New Zealand's tertiary sector is expecting to lose hundreds of millions of dollars due to Covid-19. Fishers and -square tests were used to compare frequencies and percentages. Discharge diagnosis was significantly different among studied periods. MeSH A qualitative assessment of reasons for nonurgent visits to the emergency department: parent and health professional opinions. The authors declare that they have no conflicts of interest. 2020 May;37(5):252-254. doi: 10.1136/emermed-2020-209634. Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Alam MA, Uddin AI, Uddin MA, Begum S, Nahar H, Raihan T, Khan AG. Bethesda, MD 20894, Web Policies Cybersecurity threats are almost certain to increase as more individuals work remotely. The MarketWatch News Department was not involved in the creation of this content. So, all over the world, the loss of this community upends students lives and may have lasting negative effects on these students and their families. The aim was to characterize the symptoms according to their . Laptops and desktops are commonly used for online classes, but unfortunately, 21% respondents have no personal electronic gadgets. Internationalization has significantly slowed down. In the wake of 9/11, SARS, natural disasters, and campus violence, many American universities set up emergency-response teams to prepare for the unexpected. Perhaps the most significant unknown about this pandemicparticularly in the recovery and resilience phases to comeis how the break in the academic year and the shock to the student experience will impact retention and persistence rates, particularly among already at-risk populations. Elective and planned hospital admissions were not included in the analysis. Gtzinger F, Santiago-Garca B, Noguera-Julin A, Lanaspa M, Lancella L, Cal Carducci FI, et al. That was its lowest reading since July 2020 and well below the 50-level . The decrease of common childhood viral infections due to social distancing may partially explain this finding. Certain industries, though, stand to gain more than others. Chiara Pilotto, Email: ti.gvf.atinas.cfusa@ottolip.araihc. Certain component makers depend on a single or perhaps two primary suppliers. Clinical features and diagnoses were grouped into different categories: (1) children presenting with acute infectious symptoms (e.g., fever, respiratory, or gastrointestinal symptoms), (2) traumatic injuries, (3) underlying or chronic diseases (e.g., febrile neutropenia in immunosuppressed children, seizures in epileptic children, newly diagnosed diabetes), (4) surgical urgencies (e.g., acute appendicitis, testicular torsion), (5) mental health disorders, and (6) other illnesses. View 4 excerpts, references results and background, View 5 excerpts, references background and results. Accelerating the digital transition is a possible benefit of the COVID-19 problem since it can result in substantial productivity gains. Ilaria Liguoro, Chiara Pilotto, [], and Paola Cogo. doi: 10.2196/20586. The economic impacts of the COVID-19 crisis The COVID-19 pandemic sent shock waves through the world economy and triggered the largest global economic crisis in more than a century. According to one of the largest study on the prevalence of COVID-19 in European children, only 8% of the patients with a confirmed infection required admission to an ICU [28]. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. National Library of Medicine present study sought to explore the impact of COVID-19 pandemic on tertiary Since coronavirus pandemic is a totally new phenomenon in the world, not much empirical literature exist. already built in. Such academic work cannot be delivered by radio or television, as is an option for younger students. Feb 27, 2023 (The Expresswire) -- "Final Report will add the analysis of the impact of COVID-19 on this industry . Variables recorded were age, sex, staff position, work area, and reason for contact. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The prevalence of COVID-19 among ED workers was 3.2% (9/279). Results: Ilaria Liguoro, Email: moc.liamg@orougilairali. Impact of shelter-in-place order for COVID-19 on trauma activations: Santa Clara County, California, March 2020. WHO | World report on child injury prevention [Internet]. JAMA, Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C et al (2020) The socio-economic implications of the coronavirus and COVID-19 pandemic: a review. A total of 736 workers (52 in the ED) had symptoms, and 151 had positive test results (9 from the ED). Transmission risk of SARS-CoV-2 to healthcare workers -observational results of a primary care hospital contact tracing. who took part in semi-structured interviews. Sero-epidemiological study of SARS-CoV-2 infection among healthcare personnel in a healthcare department. Epub 2021 May 16. 2022 Jan;8 (1):e08806. In comparison to the previous summer period, the number of children evaluated in the pediatric ED decreased by 66.6% (818 vs 2449) (Supplementary Table 3). J Affect Disord. About a third of COVID-19 patients experience ongoing symptoms that have been referred to as long-COVID. A questionnaire was designed based on results were obtained through content analysis and distributed using email, WhatsApp, LinkedIn, Telegram, Facebook, and Instagram from May 20 to May 30, 2021. - AP contributed to the final version of the manuscript, - EV contributed to the final version of the manuscript, - PC contributed to the final version of the manuscript. While the scale and quality of campus provision varies widely across regions, countries and institutions, for many students, it is their home. In particular, they can modify the patterns of healthcare utilization, as observed in other previous infectious disease outbreaks [10, 11]. Impact on education UNESCO, for its part, is monitoring the impact of Coronavirus on . This study was approved by the local Institutional Review Board (Prot. O Impacto da Pandemia de Covid-19 na Transformao Digital na rea da Banca em Portugal . Italy was one of the first countries to be hit in the world, with a large number of confirmed COVID-19 cases [4]. Issues that the technology sector face include the following: Accelerating the digital transition is a possible benefit of the COVID-19 problem since it can result in substantial productivity gains. Michela Vergine, Email: ti.gvf.atinas.cfusa@enigrev.alehcim. The emergence of the COVID-19 pandemic has revealed the limits of these efforts. In addition, a fixed panel regression model was applied over the period from the 30th of December 2019 until the 24th of . Conversely, a relative increase in traumatic injuries and mental health disorders was observed, but no case of child abuse was registered during the lockdown phase (Table (Table3).3). The project is a key part of the City of Los Angeles' long-term water management objective to fully reuse its water supplies . Effects of Covid-19 on Tertiary Education Sector in Bangladesh. Carret MLV, Fassa ACG, Domingues MR. Inappropriate use of emergency services: a systematic review of prevalence and associated factors. Factors related to SARS-CoV-2 infection in healthcare professionals in Spain. So, today, the world finds 99% of all formally enrolled students in tertiary education affected. The Brousseau DC, Nimmer MR, Yunk NL, Nattinger AB, Greer A. Nonurgent emergency-department care: analysis of parent and primary physician perspectives. A proper reorganization of the pediatric services became necessary during the first wave of COVID-19 pandemic: national and local protocols were developed according to the WHO guidelines to provide dedicated pathways for suspected COVID-19 cases and guarantee appropriate healthcare to other patients [29, 30]. The Lancet Infectious Diseases [Internet]. Diabetes Care [. Certain industries, though, stand to gain more than others. Res. The ePub format is best viewed in the iBooks reader. Both female and male medical students have identified that quarantine has caused them to feel emotionally detached from family, fellows, and friends and decrease their overall work performance and study period. Epub 2021 Jan 11. . Stakeholders who are in a position to prepare for the equity implications should begin now, identifying at-risk students and communities and engaging with them, to understand and respond with support that can help them continue their studies. You may notice problems with What we are seeing globally is impact in every region and a notably pronounced effect on upper- Face-to-face classroom activity has been shifted to online classroom, This study aimed at accessing the impact of Covid-19 on Ghanas teaching and learning. 5 The term IF jumps appeared again in PubMed in 2021, in an editorial of the Journal of Oral Pathology & Medicine acknowledging that the 2020 IF of . Therefore, multinational studies on this issue are needed to properly understand what really affected ED flows. Online and distance learning has forced massive adaptation for tertiary education institutions regarding how information and coursework is delivered, strongly impacting how (and whether) students learn. Epub 2021 Apr 8. There is, however, an implicit bias in this move, which assumes and requires a level of technical capacity, hardware and infrastructure, that is simply not the reality for students around the world. Se recogi el nmero de casos confirmados de COVID-19 en TS del 2 de marzo al 12 de abril de 2020. Purpose This study aims to examine the effect of the COVID-19 pandemic on the banking sector and to assess if COVID-19 was a trigger for the banking crisis. Graduates of tertiary education are more environmentally conscious, have healthier habits, and have a higher level of civic participation. Rabbone I, Schiaffini R, Cherubini V, Maffeis C, Scaramuzza A, Diabetes Study Group of the Italian Society for Pediatric Endocrinology and Diabetes* et al (2020) Has COVID-19 delayed the diagnosis and worsened the presentation of type 1 diabetes in children? This includes students who are lower-income, female, of underrepresented ethnic or minority groups, from rural areas, as well as those with mental health or learning challenges or physical disabilities. No difference was shown for white and red codes (Supplementary Table 3). Unauthorized use of these marks is strictly prohibited. impact of, COVID-19, the disease caused by the novel coronavirus. The impact of lockdowns on the working classes was especially severe. Equity in tertiary education is a challenge even in the best of times. Three main equity implications are emerging in this first flush of change brought about by the pandemic: lives have been uprooted and left unmoored; the digital divide exposes the socioeconomic inequity of distance learning; and there is a disproportionate likelihood that under-served and at-risk students will not return when campuses reopen. Grupo de Trabajo COVID-19 del Servicio de MedicinaPreventiva, Grupo de Trabajo COVID-19 de la Comisin de Infecciones. The study employed a Descriptive survey design in which 11 items Likert-scale type of questionnaires was, COVID-19 has posed a significant threat to the global education system. Children, however, represented less than 3% of the total number of patients [5, 6]. For many, especially those from lower economic groups or unsafe, unstable, or nonexistent family environments, these residence halls are home. The .gov means its official. The decrease in the number of visits during the SARS-CoV-2 period has been observed in other studies as well [15, 17, 18, 22] and it may be related to the adoption of national restrictive measures. 2020, demand can quickly rebound in the most affected sectors, once the health impact of the pandemic is contained. Epub 2022 Mar 16. The report comprises a, The COVID-19 pandemic starts from Wuhan city of China resulted in disaster in the lives of human beings through a deadly virus Coronavirus in December 2019. Statistical analyses were performed using GraphPad Prism version 8.4.2 for Windows (GraphPad Software, La Jolla, CA, USA, www.graphpad.com). Objetivo: Alam M.K. DUBLIN, March 1, 2023 /PRNewswire/ -- The &#34;Global Cleanroom Technology Market: Analysis By Product, By Construction Type, By End User, By Region Size and Trends with Impact of COVID-19 and . The crisis led to a dramatic increase in inequality within and across countries. Different confinement zones across the globe create additional obstacles in shipping and delivery. In effect, these students are serving as part of a global experiment, with a wide variety of modalities being tried (with differing levels of effectiveness and quality) for continued provision of their tertiary education. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. This substantial decrease in pediatric care may either be due to lower rates of acute infections because of social distancing, or to parents or caregivers reticence to risk exposure to SARS-CoV-2 in a health-care setting. Vedovetto A, Soriani N, Merlo E, Gregori D. The burden of inappropriate emergency department pediatric visits: why Italy needs an urgent reform. The COVID-19 crisis has devastatingly affected social and economic sectors, including service or tertiary sectors such as banking, insuran;ce, hospitality, telecommunications, and industrial services. COVID-19 has brought to light many problems with the current structure affecting parents, guardians, students, and teachers. proteccin individual; Health personnel; Infection prevention and control; Programa de Prevencin y Control de Infecciones; Surgical mask; Trabajador sanitario. However, the productivity benefits of the digital revolution will take time to manifest. COVID-19 pandemic not only affects the global economy but also has a huge impact on the functioning of tertiary eye care hospitals. Heliyon. The restrictive measures required to face the recent outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may impact patterns of healthcare utilization. This crisis has the potential to expand inequities in tertiary education on a global scale. Beaunoyer E., Dupr S., Guitton M.J. COVID-19 and digital inequalities: reciprocal impacts and mitigation strategies. Sen-Crowe B, McKenney M, Boneva D, Elkbuli A. A recent outbreak of a novel coronavirus responsible for a severe acute respiratory syndrome is spreading globally. This burden of the imposed lockdown and its following months occurs mainly on the patients, the clinicians, the staff and the hospital management. Moreno-Casbas MT; en nombre del Grupo SANICOVI y Grupo de profesionales de la salud trabajando en la pandemia COVID-19; Integrantes del Grupo SANICOVI. No significant changes over time were shown in the proportion of red codes (Supplementary Table 3). problems regarding, Journal of International Education and Practice, Using a qualitative research approach, the current analysis aimed to investigate the COVID-19 pandemic's effect on Bangladesh's higher education from the viewpoint of students. The report proposes a framework to guide policies and investments in tertiary education comprised of five principles to STEER tertiary systems and institutions toward greater relevance and impact: This brief highlights the impact of COVID-19 on the media and culture sector, hit hard by unemployment and closed productions. Elife. Ali W. Online and remote learning in higher education institutes: a necessity in light of COVID-19 pandemic. Campuses are now closed in many educational institutions across the globe, and teaching and learning are now conducted online. This decrease in the number of visits may either be due to a reduction in the incidence of acute infectious diseases or to the fear of the potential nosocomial transmission of SARS-CoV-2 infection. Masetti R, Corsini I, Leardini D, Lanari M, Pession A. In order to limit possible confounding effects due to yearly or seasonal changes in total attendances, we also compared the data to that of the two previous Winter (1 January29 February 2020, W20; 1 January28 February 2019, W19) and Summer periods (1 July31 August 2019, Su19; 1 July31 August 2018, Su18). While tertiary education institutions are first responders when it comes to at-risk students, governments need to support and complement their efforts through equity-oriented policies, frameworks, and targeted funding. See this image and copyright information in PMC. However, more detailed data are needed to clarify this finding. The pandemic has prompted a change in education due to the requirement for social distancing. Resultados: Entre los TS del SU y del resto del DS no hubo diferencias significativas en la prevalencia de afectados, ni entre los motivos de contacto. In the study by Angoulvant and colleagues, UTIs were the only infection that did not decrease during the lockdown [24]. III, cl. Moreover, we could not evaluate the possible role of factors influencing peoples perceptions and utilization of healthcare facilities, such as family structure and socioeconomic status, scholarship, distance between the childrens house and the ED. III, cl. In few countries was the tertiary education sector able to respond by utilising a well-informed, already prepared playbook for rapid closure of its physical plant. Il manuale ICD9CM [Internet]. This study shows significant variations in the distribution of children among triage categories during the COVID-19 pandemic. Persistence rates are likely to diminish, Next Section: 2. Otherwise, they risk becoming secondary victims of the pandemic and its fallout. Liguoro I, Pilotto C, Bonanni M, Ferrari ME, Pusiol A, Nocerino A et al (2020) SARS-COV-2 infection in children and newborns: a systematic review. View 2 excerpts, references background and results, The situation in general education in Georgia has changed in the spring semester of 2020, when the first case of coronavirus COVID-19 infection was detected rising to 211 local and more than 1,5. The main clinical and demographic characteristics of the enrolled children are shown in Table Table1.1. We present a. The drop in the incidence of acute infections might seem to contrast the increased number of visits usually observed during seasonal influenza epidemics [25, 26]. In Italy, where the national healthcare system provides free admission to the ED for children under the age of 14, non-urgent visits (namely, white and green codes) accounted for 27.6% of all ED patients and 58.2% of total pediatric attendance episodes [21]. In particular, a relative increase in the proportion of children presenting traumatic injuries was observed during the SARS-CoV-2 outbreak. The intentions of this study therefore firstly, to determine the content analysis by interviewing tertiary students and secondly, to determine the frequency distribution by questionnaire developed from results of the content analysis. Where internet is so inaccessible to the overwhelming majority of a population, distance delivery of education via online or mobile platforms in worse than inadequateit is elitist and distortional in terms of expanding inequity. 2020;11:106424. There is a widespread assumption that tertiary education is easily adaptable to a remote learning, but why should this be? The hospital admission rate increased from 3% (91/3202 ED visits) in the months of MarchApril 2019 to 7.8% (64/818) during the same period in 2020 (p<0.001), with a relative 2.7-fold increase (95% CI 1.93.8). Pediatr Infect Dis J [. These data may support the hypothesis that, following stay-at-home orders, childrens environments shifted, making them face new, modifiable risks. Abdul Wadud . The impact of COVID-19 on economic growth in Sub-Saharan Africa beyond 2020 is unknown, but many forecasters project a long-term negative impact for the continent. The medical records of the children seen in our pediatric ED during March and April 2020 were retrospectively reviewed. . and transmitted securely. This study showed a significant decline in the number of pediatric ED visits and a substantial increase in the rate of hospitalizations during the SARS-CoV-2 outbreak and national lockdown when compared to the two previous years. Se compar si existan diferencias entre los TS del SU y los del resto del Departamento de Salud (DS). English, The decline of education in parallel with the COVID-19 pandemic is now at the centre of conversation. The effect has been profoundly different across sectors of the economy. The https:// ensures that you are connecting to the This button displays the currently selected search type. [cited 2020 Mar 30]. Risk Factors for SARS-CoV-2 Infection Among US Healthcare Personnel, May-December 2020. This finding appears in contrast with preliminary data on adult patients, showing a significant reduction in the number of injury-related admissions [35]. Frequency distribution analysis disclosed that 60% respondents have no separate reading rooms. When Covid-19 struck the South African government declared some of the strictest lockdowns worldwide. Within weeks, however, the virus was global, and every continent and nearly every country had to react. In cooperation with Rehabilitation Medicine and Psychology departments, we developed a protocol for evaluation and further referral of the long-COVID patients that sought our Emerging Infectious Diseases (EID) consultation. ). 13, fasc 32). The most vulnerable, including those living with disabilities and migrant children are most affected by the impacts of COVID-19 because they face additional vulnerabilities, as access to education is entirely in jeopardy during this period when gatherings and school access is limited. Our aim was to provide an insight into the change in the use of a pediatric emergency department (ED) during the SARS-CoV-2 pandemic. The quarantine imposed may have worsened existing mental health problems because of the unique combination of public health crisis, social isolation, and economic recession [38]. Dynamic adaptation to COVID-19 in a Singapore paediatric emergency department. Before The study tried to, COVID-19 pandemic has affected many aspects of social and economic life, including the educational sector. Impact of COVID-19 Pandemic on Poultry Sector in Northern Bangladesh. This site needs JavaScript to work properly. Kuitunen I, Artama M, Mkel L, Backman K, Heiskanen-Kosma T, Renko M (2020) Effect of social distancing due to the COVID-19 pandemic on the incidence of viral respiratory tract infections in children in Finland during early 2020. In fact, this trend was observed in comparison to summer periods too, when schools are similarly closed and fewer people circulate in urban areas. (Remember that by signing in, you're agreeing to be respectful and to adhere to the NEXT Community Guidelines. The brief also offers policy options, drawing from countries' examples and . Let's keep the discussion going - click to share on the followingnetworks. The total number of ED visits declined by 73% from 2019 to 2020 (3051 vs 818). Manag. Moreover, one-fifth of the children under the age of 5 were reported to have been admitted to an ED at least once in their lifetime [20]. tertiary sector which contributes 45.9 percent for the same year (Figure 3). Our aim was to provide an insight into the change in the use of a pediatric emergency department (ED) during the SARS-CoV-2 pandemic. National Library of Medicine You can update your choices at any time in your settings. During this time of global need, these scientists and scholars have 2021 Oct;40(10):2203-2212. doi: 10.1002/jum.15613. Epub 2021 Dec 2. Braun V., Clarke V. To saturate or not to saturate? decrease in motivation and study hours, and various physical, mental, and economic Spanish]. Notably, during the COVID-19 pandemic, among the children discharged (n=18) and admitted (n=4) for UTI, 23% (5/22) were diagnosed with pyelonephritis, in comparison to 0% in 2019 and 10% (3/30) in 2018 (p=0.015). The restrictive measures required to face the recent outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may impact patterns of healthcare utilization. Treasure Island (FL): StatPearls Publishing; 2022 Jan. COVID-19 Impact on the pharmaceutical industry The demand and supply of pharmaceutical products in India has increased rapidly, given the medical emergency. It examines the impact of the COVID-19 pandemic on the global tertiary education sector and identifies policies that can promote a resilient recovery. Recognising these equity challenges as early as possible should allow institutions and governments to fashion interventions that mitigate the impacts and environmental barriers to students returning to their studies. The COVID-19 crisis's long-term impact: reversing established patterns The COVID-19 shock's primary effect is expected to show itself through speeding a variety of current trends, such as. Please enable it to take advantage of the complete set of features! As a response to the growing pandemic of COVID-19 in the country, on the 8 of March, the Italian Government imposed a national quarantine, restricting the movement of all citizens except for necessities, work, or health circumstances. The COVID-19 crisis has resulted in the greatest and most sudden decline in economic activity in contemporary history during peacetime. Deidentified participant data may be available on reasonable request from IL. Hum. Unauthorized use of these marks is strictly prohibited. Special business surveys conducted by several national statistics offices and central banks provide additional insight into the pandemic's effects across sectors, including workforce arrangements, the extent to which government assistance programs are used, investment plans, and corporate finances. 2020 Jun 19;9:e59391. An official website of the United States government. 2020 Dec 1;277:121-128. doi: 10.1016/j.jad.2020.07.135. Bookshelf Parents reported feeling anxious about their children and they did not consider non-urgent ED visits a misuse of the healthcare system, as the ED offered firsthand evaluations within the time-frame requested [14]. 2020 Jul 16 [cited 2020 Aug 17];4(1). Int J Environ Res Public Health. Based on the prevalence of COVID-19 among ED workers and other health care workers, the reasons for risk of contact with the virus, and the time frame for gathering the data, we conclude that the prevention and control measures in the ED have been effective. 2021 Aug-Sep;39(7):319-325. doi: 10.1016/j.eimc.2020.09.015. Organ. In comparison to all control periods, a relative reduction of green codes and a simultaneous increase of yellow codes were reported. Author: Mushfek-Ul-Alam Chowdhury . In July, UNCTAD estimated that the losses could be as high as $3.3 trillion or 4.2% of the world's GDP, if the pandemic puts international tourism at a standstill for a total of 12 months, a projection becoming more likely in the face of a still unchecked pandemic. As largely described, emergency department (ED) services are usually overwhelmed by an inappropriately high number of admissions of patients with non-urgent conditions, ranging from 24 to 40% of total visits [12]. Similarly, French colleagues [24] documented a sharp decrease (over 70%) in the cases of acute gastroenteritis, common cold, and bronchiolitis compared to expectancy. BMJ Paediatr Open [Internet]. The thematic analysis method was used Utilization of mental health services in educational setting by adolescents in the United States. 2020 Nov 25;15(11):e0242905. Paek SH, Kim DK, Lee JH, Kwak YH. The COVID-19 crisis's long-term impact: reversing established patterns The COVID-19 shock's primary effect is expected to show itself through speeding a variety of current trends, such as digitalization, global value chain shifts, and the green transition. Kotak Securities expects the near term to be challenging for the auto sector due to lack of near term demand catalyst in view of economic impact from COVID-19. Incidental lowering of otitis-media complaints in otitis-prone children during COVID-19 pandemic: not all evil comes to hurt. As evidenced in Image 1 below, in some of the poorest countries, such as Niger and Somalia, internet connectivity is a luxury, reaching less than 10% of the population. 2022 May 18. The exact extent of COVID-19's impact on the third sector is still unclear; nevertheless, the sector is forecasted to lose about 10 billion in income in 2020 and 60,000 jobs likely to be made . The distribution of specific discharge diagnosis for acute infectious disease and traumatic injuries was also analyzed to highlight the differences between 2020, 2019, and 2018 (Supplementary Table 5). 2020 Jun 25 [cited 2020 Aug 13]; Available from: Nicastro E, Mazza A, Gervasoni A, Di Giorgio A, DAntiga L. A pediatric emergency department protocol to avoid intrahospital spread of SARS-CoV-2 during the outbreak in Bergamo. Received 2020 Aug 31; Revised 2020 Nov 11; Accepted 2020 Dec 10. the display of certain parts of an article in other eReaders. Comparisons with winter periods were similar, while no difference in the distribution of hospitalization diagnosis with summertime was shown (Supplementary Table 4). Are commonly used for online classes, but why should this be, Guan,! 2019 to 2020 ( 3051 vs 818 ) and mitigation strategies and institutional.. The https: // ensures that you are connecting to the emergency department: parent and professional! 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