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<div id="PageContentDiv"><div style="text-align:left;"><div class="sLogo"><img class="notranslate" src="https://secure.surveymonkey.com/_resources/3146/43353146/d9ebb29e-5ee0-450c-b4d4-8ac1bf726ea5.jpg" alt=""></div></div><h1 class="sTitle sTitleCf"><div style="text-align:left;float:none;"><span class="notranslate">Global Foodborne Infections Network Survey on Campylobacter diagnosis 2014 (EN)<br></span></div></h1><div class="pTitle"><h2></h2> <br class="clear" /></div><div class="pgHdr"><div id="q1" class="question" style="margin:0 0 0 0;width:auto"><div class="qContent"><div class="qBody">3. General Information on the National Reference Level Laboratory Performing Campylobacter. Diagnosis<br /><br /><br /><br /><br /><br /></div></div></div><div id="q2" class="question" style="margin:0 0 0 0;width:auto"><div class="qContent"><div class="qHeader"><div class="RequiredMarker" style="display:inline-block"><abbr class="noborder" title="Required" style="padding: 2px 0 0 0;">*</abbr></div><abbr class="noborder" title="Question 2">2</abbr>. Please indicate which of the following activities do apply to your laboratory in relation to Campylobacter diagnosis :<br />Yes/No </h3></div><div class="qBody"><table cellspacing="0" cellpadding="3" border="0" style="width:100%;"><thead><tr><th class="CustomAnswerText" style="width:20%;"></th><th scope="col" align="center" class="CustomAnswerText" style="width:80%;"></th></tr></thead><tbody><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Isolation</th><td valign="top" align="center"><select name="input_552310446_50_6421087900_6421087909" id="input_552310446_50_6421087900_6421087909"><option value=""></option><option selected="selected" value="6421087910">yes</option><option value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_6421087900_6421087909">Please indicate which of the following activities do apply to your laboratory in relation to Campylobacter diagnosis :
Yes/No Isolation </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row">Identification/confirmation by culture methods</th><td valign="top" align="center"><select name="input_552310446_50_6421087901_6421087909" id="input_552310446_50_6421087901_6421087909"><option value=""></option><option selected="selected" value="6421087910">yes</option><option value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_6421087901_6421087909">Identification/confirmation by culture methods </label></div></td></tr><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Identification/confirmation by non-culture methods (e.g. mass spectrometry,...)</th><td valign="top" align="center"><select name="input_552310446_50_6421087902_6421087909" id="input_552310446_50_6421087902_6421087909"><option value=""></option><option value="6421087910">yes</option><option selected="selected" value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_6421087902_6421087909">Identification/confirmation by non-culture methods (e.g. mass spectrometry,...) </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row">Molecular typing</th><td valign="top" align="center"><select name="input_552310446_50_6421087903_6421087909" id="input_552310446_50_6421087903_6421087909"><option value=""></option><option value="6421087910">yes</option><option selected="selected" value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_6421087903_6421087909">Molecular typing </label></div></td></tr><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Antimicrobial Susceptibility Testing (AST)</th><td valign="top" align="center"><select name="input_552310446_50_6421087904_6421087909" id="input_552310446_50_6421087904_6421087909"><option value=""></option><option selected="selected" value="6421087910">yes</option><option value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_6421087904_6421087909">Antimicrobial Susceptibility Testing (AST) </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row">Providing training to other labs</th><td valign="top" align="center"><select name="input_552310446_50_6421087905_6421087909" id="input_552310446_50_6421087905_6421087909"><option value=""></option><option selected="selected" value="6421087910">yes</option><option value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_6421087905_6421087909">Providing training to other labs </label></div></td></tr><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Providing advice (e.g. by emails/phone)</th><td valign="top" align="center"><select name="input_552310446_50_6421087906_6421087909" id="input_552310446_50_6421087906_6421087909"><option value=""></option><option selected="selected" value="6421087910">yes</option><option value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_6421087906_6421087909">Providing advice (e.g. by emails/phone) </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row">Method development</th><td valign="top" align="center"><select name="input_552310446_50_6421087907_6421087909" id="input_552310446_50_6421087907_6421087909"><option value=""></option><option value="6421087910">yes</option><option selected="selected" value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_6421087907_6421087909">Method development </label></div></td></tr><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Organazing round table discussions</th><td valign="top" align="center"><select name="input_552310446_50_7634317124_6421087909" id="input_552310446_50_7634317124_6421087909"><option value=""></option><option value="6421087910">yes</option><option selected="selected" value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_7634317124_6421087909">Organazing round table discussions </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row">Research and scientific publications</th><td valign="top" align="center"><select name="input_552310446_50_7634317127_6421087909" id="input_552310446_50_7634317127_6421087909"><option value=""></option><option selected="selected" value="6421087910">yes</option><option value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_7634317127_6421087909">Research and scientific publications </label></div></td></tr><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Support in outbreak investigations</th><td valign="top" align="center"><select name="input_552310446_50_7634342242_6421087909" id="input_552310446_50_7634342242_6421087909"><option value=""></option><option selected="selected" value="6421087910">yes</option><option value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_7634342242_6421087909">Support in outbreak investigations </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row">Support in quality assurance for regional/provincial laboratories</th><td valign="top" align="center"><select name="input_552310446_50_7634342243_6421087909" id="input_552310446_50_7634342243_6421087909"><option value=""></option><option selected="selected" value="6421087910">yes</option><option value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_7634342243_6421087909">Support in quality assurance for regional/provincial laboratories </label></div></td></tr><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Provision of reference materials (e.g. reference strains) to other laboratories</th><td valign="top" align="center"><select name="input_552310446_50_7634342244_6421087909" id="input_552310446_50_7634342244_6421087909"><option value=""></option><option selected="selected" value="6421087910">yes</option><option value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_7634342244_6421087909">Provision of reference materials (e.g. reference strains) to other laboratories </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row">Maintaining strain collection</th><td valign="top" align="center"><select name="input_552310446_50_7634342245_6421087909" id="input_552310446_50_7634342245_6421087909"><option value=""></option><option selected="selected" value="6421087910">yes</option><option value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_7634342245_6421087909">Maintaining strain collection </label></div></td></tr><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Providing guidelines and diagnostic procedures for regional/provincial laboratories</th><td valign="top" align="center"><select name="input_552310446_50_7634342246_6421087909" id="input_552310446_50_7634342246_6421087909"><option value=""></option><option selected="selected" value="6421087910">yes</option><option value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_7634342246_6421087909">Providing guidelines and diagnostic procedures for regional/provincial laboratories </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row">Developping proposals for standardisation methods</th><td valign="top" align="center"><select name="input_552310446_50_7634342247_6421087909" id="input_552310446_50_7634342247_6421087909"><option value=""></option><option selected="selected" value="6421087910">yes</option><option value="6421087913">no</option></select><div class="hlbl"><label for="input_552310446_50_7634342247_6421087909">Developping proposals for standardisation methods </label></div></td></tr></tbody></table></div></div></div><div id="q3" class="question" style="margin:0 0 0 0;width:auto"><div class="qContent"><div class="qHeader"><abbr class="noborder" title="Question 3">3</abbr>. If you answer yes for "method development", please explain in the space below</h3></div><div class="qBody"><span><textarea id="text_552310856_0" name="text_552310856_0" class="open" rows="3" cols="50">My answer is no</textarea></span><div class="hlbl"><label for="text_552310856_0">If you answer yes for "method development", please explain in the space below</label></div></div></div></div><div id="q4" class="question" style="margin:0 0 0 0;width:auto"><div class="qContent"><div class="qHeader"><abbr class="noborder" title="Question 4">4</abbr>. If you answer yes for "research and scientific publications", please list below publications over the last 5 years :</h3></div><div class="qBody"><span><textarea id="text_552311902_0" name="text_552311902_0" class="open" rows="3" cols="50">We didn't published it yet but we are trying to collect Campy isolates from food and human samples only for research purpose not as a routine work. We have also got a new proposal on isolation of enteric pathogens including campy from food and humans in all over Ethiopia. We will collect samples and do analysis using all the regional and active microbiological labs found in the country. We have got a strong relation ship with them but not to campy issues so far. Otherwis we are participating on EQAS regrding to Campy.</textarea></span><div class="hlbl"><label for="text_552311902_0">If you answer yes for "research and scientific publications", please list below publications over the last 5 years :</label></div></div></div></div><div id="q5" class="question" style="margin:0 0 0 0;width:auto"><div class="qContent"><div class="qHeader"><div class="RequiredMarker" style="display:inline-block"><abbr class="noborder" title="Required" style="padding: 2px 0 0 0;">*</abbr></div><abbr class="noborder" title="Question 5">5</abbr>. In which situation(s) do regional/provincial laboratories send Campylobacter isolates (or samples) to your laboratory ?</h3></div><div class="qBody"><table cellspacing="0" cellpadding="3" border="0" style="width:100%;"><thead><tr><th class="CustomAnswerText" style="width:20%;"></th><th scope="col" align="center" class="CustomAnswerText" style="width:80%;"></th></tr></thead><tbody><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">All isolates are sent to NRL</th><td valign="top" align="center"><select name="input_552314148_50_6421139242_6421139247" id="input_552314148_50_6421139242_6421139247"><option value=""></option><option value="6421139248">yes</option><option selected="selected" value="6421139249">no</option></select><div class="hlbl"><label for="input_552314148_50_6421139242_6421139247">In which situation(s) do regional/provincial laboratories send Campylobacter isolates (or samples) to your laboratory ? All isolates are sent to NRL </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row"> For confirmatory testing</th><td valign="top" align="center"><select name="input_552314148_50_6421139243_6421139247" id="input_552314148_50_6421139243_6421139247"><option value=""></option><option value="6421139248">yes</option><option selected="selected" value="6421139249">no</option></select><div class="hlbl"><label for="input_552314148_50_6421139243_6421139247"> For confirmatory testing </label></div></td></tr><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Outbreak investigation</th><td valign="top" align="center"><select name="input_552314148_50_6421139244_6421139247" id="input_552314148_50_6421139244_6421139247"><option value=""></option><option value="6421139248">yes</option><option selected="selected" value="6421139249">no</option></select><div class="hlbl"><label for="input_552314148_50_6421139244_6421139247">Outbreak investigation </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row">Defined proportion of isolates at regular time intervals</th><td valign="top" align="center"><select name="input_552314148_50_6421139245_6421139247" id="input_552314148_50_6421139245_6421139247"><option value=""></option><option value="6421139248">yes</option><option selected="selected" value="6421139249">no</option></select><div class="hlbl"><label for="input_552314148_50_6421139245_6421139247">Defined proportion of isolates at regular time intervals </label></div></td></tr><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Randomly </th><td valign="top" align="center"><select name="input_552314148_50_6421139246_6421139247" id="input_552314148_50_6421139246_6421139247"><option value=""></option><option value="6421139248">yes</option><option selected="selected" value="6421139249">no</option></select><div class="hlbl"><label for="input_552314148_50_6421139246_6421139247">Randomly </label></div></td></tr></tbody></table></div></div></div><div id="q6" class="question" style="margin:0 0 0 0;width:auto"><div class="qContent"><div class="qHeader"><div class="RequiredMarker" style="display:inline-block"><abbr class="noborder" title="Required" style="padding: 2px 0 0 0;">*</abbr></div><abbr class="noborder" title="Question 6">6</abbr>. Does your laboratory isolate Campylobacter from:</h3></div><div class="qBody"><table cellspacing="0" cellpadding="3" border="0" style="width:100%;"><thead><tr><th class="CustomAnswerText" style="width:20%;"></th><th scope="col" align="center" class="CustomAnswerText" style="width:80%;"></th></tr></thead><tbody><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Humans</th><td valign="top" align="center"><select name="input_621810045_50_7656817887_7204249315" id="input_621810045_50_7656817887_7204249315"><option value=""></option><option selected="selected" value="7204249316">yes</option><option value="7204249317">no</option></select><div class="hlbl"><label for="input_621810045_50_7656817887_7204249315">Does your laboratory isolate Campylobacter from: Humans </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row">Food</th><td valign="top" align="center"><select name="input_621810045_50_7204249313_7204249315" id="input_621810045_50_7204249313_7204249315"><option value=""></option><option selected="selected" value="7204249316">yes</option><option value="7204249317">no</option></select><div class="hlbl"><label for="input_621810045_50_7204249313_7204249315">Food </label></div></td></tr><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Animals</th><td valign="top" align="center"><select name="input_621810045_50_7204249314_7204249315" id="input_621810045_50_7204249314_7204249315"><option value=""></option><option value="7204249316">yes</option><option selected="selected" value="7204249317">no</option></select><div class="hlbl"><label for="input_621810045_50_7204249314_7204249315">Animals </label></div></td></tr></tbody></table></div></div></div><div id="q7" class="question" style="margin:0 0 0 0;width:auto"><div class="ValidErr"><img src="https://secure.surveymonkey.com/i/icon_validation_error.gif" alt=""/> Veuillez saisir un nombre positif.</div><div class="qContent"><div class="qHeader"><div class="RequiredMarker" style="display:inline-block"><abbr class="noborder" title="Required" style="padding: 2px 0 0 0;">*</abbr></div><abbr class="noborder" title="Question 7">7</abbr>. Please, provide information on number of food samples received by your laboratory in 2013 :</h3></div><div class="qBody"><table cellspacing="0" cellpadding="3" border="0" style="width:100%;"><tr><td style="width:20%;"><label for="text_621812527_7204202968"><span class="hlbl">Please, provide information on number of food samples received by your laboratory in 2013 : </span>Total number received </label></td><td style="width:80%;padding-top:3px;" valign="top"><input id="text_621812527_7204202968" name="text_621812527_7204202968" class="open numeric" type="text" size="50" value="around 400 but not for campy" /></td></tr><tr><td style="width:20%;"><label for="text_621812527_7204202969">Estimated number of samples cultured for Campylobacter</label></td><td style="width:80%;padding-top:3px;" valign="top"><input id="text_621812527_7204202969" name="text_621812527_7204202969" class="open numeric" type="text" size="50" value="Not targetted for campy" /></td></tr><tr><td style="width:20%;"><label for="text_621812527_7634078464">Number of Campylobacter spp. isolated</label></td><td style="width:80%;padding-top:3px;" valign="top"><input id="text_621812527_7634078464" name="text_621812527_7634078464" class="open numeric" type="text" size="50" value="-Not done" /></td></tr></table></div></div></div><div id="q8" class="question" style="margin:0 0 0 0;width:auto"><div class="ValidErr"><img src="https://secure.surveymonkey.com/i/icon_validation_error.gif" alt=""/> Veuillez saisir un nombre positif.</div><div class="qContent"><div class="qHeader"><div class="RequiredMarker" style="display:inline-block"><abbr class="noborder" title="Required" style="padding: 2px 0 0 0;">*</abbr></div><abbr class="noborder" title="Question 8">8</abbr>. Please, provide information on number of animal samples received by your laboratory in 2013 :</h3></div><div class="qBody"><table cellspacing="0" cellpadding="3" border="0" style="width:100%;"><tr><td style="width:20%;"><label for="text_621813719_7204217682"><span class="hlbl">Please, provide information on number of animal samples received by your laboratory in 2013 : </span>Total number received</label></td><td style="width:80%;padding-top:3px;" valign="top"><input id="text_621813719_7204217682" name="text_621813719_7204217682" class="open numeric" type="text" size="50" value="-Not received" /></td></tr><tr><td style="width:20%;"><label for="text_621813719_7204217684">Estimated total number of samples cultured for Campylobacter </label></td><td style="width:80%;padding-top:3px;" valign="top"><input id="text_621813719_7204217684" name="text_621813719_7204217684" class="open numeric" type="text" size="50" value="-not done" /></td></tr><tr><td style="width:20%;"><label for="text_621813719_7634383667">Number of Campylobacter spp. isolated</label></td><td style="width:80%;padding-top:3px;" valign="top"><input id="text_621813719_7634383667" name="text_621813719_7634383667" class="open numeric" type="text" size="50" value="-Not done" /></td></tr></table></div></div></div><div id="q9" class="question" style="margin:0 0 0 0;width:auto"><div class="ValidErr"><img src="https://secure.surveymonkey.com/i/icon_validation_error.gif" alt=""/> Veuillez saisir un nombre positif.</div><div class="qContent"><div class="qHeader"><div class="RequiredMarker" style="display:inline-block"><abbr class="noborder" title="Required" style="padding: 2px 0 0 0;">*</abbr></div><abbr class="noborder" title="Question 9">9</abbr>. Please, provide information on number of clinical samples received by your laboratory in 2013 : </h3></div><div class="qBody"><table cellspacing="0" cellpadding="3" border="0" style="width:100%;"><tr><td style="width:20%;"><label for="text_621814895_7204232072"><span class="hlbl">Please, provide information on number of clinical samples received by your laboratory in 2013 : </span>Total number received</label></td><td style="width:80%;padding-top:3px;" valign="top"><input id="text_621814895_7204232072" name="text_621814895_7204232072" class="open numeric" type="text" size="50" value="Not received in our lab only for reserach purpose" /></td></tr><tr><td style="width:20%;"><label for="text_621814895_7204232073">Estimated number of samples cultured for Campylobacter</label></td><td style="width:80%;padding-top:3px;" valign="top"><input id="text_621814895_7204232073" name="text_621814895_7204232073" class="open numeric" type="text" size="50" value="-Not done" /></td></tr><tr><td style="width:20%;"><label for="text_621814895_7634392676">Number of Campylobacter spp. isolated</label></td><td style="width:80%;padding-top:3px;" valign="top"><input id="text_621814895_7634392676" name="text_621814895_7634392676" class="open numeric" type="text" size="50" value="-Not done" /></td></tr></table></div></div></div><table width="100%" cellpadding="0" cellspacing="0"><tr><td valign="top" width="50%"><div id="q10" class="question" style="margin:0 0 0 0;width:auto"><div class="qContent"><div class="qHeader"><div class="RequiredMarker" style="display:inline-block"><abbr class="noborder" title="Required" style="padding: 2px 0 0 0;">*</abbr></div><abbr class="noborder" title="Question 10">10</abbr>. Does your laboratory have a working collaboration with the National Institute of Public Health or any equivalent institution in your country?<br /></h3></div><div class="qBody"><table cellspacing="0" cellpadding="3" border="0" style="width:100%;"><thead><tr><th class="CustomAnswerText" style="width:20%;"></th><th scope="col" align="center" class="CustomAnswerText" style="width:80%;"></th></tr></thead><tbody><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">yes/no</th><td valign="top" align="center"><select name="input_621810615_50_7204179944_7204179945" id="input_621810615_50_7204179944_7204179945"><option value=""></option><option selected="selected" value="7204179946">yes</option><option value="7204179947">no</option></select><div class="hlbl"><label for="input_621810615_50_7204179944_7204179945">Does your laboratory have a working collaboration with the National Institute of Public Health or any equivalent institution in your country?
yes/no </label></div></td></tr></tbody></table></div></div></div></td><td valign="top" style="padding-left:20px" width="50%"><div id="q11" class="question" style="margin:0 0 0 0;width:auto"><div class="qContent"><div class="qHeader"><abbr class="noborder" title="Question 11">11</abbr>. If Yes, please specify in which of the following areas:</h3></div><div class="qBody"><table cellspacing="0" cellpadding="3" border="0" style="width:100%;"><thead><tr><th class="CustomAnswerText" style="width:20%;"></th><th scope="col" align="center" class="CustomAnswerText" style="width:80%;"></th></tr></thead><tbody><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Surveillance</th><td valign="top" align="center"><select name="input_621811508_50_7204190829_7204190833" id="input_621811508_50_7204190829_7204190833"><option value=""></option><option selected="selected" value="7204190834">yes</option><option value="7204190835">no</option></select><div class="hlbl"><label for="input_621811508_50_7204190829_7204190833">If Yes, please specify in which of the following areas: Surveillance </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row">Outbreak investigation</th><td valign="top" align="center"><select name="input_621811508_50_7204190830_7204190833" id="input_621811508_50_7204190830_7204190833"><option value=""></option><option selected="selected" value="7204190834">yes</option><option value="7204190835">no</option></select><div class="hlbl"><label for="input_621811508_50_7204190830_7204190833">Outbreak investigation </label></div></td></tr><tr class="matrixAltRow"><th align="left" class="CustomAnswerText" scope="row">Typing methods</th><td valign="top" align="center"><select name="input_621811508_50_7204190831_7204190833" id="input_621811508_50_7204190831_7204190833"><option value=""></option><option value="7204190834">yes</option><option selected="selected" value="7204190835">no</option></select><div class="hlbl"><label for="input_621811508_50_7204190831_7204190833">Typing methods </label></div></td></tr><tr class="matrixRow"><th align="left" class="CustomAnswerText" scope="row">Research</th><td valign="top" align="center"><select name="input_621811508_50_7204190832_7204190833" id="input_621811508_50_7204190832_7204190833"><option value=""></option><option selected="selected" value="7204190834">yes</option><option value="7204190835">no</option></select><div class="hlbl"><label for="input_621811508_50_7204190832_7204190833">Research </label></div></td></tr></tbody></table><div class="qOption CustomAnswerText"><label for="text_621811508_0">Others (please specify in the space below):</label><textarea class="open" id="text_621811508_0" name="text_621811508_0" rows="3" cols="50">Our lab is located te the National Institute of Public Health Institute. However we have contacts with other equivalent universities and research institutes but not based on Campy</textarea></div></div></div></div></td></tr></table></div></div>
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