Programul Congresului SARRM

Lucrările comune ale

 

Al 5-lea Congres Internațional al Societății de Anesteziologie și Reanimatologie din Republica Moldova

 

A 16-a ediție a Cursului Internațional de Ghiduri și Protocoale în Anestezie Terapie Intensivă și Medicină de Urgență

 

28th Meeting of The European Society for Computing and Technology in Anesthesia and Intensive Care

 

27-29 Septembrie 2018, Chisinau, Republica Moldova

 

Locatie: Centrul de Conferinte al Hotelulu Radisson Blue Leogrand

Strada Mitropolit Varlaam No. 77, Chisinau, Republica Moldova

 

  

 

Joi 27 septembrie 2018

Sala comună PRUT – NISTRU

 

Deschiderea OFICIALA a lucrarilor celor 3 CONGRESE reunite 

Sesiune Anestezie – Terapie Intensiva

Moderatori: Ruslan Baltaga, Dorel Sandesc

14.00-14.30 Victor Cojocaru, CHIȘINĂUServiciul de Anestezie și Terapie Intensivă în Republica Moldova.

Istoric, prezent, perspective

14.30-15.00 Dana Tomescu, BUCURESTIManagementului coagulopatiei la pacientul cirotic. NU VA MAI JUCATI CU NUMERELE!
15.00-15.30 Stefan de Hert, BELGIAWhat to do with chronic cardiac medication perioperatively?
15.30-16.00 Ruben Azocar, Boston, SUACritical care and Trauma in geriatric patients
16.00-16.30 Coffee Break
16.30-17.00 Radmilo Jankovic, SERBIAClinical utility of perioperative biomarkers
17.00-17.30 Daniela Filipescu, BUCURESTIInotrop positive si vasopresoare: bune si rele in acelasi timp?
17.30-18.00 Leonard Azamfirei, TARGU MURESVariabilitatea genetica in sepsis
18.00-18.30 Josef Wichelewski, ISRAELHospital organization for mass casualties
 EVENIMENT MEDICINA si CULTURA

CONCERT

SALA cu ORGA, Centrul National al Muzicii de Camera

Strada Stefan cel Mare si Sfant nr. 81, Chisinau

 

21.00 COCKTAIL de BUN VENITHotel Radisson Blue

 

 

Sala LOFT LOUNGE

 

Actualitati in Anestezie Terapie IntensivaModerator: Victor Cojocaru
15.00-15.30 Victor Cojocaru, CHIȘINĂUEchilibrul gazos şi acido-bazic în coma diabetică
15.30-16.00 Jumadilov Agzam, KAZAHSTANСовременные тенденции в анестезиологической тактике при онкологических операциях

-conferinta in limba rusa-

16.00-16.30 Doriana Cojocaru, CHIȘINĂUUtilizarea PCO2 gap şi parametrilor derivaţi din analiza gazelor sanguine în ghidarea terapiei de resuscitare la pacientul septic
16.30-17.00

 

Alexandru Botizaru, CHIȘINĂUDisfuncţia multiplă de organe în chirurgia cardiaca la copii

 

17.00-17.30 Nicolae Vaculin, CHIȘINĂUManagementul anestezic perioperator la pacienții cu tumori a zonei chiazmal-selare
17.30-18.00 Iana Cotorcea, CHIȘINĂUManagementul anestezic în neurochirurgia spinală complexă
18.00-18.30 Corina Gutium, CHIȘINĂUManagementul anestezic în neurochirurgia tumorilor endocraniene

 

 

Sala BEGONIA

Sala dedicata lucrarilor congresului European Society for Computing and Technology in Anesthesiology and Intensive Care

12.45 ESCTAIC Congress Opening ceremony
13.0013.45 Plenary lectureGabriel Gurman, ISRAEL

From clinical approach to modern technology-is there any way back?

13.4514.45 1nd panel :Ultrasound todayModerator: Dan Dirzu, ROMANIA
Francesco Alessandri, ITALYUltrasound for detecting difficult airway management
Adela Onutu, ROMANIATrends in ultrasound –guided peripheral nerve blocks and the impact on chronic postoperative pain
14.4516.15 2nd panel: Airway management, any news?Moderator: Francesco Alessandri, ITALY
Ruggero Corso, ITALYVideolaryngoscopy vs direct laryngoscopy-a never ending story
Peter Biro, SWITZERLANDNew aspects of light guiding for airway management
Ruggero Corso, ITALYSupraglottic airway devices: are all the same?
16.15 Coffee break 
16.30-18.00 3rd panel: Views on new technologyModerators: Lutz Krummreich (Germany), Stefan Rauch (Germany)
Teodora Nicolescu, USAThe cost of new technology-what do we learn from electronic medical records and how can it meaningfully affect patient safety
Michael Czaplik, GERMANYMedicine 4.0 and Smart Hospitals – current challenges and the future?
Johannes Wacker, SWITZERLANDTechnology and the subtle balance between benefits and harm

 

 

Vineri 28 septembrie 2018

SALA PRUT

Actualitati in Anestezie si Terapie IntensivaModerator: Ruslan Baltaga
08.30-09.00 Janos Fazekas, Budapesta, UNGARIAProcalcitonin kinetics in septic patients with case presentation
09.00-09.30 Ruslan Baltaga, Chisinau, MOLDOVAGhiduri de evaluare preanestezica
09.30-10.00 Alberto Benigni, ITALIANeuromuscular blocking agents in newborns and children: are they safe?
10.00-10.30 Johannes Wacker, ELVETIAPerioperative patient safety and the challenge of protocol implementation
10.30-11.00 Armin Kalenka, GERMANIAMechanical ventilation in Patient with Sepsis
11.00-11.30 Pauza de cafea
Sesiune Antibiotic StewardshipModerator: Serban Bubenek
11.30-12.00 Dorel Sandesc, TIMISOARAAntibiotic Stewardship
12.00-12.30 Ioana Grigoras, IASIInfectii cu optiuni limitate de tratament. O perspectiva clinica
12.30-13.00 Egidia Miftode, IASIGermenii gram pozitivi – optiuni consacrate de tratament si noi optiuni terapeutice
13.00-13.30 Adriana Hriste, BUCURESTINoi optiuni terapeutice in lupta cu germenii gram negativi. In rolul principal – Pseudomonas Aeruginosa
13.30-13.45 Intrebari. Discutii. Concluzii 

 

13.45-15.00 Pauza de pranz

 

Actualitati in AnestezieModerator: Dorel Sandesc, Marius Papurica
15.00-15.30 Daniela Ionescu, CLUJ NAPOCAProtocoalele fast track in chirurgia digestiva. Cat de departe am ajuns?
15.30-16.00 Dorel Sandesc, TIMISOARASeeing is believing. Updates in reversal of neuromuscular blockade
16.00-16.30 Marius Papurica, TIMISOARAGhiduri si recomandari de analgezie multimodala perioperatorie
16.30-16.45 Dorel Sandesc, TIMISOARAManagementul pacientului cu hemofilie
16.45-17.00 Pauza de cafea
Actualitati in Terapie IntensivaModerator: Claudiu Zdrehus
17.00-17.30 Ruggero Corso, ITALIAICU admission after surgery: making right choices
17.30-18.00 Andreas Meiser, GERMANIATechnological aspects of inhalation sedation in the ICU
18.00-18.30 Claudiu Zdrehus, CLUJ NAPOCADelirul postoperator

 

 

SALA NISTRU

 

Actualitati in Anestezie Terapie IntensivaModerator: Janos Szederjesi
08.30-09.00 Alexandra Lazar, TARGU MURESSimularea medicala aplicata in anestezie si terapie intensiva
09.00-09.30 Teodora Nicolescu, SUADisaster and mass casualty preparedness – protocols and guidelines
09.30-10.00 Janos Szederjesi, TARGU MURESGhiduri si protocoale de transfuzie sanguina
10.00-10.30 Stefan Rauch, GERMANIANew Technologies in Extracorporeal CO2 Removal
10.30-11.00 Sanda Copotoiu, TARGU MURESFiltrele respiratorii
11.00-11.30 Pauza de cafea
Actualitati in Anestezie si Terapie IntensivaModerator: Bazil Ateleanu
11.30-12.00 Serghei Vorotsintev, UCRAINAABCDEF bundles
12.00-12.30 Mona Momeni, BELGIAThe importance of intra-operative brain monitoring
12.30-13.00 Alexandre Joosten, BELGIACrystalloid vs colloid in the perioperative period?
13.00-13.30 Bazil Ateleanu, MAREA BRITANIE10 articole esentiale pentru orice anestezist!

 

13.30-15.00 Pauza de pranz

 

Actualitati in AnestezieModerator: Calin Mitre
15.00-15.30 Peter Biro, ELVETIASpinal anesthesia in the ambulatory setting
15.30-16.00 Aurel Neamtu, SUAFailed periaxial blocks
16.00-16.30 Calin Mitre, CLUJ NAPOCACalea aeriana dificila. Ghiduri si Protocoale
16.30-17.00 Pauza de cafea
Actualitati in Anestezia ObstetricalaModerator: Serban Manica
17.00-17.30 Serban Manica, SUAPeripartum Maternal Collapse
17.30-18.00 Serban Manica, SUAProtocoale de anestezie in obstetrica
18.00-18.30 Ovidiu Bedreag, TIMISOARAProtocoale de monitorizare intraoperatorie

 

 

 

SALA BEGONIA

Sala dedicata lucrarilor Congresului ESCTAIC

8.3010.30 4th panel: Organized by the Department of Anesthesia –Antwerp University Hospital (UZA), BelgiumModerator: Margaretha Barbara Breebaart
Alexander JoostenArtificial intelligence, robots and mobile technology
Alexander JoostenClosed loop systems and computer-assisted anesthesia
Margaretha Barbara BreebaartUltrasound guided regional anesthesia: learning curves and motor skills
Sabine MaesVirtual reality and anesthesia
10.30 Coffee break
10.4511.45 5th panel: Monitoring depth of general anesthesia: two viewsModerator: Gabriel Gurman, ISRAEL
Ruggero Corso, ITALY
Daniela Ionescu, ROMANIA
11.4513.15 6th panel: organized by the University Clinic of Saarland (Germany)Moderator: Heinrich Groesdonk
Nick WeidnerECHO in the operating room
Heinrich GroesdonkPoint of care ultrasound in ICU: possibilities and limits
Andreas MeiserUltrasound guided puncture of vessels
13.15 Lunch break 
14.15 ESCTAIC General Assembly 
15.30-16.30 7th panel: Neuromuscular junction monitoringModerator: Gabriel Gurman, ISRAEL
Glenn Murphy, USATo monitor or not to monitor: why is there still a question?
Peter Biro, SWITZERLANDFine-tuning of neuromuscular blockade for robotic surgery

 

 

SALA LOFT LOUNGE

 

Actualitati in Anestezie si Terapie IntensivaModerator: Ion Chesov
08.30-09.00 Oleg Tarabrin, UCRAINAПриобретённые коагулопатии – что нового?

-conferinta in limba rusa-

09.00-09.30 Ivan Lesnoi, UCRAINAПослеоперационная когнитивная дисфункция. Частота и возможные методы коррекции

-conferinta in limba rusa-

09.30-10.00 Talgat Temirov, KAZAHSTANРегионарная анестезия при трансплантации почки

-conferinta in limba rusa-

10.00-10.30 Serghei Vorotsintev, UCRAINAАнестезия и периоперационная интенсивная терапия у больных с ожирением

-conferinta in limba rusa-

10.30-11.00 Andrei Malic, MAREA BRITANIEMagneziul ionic seric – importanta clinica a acestui parametru
11.00-11.30 Pauza de cafea
Actualitati in Anestezie si Terapie IntensivaModerator: Dan Corneci
11.30-12.00 Janos Fazekas, UNGARIAManagement of antibiotics in lower respiratory tract infections
12.00-12.30 Cristina Petrisor, CLUJ NAPOCAInvestigatii alergologice la pacientul cu anafilaxie intra-anestezica
12.30-13.00 Irina Ristescu, IASIHiperoxia si cancerul
13.00-13.30 Dan Corneci, BUCURESTIGhiduri de ventilatie mecanica perioperatorie

 

13.30-15.00 Pauza de pranz

 

15.00-16.30 Masă rotundă ”ATI în Moldova” 

Sesiune de lucru comuna SRATI – SARM

Invitati – reprezentanti ai Ministerului Sanatatii si Casei de Asigurari din Republica Moldova

 

 

16.30-17.00 Pauză de cafea
Actualitati in Anestezie si Terapia DureriiModerator: Dan Dirzu
17.00-17.30 Paul Zilberman, ISRAELTips and tricks in anesthesia
17.30-18.00 Dan Dirzu, CLUJ NAPOCAManagementul interventional in durerea pelvina
18.00-18.30 Ovidiu Palea, BUCURESTIVertebroplastia si durerea dupa vertebroplastie

 

Sambata 29 septembrie 2018

SALA PRUT

Actualitati in Terapie Intensiva si Medicina de UrgentaModerator: Serghei Sandru
09.00-09.30 Michael Czaplik, GERMANIAPotential of telemedicine in anaesthesiology and emergency medicine

 

09.30-10.00 Mona Momeni, BELGIAManagement of patients with congenital heart disease coming for non-cardiac surgery
10.00-10.30 Ioana Grigoras, IASIPacientul varstnic. Conceptul de fragilitate

The elderly patient. The frailty concept

10.30-11.00 Serghei Sandru, MOLDOVANutriția enterală la pacientul vârstnic în ATI

Enteral nutrition in elderly patients in ICU

11.00-11.30 Pauza de cafea
Actualitati in Anestezie si Terapie IntensivaModeratori: Serban Bubenek
11.30-12.00 Serban Bubenek, BUCURESTI
Monitorizarea hemodinamica in Soc: Recomandari ale Ghidurilor Europene si
posibile evolutii viitoare
12.00-12.30 Natan Wecksler, ISRAELOpiod Free Anesthesia (OFA): time to change paradigm
12.30-13.00 Florian Weis, MUNCHEN, GERMANIAUpdates in monitoring in intensive care
13.00-13.10 MINDRAY in anestezie si terapie intensivaProfil companie

 

 

 

 

SALA NISTRU

Actualitati in Terapie IntensivaModerator: Ioana Marina Grintescu
09.00-11.00 Riscurile subevaluarii  pacientului politraumatizat 

Liliana Mirea, BUCURESTI

Rolul anesteziei regionale la pacientul critic politraumatizat

 

Daniela Pavelescu, BUCURESTI

Trauma esofagiana – diagnostic si management terapeutic

 

Angela Popa, BUCURESTI

Hematomul retroperitoneal în trauma – adevăr și provocare

 

Elena Ciobanu, Ioana Cristina Grintescu, BUCURESTI

Sindromul de strivire – selectia pacientilor si momentul optim al initierii dializei continue la pacientul politraumatizat

 

Ioana Marina Grintescu, BUCURESTI

Complicatii septice la pacientul politraumatizat

11.00-11.30 Pauza de cafea
Actualitati in Terapie IntensivaModeratori: Dorel Sandesc, Ovidiu Bedreag
11.30-11.50 Ioana Marina Grintescu, BUCURESTIProtocoale de hemodiafiltrare continua la pacientul septic
11.50-12.10 Dan Corneci, BUCURESTIAnticoagularea cu citrat in tehnicile CRRT
12.10-12.30 Ovidiu Bedreag, TIMISOARADezechilibrele electrolitice si acido-bazice la pacientul hemodiafiltrat
12.30-12.50 Sergiu Cobaletchi, MOLDOVAAdsorberii de citokine in practica clinica
12.50-13.10 Mihai Sava, SIBIUProtocoale de Dubla FILTRARE PLASMAFEREZA (DFPP)
13.10-13.20 General Electric in Anestezie Terapie IntensivaProfil Companie
INCHIDEREA lucrarilor celor 3 CONGRESE reunite 

 

 

SALA BEGONIA

Sala dedicata lucrarilor Congresului ESCTAIC

8.30-10.30 8th panel: Technology of regional blocksModerator: Adela Onutu, ROMANIA
Adela Onutu, ROMANIAThe lumbar plexus block, guided by neurostimulator, and its controversies
Dan Dirzu, ROMANIACryoanalgesia
Controversy: Could ultrasound replace X-ray guided procedures in chronic pain management?Pro: Florin Orza, USA

Cons: Aurel Neamtu, USA

10.30 Coffee Break 
10.4512.45 9th panel: Monitoring in critical careModerator: Daniela Ionescu, ROMANIA
Francesco Alessandri, ITALYMonitoring mechanical ventilation
Stefan Rauch, GERMANYAutomatic, electronic monitoring in real time for early detection of sepsis
Alberto Benigni, ITALYThromboelastography in pediatric patients with liver disease
Moty Klein, ISRAELFrom eyes to computerized monitoring: too much information?
12.45 Inchiderea lucrarilor celor 3 CONGRESE reunite

 

 

SALA LOFT LOUNGE

 

Actualitati in Terapie Intensiva si Medicina de UrgentaModerator: Serghei Sandru
09.00-09.30 Cornelia Guțu-Bahov, CHIȘINĂUSepsis 2018. Ce este nou?
09.30-10.00 Diana Cimpoesu, Mihaela Corlade-Andrei, IASIGhidul STEMi 2017 – ce aduce nou in medicina de urgenta?
10.00-10.30 Diana Cimpoesu, Ovidiu Popa, IASICand Ghidul ERC de resuscitare cardio-pulmonara face parte din viata noastra
10.30-11.00 Dorel Sandesc, TIMISOARABreaking news in neuroprotection
11.00-11.30 Pauza de cafea
Actualitati in Anestezie si Terapie IntensivaModeratori: Adrain Belii, Gabriel Gurman
11.30-12.00 Adrian Belii, MOLDOVA16 vs.36 in terapie intensiva
12.00-12.30 Iurie Acalovschi, CLUJ NAPOCAConceptul de MEDICINA PERIOPERATORIE
12.30-13.00 Gabriel Gurman, ISRAELShould be the specialty of critical care separated from Anesthesiology?
INCHIDEREA lucrarilor celor 3 CONGRESE reunite 

 

SALA ROSE

 

09.00-11.00 Comunicări orale 

Moderatori: Tatiana Tazlavan, Severin Ghenadie

 

1. Radu Mihai DUMITRESCU

MALPRAXISUL MEDICAL ÎN ROMÂNIA, O PERSPECTIVĂ SOCIOLOGICĂ

 

2. Petre Octavian TEODORESCU, Violeta GHERDAN, Denisa BOTOȘ, Mihaela ONIȚA

NEWS IN THE TREATMENT OF MASSIVE OBSTETRIC HAEMORRHAGES

 

3. Iulian BUZINCU, Sebastian TĂNASE, Cătălina PUF, Ioana GRIGORAȘ

WHAT IS THE CUT-OFF VALUE OF SURGICAL APGAR SCORE WHICH PREDICTS THE COMPLICATED POSTOPERATIVE EVOLUTION OF THE SURGICAL ONCOLOGICAL PATIENT?

 

4. Emilia PĂTRĂȘCANU, Delia NEGRESCU, Bianca CONSTANTINEANU, Roxana BOCA,

Irina RISTESCU, Ioana GRIGORAȘ

EVOLUTION OF THE ELDERLY SURGICAL ONCOLOGIC PATIENT. CASE ANALYSIS – REGIONAL INSTITUTE OF ONCOLOGY, IASI

 

5. Emilia PATRAȘCANU, Irina RISTESCU, Crina TIRON, Adrian TIRON, Paula POSTU, Eugen CARASEVICI, Ioana GRIGORAȘ

EFECTS OF DIFFERENT SEVOFLURANE CONCENTRATIONS ON AKT ISOFORMS IN NORMAL AND CANCER BREAST CELLS. AN EXPERIMENTAL MODEL

 

6. FEGHIU Iuliana, BALTAGA Ruslan, FRUNZĂ Galina, TAZLAVAN Tatiana, ȘANDRU Sergiu. BASELINE HEART PARASYMPATHICOTONIA – A RISK FACTOR FOR CARDIOVASCULAR INSTABILITY IN ANESTHESIA INDUCTION WITH PROPOFOL OR MIDASOLAM

 

7. FEGHIU Iuliana, COBÎLEȚCHI Sergiu, BALTAGA Ruslan, ȘANDRU Sergiu.

CHANGES OF HEART VEGETATIVE TONUS AFTER INTRAVENOUS ADNMINISTRATION OF TRHEE DIFFERENT AGENTS FOR INDUCTION OF GENEAL ANESTHESIA

 

8. Ristescu IRINA, Daniela Simona FETCU, Diana FILIP, Mirel JITCA, Rafaela FECHETA,

Emilia PĂTRĂȘCANU, Ioana GRIGORAȘ

RETROSPECTIVE EVALUATION OF ANAEMIA AND TRANSFUSION RATE IN LOWER ABDOMINAL ONCOLOGICAL SURGERY

 

9. Victoria RUSU

INTRAANESTHETIC PERMISSIVE HYPERCAPNIA INDUCED FOR SHORT-TERM SURGERY. PROSPECTIVE RANDOMIZED STUDY

 

10. Magdalena MIULESCU, Mary Nicoleta LUPU, Mariana LUPOAE, Oana Roxana CIOBOTARU

MIDAZOLAM VERSUS PROPOFOL MONITORED ANESTHESIA CARE SEDATION IN PEDIATRIC PATIENTS UNDERGOING SPINAL ANESTHESIA

 

11. Natalia BELÎI

THE IMPACT OF PERSISTENT POST-SURGICAL PAIN ON THE PHYSICAL HEALTH DIMENSION OF THE QUALITY OF LIFE hMONTHS AFTER THE SURGERY

 

11.00-11.30 Pauza de cafea
11.30-13.30 Comunicări orale 

Comunicări orale

Moderatori: Svetlana Plămădeală, Natalia Belîi

1. Eugen TINCU, Dan DAMIAN, Corina DASCALU

POINT-OF-CARE VISUAL MEDICINE IN THE MANAGEMENT OF EMERGENCY INTENSIVE CARE PATIENTS – CASE STUDY

 

2. Carmen PANTIS

INSTABILITATEA HEMODINAMICA LA DONATORUL IN MOARTE CEREBRALA SCJU ORADEA

 

3. Teodora OLARIU, Iustin OLARIU, Simona TALPEŞ, Amalia NICULESCU, Victor TOMA,

Ioana JURCĂ, Ovidiu BEDREAG

ENTEROBACTERIACEAE IN THE HOSPITAL ENVIRONMENT AND THEIR ANTIMICROBIAL RESISTANCE

 

4. Daniel RUSU, Olguța DIACONU, Ianis SIRIOPOL, Emilia Patrascanu, Iulia Jitaru, Ioana Grigoraș

ACUTE RESPIRATORY DISTRESS SYNDROME PARTICULARITIES IN ONCOLOGICAL PATIENTS WITH AH1N1 INFLUENZA. CASE SERIES REPORT

 

5. Irina RISTESCU, Adrian TIRON, Crina TIRON, Radu ILIESCU, Florin ZUGUN-ELOAE, Eugen CARASEVICI, Ioana GRIGORAS

HYPEROXIA INFLUENCES CANCER GROWTH AND METASTASIS. A PILOT EXPERIMENTAL MODEL

 

6. Alina DRAGOMAN

INFECȚIA CU CITOMEGALOVIRUS LA SUGARUL IMUNOCOMPETENT, O PROVOCARE DIAGNOSTICĂ ȘI TERAPEUTICĂ-PREZENTARE DE CAZ

 

7. Lucia GÎRBU

MINIMALLY INVASIVE HEMODYNAMIC MOITORING PiCCO IN ACUTE MYOCARDIAL INFARCTION COMPLICATED WITH CARDIOGENIC SHOCK. CASE STUDY

 

8. E. Mosnin, R. Avadanii, D. Pislaru, C. Zubarev, C. Gutu-Bahov, G. Cazacu

EARLY PHYSIOKINETOTHERAPY EFFECTS IN CRICAL PACIENT MANAGEMENT

 

9. O. Odajiu, C. Zubarev, L. Girbu,T. Dumitras, C. Gutu-Bahov, V.Cojocaru

Intensive care in community-acquired pneumonia complicated by acute respiratory distress syndrome. CASE STUDY

 

10. Camerzan Iraida, Gheorghe Cozonac, Garbuz Victor, Guțu-Bahov Cornelia     The impact of PICCO technology on cost/efficiency in ICU. First experience.

 

11. Tăzlăvan Tatiana, Popili Mihail, Feghiu Iuliana, Șandru Serghei. Factorii de risc ai stresului occupational în anestezie și terapie intensive
12. Voinschi Romaniţa, Nicolae Mihailişin, Severin Ghenadie, Ion Chesov. Rezistenţa culturilor bacteriene în perioada 2016-2017 în SCM Nr 1, secţia Terapie intensivă

INCHIDEREA lucrarilor celor 3 CONGRESE reunite 

 program 15 septembrie 2018

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