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Постановление Правительства Нижегородской области от 26.04.2013 № 274

+-------------------+------------------------------------------------------+

 

                                    

                2. Текст Мероприятия 6 Подпрограммы 1

 

                      2.1. Содержание проблемы

     Показатель смертности от самоубийств  в Нижегородской  области:

взрослые - 16,6%  (РФ -  21%), детей -  0,9% (РФ  - 3,5%), наряду  с

завершенными суицидами  отмечается  значительное число  суицидальных

попыток.

     Наибольшую озабоченность вызывает   наличие   суицидов    среди

детского  и   подросткового   контингента.  Показатель   завершенных

суицидальных попыток среди детей  до 18 лет в Нижегородской  области

составил: в 2009  году - 25  случаев или 4,52  на 100 тыс.  детского

населения, в  2010 году  -  14 случаев  (2,55 на  100 тыс.  детского

населения), в 2011 - 6 случаев (1,1), в 2012 году - 4 случая (0,73).

Российский показатель составляет 3,5 на 100 тыс. детского населения.

     Несмотря на значительную  положительную  динамику,   количество

незавершенных суицидов  среди  детей остается  практически на  одном

уровне (26-30 случаев в год).

     Основными причинами суицидального   поведения    у   детей    и

подростков служат:

     - конфликты на почве романтических отношений;

     - конфликты со сверстниками;

     - семейные конфликты;

     - наличие личностных проблем, психические заболевания.

     В возрастном аспекте наибольшее количество суицидальных попыток

приходится на возраст  от 10  до  16 лет  в семьях  социопатического

типа, а  также среди  детей  с ограниченными  возможностями, в  т.ч.

умственными нарушениями.

     С целью профилактики суицидального поведения детей и подростков

в Нижегородской   области  с   2011   года  внедрен   ежеквартальный

мониторинг суицидальных попыток среди детей и подростков с указанием

причины.  Организационно-методическую  работу осуществляет  ГБУЗ  НО

"Нижегородская областная клиническая психиатрическая больница №1 им.

П.П.Кащенко".  С  целью обеспечения  доступности  психологической  и

психиатрической  помощи  населению  по  профилактике   суицидального

поведения обучены  14 специалистов  (10 психиатров  и 4  медицинских

психолога) по вопросам суицидологи.

     В Нижегородской области число  обращений в  связи с  кризисными

состояниями и суицидальным поведением в отделения "Телефон  доверия"

и  кабинеты социально-психологической  помощи  составило 11393,  что

указывает  на  большую  востребованность  в  оказании  данного  вида

помощи.

     Вывод: необходима активизация     информационной      кампании,

направленной на профилактику  суицидов, развитие инфраструктуры  для

организации суицидологической помощи населению, в том числе детям  и

подросткам,  подготовка  кадров  для  обеспечения  суицидологической

помощи.

     

               2.2. Цель и задачи Мероприятия 6 Подпрограммы 1

                                       

     Целью является снижение распространенности завершенных суицидов

по Нижегородской области, в том числе среди детей и подростков.

     Задачи: 

     1. Повышение информированности различных групп населения, в том

числе детей  и  подростков   для  раннего  распознавания   признаков

суицидального поведения и оказания помощи;

     2. Развитие инфраструктуры  для  организации  суицидологической

помощи населению, в том числе детям и подросткам;

     3. Подготовка кадров для обеспечения суицидологической помощи.

                                    

                      2.3. Сроки и этапы реализации

                                    

     Сроки реализации мероприятия 2013-2017 годы, реализуется в один

этап.

      

                     2.4. Система программных мероприятий

                         Мероприятия 6 Подпрограммы 1

 

                                                                                                                                                    

                                                                                                                                                    

+-----+----------------------+-------------+----------------+----------------+---------------------------------------------------------------------+

|    |     Наименование     |  Категория  |      Сроки     |   Исполнители  |    Объем финансирования по годам в разрезе источников (тыс. руб.)   |

| п/п |      мероприятия     |   расходов  |   выполнения   |   мероприятий  |                                                                     |

|     |                      |             |                |                |                                                                     |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|                            |             |                |                |              |      2013|      2014|      2015|      2016|      2017|

|                            |             |                |                |              |          |          |          |          |          |

+----------------------------+-------------+----------------+----------------+--------------+----------+----------+----------+----------+----------+

| Цель - Снижение распространенности завершенных суицидов                    | Всего, в т.ч.|   0,00   |   0,00   |   0,00   |   0,00   |   0,00   |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |  федеральный |     0    |     0    |     0    |     0    |     0    |

|                                                                            |    бюджет    |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |   областной  |     0    |     0    |     0    |     0    |     0    |

|                                                                            |    бюджет    |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |   террито-   |     0    |     0    |     0    |     0    |     0    |

|                                                                            | риальный фонд|          |          |          |          |          |

|                                                                            |      ОМС     |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |  юридические |     0    |     0    |     0    |     0    |     0    |

|                                                                            |     лица     |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |     иные     |     0    |     0    |     0    |     0    |     0    |

|                                                                            |   источники  |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

+----------------------------------------------------------------------------+--------------+----------+----------+----------+----------+----------+

| Задача 1. Повышение информированности различных групп населения, в том     | Всего, в т.ч.|     0    |     0    |     0    |     0    |     0    |

| числе, детей и подростков для раннего распознавания признаков суицидального|              |          |          |          |          |          |

| поведения и оказания помощи.                                               |              |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |  федеральный |     0    |     0    |     0    |     0    |     0    |

|                                                                            |    бюджет    |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |   областной  |     0    |     0    |     0    |     0    |     0    |

|                                                                            |    бюджет    |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |   террито-   |     0    |     0    |     0    |     0    |     0    |

|                                                                            | риальный фонд|          |          |          |          |          |

|                                                                            |      ОМС     |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |  юридические |     0    |     0    |     0    |     0    |     0    |

|                                                                            |     лица     |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |     иные     |     0    |     0    |     0    |     0    |     0    |

|                                                                            |   источники  |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

+-----+----------------------+-------------+----------------+----------------+--------------+----------+----------+----------+----------+----------+

| 1.1.| Обеспечить реализацию|    Прочие   |    2013-2017   |  Мининформ НО  | Всего, в т.ч.|     0    |     0    |     0    |     0    |     0    |

|     | информационных       |   расходы   |                |                |              |          |          |          |          |          |

|     | проектов             |             |                |                |              |          |          |          |          |          |

|     | Нижегородской области|             |                |                |              |          |          |          |          |          |

|     | по профилактике      |             |                |                |              |          |          |          |          |          |

|     | суицидов по программе|             |                |                |              |          |          |          |          |          |

|     | размещения           |             |                |                |              |          |          |          |          |          |

|     | государственного     |             |                |                |              |          |          |          |          |          |

|     | заказа в сфере       |             |                |                |              |          |          |          |          |          |

|     | печатных СМИ         |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |  федеральный |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |    бюджет    |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |   областной  |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |    бюджет    |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |   террито-   |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                | риальный фонд|          |          |          |          |          |

|     |                      |             |                |                |      ОМС     |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |  юридические |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |     лица     |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |     иные     |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |   источники  |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

+-----+----------------------+-------------+----------------+----------------+--------------+----------+----------+----------+----------+----------+

| 1.2.| Разработка и         |    Прочие   |    2013-2017   |   Минздрав НО  | Всего, в т.ч.|     0    |     0    |     0    |     0    |     0    |

|     | тиражирование        |   расходы   |                |                |              |          |          |          |          |          |

|     | буклетов, памяток,   |             |                |                |              |          |          |          |          |          |

|     | плакатов для         |             |                |                |              |          |          |          |          |          |

|     | различных групп      |             |                |                |              |          |          |          |          |          |

|     | взрослого и детского |             |                |                |              |          |          |          |          |          |

|     | населения            |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |  федеральный |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |    бюджет    |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |   областной  |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |    бюджет    |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |   террито-   |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                | риальный фонд|          |          |          |          |          |

|     |                      |             |                |                |      ОМС     |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |  юридические |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |     лица     |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |     иные     |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |   источники  |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

+-----+----------------------+-------------+----------------+----------------+--------------+----------+----------+----------+----------+----------+

| 1.3.| Осуществление        |    Прочие   |    2013-2017   |  Минздрав НО,  | Всего, в т.ч.|     0    |     0    |     0    |     0    |     0    |

|     | мониторинга          |   расходы   |                | ГБУЗ НО "НОПНБ |              |          |          |          |          |          |

|     | суицидальных попыток |             |                |       №1"      |              |          |          |          |          |          |

|     | у несовершеннолетних |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |  федеральный |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |    бюджет    |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |   областной  |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |    бюджет    |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |   террито-   |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                | риальный фонд|          |          |          |          |          |

|     |                      |             |                |                |      ОМС     |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |  юридические |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |     лица     |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |     иные     |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |   источники  |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

+-----+----------------------+-------------+----------------+----------------+--------------+----------+----------+----------+----------+----------+

| 1.4.| Создание, развитие и |    Прочие   |    2013-2017   |  Минздрав НО,  | Всего, в т.ч.|     0    |     0    |     0    |     0    |     0    |

|     | продвижение          |   расходы   |                | ГБУЗ НО "НОПНБ |              |          |          |          |          |          |

|     | интернет-ресурса     |             |                |       №1"      |              |          |          |          |          |          |

|     | (сайта)              |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |  федеральный |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |    бюджет    |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |   областной  |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |    бюджет    |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |   террито-   |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                | риальный фонд|          |          |          |          |          |

|     |                      |             |                |                |      ОМС     |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |  юридические |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |     лица     |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |     иные     |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |   источники  |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

+-----+----------------------+-------------+----------------+----------------+--------------+----------+----------+----------+----------+----------+

| Задача 2. Развитие инфраструктуры для организации суицидологической помощи | Всего, в т.ч.|     0    |     0    |     0    |     0    |     0    |

| населению, в том числе, детям и подросткам                                 |              |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |  федеральный |     0    |     0    |     0    |     0    |     0    |

|                                                                            |    бюджет    |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |   областной  |     0    |     0    |     0    |     0    |     0    |

|                                                                            |    бюджет    |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |   террито-   |     0    |     0    |     0    |     0    |     0    |

|                                                                            | риальный фонд|          |          |          |          |          |

|                                                                            |      ОМС     |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |  юридические |     0    |     0    |     0    |     0    |     0    |

|                                                                            |     лица     |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |     иные     |     0    |     0    |     0    |     0    |     0    |

|                                                                            |   источники  |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

+-----+----------------------+-------------+----------------+----------------+--------------+----------+----------+----------+----------+----------+

| 2.1.| Создание 8 отделений |    Прочие   |    2013-2017   |  Минздрав НО,  | Всего, в т.ч.|     0    |     0    |     0    |     0    |     0    |

|     | "Телефон доверия" на |   расходы   |                | ГБУЗ НО "НОНД",|              |          |          |          |          |          |

|     | базе лечебно-        |             |                |     ГБУЗ НО    |              |          |          |          |          |          |

|     | профилактических     |             |                |   "Городецкая  |              |          |          |          |          |          |

|     | учреждений (ГБУЗ НО  |             |                |  ЦРБ", ГБУЗ НО |              |          |          |          |          |          |

|     | "Городецкая ЦРБ",    |             |                |  "Воротынская  |              |          |          |          |          |          |

|     | ГБУЗ НО "Воротынская |             |                |  ЦРБ", ГБУЗ НО |              |          |          |          |          |          |

|     | ЦРБ", ГБУЗ НО        |             |                |  "Навашинская  |              |          |          |          |          |          |

|     | "Навашинская ЦРБ",   |             |                |  ЦРБ", ГБУЗ НО |              |          |          |          |          |          |

|     | ГБУЗ НО "Лысковская  |             |                |   "Лысковская  |              |          |          |          |          |          |

|     | "ЦРБ", ГБУЗ НО       |             |                | "ЦРБ", ГБУЗ НО |              |          |          |          |          |          |

|     | "Уренская ЦРБ", ГБУЗ |             |                | "Уренская ЦРБ",|              |          |          |          |          |          |

|     | НО "Балахнинская     |             |                |     ГБУЗ НО    |              |          |          |          |          |          |

|     | ЦРБ", ГБУЗ НО        |             |                |  "Балахнинская |              |          |          |          |          |          |

|     | "Павловская ЦРБ",    |             |                |  ЦРБ", ГБУЗ НО |              |          |          |          |          |          |

|     | ГБУЗ НО "Починковская|             |                |   "Павловская  |              |          |          |          |          |          |

|     | ЦРБ")                |             |                |  ЦРБ", ГБУЗ НО |              |          |          |          |          |          |

|     |                      |             |                |  "Починковская |              |          |          |          |          |          |

|     |                      |             |                |      ЦРБ"      |              |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |  федеральный |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |    бюджет    |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |   областной  |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |    бюджет    |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |   террито-   |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                | риальный фонд|          |          |          |          |          |

|     |                      |             |                |                |      ОМС     |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |  юридические |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |     лица     |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

|     |                      |             |                |                +--------------+----------+----------+----------+----------+----------+

|     |                      |             |                |                |     иные     |     0    |     0    |     0    |     0    |     0    |

|     |                      |             |                |                |   источники  |          |          |          |          |          |

|     |                      |             |                |                |              |          |          |          |          |          |

+-----+----------------------+-------------+----------------+----------------+--------------+----------+----------+----------+----------+----------+

| Задача 3. Подготовка кадров для обеспечения помощи при суицидах.           | Всего, в т.ч.|     0    |     0    |     0    |     0    |     0    |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |  федеральный |     0    |     0    |     0    |     0    |     0    |

|                                                                            |    бюджет    |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |   областной  |     0    |     0    |     0    |     0    |     0    |

|                                                                            |    бюджет    |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |   террито-   |     0    |     0    |     0    |     0    |     0    |

|                                                                            | риальный фонд|          |          |          |          |          |

|                                                                            |      ОМС     |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |  юридические |     0    |     0    |     0    |     0    |     0    |

|                                                                            |     лица     |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

|                                                                            +--------------+----------+----------+----------+----------+----------+

|                                                                            |     иные     |     0    |     0    |     0    |     0    |     0    |

|                                                                            |   источники  |          |          |          |          |          |

|                                                                            |              |          |          |          |          |          |

+-----+----------------------+-------------+----------------+----------------+--------------+----------+----------+----------+----------+----------+

| 3.1.| Подготовка           |    Прочие   |    2013-2017   |  Минздрав НО,  | Всего, в т.ч.|     0    |     0    |     0    |     0    |     0    |

|     | медицинских          |   расходы   |                |     НижГМА     |              |          |          |          |          |          |

|     | работников для       |             |                |                |              |          |          |          |          |          |

|     | обеспечения помощи   |             |                |                |              |          |          |          |          |          |

|     | лицам с кризисными   |             |                |                |              |          |          |          |          |          |

|     | состояниями и        |             |                |                |              |          |          |          |          |          |


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