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CN104014050B - A kind of on-line monitoring system - Google Patents

A kind of on-line monitoring system Download PDF

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CN104014050B
CN104014050B CN201410288742.9A CN201410288742A CN104014050B CN 104014050 B CN104014050 B CN 104014050B CN 201410288742 A CN201410288742 A CN 201410288742A CN 104014050 B CN104014050 B CN 104014050B
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infusion
monitoring system
circuit
line monitoring
pulse counting
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CN104014050A (en
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胡岳
江秀臣
武佳莹
曹灵钰
张星
沈冬
李爱民
施会
茅晓亮
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State Grid Shanghai Electric Power Co Ltd
Shanghai Jiao Tong University
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State Grid Shanghai Electric Power Co Ltd
Shanghai Jiao Tong University
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Abstract

本发明涉及一种在线监测系统,采用脉冲计数方式在线监测患者输液状态,所述的监测系统包括输液脉冲计数装置、滴速在线监测装置和输液监测终端,所述的输液脉冲计数装置与滴速在线监测装置连接,所述的滴速在线监测装置通过无线通信网络与输液监测终端连接;输液脉冲计数装置以脉冲计数方式采集液滴滴落速度,滴速在线监测装置将输液脉冲计数装置的采集信号转化为电信号,并通过无线通信网络传输给输液监测终端,输液监测终端接收所述电信号,并将其与预先存储的标准滴速进行比较,判断是否正常。与现有技术相比,本发明具有安全、可靠、低功耗等优点。

The invention relates to an online monitoring system, which adopts a pulse counting method to monitor patients' infusion status online. The monitoring system includes an infusion pulse counting device, a drip speed online monitoring device, and an infusion monitoring terminal. The infusion pulse counting device and the drip speed The on-line monitoring device is connected, and the drip speed on-line monitoring device is connected with the infusion monitoring terminal through a wireless communication network; The signal is converted into an electrical signal and transmitted to the infusion monitoring terminal through the wireless communication network. The infusion monitoring terminal receives the electrical signal and compares it with the pre-stored standard drip rate to determine whether it is normal. Compared with the prior art, the invention has the advantages of safety, reliability, low power consumption and the like.

Description

一种在线监测系统An online monitoring system

技术领域technical field

本发明涉及在线监测领域,尤其是涉及一种在线监测系统。The invention relates to the field of on-line monitoring, in particular to an on-line monitoring system.

背景技术Background technique

目前静脉输液治疗是临床用药方面是最主要的途径。有调查显示,90%以上的住院患者都需要采用静脉输液治疗。近年来,临床输液引起的医疗问题已引起专业人士的广泛关注。At present, intravenous infusion therapy is the most important way in terms of clinical medication. A survey shows that more than 90% of hospitalized patients need to adopt intravenous infusion therapy. In recent years, the medical problems caused by clinical infusion have attracted extensive attention of professionals.

如果有一种输液状态的在线监测系统,在输液异常时可以告警,并通过信号传输将告警信息传输到医护人员值班室,那么就能相对提高输液治疗的安全性。另外,采用在线监测技术可大大节省人力和时间,增强护士工作的科学性和主动性,同时可实现全时段监测,及时为输液病人提供帮助。If there is an online monitoring system for infusion status, which can give an alarm when the infusion is abnormal, and transmit the alarm information to the duty room of medical staff through signal transmission, then the safety of infusion therapy can be relatively improved. In addition, the use of online monitoring technology can greatly save manpower and time, enhance the scientificity and initiative of nurses' work, and at the same time realize full-time monitoring and provide timely assistance to infusion patients.

现有的输液监测方式有以下几种:The existing infusion monitoring methods are as follows:

1、探针式监测:早期使用的输液监测方法是:把探针插入输液瓶内,由于液体药物具有导电性,会与探针形成电流环路。当液面下降并低于探针针尖的高度时,这个电流环路将被破坏。相应的报警机制就会启动,并切断输液。这就是探针式监测法。该方法在应用中的问题在于成本与医用卫生标准间的矛盾。若从降低成本角度出发,探针就需多次使用,这就不符合医疗卫生标准。所以现今已经很少使用此方法来监测输液状态。1. Probe-type monitoring: The infusion monitoring method used in the early days is: insert the probe into the infusion bottle, and because the liquid medicine is conductive, it will form a current loop with the probe. This current loop is broken when the liquid level drops below the probe tip level. The corresponding alarm mechanism will start and cut off the infusion. This is the probe monitoring method. The problem in the application of this method is the contradiction between cost and medical hygiene standards. From the perspective of cost reduction, the probe needs to be used multiple times, which does not meet the medical and health standards. So now this method is rarely used to monitor the infusion status.

2、电容式液位检测法:电容式液位检测法可用于检测输液瓶内液位的高度。该方法的实现原理是利用某一频率的信号激励电容式电桥,由于电容传感器的电容值会随着输液瓶内液面的高度的变化发生变化,医护人员可以通过电容式电桥输出信号的幅度变化判断剩余液面的高度。使用电容式液位检测法的缺点在于该监测装置需要安装在输液瓶周围,不方便病患在输液过程中走动。2. Capacitive liquid level detection method: Capacitive liquid level detection method can be used to detect the height of the liquid level in the infusion bottle. The realization principle of this method is to use a signal of a certain frequency to excite the capacitive bridge. Since the capacitance value of the capacitive sensor will change with the change of the liquid level in the infusion bottle, the medical staff can output the signal through the capacitive bridge. The amplitude change judges the height of the remaining liquid level. The disadvantage of using the capacitive liquid level detection method is that the monitoring device needs to be installed around the infusion bottle, which is inconvenient for patients to move around during the infusion.

3、测重法:测重法是利用重力传感器或者弹簧等器件测量输液瓶及药品的整体重量,输液过程中由于药品的输入人体,输液瓶和药品的重量会逐渐减小,当减轻到设定的重量时控制电路将被接通。但由于输液瓶的大小规格和使用材质各不相同,输液药品的密度也不尽相同,所以只以重量判断输液的进度,往往会造成很大误差。3. Gravimetric method: The gravimetric method is to use gravity sensors or springs to measure the overall weight of the infusion bottle and medicines. During the infusion process, due to the input of medicines into the human body, the weight of the infusion bottles and medicines will gradually decrease. The control circuit will be switched on when the specified weight is reached. However, due to the different sizes and materials of the infusion bottles and the density of the infusion medicines, judging the progress of the infusion only by the weight often leads to large errors.

4、超声波探测法:超声波探测法具有很高的可靠性,其实现方法是在输液管两端安装超声波传感器,计算在顺流和逆流两个方向中声波束的传输时间差即可算出流量,进而计算得出输液速度与已输入的液体体积。超声波探测法的缺点在于使用成本过高,对医院而言使用该方法经济效益低。4. Ultrasonic detection method: Ultrasonic detection method has high reliability. Its realization method is to install ultrasonic sensors at both ends of the infusion tube, and calculate the flow rate by calculating the transmission time difference of the sound beam in the two directions of forward flow and reverse flow, and then Calculates the infusion rate and volume of fluid infused. The disadvantage of ultrasonic detection method is that the cost of use is too high, and the economic benefit of using this method is low for hospitals.

发明内容Contents of the invention

本发明的目的就是为了克服上述现有技术存在的缺陷而提供一种安全、可靠、低功耗的在线监测系统。The object of the present invention is to provide a safe, reliable and low-power on-line monitoring system in order to overcome the above-mentioned defects in the prior art.

本发明的目的可以通过以下技术方案来实现:The purpose of the present invention can be achieved through the following technical solutions:

一种在线监测系统,采用脉冲计数方式在线监测患者输液状态,所述的监测系统包括输液脉冲计数装置、滴速在线监测装置和输液监测终端,所述的输液脉冲计数装置与滴速在线监测装置连接,所述的滴速在线监测装置通过无线通信网络与输液监测终端连接,所述的输液监测终端包括相连接的滴速采集装置和滴速报警装置;An online monitoring system, which adopts a pulse counting method to monitor the patient's infusion status online, and the monitoring system includes an infusion pulse counting device, a drip speed online monitoring device and an infusion monitoring terminal, and the infusion pulse counting device and the drip speed online monitoring device connected, the drip speed online monitoring device is connected to the infusion monitoring terminal through a wireless communication network, and the infusion monitoring terminal includes a connected drip speed acquisition device and a drip speed alarm device;

输液脉冲计数装置以脉冲计数方式采集液滴滴落速度,滴速在线监测装置将输液脉冲计数装置的采集信号转化为电信号,并通过无线通信网络传输给输液监测终端,输液监测终端接收所述电信号,并将其与预先存储的标准滴速进行比较,判断是否正常,若否,则发出报警。The infusion pulse counting device collects the dripping speed by means of pulse counting, and the drip speed online monitoring device converts the collected signal of the infusion pulse counting device into an electrical signal, and transmits it to the infusion monitoring terminal through the wireless communication network, and the infusion monitoring terminal receives the said Electrical signal, and compare it with the pre-stored standard drop rate to judge whether it is normal, if not, an alarm will be issued.

优选地是,所述的输液脉冲计数装置包括凸透镜、带有墨菲滴管的输液器和光敏电阻,所述的凸透镜设置在墨菲滴管的一侧,所述的光敏电阻设有2个,紧贴安装在与凸透镜正对墨菲滴管的另一侧。Preferably, the infusion pulse counting device includes a convex lens, an infusion set with a Murphy dropper and a photoresistor, the convex lens is arranged on one side of the Murphy dropper, and the photoresistor is provided with two , installed close to the other side of the Murphy dropper with the convex lens.

优选地是,所述的凸透镜的焦距与墨菲滴管的直径相匹配。Preferably, the focal length of the convex lens matches the diameter of the Murphy dropper.

优选地是,所述的滴速在线监测装置包括光敏传感器通道、差分放大电路、带通滤波电路、电压比较电路和无线信号发送电路,所述的光敏传感器通道、差分放大电路、带通滤波电路、电压比较电路和无线信号发送电路依次连接。Preferably, the drip speed online monitoring device includes a photosensitive sensor channel, a differential amplifier circuit, a band-pass filter circuit, a voltage comparison circuit and a wireless signal sending circuit, and the photosensitive sensor channel, a differential amplifier circuit, and a band-pass filter circuit , the voltage comparison circuit and the wireless signal sending circuit are sequentially connected.

优选地是,所述的带通滤波电路包括高通滤波器和低通滤波器,所述的高通滤波器和低通滤波器串联。Preferably, the band-pass filter circuit includes a high-pass filter and a low-pass filter, and the high-pass filter and the low-pass filter are connected in series.

优选地是,所述的带通滤波电路的滤波通频为10-34Hz。Preferably, the filter pass frequency of the band-pass filter circuit is 10-34Hz.

优选地是,所述的高通滤波器和低通滤波器均为四阶滤波器。Preferably, both the high-pass filter and the low-pass filter are fourth-order filters.

优选地是,所述的无线通信网络为ZigBee通信网络。Preferably, the wireless communication network is a ZigBee communication network.

优选地是,所述的无线信号发送电路为ZigBee发送电路。Preferably, the wireless signal sending circuit is a ZigBee sending circuit.

优选地是,所述的输液脉冲计数装置和滴速在线监测装置均设有多个。Preferably, there are multiple infusion pulse counting devices and drip rate on-line monitoring devices.

与现有技术相比,本发明具有以下优点:Compared with the prior art, the present invention has the following advantages:

(1)本发明利用自然光和灯光作为光源,通过凸透镜对外界光线进行聚光,无液滴滴落时,聚光焦点落在光敏元件上,如此不涉及光电发射,固有功耗可大幅降低,且具备在不同光强环境的适用性;(1) The present invention uses natural light and light as a light source, and gathers light from the outside through a convex lens. When no liquid drops fall, the focus of light falls on the photosensitive element, so that no photoelectric emission is involved, and the inherent power consumption can be greatly reduced. And it has applicability in different light intensity environments;

(2)本发明采用光敏电阻,光敏电阻是薄片结构,方便固定,光敏电阻只有一面光敏层受光强影响,降低了终端结构对外界光源的屏蔽要求,直接将光敏层紧贴滴管、用黑色胶带固定即可;(2) The present invention adopts photoresistor, photoresistor is sheet structure, is convenient to fix, photoresistor only one side photosensitive layer is affected by light intensity, has reduced the shielding requirement of terminal structure to external light source, directly photosensitive layer is close to dropper, with black Adhesive tape can be fixed;

(3)本发明在滴速在线监测装置中引入了差分放大电路,大大减少了外界光强变化对信号的干扰,安全,可靠;(3) The present invention introduces a differential amplifier circuit in the drip speed online monitoring device, which greatly reduces the interference of external light intensity changes on the signal, and is safe and reliable;

(4)本发明的带通滤波电路采用四阶滤波器,可对信号进行进一步放大,所以液滴滴落时电压变化的幅度也更为明显;(4) The band-pass filter circuit of the present invention adopts a fourth-order filter, which can further amplify the signal, so the amplitude of the voltage change is also more obvious when the droplet is dripping;

(5)本发明采用ZigBee通信网络,具有功耗低,安全性、可靠性高等优点。(5) The present invention adopts the ZigBee communication network, which has the advantages of low power consumption, high safety and reliability.

附图说明Description of drawings

图1为本发明结构示意图;Fig. 1 is a structural representation of the present invention;

图2为输液脉冲计数装置结构示意图;Fig. 2 is a schematic structural diagram of an infusion pulse counting device;

图3为滴速在线监测装置结构示意图;Fig. 3 is the structural representation of drop speed on-line monitoring device;

图4为差分放大电路的电路原理示意图;4 is a schematic diagram of a circuit principle of a differential amplifier circuit;

图5为电压比较电路的电路原理示意图。FIG. 5 is a schematic diagram of the circuit principle of the voltage comparison circuit.

具体实施方式detailed description

下面结合附图和具体实施例对本发明进行详细说明。本实施例以本发明技术方案为前提进行实施,给出了详细的实施方式和具体的操作过程,但本发明的保护范围不限于下述的实施例。The present invention will be described in detail below in conjunction with the accompanying drawings and specific embodiments. This embodiment is carried out on the premise of the technical solution of the present invention, and detailed implementation and specific operation process are given, but the protection scope of the present invention is not limited to the following embodiments.

如图1所示,一种在线监测系统,采用脉冲计数方式在线监测患者输液状态,包括输液脉冲计数装置1、滴速在线监测装置2和输液监测终端3,输液脉冲计数装置1与滴速在线监测装置2连接,滴速在线监测装置2通过无线通信网络与输液监测终端3连接。输液监测终端3为计算机,无线通信网络可为ZigBee通信网络。输液脉冲计数装置1以脉冲计数方式采集液滴滴落速度,滴速在线监测装置2将输液脉冲计数装置1的采集信号转化为电信号,并通过无线通信网络传输给输液监测终端3,输液监测终端3接收所述电信号,并将其与预先存储的标准滴速进行比较,判断是否正常,若否,则发出报警。As shown in Figure 1, an online monitoring system adopts the pulse counting method to monitor the patient's infusion status online, including an infusion pulse counting device 1, a drip speed online monitoring device 2, and an infusion monitoring terminal 3. The infusion pulse counting device 1 and the drip speed online The monitoring device 2 is connected, and the drip speed online monitoring device 2 is connected with the infusion monitoring terminal 3 through a wireless communication network. The infusion monitoring terminal 3 is a computer, and the wireless communication network may be a ZigBee communication network. The infusion pulse counting device 1 collects the dripping speed by pulse counting, and the drop speed online monitoring device 2 converts the signal collected by the infusion pulse counting device 1 into an electrical signal, and transmits it to the infusion monitoring terminal 3 through the wireless communication network. The terminal 3 receives the electrical signal and compares it with the pre-stored standard dripping speed to determine whether it is normal, and if not, an alarm is issued.

输液脉冲计数装置1和滴速在线监测装置2均设有多个,多个滴速在线监测装置分别通过ZigBee通信网络与输液监测终端3连接,实现多个监测点的同时监测。Multiple infusion pulse counting devices 1 and on-line drip rate monitoring devices 2 are provided, and the multiple on-line drip rate monitoring devices are respectively connected to the infusion monitoring terminal 3 through the ZigBee communication network to realize simultaneous monitoring of multiple monitoring points.

如图2所示,输液脉冲计数装置1包括凸透镜11、带有墨菲滴管12的输液器和光敏电阻13,所述的凸透镜11设置在墨菲滴管12的一侧,所述的光敏电阻13设有2个,上下设置,紧贴安装在与凸透镜11正对墨菲滴管12的另一侧,光敏电阻13的光敏层紧贴滴管、用黑色胶带固定。以自然光与灯光为光源照射凸透镜11,凸透镜11对外界光线进行聚光,无液滴滴落时,聚光焦点落在光敏电阻13上。当有液滴滴落通过时,因为液滴对光的散射,光敏电阻13接收到的光强将发生变化,然后等同于脉冲计数法,对滴落液滴进行计数,从而监测液滴滴落情况。As shown in Figure 2, the infusion pulse counting device 1 includes a convex lens 11, an infusion set with a Murphy dropper 12, and a photosensitive resistor 13. The convex lens 11 is arranged on one side of the Murphy dropper 12, and the photosensitive Resistor 13 is provided with 2, arranges up and down, is close to and is installed on the opposite side of Murphy dropper 12 with convex lens 11, and the photosensitive layer of photoresistor 13 is close to dropper, is fixed with black adhesive tape. The convex lens 11 is irradiated with natural light and light as the light source, and the convex lens 11 gathers light from the outside. When a droplet passes through, the light intensity received by the photoresistor 13 will change due to the scattering of the light by the droplet, and then it is equivalent to the pulse counting method, counting the dripping droplets, thereby monitoring the dripping Condition.

选择凸透镜时主要考虑的因素是焦距以及其外圆直径大小,凸透镜11的焦距与墨菲滴管的直径相匹配,如实验所用的墨菲滴管直径在1.5cm左右,可以选择焦距在1.5cm-2cm的凸透镜,凸透镜的外圆直径也选定在1.5-2cm之间。The main factors to consider when selecting a convex lens are the focal length and the diameter of its outer circle. The focal length of the convex lens 11 matches the diameter of the Murphy dropper. For example, the diameter of the Murphy dropper used in the experiment is about 1.5cm, and the focal length can be selected at 1.5cm. -2cm convex lens, the outer diameter of the convex lens is also selected between 1.5-2cm.

如图3所示,滴速在线监测装置2包括光敏传感器通道21、差分放大电路22、带通滤波电路23、电压比较电路24和无线信号发送电路25,所述的光敏传感器通道21、差分放大电路22、带通滤波电路23、电压比较电路24和无线信号发送电路25依次连接,无线信号发送电路25可为ZigBee发送电路。As shown in Figure 3, drip speed on-line monitoring device 2 comprises photosensitive sensor channel 21, differential amplifier circuit 22, band-pass filter circuit 23, voltage comparison circuit 24 and wireless signal transmission circuit 25, described photosensitive sensor channel 21, differential amplifier The circuit 22, the band-pass filter circuit 23, the voltage comparison circuit 24 and the wireless signal sending circuit 25 are connected in sequence, and the wireless signal sending circuit 25 can be a ZigBee sending circuit.

本实施例采用的差分放大电路22如图4所示,该差分放大电路的电路放大倍数为51kΩ/10kΩ,即5.1倍。The differential amplifier circuit 22 used in this embodiment is shown in FIG. 4 , and the circuit amplification factor of the differential amplifier circuit is 51kΩ/10kΩ, that is, 5.1 times.

带通滤波电路23包括高通滤波器和低通滤波器,所述的高通滤波器和低通滤波器串联。带通滤波电路23的滤波通频为10-34Hz。高通滤波器和低通滤波器均为四阶滤波器。The band-pass filter circuit 23 includes a high-pass filter and a low-pass filter, and the high-pass filter and the low-pass filter are connected in series. The filter pass frequency of the band-pass filter circuit 23 is 10-34 Hz. Both high-pass filter and low-pass filter are fourth-order filters.

本实施例采用的电压比较电路24如图5所示,基于单限比较器电路LM339进行设计,当Uin>UREF时,Uout输出为高电平,即VCC=3.3V。当Uin<UREF时,Uout输出为低电平,即0V。The voltage comparator circuit 24 used in this embodiment is shown in FIG. 5 , and is designed based on the single-limit comparator circuit LM339. When Uin>UREF, the output of Uout is high level, that is, VCC=3.3V. When Uin<UREF, Uout output is low level, ie 0V.

Claims (9)

1. an on-line monitoring system, it is characterized in that, adopt step-by-step counting mode on-line monitoring patient fluid infusion's state, described monitoring system includes transfusion pulse counting equipment (1), drips speed on-Line Monitor Device (2) and infusion monitoring terminal (3), described transfusion pulse counting equipment (1) is connected with dripping speed on-Line Monitor Device (2), and described speed on-Line Monitor Device (2) of dripping is connected with infusion monitoring terminal (3) by cordless communication network;
Described transfusion pulse counting equipment (1) includes convex lens (11), transfusion device and photoconductive resistance (13) with murphy's dropper (12), described convex lens (11) is arranged on the side of murphy's dropper (12), described photoconductive resistance (13) is provided with 2, snugly fit to convex lens (11) opposite side just to murphy's dropper (12), with natural light with light for light source irradiation convex lens (11), convex lens (11) light to external world carries out optically focused, during dripless drippage, optically focused focus drops in photoconductive resistance (13);
Transfusion pulse counting equipment (1) gathers drips speed in step-by-step counting mode, drip speed on-Line Monitor Device (2) and the collection signal of transfusion pulse counting equipment (1) is converted into the signal of telecommunication, and it is transferred to infusion monitoring terminal (3) by cordless communication network, infusion monitoring terminal (3) receives the described signal of telecommunication, and it is dripped speed with the standard prestored compare, judge whether normal, if it is not, then send warning.
2. a kind of on-line monitoring system according to claim 1, it is characterised in that the described focal length of convex lens (11) and the diameter of murphy's dropper match.
3. a kind of on-line monitoring system according to claim 1, it is characterized in that, a described speed on-Line Monitor Device (2) of dripping includes light sensor passage (21), differential amplifier circuit (22), bandwidth-limited circuit (23), voltage comparator circuit (24) and wireless signal transtation mission circuit (25), and described light sensor passage (21), differential amplifier circuit (22), bandwidth-limited circuit (23), voltage comparator circuit (24) and wireless signal transtation mission circuit (25) are sequentially connected with.
4. a kind of on-line monitoring system according to claim 3, it is characterised in that described bandwidth-limited circuit (23) includes high pass filter and low pass filter, described high pass filter and low pass filter series connection.
5. a kind of on-line monitoring system according to claim 3, it is characterised in that the filtering passband of described bandwidth-limited circuit (23) is 10-34Hz.
6. a kind of on-line monitoring system according to claim 4, it is characterised in that described high pass filter and low pass filter are four-step filter.
7. a kind of on-line monitoring system according to claim 1, it is characterised in that described cordless communication network is ZigBee communication network.
8. a kind of on-line monitoring system according to claim 3, it is characterised in that described wireless signal transtation mission circuit (25) is ZigBee transtation mission circuit.
9. a kind of on-line monitoring system according to claim 1, it is characterised in that described transfusion pulse counting equipment (1) and speed on-Line Monitor Device (2) are equipped with multiple.
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CN105435336A (en) * 2014-09-29 2016-03-30 镇江石鼓文智能化系统开发有限公司 Sickbed infusion monitoring system
CN104436366B (en) * 2014-12-30 2017-08-29 广州视源电子科技股份有限公司 Method and system for detecting liquid drops of infusion dropper
CN110743060B (en) * 2019-10-31 2022-03-11 中国人民解放军陆军军医大学第一附属医院 Multifunctional transfusion vehicle for children
CN112546343B (en) * 2020-11-02 2022-10-18 福建星网物联信息系统有限公司 Low-power-consumption infusion detection method, system and device
CN114324504B (en) * 2021-12-02 2023-10-03 中国科学院深圳先进技术研究院 A method for preparing a droplet counting device based on charge storage materials

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