Bleeding after intramuscular injection - After getting the injection the person: Gets a rash. Feels very itchy. Has trouble breathing (shortness of breath). Has swelling of the mouth, lips, or face. Call the provider if: You …

 
May 24, 2005 · I gave a patient an IM injection of 100 mg Thorazine in the LUQ today, and as soon as I withdrew the needle, she really started bleeding quite a bit, like when you remove an IV from a vein, and it pours out blood. Every other time I have given an IM injection, I haven't observed bleeding like this. . Secretary of state albion mi

Abstract. The intramuscular route allows for rapid absorption of drugs into the circulation. Using the correct injection technique and selecting the correct site will minimise the risk of complications. Citation: Shepherd E(2018) Injection technique 1: administering drugs via the intramuscular route. Nursing Times[online]; 118: 4, 23-25.They may occur in PWID locally at injection sites or in distant arteries due to haematogenous seeding. The aorta is the most commonly affected vessel followed by the femoral artery . The majority of cases of mycotic aneurysms occur in PWID or after invasive endovascular or surgical procedures.An injection site reaction is your body's response to an immunization or other injection at the site where it was administered. It typically manifests as swelling, pain, rash, redness, or bleeding. Injection site reactions are usually caused by an immune response to the needle, vaccine, or other medicine. These types of reactions are typically ...Using gauze, apply light pressure to the injection site. Light bleeding at the injection site is normal, but a person can use a bandage if necessary. ... Minor discomfort after an intramuscular ...If there has been sufficient ovarian activity to produce a proliferative endometrium, one can expect withdrawal bleeding forty-eight to seventy-two hours after the last injection. This may be followed by spontaneous normal cycles. Functional Uterine Bleeding: Five to 10 mg are given daily for six doses. Bleeding may be expected to …May 2, 2016 · Three days after receiving the therapeutic enoxaparin injection, she was admitted to hospital following a collapse and complained of severe abdominal pain radiating to the back for one day. The pain was throughout the abdomen and worse on the lower abdomen and both groins. She felt cold, drowsy, and tired. She denied nausea, vomiting, bowel ... Bleeding risk of intramuscular injection of COVID-19 vaccines in adult patients with therapeutic anticoagulation J Thromb Haemost . 2022 Jun;20(6):1507-1510. doi: 10.1111/jth.15709. To help prevent infection when giving yourself a shot, always wash your hands, clean the injection site, and keep your needles sterile. If you notice signs of infection, call your doctor. These signs include: Increased pain, swelling, warmth, or redness around the injection site. Red streaks leading from the site. Intramuscular ketorolac injections are being used regularly by orthopaedic surgeons and primary care sports medicine physicians in their care of athletes. ... bleeding time increased 50% after a single IM dose of 60 mg of ketorolac. 29 There have been conflicting studies in the otolaryngology literature with regard to an increased risk of post ...Bruising (not at place of injection) high blood pressure skin rash or itching small, red spots on skin sores, ulcers, or white spots on lips or in mouth Rare. Abdominal or stomach pain, cramping, or burning that is severe bleeding from the rectum or bloody or black, tarry stools bloody or cloudy urine blue lips and fingernailsTypically, an injection-site reaction is considered to be any pain, swelling, rash, bleeding, or redness that occurs at the site of an injection, although, serious reactions can occur …To help prevent infection when giving yourself a shot, always wash your hands, clean the injection site, and keep your needles sterile. If you notice signs of infection, call your doctor. These signs include: Increased pain, swelling, warmth, or redness around the injection site. Red streaks leading from the site.It typically manifests as swelling, pain, rash, redness, or bleeding. Injection site reactions are usually caused by an immune response to the needle, vaccine, or other medicine. These types of …Caverject (Injectable) received an overall rating of 7 out of 10 stars from 15 reviews. See what others have said about Caverject (Injectable), including the effectiveness, ease of...Debridement is needed for necrotic open wounds followed by good moist wound care. Painful nodules occurring soon after injection should be treated expectantly ...Introduction and background. Intramuscular injections (IMIs) are among the most common medical procedures performed in any healthcare center [].Globally, the deltoid is the preferred IMI site in clinical practice [].Many other IMI sites have been considered over the deltoid based on the risk of injury to the underlying vessels and nerves.Amenorrhoea: if, when the second injection is due, bleeding has not occurred in the preceding eight weeks the second injection should not be given until pregnancy has been ruled out. Partial metabolization of norethisterone to ethinylestradiol . Norethisterone is partly metabolised to ethinylestradiol (EE) after intramuscular administration in ... To help prevent infection when giving yourself a shot, always wash your hands, clean the injection site, and keep your needles sterile. If you notice signs of infection, call your doctor. These signs include: Increased pain, swelling, warmth, or redness around the injection site. Red streaks leading from the site. Aug 11, 2022 ... Giving an IM (intramuscular) injection ... injection given in the wrong place could hit a nerve or blood vessel. ... After getting the injection the ...The navel is a part of the body that doesn't get much attention and is often overlooked. The navel is a part of the body that doesn't get much attention and is often overlooked. Su...A 22-25 gauge needle is recommended for vaccine intramuscular (IM) injections. Use the appropriate needle length based on the resident’s weight (Table 1), according to CDC guidelines. Choose and Identify the Correct Location. The best injection site for IM vaccinations is in the deltoid muscle of the arm. That is the large, triangular-shaped ...Introduction. Injections are among the most common health care procedures throughout the world, with at least 16 billion administered in developing and transitional countries each year. 1 Intravenous (IV), subcutaneous (SC), and intramuscular (IM) are three most frequently used injection routes in medication administration. IV injection is …The best areas on your body to give yourself a SQ injection are: Upper arms. At least 3 inches (7.5 centimeters) below your shoulder and 3 inches (7.5 centimeters) above your elbow, on the side or back. Outer side of upper thighs. Belly area. Below your ribs and above your hip bones, at least 2 inches (5 centimeters) away from your belly button.Intramuscular administration of tranexamic acid (TXA), a drug used to target severe bleeding after childbirth, is safe and quickly reaches therapeutic concentrations in pregnant women, according ...They classified IM injections as minor procedures (procedures associated with little tissue trauma, but relevant bleeding risk, along with transluminal cardiac, …The best areas on your body to give yourself a SQ injection are: Upper arms. At least 3 inches (7.5 centimeters) below your shoulder and 3 inches (7.5 centimeters) above your elbow, on the side or back. Outer side of upper thighs. Belly area. Below your ribs and above your hip bones, at least 2 inches (5 centimeters) away from your belly button.The level of pregnancy hormone in your blood should go down over 2 to 4 days. Based on your blood test results, your doctor will tell you if you need another injection of methotrexate. After getting methotrexate. After you get methotrexate, you may have: mild to moderate cramps or pain in the abdomen (belly) vaginal bleeding (like a period)In a study by Moharreri et al. (2007), when pain severity and bleeding status were evaluated after the IM injections in the dorsogluteal and ventrogluteal regions, it was found that patients who were injected into the ventrogluteal region felt less pain and had less bleeding compared with the dorsogluteal region 14.For a syringe, vertically insert the full length of the needle at a 90-degree angle into the skin fold. Slowly press down on the plunger (or button, if using an auto-injector pen) with your finger ...Medroxyprogesterone intramuscular injection comes as a suspension (liquid) to be injected into the buttocks or upper arm. It is usually given once every 3 months (13 weeks) by a healthcare provider in an office or clinic. ... bleeding from your nipples, an abnormal mammogram (breast x-ray), or fibrocystic breast disease (swollen, tender breasts ...Intramuscular administration of vitamin K for prevention of vitamin K deficiency bleeding (VKDB) has been a standard of care since the American Academy of Pediatrics recommended it in 1961. Despite the success of prevention of VKDB with vitamin K administration, the incidence of VKDB appears to be on the rise. This increase in incidence of VKDB is attributable to parental refusal as well as ...Mens et al [3] described disturbances of the menstrual pattern after a local intramuscular injection with triamcinolone acetonide in premenopausal patients.Subcutaneous injections tend to be less painful than intramuscular injections because the needles are smaller and do not have to push through as much tissue. ... it is from slight bleeding after ...11 DESCRIPTION. FASLODEX® (fulvestrant) injection for intramuscular administration is an estrogen receptor antagonist. The chemical name is 7-alpha-[9-(4,4,5,5,5-penta fluoropentylsulphinyl) nonyl]estra-1,3,5-(10)- triene 3,17-beta-diol. The molecular formula is C32H47F5O3S and its structural formula is:Oct 18, 2021 · There are no specific contraindications to COVID‐19 vaccination for people with inherited bleeding disorders. The COVID vaccine trials demonstrating efficacy have only been performed using an intramuscular (IM) route of administration. Therefore, subcutaneous administration, which is an option for other types of vaccines for people in people ... If there has been sufficient ovarian activity to produce a proliferative endometrium, one can expect withdrawal bleeding forty-eight to seventy-two hours after the last injection. This may be followed by spontaneous normal cycles. Functional Uterine Bleeding: Five to 10 mg are given daily for six doses. Bleeding may be expected to …Intramuscular Injection Sites. Intramuscular injection sites are selected based on factors such as age, medication type, and muscle mass. The most common sites include: Deltoid Muscle (Upper arm): Commonly used for small-volume injections, such as vaccines. Vastus Lateralis Muscle (Thigh): Preferred for infants and children, but also suitable ... IPOL and Pneumovax 23 can be administered by IM or subcut injection. IM injections are administered into the muscle through the skin and subcutaneous tissue. There are only two recommended sites for administering vaccines by IM injection: Vastus lateralis muscle in the anterolateral thigh; Deltoid muscle in the upper arm The comparison of pain intensity and rate of bleeding in intramuscular injection in dorsogluteal and ventrogluteal area. Journal of Gorgan University of Medical Sciences, 9 (3), 37–41. [Google Scholar] Moskalewicz, A. , & Oremus, M. (2020).Jul 28, 2019 ... ... intramuscular (IM) injection ... blood vessels at the recommended injection sites” (2016, p. ... A total of 340 studies were found after the initial ...If you get a blood return, that means that the needle is in a blood vessel rather than in the muscle. Don't panic! The quick fix for this problem is to remove ...Intramuscular ketorolac injections are being used regularly by orthopaedic surgeons and primary care sports medicine physicians in their care of athletes. ... bleeding time increased 50% after a single IM dose of 60 mg of ketorolac. 29 There have been conflicting studies in the otolaryngology literature with regard to an increased risk of post ...Introduction. Injections are among the most common health care procedures throughout the world, with at least 16 billion administered in developing and transitional countries each year. 1 Intravenous (IV), subcutaneous (SC), and intramuscular (IM) are three most frequently used injection routes in medication administration. IV injection is …muscle cramps or pain. nausea, heartburn, or indigestion that is severe and continues. nosebleeds. pain in lower back and/or side. pain, tenderness, or swelling in the upper stomach area. painful or difficult urination. pale skin. puffiness or swelling of the eyelids or eyes. ringing or buzzing in ears.Romiplostim Injection: learn about side effects, dosage, special precautions, and more on MedlinePlus Romiplostim injection is used to increase the number of platelets (cells that ...Naltrexone injection also blocks the useful effects of narcotics. Always use a non-narcotic medicine to treat pain, diarrhea, or a cough. If you have any questions about the proper medicine to use, check with your doctor. Naltrexone injection will not prevent you from becoming impaired when you drink alcohol.It's common to get irregular bleeding. That can be a mixture of bleeding, spotting (pink/brown/red), or no bleeding at all, until you've had 2 or 3 shots, & then you typically find that your periods stop, altogether, until you come off Depo Provera. Sometimes you can get a little irregular bleeding/brown discharge in between shots, especially ...The Z-track method is an intramuscular injection (IM) technique used to ensure the medication stays in the muscle instead of leaking into the surrounding tissue. Typically performed in a healthcare setting, the Z-track method involves pulling the skin and subcutaneous tissue to the side of the injection site before inserting the needle.Intramuscular (IM) injections are invasive procedures; bleeding and bruising may occur at the injection site. Although there is no definitive guidance, most IM injections are considered minimal to low-risk procedures. Giving IM injections to people on oral anticoagulants may increase risk of bleeding or bruising at the injection site.pain around the injection site, ranging from minor to intense pain, which is often called a cortisone or steroid flare. bruising around the injection site. face flushing for a few hours. thin or ...Hold the syringe like a dart close to the site. Keep your fingers off the plunger. Stretch the skin flat using your fingers and thumb of one hand. Place the syringe at a 90-degree angle to the shot site. The needle should stand straight up from the skin. Quickly jab the needle all the way into the skin.muscle cramps or pain. nausea, heartburn, or indigestion that is severe and continues. nosebleeds. pain in lower back and/or side. pain, tenderness, or swelling in the upper stomach area. painful or difficult urination. pale skin. puffiness or swelling of the eyelids or eyes. ringing or buzzing in ears.Possible negative effects of testosterone therapy may include: an increased risk of cardiovascular complications. worsened symptoms in the lower urinary tract. polycythemia, a rare type of blood ...Bleeding risk of intramuscular injection of COVID-19 vaccines in adult patients with therapeutic anticoagulation J Thromb Haemost . 2022 Jun;20(6):1507-1510. doi: 10.1111/jth.15709.Introduction. Injections are among the most common health care procedures throughout the world, with at least 16 billion administered in developing and transitional countries each year. 1 Intravenous (IV), subcutaneous (SC), and intramuscular (IM) are three most frequently used injection routes in medication administration. IV injection is …The best areas on your body to give yourself a SQ injection are: Upper arms. At least 3 inches (7.5 centimeters) below your shoulder and 3 inches (7.5 centimeters) above your elbow, on the side or back. Outer side of upper thighs. Belly area. Below your ribs and above your hip bones, at least 2 inches (5 centimeters) away from your belly button.Subcutaneous. Intraosseous. Intradermal. Side effects. Summary. Injections deliver liquid medications, fluids, or nutrients directly into a person’s body. Different types of injections include ...There are no major blood vessels or large nerves in the area. Page 5. Fluid and Medication Management. Intramuscular Injection protocol. The latest version of ... q After the injection ask the client to hold cotton wool on the injection site. Instruct the client not to massage the injection site. q Wash hands with soap and water after giving the injection, if possible. Dispose of waste appropriately q Do not recap, bend, cut, or break needles after use. Discard the used disposable Insert the needle quickly into your preferred site and slowly and steadily inject the medicine. There is no need to pull back on the syringe to check for blood.For additional ideas and support in learning about intramuscular injections, call your team nurse. If you would like a nurse to mark injection sites, appointments are available between 9:00AM and 4:00PM M-F. Call your nurslng dlaegaa Voicemail times for your Team Nurse: 9:00AM-4:OOPM Weekdays, 9:00AM-2:00PM Weekends/Holidays. All calls made11. Administer intramuscularly slowly (1-2 minutes/injection) into the buttock . For user convenience, the needle ‘bevel up’ position is orientated to the lever arm, as shown in Figure 4. Figure 4 . 12. After injection, immediatel y activate the lever arm to deploy the needle shielding by applying aThe IM injection should be performed at a 90-degree angle to a large muscle's belly. Insertion of the needle should be perpendicular to the patient's body. ... Apply gentle pressure to the injection site with the cotton gauze or balls to slow any subsequent bleeding. Following this, place a bandage on the area. Let the patient know … The injection site is in the middle of the deltoid muscle, about 2.5 to 5 cm (1 to 2 inches) below the acromion process. To locate this area, lay three fingers across the deltoid muscle and below the acromion process. The injection site is generally three finger widths below, in the middle of the muscle. smj67. 11 Posts. May 25, 2005. That's happened to me a few times and the answer I got was the needle probably went thru a vein to the other side and out the far wall of the vein and embedded in muscle tissue so when you aspirated there was no blood, but after the injection and withdrew the needle back through the vein the blood following the ...A: While a blood spurt after an intramuscular injection can be alarming, it is usually not dangerous. However, if the bleeding does not stop or if you experience excessive blood loss, seek medical assistance.Three days after receiving the therapeutic enoxaparin injection, she was admitted to hospital following a collapse and complained of severe abdominal pain radiating to the back for one day. The pain was throughout the abdomen and worse on the lower abdomen and both groins. She felt cold, drowsy, and tired. She denied nausea, …1. INTRODUCTION. Intramuscular injections have traditionally been avoided in persons with haemophilia because of the need of factor concentrate prophylaxis and the risk of serious haemorrhage. 1, 2, 3 Muscle bleeds in haemophilia are difficult to manage and may require several days or weeks of clotting factor treatment. 4, 5, 6 Feared sequelae include fibrosis and contracture. 6, 7 The World ...Adults—At first, 100 to 600 micrograms (mcg) per day, given in 2 to 4 divided doses, injected under the skin for the first 2 weeks. Your doctor will adjust your dose as needed. However, the dose is usually not more than 1500 mcg per day. Children—Use and dose must be determined by your doctor.Hold the syringe like a dart close to the site. Keep your fingers off the plunger. Stretch the skin flat using your fingers and thumb of one hand. Place the syringe at a 90-degree angle to the shot site. The needle should stand straight up from the skin. Quickly jab the needle all the way into the skin.Hold the syringe like a dart close to the site. Keep your fingers off the plunger. Stretch the skin flat using your fingers and thumb of one hand. Place the syringe at a 90-degree angle to the shot site. The needle should stand straight up from the skin. Quickly jab the needle all the way into the skin.Fortunately, it's easy to prevent VKDB with a vitamin K shot. The injection is given in your baby's thigh within 6 hours of birth. One shot is all it takes to protect your baby from getting vitamin K deficiency bleeding. This is why, as pediatricians, we have recommended since 1961 that all newborns get a vitamin K shot at birth.bleeding, discoloration, erythema, and skeletal injury. Injection into the buttock has resulted in cases of gas gangrene [see Warnings and Precautions (5.3)]. Rare cases of …A total of 84 acute problems occurred after 69 injections. There were 31 episodes of unusual pain, 21 of bleeding or haematoma, 19 of clinically important leakage of drug from the injection site, 11 of acute inflammatory indurations, and two of formation of transient nodules. TABLE I. Details of complications occurring with each depot preparation.Apr 1, 2024 · Descriptions. Heparin injection is an anticoagulant. It is used to decrease the clotting ability of the blood and help prevent harmful clots from forming in blood vessels. This medicine is sometimes called a blood thinner, although it does not actually thin the blood. Heparin will not dissolve blood clots that have already formed, but it may ... Some women also report fluid retention, worsening acne, headaches and breast discomfort. However, there is little evidence that the injection causes these symptoms. The most common reason for women to stop having the injections is because of irregular bleeding. The injection can lead to some 'thinning' of the bones.If you experience a blood spurt after an intramuscular injection, it is essential to remain calm. Follow these steps for appropriate treatment: Apply pressure: Immediately apply gentle pressure to the injection site using a clean cloth or sterile gauze. This helps control the bleeding and promotes clot formation.Three days after receiving the therapeutic enoxaparin injection, she was admitted to hospital following a collapse and complained of severe abdominal pain radiating to the back for one day. The pain was throughout the abdomen and worse on the lower abdomen and both groins. She felt cold, drowsy, and tired. She denied nausea, …Ketorolac is an FDA-approved medication used in the treatment of moderate to severe acute onset pain. [1] It is in the nonsteroidal anti-inflammatory drug (NSAID) drug class. Ketorolac is versatile, as it is available in multiple-dose forms: oral, nasal spray, IV, or IM. It is commonly used postoperatively for pain management.The comparison of pain intensity and rate of bleeding in intramuscular injection in dorsogluteal and ventrogluteal area. Journal of Gorgan University of Medical Sciences, 9 (3), 37–41. [Google Scholar] Moskalewicz, A. , & Oremus, M. (2020).Oct 20, 2009 · The major disadvantage of IMP is the discomfort associated with intramuscular injections, in addition to the potential risks for local inflammatory reactions and abscesses that could arise from repetitive injections of the oil vehicle . The formulation of progesterone as a vaginal gel, from a practical perspective, is very convenient and well ... If you're bleeding after you remove the needle, apply direct pressure to stop the bleeding. Clean the wound with soap and water, and cover it with a bandage, if needed, to protect it. If you can't remove the needle, or if a broken part of the needle didn't come out, you need medical attention. A doctor will help remove the needle.Avoid irritated skin and blood vessels. Avoid any sites where your skin is irritated. Whether it’s a mild rash, a cut, or an eczema flare — irritated skin is inflamed and more likely to have a reaction. Apply a cold compress. Applying a cold compress for 5 to 10 minutes after your injection can limit swelling and redness.What is SIRVA? Shoulder injury related to vaccine administration is an under-reported, preventable series of events caused by incorrect technique or landmarking for intramuscular deltoid injections. 1, 2 Specifically, SIRVA occurs when an intramuscular deltoid injection is administered into the shoulder joint. 1, 2 This results in an inflammatory process that causes damage to the ...May 25, 2021 · The recommended site of IM injection is the deltoid muscle. 2. The application of a local firm pressure, without rubbing, is recommended during 2 to 5 minutes after injection, for both IM and SC routes 3 11 during vaccination procedure in patients with bleeding disorder or under anticoagulant. The use of a fine needle (23-gauge or smaller ... Side Effects. Drowsiness, dizziness, lightheadedness, weight gain, or pain/redness/swelling at the injection site may occur. If any of these effects last or get worse, tell your doctor promptly ...

IM injection: The first injection should be given on the day after the last active contraception tablet, or at the latest, on the day following the final inactive contraception tablet. SC injection: The first injection should be given within 7 days after the last day taking the last active contraceptive tablet, or after removing the patch or ring.. Tractor supply henderson north carolina

bleeding after intramuscular injection

Intramuscular Route (IM): Intramuscular injections are administered into the muscle through the skin and subcutaneous tissue. The recommended site is based on age. Use the correct needle length and gauge based on the age, weight, and gender of the recipient. A video demonstrating administering a vaccine by intramuscular injection can be found …Table 1: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22-25 for children >12 months to 12 years of age. Age of Vaccine Recipient Needle Length >12 months – 12 years of age 1.6 cm–2.5 cm (⅝ inch – 1 inch) Table 2: Needle . selection guidelines for IM injections in the deltoid muscle using needleLast updated on Nov 20, 2023. A deltoid IM injection is given into a specific area of the deltoid muscle located in your upper arm. Many vaccinations are given by this route. There are several different ways to find the deltoid muscle injection site, which is the central and thickest portion of the deltoid muscle, for example: Find the acromion ...Ibuprofen or estrogen to stop bleeding from the Depot-Provera shot. Most side effects of the birth control shot will fade after the first six months. However, it’s important to talk with your ...The numbers: Weaker than expected. News Corp reported quarterly revenue of $2.07 billion, a 3% decrease for the portfolio of mainly publishing assets, which were separated from Ru...Vitamin K 1 Injection (Phytonadione Injectable Emulsion, USP) is a yellow, sterile, nonpyrogenic aqueous dispersion available for injection by the intravenous, intramuscular and subcutaneous routes. Each milliliter contains phytonadione 2 or 10 mg, polyoxyethylated fatty acid derivative 70 mg, dextrose, hydrous 37.5 mg in water for injection ...Jul 6, 2017 ... Also, in a cancer patient population, we tend not to give IM injections since our patients may have low platelets and a potential for bleeding. pounding in the ears. prolonged bleeding from cuts. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. red or dark brown urine. severe or continuing stomach pain. sharp back pain just below the ribs. sneezing. sore throat. swelling of the face, fingers, feet, or lower legs. IM injections are usually given in the buttocks, thigh, hip, or upper arm. If you need to give yourself injections often, you need to inject a different site on your body each time. This helps prevent scars and skin problems. The injection sites should be at least 1 …damage. It makes it the safest place to get an injection in your glute area. You may feel some pain or tenderness after the injection. This is normal and expected. Figure 4. Your injection site Before you give the injection, wipe the injection site with the alcohol pad for 15 seconds, then let it dry for 15 seconds.This medication is for injection into a muscle. It is usually given in a hospital or clinic. A patient package insert for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently. Talk to your care team regarding the use of this medication in children. Special care may be ...The injection site will not stop bleeding. You have very bad pain at the injection site. You have a fever of 100.4° F (38° C) or higher. You have signs of an allergic reaction at the injection site or anywhere on your body. Signs of an allergic reaction include: About Your Intragluteal Injection 2/3Episodes of unpredictable bleeding occur during the first year in 70 percent of women who use contraceptive injections and in up to 80 percent of women who use contraceptive implants. 8. After one ...This medication is for injection into a muscle. It is usually given in a hospital or clinic. A patient package insert for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently. Talk to your care team regarding the use of this medication in children. Special care may be ....

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