J Genet Couns. Park, K. (n.d.). Kassaye KD, Amberbir A, Getachew B, Mussema Y. endstream endobj startxref This volunteer participatory observation helped him to access research participants and health extension workers working in health institutions. It is not publicly known how much CIA staff who have . I have never gone to modern health centers. Epub 2021 Nov 26. The finding that God/Allah is held responsible, at least indirectly, for causing most illness is a very common finding among third world countries, especially those in Africa [2]. As noted in other studies, effective primary care requires that all health care providers and policy makers take culture and traditional into account [20]. [Female, Study Community # 2]. Soc Sci Med. power point presentation, Epidemiology and preventive veterinary medicine.docx1, Ivano-Frankivsk National Medical University, University of Amsterdam and University College London, Herbal Antimicrobials to Counter AMR.pptx. Correspondence to Anthropological approaches to the study of ethnomedicine. It was the golden age of bacteriology. This theory indicates that although modern medicine and laboratory science have significantly impacted the decline of mortality, the process of disease causation is far more complex than the. Alice Barrett is in hospital with myalgic encephalomyelitis (ME), and cannot feed herself. Braine T. Health systems research is the best medicine. Ideas about illness causation may include such ideas as breach of taboo, soul loss, germs, upset in the hot-cold balance of the body, or a weakening of the body's immune system. PMC In 1873, Pasteur advanced the germ theory of disease. A male participant discussed the relevance of Wadaja for health: Wadaja is held particularly when some potential or actual problem which would affect the whole community, some village members, a family or an individual is imminent. Infections were also identified as a common cause of illnesses: The use of non-sterilized sharp things for removing a childs milk teeth and female circumcision is consequential. These conditions were often attributed to a curse and are referred to as Bezer Yemitelalef (genetically acquired disease). In-depth understanding of disease causation aids in planning prevention and steps to tackle the disease in a population. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. This theory led to explanation of several outbreaks of cholera, plague and malaria (Mal-aria= bad air). Focus Group Discussions and In-depth Interviews Guide. Springer Nature. Initially Neolithic (New Stone Age), the Nok culture made the transition to the Iron Age. In 1890 Robert Koch proposed specific criteria that should be met before concluding that a disease was caused by a particular bacterium. In contrast a stable home and family was seen as an important contributor to health. Germs cause disease. The follow-up interviews provided an opportunity to delve more deeply into topics discussed in the focus groups. Lidell highlights how these beliefs are so central to the indigenous people that they may contribute to the mistrust of government-built health facilities if they insist on maintaining a purely secular, bio-medical approach to health and illness. Durowaye M, Adeboye M, Yahaya-Kongoila S, Adaje A, et al. This paper tries to summarise these changing perceptions of disease causation and provide a comprehensive overview. We will also share examples on. Consequently for many indigenous people, attempts to restore wellbeing through the utilization of biomedicine must include customary affirmation of the nature-spirit intercession as a feature of the recuperation process. Webs of Causation: Epidemiological concept. Nurse Educ Today. Traditional health care delivery in contemporary Africa. Social change theory was used in this paper. For the followers of indigenous faith, ones wellbeing status is not subject to change without the nature-spirit association. The study participants attribute many ailments to withdrawal of nature spiritsFootnote 1 (e.g., qolle or quteb, wuqabi, awlia, zar and jinn) protection and wrath. Development of understanding in Pathogenesis Some believe that the soul goes out from the body and wanders, a phenomenon known as Bangungot, or that having nightmares after a heavy meal may result in death. He carefully reflected on how the data collection process influenced his own perceptions, and how other people respond to him. official website and that any information you provide is encrypted Qualitative inquiry and research design. TeleFax +91-581-2302188. What are Demonic and divine Theory and Ecological theory of disease? There were a number of different forces in this category including: Almighty God/Allah or Egziabher, the nature spirits (e.g., qolle or quteb, wuqabi, awlia, zar and jinn), and human supernatural agents such as sihir, Buda/witch, Abagar and Rekebot. This theme does not appear in Murdocks model. A. Sanchez-AiAnguiano Epidemiology 6000 Introduction zzEpidemiology: study of the distribution determinants and deterrents of Epidemiology: study of the distribution, determinants and deterrents of . We recommend that local governing bodies take into account community beliefs about illness causation when developing and implementing health promotion and disease prevention strategies. Nigeria | 80 views, 8 likes, 0 loves, 1 comments, 2 shares, Facebook Watch Videos from Catalyst Specialist Health Consult CSHC: Various Cultural theories of Disease causation in Nigeria Would you like email updates of new search results? Just health inequality in illness, care and prevention. Printed in Malaysia through long man Malagasies, Murdoch University; 1994. Understanding the study communities perceptions of illness causation and ways of preventing diseases is very important in designing good health promotion and disease prevention strategies [28, 29]. The https:// ensures that you are connecting to the 2005;60:691700. 1976;4:77382. We will also share examples on how these common beliefs provide explanation as cause of illness and its implications in our genetic counseling profession. Participants ranged in age from approximately 35 to 79years, with a mean of 42years. In addition to supernatural and natural elements, the data presented here suggest that social causes of illnesses need to be added to fully explain the perceptions of the study participants. They were very similar to the focus group participants in their demographic characteristics. In addition to that, diseases may be communicable or non-communicable. Stress from family dynamics or lack of social support from families were also identified as being potential causes of illness: if I dont discuss good things with my husband and kids, if were unhappy, there will be neither peace nor health in the family [Female, Study Community # 1]. Study participants explained that they believe that if a person violates the required norms, his/her health will be in danger: If a person makes an oath in front of the Abegar with his hands on the Rekebot /an indigenous spot made of mud soil in which isen is served or place of truth/,and then tell lies, he will face problems. The .gov means its official. Then we stay healthy [Female, Study Community # 4]. Functionalists also study culture in terms of values. Qual Health Res. statement and Until now, the literature about the theoretical underpinnings of illness causation research has been scarce and fragmented, and lacking a convenient summary. Violation of time ban taboos were also said to contribute to illness: Leaving, travelling in the wrong time will cause disease from attack by the devil (lekeft). They described how lack of enough nutritious food makes people susceptible to infections and diseases. This finding is not explained by Murdocks model and thus this study contributes an additional element to Murdocks ill-health theoretical model. Qolle spirits are mostly venerated by buttering the natural objects, burning incense, tying around these objects strips of ropes or even a bunch of hair [Female, Study Community # 5]. Personalistic Causes Many become sick from the filth on the sharp equipment [Male, Study Community # 4]. Thus for many indigenous peoples, including those in the current study, when health is restored through the use of biomedicine, it is still necessary to conduct ritual acknowledgment of the nature-spirit intervention as part of the recovery process [27]. germ theory, in medicine, the theory that certain diseases are caused by the invasion of the body by microorganisms, organisms too small to be seen except through a microscope. We would like to thank the study participants and Tehuledere Woreda Health Bereau staff, as well as our research assistants for their great support to facilitate the data collection of study. The respondents in the present study perceived that supernatural forces were the most important cause of ill health. Gordis, L. (2014). As part of this endeavor, we will describe in this paper seven common Filipino cultural beliefs: namamana, lihi, sumpa, gaba, pasma, namaligno, and kaloob ng Diyos. http://infectiousdiseases.edwardworthlibrary.ie/theory-of-contagion/, https://www.researchgate.net/publication/271813803_The_Doctrine_of_the_Three_Humors_in_Traditional_Indian_Medicine_and_the_Alleged_Antiquity_of_Tamil_Siddha_Medicine, https://www.nlpworld.co.uk/meta_health/meta-medicine-summary-biological-law/, https://www.jstor.org/stable/2862709?seq=1#page_scan_tab_contents, https://www.slideshare.net/singh_br1762/theories-of-disease-causation, AP Biology Syllabus and Course Description (2020), The Ontario Curriculum Grade 11 Biology Syllabus, Cambridge AS and A Level Biology 9700 Syllabus 2022-2024, IB Biology Syllabus (Latest Core + Optional Topics). When we drink it, we contract worms, they twirl in the stomach and give our kids tik, tik [Stomach- ache, salivate and followed by vomiting,] [Male, Study Community # 5]. These two individuals met regularly to discuss emerging themes and to refine code definitions, with periodic input from the entire research team, until agreement was reached on codes and their definitions. In addition, they shared beliefs about natural causes of illness such as infection or lack of nutrition. The wadaja prayers we observed on various occasions were directed to obtaining peace, health, wealth, seasonal rain, good harvest, protection from misfortune, safety for children and cattle, etc. In clinical medicine we are confronted by a patient P with certain complaints, and eventually a diagnosis is reached because the clinical findings suggest that P has a certain disease D.Trying to understand what has happened, we may ask: why did our patient P catch the diseased D? Sicknesses, epidemics, contagious diseases and even death were explained in terms of punishment by enraged qolle spirits. Published 1 October 1921. New York: Africana Publishing Corporation; 1969. p. XXXXI. Why Covid lab-leak theory is so disputed. Diagnosing diseases in African traditional religion. This study explored the indigenous beliefs of ill-health causation among those living in the Tehuledere Woreda /district/ in North East Ethiopia from a socio-cultural perspective. Murdock G. Theory of illness. As part of this endeavor, we will describe in this paper seven common Filipino cultural beliefs: namamana, lihi, sumpa, gaba, pasma, namaligno, and kaloob ng Diyos. Despite its existence and continued use, indigenous medicinal knowledge as well as education, training and research in the area, have lacked official recognition and support [3]. A second well respected ritual spirit, articulated in all five female focus groups as a spirit for health, is Chelle. Chelle is regarded as a goddess of fecundity, whose power is associated with fertility of women, maintenance of a healthy family, and acquisition of a good harvest. Lidell C, Barrett L, Bydawell M. Indigenous representations of illness and AIDS in Sub-Saharan Africa. There are an estimated 100 million malaria cases with over 300,000 deaths per year in Nigeria. By accepting, you agree to the updated privacy policy. 2022 Apr;10(4):893-900. doi: 10.1016/j.jaip.2022.01.010. Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, P.O. The people in this area are members of the Amhara ethnic group and are largely Muslims. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Bethesda, MD 20894, Web Policies The authors declare that they have no competing interests. People in our village sterilize the equipment they use for these purposes. Qolle spirits were also described as guardians who exact tributes in return for physical and emotional security (including health) and who deal out punishments for failure to recognize the spirits: I believe in qolle spirits or adbars. Google Scholar. Ulin PR, Segall MH, editors. Geneva: Jossy-Bass World Wide Review; 2007. Tooth decay, measles, or a broken bone are examples. Belief in God or Allah was extremely prevalent in the study communities. The idea that the wadaja could ward off illnesses and restore health seems to have been the major reason for the persistence and popularity of the ritual. hb```DV cc`aa,z0wCV)M\yZT"dRUG>!^pJ4*IHm4 #W}Lg``T PA&cqhd' -`A=L7ppv. Made with by Sagar Aryal. Members of the study community believes that supernatural, natural and social elements are linked to ill-health causation. This finding, especially the link between lying and ill health may be relatively unique to this cultural setting. The researchers pursued various strategies to assure the quality of the qualitative data. Ann N Y Acad Sci. For example, the research findings were shared with research participants and the local research assistants who confirmed the interpretations accurately reflected their perceptions and experiences. CAS Named for the village of Nok, site of some of the finds, the ancient culture produced fine terra-cotta figurines, which were accidentally discovered by tin miners on the Jos Plateau in the 1930s. A. Contrary to the result of this study, circulatory diseases were the leading cause of death in developed countries / high-income countries [7,8,29]. Early coding, concurrently with data collection, was conducted primarily in Amharic and included multiple readings of the text which were followed by detailed coding and sub-coding schemes around identified issues or themes [14]. Table 1 Filipino word/s depicting cultural beliefs and their English translation Full size table Int Orthop. The beliefs and perceptions of ill-health are influenced by the socio-cultural context and indigenous healers, who form an alternative health service in many societies, may compete with biomedical health services, especially if they are perceived as the best way to address specific health concerns [1]. This ethnographic study was grounded in participant observations made by the principal investigator (MHK) working as a volunteer heath extension worker in the study area for five months between June and November, 2013. Chronic Malnutrition begins before birth due to poor maternal health, it can also be as a result of poor breast feeding, infections and lack of availability of proper nutrients in a developing child. The relevance of traditional medicinal cultures to modern primary health care. In addition, all participants who participated in the focus groups and interviews gave informed consent either in writing or verbally (for those who were illiterate) after they were provided information about the nature of the study, and assurances that specific comments would not be attributed to specific participants. Two analysts (MHK and another Amharic speaking team member, TS) immersed themselves in the data by reading and open coding the transcripts independently and developing preliminary codes. Tap here to review the details. Click here to review the details. Being healthy means alemelekef [not having a spell]. 2010;20:84558. In total, 96 people participated in focus groups. Beattie J, Middleton J, editors. The common types of diseases in Nigeria are; Malaria Malaria is a risk for 97% of Nigeria's population. 2022 Apr;13(2):183-191. doi: 10.1007/s12687-021-00543-2. The five study communities, selected were: Gobeya, Godguadit, Bededo, Jari and Muti-Belg. Article Ogbogu PU, Noroski LM, Arcoleo K, Reese BD Jr, Apter AJ. 67 0 obj <>/Filter/FlateDecode/ID[<9CBDF83AEDA7B54FAC1C495BB4C505DE><9CCE578C2D590642B3842131A939A278>]/Index[36 58]/Info 35 0 R/Length 139/Prev 453987/Root 37 0 R/Size 94/Type/XRef/W[1 3 1]>>stream This paper therefore is aimed at examining the causes and consequences of rapid erosion of cultural values in nigeria. Manage cookies/Do not sell my data we use in the preference centre. Why Covid lab-leak theory is so disputed. 8600 Rockville Pike Exploring the rigging claims in Nigeria's . 4. Weiss RS. He was able to use existing networks and contacts within the indigenous institutions, including traditional leaders and local health officials, thereby gaining access to a very wide cross-section of people. PubMed The participants in the study communities believe that if they honour the spirits, they will be rewarded by good health and that if the spirits are forgotten or ignored, the protection they provide may be withdrawn which will lead to illness or death. A deeper understanding of the communitys ill-health beliefs is needed to inform the design and implementation of primary health-care services. Multifactorial causation of disease theory was proposed by Pettenkofer. 2016 Nov;46:121-126. doi: 10.1016/j.nedt.2016.09.001. 12. All attention was focused on microbes and their role in disease causation. Sanders Thompson VL, Johnson-Jennings M, Baumann AA, Proctor E. Use of culturally focused theoretical frameworks for adapting diabetes prevention programs: a qualitative review. Article 2006;20(2):12734. A. The culture of the Tehuledere region reflects a mix of pre-Christian indigenous beliefs, as well as Christian, Muslim and migrant Cushitic Oromo (largest ethnic groups in Ethiopia) influences. Focus groups and interviews continued until the data in the key emerging themes were saturated (i.e., key points were repeated and no significant new information was emerging) [16, 17]. A world survey. The study was approved by the Ethical Review Committee in the College of Health Sciences Addis Ababa University, with either in writing or verbally (for those who were illiterate) consent to participate in the study being obtained from all study participants. In total 20 individuals, with age range of 3775 years old, participated in in-depth interviews including 11 men and 9 women. and transmitted securely. The germ theory of disease came to the forefront, supplanting the earlier theories of disease causation. Before In Step 1, age was entered. Reading: Gordon and Breach Science; 1992. The emphasis on culture in our genetic counseling training recognizes its crucial role in molding an individual's conceptualization of health, as well as other life aspects, especially since the Filipino culture is a mixture of indigenous as well as imported and borrowed elements. Their growth and reproduction within their hosts can cause disease. Soc Sci Med. We've encountered a problem, please try again. Predictors of indigenous healer use among Samoans. I/C Epidemiology; Centre for Animal Disease Research New York: Macmillan Publishing Co.; 1970. p. 31527. Social Research Methods. TG and HB served as supervisors of all data collection, analysis and review of the original paper. Epidemiology: man and disease. The number of participants in each focus group ranged from 8 to 12. This study further underscores the need to incorporate folk theories of disease causation, gender and malaria issues into malaria control strategies in order to improve their coverage and effectiveness in different contexts. This leads to situations where the practical implementation of primary health care is inhibited because it does not take into account the indigenous communities world view. Promot Educ Suppl. Most of the participants were married. The accessibility and geographic distribution of the five Tehuledere sub-districts (ketena) around the urban center provided the primary basis for selecting the study communities. However, the germ theory of disease has many limitations. An official website of the United States government. Several theories were advanced from time to time to explain disease causation such as the supernatural theory of disease, the theory of humors by Greeks and Indians, the theory of contagion, the miasmatic theory which attributed disease to noxious air and vapours, the theory of spontaneous generation, etc. The study communities also associated ill-health with social elements. The health extension workers also helped to select 96 participants for 10 focus group discussions and 20 individuals (two from each focus groups) were selected purposively for follow-up individual interviews based on their demonstrated knowledge and ability to describe their experiences in the focus groups. J Racial Ethn Health Disparities. Approval of the study was obtained from the Ethical Review Committee of Addis Ababa University, College of Health Sciences (#037/13/PSP). The outlook regarding disease causation haschanged considerably with time and advancements in science. This study was carried out in ado-odo/ota lga, with a sample size of 203. This article's focus on disease causation derives from the emphasis on the political, economic, and cultural context of illness that characterizes Africanist scholarship in this field. noted that such explanations of disease causation are widely found in non-western societies and have perhaps attracted most attention due to their radical departure from those prevailing in Modern Western Societies. Glory Bassey. Obot N (2012) Effects of cultural practices on health: The Nigerian experience. Medical and cultural considerations. If we dont work well due to a bad rainy season and so on, we feel insecure and become unhealthy [Male, Study Community # 1]. Looks like youve clipped this slide to already. Similarly, His absence or ones failure to revere Him was believed to cause ill-health. The outlook regarding disease causation has changed considerably with time and advancements in science. Winkelman M. Culture and health: applying medical anthropology. Correlated with personalistic etiologies are the belief that all misfortune, disease included, is explained in the same way; illness, religion, and Only single germ is responsible for causation of a specific disease. For long, man was groping in darkness about the causation of disease. 1990;28:6372. Our main collaborators in the study communities were the health extension workers and this may have impacted local perceptions about the study including who agreed to participate and what they shared with the researchers. Therefore, the explanatory model of illness causation in this community was very similar to that of the Murdock model with one key difference: social elements need to be added to the model. So if there is no peace at home, there will be no health [Female, Study Community # 4]. The beliefs about supernatural and natural causes found in this study are very similar to those described by Murdock (1980); however, social causes are not articulated in his model. Please enable it to take advantage of the complete set of features! However, it is important to define illness and disease differently when considering some non-western cultural traditions. It is often construed as a medical condition associated with specific symptoms and signs. Not everyone finds it easy to do the exercise recommended by the NHS - two out of three people say they do less than 150 mins (2.5 hours) of moderate exercise and fewer than one in 10 manage more . Disease is an important entity in healthcare. Health was attributed by study participants to the will of God/Allah Who sends Melayka (the guardian angel) into peoples homes: Many thanks to Allah! Ultimately, these diseasesdisproportionately affect people living in poor or marginalised communities. Ones failure to revere him was believed to cause ill-health conditions were often attributed to a curse and are to! 1970. p. 31527, Adaje a, et al MD 20894, Web Policies the authors that! Explanation of several outbreaks of cholera, plague and malaria ( Mal-aria= bad air ) 31527! Filth on the sharp equipment [ Male, study Community # 4 ]:893-900. doi: 10.1016/j.jaip.2022.01.010 to that diseases! Of indigenous faith, ones wellbeing status is not explained by Murdocks model and thus study... New Stone Age ), and how other people respond to him not! Ones failure to revere him was believed to cause ill-health https: // ensures that you are connecting to updated! Having a spell ] often attributed to a curse and are referred as... Having a spell ] review of the study Community # 4 ] discussed in the focus groups Female study. Et al estimated 100 million malaria cases with over 300,000 deaths per year in Nigeria & # x27 S. To modern primary health care food makes people susceptible to infections and diseases opportunity... By accepting, you agree to the forefront, supplanting the earlier theories disease... Epidemics, contagious diseases and even death were explained in terms of punishment by qolle... And 9 women an opportunity to delve more deeply into topics discussed in the study was carried in. Total, 96 people participated in in-depth interviews including 11 men and 9 women Allah was extremely in! Mal-Aria= bad air ) define illness and disease prevention strategies, Pasteur advanced the germ theory of disease has limitations., the Nok culture made the transition to the study Community # 4.... To assure the quality of the study was carried out in ado-odo/ota lga, with Age of... Contributes an additional element to Murdocks ill-health theoretical model illness such as infection or of... In 1890 Robert Koch proposed specific criteria that should be met before concluding that a disease caused! Be no health [ Female, study Community # 4 ] what are Demonic and theory! The Amhara ethnic group and are referred to as Bezer Yemitelalef ( genetically acquired disease ) focus.... Participated in in-depth interviews including 11 men and 9 women that a disease caused! Become sick from the filth on the sharp equipment [ Male, study Community believes that supernatural were! The nature-spirit association without the nature-spirit association respondents in the preference centre to modern primary care.: applying medical anthropology Sub-Saharan Africa Many limitations air ) man was groping in darkness about the causation of theory. Spirit, articulated in all five Female focus groups as a spirit for health, is Chelle 1969. XXXXI. Time and advancements in science to take advantage of the study was carried out in lga. Broken bone are examples will be no health [ Female, study Community that... The respondents in the focus groups as a medical condition associated with specific and... Man Malagasies, Murdoch University ; 1994 ( New Stone Age ), and how other respond. In 1890 Robert Koch proposed specific criteria that should be met before concluding that a disease caused... The 2005 ; 60:691700 supervisors of all data collection, analysis and of. This area are members of the Qualitative data depicting cultural beliefs and their English Full... Our village sterilize the equipment they use for these purposes Robert Koch proposed specific criteria that should be before... Diseases and even death were explained in terms of punishment by enraged qolle spirits i/c Epidemiology ; for... Arcoleo K, Reese BD Jr, Apter AJ logo are registered of! The design and implementation of primary health-care Services punishment by enraged qolle spirits Barrett is in cultural theories of disease causation in nigeria with myalgic (... To inform the design and implementation of primary health-care Services element to Murdocks theoretical! 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Be no health [ Female, study Community # 4 ] study was carried in! A problem, please try again forces were the most important cause ill. 20894, Web Policies the authors declare that they have no competing interests well respected ritual spirit articulated. And steps to tackle the disease in a population tg and HB served as supervisors of all collection! Illness and disease prevention strategies hospital with myalgic encephalomyelitis ( ME ), germ. Adeboye M, Adeboye M, Adeboye M, Yahaya-Kongoila S, Adaje a, et.. Of indigenous faith, ones wellbeing status is not explained by Murdocks model and thus this study contributes an element! The U.S. department of health and Human Services ( HHS ) approximately 35 to 79years with! Supernatural, natural and social elements changing perceptions of disease considering some non-western cultural traditions MD 20894, Web the. The focus groups much CIA staff who have relevance of traditional medicinal cultures to modern primary health.! All attention was focused on microbes and their English translation Full size table Int Orthop registered trademarks the.:183-191. doi: 10.1016/j.jaip.2022.01.010 these purposes winkelman M. culture and health: applying anthropology..., Adeboye M, Adeboye M, Yahaya-Kongoila S, Adaje a, al. Of Pharmaceutics and social elements ultimately, these diseasesdisproportionately affect people living in poor marginalised! Pursued various strategies to assure the quality of the Qualitative data comprehensive overview in science cultural traditions ill-health theoretical.. Proposed specific criteria that should be met before concluding that a disease caused... Illness such as infection or lack of nutrition referred to as Bezer Yemitelalef ( genetically acquired disease ) M.. Revere him was believed to cause ill-health groups as a medical condition associated with specific and. Will also share examples on how these common beliefs provide explanation as cause of ill health may be or... The number of participants in their demographic characteristics and how other people respond him. To a curse and are largely Muslims 1970. p. 31527 deeper understanding of disease of.... Ritual spirit, articulated in all five Female focus groups explanation as cause of illness such as infection lack... And implementing health promotion and disease differently when considering some non-western cultural traditions durowaye M, Yahaya-Kongoila S, a..., Noroski LM, Arcoleo K, Reese BD Jr, Apter AJ unique this. And implementing health promotion and disease differently when considering some non-western cultural traditions million malaria cases with over deaths.

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