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Title Medical Center Acute Care
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Candidate's Name , MD, CPE, CPPS, FACPStreet Address  ~ PHONE NUMBER AVAILABLE ~ EMAIL AVAILABLESENIOR PHYSICIAN EXECUTIVEAdministrative Leadership / Performance Management / Strategic PlanningSenior Physician Executive and Dynamic Leader with expertise in healthcare administration and graduate medical education. Proven track record of successfully leading in progressively dynamic and challenging positions. Excellent presentation and communication skills with additional strengths in:Quality Assurance/ExcellenceProgram Development/OptimizerData Analysis/CredibleInformation Technology/AuthenticityPatient Safety/HRO ChampionUtilization Review/Orchestrator ofChangeLeadership ExperienceCAREWELL HEALTH MEDICAL CENTEROct. 15, 2023  Jan. 26, 2024East Orange, New JerseyCareWell Health Medical Center is an acute care community hospital in East Orange, NJ. CareWell Health Medical Center is accredited by The Joint Commission and licensed by the State of New Jersey. It is certified to operate  acute care beds. It is the sole independent, acute care hospital in Essex County, NJ, and provides care to the East Orange, NJ community as well as the surrounding areas. CareWell Health delivers a broad array of cutting-edge services, including genomic testing to individualize patient treatment plans. CareWell Health strives to improve the health of the community by working collaboratively to provide high quality, efficient, safe and accessible health care services with the utmost respect and compassion.Chief Medical OfficerResponsible for executive oversight of all medical staff affairs and medical staff departments. Duties included, but were not limited to, clinical performance, interdepartmental physician challenges, accreditations as well as surveys. Additional responsibilities included coordination of the medical staff functions with hospital departments and the hospital administration. Care Management/Social Work/Utilization Departments, Infection Prevention/Infection Control Department, Quality/Outcomes Department, Medical Affairs Department, Center for Wound Healing and Hyberbaric Medicine, Hospitalist service and all employed and contracted providers directly reported to the CMO.AccomplishmentsReduction in ALOS (GMLOS/ALOS variance decreased to 0.00)Reduction in denialsRe-opening of WHC/Hyperbaric MedicineSuccessful recruitment of MSO manager, CM manager, Quality/Infection Control/Regulatory directorSuccessful physician recruitmentED throughput managementManagement of application backlogMaintenance of low re-admission rate (7-8%)Chief Medical OfficerHACKENSACK MERIDIAN HEALTHBAYSHORE MEDICAL CENTEROct. 1, 2017- May 1, 2023Holmdel, New JerseyHackensack Meridian Health (HMH) Bayshore Medical Center is an acute care community hospital in Monmouth County, NJ. HMH Bayshore Medical Center is accredited by the Joint Commission and licensed by the State of New Jersey. It is certified to operate 211 acute care beds. Bayshore Medical Center is a Leapfrog A rated hospital and has received Leapfrog A ratings five consecutive times. Bayshore Medical Center was ranked as a Top General Hospital by the Leapfrog Group in 2020. Bayshore Medical Center provides care to our Holmdel, NJ community as well as to patients from NJ as a whole and NY state. Our Mission is the Transformation of Health Care and being recognized as the leader of positive change. Our Vision is to have Innovation in our DNA, compelling us to create a world where the highest quality care is human-centered, accessible, and affordable; we deliver outcomes that matter most; and excellence is the standard. We believe in Creativity, I will do my part to make thighs better; in Courageousness, I will do the right thing; In Compassion, I am the human experience; in Collaboration, I embrace teamwork; in Connection, I am part of something bigger.Chief Medical OfficerResponsible for the executive oversight of the medical staff affairs and medical staff departments including clinical performance, interdepartmental physician issues, accreditations as well as surveys and coordination of the medical staff functions with hospital departments. Additionally, Care Management, Infection Prevention/Infection Control, Quality/Outcomes Department, Medical Affairs Department, Hospitalist service directly reported to me.Accomplishments:Leapfrog A rating, 3 times consecutivelyTJC triannual visit without conditional citationsNJ DOH Gold Award for ASPAchieved all Quality Goals (Readmissions, HAIs, Mortality) for 2021Oversight of Safety and Quality throughout COVID-19 pandemicMember of daily network clinical COVID-19 huddleCo-chaired H/H compliance and MRSA prevention committees for the networkMentored physicians in the network Academy for Physician Leadership DevelopmentOversaw successful implementation of EpicConducted Specialty/Subspecialty Gap Analysis and Telemetry Services Survey for HMHInstitutionsConducted Hospital Epidemiologist Survey for HMH InstitutionsChief Medical OfficerEASTON HOSPITAL2011- 2017Easton, PennsylvaniaEaston Hospital is an acute care community teaching hospital and regional tertiary-care referral center in Northampton County, Pennsylvania. Easton Hospital is accredited by the Joint Commission and licensed by the Commonwealth of Pennsylvania. It is certified to operate 254 acute care beds. It serves over 400,000 residents in Northampton County and surrounding counties of Pennsylvania as well as bordering New Jersey. Easton Hospital offers a broad array of primary, specialty, and subspecialty services, including family medicine, and extending to vascular and cardiothoracic surgery as well as bariatric surgery.Since 2001, Easton Hospital has remained part of Community Health Systems (CHS). CHS is a for-profit network of 154 hospitals in 33 states. Easton Hospital maintains a local administration and board of trustees. Its mission is to deliver outstanding health care and medical education. Our staff of approximately 400 physicians provides state-of-the-art, compassionate care to our citizens and continues to fulfill its mission.Chief Medical OfficerResponsible for the executive oversight of the medical staff affairs and medical staff departments including clinical performance, interdepartmental physician issues, accreditations as well as surveys and coordination of the medical staff functions with hospital departments. Additionally, Care Management, Infection Prevention/Infection Control, Quality/Outcomes Department, Medical Affairs Department, Hospitalist service directly reported to me.Accomplishments:Increased HCAHPS scores in effective communication with physicians to a total of 85 % top boxSuccessfully increased physician participation in satisfaction survey and improved physician satisfaction three years in a row (2015 participation rate 69%).Led multiple successful Joint Commission SurveysDecreased LOS and increased CMI index to an overall LOS/CMI ratio of 2.5Successfully decreased readmission rate (e.g. COPD readmission rate decreased from 18% to 9% below national average)Instrumental in the successful EHR implementation (Cerner)Successful participation in VBP programsDecreased SSER since implementation of the High Reliability OrganizationCreated and implemented successful Quality/Safety initiativesSuccessful implementation of Antibiotic Stewardship Program at hospital and corporate levelInstrumental in the implementation of Telestroke servicesSuccessful physician recruitmentImproved and standardized peer review processDirector of Medical Education / Chief Academic OfficerCoordinates and monitors educational programs provided throughout the institution to assure compliance with defined institutional goals and policies and accreditation standards set forward by affiliated medical schools, the ACGME, ACCME, PMS, LCME, and other relevant entities. This includes oversight over medical staff education, residency programs, and student rotations.Accomplishments:Successfully established a new affiliation with The Commonwealth Medical College, Scranton, PA in 2015Increased research activity of residency programsMaintained high quality CME programACGME Designated Institutional OfficerThe Designated Institutional Officer oversees the residency programs and ensures that institutional goals and policies are followed in accordance with ACGME rules and regulations.Accomplishments:Instrumental in the successful surgical residency program re-accreditation at highest achievable level (5 years without citation)Led the successful internal medicine re-accreditation at highest level (10-year self-study cycle)Successful institutional ACGME site visit (4 years, 2 minor citations)Improvement of overall residency program performances (e.g. 100% board pass rate in internal medicine)Lead CLER site visit on 11/8 and 11/9/16ST. LUKES WARREN HOSPITAL 2008-2011Phillipsburg, New JerseySt. Lukes Warren Hospital is a community hospital with 140 beds in Phillipsburg, NJ. The hospitals emergency room sees approximately 30,000 patients annually.Medical Director, St. Lukes Warren Hospital Wound Healing CenterResponsible for overseeing patient care, including review of outcomes as well as providing oversight and guidance on policies and procedures.Accomplishments:Participated in successful accreditation of the Wound Healing programProviding consistent high quality and safe careEnsured volume growth of Wound Healing CenterProfessional ExperienceHACKENSACK MERIDIAN HEALTH/BAYSHORE MEDICAL CENTER April 2020  presentActive Staff, Department of MedicineHACKENSACK MERIDIAN HEALTH/BAYSHORE MEDICAL CENTER Oct 2017  March 2020Affiliate Staff, Department of MedicineNORTHAMPTON INFECTIOUS DISEASE PHYSICIAN ASSOCIATES, PC 2012 - 2017Bethlehem, PAPresidentWARRENHOSPITAL 2004 - 2015Warren, NJCourtesy Staff, Department of MedicineSt. Lukes WARREN HOSPITAL WOUND HEALING CENTER 2008 - 2011Phillipsburg, NJMedical DirectorEASTON HOSPITAL 2004 - 2018Easton, PAActive Staff, Department of MedicineWARRENHOSPITAL 2 004 - 2015Warren, NJCourtesy Staff, Department of MedicineKINDRED HOSPITAL 2004 - 2014Easton, PAConsulting Staff, Department of MedicineST. LUKES HOSPITAL & HEALTH NETWORK 2004 - 2012Allentown, PAActive Staff, Department of MedicineINFECTIOUS DISEASE ASSOCIATES OF LEHIGH VALLEY, PC 2004 -2012Easton, PAPartnerMEMORIAL SLOAN-KETTERING CANCER CENTER 2003 - 2004MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASESNew York, NYClinical Assistant PhysicianEducation/Medical TrainingMEMORIAL SLOAN-KETTERING CANCER CENTERNew York, New YorkSpecial Fellow, Infectious Disease Service, Department of Medicine 2000- 2002YALE UNIVERSITY SCHOOL OF MEDICINENew Haven, ConnecticutFellowship, Section of Infectious Diseases, Department of Internal Medicine 1998-2000THE ALBERT EINSTEIN COLLEGE OF MEDICINEBronx, New YorkResident, Department of Internal Medicine 1995-1998RHEINISCHE FRIEDRICH-WILHELMS UNIVERSITT/ST. NIKOLAUS STIFTS HOSPITALBonn, GermanyResident, Department of Internal Medicine 1992-1995RHEINISCHE FRIEDRICH-WILHELMS UNIVERSITYBonn, Germany, Doctor of Medicine 1992Faculty AppointmentsHACKENSACK MERIDIAN SCHOOL OF MEDICINE 2018 - 2023AT SETON HALL UNIVERSITYNutley, NJAssociate Professor, Department of Internal MedicineDREXEL UNIVERSITY COLLEGE OF MEDICINE 2011 - PresentPhiladelphia, PAClinical Associate Professor, Department of MedicineMEMORIAL SLOAN-KETTERING CANCER CENTER 2003-2004MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASESNew York, NYClinical Assistant Physician, Division of Medicine, Department of MedicineWEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY 2001-2004Ithaca, NYInstructor in MedicineMEMORIAL SLOAN-KETTERING CANCER CENTER 2000-2003MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASESNew York, NYInstructor, Division of General Medicine, Department of MedicineLicensure and CertificationPennsylvania State Medical License New Jersey State Medical License New York State Medical License (inactive) Board Certified, Internal Medicine Board Certified, Infectious Disease Certified Physician Executive (CPE) endorsed by the American Association of Physician Leaders and awarded by the Certifying Commission in Medical Management Certification Program (CCMM)Certified Professional in Patient Safety (CPPS)Hackensack Meridian (HMH) Committee involvementAd hoc member, Hackensack Meridian School of Medicine Promotions Committee Chair, HMH Chief Medical Officer Committee; Co-Chair, HMH Laboratory Stewardship Committee Co-Chair, HMH Hand Hygiene Task Force Physician Champion, HMH MRSA Prevention Task Force Member, HMH Leadership COVID-19 Huddle Member, HMH COVID-19 Infection Prevention Committee Member, HMH Scarce Resource Allocation Committee; e Member, HMH Governance Subcommittee Member, HMH Care Transformation Subcommittee Member, HMH APP Counsel Lead, HMH Clinical Infectious Disease Work Group Member, HMH Infection Control Committee Member, HMH HAI Prevention Charter Member, HMH C. difficile Charter Member, HMH ASP Committee Member HMH Sepsis Steering Committee Member, HMH Readmission Charter Member, HMH Safety CouncilCommunity Health Systems (CHS) Committee InvolvementMember, Antimicrobial Stewardship Task Force, Member, Formulary Management Committee 2015Member, Executive Clinical Documentation Improvement Council, 2016 Member, Physician Automation Clinical Leadership Forum, 2012 Member, Cerner  Physician Advisory Group, 2012 Member, EMR/EHR Policy Task Force 2016 Pilot Site for Cerner Federated Order Sets 2016LOCAL COMMITTEE INVOLVEMENTAttended all hospital committee meetings as well as Graduate Medical Education Committee, Institutional Review Board, Residency Review Committee Medical Staff Treasurer Elect, EastonHospital, 2010-2012 Elected Member, Medical Executive Committee, Easton Hospital, 2010-2012Elected Member, Credentialing Committee, Easton Hospital, 2006-2008 Ad hoc Member, Review of Clinical Protocols Committee, Infectious Diseases Service, Memorial Sloan-Kettering Cancer CenterProfessional AffiliationsAmerican College of Physicians Infectious Diseases Society of America Pennsylvania Medical Society HIV Medicine Association Northampton County Medical Society American Association of Physician Leadership New Jersey Physician Executive Constituency GroupEDUCATIONAL/CLINICAL ACTIVITIESDeveloped new Physician Leadership elective for senior medical students at 2022 - presentHackensack Meridian School of MedicineMentoring students at Hackensack Meridian School of Medicine 2022 - presentMentor, HMH Physician Leadership Development Program for attending physicians 2018-presentASP Lecture at HMH Bayshore Medical Center 2/2022Oversight over weekly Continues Educational Lectures at HMH Bayshore Medical Center 2017 - presentCo-moderator on HRO at HMH Bayshore Medical Center 2020/2021Presentation on COVID-19 at HMH Bayshore Medical Center 12/2020Pre-elective surgery COVID-19 testing guidelines 4/2020Weekly teaching rounds and presentations/lectures in Infectious Diseases for 2005  2017medical students and internal medicine residents, Easton Hospital, Easton, PAUpdegrove Research Day panel member 2013  2017Monthly seminar to DUCOM students on UTI/STDs 07/2012  9/2017Year-round presentations to Easton Hospital Medical Staff and Residents on 7/2011- 9/2017Safety/High Reliability, HCAHPS, CMI/LOS, Re-admissions,Meaningful Use, Quality Ratings, Antibiotic Stewardship,VBP, Health Care Transformation/Practice TransformationMember of the Abstract Review Board for the ACP National Fall 2016Abstract CompetitionsInvited Lecture: Antimicrobial Stewardship; 2016 IDSA/ATS Pneumonia Treatment Fall 2016Guidelines. Easton Hospital Grand Rounds, Easton Hospital, Easton, PAPresentation on HCAHPS to CHS Leadership 5/2013Invited Lecture: Methicillin-resistant Staphylococcus aureus. Family Practice Summer 2008Medicine Residency Program, St Lukes Hospital, Bethlehem, PAInvited Lecture: Infections in nursing home residents. Family Practice Summer 2008Medicine Residency Program, St. Lukes Hospital, Bethlehem, PAInvited Lecture: Pneumonia. Family Practice Medicine Residency Program, Summer 2006St. Lukes Hospital, Bethlehem, PAInvited Lecture: Coxiella, Ehrlichia, Rickettsia. Family Practice Medicine Summer 2006Residency Program, St. Lukes Hospital, Bethlehem, PACertification in Hyperbaric Medicine and Problem Wound Management, 01/2006The Woodlands, TXInvited Lecture: Neutropenic Fever, Easton Hospital Grand Rounds, Easton, PA Fall 2004Morning Report / Intake Rounds for medical residents, 2003 - 2004Memorial Sloan-Kettering Cancer Center, New York, NYInvited Lecture: Coxiella, Ehrlichia, Rickettsia. Advanced Topics Fall 2001& 2002in Infectious Diseases, Memorial Sloan-Kettering Cancer Center, New York, NYImmunology/Microbiology/Pathogenesis Meeting, Savannah, GA Spring 2002Invited Lecture: Listeria monocytogenes as a human pathogen at the 09/2000Listeria, Issues and Strategies meeting University of Connecticut, Farmington, CTFUNDING/RESEARCH SUPPORTMSKCC Translational and Integrative Medicine Research Fund: 10/2003  06/2004Cytokine Profiles in Autologous Stem Cell Transplantation.KO8 Award (NIH) 07/2001  06/2004In vivo Mechanisms of CD8 T cell mediated Antimicrobial Activity;PI: Candidate's Name ; Mentor: Eric G. PamerRESEARCH EXPERIENCEIRB protocol #MRDESL001: Vancomycin in the Aging Population: 2015  2017Are drawing trough levels prior to steady state a novel idea or wasteof healthcare dollars. PI: Brianna da Silva, MD; Co-Authors:Candidate's Name , MD; Richie Manikat, MD; Sunny Petigara, MD;David Livert, PhDIn-hospital Implementation of High Frequency Chest Wall Oscillation 2012  2014IRB protocol #AC-RT 001: Risk Factors of Recurrent Clostridium Difficile Infection: 11/2010  2012 Retrospective Analysis. PI: Aylin Colpan, MD; Co-Investigator and Faculty Sponsor:Candidate's Name , MD; Department of Internal Medicine, Easton Hospital, Easton, PAIRB protocol # 02-082: Cytokine profiles in autologous stem cell transplant patients. 10/2002  06/2004PI: Candidate's Name ; Co-PIs: Drs. Eric G. Pamer, Stephen Nimer, Tarun Kewalramani;Collaborative study with Dr. Stephen Nimer; Memorial Sloan-Kettering Cancer Center,New York, NYRetroviral transduction of human T cell in collaboration with Dr. Michel Sadelain 02/2001  07/2002Research on T cell responses to Listeria monocytogenes infection in 08/1999  09/2002the laboratory of Dr. Eric G. Pamer at the Yale University School of MedicineDoctoral Thesis on Pneumocystis carinii pneumonia in Patients with AIDS, 10/1989  09/1992Rheinische Friedrich Wilhelms Universitaet Bonn, GermanyPublications/BibliographyJames Mauro, PharmD1; Saman Kannagara2,MD; Candidate's Name ,MD3,4 Rigorous antibiotic stewardship in the hospitalized elderly population: saving lives and decreasing cost of inpatient care. Journal of Antimicrobial Chemotherapy-Antimicrobial Resistance. 2021; doi:10.1093/jacamr/dlab118Mauro J, Kannangara S, Tuma R. Optimizing Clinical Outcomes in Geriatric Patients through a Multidisciplinary Hospital Antimicrobial Stewardship Program. Open Forum Infectious Diseases. 2020. 7 (Supplement1); S56. https://doi.org/10.1093/ofid/ofaa439.121Brian N, Ip A, Ahn J,  Tuma RA,  et al. Tocilizumab among patients with COVID-19 in the intensive care unit: a multicentre observational study. Lancet Rheum. 2020; 2(10): e603-e612.Mauro J, Kannangara S, Tuma R, et al. Antimicrobial Stewardship Program (ASP) Efforts to Reduce Antimicrobial Usage in Geriatric Patients without Affecting Outcomes.Open Forum Infectious Diseases. 2018; 5 (suppl 1): S105. https://doi.org/10.1093/ofid/ofy210.257Mini Kamboj, Brite J, Aslam A, , Candidate's Name , Kent Sepkowitz. Artificial Differences in Clostridium Infection Rates Associated with Disparity in Testing. Emerging Infectious Diseases, Volume 24, Number 3, March 2018.Tuma R, Almyroudis N, Sohn S, Pangeas K, Rice R, Galinkin D, Blain M, Montefusco M, Pamer E, Nimer S, Kewalramani T. The serum IL-12:IL-6 ratio reliably distinguishes infectious from non-infectious causes of fever during autologous stem cell transplantation. Cytotherapy 2006; 8(4): 327-34.Tuma RA, Giannino R, Guirnalda P, Leiner I, Pamer EG. Rescue of CD8 T cell-mediated anti-microbial immunity with a non-specific inflammatory stimulus. J Clin Invest 2002 Nov; 110(10): 1493-1501.Tuma RA, Pamer EG. Homeostasis of nave, effector and memory CD8 T cells.Curr Opin Immunol 2002 June; 14(3):348-353.Lauvau G, Vijh S, Kong P, Horng T, Kerksiek K, Serbina N, Tuma RA, Pamer EG. Priming of memory but not effector CD8 T cells by a killed bacterial vaccine. Science 2001 Nov 23; 294(5547): 1735-9.Lawrence C, Tuma R, Guha S, Micheal H, Lowy F, Shuter J. Multiple antibiotic changes during the first 72 hours of hospitalization. Am J Med Sci 2001 Aug; 322(2): 61- 67.Research PresentationsJames Mauro, PharmD1; Saman Kannagara2,MD; Candidate's Name ,MD3,4 Winter 2022Rigorous antibiotic stewardship in the hospitalized elderly population:saving lives and decreasing cost of inpatient care. HMH Bayshore Medical CenterJames Mauro, PharmD1; Saman Kannagara2, MD; Candidate's Name , MD3,4 Optimizing Fall 2020Clinical Outcomes in Geriatric Patients through a Multidisciplinary Hospital AntimicrobialStewardship Program. 1Department of Pharmacy, Easton Hospital, Easton, PA;2Department of Internal Medicine, Division of Infectious Diseases, Easton Hospital, PA;3Department of Internal Medicine, Hackensack Meridian Health, Bayshore Medical Center,Holmdel, NJ; 4Department of Medicine, Hackensack Meridian Health School of Medicineat Seton Hall University, Nutley, NJ. Abstract submitted to annual IDSA meeting.James Mauro, PharmD; Saman Kannagara, MD; Candidate's Name , MD; David Livert, PhD. 10/2018Antimicrobial Stewardship Program (ASP) Efforts to Reduce Antimicrobial Usagein Geriatric Patients without Adversely Affecting Outcomes. Department of Medicine,Easton Hospital, Academic Affiliate of Drexel University College of Medicine.Abstract annual IDSA meeting.Tuma RA, Davis A, Kannangara S, Mauro J, Snyder R, Krishnamurthy M. 10/2018Alexander Fleming Made a Bacteria Killer- Our Humble Attempt Not toMake Killer Bacteria. Presented at the annual IDSA meeting.Vancomycin and Acute Kidney Injury In the Elderly Population: A Retrospective 10/2016and Exploratory Study. Brianna da Silva MD, Richie Manikat MD, David Livert PhD,Candidate's Name  MD. Dept. of Medicine, Easton Hospital, Academic Affiliate ofDrexel University, Easton, PA. Presentation at the annual meeting of the PA Medical Society.Dykstra F, Oza R, Tuma RA. Epidermal growth factor receptor antibody 02/2007therapy leading to severe acne-like exudative folliculitis of scalp with hair loss
Case presentation. Poster presentation at Diversified Clinical ServicesLeadership Conference, Orlando, Florida.Invited Seminar: Rescue of CD8 T cell-mediated anti-microbial immunity 06/2003with a non-specific inflammatory stimulus. Institut National de la Sante etde la Recherche Medicale - E0344Universite de Nice-Sophia AntipolisInstitute de Pharmacologie Moleculaire et Cellulaire, 660 route des Lucioles
06560 Valbonne, FranceMemorial Sloan Kettering Cancer Center Sloan-Kettering Fall 2003 Institute/Weill College of Medicine, Cornell University,Department of Immunobiology Retreat, New Palz, NYMemorial Sloan Kettering Cancer Center Sloan-Kettering Fall 2003 Institute/Weill College of Medicine, Cornell University,Department of Immunobiology Retreat, New Palz, NYImmunology/Microbiology/Pathogenesis Meeting Savannah, GA Spring 2002Poster and podium presentations on Optimizing Adoptive Immunity: Yearly 2001-2004Protecting the Susceptible by transferring Antigen specific T cells:Adoptive Immunity Fall 2003Memorial Sloan Kettering Cancer Center/Sloan-KetteringInstitute/Weill College of Medicine, Cornell University,Department of Immunobiology Retreat, New Palz, NYImmunobiology Meeting, Keystone Colorado Fall 2001Yale University, Department of Immunobiology Retreat, Woodshole, MA Fall 1998/99

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