is not currently staffed.

  Team MDMLG Co-Captains Sandra Studebaker and Wendy Wu sincerely thank everyone who supported the team entry in this year's Detroit Race for the Cure whether by active participation, monetary contribution, or organizational support and encouragement. Sandra’s report on this year’s Race is on the MDMLG web page at http://www.mdmlg.org/race-for-the-cure-2002.htm

  The Toxnet class scheduled for Tuesday, June 11, at Wayne State University has been cancelled. A new search interface has been activated for Toxnet, requiring a new training manual. This manual has not been completed yet, and therefore will not be ready for the June class. NLM will keep us informed of their progress and, when ready, will reschedule this class at Wayne. All other NLM classes scheduled for Wayne State in June will proceed as scheduled.

Upcoming Dates:

June 10, 2002

Keeping Up with NLM's PubMed, the NLM Gateway and ClinicalTrials.gov workshop at Shiffman Medical Library

June 12 & 13, 2002

Introduction to Web-Based Searching: Using PubMed, the NLM Gateway and ClinicalTrials.gov workshop at Shiffman Medical Library

June 20, 2002  Summer luncheon at Edsel & Eleanor Ford House
Sept. 19,2002 MDMLG meeting at Children’s Hospital
Oct. 16-18, 2002 MHSLA Conference in Ann Arbor

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Communications Committee 2001-2002

Carol Attar
Gay Byrnes
Bridget Faricy
Helen Koustova
Maureen LeLacheur
Valerie Reid, web master
Sue Skoglund, chair
carolattar@comcast.net  
Gaybyrnes@yahoo.com
bfaricy@beaumont.edu 
ekoustova@dmc.org
mlelach1@sladen.hfhs.org 
vreid1@sladen.hfhs.org
rohlibrary@hotmail.com 

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