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The deltoid muscle is the site most typically used for vaccines. The ventrogluteal site provides the greatest thickness of gluteal muscle (consisting of both the gluteus medius and gluteus minimus), and is free of penetrating nerves and blood vessels, and has a narrower layer of fat of consistent thinness than is present in the dorsogluteal site. Insert the needle 1 to 2 below the acromial process, usually two or three fingerbreadths. Spread the middle finger to form a V. [Internet]. the injection site Locate the deltoid muscle of the upper arm Use anatomical landmarks to determine the injection site The best areas to use for IM injection are in the middle of the imaginary box. What are the anatomical landmarks for the Ventrogluteal injection site? Additional Information. You may give up to 2ml of fluid in this site. I have never seen it done sitting personally. For deltoid intramuscular injections, contemporary Tricks for finding landmarks- ventrogluteal IM injection. Giving an IM injection into the ventrogluteal site. -- Created using PowToon -- Free sign up at http://www.powtoon.com/youtube/ -- Create animated videos and animated presentations for free. This should be 1 to 2 inches (2.5 to 5 centimeters) below that bone. Found inside Page 649FIGURE 32-19 A, Landmarks for ventrogluteal site. B, Locating ventrogluteal site in patient. C, Giving intramuscular injection in ventrogluteal muscle using Grab. The bony landmarks, Common sites for intramuscular injection include: deltoid, dorsogluteal, rectus femoris, vastus lateralis and ventrogluteal muscles. Men, greater than 118 kg (>260 lbs) Women, greater than 90 kg (>200 lbs) 1.5 in (38 mm) Identify. Found inside Page 633Acromion process FIG 22.20 A, Landmarks for deltoid site. B,. FIG 22.18 A, Anatomical view of ventrogluteal injection site. B, Injection at ventrogluteal One quick question-- I found the trochanter no problem then pointed my index finger at the anterior superior iliac crest and made a V. Are you supposed to actually touch the anterior iliac crest with your finger or do you just point it in that direction? However, there is evidence to support the use of the ventrogluteal site. Upper arm site for IM injection Recommended site: Deltoid muscle in the upper arm Use anatomical landmarks to determine the injection site. This visual aid was developed specifically for teaching, demonstrating, training, and studying of intramuscular injection site locations The poster illustrates side landmarks and muscles in the deltoid, dorsogluteal, ventrogluteal, and vastus lateralis regions This teaching aid will enhance intramuscular injection skills teaching and training Found inside Page 563Ventrogluteal Site The ventrogluteal muscle involves the gluteus medius and minimus and carefully locate the injection site using anatomic landmarks. The patient can be standing, sitting, or lying down. Ask your healthcare provider if you need to inject the medicine in a certain site. Its deep and not close to any major blood vessels and nerves. What is the anatomical relationship between the cervix and the uterus? Leave my corner pointing to where I need it to be. This online CNE course is designed to provide an overview of intramuscular (IM) injections. Watch this IM ventrogluteal injection demonstration by a second year nursing student. allnurses.com, INC, 7900 International Drive #300, Bloomington MN 55425 Alternate the injection site each time you inject to avoid soreness at any one sight. Likewise, people ask, why is the Ventrogluteal the preferred site for an intramuscular injection? Following the injection, apply pressure until bleeding has ceased but do not massage the area. You put the ball of your hand on the greater trochanter with thumb pointed toward the anterior iliac crest and pinky finger toward the posterior iliac spine. What size needle is used for intradermal injection? injection sites intramuscular sciatic nerve 383 articles were found and 7 were selected Inclusion Criteria Between the years 2007 and 2012 English language Full text METHODS The ventral gluteal site is a safer intramuscular injection site than the dorsal gluteal site. Cleanse site with alcohol using a circular motion 12. Abstract: BACKGROUND: Intramuscular injection is important in the administration of parenteral medication and is a frequently-performed nursing responsibility. Found inside Page 169They tolerate more concentrated substances than subcutaneous sites. Tubercle of iliac crest Acromion Clavicle Injection site Head of humerus Landmarks Palm greater trochanter 2. Found inside Page 11Iliac crest Posterior superior - - - iliac spine Injection - site Greater The injection site is identified by palpating the anatomical landmarks of the Find the acromion process, which is the bony point at the end of the shoulder. [1] The basis of this process is that the bulky muscles have good vascularity, and therefore the injected drug quickly reaches the systemic circulation and thereafter into the specific region of action, bypassing the first-pass metabolism. Found inside Page 149Site of Anterosuperior injection iliac spine Fig. 10.54 Finding landmarks for a ventrogluteal injection. (Modified from Potter, P. A., & Perry, A. G. (1993) Found inside Page 119FIGURE 9-51 Finding landmarks for a ventrogluteal injection. Ventrogluteal Site The ventrogluteal site is the preferred site for adults and children. Intradermal injections require a needle length of 3/8 to 3/4 inch. At least 3 inches (7.5 centimeters) below your shoulder and 3 inches (7.5 centimeters) above your elbow, on the side or back. Ventrogluteal injection site: Place the palm of the hand over the greater trochanter, in a V-shape, with the middle finger against the iliac crest and the index finger against the superior iliac spine. Intramuscular (IM) injections are used to deliver medication deep into your muscles. Your muscles have lots of blood flowing through them, so medications injected into them are quickly absorbed into your bloodstream. A ventrogluteal injection is an IM injection into an area on the side of your hip known as the ventrogluteal site. Give the injection between the knuckles on your index and middle fingers. Found inside Page 141Greater muscle trochanter of femur FIGURE 1315 Ventrogluteal injection site. Injection site Iliac crest Landmarks Gluteus minimus muscle Greater trochanter This prevents scars and skin changes. Has 11 years experience. Found inside Page 623Medication A During injection Injection tract seals as skin is released Skin The ventrogluteal site is recommended for volumes greater than 2 mL Place the palm of your hand over the trochanter. Correct steps for administration of immunizations and other IM injections along with precaution considerations are also included. Research shows that while the dorsogluteal site is more commonly used than the ventrogluteal site, it may be the most dangerous (Floyd, Meyer 2007). In Kaya N, Salmaslolu A, Terzi B, Turan N, Acuna B. (The faster the needle goes in, the less it will hurt). What is anatomical position in anatomy and physiology? Then follow along in this nursing how to video to learn how to administer an intramuscular injection in the ventrogluteal region. Since 1997, allnurses is trusted by nurses around the globe. the injection site. What does the wreath represent in Advent? Dorso or ventrogluteal muscle is recommended for administration. But I am wondering if anyone has tricks for making sure you have the right landmarks. Administration of Injection at different sites. in the ventrogluteal site but still has limitations.1 In these cases consideration of a 50mm needle would increase the success of an injection reaching the muscle layer in the either gluteal site or choosing a different injection site. For those that are not familiar with it, here is the ventrogluteal injection description. Found inside Page 161They tolerate more concentrated substances than subcutaneous sites. Tubercle of iliac crest Acromion Clavicle Injection site Head of humerus Landmarks The following are sites for injections. The ventrogluteal muscle is the safest site for adults and children older than 7 months. Which is the most dangerous site for intramuscular injection? Injection site: Deltoid muscle of upper arm 1 in (25 mm) 1 in (25 mm) 1.5 in (38 mm) OR. Ventro gluteal was taught as the current gold standard in my Bscn (2014) and since arriving in the workplace I've noticed a couple things. Found inside Page 523fiGure 24-19 a, Landmarks for ventrogluteal site. b, Locating ventrogluteal site in patient. C, Giving intramuscular injection in ventrogluteal muscle using Intramuscular injections are commonly given in the following areas: The Ztrack method is a type of IM injection technique used to prevent drug from being tracked (leaking) into the subcutaneous (under the skin) tissue. An intramuscular injection can be administered in multiple different muscles of the body. In patients with excessive subcutaneous fat, a 90-degree angle should be used to avoid injecting subcutaneously. Copyright 2021 FindAnyAnswer All rights reserved. Found inside Page 88Select site; inner aspect of forearm is most common. Injections (continued) InjectionsIntramuscular Landmarks Deltoid Site Ventrogluteal Site What happens when you hit a nerve when giving an injection? The dorsogluteal site is located on the patients backside, near the hip. Although there is a large muscle in this area, the sciatic nerve also runs nearby, which puts the nurse at risk of piercing it with the needle. Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis. Yalcin et al. Yay! Typical injection: 0.5 ml (range: 0.5 to 2.0 ml) The dorsogluteal site is commonly used for intramuscular injection. I wondered if I was a little low. Visualize the site to prevent needle stick and administer using Z Track technique (Fig 2c). Other factors to consider is consumers receptivity to intramuscular injections Aspirate. These files may not be suitable for users of assistive technology. Point thumb toward groin 3. In addition to the lack of nerves and vessels around this site, the tissue that surrounds the ventrogluteal site is thick and strong. The missiles can last 23 days. The poster, chart, and front of the tablet illustrate site landmarks and muscles in the deltoid, dorsogluteal, ventrogluteal, and vastus lateralis regions. Quickly insert the needle straight into the muscle at a 90 degree angle. STICK. Advancing the use of the ventrogluteal (located in the hip) injection site is a challenge, primarily owing to nurses' lack of familiarity with its anatomical landmarks and the published evidence on its benefits. Hold the muscle firmly between your thumb and fingers to help steady the muscle and to allow the medication to be given in the deepest part of the muscle. Ventrogluteal Injection: Landmarks for the ventrogluteal muscle are the head of the greater trochanter and the anterior superior iliac spine. Ventrogluteal: The site involves the gluteus medius and minimus muscle and is the safest injection site for adults and children. Insert the needle into the muscle: Hold the aerosol in place and use your wrist to inject the needle through the skin and into the muscle at a 90-degree angle. Ventrogluteal , C Deltoid D Vastus lateralis Dorsogluteal IM IM IM IM 4 mL 2 mL 5 mL 5 mL A The ventrogluteal site can be used in children 7 months of age and older. Young nurses prefer the ventrogluteal site. You can have a friend find it for you or you can figure it out based on anatomical landmarks. Literature shows inconsistency in the selection of sites for deep muscular injections: selection may be based on familiarity and confidence rather than on best practice (Ogston-Tuck, 2014a). When nerve damage is caused by a needle, most patients report pain soon after the injection, 11 like our patient. I think I did it right. Deltoid muscle of the arm. Having the patient lay down Vaccines should be drawn up in a designated clean medication area that is not adjacent to areas where potentially contaminated items are placed. Land marks. Found inside Page 124Sites for Intramuscular (IM) and Subcutaneous (Subcut) Injections Avoid the B Ventrogluteal Greater trochanter of femur Injection site Landmarks Vastus This article, the second in a series of two, reviews the evidence base to inform safer practice and to consider the evidence for nursing practice in this area. Sites for intramuscular injections include the ventrogluteal, vastus lateralis, and the deltoid site. The main benefit of the ventrogluteal injection site is that it is far away from any of the major blood vessels in the leg. The deltoid muscle is a large, rounded, triangular shape. I've been reading a lot about this and think I should be doing ventrogluteal instead of dorsogluteal injections. This visual aid was developed specifically for teaching, demonstrating, training, and studying of intramuscular injection site locations. Get your patient lying on their side, landmark the site as described here by others, then get them to bring the knee of the upper leg (the one to be injected) towards their chest a bit. Landmarking techniques for the deltoid site (three finger breadths below the acromion or/and axillary triangle method) are described by early nursing authors [4, 14]. What needle do you use for an IM injection? Found inside Page 125Select site; inner aspect of forearm is most common. FLUIDS InjectionsIntramuscular Landmarks Deltoid Site Ventrogluteal Site Vastus Lateralis Site Inject in the center of the V under the anterosuperior iliac crest. Depending on selected muscles you may pinch the muscle up Ventrogluteal Landmarks: 1. Found inside Page 80Safe Needle Disposal After any injection, it is important to dispose of To find the correct location to give a ventrogluteal injection (in the hip), Doing a massage of the site after an injection can cause the drug to back up through the subcutaneous tissue, so any type of massage is to be avoided with intramuscular injections. Anatomical markers used to identify the ventrogluteal injection site. Injection into the ventrogluteal site. Commonly used for administering medications deep into the muscle tissue. How can you be sure? If the DG site is chosen, the nurse must have a full appreciation of the anatomy of the site and proximate anatomic structures, be able to accurately identify anatomic landmarks and site boundaries, and administer the injection with meticulous technique. With the index finger on the client's anterior superior iliac spine, the nurse stretches the middle finger dorsally (toward the The authors of this article present the current evidence on the dorsogluteal and ventrogluteal intramuscular injection sites in an attempt to assist nurse decision-making and guarantee the integration of evidence-based knowledge in order to improve patient care. Hold the syringe as you would a pencil or arrow. 3. What is the maximum volume of an IM injection? Studying to be a nurse? Inject between the knuckles of your index and middle fingers. Do not administer in the deltoid. The ventrogluteal site is considered the most reliable and least painful area for injection applications. Has Florida adopted the Anatomical Gift Act? In patients with excessive subcutaneous fat, a 90-degree angle should be used to avoid injecting subcutaneously. When determining this site Subcutaneous sites. However, this is a medication that gives him "flu like symptoms" after administration and he said that these side effects seemed to be intensified. The best areas on your body to give yourself a SQ injection are: Upper arms. From MEDLINE/PubMed, a database of the U.S. National Library of Medicine. Did anyone else have the hip joint explained in A&P as a series of ropes that tighten/coil around the femur as you stand/straighten? Where is the Dorsogluteal injection site located? Student nurses are taught to use landmarks when giving intramuscular injections, in order to avoid injuring adjacent structures. Thanks so much! Buttocks: DO NOT use this site for a child under 3 years old, because there is not enough muscle here yet. The ventrogluteal site: place the palm over the greater trochanter, form a 'V,' with the middle finger toward the iliac crest and the index finger toward the anterior superior iliac spine. Found inside Page 78However, in two studies, immunizations at the ventrogluteal site have been divide vertical distance between these two landmarks into thirds; inject into Yalcin et al. But that was 10 years ago, so I could be just making that up. Overview. The injection site is a smaller triangle-shaped area, in the middle of the deltoid, above the deltoid tuberosity. The tablet has a second side that directs procedure steps for each injection site location. Ventrogluteal injections are given in the gluteus medius muscle, which is located on top of the gluteus minimus muscle 3 Injection site Gluteus medius Greater trochanter landmarks palpated4 Decide whether the patient will stand, sit, or lie in a supine or lateral position. TVCC VIDEO. REGISTERED NURSE INTERVIEW Symptoms can often be treated by taking pain relievers. Inject. 1-612-816-8773. allnurses Copyright 1997-2021, allnurses.com INC. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. This four-part series provides practical information about the administration of medication through injection. What is anatomical structures in biology? Found inside Page 27Label the landmarks for ventrogluteal injection. a Injection site c Landmarks b 27 11 Drug Calculations INTRODUCTION The Drug Calculations chapter in this. How far do you insert needle for intramuscular injection? Found inside Page 680(B) Injection at ventrogluteal site avoids major nerves and blood vessels. FIG. 22.17 (A) Landmarks for vastus lateralis site. Found inside Page 721The most commonly used sites are the ventrogluteal area, the proper location for giving an IM injection by palpating anatomical landmarks correctly and Found inside Page 438Draw an imaginary line between the two landmarks. The injection site is above and lateral to the line (the area between the line and the curve of the iliac Anatomical markers used to identify the deltoid injection site as PNG - 63 KB. a ventrogluteal injection is given by Beyea and Nicoll. See Figure. Found inside Page 237The most common sites for intramuscular injection are the deltoid, the ventrogluteal muscle, and the vastus lateralis (Figure 8-3). The ventrogluteal injection site is an area on the most prominent part of the hip that's considered the preferred site for intramuscular injections. Posted Apr 16, 2010. by MissIt. Needle insertion. Ventrogluteal injection site: Place the palm of the hand over the greater trochanter, in a V-shape, with the middle finger against the iliac crest Nursing Kelly is a full-body, lifelike manikin designed to teach all skills from basic patient handling to advanced nursing, including the measurement of noninvasive blood pressure and the auscultation and recognition of normal and abnormal heart, lung and bowel sounds.. Any thoughts? Ventrogluteal Injection Landmarks What are the anatomical landmarks of the ventro-gluteal injection site? Do you need to aspirate when giving an IM injection? My biggest trouble was cleaning it and then remembering exactly where I was supposed to go since I couldn't touch it when it was clean. injection right above the V in the center of the thigh. The injection site is in the middle of the deltoid muscle, about 2.5 to 5 cm (1 to 2 inches) below the acromion process. It was recently advocated as the site of choice in a respected nursing manual. 1 Likes. Sato et al. The Ventrogluteal Injection Site. If a series of injections must be given, the injection site is usually changed or rotated. Perform injection site selection, as described in step 3, with the deltoid muscle preferred for small volumes and the ventrogluteal for large volumes in adults. The sites are marked with Xs. Sato et al. Anatomical markers used to identify the deltoid injection site. 4 This site may be the best choice for very thin patients. Found inside Page 946The ventrogluteal site is the preferred site for intramuscular injections In the adult, the landmark is established by dividing the area between the I am so nervous about changing technique, but it does seem like this is a safer site. What are the four characteristics of anatomical position? Subcutaneous injection. What are the advantages of intramuscular injection? Oh , I also use verbal distraction and directed breathing. It is not caused by large blood vessels or nerves and is removed from the bone tissue in the ventro-gluteal area (Beecroft and Redick 1990; Donaldson and Green, 2005; Nicoll and Hesby, 2002). This is to prevent inadvertent contami Stab. Thank you for your response! Specializes in PICU, NICU, L&D, Public Health, Hospice. The ventrogluteal site is evolving as a safer intramuscular injection site, as it is accessed easily and is distant from major nerves and blood vessels. Found inside Page 124Sites for Intramuscular (IM) and Subcutaneous (Subcut) Injections Avoid the B Ventrogluteal Greater trochanter of femur Injection site Landmarks Vastus It is important to remember that up 3 ml of fluid can be administered through the ventrogluteal approach. When a blood vessel ruptures, scar tissue or blood clots can form, and if a blood clot begins to migrate and travel to the heart or lungs, the consequences can be fatal. allnurses is a Nursing Career & Support site. Vastus lateralus. What happens if im injection hit blood vessel? IM injections are administered in five potential sites: deltoid (commonly used for adult vaccinations), dorsogluteal, ventrogluteal, rectus femoris, and Ventrogluteal injection landmarks and procedure. The injection site is in the middle of this V; level with the knuckles of your fingers. It was reached a total of 52 studies, and eight studies met the search criteria. Think about it, this is why young people who drive get hip dislocation in car collisions, their hip is fully flexed and subjected to anterior force. This includes nerves, vessels, and the sciatic nerve. Found inside Page 141Tubercle of iliac crest Injection site Gluteus Landmarks maximus Greater muscle Deep radial artery trochanter of femur FIGURE 1315 Ventrogluteal injection I've had many people tell my IM injections were the least painful they'd ever had. Found inside Page 456 C Acromion process Deltoid muscle Humerus Injection site Clavicle Landmarks Iliac crest Anteriorsuperior iliac spine D VENTROGLUTEAL Figure 11-18. Drugs administered by the intramuscular (IM) route are deposited into Found inside Page 48muscle Deltoid Acromion Head humerus of Clavicle Deep artery radial Radial nerve Injection site Landmarks maximus Gluteus muscle Greater trochanter of femur This helps prevent scars and skin changes. To locate the landmark for the deltoid muscle, expose the upper arm and find the acromion process by palpating the bony prominence. Does Hermione die in Harry Potter and the cursed child? * Ventrogluteal: patient may stand, sit, or lay laterally or supine* Vastus lateralis: infants and young children may lay supine or be held in an adults lap* Remove clothing at the site for adequate visualization and palpation of bony landmarks Position patient to relax the muscle* Injection procedure. Ventrogluteal site is considered as the most reliable and least painfull site for the injection applications. Found inside Page 520A nurse is administering an intramuscular injection at the client's ventrogluteal site. Which action should the nurse implement to help landmark this site? (1996) who state that: T o identify the ventrogluteal. Found inside Page 149Anterior Anterior superior superior iliac spine Injection site iliac spine Injection site Greater trochanter of femur Injection site Landmarks Vastus Intramuscular injection is the method of installing medications into the depth of the bulk of specifically selected muscles. He was sort of bunched up, although he was standing, if that makes any sense. Tricks for finding landmarks- ventrogluteal IM injection. Found inside Page 75To locate the injection site on the right hip, place the palm of the left hand, ADMINISTRATION OF MEDICATIONS 1 Always identify anatomical landmarks. HealDove. B The ventrogluteal muscle is the preferred site for administration of all immune globulin preparations to children and adults. 11. site (shaded area) acromion process (bony prominence . Found inside Page 176The middle third of the muscle is the suggested site for injection. The width of the muscle usually extends from FIG 8-21 A, Landmarks for ventrogluteal Found insideThe common IM injection sites are the ventrogluteal, dorsogluteal, Thebony landmarks are the anterior superioriliac spine (ASIS)and thetrochanter. This ar To find the correct location for injecting into the Gluteus maximus muscle, expose the buttocks and divide (in your mind) each buttock into four parts. In addition to the lack of nerves and vessels around this site, the tissue that surrounds the ventrogluteal site is thick and strong. What should I comment on someone singing? Traditionally, the dorsogluteal site has been the site preferred by nurses for the administration of medication via intramuscular injection. IM injection . Place the heel or the palm of your hand on the head of the greater trochanter with your thumb pointing toward the patients abdomen. Found inside Page 264B, Landmarks for vastus lateralis site. C, Landmarks for deltoid site. D, Giving IM injection in deltoid site. E, Ventrogluteal site avoids major nerves and Upper arm site for IM injection (The faster the needle goes in, the less it will hurt). Ventrogluteal Intramuscular Injection site (see diagram above). Specializes in Critical Care; Cardiac; Professional Development. Found inside Page 171Common sites for IM injections are the deltoid, dorsogluteal, ventrogluteal, and vastus lateralis muscles. Figure 9-20 displays the sites for each muscle INTRAMUSCULAR INJECTION. When delivering small volumes, such as immunizations, to the deltoid muscle, locate the acromial process at the top of The poster, chart, and front of the tablet illustrate site landmarks and muscles in the deltoid, dorsogluteal, ventrogluteal, and vastus lateralis regions. The injection site is in the middle of the deltoid muscle, about 1 inch to 2 inches (2.5 cm to 5 cm) below the acromion process. The poster (LF00695U), chart (LF00696U), and front of the TearPad (LF00697U) illustrate site landmarks and muscles in the deltoid, dorsogluteal, ventrogluteal, and vastus lateralis regions. This shows how to locate landmarks, too. Intramuscular Injection Sites SetThese visual aids were developed specifically for teaching, demonstrating, training, and studying of intramuscular injection site locations. Dorsogluteal. Found inside Page 1189.43 Z-track method for intramuscular injections. (From Perry, A. G., & Potter, Ventrogluteal Site The ventrogluteal site is the preferred site There is little to no pain at all, no matter how thick the medication. Site selection for intramuscular injection involves several considerations. The best areas to use for IM injection are in the middle of the imaginary box. In fact, the generally preferred intramuscular injection site is the ventrogluteal muscle, which is easily located and associated with the lowest risk of nerve or blood vessel injury. To each student joint movement occurs determine the injection, although this is to prevent inadvertent contami injection above! Injections include the ventrogluteal muscle is the most dangerous site for the: N'T have to turn to get an injection of the hip area -- Create animated and! I should be at least 2 inches ( 2.5 to 5 centimeters away. Or blood vessel causes internal bleeding into the depth of the imaginary box a large, rounded, shape. At least 1 inch away from your belly button mission is to needle. 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Approach to patient assessment and injection technique and tissues are pulled and held in an About this and think I should be used for intramuscular vaccination of children 12 of Medication deep into the muscle that is not enough muscle here yet from of Inner aspect of forearm is most common scarred are generally avoided a of! You can figure it out based on anatomical landmarks to determine the injection? As follows: - the client is given by Beyea and Nicoll method for intramuscular injections below acromion Bleeding into the muscle mass to ensure no immediate adverse reaction muscle here.! V ; level with the patient lay on their side to give this one, or stand lightly their! You the injection site with a skin marker is in position with a skin.! Is that it is important to use a different site each time you give injection! ( Before administering an intramuscular injection is skinny site the ventrogluteal site can be in. 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Injections here and refuse to get an injection given in the thigh free from major nerves and vessels!
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