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Dr. Anoli Jobalia

BPTh/BPT

Physiotherapist, Mumbai

5 Years Experience
Dr. Anoli Jobalia BPTh/BPT Physiotherapist, Mumbai
5 Years Experience
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Anoli Jobalia
Dr. Anoli Jobalia is one of the best Physiotherapists in Santacruz, Mumbai. She has had many happy patients in her 5 years of journey as a Physiotherapist. She is a qualified BPTh/BPT . She is currently associated with Anoli Jobalia in Santacruz, Mumbai. Save your time and book an appointment online with Dr. Anoli Jobalia on Lybrate.com.

Lybrate.com has a nexus of the most experienced Physiotherapists in India. You will find Physiotherapists with more than 35 years of experience on Lybrate.com. You can find Physiotherapists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
BPTh/BPT - K. J. Somaiya College Of Physiotherapy, Mumbai - 2012
Languages spoken
English
Hindi
Professional Memberships
Indian Association of Physiotherapist
All India Occupational Therapists Association (AIOTA)
All India Occupational Therapists Association (AIOTA)

Location

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Maheshwar Prakash No.1, Flat. No.11, Jain Derasar Marg, Near. Poddar School, Santacruz (W)Mumbai Get Directions
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Problem of legs. Knees paining very much. Not paining much while walking or standing. But after sitting for long time, not able to stand up quickly. After sitting for sometime, while getting up knees and shin start paining very much. Any solution or medicine for this?

MBBS, MD - Physical Medicine & Rehabilitation
Pain Management Specialist, Jaipur
Problem of legs. Knees paining very much. Not paining much while walking or standing. But after sitting for long time...
Hello Mr. lybrate-user Knee pain in age 85 years is usually due to osteoarthritis knee. This leads to inflammation in knee and resulting stiffness in knee. Get a x-ray knee-AP/Lateral in standing position. We need to see your investigations and discuss your problem in detail. I can't write medicines here without proper diagnosis. Kindly consult me in private for complete treatment. Thank u.
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Hi my age is 28 M am suffering from sprained ankle . I am taking sazo 500 mg. It's working as pain is less. But problem is that I have to take it daily. Can you please advice me is there any alternative to avoid medicine on daily basis.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
For immediate self-care of an ankle sprain, try the r. I. C. E. Approach: rest. Avoid activities that cause pain, swelling or discomfort. Ice. Use an ice pack or slush bath immediately for 15 to 20 minutes and repeat every two to three hours while you're awake. If you have vascular disease, diabetes or decreased sensation, talk with your doctor before applying ice. Compression. To help stop swelling, compress the ankle with an elastic bandage until the swelling stops. Don't hinder circulation by wrapping too tightly. Begin wrapping at the end farthest from your heart. Elevation. To reduce swelling, elevate your ankle above the level of your heart, especially at night. Gravity helps reduce swelling by draining excess fluid. Here are some things you can do to help prevent a sprained ankle. Warm up before you exercise or play sports. Be careful when walking, running or working on an uneven surface. Wear shoes that fit well and are made for your activity. Don't wear high-heeled shoes. Don't play sports or participate in activities for which you are not conditioned. Maintain good muscle strength and flexibility. Practice stability training, including balance exercises. Best wishes.
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I am suffering from pain at the hip region for about 2weeks. Would you please suggest some treatment?

Fellowship in Joint Replacement, MS - Orthopaedics
Orthopedist, Dhamtari
I am suffering from pain at the hip region for about 2weeks. Would you please suggest some treatment?
Hip region pain pain should be treated carefully as it can be due to various problems which can be serious sometimes. If your pain started spontaneously i. E without any injury and movements of hip joint are restricted then it should be investigated with x rays if it is simple muscle strain then it can be treated with rest and medicines please consult with x rays and details.
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My operation for knee surgery has been done before 1 month. Now doctor had told me to do phsiyo therapy. My question is. Is it mandate to do that therapy.

M.S. -ORTHO, Fellowship In hip and Knee Replacement Surgery
Orthopedist, Surat
My operation for knee surgery has been done before 1 month. Now doctor had told me to do phsiyo therapy. My question ...
Lybrate-user, please follow your doc advice. It's mandatory to do physio or exercise if you are operated or not. Please do proper physio at least 3 month.
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I am having some pain in my left knee. It might be my ligament. Which might be streched while playing. Tell me some measures so that I can keep my ligament well in shape while playing.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Swing 20 times morning and evenings. This will relieve your problem. In case it continues consult a acupuncture/acupressure dr. In your place. Also take calcium tablets for a limited period 2 months. Wear a knee cap when your are playing.
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She has fallen from chair she can not bend down and can not sit n the back bone is paining so much what remedies she should take.

BHMS
Homeopath, Kolkata
She has fallen from chair she can not bend down and can not sit n the back bone is paining so much what remedies she ...
Please take homoeopathic medicine leopards bane 200/3 dose Twice on the first day, once next day. Get an X ray done of spine and pelvis, AP & Lat. Review after 2 days with the reports or consult a doctor in your locality.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

I am suffering with ankylosis spondylitis already left hip replaced right now my spine movements getting lost right hip movement is also difficult any permanent cure for this disease?

DNB (Orthopedics)
Orthopedist, Pune
At present no permanent cure for ankylosing spondylosis. There are newer drugs but you need to select drugs carefully as many have side effects. Preventing or controling further damage is important. Swimming walking yoga bhujangasan is important.
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I had back pain problem from last 2months my job is sitting in chair doing work so please help.

Cert.MDT (Mckenzie spine Therapist), CMP, MPTh/MPT, CDNT
Physiotherapist, Gurgaon
I had back pain problem from last 2months my job is sitting in chair doing work so please help.
Do hot fomentation twice daily. Postural correction- always sit with a small pillow at your low back. Sit tall, walk tall. Extension exercises like bridging and bhujang asana x twice daily. Sleep on your back with a pillow under your knees or on your sides with a pillow between your knees. And get vit d levels checked. Go for regular walks follow 30-30 rule when at work. After every 30 min of work. Do 30 sec of stretching or stand and walk a bit.
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I am diabetic and suffering from hypertension. Both are in control. From last few days I have a pain in right foot x-ray reveals nothing. I also feel much weakness.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. For me to advise on this I will need to understand which part of your foot is affected, front or heel region? is there any s/s of infection or inflammation around the affected part like swelling, redness in skin, local warmth on touch etc? please sen me your x rays and a clinical picture so that I can see and advise accordingly. Do not hesitate to contact me if you need any further assistance.
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Hello sir, Why is there pain and swelling in ankle, wrist, joints and shoulder pain even after 10 days of fever. What are the remedies. please suggest.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Hello sir, Why is there pain and swelling in ankle, wrist, joints and shoulder pain even after 10 days of fever. What...
This may remain for one month. Take more liquids- milk, tea, water, soups, narial pani, neebupani, ors. Take fruits like papaya. Anar apple take adequate rest for med contact on private chat.
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I'm 28 year old. I'm having lower back cramps. After medication I lost pain but intermittently I get the pain. What I can do get relieve from this problem.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I'm 28 year old. I'm having lower back cramps. After medication I lost pain but intermittently I get the pain. What I...
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily – Lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana? Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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I am ill, I have very pain in back and also a fever in last 2 days I am very si k in last two or three days.

BHMS
Homeopath, Faridabad
I am ill, I have very pain in back and also a fever in last 2 days I am very si k in last two or three days.
First of all you should take rest for 1-2 days so that your body can fight with underlying infection with its full immunity and start the below medication:- Take gelesemium 200, twice daily . Take Eupatrium perf 200, 5 drops thrice daily.Take Antifebrinum 3x, 2 tabs , thrice daily. Take Alfavena malt, 1 tsf, thrice daily. Drink lots of water and take light homemade food like dalia and khichdi, avoid oily, spicy, fried, junk and cold drinks. In case of high uncontrollable fever, don't panic you should do cold sponging to lower down the temperature.If fever does not goes then go for a set of blood tests. Revert me with feedback. Take care of your health.GOOD DAY.
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I am suffering from neck back pain from last 1 year, I am male 23. Why is it so? taken many medicines precribed by doctors as well as x-ray but nothing happens. Still there is always pain.

BPTh/BPT
Physiotherapist, Delhi
Start with physiotherapy sessions and learn exercise for cervical. Don't sit on floors. Don't lift heavy things. Take calcium and methylcobalamine supplement with glucosamine for three months minimum.
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My mother is an home maker. She aged 60 she suffering from joint pains please tell me about cure like medicines and what type of food eating.

BHMS
Homeopath, Faridabad
My mother is an home maker. She aged 60 she suffering from joint pains please tell me about cure like medicines and w...
Hello, We can't reverse the established pathology back, but we can control the process in the stage it is so that it wouldn't grow further. Medication: Give her Schwabe's Biocombination-19/ thrice daily and apply Topi-MP gel over the knees. Also, increase her dietary intake of calcium which is present in green leafy vegetables, milk, milk products, sea food, white legumes, dried fig, black-eyed peas, almonds, oranges, seasame seeds. And vitamin D which is essential for absorption of calcium in our body and is synthesized naturally after getting exposed to sunlight, so early morning sunlight for 10-15min., 2-3 times a day is mandatory. Apart from this, let her do walk daily along with physiotherapy will also help you.
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Maire mummy ki age 50 years hai or unko ghutno or kamar main bahut dard rehta hai .please suggest me any ayurvedic treatment or home remedy.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Maire mummy ki age 50 years hai or unko ghutno or kamar main bahut dard rehta hai .please suggest me any ayurvedic tr...
according her age its arthritis .X-Ray must. tk calcium supplements . do hot fomentations. avoid toward bending lifting weight. long standing, long sitting, for spine do gently stretch ur back muscle. for knee ...put a towel roll under knee and press for 10 second then release repeat 10 time twice a day. if it work then OK otherwise physiotherapy treatment must.
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I get blood clots during my periods flow. Is heavy Blood loss a problem in periods. Kindly inform me. I'm 19 years and living in a hostel and I get severe pain in my back and stomach is this a serious issue?

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I get blood clots during my periods flow. Is heavy Blood loss a problem in periods. Kindly inform me. I'm 19 years an...
If you have severe pain as usual then normal flow. It may be due infection and due to lack of fibres diet. Take healthy diet and iron rich foods in diet avoid spicy things and junk foods. If still problem will remain then consult to doctor.
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Am suffering from severe back pain often. Underwent a Cesarean section 3 years back. Please help with some tips.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Am suffering from severe back pain often. Underwent a Cesarean section 3 years back. Please help with some tips.
heat formation twice a day light spine exercise like extension and bridges. Avoid forward bending. Avoid heavy weight. Avoid long sitting and standing .
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Sir, I am having a dull lower back pain on either sides of spine. Which is persistent since four days. Please say what could be the reason and what should I do?

B.Sc,BHMS
Homeopath, Lucknow
Sir, I am having a dull lower back pain on either sides of spine. Which is persistent since four days. Please say wha...
Please correct your posture and go to physiotherapist and take medicine Ruta 200 two times in a day for 4 days.
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