<style type="text/css">a[data-mtli~="mtli_filesize58898kB"]:after {content:" (588.98 kB)"}</style>{"id":2880,"date":"2019-07-01T23:15:47","date_gmt":"2019-07-02T04:15:47","guid":{"rendered":"https:\/\/www.ccems.com\/?page_id=2880"},"modified":"2021-09-30T21:11:03","modified_gmt":"2021-10-01T02:11:03","slug":"axon-cameras","status":"publish","type":"page","link":"https:\/\/ccems.com\/website_75e98b6a\/axon-cameras\/","title":{"rendered":"Axon Camera Program"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1424.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><h3>The First EMS provider in the United States to roll out Axon\u2019s Flex 2 cameras<\/h3>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-liftup-border-radius:0px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"awb-image-frame awb-image-frame-1 imageframe-liftup\"><span class=\" fusion-imageframe imageframe-dropshadow imageframe-1\" style=\"border:2px solid #e2e2e2;-webkit-box-shadow: 3px 3px 7px rgba(0,0,0,0.3);box-shadow: 3px 3px 7px rgba(0,0,0,0.3);\"><a href=\"https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/IMG_2692.jpg\" class=\"fusion-lightbox\" data-rel=\"iLightbox[axon]\" data-caption=\"CCEMS Axon Training\" data-title=\"CCEMS Axon Training\" title=\"CCEMS Axon Training\"><img decoding=\"async\" width=\"2000\" height=\"1500\" alt=\"CCEMS Axon Training\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272000%27%20height%3D%271500%27%20viewBox%3D%270%200%202000%201500%27%3E%3Crect%20width%3D%272000%27%20height%3D%271500%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/IMG_2692.jpg\" class=\"lazyload img-responsive wp-image-3034\"\/><\/a><\/span><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><p>In January of 2019, Cypress Creek EMS became the first EMS provider in the United States to roll out Axon&#8217;s Flex 2 cameras and digital data management solution. The goal was to improve clinical practice and the safety of the staff.<\/p>\n<p>What is driving EMS to use Point of View Cameras?\u00a0 Recent police-related events over the years have proven the use of the technology as an effective accountability tool.\u00a0 The technology has improved and the cost has come down.\u00a0 Calls for increased accountability in public safety has crossed over into prehospital emergency medicine.<\/p>\n<p>Cameras assist leadership in identifying issues before they become big problems.<\/p>\n<ul>\n<li>Violations of protocols or the standard of care<\/li>\n<li>Unprofessional behavior<\/li>\n<li>Unlawful or unethical conduct<\/li>\n<li>Process or system issues<\/li>\n<li>Safety concerns<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\"><p>The use of cameras change how people behave.\u00a0 Rialto Police published a study showing an 88% reduction in citizen complaints following the deployment of Axon cameras.<\/p>\n<p><a href=\"https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/The-Rialto-police-body-worn-camera-experiment-four-years-on.pdf\" class=\"mtli_attachment mtli_pdf\" data-mtli=\"mtli_filesize58898kB\" target=\"_blank\" rel=\"noopener noreferrer\">You can read the Rialto police body-worn camera study here<\/a><\/p>\n<p>The camera can improve your attitude and hold you accountable for what you say and how you say it when it is being recorded.\u00a0 It makes a tangible difference on both sides of the camera.<\/p>\n<p>Video can also minimize risk and cost to an agency in matters involving citizen complaints, personnel matters, and lawsuits.\u00a0 Being able to identify areas for improvement, acknowledging a mistake, and taking corrective action goes a long way with the community we serve.<\/p>\n<p>CCEMS deployed cameras either worn on safety glasses or shoulder epaulets with its EMS Supervisors in January and in June deployed cameras with every in-charge paramedic and field training officer. Cameras are now rolling on every call and in some cases; multiple cameras are at the same scene. The Axon system recognizes that and syncs them for multi camera viewing later.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:20px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1424.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4\"><h2>Three main areas of concern<\/h2>\n<p>There are three main areas of concern that CCEMS addressed when developing its program.<\/p>\n<h3><strong>HIPAA <\/strong><\/h3>\n<p>(Health Insurance Portability and Accountability Act of 1996) is United States legislation that provides data privacy and security provisions for safeguarding medical information. EMS providers can collect and use PHI (Protected Health Information) via electronic and video technology for treatment and quality improvement practices.\u00a0 CCEMS safeguards all PHI collected in these forms, video recordings are treated the same as patient care records.\u00a0 The Axon system provides for redundant backup, secure encryption, inventory management of all devices, and the proper NIST 800-88 compliant removal of all recordings from the device on upload, and audit trails for every recording.\u00a0 The original recording cannot be altered.\u00a0 CCEMS provides regular training, policies that incorporate video recording, and business associate agreements.\u00a0 The Axon system does not use media cards and if a camera was to be lost or stolen, the recordings cannot be removed using conventional methods, it requires the proprietary software to download.<\/p>\n<h3><strong>Privacy, Consent, and the Right-to-Know <\/strong><\/h3>\n<p>Texas is a \u201cOne party consent\u201d state meaning, only one party has to know about the recording. Medics are required to record all emergency responses through the transfer of patient care and responsibility.\u00a0 Evidence shows that one of the most important aspects of patient care is the transfer from one provider to another.\u00a0 The Joint Commission has identified ineffective handoff communication as a contributing factor in 80% of serious medical error.\u00a0 CCEMS is not a government entity and therefore, PHI is not subject to the Public Information Act.\u00a0 The recording is <strong><u>not<\/u><\/strong> part of the official patient record.<\/p>\n<h3><strong>Data Storage, Access, and Retention<\/strong><\/h3>\n<p>The data is not stored on media cards or local hardware at CCEMS. All data is stored on Axon cloud servers that are triple redundant, triple continent.\u00a0 The recordings are accessed through evidence management system using secure, encrypted, dual authentication from restricted IP addresses (only those belonging to CCEMS).\u00a0 The medics can review the video to aid them in patient care documentation.\u00a0 The CCEMS Clinical staff can review the view for Quality Improvement (QI).\u00a0 The Evidence.com system provides a redaction tool to remove all PHI (Video and Audio) from a copy of the recording.\u00a0 A redacted version can now be used in education and training.\u00a0 The redaction, download, and sharing feature is restricted by user profile.\u00a0 Only the program administrator and specific members of the Clinical Department have this access.<\/p>\n<p>All video is retained for a minimum time period consistent with the Texas law unless specifically involved in a legal proceeding, criminal case, sentinel event for QI purposes, evidence of a crime, or is subject to a citizen complaint.<\/p>\n<\/div><div class=\"fusion-image-element \" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none fusion-animated\" data-animationType=\"fadeInLeft\" data-animationDuration=\"0.3\" data-animationOffset=\"top-into-view\"><img decoding=\"async\" width=\"1200\" height=\"82\" alt=\"ccems heartbeat left\" title=\"heartbeat-left-horizontal1200x82\" src=\"https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/heartbeat-left-horizontal1200x82.png\" data-orig-src=\"https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/heartbeat-left-horizontal1200x82.png\" class=\"lazyload img-responsive wp-image-3041\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271200%27%20height%3D%2782%27%20viewBox%3D%270%200%201200%2082%27%3E%3Crect%20width%3D%271200%27%20height%3D%2782%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/heartbeat-left-horizontal1200x82-200x14.png 200w, https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/heartbeat-left-horizontal1200x82-400x27.png 400w, https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/heartbeat-left-horizontal1200x82-600x41.png 600w, https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/heartbeat-left-horizontal1200x82-800x55.png 800w, https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/heartbeat-left-horizontal1200x82.png 1200w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 920px) 100vw, 1200px\" \/><\/span><\/div><div class=\"fusion-text fusion-text-5\"><h3><strong>Point of View (POV) vs. Body Worn Camera (BWC), it makes a difference.<\/strong><\/h3>\n<p>A POV camera attached to the medic&#8217;s safety glasses captures what the medic sees.\u00a0 Often the medic will turn their head to look at a person, a medical monitoring device, etc. and if the camera was worn affixed to the body, this important video would be missed.\u00a0 Critical medical interventions like intubations can be captured if the camera is in line with the medic\u2019s eyes.\u00a0 Until now, having this visual confirmation of tube placement readily available to show the physician has not been possible.<\/p>\n<p>A full 24-hour shift can be recorded on the tiny cameras, which upload to the secure cloud when placed in the charging unit.<\/p>\n<p>Axon is a leader in law enforcement cameras and digital evidence storage and is now branching out into EMS and FIRE. The company was started by the same folks who invented the Taser. So, whenever you see police body camera footage take note of how many times you see the Axon name. \u00a0Law enforcement has tested the security of the video recordings and it has been upheld in the judicial system to be secure.<\/p>\n<p>In EMS, Axon allows Emergency Room Doctors to see the recording of what we saw in the field and in the future could provide a real time view from the field. It allows for clinical evaluation, which can help speed up promotions and certifications for our employees. It can also be integrated into our educational programs by illustrating best practices. It can also help CCEMS and its personnel avoid false legal claims. Is it also a handy reference when medics write their reports? In addition, because of the security built into Axon\u2019s cloud storage system, it meets all the requirements of HIPAA. We believe that at least two of our heart attack patients were saved because our supervisors were able to show the emergency room doctors exactly what they saw in the field. In one case a fairly new device, the Lucas CPR device, was used to great effect on a patient. When the device was on he was conscious and when it was off he was out cold. We were able to show that even though he hadn\u2019t had his own heart beat in more than an hour, the Lucas device provided excellent blood flow. The patient recovered with no heart or brain deficits because we were able to use the video to persuade the ER to activate the heart cath team in the middle of the night. CCEMS was one of four EMS systems in the country to deploy Lucas devices after it gained FDA approval and it took awhile to show how effective they are. Axon camera footage provided the proof.<\/p>\n<p>Cypress Creek EMS had actually tried out a previous version of the Axon camera. Cypress Creek EMS conducted a trial\u00a0 in 2014 and found that the cameras proved to be an invaluable teaching tool that improved clinical practice and sped up advanced certifications.<\/p>\n<p>Axon Founder Rick Smith says, \u201c<em>Our goal is to provide the best technology solutions for all members of the public safety industry so they can get to the truth faster. By offering all first responders the opportunity to capture and share critical video and other data on one network, they are able to seamlessly work together to improve health and safety in their communities.&#8221;<\/em><\/p>\n<p><em>Axon Flex 2 cameras enable point-of-view video with unlimited HD and a 120-degree field of view. To learn more visit: <\/em><a href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=2341062-1&amp;h=1585891918&amp;u=https%3A%2F%2Fwww.axon.com%2Fproducts%2Fflex-2&amp;a=www.axon.com%2Fflex-2\"><em>www.axon.com\/flex-2<\/em><\/a><em>.<\/em><\/p>\n<p><strong><em>About Axon<br \/>\n<\/em><\/strong><\/p>\n<p><em>Axon is a network of devices, apps and people that helps public safety personnel become smarter and safer. With a mission of protecting life, our technologies give customers the confidence, focus and time they need to keep their communities safe. Our products impact every aspect of a public safety officer&#8217;s day-to-day experience.<\/em><\/p>\n<p><em>We work hard for those who put themselves in harm&#8217;s way for all of us. To date, there are more than 325,200 software seats booked on the Axon network around the world and more than <\/em><em>210,000<\/em><em> lives and countless dollars have been saved with the Axon network of devices, apps, and people. \u00a0Learn more at <\/em><a href=\"https:\/\/www.axon.com\/industries\/ems\" target=\"_blank\" rel=\"noopener\"><em>www.axon.com<\/em><\/a><em> or by calling (800) 978-2737.<\/em><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":3074,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-2880","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>First EMS provider in the United States to roll out Axon\u2019s Flex 2 cameras<\/title>\n<meta name=\"description\" content=\"In Jan 2019 CCEMS became the first EMS provider in the US to roll out Axon\u2019s Flex 2 cameras &amp; digital data management solution\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"First EMS provider in the United States to roll out Axon\u2019s Flex 2 cameras\" \/>\n<meta property=\"og:description\" content=\"In Jan 2019 CCEMS became the first EMS provider in the US to roll out Axon\u2019s Flex 2 cameras &amp; digital data management solution\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ccems.com\/axon-cameras\/\" \/>\n<meta property=\"og:site_name\" content=\"Cypress Creek EMS (CCEMS) - Houston, Texas\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ccemstx\/\" \/>\n<meta property=\"article:modified_time\" content=\"2021-10-01T02:11:03+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ccems.com\/wp-content\/uploads\/2019\/07\/AXON-featured-image.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@ccemstx\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ccems.com\/axon-cameras\/\",\"url\":\"https:\/\/www.ccems.com\/axon-cameras\/\",\"name\":\"First EMS provider in the United States to roll out Axon\u2019s Flex 2 cameras\",\"isPartOf\":{\"@id\":\"https:\/\/cityambu.com\/website_75e98b6a\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.ccems.com\/axon-cameras\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.ccems.com\/axon-cameras\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/AXON-featured-image.jpg\",\"datePublished\":\"2019-07-02T04:15:47+00:00\",\"dateModified\":\"2021-10-01T02:11:03+00:00\",\"description\":\"In Jan 2019 CCEMS became the first EMS provider in the US to roll out Axon\u2019s Flex 2 cameras & digital data management solution\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ccems.com\/axon-cameras\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ccems.com\/axon-cameras\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.ccems.com\/axon-cameras\/#primaryimage\",\"url\":\"https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/AXON-featured-image.jpg\",\"contentUrl\":\"https:\/\/ccems.com\/website_75e98b6a\/wp-content\/uploads\/2019\/07\/AXON-featured-image.jpg\",\"width\":1920,\"height\":1080},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ccems.com\/axon-cameras\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/cityambu.com\/website_75e98b6a\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Axon Camera Program\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/cityambu.com\/website_75e98b6a\/#website\",\"url\":\"https:\/\/cityambu.com\/website_75e98b6a\/\",\"name\":\"Cypress Creek EMS (CCEMS) - Houston, Texas\",\"description\":\"When Seconds Count... 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