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  1. Fulltext Perceived social support among university students in Malaysia: a reliability study
    Talwar, P., Mohd Fadzil, A.R.
    Malaysian Journal of Psychiatry, 2013;22(1):1-8.
    MyJurnal
    Background: Social support is the perception that one is cared for, has assistance available from friends and significant others. Social support can be measured by The Multidimensional Scale of Perceived Social Support. This scale has been widely used and validated in different languages. Objective: To determine the factor structure of The Multidimensional Scale of Perceived Social Support scale and find its reliability. Method: The study was conducted in one of the Universities in Malaysia. The undergraduate students who volunteered to participate in the study were explained about the purpose of the study and implications. The English version of Multidimensional Scale of Perceived Social Support scale (MSPSS) that was administered. In all 313 undergraduate students were studied. Exploratory factor analysis, with varimax rotation, was applied to the data Results: The three factor solution accounted for 80.51 % of the total variance. The procedure output has an overall alpha of 0.921. Conclusion: The MSPSS appears to be good enough to be used in Malaysia however more studies are required.
    Matched MeSH terms: Perception
  2. Fulltext Perception of the mentor-mentee system among medical students of the faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak
    Cheah Whye Lian, Nan Ommar, Joanne Tan Sze Fern, Surizi Ismail, Tengku Sarah Tengku Mohd Sharifudin, Wong Syn Hwan
    Education in Medicine Journal, 2013;5(2):29-37.
    MyJurnal
    Objective: To determine the perception of medical students towards mentor-mentee system in Faculty of Medicine and Health Sciences of UNIMAS. Method: It was a cross-sectional study involving all 104 second year and 80 fifth year medical students. A self-administered questionnaire consisting of socio-demographic details, general perceptions on mentor-mentee system, academic support, personal development, and emotional and psychological support was distributed. The data was analysed using the SPSS version 19. Result: Majority of the subjects had a positive outlook towards the mentor-mentee system with a range of 45.6% to 57%. Three of the top rated perceptions were ‘mentor analyses mentee’s examination results and provides constructive feedback’, ‘mentor advises how to improve academic performance’, and ‘mentor gives encouragement and support for the challenges faced’ (66.8%, 68.0% and 62.9% respectively). Pre-cinical medical students had significantly better perception on mentor-mentee system than clinical students (p≤0.002) while those with non-clinician mentors significantly had better perceptions than those with clinician mentors (p≤0.003) on the system. No significant difference was found between the perceptions of males and females for all components (p=0.234 to 0.722). Conclusion: The mentor-mentee system was found to be successful as more than half of the respondents had posititve perception on the system and its aspects. However, pre-clinical students benefited more compared to clinical students, which reflects the need to look at the support given to clinical students. It was recommended that future studies should incorporate the perceptions of mentors.
    Matched MeSH terms: Perception
  3. Fulltext Perceptions of medical students regarding educational climate at different phases of medical training in a Malaysian medical school
    Muhamad Saiful Bahri Yusoff, Rogayah Ja'afar, Hafiza Arzuman, Wan Nor Arifin, Mohamad Najib Mat Pa
    Education in Medicine Journal, 2013;5(3):30-41.
    MyJurnal
    Introduction: Medical and allied health educators around the globe agreed that an optimal educational climate is a vital aspect for effective learning to take place. Without a doubt, appraisal of the educational climate has been emphasized as a key to the delivery of high quality medical education. In addition, the appraisal provides useful feedback to particular institution to improve their curriculum.

    Objective: This study was employed as part of the School of Medical Sciences (SMS) Universiti Sains Malaysia curriculum review process. It aimed to explore the strengths and weaknesses of the current medical curriculum thus could provide useful information to guide the curriculum review committee during the review process.

    Method: A cross sectional study was conducted on a total of 656 medical students from the first, third and fifth year of study. Purposive sampling method was applied. DREEM was administered to the medical students to evaluate the educational climate in the studied medical school.

    Result: A total of 511 (77.9%) medical students completely responded to the 50 statements of DREEM. The mean global score across phases of medical training was 128.36/200. The global scores for year 1, year 3 and year 5 were 138.94/200, 122.27/200 and 125.49/200 respectively. Results showed that; 1) the medical school had reasonably level of educational climates across phases of medical training; 2) the medical teachers were knowledgeable and well prepared for the teaching; 3) the students were overloaded with factual knowledge; 4) the medical teachers were quite harsh to students during teaching session especially in clinical phase; 5) students experienced a significant amount of stress that led to poor memory; 6) the learning process was inclined toward teacher-centered rather than student-centered learning; 7) students had a considerable healthy social relationships with peers as well as others; and 8) academic dishonesty became more apparent in the clinical phase.

    Conclusion: The medical school's educational environment across different phases of study was more positive than negative. However, there are plenty of rooms for improvement as perceived by the medical students. The medical school should address various important issues highlighted in this article during the curriculum review process.
    Matched MeSH terms: Perception
  4. Fulltext The need to have a valid and reliable tool to measure the anatomy education environment
    Siti Nurma Hanim Hadie, Asma' Hassan, Zul Izhar Mohd Ismail, Mohd Asnizam Asari, Aaijaz Ahmed Khan, Fazlina Kasim, et al.
    Education in Medicine Journal, 2013;5(3):81-85.
    MyJurnal
    Anatomy is an important knowledge for medical practice. Insufficient anatomy knowledge leading to errors in identification of anatomical structures during medical practices has been reported in many countries. Many medical students seem to have difficulties in learning anatomy and retaining the knowledge for future practice, thus this might reflect the possible flaws in anatomy education. In order to achieve optimum anatomy education environment and to close the gaps in education, measuring the students' perception on anatomy teaching and learning is a pre-emptive measure needed by educationists. At present, there is no valid and reliable inventory available to specifically evaluate the anatomy education environment. Therefore, this article highlights the importance of having such inventory.
    Matched MeSH terms: Perception
  5. Fulltext Perceptions of dental stress and social support among Malaysian dental students
    Rajesh, S.M., Muirhead, V., Mohd Dom, T.N., Ismail, N.M., Jamaludin, M., Saub, R.
    Ann Dent, 2013;20(1):1-7.
    MyJurnal
    To explore the association between social
    support and stress levels in preclinical and clinical dental
    students in Malaysia. Method: A cross sectional survey
    of dental undergraduate students was conducted at the
    Faculty of Dentistry, University of Malaya, Universiti
    Kebangsaan Malaysia and Universiti Sains Malaysia.
    Stress was measured using the Dental Environment Stress
    (DES) questionnaire. A DES-32 item was used to measure
    stress for the clinical students and DES-16 item for the
    preclinical students. Four questions were used to measure
    social support. The total stress scores were standardized
    for comparison purposes. Results: A total of 357 (79.7%)
    preclinical and 417 (71.8%) clinical undergraduate dental
    students responded to the questionnaires. The clinical
    students experienced higher stress [mean standardized
    DES score = 72.63, SD = 10.64] than preclinical students
    [mean standardized DES score = 70.19, SD=12.01]. The
    two most stressful items reported by preclinical students
    were “fear of failing” and “examination and grades”.
    Among clinical students, the two most stressful items related
    to academic were “completing course requirement” and
    “fear of failing course” and items related to clinical session
    were “fear of being barred due to the clinical schedule”
    and “patients late or absent”. Multiple regression analyses
    revealed that low stress levels among preclinical students
    were significantly associated to a lot of contact with
    students of the same course. Conclusion: To some extent,
    social support does play a role in explaining differences in
    perceived stress, in particular among preclinical students.
    Matched MeSH terms: Perception
  6. Fulltext Updated parameters and expanded simulation options for a model of the auditory periphery
    Zilany MS, Bruce IC, Carney LH
    J Acoust Soc Am, 2014 Jan;135(1):283-6.
    PMID: 24437768 DOI: 10.1121/1.4837815
    A phenomenological model of the auditory periphery in cats was previously developed by Zilany and colleagues [J. Acoust. Soc. Am. 126, 2390-2412 (2009)] to examine the detailed transformation of acoustic signals into the auditory-nerve representation. In this paper, a few issues arising from the responses of the previous version have been addressed. The parameters of the synapse model have been readjusted to better simulate reported physiological discharge rates at saturation for higher characteristic frequencies [Liberman, J. Acoust. Soc. Am. 63, 442-455 (1978)]. This modification also corrects the responses of higher-characteristic frequency (CF) model fibers to low-frequency tones that were erroneously much higher than the responses of low-CF model fibers in the previous version. In addition, an analytical method has been implemented to compute the mean discharge rate and variance from the model's synapse output that takes into account the effects of absolute refractoriness.
    Matched MeSH terms: Auditory Perception*
  7. Visual-perceptual-kinesthetic inputs on influencing writing performances in children with handwriting difficulties
    Tse LF, Thanapalan KC, Chan CC
    Res Dev Disabil, 2014 Feb;35(2):340-7.
    PMID: 24333804 DOI: 10.1016/j.ridd.2013.11.013
    This study investigated the role of visual-perceptual input in writing Chinese characters among senior school-aged children who had handwriting difficulties (CHD). The participants were 27 CHD (9-11 years old) and 61 normally developed control. There were three writing conditions: copying, and dictations with or without visual feedback. The motor-free subtests of the Developmental Test of Visual Perception (DTVP-2) were conducted. The CHD group showed significantly slower mean speeds of character production and less legibility of produced characters than the control group in all writing conditions (ps<0.001). There were significant deteriorations in legibility from copying to dictation without visual feedback. Nevertheless, the Group by Condition interaction effect was not statistically significant. Only position in space of DTVP-2 was significantly correlated with the legibility among CHD (r=-0.62, p=0.001). Poor legibility seems to be related to the less-intact spatial representation of the characters in working memory, which can be rectified by viewing the characters during writing. Visual feedback regarding one's own actions in writing can also improve legibility of characters among these children.
    Matched MeSH terms: Perception/physiology; Visual Perception/physiology*
  8. 'A better alternative': why women use peer-to-peer shared milk
    Gribble KD
    Breastfeed Rev, 2014 Mar;22(1):11-21.
    PMID: 24804519
    The process by which women came to use internet-facilitated peer-to-peer shared milk was explored via a written questionnaire administered to 41 peer milk recipients from five countries. Respondents were universally unable to provide some or all of the milk their infants required. Twenty-nine dyads had a medical condition that could have affected their ability to breastfeed. Many respondents had had great difficulty in finding health workers who could assist them with their breastfeeding challenges. Before obtaining peer-shared milk, respondents had tried to increase their own milk supply, used infant formula or sought donor milk from personal contacts. Health workers dealing with breastfeeding women require greater training in the recognition and treatment of conditions that adversely affect breastfeeding including a physiological incapacity to fully breastfeed. Peer-to-peer milk recipients appear to be very satisfied with the solution milk sharing provides to their problem of being unable to fully breastfeed their infants.
    Matched MeSH terms: Social Perception*
  9. Belongingness in the workplace: a study of Malaysian nurses' experiences
    Mohamed Z, Newton JM, McKenna L
    Int Nurs Rev, 2014 Mar;61(1):124-30.
    PMID: 24512262 DOI: 10.1111/inr.12078
    The need to belong has been proposed as the most basic need for human psychological well-being. Lack of belongingness has been associated with stress, anxiety and lack of esteem. Social and psychological functioning in the workplace has been linked to nurses' interconnection with others and their perceptions of belongingness.
    Matched MeSH terms: Social Perception*
  10. Fulltext A pilot study: the development of a culturally tailored Malaysian Diabetes Education Module (MY-DEMO) based on the Health Belief Model
    Ahmad B, Ramadas A, Kia Fatt Q, Md Zain AZ
    BMC Endocr Disord, 2014 Apr 08;14:31.
    PMID: 24708715 DOI: 10.1186/1472-6823-14-31
    BACKGROUND: Diabetes education and self-care remains the cornerstone of diabetes management. There are many structured diabetes modules available in the United Kingdom, Europe and United States of America. Contrastingly, few structured and validated diabetes modules are available in Malaysia. This pilot study aims to develop and validate diabetes education material suitable and tailored for a multicultural society like Malaysia.

    METHODS: The theoretical framework of this module was founded from the Health Belief Model (HBM). The participants were assessed using 6-item pre- and post-test questionnaires that measured some of the known HBM constructs namely cues to action, perceived severity and perceived benefit. Data was analysed using PASW Statistics 18.0.

    RESULTS: The pre- and post-test questionnaires were administered to 88 participants (31 males). In general, there was a significant increase in the total score in post-test (97.34 ± 6.13%) compared to pre-test (92.80 ± 12.83%) (p 85%) at post-test (84.1%) compared to pre-test (70.5%) (p 

    Matched MeSH terms: Perception
  11. Community pharmacists' attitudes, perceptions, and barriers toward adverse drug reaction reporting in Malaysia: a quantitative insight
    Elkalmi RM, Hassali MA, Ibrahim MI, Jamshed SQ, Al-Lela OQ
    J Patient Saf, 2014 Jun;10(2):81-7.
    PMID: 24618640 DOI: 10.1097/PTS.0000000000000051
    This study was designed to explore awareness and attitudes of community pharmacists toward the national ADR reporting system activities in the northern states of Malaysia.
    Matched MeSH terms: Perception*
  12. Fulltext Climate change: a review of its health impact and perceived awareness by the young citizens
    Rahman MS, Mohamad OB, Zarim Zb
    Glob J Health Sci, 2014 Jul;6(4):196-204.
    PMID: 24999143 DOI: 10.5539/gjhs.v6n4p196
    In recent time climate change and its impact on human health and awareness constitute a set of complex and serious consequences to be tackled by an individual country. Climate change is not merely an environmental issue, but also it is a threat that goes beyond national borders. The purpose of this study is to identify the awareness and the impact of climate change, perceived by the young citizens in Malaysia by focusing on gender differences. Based on a survey of 200 respondents from different public and private University's students in Malaysia, this research used descriptive statistics and T-test to look into the research objective. The results revealed media can play an important role in the awareness of climate change. Meanwhile the male respondents have shown considerable attention on the physical impact of climate change like heat related stress. On the other hand female respondents have shown considerable attention to the psychological impact by the climate change. From a pragmatic perspective, the findings from this research will assists the policy makers to understand more about the perceived awareness on the climate change issues of the young citizens which ultimately assist them to inaugurate new initiatives to confront the challenges of climate changes. This research is among the pioneer study on the issue of the perceived awareness in regards to climate change in Malaysia by focusing on gender differences.
    Matched MeSH terms: Perception*
  13. Fulltext Knowledge, attitude and perception of second-hand smoke and factors promoting smoking in Malaysian adolescents
    Abidin NZ, Zulkifli A, Abidin EZ, Rasdi I, Ismail SN, Rahman AA, et al.
    Int J Tuberc Lung Dis, 2014 Jul;18(7):856-61.
    PMID: 24902566 DOI: 10.5588/ijtld.13.0906
    OBJECTIVE: To identify the relationship between knowledge, attitude and perception regarding environmental tobacco smoke (ETS) and smoking among Malaysian adolescents living in states with complete or partial smoke-free legislation (SFL).
    METHODS: A total of 898 respondents aged 13-14 years were randomly selected from 21 secondary schools. The Malay version of the modified Global Youth Tobacco Survey questionnaire was used. Hierarchical logistic regression was performed in examining predictors of smoking attempt among adolescents.
    RESULTS: Participants exposed to ETS >5 h/day were more likely to have smoked compared to those exposed to ETS <1 h/day (OR 4.1, 95%CI 1.03-16.0). Living in a state with partial SFL was associated with a two-fold increase in self-reported smoking attempts (OR 1.95, 95%CI 1.10-3.43) compared to living in a state with complete SFL. Negative attitudes and perceptions towards smoking and ETS exposure were linked to lower smoking attempts in states with complete SFL.
    CONCLUSIONS: Adolescents with limited ETS exposure who lived in a state with complete SFL were less likely to attempt smoking compared to those exposed more regularly to ETS and living in a state with partial SFL. Preventing adolescents from becoming smokers is the key to reducing national prevalence rates in smoking. There is a need to implement comprehensive smoke-free legislation nationally across Malaysia.
    Matched MeSH terms: Perception
  14. Emotion processing in Parkinson's disease: an EEG spectral power study
    Yuvaraj R, Murugappan M, Omar MI, Ibrahim NM, Sundaraj K, Mohamad K, et al.
    Int J Neurosci, 2014 Jul;124(7):491-502.
    PMID: 24168328 DOI: 10.3109/00207454.2013.860527
    Although an emotional deficit is a common finding in Parkinson's disease (PD), its neurobiological mechanism on emotion recognition is still unknown. This study examined the emotion processing deficits in PD patients using electroencephalogram (EEG) signals in response to multimodal stimuli.
    Matched MeSH terms: Social Perception
  15. Returning to "inhibition of return" by dissociating long-term oculomotor IOR from short-term sensory adaptation and other nonoculomotor "inhibitory" cueing effects
    Hilchey MD, Klein RM, Satel J
    J Exp Psychol Hum Percept Perform, 2014 Aug;40(4):1603-16.
    PMID: 24820438 DOI: 10.1037/a0036859
    We explored the nature and time course of effects generated by spatially uninformative peripheral cues by measuring these effects with localization responses to peripheral onsets or central arrow targets. In Experiment 1, participants made saccadic eye movements to equiprobable peripheral and central targets. At short cue-target onset asynchronies (CTOAs), responses to cued peripheral stimuli suffered from slowed responding attributable to sensory adaptation while responses to central targets were transiently facilitated, presumably due to cue-elicited oculomotor activation. At the longest CTOA, saccadic responses to central and peripheral targets were indistinguishably delayed, suggesting a common, output/decision effect (inhibition of return; IOR). In Experiment 2, we tested the hypothesis that the generation of this output effect is dependent on the activation state of the oculomotor system by forbidding eye movements and requiring keypress responses to frequent peripheral targets, while probing oculomotor behavior with saccades to infrequent central arrow targets. As predicted, saccades to central arrow targets showed neither the early facilitation nor later inhibitory effects that were robust in Experiment 1. At the long CTOA, manual responses to cued peripheral targets showed the typical delayed responses usually attributed to IOR. We recommend that this late "inhibitory" cueing effect (ICE) be distinguished from IOR because it lacks the cause (oculomotor activation) and effect (response bias) attributed to IOR when it was named by Posner, Rafal, Choate, and Vaughan (1985).
    Matched MeSH terms: Space Perception/physiology*
  16. Fulltext Attitudes and perceptions of the general Malaysian public regarding family presence during resuscitation
    Chew KS, Ghani ZA
    Singapore Med J, 2014 Aug;55(8):439-42.
    PMID: 25189307
    INTRODUCTION: Family presence (FP) during resuscitation is an increasingly favoured trend, as it affords many benefits to the critically ill patient's family members. However, a previously conducted study showed that only 15.8% of surveyed Malaysian healthcare staff supported FP during resuscitation.

    METHODS: This cross-sectional study used a bilingual self-administered questionnaire to examine the attitudes and perceptions of the general Malaysian public toward the presence of family members during resuscitation of their loved ones. The questionnaires were randomly distributed to Malaysians in three different states and in the federal territory of Kuala Lumpur.

    RESULTS: Out of a total of 190 survey forms distributed, 184 responses were included for analysis. Of the 184 respondents, 140 (76.1%) indicated that they favoured FP during resuscitation. The most common reason cited was that FP during resuscitation provides family members with the assurance that everything possible had been done for their loved ones (n = 157, 85.3%). Respondents who had terminal illnesses were more likely to favour FP during resuscitation than those who did not, and this was statistically significant (95.0% vs. 73.8%; p = 0.04).

    CONCLUSION: FP during resuscitation was favoured by a higher percentage of the general Malaysian public as compared to Malaysian healthcare staff. This could be due to differences in concerns regarding the resuscitation process between members of the public and healthcare staff.
    Matched MeSH terms: Perception
  17. Factors influencing registered nurses perception of their overall job satisfaction: a qualitative study
    Atefi N, Abdullah KL, Wong LP, Mazlom R
    Int Nurs Rev, 2014 Sep;61(3):352-60.
    PMID: 24902878 DOI: 10.1111/inr.12112
    AIM: The purpose of this qualitative descriptive study was to explore factors related to critical care and medical-surgical nurses' job satisfaction as well as dissatisfaction in Iran.
    BACKGROUND: Job satisfaction is an important factor in healthcare settings. Strong empirical evidence supports a causal relationship between job satisfaction, patient safety and quality of care.
    METHOD: A convenient sample of 85 nurses from surgical, medical and critical care wards of a large hospital was recruited. Ten focus group discussions using a semi-structured interview guide were conducted. Interviews were audio-recorded, transcribed verbatim and analysed using a thematic approach.
    FINDINGS: The study identified three main themes that influenced nurses' job satisfaction and dissatisfaction: (1) spiritual feeling, (2) work environment factors, and (3) motivation. Helping and involvement in patient care contributed to the spiritual feeling reported to influence nurses' job satisfaction. For work environment factors, team cohesion, benefit and rewards, working conditions, lack of medical resources, unclear nurses' responsibilities, patient and doctor perceptions, poor leadership skills and discrimination at work played an important role in nurses' job dissatisfaction. For motivation factors, task requirement, professional development and lack of clinical autonomy contributed to nurses' job satisfaction.
    CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICY: Nurse managers should ensure a flexible practice environment with adequate staffing and resources with opportunities for nurses to participate in hospital's policies and governance. Policy makers should consider nurses' professional development needs, and implement initiatives to improve nurses' rewards and other benefits as they influence job satisfaction.
    KEYWORDS: Environment; Iran; Motivation Factors; Qualitative
    Matched MeSH terms: Perception
  18. Perspectives of physicians practicing in low and middle income countries towards generic medicines: a narrative review
    Hassali MA, Wong ZY, Alrasheedy AA, Saleem F, Mohamad Yahaya AH, Aljadhey H
    Health Policy, 2014 Sep;117(3):297-310.
    PMID: 25129135 DOI: 10.1016/j.healthpol.2014.07.014
    This review was conducted to document published literature related to physicians' knowledge, attitudes, and perceptions of generic medicines in low- and middle-income countries (LMICs) and to compare the findings with high-income countries.
    Matched MeSH terms: Perception
  19. Fulltext Comparative assessment of students' performance and perceptions on objective structured practical models in undergraduate pathology teaching
    Htwe TT, Ismail SB, Low GK
    Singapore Med J, 2014 Sep;55(9):502-5.
    PMID: 25273936
    INTRODUCTION: Assessment is an important factor that drives student learning, as students tend to mainly focus on the material to be assessed. The current practice in teaching pathology extensively applies objective-structured practical examination for the assessment of students. As students will have to deal with real patients during clinical years, it is preferred that students learn and practise via potted specimens and slides instead of picture plates. This study aimed to assess the preferred assesment method of pathology practical exercises.

    METHODS: This was a cross-sectional survey carried out in two consecutive batches of Phase 2 medical students. Student competency was assessed using both the traditional (TD) (i.e. use of potted specimens and slides) and picture plate (PP) methods. To compare the two assessment methods, we compared the mean scores obtained by the students and examined student perception of the two methods.

    RESULTS: The mean scores obtained via the PP method were significantly higher than those obtained via the TD method for almost all the components tested.

    CONCLUSION: We found that students performed significantly better (p < 0.05) when assessed using the PP method instead of the TD method. PP preparations might provide better visuals, thus aiding understanding, than the TD method. The findings of this study are valuable in identifying and improving our current teaching and assessment methods of medical students, in line with advancements in information technology.
    Matched MeSH terms: Perception
  20. Fulltext In search of a reliable electrophysiological marker of oculomotor inhibition of return
    Satel J, Hilchey MD, Wang Z, Reiss CS, Klein RM
    Psychophysiology, 2014 Oct;51(10):1037-45.
    PMID: 24976355 DOI: 10.1111/psyp.12245
    Inhibition of return (IOR) operationalizes a behavioral phenomenon characterized by slower responding to cued, relative to uncued, targets. Two independent forms of IOR have been theorized: input-based IOR occurs when the oculomotor system is quiescent, while output-based IOR occurs when the oculomotor system is engaged. EEG studies forbidding eye movements have demonstrated that reductions of target-elicited P1 components are correlated with IOR magnitude, but when eye movements occur, P1 effects bear no relationship to behavior. We expand on this work by adapting the cueing paradigm and recording event-related potentials: IOR is caused by oculomotor responses to central arrows or peripheral onsets and measured by key presses to peripheral targets. Behavioral IOR is observed in both conditions, but P1 reductions are absent in the central arrow condition. By contrast, arrow and peripheral cues enhance Nd, especially over contralateral electrode sites.
    Matched MeSH terms: Visual Perception/physiology*
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