Think About These 5 Things Before You Decide On A Specialization

Now that you’re a registered nurse, what’s next? You’ve completed nursing school, gone on to work a few years and have gained experience in some wards. You decide that you want to pursue a specialization, for their multiple career growth benefits. Or maybe it’s for the higher salary that you have the potential to earn as a specialized nurse.

But hold your horses. While the benefits can be very enticing, choosing a specialization demands time, energy, and finances that you must be willing to sacrifice for a set period of time. You might not even see immediate benefits; they might come later in your career.

Still interested? Good. The nation needs more nurses like you. Ambitious nurses who are passionate about developing themselves and striving towards self-improvement. Here are five things your should consider before choosing your nursing specialty.

1. What Is Your Motivation To Pursue This Specialty?

What do you want to achieve by becoming a renal nurse? A perioperative nurse? A geriatric nurse?

You need to know what is exactly the reason for your interest in the specialty field of your choice. You want to help others? Is money a motivating factor? These are all acceptable reasons. If you are thinking of pursuing a specialization because of a family member or friend’s influence, that is fine, as long as your goals and objectives are in line with theirs.

Ultimately you are the one who has to go through and live with the decision. Knowing what motivates you will help you stay focused and succeed later, even through trying times.

2. How Are You Going to Obtain the Education and Training Needed for Your Specialization?

You should research a bit about the diplomas, post-basic certifications, degrees, and training courses that are required for the specialty you wish to take.

You can read up our guide to career advancement for nurses here.

Being a high-level nurse is a remarkable investment of money and time. It would be wise for you to think out how to pay for your education, and balance doing that with completing the required coursework.

If you have only a diploma in nursing and need to obtain your BSN degree from an expensive institution, a bit of planning ahead can help you save up for tuition fees. Some universities offer financial assistance that you can take advantage of.

Read here for our article on how to increase your income as a nurse. Every little increase in salary helps over time. It could mean the difference in you being able to take that course next year, or in two more years.

3. Does This Specialization Fit Your Strengths And Personality?

Not good around kids? Finding it hard to connect with younger patients? Then don’t take up paediatric nursing.

Are you a high-energy, challenge-seeking nurse that likes difficult situations? Or do you love to be in a more stable setting, working one day at a time, employing your full focus on things that matter? Are you an introvert? Extrovert?

Each specialization requires different skillsets and personality traits. Consider this well and evaluate how the work would mesh with your personality.

4. How Will This Impact Your Family And Personal Life?

Think wisely and carefully about this. Consider how your family might be affected if you have to work nights, weekends, or on call. Some courses are done at night after work.

Some employers do not grant study leave to their nurses. Think about how your family might be financially impacted if you were to quit your current job in order to study.

It is imperative you give it some thought now before you make the leap into your specialization.

5. Where Do You Want To Work?

Based on your working experiences, where do you think you’d like to work? Most importantly, which type of environment would you be most comfortable, and most successful?

If working conditions at hospitals are too hectic and large, then specializing as a cardiac nurse in cardiology would not be a good idea. Maybe you’d like to work more regular hours, in a small nursing center. Specializing in nephrology to become a renal/dialysis nurse would be a great idea. Some would also opt to practice nursing independently, doing house calls. A specialization in home care would be the best course of action.

Do you want to work near where you live? Or are you willing to move to another city for better prospects? Don’t limit yourself! Nurses are still needed at places you wouldn’t normally think of, like military bases or schools.

To get an idea of what nursing jobs are available in the area you wish to work in, check out our job portal, MIMS Career. Search for nursing jobs across Malaysia, Singapore, Indonesia and the Philippines. New jobs and vacancies are being updated every day. Browse through our extensive database, and apply with our convenient 1-click process.



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  1. Specialization tasks  
 2. Pathway  
 3. Common job scopes  
 4. Common terms  
 5. Career opportunities  

 Cardiology 

 Cardiology is a branch of medicine dealing with disorders of the heart as well as parts of the circulatory system the field includes medical diagnosis and treatment of  congenital heart defects ,  coronary artery disease ,  heart failure ,  valvular heart disease  and  electrophysiology . Physicians who specialize in cardiac surgery are called cardiothoracic surgeons or cardiac surgeons. The supporting role of the surgeons and physicians are  cardiology nurses . 

 Although the cardiovascular system is inextricably linked to blood, cardiology is relatively unconcerned with hematology and its diseases. Some obvious exceptions that affect the function of the heart would be blood tests, decreased oxygen carrying capacity, and  coagulopathies . 

   

  source: Resus.me  

 Specialization Tasks 

 All cardiologists study the disorders of the heart and all cardiology nurses are trained to take care of either adult or children conditions. This is due to differing aspects of training for adult and paediatric physiology. Surgical aspects are not included in cardiology and are in the domain of cardiothoracic surgery. 

 For example, coronary artery bypass surgery and cardiopulmonary bypass are both surgical procedures performed by surgeons, and not cardiologists. As a nurse, your task will be that of assisting the cardiologists in this matter. A properly-trained cardiology nurse would have the necessary critical thinking in order to draw conclusions to make meaningful impact of treatment. 

 Common tasks in the wards that you might have to do include the insertion of stents, pacemakers, and valves. 

 Pathway 

   

  source: verywell  

 Cardiology is a specialty of internal medicine. To be a cardiology nurse, a three-year work experience followed by a post-basic or relevant course is required. It is possible to sub-specialize in Malaysia. Recognized sub-specialties in cardiology for Malaysia are cardiac  electrophysiology ,  echocardiography,  interventional cardiology, and  nuclear cardiology . 

 Currently there is insufficient data for Malaysia, for salary, but it is guaranteed to be higher or on par with other similar nursing specialists. 

 Common job scopes 

 Cardiology is a vast field. Not only does it involve the heart and its systems, it also involves supporting systems such as haematology and its diseases. It is important to know and train for this when pursuing this specialization. 

 Cardiac electrophysiology 

   

  An example of echocardiography  

 This is the science of elucidating, diagnosing, and treating the electrical activities of the heart. The term is usually used to desccribe studies of such phenomena by  invasive catheter recording  of spontaneous activity as well as of cardiac responses to programmed electrical stimulations. These studies are performed to assess complex arrythmias, relieve symptoms, evauate abnormal ECGs, assess risk of developing arrhythmias in the future, and to design treatment. 

 Cardiac examination 

 The cardiology nurse is able to carry out cardiac examinations of patients. It is performed as part of a physical examination, or when a patient presents with chest pain suggestive of a cardiovascular pathology. It would typically be modified depending on the indication and integrated with other examinations especially the respiratory examination. Like all medical examinations, the cardiac examination follows the standard structure of inspection, palpation, and auscultation. 

 Paediatric cardiology 

   

  source  

 Paediatric cardiology is a specialty of paediatrics. To be a paediatric cardiology nurse, one must complete at least three years of registered working experience and pass all the required courses. Adult cardiology certifications are not valid due to differences in physiology in children. 

 Common complications that you will see as a nurse practicing paediatric cardiology are  paediatric hypertension ,  paediatric hyperlipidemia , heart palpitations and arryhthmias. 

 Diagnostic tests 

 Diagnostic tests in cardiology are the methods of identifying heart conditions associated with healthy vs. unhealthy pathology heart function. It is commonly started by obtaining a medical history, followed by auscultation. Blood tests soon precede after, and imaging can be done on a need-to-do basis. 

 Common terms 

 1. Tetralogy of Fallot 

 It is the most common congenital ehart disease arising in 1-3 cases per 1000 births. The cause of this defect is a ventricular septal defect and an overriding aorta. These two defects combined causes deoxygenated blood to bypass the lungs and going right back into the circulatory system. The modified  Blalock-Taussig  is used as a treatment for this condition. 

 2. Pulmonary atresia 

 This happens in 7-8 births per 100,000 and is characterized by the aorta brancing out of the right ventricle. It causes deoxygenated blood to bypass the lungs and enter the circulatory system. Fixing it can by done by a team of cardiologists and nurses by redirecting the aorta and fixing the right ventricle-pulmonary artery connection in surgeries. 

 3. Double Outlet Right Ventricle 

 Double outlet right ventricle is when both great arteries, the pulmonary artery and the aorta, are connected to the right ventricle. There is usually a ventricle in different particular places depending on the variations of DORV, typically 50% are subaortic. A VSD closure is the most common form of treatment for this condition. 

 Career opportunities 

 Search for  high-paying cardiology nursing jobs  on  MIMS Career . Browse, save, and apply for nursing jobs, all in one-click. Take the opportunity for higher pay and better work locations. Our pages are all mobile-responsive, allowing you to take that leap for a better job whenever, wherever you are. All our job postings are heavily screened to  prevent scams and mistrustful behavior . 
   

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A Career in Cardiology

1. Specialization tasks 2. Pathway 3. Common job scopes 4. Common terms 5. Career opportunities Cardiology Cardiology is a branch of medicine dealing with disorders of the heart as well as parts of the circulatory...

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	  See if the offer is too good to be true  
	  There is a fee to be paid to "process" your employment  
	  You get the job right away  
	  Unprofessional job interviews  
 

 Job scams 

 In 2013, a South African registered nurse was approached by a man outside the hospital she worked in. The 25-year old man was a recruitment agent for the  KwaZulu-Natal (KZN) Department of Health . He offered her a job at another institution, for better pay and work hours. 

 The nurse saw this as a great opportunity. She accepted it, and he produced a contract and offered her the job.  Then he requested USD220 in cash for the job.  

 Thankfully, the nurse grew suspicious, and realized she was being scammed. She immediately alerted hospital staff who arrested the man. 

   

 Grey's Hospital, where the incident happened. 

 That could have ended a lot worse. Luckily in that nurse's case, she was able to spot the scam job offer. It is hoped that this post can help you to spot these harmful acts and avoid costing you your precious time, money, and dignity. Scammers know that finding a job can be tough, and they trick people by advertising where real employers do. 

 Scams are endlessly creative! This list might not encompass all of them, but it will help you in detecting these harmful job scams. 

 
 1. See If The Offer Is Too Good To Be True 

 If it seems like you’ve landed yourself the best offer in the world,  DON’T . The hiring managers will say something to you like: 

 
 You can earn as much as you want, there is no upper limit on your salary. You decide what you earn. You can earn USD5,000 in one week by working at home! 
 

 Run away as fast as you can. These scams like to prey on those desperate for a new job. They take advantage of your desperation by having you excited of their offer. Once they’ve gotten you on their hook, those “employers” can start to demand money, information, and time, just to get your application moving. 

  Watch out for:  

 
	 Really high pay with low amount of working hours 
	 Ability to work anywhere, anytime 
	 Really shady phrases, like “ Drive the sports car you’ve ever wanted after only a few months’ work! ” or " Earn USD3000 by only working FOUR HOURS a week! " 
	 The person contacting you is the President or CEO or other executive level staff. Most of the time, the highest-ranking person contacting you for a job offer is some type of manager or human resources employee. 
 

 2. There is a fee to be paid to "process" your employment 

   

 If the hiring manager contacts you again and informs you that you have to pay [insert amount here] to complete your application, forget it. 

 You might see overseas job offers requiring you to pay a few hundred dollars to "process" your application. They'll claim it's to secure your employment. To sweeten the deal, some of them claim that you'll get back the money within days after you get in the company/institution. 

  Here are the most common ways job scams use to cheat your money, like:  

 
	 Buying their software 
	 Paying a fee to complete your application 
	 Sign up for some insurance program that deducts money from your account every month 
 

 Job scammers make all kinds of promises about your chances of employment, and an astounding amount of them require you to pay them for their services to employ you. It's important to note that the promise of a job is  not  the same thing as a job. If you have to pay for that promise, it's most definitely a scam. 

 3. You get the job right away 

 You get the job, without much interviewing, or even applying through anything. The "offer" gets sent to your inbox. They often mention that they got your email from Jobstreet, CareerBuilder, or LinkedIn. 

  Most of the time, these job offers are sent with emails that are similar to emails of legitimate employers. Be careful!  

 
 Imagine if a David Chen from  Ramsay Sime Darby  emailed you about a sweet job offer. If he really worked at RSD, his email would be something like david.c@simedarby.com. Watch out for david.c.simedarby@gmail.com, david.c@gmail.com, david.chen.HR.simedarby@yahoo.com, etc. 

 When in doubt, call up the company and ask for that employee! 
 

  A real company would want to talk to a candidate before hiring him or her.  

 4. Unprofessional job interviews 

   

 Look out for interviews online, such as over  Facebook Messenger . Worse still, are interviews using a software that the scammer asks you to install on you computer. You will risk having your computer infected with harmful malware that can  record what you type  ,  activate your webcam without notifying you , and  hold your personal information as ransom . 

 Look out for interviewers with bad grammar or spelling. If it doesn't seem like what a real professional company would say, don't trust it. 

 
 With some common sense, and a bit of suspicion, you can easily spot scam job offers. The rule of thumb is that if it looks too good to be true, sounds too good to be true, and seems to good to be true, then it's definitely not true. Also look out for shady characters and language. 

 As mentioned above, there is no limit to the creativity of these scam artists and their job offers. The tips mentioned above might cover  ALL  the scam job methods out there, but at least you'll be better prepared, and more aware that these things can happen. 

 As a healthcare-focused job portal site,  MIMS Career  takes the legitimacy of any employer and job posting  very seriously . We screen employers thoroughly, contacting them at various levels, to determine authenticity of said employers. Our  privacy policy  also dictates that we  never  share your personal information to unrelated third parties, nor do we sell them. 

 The next time you're in search of a job, apply through  MIMS Career . Sign up, fill in your details, and apply for job vacancies from top healthcare institutions in  Malaysia ,  Singapore ,  Indonesia , and the  Philippines  with one click. 

 Browse through our extensive database of job postings, updated daily. Our pages are mobile-responsive, so you can save jobs you're interested in on your desktop, and continue reading about it and apply later on your phone. 

 Can't find what you're looking for? Set a job alert, and we'll notify you once a job with your preferences is made available. Sign up now with  MIMS Career . It's fast, convenient, and secure. We do the hard work of verifying scam jobs so you won't have to. 
   

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  This week we managed to get in touch with Nejlika (pronounced neh-lika) Confinement Care Centre. They provide confinement services for mothers with newborn babies. Established in 2014, Nejlika is committed to providing the best and safest form of care for the newborns’ first 28 days, and for the mothers’ recoveries.  

  What really got us interested with Nejlika was their practice in bringing confinement, which is a traditional concept in post-natal care, into modern times by using scientific methods of observation and critical analysis.  

  Nejlika is currently hiring for post-natal care nurses.  See the job posting page here for more details .  

 
  Can you describe what your institution provides?  

 Nejlika Confinement Centre provides confinement care for post-natal mothers and newborn babies. 

 We assess the health conditions of the mother and baby, monitoring them daily. We provide professional and scientific feeding, nursing care, and early intellectual development for the baby. For the mother we have uniquely customized meals that are both healthy and delicious. These efforts do a lot to promote healing. 

  How did this place come about?  

 We first saw that there was a market demand for confinement centers in the Klang Valley. We saw that in places like Penang or Johor there are already a substantial amount. But a lot of them are sort of like household business. They hire non-medical professionals for treatment. So we set up this place in 2014. 

 The founders of this centre are all from the healthcare industry. The first 28 days of a newborn will be the most critical stage of a baby’s life. Although confinement is a traditional concept of post-natal care, we bring in present, scientific methods to bring this practice to modern times. 

 New parents or non-professionals are not able to take care of the newborn baby and mother as well as trained nurses and physicians. We aim to provide the best quality service, comfortable living environment, nutritious meals and warm family surroundings to help both the mother and newborn navigate this crucial period of their lives. 

  I saw on your Facebook you have many customers; even non-malaysians. What do you do to attract people to come here?  

 To be honest we don’t really go out to promote the centre. So far it’s all been through word of mouth, maybe a bit of Facebook postings. 

  How do you convince someone who is pregnant to use your services, rather than carry out traditional confinement at home?  

 Usually after the customer knows about us, they will call to inquire. This is before they give birth. So we arrange a 1-to-1 appointment with them. So during this appointment period we explain to them what is the service that we provide, and the philosophy behind our service. 

 Over here, our center advocates breast-feeding, and we have a certified infant massage instructor. We promote early brain development for the baby through the infant massages. 

  What makes you different from the other confinement centres?  

 First of all we are one of the pioneers here, so we are very experienced in specialized confinement care. Also, one of our founders is the only person in Malaysia with twin certificates specialized in confinement care from Taiwan. She purposely went to Taiwan to obtain this certification, not just once but twice. 

 At the same time we engage the service of chinese traditional medicine practitioners. Although we advocate scientific and modern confinement care, we also incorporate the traditional care to bring a well-rounded care to the mother and baby. 

 In Traditional Chinese Medicine, we believe the body constitution of humans can be divided into nine types. Different type of body constitution will require different forms of nutrition or medication. Our chef will prepare the personalized herbal tonic soup for each post-natal mother upon advice by our chinese medicine practitioner for greater rejuvenation.  

 Not many other confinement care provide this service. 

  Can we talk about the food you serve here? They look great! Do you have an in-house cook?  

 We have a special cook. We put out an ad in the newspaper, and managed to get one with training for confinement cooking. We advocate healthy and nourishing foods that aids the mothers’ recovery. 

 Everything that comes into contact with the mothers and babies have to be clean, healthy, and promote recovery. This includes the furniture, beds, food, even the air in the centre as well. 

  How many staff members do you now have?  

 We have 10 nurses, 2 maids, 2 chefs and 1 assistant to help us run the operation. 

 As for now, there are not many customers. It is a bit of a low season. Usually there are more births from late July-early August til the end of the year. 

  To staff: What do you do to make your staff happy and enjoy working here?  

 We feel happy because we enjoy what we do. It’s a slower pace than hospitals, and we love to look after babies. 

  What’s the hiring process like? Who decides on the hire?  

 Advertising on newspaper, platforms online, recommendations of current nurses. More so on the EQ. 

 We advertise in the newspapers, online platforms such as MIMS Career, and word of mouth. Very often we get new hires based on the recommendations of nurses currently working here. 

  What kind of people do you look for when you hire staff?  

 We need staff who are passionate about care for post-natal mothers and infant babies. Post-partum depression is very real, so nurses here have to be very aware of the telltale signs of it. They need to have high EQ to be able to console and advise mothers suffering through post-partum depression and help guide them out of it. 

 We also look out for staff who have high patience levels. Dealing with babies can sometimes prove to be a frustrating task. 

  What cool pieces of technology do you have in this centre?  

 We have a  bilirubinometer ; it is a device that measures the level of bilirubin in the babies to detect jaundice. If jaundice is determined to be present in the baby, we bring in a “jaundice phototherapy” machine and treat the infant until bilirubin levels drop to normal levels. We are the first confinement centre to provide this service. It avoids the hassle of going to the hospital, which can be very strenuous on both mother and newborn. 

 Also, to really avoid cross-contaminations we sterilize the rooms with a  UV light emitter . UV light destroys germs and bacteria. 

 On the other side of the  light spectrum , we use Infrared light emitters to promote healing of mothers’ wounds, especially ones after C-sections. 

 Finally, we have a baby swimming pool! Therapy done in the pool promotes brain development. 

  What does the future look like for Nejlika Confinement Care Centre?  

 Obviously we want to expand. That is the only way a business can grow. 

 We have moved from single storey to double storey within three years. We’re looking to set up branches in other places, in order to provide service to customers not within reach of us right now.

Institution Highlight: Nejlika Confinement Centre

This week we managed to get in touch with Nejlika (pronounced neh-lika) Confinement Care Centre. They provide confinement services for mothers with newborn babies. Established in 2014, Nejlika is committed to providing the best and safest form...

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 Nephrology/Renal Nursing 

 Nephrology is a specialty of medicine and pediatrics that concerns itself with the kidneys:  the study of normal kidney function, kidney problems, kidney health, and the treatment of kidney problems.  It encompasses dietary and medication to replacement forms of treatments. Systemic conditions that affect the kidneys and systemic problems that occur as a result of kidney problems are also studied in nephrology. A physician who has undertaken additional training to become an expert in nephrology may call themselves a nephrologist or a renal physician. 

 A nephrology nurse (or renal nurse - those two terms are used interchangeably) is a nursing practitioner that focuses on kidney health. They treat and care for patients that are suffering from those suffering from kidney problems as well as those that are at risk of developing them. 

 As a renal nurse, one must be prepared to stay on top of current developments, as treatments in this field are accelerating their development at a very rapid pace. This is possible to be done by regular consumption of renal-related literary content such as medical journals. Attending seminars and conference is also a possible method. 
   

 Scope 

 Renal nursing concerns the  diagnosis and treatment of kidney diseases , including electrolyte disturbances and hypertension, and the care of those needing replacement therapy, including dialysis and transplant patients. 

 Many diseases affecting the kidney are systemic disorders not limited to the organ itself. Examples include acquired conditions such as systemic vasculitides and autoimmune diseases, as well as congenital or generic conditions such as polycystic kidney disease. 

 Methodology of nursing 

  History and physical examinations are central to the diagnostic workup in nephrology or renal nursing.   

 This may include inquires regarding family history, general medical history, diet, medication use, drug use and occupation. Examination typically includes an assessment of volume state, blood pressure, skin, joints, abdomen, and flank. 

 Urinary analysis (urinalysis) is an instrumental method in assessing possible kidney problems. Nurses in this specialization are trained to notice the appearance of blood in the urine, protein, pus cells or cancer cells in the urine, often with the help of a urologist or nephrology physician. 

 Basic blood tests can be used to check the concentration of hemoglobin, platelets, sodium, potassium, chloride, or phosphate in the blood. All of these may be affected by kidney problems, and renal nurses are supposed to be well-versed in this area. 

 Under certain circumstances, an invasive test is required for diagnosis. A biopsy of the kidney may be performed. This typically involves the insertion, under local anesthetic and ultrasound or CT guidance, of a core biopsy needle into the kidney to obtain a small sample of kidney tissue. Kidney biopsy is also used to monitor response to treatment and identify early relapse. 

 Training 

 The process differs across countries, but the outcome is indefinitely similar. Nephrology is a subspecialty of general medicine. A nephrology/renal nurse will have to complete nursing school, a minimum of three years of practice as a general nurse, and a BSN (Bachelor’s of Science in Nursing) or post-basic course in renal subjects. Typically this training lasts 1-2 years. 

 Nurses in training for renal nursing often continue in the world of academia to obtain research degrees, putting a temporary halt to their clinical practice. Some also sub-specialize in dialysis, kidney transplantation, CKD, cancer-related kidney diseases, procedural nephrology or other non-nephrology areas. 

 However, only pediatric-trained nurses are allowed to train in pediatric nephrology, due to differences in physiology. 

 Work environment 

 A major task and responsibility for renal nurses are  administering treatments to patients.  Treatments can include medications, blood products, surgical interventions, renal replacement therapy and plasma exchange. Kidney problems can have a significant impact on quality and length of life, and so psychological support, health education and advanced care planning play key roles in nephrology. 

 Renal nurses often find themselves having a better work setting compared to their non-specialized counterparts. Schedules are less erratic, especially for nurses working in dialysis support roles. 

 On average, renal nurses with post basic certification get  about 10% more pay.  

 Career opportunities 

 
	 Dialysis centers (out- and in-patient) 
	 Nephrology wards 
	 Transplant units 
	 Home care 
	 Medical device industry 
	 Pharmaceutical industry 
	 Government and nonprofit healthcare settings (eg:  NKF ) 
	 Community clinics 
 

 There is a severe shortage of nephrology nurses in Malaysia. 

 Search for high-paying job in renal nursing at  MIMS Career . MIMS Career is a premier, healthcare-focused job portal site for Malaysia, Singapore, the Philippines and Indonesia. Our simple sign-up process allows you to easily apply for jobs you might be interested in with a single click. Job locations include hospitals, nursing homes, and private practices. It’s free, easy to use, and safe. 

 Can’t find what you’re looking for? Set up a job alert and we’ll notify you by email whenever positions that suit your preferences are available. All of our pages are mobile-responsive, so you can take your applications with you on the go. 
   

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Career Highlight: Specialty in Nephrology/Renal

Nephrology/Renal Nursing Nephrology is a specialty of medicine and pediatrics that concerns itself with the kidneys: the study of normal kidney function, kidney problems, kidney health, and the treatment of kidney problems. It...

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