Who antenatal care guidelines 2021 pdf


World Health Organization. (‎2020)‎. WHO antenatal care recommendations for a positive pregnancy experience: nutritional interventions update: multiple micronutrient supplements during pregnancy. World Health Organization. https://apps.who.int/iris/handle/10665/333561. License: CC BY-NC-SA 3.0 IGO. Description This comprehensive WHO guideline provides global, evidence-informed recommendations on routine antenatal care. The guidance aims to capture the complex nature of the issues surrounding ANC health care practices and delivery and to prioritize person-centred health and well-being, not only the prevention of death and morbidity, in accordance with a human rights-based approach This chapter will outline the ANC package,highlighting the shift to a four-visit model of focused antenatal care for the majority of women.We describe the current coverage and trends in Africa and explore opportunities to strengthen antenatal care at the health facility,through outreach and in the community

WHO antenatal care recommendations for a positive

B.1.3: Clinical enquiry about the possibility of intimate partner violence (IPV) should be strongly considered at antenatal care visits when assessing conditions that may be caused or complicated by IPV in order to improve clinical diagnosis and subsequent care, where there is the capacity to provide a supportive response (including referral where appropriate) and where the WHO minimum requirements are met 2 WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience and context-specific interventions. The recommended interventions span five categories: routine antenatal nutrition , maternal and fetal assessment, preventive measures , interventions for management of commo Launch of WHO antenatal care guidelines. The World Health Organization has issued a new series of recommendations to improve quality of antenatal care to reduce the risk of stillbirths and pregnancy complications and give women a positive pregnancy experience. By focusing on a positive pregnancy experience, these new guidelines seek to ensure not.

In 2016, the World Health Organization (WHO) released comprehensive recommendations on antenatal care [bmjgh-2020-002605supp001.pdf] Step 3: monitoring framework for routine ANC. The monitoring framework depicting core and context-specific indicators for the new WHO ANC model. Guideline Antenatal Care Schedule: hospital-led care Uncontrolled document when printed Published: 27/07/2020 Page 1 of 6 1. Purpose This guideline outlines the antenatal care schedule and care strategies for women receiving antenatal care at the Women's. A summary is provided for the clinical and educational content to be covered at each visit PDF | Background: Increasingly, WHO recommendations are defined by context-specific factors and WHO is developing strategies to ensure that... | Find, read and cite all the research you need on. antenatal care is essential to detecting common complications of pregnancy such as pre-eclampsia, gestational diabetes and asymptomatic urine infection. Current WHO guidance recommends a minimum of eight antenatal contacts for low-risk women.1 There is

antenatal care as a specific goal, namely Access by all pregnant women to prenatal care, trained attendants during childbirth and referral facilities for high-risk pregnancies and obstetric emergencies Published: 22 June 2020; Development of the WHO Antenatal Care Recommendations Adaptation Toolkit: a standardised approach for countries. Maria Barreix ORCID: orcid.org/0000-0003-3613-9672 1, Theresa A. Lawrie ORCID: orcid.org/0000-0002-5500-8590 2, Nancy Kidula ORCID: orcid.org/0000-0002-3447-244X 3 WHO recommends a minimum of four antenatal visits based on a review of the effectiveness of different models of antenatal care. WHO guidelines are specific on the content of antenatal care visits, which should include: blood pressure measurement; urine testing for bacteriuria and proteinuria; blood testing to detect syphilis and severe anaemi

The principles outlined in this section apply to all aspects of the Antenatal care guideline. 1.1.1 . Antenatal information . . Antenatal information should be given to pregnant women according to the following schedule. • At the first contact with a healthcare professional: - folic acid supplementatio Guidelines for Perinatal Care was developed through the cooperative efforts of the American Academy of Pediatrics (AAP) Committee on Fetus and Newborn and the American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetri

PDF | On Nov 5, 2018, Thembelihle Sylvia Patience Ngxongo published Basic Antenatal Care Approach to Antenatal Care Service Provision | Find, read and cite all the research you need on ResearchGat WHO recommends, in its antenatal care guidelines, a minimum of eight antenatal care contacts as an interven-tion necessary to reduce perinatal mortality.1 In response to the launch of WHO's guidelines in 2016, an increasing number of countries raised the minimum number of antenatal care contacts from four to eight 1. Protect maternity care providers and the maternal health workforce 2. Provide safe and effective maternity care to women 3. Maintain and protect maternal health systems Detailed practical recommendations across these 3 prongs are outlined for antenatal care, intrapartum and postnatal care Disability: Infertility generates disability (an impairment of function), and thus access to health care falls under the Convention on the Rights of Persons with Disability. An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability) V1 Effective: April 2020 Review: April 2021 -19 (Novel Coronavirus) Antenatal, postnatal and newborn care during the COVID-19 pandemic. Where possible, face-to-face antenatal care that is usually provided in a hospital based maternity outpatients department may be provided in the community and be supported by telehealth

The Pregnancy Care Guidelines are designed to support Australian maternity services to provide high-quality, evidence-based antenatal care to healthy pregnant women. They are intended for all health professionals who contribute to antenatal care including midwives, obstetricians, general practitioners, practice nurses, maternal and child health. Zambia is in the process of preparing to pilot a new national policy enforcing a minimum of eight antenatal care contacts as one of 25 early adopting countries of the 2016 WHO guidelines. In subdistrict five of Lusaka province where Chawama First-Level Hospital and eight health centres or posts are located, a total of 188 physicians, nurses, and midwives work to serve 403 000 people in the local catchment area care, as described in your care. Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off-label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding. 1.

June 2010: The recommendations about smoking in pregnancy in section 1.3.10 of thi s guideline have been further developed in how to stop smoking in pregnancy and following childbirth NICE guideline PH26. We have removed the following recommendation from the antenatal care guideline, as well as the quick reference guide and informatio This guideline presents a chronological sequence of prenatal care that is based on scientific evidence, recommendations of the US Public Health Service, clinical judgment regarding effectiveness of identifying and modifying risk, and the success of medical and psychosocial interventions. The sequence of prenatal care, including History Please list any policies/guidelines this document will supercede: Protocol for the care of women in labour who have not accessed antenatal care Date approved by Group: November 2021 Next Review / Guideline Expiry: November 2024 Please indicate key words you wish to be linked to document Antenatal, antenatal care, unbooke Healthcare professionals involved in the antenatal management of pregnancies conceived using ART must understand the potential risks and how best to manage them. Since the care of multiple pregnancies has been covered elsewhere, this Review focuses solely on the antenatal management of singleton pregnancies conceived using ART. The Clinical Practice Guidelines: Pregnancy Care (the Guidelines) continue the process of providing high quality evidence-based guidance to maternity service providers and the consumers of their care. This process started in 2008 with the development of Module I (Clinical Practice Guidelines: Antenatal Care), and its subsequent release in 2012

Prevalence of tuberculosis, by HIV status, among pregnantPerinatal Dergi / Makale

WHO recommendations on antenatal care for a positive pregnancy Download full-text PDF Read full-text. Download full Methods An online survey was conducted between June and July 2020 EUR/02/5035043 30062 ORIGINAL: ENGLISH UNEDITED E79235 ABSTRACT Much has changed in antenatal, perinatal and postpartum care in recent decades, and many of the changes have arisen from a questioning - and i

CLINICAL PRACTICE GUIDELINE ANTENATAL ROUTINE ENQUIRY REGARDING VIOLENCE IN THE HOME 4 1. Purpose and Scope The purpose of this guideline is to improve the management of domestic violence in pregnancy. These guidelines are intended for healthcare professionals, particularly those i Antenatal care for healthy pregnant women: a mapping of interventions from existing guidelines to inform the development of new WHO guidance on antenatal care [2015] BMJ Global Health Implementation of the new WHO antenatal care model for a positive pregnancy experience: a monitoring framework [2020

PDF | The 2016 WHO guideline on routine antenatal care (ANC) recommends several health systems interventions to improve quality of care and increase use... | Find, read and cite all the research. Objectives To describe new WHO 2020 guidelines on physical activity and sedentary behaviour. Methods The guidelines were developed in accordance with WHO protocols. An expert Guideline Development Group reviewed evidence to assess associations between physical activity and sedentary behaviour for an agreed set of health outcomes and population groups All women should continue to have routine antenatal care with their midwifery team (e.g. to include blood pressure and urinalysis), when they are not seeing their maternal medicine team, where possible. Further guidance on this is available in the RCOG guidance on antenatal and postnatal services in the evolving coronavirus (COVID-19) pandemic 1.1.4 Commissioners should involve women and their families in determining local needs and how these might be met.. 1.1.5 Those responsible for the organisation of local maternity services should enable women to take a copy of their hand-held maternity notes when moving from one area or hospital to another.. Training for healthcare staff. 1.1.6 Healthcare professionals should be given training. Individual micronutrients recommended by the WHO during pregnancy. The 2016 WHO recommendations on routine antenatal care (ANC) for pregnant women and adolescent girls provide comprehensive guidance on the practice, organisation and delivery of ANC and prioritise woman-centred care to facilitate a positive pregnancy experience.4 Recognising that ANC provides a strategic platform for important.

v3.1 Updated 19/05/2020 Review date: 26/05/2020 RCM Clinical Guidance Briefing One Uploaded: 20/05/20 1 Topic Antenatal Care for women without suspected or confirmed COVID-19 and living in a symptom free household Potential impact of Covid-19 in this topic are AAFP Releases Position Paper on Preconception care [Practice Guidelines] 01/01/2020 Antepartum Omega-3 Fatty Acid Intake and Length of Gestation Self-Care: 04/15/2020 For low-risk pregnancies, it is acceptable to adjust the routine prenatal visit schedule to align with the WHO Antenatal Care Model (2016) (7), Society of Obstetrics and Gynecologist (SOGC) COVID-19 guideline (8), Interim Nova Scotia Guideline (9), and American Journal of Obstetrics and Gynecology MFM Guidance for COVID-19 (10) The antenatal care schedule should comply with that recommended by the NICE antenatal care guideline,24 with specific reviews as shown in Appendices II and III. NICE25 pathways may also be used as guides when devising appropriate local clinical care pathways

Hepatitis B virus infection among HIV-infected pregnant

maternity journey; antenatal, labour and postnatal care. More than half of women (54%) said that none of the midwives involved in their postnatal care had been involved in either their antenatal care or their labour. Further, 37% of women said they saw the same midwife every time during their antenatal check-ups. Twenty healthcare professionals in giving children the best start in life (21). The need for universal access to high quality antenatal education is therefore firmly on the health policy agenda. A national approach to antenatal education is now required in order to deliver on key policy recommendations, to mee Introduction Early access to adequate antenatal care (ANC) from skilled providers is crucial for detecting and preventing obstetric complications of pregnancy. We aimed to assess factors associated with the utilisation of the new WHO ANC guidelines including the recommended number, on time initiation and adequate components of ANC contacts in Myanmar This guideline covers recommendations for the diagnosis, assessment, care and timing of birth of women presenting with suspected PPROM from 24+0 to 36+6 weeks of gestation. It also addresses care in a subsequent pregnancy. Published 18/06/2019. Care of Women with Obesity in Pregnancy (Green-top Guideline No. 72

WHO recommendations on antenatal care for a positive

WHO Recommendations on Antenatal Care for a Positive

  1. 4.3.1 Antenatal care for women with Pre-Existing Diabetes (Types 1 & 2) and 01/01/2020 2 ©Milton • While women with diabetes in pregnancy continue to receive routine antenatal care, the guideline focuses on extra care according to their clinical need
  2. 2. General guidelines for obstetric health care providers 5 3. Specific obstetric management considerations 6 3.1 Medical history 6 3.2 Information to be shared with pregnant women 6 3.3 Do's and don'ts for obstetric care providers in COVID-19 Pandemic 6 4. Management of COVID-19 in pregnancy 7 4.1 Flowchart 7 4.2 Antenatal care
  3. Information for pregnant women and their families. These Q&As were updated on 23 April 2021 and relate to the Coronavirus (COVID-19) infection in pregnancy - guidance for healthcare professionals: Version 13 - 19 February 2021 published by the Royal College of Obstetricians and Gynaecologists, Royal College of Midwives and Royal College of Paediatrics and Child Health, with input from the.
  4. WHO publishes clinical, public health policy, and data recommendations to advise countries on health interventions and evidence-based practices for improving the health of individuals and populations. This includes recommendations on who provides health interventions, how they are delivered, and accountability mechanisms. WHO produces international standards for priority indicators, as well as.
  5. Key Points español 中文 (chinese) . Question Do women who experience imprisonment in Ontario, Canada, have adequate antenatal care?. Findings In this cohort study of 626 pregnancies during time in prison and 2327 pregnancies in women with time in prison but not while pregnant, of the women who experienced imprisonment during pregnancy, 30.8% had a first-trimester visit, 48.4% had 8 or more.

WHO Launch of WHO antenatal care guideline

Implementation of the new WHO antenatal care model for a

(PDF) Development of the WHO Antenatal Care

GUIDELINES FOR MATERNITY CARE IN SOUTH AFRICA National Department of Health, Republic of South Africa Fourth Edition A manual for clinics, community health centres and district hospitals . 2 ACKNOWLEDGEMENTS CHAPTER 4: ANTENATAL CARE. Introduction. Antenatal care (ANC) is considered important in preventing adverse outcomes in pregnancy, childbirth and puerperium [].The World Health Organization (WHO) established that ANC provides a platform for various health functions, including health promotion and disease prevention, screening and diagnosis according to appropriate evidence-based practices [2, 3]

Our estimates are based on tentative assumptions and represent a wide range of outcomes. Nonetheless, they show that, if routine health care is disrupted and access to food is decreased (as a result of unavoidable shocks, health system collapse, or intentional choices made in responding to the pandemic), the increase in child and maternal deaths will be devastating different group practice than the physician(s) and other health care professionals supplying the routine antepartum care, modifier 25 is not necessary. D. E/M Service with an OB Ultrasound Procedure UnitedHealthcare follows ACOG coding guidelines and considers an E/M service on the same date of service, by th

Development of the WHO Antenatal Care Recommendations

Adult Primary Care Guide 2019 - 2020 eBook.pdf Integrated Management of Childhood illness Booklet 2019.pdf Paediatric Hospital level Standard treatment guidelines and Essential medicines list for 2017.pdf Road to Health Booklet 2017.pdf. WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience on perinatal deaths: an interrupted time-series analysis in Mpumalanga province, South Africa. BMJ Global Health 2020;5:e002965. doi:10.1136/ bmjgh-2020-002965 Handling editor Seye Abimbola Received 22 May 2020 Revised 26 October 2020 Accepted 29 October 2020 These 2015 clinical practice guidelines (CPGs) for developing a diabetes mellitus (DM) comprehensive care plan are an update of the 2011 American Association of Clinical Endocrinologists (AACE) Medical Guidelines for Clinical Practice for Developing a Diabetes Mellitus Comprehensive Care Plan. READ MORE Background: One of the key mandates of the World Health Organization (WHO) is to develop guidelines, defined as a document containing recommendations for clinical practice or public health policy. Guidelines represent the global standard for information sources shaping clinical practice and public health policies. Despite the rigorous development process and the value of guidelines for.

Antenatal care - UNICEF DAT

All ERAS® Society Guidelines are available free at the ERAS® Society website. The Guidelines are published by the ERAS®Society and in some cases also as a joint effort with other medical societies such as The European Society for Clinical Nutrition and Metabolism (ESPEN) and the International Association for Surgical Metabolism and Nutrition (IASMEN), part of the International Surgical. CLINICAL PRACTICE GUIDELINE ANTENATAL ROUTINE ENQUIRY REGARDING VIOLENCE IN THE HOME 4 1. Purpose and Scope The purpose of this guideline is to improve the management of domestic violence in pregnancy. These guidelines are intended for healthcare professionals, particularly those i The guideline includes recommendations related to antenatal nutrition, maternal and fetal assessment, preventative measures, interventions for common physiological symptoms (e.g. nausea, heartburn, constipation), as well as health systems interventions to improve ANC utilisation and quality of care

It provides an overview and explores what national recommendations for nutrition, Opportunities for action on maternal, newborn and infant nutritional health in the context of Health 2020.37 9. health care for mothers, neonates and infants. Postnatal Care guideline (GL890) March 2015 Contents 1.0 Introduction 1.1 Risk assessment 2.0 Principles of Postnatal Care 3.0 Planning and Implementation of postnatal Care 3.1 During the Antenatal Period 3.2 Following Birth 3.3 Community Postnatal Care 4.0 Ensuring maternal physical health and well-bein offered a choice about where their antenatal care (68%) or their postnatal (58%) care would take place. In previous reports we have highlighted the proportion of women who gave birth using stirrups. This is contrary to best practice guidance, which recommends that women can move about throughout labour unless they need assistance. In 2018 pregnancy. Whereas, antenatal care coverage at least four visits (ANC4) is the percentage of women aged 15-49 with a live birth in a given time period that received antenatal care by any provider four or more times during their pregnancy (WHO 2012). ANC provides a measure of access to the health system and is critical in ensuring prope Objectives Antenatal care (ANC) is an essential part of primary healthcare and its provision has expanded worldwide. There is limited evidence of large-scale cross-country studies on the impact of ANC offered to pregnant women on child health outcomes. We investigate the association of ANC in low-income and middle-income countries with short- and long-term mortality and nutritional child outcomes

Antenatal care for uncomplicated pregnancie

The rationale of any national screening programme is to recognise the benefits for public health, to assess a predominantly healthy population including pregnant women and to detect risk factors for morbidity in order to provide timely care interventions. The focus of antenatal care screening is to identify wider determinants of health that may have an impact on a pregnant woman's well-being. 6 | Supporting pregnant women using maternity services during the coronavirus pandemic 21. Trusts should assess: • the physical space in the maternity service and other areas being traversed, including any communal areas, eg in waiting areas and clinic rooms • the number of women expected to attend a clinic or an ultrasound scan, and the use of any communal areas including waiting areas. comprehensive antenatal, postnatal, and skilled care during delivery were made available. The Ministry of Health and Sanitation hopes that information from this report will be used to improve service delivery for women and new-borns, and call upon all stakeholders to joi

Guidelines for PERIN ATAL C A R E - ACO

  1. ent or indicated at less than 25 weeks+6 day
  2. Antenatal diagnosis of placenta accreta spectrum is crucial in planning its management and has been shown to reduce maternal morbidity and mortality. [New 2018] D Previous caesarean delivery and the presence of an anterior low-lying placenta or placenta praevia should alert the antenatal care team of the higher risk of placenta accreta spectrum.
  3. National Institute for Health and Care Excellence . Antenatal and postnatal mental health: clinical management and service guidance [2020] Antenatal and postnatal mental health [2016] NHS England . Involving and supporting partners and other family members in specialist perinatal mental health services: good practice guide [2021
  4. Collection description. The guidelines and related documents summarise the available evidence on many aspects of antenatal care. They are designed to improve the experience and outcomes of pregnancy care for Australian women and their families
  5. antenatal care should begin before you become pregnant. The purpose of antenatal care is to improve the health and wellbeing of both you and your baby before birth. Seek help to change things that can harm your baby such as drinking alcohol, smoking, and using recreational drugs. If you are in an abusive relationship it is very important that yo

(PDF) Basic Antenatal Care Approach to Antenatal Care

  1. National Vital Statistics Reports, Vol. 67, No. 3, May 30, 2018 . 3 • Among Asian subgroups, first trimester PNC ranged from 71.7% (Other Asian) to 85.5
  2. Assessment of the need for STI screening should be performed at the time of prepregnancy counseling. Guidance on recommended STI screening is available from the CDC 28 and ASRM 29. Gonorrhea, chlamydial infection, syphilis, and human immunodeficiency virus (HIV) should be screened for based on age and risk factors
  3. Care of Critically Ill Adult Patients With COVID-19 On December 14, 2020, the COVID-19 Treatment Guidelines Panel (the Panel) issued a statement regarding the baricitinib EUA that included recommendations based on findings from ACTT-2.2 Thi
  4. Antenatal care deepti ppt. 1. ERA'S COLLEGE OF NURSNG PRESENTATION ON ANTENATAL CARE NIDHI MAURYA M.Sc NURSING. 2. ANTENATALCARE. 3. INTRODUCTI0N Antenatal care refers to the education, supervision, treatment and care given to an expectant mother from the time the conception is confirmed until the beginning of labor
  5. g of antenatal care. Table 9.2 shows that only 8 percent of women initiated antenatal care before the fourth month of pregnancy, about the same as found in the 2000 MDHS (7 percent)

Sexual and Reproductive Health and Research (SRH

  1. Recommendations. 14.1 Starting at puberty and continuing in all women with diabetes and reproductive potential, preconception counseling should be incorporated into routine diabetes care.A. 14.2 Family planning should be discussed, and effective contraception (with consideration of long-acting, reversible contraception) should be prescribed and used until a woman's treatment regimen and A1C.
  2. Recommendations for antenatal referral for obstetric care in women with suspected, probable or confirmed Covid-19 17 April 2020 Māori currently face inequity in the health system and in health outcomes and this gap is likely to be exacerbated during the Covid-19 pandemic. In making decisions on antenatal referral to obstetri
  3. guidance on this topic from the RCOG,1 WHO,2 and UNICEF.3 Background: November 2020. Female Genital Mutilation C-Gyn 1 2 1. The identification of women who have undergone FGM is an essential part of antenatal care. Identification enables appropriate discussion of antenatal care and management of labour
  4. g for the eligible population to align with the new postpartum visit ti
  5. Antenatal care 1. DR.N.MONISHA 2. What is it? The care of the pregnant woman with the aim of achieving a healthy pregnancy and delivery of a normal,healthy baby Good antenatal care helps a woman to face labour in good health and in optimum conditio
  6. This guideline covers the care of healthy women in labour at term (37-42 weeks). About 600,000 women give birth in England and Wales each year, of whom about 40% are having their first baby. Most of these women are healthy and have a straightforward pregnancy

Ongoing antenatal care. From around 24 weeks of pregnancy, your antenatal appointments will usually become more frequent. During each antenatal visit, your doctor or midwife will check the wellbeing of you and your baby, and provide you with information and support. A routine pregnancy examination includes the position and size of the baby. Plan and provide antenatal care that is problem orientated. List what specific complications to look for at 28, 34 and 41 weeks. Provide health information during antenatal visits. Manage pregnant women with HIV infection. Goals of good antenatal care 1-1 What are the aims and principles of good antenatal care

nonattendance for antenatal care (Mesganaw et al., 1990). Mengistu and James (1996), in their study in the Arsi Zone of central Ethiopia, found maternal age, parity, lack of time, education, marital status, and women's economic status to be significant predictors of utilization of maternit of health care delivery (26). GLYCEMIC TARGETS IN PREGNANCY Recommendations 14.7 Fasting and postprandial self-monitoring of blood glucose are recommended in both S184 Management of Diabetes in Pregnancy Diabetes Care Volume 43, Supplement 1, January 2020 Summary of recommendations Pre-pregnancy screening for inheritable genetic conditions is preferable to antenatal screening as this provides more options for carrier couples. have their options of antenatal care discussed. Pre-pregnancy Counselling C-Obs 3(a) 7 . 5. References December 29, 2020. Introduction. The Panel on Treatment of Pregnant Women with HIV Infection and Prevention of Perinatal Transmission (the Panel) has added a new guidelines section, HIV Pre-Exposure Prophylaxis (PrEP) to Reduce the Risk of Acquiring HIV During Periconception, Antepartum, and Postpartum Periods

SLCOG National Guidelines 64 Contents Page 4.1 Scope of the Guideline 65 4.1.1 Definition of puerperal sepsis 65 4.1.2 Definition of puerperal infections 65 4.2 Prevention 67 4.2.2 Refer for specialist care those at risk 67 4.3 Management 69 4.3.2 Resuscitation 70 4.3.3 Monitoring 71 4.3.4 Treatment 7 Preeclampsia and eclampsia (PE/E) are major contributors to maternal and neonatal deaths in developing countries, associated with 10-15% of direct maternal deaths and nearly a quarter of stillbirths and newborn deaths, many of which are preventable with improved care. We present results related to WHO-recommended interventions for screening and management of PE/E during antenatal care (ANC. abuse antenatal care pathway in practice and through the views and experiences of the women who have experienced domestic abuse. Background to study Domestic violence / abuse accounts for one quarter of all violent crimes andwomen most likely to experience repeat victimisation (The British Crime Survey, 2009, 1997)

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