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How to measure midline catheter

Smooth and uniform coating with polished eyelets for easy insertion and withdrawal. Designed for greater speed-of-use, convenience and discretion A midline is a soft, flexible catheter inserted into a vein in your arm by either a nurse at the bedside. The catheter is approximately 6 to 8 inches long, (Figure 1). FIGURE 1 - PLACEMENT OF MIDLINE CATHETER What is a midline midline catheter is an 8 - 12 cm catheter inserted in the upper arm with the tip located just below the axilla. Insertion should be ultrasound guided by an experienced operator to ensure large calibre basilic or brachial veins are selected to avoid thrombosis What is a Midline • Peripherally inserted catheter that tip is not centrally placed, such as a Groshong • May remain in for 30 days • Determine by measurement of line or CXR • Indications for use: poor venous access requiring multiple IV site changes and therapies lasting less than 30 days • May use for lab draw

To achieve the midline tip location as defined by the INS Standards, place your index finger in the patient's armpit and bring your thumb around the circumference of the upper arm at that level. This is the correct midline catheter tip location. Choose your insertion site and measure between these 2 points Measurement of Catheter to Vein Ratio 52.9% 40.6% 6.5% 0% 10% 20% 30% 40% 50% 60% No Unknown Yes Q: Our vascular access team is not measuring catheter-to-vein ratio for midlines. Is this a practice we should adopt? A: Yes, catheter to vein ratio is an important assessment when placing a midline and may be associated with midline dwell.

Urinary Catheter Supplies - Request Free Samples No

  1. the catheter on the split area of the midline dressing. Lift the top flap and remove the paper backing where it says peel. Place catheter tubing on top of the bottom strip of the securement device. Place top flap over the tubing so that the tubing is secured between bottom strip and top flap
  2. There are no guidelines about how you measure because each brand of catheter has different configurations. But you need to establish a standardized way of doing this so all nurses are measuring the same way
  3. The midline catheter (i.e. long peripheral catheter) is an IV catheter placed into a peripheral vein, with the distal tip located just proximal to the axilla. Midline catheters can range from 10 to 25cm in length, have a single or double lumen, and placed with Seldinger's technique and ultrasonography. Bard PowerGlide 20g x10cm Midline Catheter
  4. 8. Assess the integrity of the catheter, and measure to assess for catheter breakage. 9. Tape a sterile dressing over the site and instruct the patient to leave in place for at least 24 hours. 10. Document procedure, including catheter length, outcome and patient's response on the Midline/PICC progress record or other form as applicable

I measure from my planned site that I mark with a sterile skin marker to the shoulder just above the axillary area to the right clavicular head and then to the third intercostal space. If I have to change sites I just add or subtract the distance between them rather than re-measure once they're draped and have the Sherlock on tion were included because vein measurement rather than device type was the focus of the study. PICCs and midline catheters are both inserted peripherally in the basilic, brachial, or cephalic vein approximately 10 cm above the antecubital fossa, but are differing lengths. The tip of the midline catheter sits in the axilla regio See Midline catheter basics for a quick breakdown. Size matters A midline catheter is 3 inches (7.5 cm) to 8 inches (20 cm) in length, and it's inserted via the veins near the antecubital fossa into the basilic, cephalic, or brachial veins (see Site selection for midline catheters). The tip is advanced no farther than the distal axillar

Midline (ML) catheter is a vascular access device measuring 8 inches or less with the distal tip dwelling in the basilic, cephalic, or brachial vein, at or below the level of the axilla, and distal to the shoulder. By just looking at the insertion site is, it is sometimes difficult to tell the difference PICC or Midline Catheter Sterile Dressing Change • If parts of the gel come off the dressing, remove the gel with a sterile saline soaked gauze. • Hold the catheter at the exit site with the other gloved hand to keep it from being pulled out when removing the dressing. • Always check the length of the PICC catheter from where it exits your skin to its tip with each dressing change the initial documented external measurement at the insertion of the PICC. (Insertion form). Any variation - refer to the PICC tip migration poster. for guidance. - Please Note: Where a SecurAcath is used to stabilise a PICC, the length of this device measures 2 cm. - Tunnelled catheters: observe for 'cuff ' migration at exit site whic Gently remove the dressing from the PICC line insertion site. Hold the external PICC line and find the notch marks running along the thinnest part of the tube. These are placed 1 cm apart. Count and record the number of exposed notch marks. If the tube does not have notches, use a tape measure to assess the length of the external tubing Most midline catheters are 7 to 8 inches (18 to 20 cm) long. If midline catheter insertion is a nursing responsibility at your facility, measure the patient's arm from the planned insertion site to about an inch below the patient's axilla to determine how much catheter to insert and the amount of catheter to be left externally

PICC stands for peripherally inserted central catheter. It is put into a large vein in the arm and ends in a large vein near the heart. A PICC can be used for longer periods of time than a midline. PICC lines are used to give IV medications or IV fluids that can irritate veins. If your child needs a PICC, the doctor will explain the procedure to you and ask you to sign a consent form Use a midline catheter or peripherally inserted central catheter (PICC), instead of a short peripheral catheter, when the duration of IV therapy will likely exceed six days. Category II; Evaluate the catheter insertion site daily by palpation through the dressing to discern tenderness and by inspection if a transparent dressing is in use Midline catheters (MCs) are peripheral catheters that are inserted above the antecubital fossa and number of complications per 1000 catheter-days in order to be able to measure a risk of MCs with different in situ times and allow a standard measure to compare with other stud A PICC (peripherally inserted central catheter) is a type of catheter, normally inserted in the upper arm. A PICC line is a safe, stable way to deliver intra-venous (IV) medications. It can stay in the body for weeks or months, alleviating the need to subject your veins to the numerous needle sticks necessary if the PICC was not there Access catheters are designed for short or long term peripheral access to the central venous system for intravenous therapy and blood sampling. For central venous pressure monitoring (CVP), it is recommended that catheter lumen of 20 gauge or larger be used. • The Midline catheters are indicated for short or long term peripheral access t

Unlike peripheral IVs, midline catheters provide a wider lumen with the catheter tip ending in a large peripheral vein. The use of vasopressors through midline catheters has not yet been evaluated. Objective: The primary objective of this study is to determine the safety and efficacy of long term administration of vasopressors through a midline. A midline catheter can be kept in place for up to 30 days. You will need to care for the catheter, and for the skin around the catheter site. Proper care is important to prevent damage to the catheter, and to prevent infections A midline catheter is a peripheral catheter which is longer than traditional peripheral catheters, but is shorter than catheters designed for central venous placement. Midline catheters are considered when the duration of IV therapy is expected to exceed 6 days. Only clinicians certified in midline placement may place a midline catheter

Midline Catheters and The Axillary Line

  1. A midline catheter program was evaluated at two hospitals. 2. Each hospital outlined the development of their programs with outcomes. 3. Midlines were compared with central venous catheters for levels of risk. 4. Indications for midlines were included along with discussion on recommendations and issues for usage. 5
  2. A midline catheter, defined by Infusion Nurses Society, is a vascular access device intended for placement into a peripheral vein in the upper arm; basilic, cephalic, or one of the two brachial veins, with the internal tip located level at or near the level of the. axilla and distal to the shoulder
  3. A midline catheter is put into a vein by the bend in your elbow or your upper arm. The midline catheter tube is shorter than a PICC line. The midline tube ends in a vein below your armpit. Having a PICC or midline catheter may allow you to receive long-term intravenous (IV) medicine or treatments
  4. Midline catheters, which vary in length, are inserted via the same veins used for PICC placement in the middle third of the upper arm; however, the midline catheter is advanced and placed so that the catheter tip is level or near the level of the axilla and distal to the shoulder (Gorski et al., 2016). Midline catheters are contraindicated when.
  5. 9. Grasps catheter wings or hub and removes with a gentle pulling motion. Remove 1 and re-grasp at insertion site and repeat until catheter is out. 10. Once catheter is out, applies gentle pressure at insertion site with sterile, dry gauze until bleeding stops. 11. Applies sterile ointment or Vaseline gauze and occlusive dressing. 12
  6. Midline is indicated for short-term, less than 30 days, peripheral access to the peripheral venous system for selected intravenous therapies, blood sampling, and power injection of contrast media. CT Midline IFU only, the maximum recommended infusion rate varies by catheter French size and is printed on the catheter. This catheter may b

Introduction: Midline catheters are widely used in clinical practice. Proper placement of midline catheter tip is usually assessed only by aspirating blood and flushing with normal saline without resistance. Purpose: To describe the ultrasound-guided tip location for midline catheters and its feasibility and to compar Midline Catheter Use in the Newborn Intensive Care Unit Tricia L. Romesberg University of North Florida This Doctoral Project is brought to you for free and open access by the Student Scholarship at UNF Digital Commons. It has been accepted for inclusion in UNF Graduate Theses and Dissertations by an authorized administrator of UNF Digital Commons Midline catheters (MC) are 8 to 20 cm in length, have a single or double lumen, and are placed peripherally in the nondominant arm 1.5 cm above or below the antecubital fossa, into the basilic, cephalic, or brachial vein Groshong ® and Per-Q-Cath ® Plus Midline Catheters. When you need a midline catheter for intermediate-term therapies, BD is making a noticeable difference. And that difference is in the hubs. A unique system of color-coding Per-Q-Cath® and Groshong® midlines readily identifies the type of catheter before, during and after use The care of midline catheters includes measuring and documenting arm circumference before insertion and while the catheter is in situ as clinically indicated to monitor for an increased circumference of the extremity due to edema, which can signal a DVT. The measurement should be taken about 10 cm above the antecubital fossa

Caring For Your Midline in the Hom

Midline catheter: Appropriate for all those patients who require the IV therapy for more than five days, and less than a month. The midline catheters are generally believed to be a less invasive method that is generally used for delivering contents or drawing out the blood samples. Caregivers here place the IV tubing in the larger vein usually. Midline Catheter:-A midline catheter is longer than 3 inches and it is inserted into the upper arm through the basilic, brachial or cephalic vein (larger veins of the UE), with the catheter tip located at the or near the level of the axilla and distal to the shoulder. As the catheter tip remains in the upper arm, midlines are peripheral catheters

measurement of PICC external length / arm circumference

Use a midline catheter or peripherally inserted central catheter (PICC), instead of a short peripheral catheter, when the duration of IV therapy will likely exceed six days. II: 6. Evaluate the catheter insertion site daily by palpation through the dressing to discern tenderness and by inspection if a transparent dressing is in use SPCs and midline catheters are two devices used to obtain peripheral venous access. SPCs are catheters less than 3″ (7.6 cm) long. Midlines are catheters inserted into the upper arm via the basilic, cephalic, or brachial vein, with the internal tip located level to or near the level of the axilla and distal to the shoulder Introduction. Midline catheters (MC) are typically 8-20 cm in length and are placed peripherally into the antecubital fossa or upper arm, with the tip located at or below the axillary vein 1, 2.As such, they are not considered to dwell in the central circulation, as are central venous catheters (CVC) or peripherally inserted central catheters (PICC) The study will evaluate the clinical efficacy of midline catheters compared to conventional treatment in patients with an expected intravenous therapy duration of more than 5 days. Patients will be randomized in a 1:1 ratio. The study will include 120 patient A description of some of the types of central line catheters out ther

Midline IV Catheters - REBEL EM - Emergency Medicine Blo

Removal of a Midline/PICC Cathete

Midline Catheter and Its Impact on Central Lines Removal in ICU (MIDREA) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government 4. 6.Verify midline catheter placement by radiographic visualization when advancing catheter in smaller patients, or in such a manner that tip location may be advanced beyond the shoulder. 5. Some disinfectants used at catheter insertion site contain solvents which can weaken the catheter material. Alcohol, acetone, and polyethylene glycol ca Midline Catheters including BD™ Introducers Argon Neonatal/Pediatric PICC and Midline catheters are designed specifically for this patient population. Catheters come in a choice of silicone material or polyurethane material. The option for safety and non-safety introducers is designed to enhance first-stick proficiency. The BD™ Introduce The fact that most midline catheters failed within 7 days and that the longest duration was 14 days raises questions about the recommendation of midline catheter use for up to 14 days. Consideration should be given to limiting midline catheter use to a duration of <6 days to preserve vascular health Midline catheter in the study group: the puncture loca-tion and puncture process were the same as above, but the length of catheter was determined by measuring the distance from the puncture point to the midpoint of the lateral clavicle. After daily infusion, 10 mL of normal saline was used to flush and then to seal the catheter. Outcome measures

Measuring picc length - Infusion / Intravenous Nursing

  1. Measure all the way around the shaft of the penis and then divide that number by 3.14 (pie), this is how you get the diameter. The condom catheters are sized in millimeters and are based on the diameter of your penis, not the circumference. The diameter measurement number in millimeters will tell you the size you need to purchase
  2. Power Midline Peripheral Catheter. The Health Line CT Midline Catheter is intended for short-term (less than 30 days) peripheral access to the venous system for the purpose of intravenous therapy, medicines, and blood products. A single midline IV access can meet infusion therapy requirements for patients needing 5 to 7 days of therapy.
  3. Neonatal/Pediatric PICC and Midline Catheters. Argon Neonatal/Pediatric PICC and Midline catheters are designed specifically for this patient population. Catheters come in a choice of silicone material or polyurethane material. The option for safety and non-safety introducers is designed to enhance first-stick proficiency
  4. Patients who were booked for a PICC or midline catheter insertion were included because vein measurement rather than device type was the focus of the study. PICCs and midline catheters are both inserted peripherally in the basilic, brachial, or cephalic vein approximately 10 cm above the antecubital fossa, but are differing lengths
  5. A numerical rating scale was used to measure pain intensity during catheter insertion. Results: Of the 90 patients enrolled, 52.2% were male with a mean age of 73.0 ± 13 years. Among these patients, 64.4% patients underwent short midline insertion, 26.7% PICC, and 8.9% midline catheter
  6. In total, 12,112 PICCs and 1,363 midline catheters placed between July 1, 2016, and June 30, 2019, were included in the analysis. Of these, 4,655 PICCs and 434 midline catheters were placed during the 12-month preintervention period, and 7,457 PICCs and 929 midline catheters were placed during the 24 months following our intervention

catheter (PICC) insertion: an observational study Author Affiliations: were booked for a PICC or midline were included as vein measurement rather than device type was the focus of the study. PICCs and midlines are both inserted peripherally in the basilic, brachial or cephalic vein approximately 10 centimetres above the ante-cubital fossa. midline catheter placement. A 40-year-old member asked: what type of doctor can order a swan ganz catheter placement? Dr. Bennett Werner answered. Used much less: The swan-ganz (pulmonary artery) catheter is used to try getting data from the left side of the heart by measuring a wedge pressure from the pulmona Read More. 3 doctors. Silicone Catheters. Argon First PICC™ and Argon First Midcath™ Catheters are high-quality silicone catheters designed for safe and easy placement while providing comfort to the patient. Catheter trim tool is designed to ensure clean and accurate trimming and provides a 90° cut consistent with INS standards and FDA recommendation A catheter inserted into a vein to administer fluids or medications or to measure pressure. Karman catheter. midline catheter. A peripherally inserted, long length (typically 8-25 cm long) catheter, placed in the middle third of the upper arm and advanced into the axilla under ultrasound guidance. pacing catheter A peripheral catheter which is between 7.5cm and 20cm in length. Midline catheters are not centrally placed so are therefore not treated as Central Venous Access Devices. They will be differentiated from peripherally inserted central catheter (PICC) with the addition of an orange midline catheter label. Criteri

Q&A: PICC vs Midline Infusion Nurse Blo

» Peripheral midline catheters; » Peripherally inserted central catheters; » Skin tunnelled cuffed central catheters (Hickman lines). The type of intravenous delivery device used depends on the type of fluid adminis-tered and the length of time intravenous therapy will last. For example, peripheral venous cannulas are indicated fo A midline is a catheter inserted via a peripheral vein, the reasons.30 Generally, the preventative measures for these rare iatrogenic adverse events can be divide

How to Measure a PICC Line With Dressing Change Healthy

PICC Line Removal Instructions (and video): How to Remove a PICC Line. Removing picc lines from a patient is an important nursing skill that will likely be performed on a regular basis. Removing a picc line is a simple procedure, but you want to make sure you follow the proper steps to minimize risk of infection or complications. This article presents an overview of how to remove a picc line. A cluster of 11 midline catheter failures occurred during a 2-week period in a Hospital in the Home program in an urban tertiary hospital in Australia. These failures prompted a 4-month retrospective audit of patients receiving outpatient antimicrobial therapy between December 1, 2016 and March 1, 2017. Primary outcomes were dwell time and catheter failure

Midline venous catheters - Infusion / Intravenous Nursing

  1. g out. A PICC line -- peripherally inserted central catheter -- is inserted into a vein in the arm and threaded through the chest until it reaches a.
  2. PICC and midline insertion 2 day training classes, full training in PICC Line and Midline insertion basic and advanced techniques
  3. A midline catheter (MC) is approximately a 3- to 8-inches long, thin, soft tube that is inserted in the antecubital area, and the tip of this catheter is at or below the axillary vein
  4. Catheter Securement Choice Does Affect Central Line-Associated Bloodstream Infection Risk SecurAcath Significantly Reduces CLABSI Risk Recent study in AJIC* showed an adhesive catheter securement device had a 288% increase in risk of CLABSI compared to the SecurAcath. CLABSIs yield tremendous negative consequences affecting patients and health care facilities globally. The CDC estimates the.

PICC or Midline Placement Way to Grow CHK

  1. recent publication in 2017, Care of Patients Receiving Analgesia by Catheter Techniques to promote evidence-based research of this positon statement. Position Statement 15.8, The Role of the Nurse in Moderate Sedation, proposed changes include the acknowledgement of trends in nursing practice that include the adjunct or off label use of lo
  2. ate in the peripheral venous system. They are not central venous access devices and may not be reported as a PICC service. Midline catheter placement may be reported with 36400, 36405, 36406, or 36410
  3. EARLIER MEASURES INITIATIVE/MEASURES Midline Catheter Reduces Infiltrations for Coronary Artery Bypass Graft Patients Pamela Baliad, RN, BSN Lead PICC/Vascular Access Nurse Flagstaff Medical Center Flagstaff, Arizona Steven Peterson, MD Cardiothoracic Surgeon Scientific Poster presented at INS 2013 Annual Convention & Industrial Exhibitio
  4. A midline catheter can be used when a patient has limited venous access and requires I.V. therapy of approximately 6 to 10 days. According to Infection Control Today , overall midline bloodstream infection rates are significantly lower in midlines than in central lines

Recommendations BSI Guidelines Library Infection

DISCUSSION: Midline catheters (MC) offer a comparable rate of device-related bloodstream infection to standard peripheral intravenous catheters (PIV), but with a significantly lower rate than peripherally inserted central catheters (PICC) and central venous catheters (CVC) (PIV 0.2/1000, MC 0.5/1000, PICC 2.1-2.3/1000, CVC 2.4-2.7/1000 catheter. • No indication for CVP measurement • Catheter related Infection • Catheter exceeded recommend dwell time • Persistent catheter occlusion • Damaged catheter Aims of Protocol 1. To provide nursing guidance for the safe removal of central venous catheters 2. To ensure patient safety by reducing the risk of potential complications o So midline catheters should not be used for any solution containing greater than 10 percent dextrose or 5 percent protein, or any vesicant or caustic solution. Central Venous Catheter Short term central device inserted under general anaesthetic Single or multiple lumens. Note. PICC, peripherally inserted central catheter; CLABSI, central-line-associated bloodstream infection. aGlobal P value comparing the number of single, double, and triple lumen catheters and midline catheters placed before versus after the intervention, P < .001. bAverage number of devices placed per month

Two important first aid measures: 1) clamp the catheter between the damaged part and the skin insertion site; 2) tape a sterile gauze pad to the skin to cover the break. Catheters rarely fracture inside the body, but if this does happen, a chest x-ray will show the problem. The broken fragment can usually be removed without open surgery Peripheral IV Catheter Chart. Always select the smallest gauge peripheral catheter that will accommodate the prescribed therapy and patient need. Peripheral catheters larger than 20G are more likely to cause phlebitis. Do not use peripheral veins for continuous infusions of vesicants, parenteral nutrition or infusates with an osmolarity of 900. Midline catheter length ranges from 8cm up to 20cm. A midline should not extend to the axillary vein or enter the chest. As with short peripheral IV catheters, midline catheters are not used if the osmolarity of prescribed solution is greater than 900mOsm or the solution is considered irritating or vesicant Emergency Measures Emergency Measures Catheter Breakage: If any portion of the catheter breaks during removal, immediately apply a tourniquet to the upper arm, close to the axilla, to prevent advancement of the catheter piece into the right atrium. Then check the patient's radial pulse

PICC stands for Peripherally Inserted Central Catheter. They're used for direct access to larger blood vessels in the body. Patients have PICC lines inserted if they are going to be receiving large amounts of IV medication, volatile medications (like heavy-duty antibiotics), or will be receiving medication for a long period of time A midline is also an extended dwell catheter that, externally, looks very much like a PICC line. The largest difference between the two devices is that while a PICC ends in the large vein near the heart, a midline terminates in the extremity (arm). Although lengths vary in the PICC line, a midline usually comes premanufactured 20cm (8″) long Argon First PICC ® and Argon First Midcath Catheters are high-quality silicone catheters designed for safe and easy placement while providing comfort to the patient. The Following Options are Available. PICCs. 26 G (1.9F) x 50 cm S/L First PICC. 26 G (1.9F) x 50 cm S/L First PICC w/Bard StatLock ®

helps guide the catheter into the right place. The tip of the PICC will be positioned in one of the major blood vessel next to the heart. The catheter does not go into your heart. You will not feel the catheter inside your body. When the catheter is in the correct place a chest x-ray will be taken to confirm its placement. 5. After the procedur Both midline catheters (MCs) and peripherally inserted central catheters (PICCs) can cause venous thromboembolism (VTE), but the prevalence associated with each is controversial. Objective To compare the risk of VTE between MCs and PICCs with a systematic review and meta-analysis No other midline catheter offers the performance benefits of the Groshong midline catheter. Routine maintenance procedures are simplified, resulting in lower patient costs and decreased nursing time. • Its unique design eliminates the use of heparin. • Groshong catheters are available in two sizes: 3 Fr and 4 Fr single-lumen. [ Per-Q-Cath.

Withdrawal force measurement of the spinal catheter by a

VASCU-PICC Line: polyurethane PICC catheters with open tip designed to ensure intravenous access for administration of antibiotic therapy, pain therapy, and for parenteral nutrition. NEONATAL PICC Line: neonatal PICC catheter line available in different measures 1.9F, 2.6F and 3F. More details. Cuffed PICC Catheters • Intravascular catheter that terminates at or close to the heart or one of the great vessels (Midline catheters are not central lines) NHSN Patient Safety Module: Chapter 4. 3. • Use tools to measure adherenc

(PDF) Variation in use and outcomes related to midline

The Nexus™ CT Midline Catheter features a pre-loaded flushable stylet, depth markings and clearly-marked Midline identifiers for ease of use. Power-injectable and MRI-compatible, the Nexus™ CT Midline Catheter is available in sizes from three to five French, and in single and dual lumen configurations The catheter enters the peritoneal cavity just distal to the deep cuff. As said earlier, deep cuff should be located at a place that allows the tip of alba (collagenous tissue in the midline that does not adequately close around the PD catheter and increases risk for leaks). 13 Background While midline vascular catheters are gaining popularity in clinical practice, patterns of use and outcomes related to these devices are not well known. Methods Trained abstractors collected data from medical records of hospitalised patients who received midline catheters in 12 hospitals. Device characteristics, patterns of use and outcomes were assessed at device removal or at 30 days

Order IV LABEL PAPER PERMANENT MIDLINE CATHETER 2 1/4 X 7/8 FL. PINK 1000 PER ROLL (#59713440) from PDC Healthcare. We connect people, products, and technology through innovative ID solutions 4 Groshong® Valve Function The Groshong® central venous catheter incorporates the patented, 3-position, pressure-sensitive Groshong® valve. The valve is located near the rounded, closed, radiopaque catheter tip and allows fluid infu-sion and blood aspiration A numerical rating scale was used to measure pain intensity during catheter insertion. RESULTS:: Of the 90 patients enrolled, 52.2% were male with a mean age of 73.0 +/- 13 years. Among these patients, 64.4% patients underwent short midline insertion, 26.7% PICC, and 8.9% midline catheter Turbo-Ject Power Injectable PICC - Double Lumen. Used for short- or long-term venous pressure monitoring, blood sampling, administration of drugs and fluids, and with power injectors for delivery of contrast in CT studies. This product line is serviced by the following clinical division (s)

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