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Wilde-Larsson, BodilORCID iD iconorcid.org/0000-0001-7082-6834
Alternative names
Publications (10 of 265) Show all publications
Olsson, C., Wilde-Larsson, B., Larsson, M., Holmberg, E., Marcickiewicz, J., Tholander, B., . . . Borgfeldt, C. (2022). Adaption of the Quality From the Patient’s Perspective Instrument for Use in Assessing Gynecological Cancer Care and Patients’ Perceptions of Quality Care Received. Cancer Care Research Online, 2(1), Article ID e019.
Open this publication in new window or tab >>Adaption of the Quality From the Patient’s Perspective Instrument for Use in Assessing Gynecological Cancer Care and Patients’ Perceptions of Quality Care Received
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2022 (English)In: Cancer Care Research Online, E-ISSN 2691-3623, Vol. 2, no 1, article id e019Article in journal (Refereed) Published
Abstract [en]

Background: Research focusing on patients’ perceptions of the quality of gynecological cancer care is needed.

Objective: To adapt the Quality from the Patient’s Perspective instrument for use in gynecological cancer care (QPP-GynCa) and describe patients’ perceptions of their quality of care in terms of the care received and the subjective importance of the aspects of care.

Methods: A cross-sectional study 6–8 months after diagnosis was conducted, involving 1511 patients (response rate of 50.4%) included in the Swedish quality registry for gynecologic cancer.

Results: The exploratory factor analysis (n = 1431) resulted in the QPP-GynCa with a 5-factor structure and an eigenvalue of ≥1, explaining 73.1% of the total scale variance. The final 27-item version of the QPP-GynCa consisted of 18 items with 8 additional single items and 1 global single item. The Cronbach’s alpha was acceptable for most factors (>.80). Subjective importance scores were higher than corresponding quality of care scores for care received (P ≤ .01)in all dimensions, factors, and items.

Conclusions: The QPP-GynCa instrument reflects all 4 dimensions of the theoretical model of quality of care and achieved good validity as a reliable instrument in assessing the quality of gynecological cancer care.

Implication for Practice: Information related to self-care, aspects of sexuality, and reducing patient waiting times need improvement.

What Is Foundational: This study contributes to a better understanding of quality of gynecological cancer treatment and care. The validated QPP-GynCa instrument will be a platform for more research on how this group of patients experience their received care, as well as importance of each aspect of care.

Place, publisher, year, edition, pages
Wolters Kluwer, 2022
Keywords
factor analysis; gynecological cancer care; instrument development; patient perspectives; quality of health care
National Category
Nursing Cancer and Oncology
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-94192 (URN)10.1097/cr9.0000000000000019 (DOI)
Available from: 2023-04-04 Created: 2023-04-04 Last updated: 2023-08-29Bibliographically approved
Nysæter, T. M., Olsson, C., Sandsdalen, T., Wilde-Larsson, B., Hov, R. & Larsson, M. (2022). Preferences for home care to enable home death among adult patients with cancer in late palliative phase - a grounded theory study. BMC Palliative Care, 21(1), Article ID 49.
Open this publication in new window or tab >>Preferences for home care to enable home death among adult patients with cancer in late palliative phase - a grounded theory study
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2022 (English)In: BMC Palliative Care, E-ISSN 1472-684X, Vol. 21, no 1, article id 49Article in journal (Refereed) Published
Abstract [en]

Background: The wish to be cared for and to die at home is common among people with end-stage cancer in the western world. However, home deaths are declining in many countries. The aim of this study was to explore the pref‑ erences for home care over time to enable home death among adult patients with cancer in the late palliative phase.

Methods: A qualitative method was applied according to grounded theory (Corbin & Strauss, 2008). Data was collected using individual interviews (n=15) with nine adult patients. One to two follow up interviews were conducted with four patients. Sampling, data collection and constant comparative analysis were undertaken simultaneously.

Results: The findings are presented as a conceptual model of patients’ preferences for care to enable home death. The core category “Hope and trust to get the care I need to die at home” showed that the preference to die at home seemed stable over time and did not change with deterioration in health status and progression in illness. Five cat‑ egories were related to the core category. The categories “being in the present”, “be safe and in charge” and “be seen and acknowledged” describe the patients’ preferences to live a meaningful life until death and be the same person as always. These preferences depended on the categories describing characteristics of healthcare personnel and the organisation of care: “reliable, compassionate and competent healthcare personnel” and “timely, predictive, continuous and adaptive organisation”.

Conclusion: An important preference over time was to be here and now and to live as meaningful a life as possible until death. Moreover, the patients preferred to retain control over their lives, to be autonomous and to be seen as the person they had always been. To achieve this, person-centred care provided by healthcare personnel with competence, skills and enough/ample time were required. In addition, home care needed to be organised in a way that ensured continuity and predictability. Systematic implementation of a person-centred care model and the use of advanced home care plans with continued re-evaluation for patients’ preferences of home care were proposed measures to enable home death.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
Keywords
Patients’ preferences, Cancer, Palliative care, End-of-Life (EOL) Care, Home death, Grounded Theory
National Category
Health Sciences
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-89657 (URN)10.1186/s12904-022-00939-y (DOI)000781170600002 ()35410199 (PubMedID)2-s2.0-85128093100 (Scopus ID)
Available from: 2022-04-28 Created: 2022-04-28 Last updated: 2024-01-17Bibliographically approved
Olsson, C., Sandsdalen, T., Wilde-Larsson, B., Eriksson, E., Rognsvåg, M. & Larsson, M. (2021). Healthcare professionals’ perceptions of palliative care quality in a combined acute oncology-palliative care unit: A cross-sectional study. Nordic journal of nursing research, 41(3), 121-130
Open this publication in new window or tab >>Healthcare professionals’ perceptions of palliative care quality in a combined acute oncology-palliative care unit: A cross-sectional study
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2021 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 41, no 3, p. 121-130Article in journal (Refereed) Published
Abstract [en]

It is a challenge to ensure high-quality palliative care. The aim was to investigate the perceptions of health care professionals(HCPs) working in a combined acute oncology-palliative care unit regarding the quality of the palliative care received by thepatients and how important the care was to the patients. A Swedish total-survey cross-sectional study including 41 HCPs (54%response rate) was conducted with the 52 items Quality from the Patient’s Perspective – Palliative Care instrument, answeredin two different ways: as actual care received and subjective importance. The STROBE-checklist was used. The areas forimprovements were related to symptom relief, spiritual and existential needs, information, patient participation, continuity ofcare, care planning, cooperation and coordination of care, as subjective importance scores were higher than correspondingscores for care received (p .025). Providing high-quality palliative care alongside curative treatments for cancer patients isknown to be challenging and could explain the results in this study. Implementation of a person-centred palliative care modelbased on the hospice philosophy could be a solution.

Place, publisher, year, edition, pages
Sage Publications, 2021
Keywords
combined curative and palliative care unit, cross-sectional, healthcare professionals’ perceptions, QPP-PC, quality of palliative care
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-89961 (URN)10.1177/2057158521997389 (DOI)
Available from: 2022-05-25 Created: 2022-05-25 Last updated: 2022-06-02Bibliographically approved
Hov, R., Bjorsland, B., Kjos, B. O. & Wilde-Larsson, B. (2020). A sense of security in palliative homecare in a Norwegian municipality; dyadic comparisons of the perceptions of patients and relatives - a quantitative study. BMC Palliative Care, 19(1), 1-12, Article ID 7.
Open this publication in new window or tab >>A sense of security in palliative homecare in a Norwegian municipality; dyadic comparisons of the perceptions of patients and relatives - a quantitative study
2020 (English)In: BMC Palliative Care, E-ISSN 1472-684X, Vol. 19, no 1, p. 1-12, article id 7Article in journal (Refereed) Published
Abstract [en]

Background As palliative care increasingly takes place in patients' homes, perceptions of security among patients in the late palliative phase and their relatives are important. Aim To describe and compare patient-relative dyads regarding their perceptions of security in palliative homecare, including the perceived security of the actual care given to the patients, as well as the subjective importance of that care. Methods A cross sectional questionnaire study including 32 patient-relative dyads was conducted in an urban municipality in Norway. Patients were in a late palliative phase and received palliative homecare. Each patient proposed one relative. Data were collected using a modified version of the Quality from the Patients' Perspective instrument (QPP), which focuses on security and comprises three dimensions: medical-technical competence, identity-orientation approach and physical-technical conditions. Context-specific scales containing four aspects (competence, continuity, coordination/cooperation, availability) were added. The instrument contains two response scales; perceived reality (PR) and subjective importance (SI). Data were analysed by descriptive statistics, Chi-squared test, T-test and Wilcoxon's signed rank test. Results Patients had high mean scores on the PR-scale for the sense of security in palliative homecare in the dimensions of medical-technical competence and physical-technical conditions. There were three low mean scores on the PR-scale: the aspect of continuity from patients and the aspects of continuity and coordination/cooperation from relatives. The patients scored the SI scale statistically significantly higher than the PR scale in the identity-orientation approach dimension and in the aspect of continuity, while relatives did so in all dimensions and aspects. The intra-dyadic patient-relative comparisons show statistically significant lower scores from relatives on the PR-scale in the dimensions of medical-technical competence, physical-technical conditions, identity-orientation approach and the aspect coordination/cooperation. Conclusions There are several statistically significant differences between patients and relatives' perceptions of security in the palliative homecare received (PR) compared with the subjective importance of the care (SI) and statistically significant differences in the patient-relative dyads in PR. A relatively mutual sense of security in palliative homecare is important for patient-relative dyads, as relatives often provide care and act as patients' spokespersons. What they assess as important can guide the development of palliative homecare.

Place, publisher, year, edition, pages
BioMed Central, 2020
Keywords
Security, Quality of palliative homecare, Patient and relative dyads, Quantitative
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-77251 (URN)10.1186/s12904-020-0513-7 (DOI)000513604800001 ()31926557 (PubMedID)
Available from: 2020-03-12 Created: 2020-03-12 Last updated: 2024-01-17Bibliographically approved
Nilsson, J., Johansson, S., Nordström, G. & Wilde-Larsson, B. (2020). Development and Validation of the Ambulance Nurse Competence Scale. Journal of Emergency Nursing, 46(1), 34-43
Open this publication in new window or tab >>Development and Validation of the Ambulance Nurse Competence Scale
2020 (English)In: Journal of Emergency Nursing, ISSN 0099-1767, E-ISSN 1527-2966, Vol. 46, no 1, p. 34-43Article in journal (Refereed) Published
Abstract [en]

Introduction: In recent decades, major competency shifts have taken place in prehospital care in Sweden because staffing ambulances with registered/specialized nurses has become a priority. The aim of this study was to develop and validate a new instrument to measure the self-reported professional competency of specialist ambulance nursing students and registered/specialist nurses working in prehospital care. Methods: This study used a quantitative cross-sectional design to evaluate psychometric properties of a new instrument. The sample included 179 registered/specialist ambulance nurses and 34 specialist ambulance nursing students. Results: The analyses resulted in the Ambulance Nurse Competence (ANC) scale, consisting of 43 items and covering 8 factors: Nursing Care (n = 8), Value-based Nursing Care (n = 5), Medical Technical Care (n = 5), Care Environment's Community (n = 4), Care Environment's Serious Events (n = 8), Leadership Management (n = 3), Supervision and Professional Conduct (n = 4), and Research and Development (n = 6). All factors except Leadership Management achieved a Cronbach's alpha value greater than 0.71, explaining 59.62% of the total variance. Discussion: The ANC scale was systematically tested and showed satisfactory psychometrical properties. The ANC scale can be used in the education programs of future registered/specialist ambulance nurses as a tool for self-reflected learning and could also be of potential use in identifying competence gaps in registered/specialist ambulance nurses, which could direct the design of introductory programs. The scale could also be used as an outcome measure together with other instruments.

Place, publisher, year, edition, pages
Elsevier, 2020
Keywords
Ambulance nurse, Competencies, Prehospital, Psychometric properties, Scale development, Specialist nurse
National Category
Health Sciences
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-76443 (URN)10.1016/j.jen.2019.07.019 (DOI)000505931000008 ()31685336 (PubMedID)2-s2.0-85074391869 (Scopus ID)
Available from: 2020-01-23 Created: 2020-01-23 Last updated: 2022-11-16Bibliographically approved
Sandsdalen, T., Grondahl, V. A. & Wilde-Larsson, B. (2020). Development of a short form of the questionnaire quality from the patient's perspective for palliative care (QPP-PC). Journal of Multidisciplinary Healthcare, 13, 495-506
Open this publication in new window or tab >>Development of a short form of the questionnaire quality from the patient's perspective for palliative care (QPP-PC)
2020 (English)In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 13, p. 495-506Article in journal (Refereed) Published
Abstract [en]

Purpose: Patients' views on quality are important to improve person-centered palliative care. There is a lack of short, validated instruments incorporating patients' perspectives of the multidisciplinary palliative care services. The aim of this study was to develop a short form of the instrument Quality from the Patient's Perspective for Palliative Care (QPP-PC) and to describe and compare patients' perceptions of the subjective importance (SI) of care aspects and their perceptions of care received (PR). Methods: A cross-sectional study was conducted in Norway including 128 patients (67% response rate) in four palliative care contexts. The QPP-PC, based on a person-centered theoretical framework, incorporating the multidisciplinary palliative care, comprises 4 dimensions; medical-technical competence, physical-technical conditions, identity-oriented approach and sociocultural atmosphere, 12 factors (49 items) and 3 single items. The instrument measures SI and PR. Development of the short form of the QPP-PC was inspired by previously published methodological guidelines. Descriptive statistics, paired t-tests, confirmatory factor analysis and Cronbach's a were used. Results: The short form of QPP-PC consists of 4 dimensions, 20 items and 4 single items. Psychometric evaluation showed a root-mean-square error of approximation (RMSEA) value of 0.109 (SI). Cronbach's a values ranged between 0.64 and 0.85 for most dimensions on SI scales. Scores on SI and PR scales were mostly high. Significantly higher scores for SI than PR were present for the identity-oriented approach dimension, especially on items about information. Conclusion: RMSEA value was slightly above the recommended level. Cronbach's a was acceptable for most dimensions. The short form of QPP-PC shows promising results and may be used with caution as an indicator of person-centered patient-reported experience measures evaluating the multidisciplinary palliative care for patients in a late palliative phase. However, the short version of QPP-PC needs to be further validated using new samples of patients.

Place, publisher, year, edition, pages
DOVE MEDICAL PRESS LTD, 2020
Keywords
Palliative care, person-centered care, patient reported experience measures, quality of healthcare, quality from the patients' perspective specific for palliative care, QPP-PC
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-78992 (URN)10.2147/JMDH.S246184 (DOI)000540828000001 ()2-s2.0-85088223932 (Scopus ID)
Available from: 2020-07-02 Created: 2020-07-02 Last updated: 2020-11-23Bibliographically approved
Andersson, M., Wilde-Larsson, B. & Persenius Wentzel, M. (2020). Oral care quality - do humanity aspects matter?: Nursing staff and older people's perspectives. Nursing Open, 7(3), 857-868
Open this publication in new window or tab >>Oral care quality - do humanity aspects matter?: Nursing staff and older people's perspectives
2020 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 7, no 3, p. 857-868Article in journal (Refereed) Published
Abstract [en]

Aim (a) To describe and compare perceptions of humanity aspects of oral care quality in relation to nursing staff in short-term care units and intensive care units and older people in short-term care units and their person-related conditions; and (b) to compare humanity aspects of oral care quality perceptions between nursing staff and older people in short-term care units. Design Cross-sectional study. Self-reported questionnaire and clinical assessments. Methods Nursing staff (N = 417) and older people (N = 74) completed the modified Quality of Care from a Patient Perspective instrument and person-related items. Older people's oral health status was clinically assessed using the Revised Oral Assessment Guide. Data were analysed using descriptive and analytic statistics. The data were collected from 2013-2016. Results Nursing staff's perceptions of humanity aspects of oral care quality were related to gender, work role and care environment. Older people's perceptions of humanity aspects of oral care quality were related to self-reported physical health. Nursing staff in short-term care units perceived the subjective importance of humanity aspects of oral care quality higher compared with older people in short-term care units.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
nursing staff, older people, oral care, perceptions, quality of care
National Category
Health Sciences
Research subject
Nursing Science; Nursing Science
Identifiers
urn:nbn:se:kau:diva-71819 (URN)10.1002/nop2.461 (DOI)000516108800001 ()
Note

Artikeln publicerad som manuskript i Anderssons doktorsavhandling Oral care quality in intensive care units and short-term care units: Nursing staff and older people's perspectives (2019)

Available from: 2019-04-11 Created: 2019-04-11 Last updated: 2020-04-23Bibliographically approved
Andersson, M., Wilde-Larsson, B. & Persenius Wentzel, M. (2019). Intensive care nurses fail to translate knowledge and skills into practice: A mixed-methods study on perceptions of oral care. Intensive & Critical Care Nursing, 52, 51-60
Open this publication in new window or tab >>Intensive care nurses fail to translate knowledge and skills into practice: A mixed-methods study on perceptions of oral care
2019 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 52, p. 51-60Article in journal (Refereed) Published
Abstract [en]

Objectives: To identify intensive care nurses’ perceptions of oral care according to Coker et al.'s (2013) conceptual framework and to contribute to the knowledge base of oral care in intensive care. Design/methods: This was a concurrent embedded mixed-methods design, with more weight given to the quantitative part. Participants responded to the Nursing Care related to Oral Health questionnaire, including perceptions of oral care antecedents (18 items), defining attributes (17 items), and consequences (6 items) and two open-ended questions. The data were analysed with descriptive and correlation statistics and qualitative content analysis. Setting: Intensive care nurses (n = 88) in six general intensive care units. Results: Intensive care nurses perceived that an important part of nursing care was oral care, especially to intubated patients. They perceived that the nursing staff was competent in oral care skills and had access to different kinds of equipment and supplies to provide oral care. The oral cavity was inspected on a daily basis, mostly without the use of any assessment instruments. Oral care seemed to be task-oriented, and documentation of the patients’ experiences of the oral care process was rare. Conclusions: The antecedents, knowledge and skills are available to provide quality oral care, but intensive care nurses seem to have difficulties translating these components into practice. Thus they might have to shift their task-oriented approach towards oral care to a more person-centred approach in order to be able to meet patients’ needs. © 2018 Elsevier Ltd

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Conceptual framework, Intensive care nurses, Mixed-method, Oral care, adult, article, content analysis, controlled study, documentation, female, human, intensive care unit, language, major clinical study, male, mouth cavity, mouth hygiene, nursing care, nursing staff, perception, quantitative analysis, questionnaire, skill, statistics
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-70243 (URN)10.1016/j.iccn.2018.09.006 (DOI)000463611200009 ()30297151 (PubMedID)2-s2.0-85054505634 (Scopus ID)
Note

Conflict of interest statement: https://doi.org/10.1016/j.iccn.2019.02.001

Available from: 2018-11-22 Created: 2018-11-22 Last updated: 2020-09-03Bibliographically approved
Strandmark K, M., Rahm, G., Rystedt, I., Nordström, G. & Wilde-Larsson, B. (2019). Managing bullying in Swedish workplace settings: A concealed and only partially acknowledged problem. Journal of Nursing Management, 27, 339-346
Open this publication in new window or tab >>Managing bullying in Swedish workplace settings: A concealed and only partially acknowledged problem
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2019 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, p. 339-346Article in journal (Refereed) Published
Abstract [en]

Aim: The purpose of this article was to explore workplace routines and strategies for preventing and managing bullying in the context of health and elderly care. Background: Bullying is a serious problem in workplaces with consequences for the individual, the organisation and the quality of care. Method: Open-ended interviews were conducted with 12 participants, including managers and specialists within one hospital and three municipalities. The interviews were analysed with qualitative content analysis. Results: Bullying was often concealed, due to avoidance, unclear definition and lack of direct strategies against bullying. No preventative work focusing on bullying existed. Psychosocial issues were not prioritized at workplace meetings. The supervisor had the formal responsibility to identify, manage and solve the bullying problem. The most common decision to solve the problem was to split the group. Conclusions: The findings showed that bullying was a concealed problem and was first acknowledged when the problem was acute. Implications for Nursing Management: Crucial strategies to prevent and combat bullying consist of acknowledgement of the problem, transformational leadership, prioritization of psycho-social issues, support of a humanistic value system and work through bullying problems to achieve long-term changes. © 2018 John Wiley & Sons Ltd

Place, publisher, year, edition, pages
Blackwell Publishing Ltd, 2019
Keywords
management, preventative work, solutions, workplace bullying, aged, article, avoidance behavior, bullying, clinical article, content analysis, elderly care, female, human, human experiment, interview, leadership, male, manager, nursing management, responsibility, workplace
National Category
Health Sciences
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-70245 (URN)10.1111/jonm.12668 (DOI)000461576900014 ()2-s2.0-85054593876 (Scopus ID)
Available from: 2018-11-22 Created: 2018-11-22 Last updated: 2019-04-05Bibliographically approved
Andersson, M., Wilde-Larsson, B. & Persenius Wentzel, M. (2019). Oral care: identifying quality improvement areas. International Journal of Health Care Quality Assurance, 32(1), 45-58
Open this publication in new window or tab >>Oral care: identifying quality improvement areas
2019 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 32, no 1, p. 45-58Article in journal (Refereed) Published
Abstract [en]

Purpose: To describe and compare nurses' and healthcare assistants' oral care qualityperceptions, including perceived reality and subjective importance, to identify improvementareas in intensive care and short-term care, and to explore potential nursing satisfactionpredictors regarding oral care.Design/methodology/approach: Swedish staff, 154 within intensive care and 278 withinshort-term care responded to a modified Quality of Care from a Patient Perspectivequestionnaire. Descriptive and analytical statistics were used.Findings: Staff scored oral care quality both high and low in relation to perceived reality andsubjective importance. Improvement areas were identified, despite high satisfaction valuesregarding oral care. Setting, subjective importance, and perceived reality explained 51.5% ofthe variance in staff satisfaction regarding oral care quality.Practical implications: Quality improvements could guide oral care development.Originality/value: This study describes oral care by comparing nurse perceptions of howimportant they perceive different oral care aspects and to what extent these oral care aspectsare performed.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2019
Keywords
Oral care; Quality improvement; Satisfaction; Oral health; Nurses.
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-70819 (URN)10.1108/IJHCQA-09-2017-0176 (DOI)000460932700005 ()
Available from: 2019-01-28 Created: 2019-01-28 Last updated: 2019-04-11Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0001-7082-6834

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