Nutritional issues of HIV/AIDS Orphan in Sagamu South West, Nigeria
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INTRODUCTION
Two sorts of retrovirus (HIV 1 as good as HIV 2) were good good known to means AIDS worldwide; primarily HIV 1.transmission in both could be by passionate contact, transfusion of red red red red red red red red blood or red red red red red red red red blood products, hit with pointy objects as good as plumb from mom to child. However, HIV 2 is transmitted rebate early as good as has a longer duration in in in in in in in in in in in in between infection as good as expansion of AIDS [i]. Worldwide, some-more than fifty million young kids underneath eighteen years have been orphaned due to AIDS, some-more that twelve million of these young kids leave in sub-Sahara Africa [ii].
The judgment of waif varies from a single informative context to an a single some-more though refers to young kids (age 0-14) whose possibly or both kin have died [iii]. The age of waif is sincerely consistent opposite countries with 15% being 0-4 years old, 35% 5-9 years aged as good as 50% 10-14 years aged [iv] .The disadvantage of young kids to illness as good as amicable mishaps enlarge prolonged prior to a genocide of their kin or guardians. Children watch their kin mellow as good as in a future die. They have been mostly confronted with detriment of family identity, increasing malnutrition, marked down preparation opportunity, exploitative kid work as good as kid abuse, as good as increasing ionization to HIV infection [v]
Inconsistent commentary in nutritive standing of waif as good as alternative young kids have exposed by HIV/AIDS have it formidable to consider if orphaned as good as alternative exposed young kids have specific nutritive needs apart from inaccessible young kids [vi] .Malnutrition as good as HIV have identical pernicious outcome upon a defence complement [vii] . In both gauntness as good as HIV, there is marked down CD4 as good as CD8 T-lymphocytes [viii], behind cutaneous sensitivity, marked down bactericidal properties [ix] as good as marred serological reply after immunizations [x]..HIV/AIDS have a unpropitious stroke upon domicile food confidence as good as nourishment in autochthonous areas. Household problems begin as shortly as a initial adult spin ill that formula in a decrease or detriment in a prolific genius of people as good as households, decrease or finish detriment of domicile incomes  [xi].
Concurrently, there is enlarge in domicile losses as a outcome of enlarge illness caring costs [xii] .Household resources have been mostly sole to equivalent there goods ensuing in some-more misery as good as some-more food distrust [xiii]. Children competence be forced to pause their drill due to domicile engagements as good as incapacity to means propagandize expenses.
Thus, food benefit can have mixed objectives in ancillary food-insecure households as good as this can capacitate them to experience in treating or preventing gauntness [xiv]. Linking appearance in food benefit module with nourishment preparation as good as skills precision can encourage self faith [xv]
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MATERIALS AND METHODS
Fifty HIV/AIDS orphaned young kids whose kin were in attendance Sagamu Community Centre (a non-governmental organization) were used for a study. The young kids were all screened for HIV/AIDS as good as they were all non-reactive (seronegative). The carry out organisation comprises of fifty young kids who were not orphaned, some-more aged incidentally amongst a 1,495 people that attended a centre during a duration of this study. They were all HIV negative
Structured petition were administered to a kin of a young kids in a carry out organisation as good as guardians of a orphaned young kids to acquire a single some-more inform upon their nutritive status. Certain anthropometrics measures were taken to consider a nutritive status; these embody height, weight, mid-upper arm circumference, as good as a conduct circumference. The BMI was computed in both a orphaned as good as non-orphaned children.
Five millilitres of red red red red red red red red blood were aseptically picked up from both a subjects as good as a carry out organisation with smallest stasis, regulating pyrogen-free needles as good as disposable cosmetic syringes. Two millilitres of a picked up red red red red red red red red blood was put in an EDTA bottle for a integrity of haemoglobin thoroughness whilst a superfluous 3 millilitres was dispensed in to heparinized bottle for a integrity of sum protein, albumin, calcium, as good as phosphate levels.
Serum haemoglobin was dynamic by customary process [xvi] alternative parameters were estimated as described  total protein [xvii], albumin [xviii], calcium [xix] as good as phosphate [xx] in both theme as good as carry out groups. The performed interpretation were analyzed regulating SPSS chronicle 10.0 chi-square was used to establish differences in in in in in in in in in in in in between a theme as good as carry out groups.
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RESULT
Table 1 shows anthropometric measurements of a subjects as good as a control. There was no poignant disproportion in a anthropometric measurements a subjects as good as a carry out (p>0.05) Â Â Significant disproportion in a tallness for age that is a magnitude of tiny expansion was celebrated in in in in in in in in in in in in between a waif as good as carry out (p<0.05), though no poignant disproportion in weight for age as good as weight for height. (Table 2).
Table 3 shows meant thoroughness of haemoglobin, sum protein, albumin, calcium phosphate as good as globulin. Significant disproportion in meant in in in in in in in in in in in in between a waif as good as carry out (p<0.05) was celebrated for all parameters
Table 4 shows sort of nourishment taken for breakfast, lunch, as good as cooking in both waif as good as carry out group. 3.8% of waif did not take breakfast, 77.3% of breakfast dish was carbohydrate whilst .protein was 18.9%. 82.0% of lunch dish was carbohydrate whilst .protein was 18.0%, 85.5% of breakfast dish was carbohydrate whilst .protein was 14.5%
Table 5 reveals Mean physique mass index in stratified age groups in subjects as good as controls There was no poignant disproportion (p > 0.05) in in in in in in in in in in in in between a age groups < 6 years, 7 – eleven as good as > twelve years of subjects compared to a carry out groups.
From a interpretation obtained, it was celebrated that consanguine waif was a commonest (60%), whilst stand in waif was a slightest (4%), motherly waif consecrate customarily 36%. The sponsorship of preparation of a orphans was finished generally by their mothers (50%), whilst sponsorship by a father as good as alternative kin consecrate 26% as good as 16% respectively.
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DISCUSSION
Nutritional standing in children, have been customarily assessed by last their weight, height, conduct circumference, as good as mid-upper arm circumference. Values performed that have been next a normal operation for particular age organisation is deliberate to simulate a gauntness state. Lack of amicable await for waif from family members as a outcome of stigmatization as good as taste minister to marked down food accessibility as good as as a outcome unsound dietary money coming in by orphans
There were no poignant differences celebrated in a anthropometrics in in in in in in in in in in in in between a orphaned as good as non-orphaned children. However, there were poignant differences in their plasma levels of hemoglobin, sum protein, albumin, globulin, calcium as good as fake phosphate. These biochemical parameters were significantly reduce (p < 0.05) in orphaned young kids than non-orphaned children. The rebate in a upon top of parameters amongst waif young kids is a thoughtfulness of a bad nutritive standing exhibited by a orphaned young kids in some-more aged to non-orphaned children.
Households influenced by HIV/AIDS have been customarily confronted by serious decrease in food accessibility (qualitatively as good as quantitatively) or food distrust due to finish detriment of a socio-economic contributions of possibly or both of their parents. The required home needs of such orphaned young kids have been catered for by a grandparents or mostly by a guardians, who additionally have their evident family to take caring of.
The tiny expansion celebrated in these orphans competence minister to serve stigmatization as good as taste by associate village people. Most times, a orphans with tiny expansion have been mostly tagged HIV/AIDS putrescent individuals, after all both gauntness as good as HIV/AIDS have identical presentation. In this situation, a diet abounding in protein, energy, micronutrients generally vitamin A is required to move about extreme changes in a illness as good as earthy appearances of such orphans.
The significantly low globulin spin (p < 0.05) in a orphans measures a defence status. It suggests that there have been a little degrees of immunosuppression in a orphaned young kids as good as they have been to illustrate exposed to mixed infections. The decreased shield compared with gauntness lead to increasing ionization to infections (including HIV infection) that in spin lead to increasing nutritious requirements. If these mandate have been not sufficient met, it competence lead to some-more gauntness state. As HIV/AIDS disposed orphans to malnutrition, gauntness creates waif receptive to HIV/AIDS.
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REFERECES
[i] HIV/AIDS caring as good as treatment: In a clinical march for people caring for persons vital with HIV/AIDS ,2003; Â pp 24.
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[ii] UNIAIDS: Report upon a tellurian AIDS epidemic, section 4, a stroke of AIDS upon people as good as societies, 2006.
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[iii] Hunter,S. as good as Williamson,J.: Children upon a brink;Strategies to Support Children Isolated
by HIV/AIDS,Arlindton, Virgina, 2002.
Â
[iv] Monasch, J. as good as Ties Boerma: Orphanhood as good as kid caring patterns in sub-Saharan Africa. An investigate of National Surveys from 40 countries. AIDS eighteen (suppl. 2); 2004;. Pg 555-565
Â
[v] De Wagt, A. as good as Conndly, M.: Orphan as good as a stroke of HIV/AIDS in sub-Saharan Africa. Food nourishment as good as cultivation 2005; 34;pg 24-31
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[vi] Rivers, J, Silverstre,E., Mason,J.: Nutritional as good as Food Security Status of orphans as good as exposed children, inform of a investigate upheld by UNICEF, IFPRI, as good as WFP, 2004.
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[vii] Piwoz, E.G.: Nutrition as good as HIV/AIDS; evidence, gaps as good as priority actions, 2004.
Â
[viii] Suttajit,M.: Advances in nourishment await for peculiarity of hold up in HIV/AIDS, Middle East Pac. J Clin. Nutr. 2007; 16, suppl., pp318-322,
Â
[ix] Beisel,W.R.: Nutrition as good as defence function; overview. Nutri. 1996; 126, pg 26115-26155
Â
[x] Kroon,F.P.,van Dissel,J.T.,de Jong, J.C., as good as outpost Forth,R.: Antibody reply to influenza,
tetanus, as good as pneumococcal vaccines in HIV-seropositive people in propinquity to the
Â
[xi] Gillespie, S. as good as Kadayila,S.: HIV/AIDS as good as food nourishment security, from justification in action, food process examination no 7, Washington, DC,IFPRI,2005.
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[xii] Alban, A. as good as Anderson, N.B.: Putting it together; AIDS as good as a millennium expansion goals, 2005
Â
[xiii] Â Barnett,A. as good as Rugalema,G.: HIV/AIDS, International Food Policy Research Institute,2020 thoroughness no 05, short no 09, Washington, DC, IFPRI,2001.
Â
[xiv] Grant, F.: Nutrition interventions for PLWHAs as good as a operate of Ready-to-use Therapeutic Foods, display during a FANTA project, academy for Educational Development, Washington, DC, 2006.
[xv] Greenaway, K. Greenblott,K.,Hagens,K.: Targeted Food Assistance in a context of HIV/AIDS, Gauteny, South Africa; consortium for southern Africa Food Security Emergency(C-SAFE) guidance centre,2004.
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[xvi]Â Kayira,K., Greenaway, K., Greenblott, K: Food for assents; taking advantage of programming to an HIV/AIDS context, Gauteny, South Africa; consortium for southern Africa Food Security Emergency(C-SAFE) guidance centre,2004.
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[xvii] Dacie JV & Lewis SMÂ Practical Haematology, p 10. London.
ChurchillLivingstone  (1984
Â
[xviii] Â Gornall AG, Bardwill CJ, David M.M: Determination of serum proteins by
means of a biuret reaction. J Biol Chem 1949; 177: 751-756.
Â
[xix] Doumas B.T., Watson W.A as good as Biggs H.G: Albumin standards as good as a dimensions of serum albumin with bromcresol green. Clin. Chim. Acta 1971; 31: 87.
Â
[xx] Stern J. as good as Lewis W.H.P: The colorimetric integrity of calcium in serum with o-cresolphthalein Complexone. Clin. Chim. Acta 1957; 2: 576
Â
[xxi] Fiske C. H. as good as SubbaRow Y:. The colorimetric integrity of phosphorus. J.Biol.Chem. 1925; 66: 375
INTRODUCTION
Two sorts of retrovirus (HIV 1 as good as HIV 2) were good good known to means AIDS worldwide; primarily HIV 1.transmission in both could be by passionate contact, transfusion of red red red red red red red red blood or red red red red red red red red blood products, hit with pointy objects as good as plumb from mom to child. However, HIV 2 is transmitted rebate early as good as has a longer duration in in in in in in in in in in in in between infection as good as expansion of AIDS [i]. Worldwide, some-more than fifty million young kids underneath eighteen years have been orphaned due to AIDS, some-more that twelve million of these young kids leave in sub-Sahara Africa [ii].
The judgment of waif varies from a single informative context to an a single some-more though refers to young kids (age 0-14) whose possibly or both kin have died [iii]. The age of waif is sincerely consistent opposite countries with 15% being 0-4 years old, 35% 5-9 years aged as good as 50% 10-14 years aged [iv] .The disadvantage of young kids to illness as good as amicable mishaps enlarge prolonged prior to a genocide of their kin or guardians. Children watch their kin mellow as good as in a future die. They have been mostly confronted with detriment of family identity, increasing malnutrition, marked down preparation opportunity, exploitative kid work as good as kid abuse, as good as increasing ionization to HIV infection [v]
Inconsistent commentary in nutritive standing of waif as good as alternative young kids have exposed by HIV/AIDS have it formidable to consider if orphaned as good as alternative exposed young kids have specific nutritive needs apart from inaccessible young kids [vi] .Malnutrition as good as HIV have identical pernicious outcome upon a defence complement [vii] . In both gauntness as good as HIV, there is marked down CD4 as good as CD8 T-lymphocytes [viii], behind cutaneous sensitivity, marked down bactericidal properties [ix] as good as marred serological reply after immunizations [x]..HIV/AIDS have a unpropitious stroke upon domicile food confidence as good as nourishment in autochthonous areas. Household problems begin as shortly as a initial adult spin ill that formula in a decrease or detriment in a prolific genius of people as good as households, decrease or finish detriment of domicile incomes  [xi].
Concurrently, there is enlarge in domicile losses as a outcome of enlarge illness caring costs [xii] .Household resources have been mostly sole to equivalent there goods ensuing in some-more misery as good as some-more food distrust [xiii]. Children competence be forced to pause their drill due to domicile engagements as good as incapacity to means propagandize expenses.
Thus, food benefit can have mixed objectives in ancillary food-insecure households as good as this can capacitate them to experience in treating or preventing gauntness [xiv]. Linking appearance in food benefit module with nourishment preparation as good as skills precision can encourage self faith [xv]
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MATERIALS AND METHODS
Fifty HIV/AIDS orphaned young kids whose kin were in attendance Sagamu Community Centre (a non-governmental organization) were used for a study. The young kids were all screened for HIV/AIDS as good as they were all non-reactive (seronegative). The carry out organisation comprises of fifty young kids who were not orphaned, some-more aged incidentally amongst a 1,495 people that attended a centre during a duration of this study. They were all HIV negative
Structured petition were administered to a kin of a young kids in a carry out organisation as good as guardians of a orphaned young kids to acquire a single some-more inform upon their nutritive status. Certain anthropometrics measures were taken to consider a nutritive status; these embody height, weight, mid-upper arm circumference, as good as a conduct circumference. The BMI was computed in both a orphaned as good as non-orphaned children.
Five millilitres of red red red red red red red red blood were aseptically picked up from both a subjects as good as a carry out organisation with smallest stasis, regulating pyrogen-free needles as good as disposable cosmetic syringes. Two millilitres of a picked up red red red red red red red red blood was put in an EDTA bottle for a integrity of haemoglobin thoroughness whilst a superfluous 3 millilitres was dispensed in to heparinized bottle for a integrity of sum protein, albumin, calcium, as good as phosphate levels.
Serum haemoglobin was dynamic by customary process [xvi] alternative parameters were estimated as described  total protein [xvii], albumin [xviii], calcium [xix] as good as phosphate [xx] in both theme as good as carry out groups. The performed interpretation were analyzed regulating SPSS chronicle 10.0 chi-square was used to establish differences in in in in in in in in in in in in between a theme as good as carry out groups.
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RESULT
Table 1 shows anthropometric measurements of a subjects as good as a control. There was no poignant disproportion in a anthropometric measurements a subjects as good as a carry out (p>0.05) Â Â Significant disproportion in a tallness for age that is a magnitude of tiny expansion was celebrated in in in in in in in in in in in in between a waif as good as carry out (p<0.05), though no poignant disproportion in weight for age as good as weight for height. (Table 2).
Table 3 shows meant thoroughness of haemoglobin, sum protein, albumin, calcium phosphate as good as globulin. Significant disproportion in meant in in in in in in in in in in in in between a waif as good as carry out (p<0.05) was celebrated for all parameters
Table 4 shows sort of nourishment taken for breakfast, lunch, as good as cooking in both waif as good as carry out group. 3.8% of waif did not take breakfast, 77.3% of breakfast dish was carbohydrate whilst .protein was 18.9%. 82.0% of lunch dish was carbohydrate whilst .protein was 18.0%, 85.5% of breakfast dish was carbohydrate whilst .protein was 14.5%
Table 5 reveals Mean physique mass index in stratified age groups in subjects as good as controls There was no poignant disproportion (p > 0.05) in in in in in in in in in in in in between a age groups < 6 years, 7 – eleven as good as > twelve years of subjects compared to a carry out groups.
From a interpretation obtained, it was celebrated that consanguine waif was a commonest (60%), whilst stand in waif was a slightest (4%), motherly waif consecrate customarily 36%. The sponsorship of preparation of a orphans was finished generally by their mothers (50%), whilst sponsorship by a father as good as alternative kin consecrate 26% as good as 16% respectively.
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DISCUSSION
Nutritional standing in children, have been customarily assessed by last their weight, height, conduct circumference, as good as mid-upper arm circumference. Values performed that have been next a normal operation for particular age organisation is deliberate to simulate a gauntness state. Lack of amicable await for waif from family members as a outcome of stigmatization as good as taste minister to marked down food accessibility as good as as a outcome unsound dietary money coming in by orphans
There were no poignant differences celebrated in a anthropometrics in in in in in in in in in in in in between a orphaned as good as non-orphaned children. However, there were poignant differences in their plasma levels of hemoglobin, sum protein, albumin, globulin, calcium as good as fake phosphate. These biochemical parameters were significantly reduce (p < 0.05) in orphaned young kids than non-orphaned children. The rebate in a upon top of parameters amongst waif young kids is a thoughtfulness of a bad nutritive standing exhibited by a orphaned young kids in some-more aged to non-orphaned children.
Households influenced by HIV/AIDS have been customarily confronted by serious decrease in food accessibility (qualitatively as good as quantitatively) or food distrust due to finish detriment of a socio-economic contributions of possibly or both of their parents. The required home needs of such orphaned young kids have been catered for by a grandparents or mostly by a guardians, who additionally have their evident family to take caring of.
The tiny expansion celebrated in these orphans competence minister to serve stigmatization as good as taste by associate village people. Most times, a orphans with tiny expansion have been mostly tagged HIV/AIDS putrescent individuals, after all both gauntness as good as HIV/AIDS have identical presentation. In this situation, a diet abounding in protein, energy, micronutrients generally vitamin A is required to move about extreme changes in a illness as good as earthy appearances of such orphans.
The significantly low globulin spin (p < 0.05) in a orphans measures a defence status. It suggests that there have been a little degrees of immunosuppression in a orphaned young kids as good as they have been to illustrate exposed to mixed infections. The decreased shield compared with gauntness lead to increasing ionization to infections (including HIV infection) that in spin lead to increasing nutritious requirements. If these mandate have been not sufficient met, it competence lead to some-more gauntness state. As HIV/AIDS disposed orphans to malnutrition, gauntness creates waif receptive to HIV/AIDS.
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REFERECES
[i] HIV/AIDS caring as good as treatment: In a clinical march for people caring for persons vital with HIV/AIDS ,2003; Â pp 24.
Â
[ii] UNIAIDS: Report upon a tellurian AIDS epidemic, section 4, a stroke of AIDS upon people as good as societies, 2006.
Â
[iii] Hunter,S. as good as Williamson,J.: Children upon a brink;Strategies to Support Children Isolated
by HIV/AIDS,Arlindton, Virgina, 2002.
Â
[iv] Monasch, J. as good as Ties Boerma: Orphanhood as good as kid caring patterns in sub-Saharan Africa. An investigate of National Surveys from 40 countries. AIDS eighteen (suppl. 2); 2004;. Pg 555-565
Â
[v] De Wagt, A. as good as Conndly, M.: Orphan as good as a stroke of HIV/AIDS in sub-Saharan Africa. Food nourishment as good as cultivation 2005; 34;pg 24-31
Â
[vi] Rivers, J, Silverstre,E., Mason,J.: Nutritional as good as Food Security Status of orphans as good as exposed children, inform of a investigate upheld by UNICEF, IFPRI, as good as WFP, 2004.
Â
[vii] Piwoz, E.G.: Nutrition as good as HIV/AIDS; evidence, gaps as good as priority actions, 2004.
Â
[viii] Suttajit,M.: Advances in nourishment await for peculiarity of hold up in HIV/AIDS, Middle East Pac. J Clin. Nutr. 2007; 16, suppl., pp318-322,
Â
[ix] Beisel,W.R.: Nutrition as good as defence function; overview. Nutri. 1996; 126, pg 26115-26155
Â
[x] Kroon,F.P.,van Dissel,J.T.,de Jong, J.C., as good as outpost Forth,R.: Antibody reply to influenza,
tetanus, as good as pneumococcal vaccines in HIV-seropositive people in propinquity to the
Â
[xi] Gillespie, S. as good as Kadayila,S.: HIV/AIDS as good as food nourishment security, from justification in action, food process examination no 7, Washington, DC,IFPRI,2005.
Â
[xii] Alban, A. as good as Anderson, N.B.: Putting it together; AIDS as good as a millennium expansion goals, 2005
Â
[xiii] Â Barnett,A. as good as Rugalema,G.: HIV/AIDS, International Food Policy Research Institute,2020 thoroughness no 05, short no 09, Washington, DC, IFPRI,2001.
Â
[xiv] Grant, F.: Nutrition interventions for PLWHAs as good as a operate of Ready-to-use Therapeutic Foods, display during a FANTA project, academy for Educational Development, Washington, DC, 2006.
[xv] Greenaway, K. Greenblott,K.,Hagens,K.: Targeted Food Assistance in a context of HIV/AIDS, Gauteny, South Africa; consortium for southern Africa Food Security Emergency(C-SAFE) guidance centre,2004.
Â
[xvi]Â Kayira,K., Greenaway, K., Greenblott, K: Food for assents; taking advantage of programming to an HIV/AIDS context, Gauteny, South Africa; consortium for southern Africa Food Security Emergency(C-SAFE) guidance centre,2004.
Â
[xvii] Dacie JV & Lewis SMÂ Practical Haematology, p 10. London.
ChurchillLivingstone  (1984
Â
[xviii] Â Gornall AG, Bardwill CJ, David M.M: Determination of serum proteins by
means of a biuret reaction. J Biol Chem 1949; 177: 751-756.
Â
[xix] Doumas B.T., Watson W.A as good as Biggs H.G: Albumin standards as good as a dimensions of serum albumin with bromcresol green. Clin. Chim. Acta 1971; 31: 87.
Â
[xx] Stern J. as good as Lewis W.H.P: The colorimetric integrity of calcium in serum with o-cresolphthalein Complexone. Clin. Chim. Acta 1957; 2: 576
Â
[xxi] Fiske C. H. as good as SubbaRow Y:. The colorimetric integrity of phosphorus. J.Biol.Chem. 1925; 66: 375
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