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	<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
	<HTML>






	<HEAD>
	<TITLE>Quality Report 2008</TITLE>
	<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
	<meta name="description" content="">
	<meta name="keywords" content="">
	<style type="text/css">
		@import url(default.css);
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<script type="text/javascript">
//<!--
var ns4 = (document.layers);
var ie  = (document.all);
var ie4 = (ie && !document.getElementById);
var ie5 = (ie && document.getElementById);
var ns6 = (!ie && document.getElementById);

var aryMoused = new Array();
var aryLayerMoused = new Array();
var aryMoImages = new Array();
var imageList = new Array();
var runMouseOvers = true;
var TimerID = null;
var iLimit = 25;
var itmp = 0;

var nbTime = 100;
var nbTimes = 2;
var nbThisLoc = 325;
var aryLayerNames = new Array();
var aryNavBarLayerInfo = new Array();
var aryNavBarLayers = new Array();

var registeredObjects = new Array();
var viz = "hide";

function MOImage() {
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	this.imageMO.src = arg[1];
	this.HTMLname = arg[0];
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}

function BillzImagePreload() {
	// 0) html image name 1) mo image src 2)image Name for rollover key (rollover may have multiple mos for one html Image) 
	var arg = BillzImagePreload.arguments;
	nbImagePreload(arg[0], arg[1], arg[2]);
}

function nbImagePreload(img_name, mo_img_src, rollover_key_img_name) {
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	imageList[imageList.length] = imageKey;
	if (!(aryMoImages[imageKey])) aryMoImages[imageKey] = new MOImage(img_name, mo_img_src);
}

function BillzMouseover() {
	var arg = null;
	if (runMouseOvers) {		
		arg = BillzMouseover.arguments; //args 0)ImageName 1)OriginalSrc 2)array index (caller imagename)		
		nbMouseover(arg[0], arg[1], arg[2]);
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}
// args 1) ImageName 2) OriginalSrc 3) array index (caller imagename)
function nbMouseover(img_name, orig_src, img_key) {
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		if (!(aryMoImages[imageKey].ptrImage)) aryMoImages[imageKey].ptrImage = BillzNavBarMM_findObj(img_name);		
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			o.src = aryMoImages[imageKey].imageMO.src;
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	return true;
}

var NavBarTempOnload = null;
if (window.onload && window.onload != null) NavBarTempOnload = window.onload;

function FullyLoaded() {
	if (NavBarTempOnload != null) NavBarTempOnload();
	runMouseOvers = true;
	return true;
}

function BillzMouseOutTimer() {
	return nbMouseOutTimer();
}

function nbMouseOutTimer() {
	if (TimerID) clearTimeout(TimerID);
	TimerID = setTimeout("nbLayerRestore()",5000);
	return true;
}

function RestoreAll() {
	nbMouseoverRestore();
	nbLayerRestore();
	return true;
}

function BillzMouseoverRestore() {
	return nbMouseoverRestore();
}

function nbMouseoverRestore() {
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	if (runMouseOvers) {
		for (i = 0; i < imageList.length; i++) {
			if (aryMoImages[imageList[i]].Moused && (o = aryMoImages[imageList[i]].ptrImage)) {
				o.src = aryMoImages[imageList[i]].OriginalSrc;
				aryMoImages[imageList[i]].Moused = false;
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}

function BillzLayerRestore() {
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}

function nbLayerRestore() {
	var i = 0;
	for (i = 0; i < aryLayerNames.length; i++) {
		if (!aryNavBarLayerInfo[aryLayerNames[i]].isDefault) BillzNavBarRestoreLayers(aryLayerNames[i]);	
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}

function BillzArrayPushUnique(aryArray, varNewElement) { //only pushes if unique value
	var pushIt = true;
	var i = 0;
	for (i = 0; i < aryArray.length && pushIt; i++) {
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	if (pushIt) BillzArrayPush(aryArray, varNewElement);
	return pushIt;
}

function BillzArrayPush(aryArray, varNewElement) { //Implement Array Push 'cause IE cant handle it
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	return true;
}
function BillzArrayPop(aryArray) { //Implement Array Pop 'cause IE cant handle it before 5.5
	var varItemToPop = null;
	if (aryArray[aryArray.length - 1]) {
		varItemToPop = aryArray[aryArray.length - 1];
		aryArray[aryArray.length] = null;
	}
	return varItemToPop;
}

function getDivRef(id) {
	var divref;
	if(ns4) divref = document.layers[id];
	else if(ie4) divref = document.all[id];
	else if(ie5 || ns6) divref = document.getElementById(id);	
	return divref;
}

//v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
function NavBarSwapRollover(swapimage,defaultimage,imageID) {
	if(imageID.length > 0 && document.getElementById(imageID))
	{
		if(swapimage.length > 0) 
			document.getElementById(imageID).src = "images/" + swapimage;
		else
			document.getElementById(imageID).src = "images/" + defaultimage;		
	}
}
function BillzNavBarMM_findObj(n, d) {
	var p,i,x;
	if (ns6) x = document.getElementById(n);
	else {		
		if (registeredObjects[n]) return registeredObjects[n];
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		try {
			p = n.indexOf("?");
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			d = parent.frames[n.substring(p+1)].document;
			n = n.substring(0,p);
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		if (!(x = d[n]) && d.all) x = d.all[n];	
		for (i = 0; !x && i < d.forms.length; i++) {
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		for (i=0; !x && d.layers && i < d.layers.length; i++) {
			if (d.layers[i].id.indexOf("external_") == -1) x = BillzNavBarMM_findObj(n, d.layers[i].document);	
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		registeredObjects[n] = x;
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}

function BillzArrayContains() {
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	var foundit = false;
	var i = 0;
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	return foundit;
}

function NavBarRegisterLayer() {
	var arg = NavBarRegisterLayer.arguments;
	var n = arg[0];
	var d = arg[1];
	var mo = false;
	var o = null;
	if (arg[2] && arg[2] == 'MOutLayer') mo = true;
	else mo = false;
	
	if (!(BillzArrayContains(aryLayerNames, n))) {
		if (o = BillzNavBarMM_findObj(n)) {
			aryNavBarLayers[n] = o;
			BillzArrayPushUnique(aryLayerNames, n);
			aryNavBarLayerInfo[n] = new NavBarLayer(n, d, mo);
		}
	}
	return true;
}

function BillzNavBarMM_showHideLayers() {
	//v3.0 name changed, this function complements of MM Dreamweaver with customizations by Bill Heller
	var i = 0;
	var x = "";
	var obj = null;
	var v = null;
	var p = null;
	var args = BillzNavBarMM_showHideLayers.arguments;
	
	if (args[args.length - 1] != "menu") nbMouseOutTimer();
	for (i = 0; i < (args.length - 2); i += 3) {
		if (!aryNavBarLayers[args[i]]) {
			x = (args[i + 2] == 'show') ? 'hide' : 'show';
			NavBarRegisterLayer(args[i], x);
		}
		if ((obj = aryNavBarLayers[args[i]]) != null) {
			v = args[i + 2];
			aryNavBarLayerInfo[args[i]].isDefault = false;
			if (args[args.length - 1] == "restore") v = (v == 'show') ? 'hide' : 'show';
			
			if (obj.style) obj.style.visibility = (v == 'show') ? 'visible' : ((v == 'hide') ? 'hidden' : v);
			else obj.visibility = v;
		}
	}
	return true;
}

function BillzNavBarRestoreLayers() {
	var i = 0;
	var x = "";
	var obj = null;
	var v = null;
	var p = null;
	var args = BillzNavBarRestoreLayers.arguments;
	for (i = 0; i < (args.length); i++) {
		if (obj = aryNavBarLayers[args[i]]) {
			v = aryNavBarLayerInfo[args[i]].defaultVisibility;
			if (obj.style) {
				obj = obj.style;
				v = (v == 'show' ) ? 'visible' : ((v == 'hide') ? 'hidden' : v);
			}
			obj.visibility = v;
			if (!aryNavBarLayerInfo[args[i]].MOutLayer) aryNavBarLayerInfo[args[i]].isDefault = true;			
		}
	}
	return true;
}

function NavBarLayer() {
	var arg = NavBarLayer.arguments;
	this.defaultVisibility = arg[1];
	this.isDefault = true;
	this.MOutLayer = arg[2];
	return true;
}

function BillzNavMove() {
	return nbNavMove();
}

function nbNavMove() {
	var thisl = null;
	var otherl = null;
	if (thisl = BillzNavBarMM_findObj("nbScrollLayer")) {
		if (thisl.style) {
			thisl = thisl.style;
			viz = "hidden";
		} 
		thisl.top = nbThisLoc -= 3;
		if (nbThisLoc < -750) {
			nbThisLoc = 325;
			nbTimes--;
		}
	}
	if (nbTimes <= 0) {
		otherl = BillzNavBarMM_findObj("BillzLayer");
		otherl.visibility = viz;
	} else {
		setTimeout("nbNavMove()", nbTime);
	}	
	return true;
}

function NavBar_openadmin() {
	window.open('admin/','SiteAdmin','height=screen.availheight,width=screen.availwidth,scrollbars=1,toolbar=0,directories=0,status=0,menubar=0,resizable=1');
	return true;
}

window.onload = FullyLoaded;
//-->
</script>
					
<script type="text/javascript">
//<!--
				
nbImagePreload('tnav_patient_1_1','images/tnav_patient_on.jpg', '');
nbImagePreload('tnav_calendar_1_2','images/tnav_calendar_on.jpg', '');
nbImagePreload('tnav_news_1_3','images/tnav_news_on.jpg', '');
nbImagePreload('tnav_associate_1_4','images/tnav_associate_on.jpg', '');
nbImagePreload('tnav_phys_1_5','images/tnav_phys_on.jpg', '');

//-->
</script>
<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
	document.cookie = cookieClear.toUpperCase() + "=false";
	if(cookievalue.length > 0)
		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
	if(navVersion.length > 0)	
		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
	if(cookievalue.length > 0)
		document.cookie = name.toUpperCase() + "=" + escape(cookievalue);	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;		
}
function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
}
function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
	for (i = 0; i < a_all_cookies.length; i++)
	{		
		a_temp_cookie = a_all_cookies[i].split( '=' );			
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
	}	
}
		
//-->
</script>
			
				
<script type="text/javascript">
//<!--
				
nbImagePreload('Nav_Bullet_2_1','images/bulletmo.jpg', '');
nbImagePreload('Nav_Bullet_2_2','images/bulletmo.jpg', '');
nbImagePreload('Nav_Bullet_2_3','images/bulletmo.jpg', '');
nbImagePreload('Nav_Bullet_2_4','images/bulletmo.jpg', '');
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nbImagePreload('Nav_Bullet_2_12','images/bulletmo.jpg', '');
nbImagePreload('Nav_Bullet_2_13','images/bulletmo.jpg', '');
nbImagePreload('Nav_Bullet_2_14','images/bulletmo.jpg', '');
nbImagePreload('Nav_Bullet_2_15','images/bulletmo.jpg', '');
nbImagePreload('Nav_Bullet_2_16','images/bulletmo.jpg', '');

//-->
</script>
<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
	document.cookie = cookieClear.toUpperCase() + "=false";
	if(cookievalue.length > 0)
		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
	if(navVersion.length > 0)	
		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
	if(cookievalue.length > 0)
		document.cookie = name.toUpperCase() + "=" + escape(cookievalue);	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;		
}
function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
}
function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
	for (i = 0; i < a_all_cookies.length; i++)
	{		
		a_temp_cookie = a_all_cookies[i].split( '=' );			
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
			document.cookie = cookie_name.toUpperCase() + "=";			 	
	}	
}
		
//-->
</script>
			
			<style type="text/css">
				span.teaserSummary {font-weight:normal;}
				span.teaserDate {font-weight:normal;}
				th.teaser {font-weight:normal; align-text:left;}
				table.teaser {padding:5px;}
			</style>
		
				
<script type="text/javascript">
//<!--
				
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			  <span class="title">Quality Report 2008</span><br><br>
			  







	<p>
From Munroe&#39;s founding in 1898, quality of patient care has been at the forefront of our mission. This tradition continues and is accelerating, making Munroe Regional Medical Center the acknowledged leader in providing advanced comprehensive care to Marion County and beyond. 
</p>
<p>
Our excellence is reflected in how the community perceives us, culminating in our repeated Consumer&#39;s Choice awards; in how our community physicians choose to use our facilities, with the majority of the&nbsp;market share in services provided; and in how external agencies rate us, with numerous awards and recognitions listed in the Quality Report. 
</p>
<p>
Munroe Regional continues to make a profound impact on the quality of life in our community. We are the sole provider of obstetrical services in Marion County, with nearly 3,000 births annually. We are also the sole provider of hospital pediatrics care. 
</p>
<p>
Cardiovascular disease is the primary burden of illness in Marion County, and Munroe Regional has responded to this need by developing a nationally recognized heart program over the last 20 years. From inception in 1988, our open-heart surgery program has performed over 11,000 procedures with outcomes that rival the best in the nation. Our cardiac catheterization program is recognized as the #1 Cath Program in Florida for Coronary Interventions for the second straight year and top 4% in the nation by HealthGrades. 
</p>
Support for the care of the most ill patients is vital to the health of any community and our intensive care units are recognized as among the best in the nation. The Association of Critical Care Nurses has awarded Munroe Regional&#39;s ICU with their Beacon Award as a best in class program. Only five organizations in the country, and none in Florida, have equaled this achievement. Beginning in 2009, our intensive care units will be enhanced by maintaining a critical care trained physician in the units on a continuous, 24 hours a day basis. Few hospitals can provide this kind of service. 
<p>
Quality is not an outcome, but is a journey. On the following pages are many of the stories that tell where Munroe Regional has pursued excellence and where our journey is taking us, and our community, in leading healthcare for Marion County. Please feel free to download the entire Quality Report, or any individual sections you may be interested in. For further information, please contact Cynthia Prewitt, Executive Director of Quality Management, at (352) 351-7210. 
</p>
<p>
&nbsp;
</p>
Stephen A. Purves, FACHE<br />
President and Chief Executive Officer 
<p>
&nbsp;
</p>
<p>
Lon H. McPherson, MD<br />
Senior Vice President, Medical Affairs 
</p>
<p align="center">
Quality Report Download Links 
</p>
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All files are in PDF format. 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/QUALITY%20REPORT%202008a.pdf">Quality Report 2008&nbsp;(The entire report is 1.93 mb, 74 pages.)</a>&nbsp; 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Table%20of%20Contents.pdf">Table of Contents</a>&nbsp; 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_intro%20letter.pdf">Introduction Letter</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Mission%20Statement.pdf">Mission Statement</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Munroe%20History.pdf">Munroe History</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Recent%20Accolades.pdf">Recent Accolades</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%201_Quality%20Score.pdf">Section 1 - Quality Score</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%202_Patient%20Safety.pdf">Section 2 - Patient Safety</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%203_Heart%20Care.pdf">Section 3 - Heart Care</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%204_Surgical%20Care.pdf">Section 4 - Surgical Care</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%205_Critical%20Care.pdf">Section 5 - Critical Care</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%206_Medicine.pdf">Section 6 - Medicine</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%207_Diabetes%20Healthways.pdf">Section 7 - Diabetes Healthways</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%208_Bariatric.pdf">Section 8 - Bariatrics</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%209_Infection%20Control.pdf">Section 9 - Infection Control</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%2010_Women%20and%20Childrens%20Health.pdf">Section 10 - Women and Children&#39;s Health</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%2011_Stroke%20Center.pdf">Section 11 - Stroke Care</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%2012_Patient%20Loyalty.pdf">Section 12 - Patient Loyalty</a> 
</p>
<p align="left">
<a href="http://www.munroeregional.com/documents/Quality%20Reports/Quality%20Report_Section%2013_Performance%20Improvement.pdf">Section 13 - Performance Improvement</a> 
</p>


 

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