WSH Alerts, 04 Nov 2022 Patterns of Injury in Victims of Urban Free-Falls Major damage to parenchymal organs of the abdominal and thoracic cavity is the predominant cause of death after falls from extreme heights. Fatalities 10-45ft 1/118 5-9ft 0/65 1-4ft, When children incur fatal injuries in falls of lt, The mortality of childhood falls. And, best of all, it is completely free and easy to use. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Foreword falls look for Colles or silver fork fractures of the wrist. workplace safety and health. The supervisor must indicate in the PTW that a risk assessment has been conducted for WAH, and the safety measures to be implemented. The impact of the injury may range from a minor inconvenience to a serious injury all the way through to a possible fatality. Construction workers, electricians, miners, and painters are occupations with high . Learn faster and smarter from top experts, Download to take your learnings offline and on the go. FALLS FROM HEIGHT. with your help, we can transform construction sites into safe and healthy E.g. Falls Prevention Program Thrown backwards look for injuries to head, back, and pelvis. 1991; 31:1353-1355. a fall from the unprotected edge of a roof.. Young children who fell from <3 m sustained only minor injuries, such as contusions, abrasions, and lacerations. Chairman area. Suicidal attempts show no such seasonal variation, J Trauma, Volume 46(6). Manufactures or processes petroleum and petrochemicals, and their products; Manufactures chlorine, fluorine, hydrogen fluoride or carbon monoxide; Manufactures pharmaceutical products or their intermediates; All potential hazards and risks for the work have been adequately addressed. Fatalities: 50ft 8; 4-40ft 18; 3ft 18 Minor falls can be lethal, especially in a toddler. rdk_06208948. By contrast, fatal accidents can be caused by falls from height, and Regardless of height, if a worker can fall into or onto . Roof tiles removed 1. WSH Alerts, 27 Sep 2022 Tap here to review the details. WSH Alerts, 26 Oct 2022 All patients with spine fractures in whom the GCS was 14 or 15 had positive physical findings of their spinal fracture: pain, palpation tenderness, or neurologic deficits. Fatal fall from a height - . 3. Scalea et al. Provide individual fall arrest system (e.g. Falls in older adults are a major class of preventable injuries. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. 58,000 fall-related hospitalizations and the 130 deaths below the age of 15 are most often associated with falls >10 m. Free Falls & Fatality Nearly 3/4 of falls from heights in children are unintentional, and the circumstances of injury should always be investigated for inflicted trauma, especially in children <5 yrs). Between 2010 and 2014, the Labour Program recorded 16 fatalities in the federal jurisdiction involving falls from heights. J Trauma. possible affect on, Foreword falls look for Colles or silver fork. have student stand with back and feet against wall, Height - Surface reactivity of nanostructured light weight metals henry j. rack, clemson university, dmr, Height - Terrastream: terrain processing pipeline. Roughly half < 1yr fall from height Frequent source of ED Visits (1/100/yr) Frequent source of hospitalization ( 1/1000/yr) Infrequent cause of death ( 4/1,000,000/yr), Body Orientation on Impact Determines the pattern of injuries sustained Determines mortality rate Head first 50% mortality from 1 floor Feet first 50% mortality from 5 floors Horizontal landing Associated with chest and abdominal injuries, Feet First Landing Commonest orientation on landing Associated with typical fracture distribution: Calcaneus and subtalar joint Tibial plateau and fibula Femur Pelvis Lumbar spine Thoracic and cervical spine. Install adequate fall prevention/protection systems such as guard rails, scaffolds and covers for openings. ". J Trauma. Compression travels up the spinal column. pressure. Mortality rate: 57% in ventral impact; 23% after dorsal impact Because of the head weight, children are particularly predisposed to cranial trauma. Construction sites have customarily been It is the second-leading cause of accidental death worldwide and a major cause of personal injury, especially for the elderly. You should also develop and implement a fall prevention plan and a permit-to-work system. Newsletters Free access to premium services like Tuneln, Mubi and more. students remove shoes, heavy clothing, hats and barrettes. " By accepting, you agree to the updated privacy policy. He stepped on one of the roof tiles which then broke under his weight. window.dataLayer = window.dataLayer || []; J Trauma. Feet-First Falls Compression travels up the spinal column. All reasonably practicable safety measures have been taken. noticing the, FALL FROM HEIGHT-A CASE REPORT - . As much as the next few years promise to be exciting for the construction Mortality rate increased in falls from 6 m. Children with low-level falls had a similar risk for intracranial and abdominal injury as those who fell from greater heights. height. And, again, its all free. Thrown backwards look for injuries to head, back, Bohlers salient angle lt 20 degrees suggests, Need CT to assess involvement of sub-talar joint, Can be surgically reconstructed or managed, Common in buttock and feet first landings, As with other fractures, has been shown to, Commonest skeletal fracture associated with falls, Thoracolumbar junction is area most often, Can be seen with feet first landings with flexion, Frequent source of hospitalization ( 1/1000/yr), Infrequent cause of death ( 4/1,000,000/yr), Determines the pattern of injuries sustained, Associated with chest and abdominal injuries, Associated with typical fracture distribution. Workplace Safety and Health Council This booklet of case studies offers insights to all in the industry on how we can and must prevent these mishaps from happening again. Send us feedback if you receive any suspicious or inappropriate emails asking for your personal information. Create stunning presentation online in just 3 steps. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Well convert it to an HTML5 slideshow that includes all the media types youve already added: audio, video, music, pictures, animations and transition effects. is is, Work at Height Regulations Ian Greenwood Falls from Height Team - Health and safety executive. Clipping is a handy way to collect important slides you want to go back to later. Free Falls & Fatality Fractures were the most common of their serious injuries, and the radius, ulna and femur were the most frequent sites. Intraabdominal organ injuries are not uncommon and should be prioritized before retroperitoneal trauma in the differential diagnosis of the hemodynamically unstable fall victim. The supervisor applies for permission to start work and submits the PTW application to the WAH Safety Assessor when all the conditions in the PTW are met. gtag('config', 'DC-10929346'); Definitions Falls:: unexpected falling down from high position to lower position with or without injury due to physical or mental effect. Compression of the cervical spine. rdk_06208903. result in around 80 major injuries (broken limbs, fractured skulls etc.) function gtag(){dataLayer.push(arguments);} Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Patterns of Injury in Victims of Urban Free-Falls The "battleship fracture"simultaneous fracture of the lumbar spine and a tarsal or metatarsal bone. viewed as high-risk workplaces, which more often than not have a higher WSH Alerts, 24 Nov 2022 Not surprisingly, fall protection was the most frequently cited violation by OSHA in 2017. The height of the fall is a good predictor of injury severity and ultimate outcome. As of today, 566 out of 1623 occupational deaths in the U.S. were caused by falls, which equals roughly 35% of all death causes. pressure exercise. 4. Working at heights is a high risk activity and a leading cause of death and serious injury in Australia. Clipping is a handy way to collect important slides you want to go back to later. Newsletters Height of fall = 4.8m 2. securing to a suitable anchor point). To assess the injury pattern in fatal falls from height with special regard to criteria that might be helpful in discrimination between accident, suicide, and homicide, respectively, we reviewed 68 medicolegal autopsy cases (22 females, 46 males, age range 13-89 years) of fatal falls from height regarding demographic data, findings at the . Working at height remains one of the biggest causes of occupational fatalities and major injuries. 4. The SlideShare family just got bigger. It is crucial To prevent employees from being injured from falls, employers must: Guard every floor hole into which a worker can accidentally walk (using a railing and toe-board or a floor hole cover). The results of forensic medical examination of 82 corpses, persons who died as a result of falls from a height, were studied and analyzed. The Physics of Falling Falls are examples of vertical deceleration injuries (VDI) Patterns of injury differ from horizontal deceleration injuries (HDI) associated with motor vehicle accidents Fractures and retro-peritoneal injuries are more common in VDIs Intra-abdominal injuries are more common in HDIs, The Physics of Falling Factors influencing magnitude of injury: Impact velocity Rate of deceleration Impact surface Body habitus Age of patient Orientation of body on impact Objects encountered during fall (associated with upper limb fractures). Get powerful tools for managing your contents. If so, just upload it to PowerShow.com. provides valuable learning points on how they may have been prevented. Head-First Falls: Hyperextension of the head. Posters, Advisory Beware of scams and phishing emails. Slips, trips and low falls are the most common forms, and usually cause minor injuries (e.g. Fall from height cause serious and fatal injuries every year which add significantly to morbidity and mortality of the area. Retroperitoneum is the most likely source of hemodynamic instability, and they therefore recommended transportation to the angiography suite rather than the operating room for fall victims with evidence of continuous blood loss. Presentation work at height by sharif ullah khan wazir, Youngman India presentation safe work at height, Safety Procedures while working in height, A Complete Guide to Working at Height Regulations by At-Height, Construction Site Hazards & Safety Equipment, 06 Safety and Health on Construction sites. Falling is the action of a person or animal losing stability and ending up in a lower position, often on the ground. Two-thirds of patients with a fracture in the foot also had a lumbar spine fracture. The PowerPoint PPT presentation: "Fall from Height" is the property of its rightful owner. Falls greater than 20ft. Patterns of Injury in Victims of Urban Free-Falls The battleship fracturesimultaneous fracture of the lumbar spine and a tarsal or metatarsal bone. In learning from our past mistakes, The fatality of the injuries depends not only on the height of. change the reality.While construction workers strive to complete a building Activate your 30 day free trialto unlock unlimited reading. september 25, 2008 zoning commission case no. is initiated by the Workplace Safety and Health Council, and put together They contribute to more than a third of total workplace fatalities in Singapore every year. Newsletters To decline cookies at any time, simply adjust your browser settings. the purpose is to prevent falls and reduce the consequences if, Protect yourself against a fall when working at height - . Abstract Introduction: Fall from heights is high energy injuries and constitutes a fraction of all fall-related trauma evaluations while bearing an increase in morbidity and mortality. Cases commonly involve over-reaching, over-balancing or the failure of a fragile surface. madalgo center for massive data, Protect yourself against a fall when working at height - . Tap here to review the details. incidence of workplace fatalities. Major vascular injuries are rare in survivors from urban falls but should be suspected and treated promptly for optimal results. rdk_06208948. can result in serious or even fatal injury even when the fall is . Deaths from falls in children how far is fatal? Mortality rate increased in falls from 6 m. Children with low-level falls had a similar risk, 58,000 fall-related hospitalizations and the 130, Nearly 3/4 of falls from heights in children are, Legally requiring window guards in all family. No incompatible work is carried out at the same time and at the location of the hazardous WAH. As an occupier of a worksite, shipyard or premise for bulk storage of toxic or flammable liquid, you are required to implement an FPP in your workplace where WAH is carried out. trunk length. result in a further 230 over-3-day absence injuries each year. Most Causing to Falls Individual Loss of consciousness. Then you can share it with your target audience as well as PowerShow.coms millions of monthly visitors. Click here to review the details. By accepting, you agree to the updated privacy policy. hip height. Falls from height are a major cause of work-related fatalities and injuries. 1989; 29:1273-1275. Now customize the name of a clipboard to store your clips. what the film is a, Lessons from a Fall - . Peripheral vascular injuries are rare but should not be overlooked. of Manpower. You can read the details below. It has millions of presentations already uploaded and available with 1,000s more being uploaded by its users every day. Usually consist of intimal tears or pseudoaneurysms Always associated with falls of more than 30 feet and fractures of the corresponding extremity. POST OPERATIVE CARE by Ms. Mini Jose, Sister In-Charge, Surgicla ward, SVBCH, Handling the emergencies in radiology and first aid in the x ray department, Snake-bites in remote areas by Dr David Williams, Managing Patient & Family Rights and Responsibilities, Ayudas para la interpretacin de la Ttx.pptx, Anatomy & Physiology Of The Anterior Segment Module 1.1_FINAL.pptx, ETIOPATHOGENESIS AND STAGING OF CA PENIS (1).pptx, Prof. Serge Jurasunas Biological Aging vs. Chronological Aging Part 1.pdf, HealthCare-Global-HCG-Q2FY18-Investor-Presentation.pdf, iiZ0805jWRPzLiqd011UxSqk9_Good standing form.pdf, No public clipboards found for this slide. It is very important to manage the risk of falls from height in the workplace. A fall from any height, large or small has the potential to cause injury. possible affect on internal organs. matching drifter-altimetry observations. If you continue, you are giving us your consent to receive cookies only on this site. It appears that you have an ad-blocker running. Did you try www.HelpWriting.net ?. They contribute to more than a third of total workplace fatalities in Singapore every year. You are also required to implement an FPP if your factory: Your FPP should include (but not limited to) the following components: A permit-to-work (PTW) system is a necessary documented process to be implemented for hazardous WAH where employees could fall more than 3 metres either from an elevated site or into a depth. by: jasmine vollmer. Falls from height in the food and drink industries: are the third highest cause of fatal injury, comprising 20% of fatal accidents. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. In contrast, injuries after impact on the head are clearly life threatening. Patterns of Injury in Victims of Urban Free-Falls Survival is rare after urban free-falls from heights > 40 feet Spinal injuries may occur after falls from any height and a low threshold for aggressive evaluation of the whole spine should be adopted, especially in the presence of associated lower extremity fractures. Your feedback can help us fight against scammers contact us immediately. We've encountered a problem, please try again. Fall prevention and management in hospitals, Prevention of patient falls - A case study, Occupational Health and Safety Industry Group, Preventing Patient Falls in Acute Care Hospitals, Response Now Arizona Medical Alerts 928-533-6593, Patient safety and Risk Management in hospitals, INITIAL ASSESSMENT AND INTENSIVE CARE IN TRAUMA.pptx, Trauma Management in Primary Care Setting, Trauma management in_primary_care_setting. The email may not have been sent by wshc. sec-1 velocity at contact, and deceleration estimated at 191 G on a beach WWII, pilot jumped from plane at 7320 m and landed in pine forest and snow: the survivor of the most extraordinary free fall ever reported Falls from height into water: Impact of feet on the water, deceleration force is around 6 G. In cases of lateral impact, this force reaches 40 G. Prognostic factors in victims of falls from height On a solid impact surface, body orientation at the time of the impact was a theoretical prognostic factor Impact on the feet results in lower extremity trauma which is not life threatening in most cases. Together Read our Privacy Statement. Working at heights can pose a serious risk of injury or death from falling. It's FREE! altimeter-derived eddy kinetic energy. Free Falls & Fatality The nature of injuries associated with free falls in children is considerably different from that in adults. We've updated our privacy policy. The popliteal artery is most commonly involved. We hypothesize that despite advancements in trauma care, the overall survivability has not improved in this subset of trauma patients. 04 1. We've encountered a problem, please try again. that these workers go home safely after work each day. Fall from Height Description: Fall from Height a line from the anterior articular process of the calcaneus (1) through the posterior articular surface (2) to intersect with a second line touching . arm length. You can read the details below. They know how to do an amazing essay, research papers or dissertations. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. these tragic accidents occurred, so that we may glean important, life- Do you have PowerPoint slides to share? Establish safe work procedures for various work at height (WAH) activities. 5 3 5 4 6 3 4 11.5 5 5 5, Can the Distance Fallen Predict Serious Injury after a Fall, Prognostic factors in victims of falls from height, Patterns of Injury in Victims of Urban Free-Falls. We've updated our privacy policy. Among the dead were 64 men and 18 women. 08-06-01 the district of columbia office of. --if these injuries are found,one should suspect abuse. Looks like youve clipped this slide to already. It appears that you have an ad-blocker running. Our product offerings include millions of PowerPoint templates, diagrams, animated 3D characters and more. J. Trauma 26:706, 1981 Mechanisms sufficient to cause serious damage to intra-abdominal organs are severe enough to cause other injuries resulting in immediate death. Postmortem Analysis of Fatal Falls The head is the most frequently injured body region (70%), followed by the chest, abdomen, extremities, and neck Primary cause of death was craniocerebral trauma and that the vast majority of skull injuries associated with falls down stairs were found above the hat brim line. Aortic lacerations and vertebral compression fractures were also frequent. The process for the PTW system involves the following stages: Code of Practice for Working Safely at Heights, WSH Guidelines on Working Safely on Roofs, WSH Guidelines on Anchorage, Lifelines and Temporary Edge Protection Systems, WSH Guidelines on Personal Protective Equipment for Work at Heights, Supervisors Guidebook for Work at Height, Supervisors Guidebook for the Marine Industries Work at Heights, Workers Safety Handbook for Work at Height (English), Workers Safety Handbook for Work at Height (Chinese), Workers Safety Handbook for Work at Height (Tamil), Workers Safety Handbook for Work at Height (Bengali), Workers Safety Handbook for the Marine Industries Work at Heights, ABC Checklist Working Safely at Heights, WSH Alert 1 Dec 2022 Fatal Accident Worker fell off windowsill, WSH Alert 24 Nov 2022 Serious Accident Incident Worker Flung Out of Work Platform, WSH Alert 4 Nov 2022 Serious Accident Incident Worker injured after falling through fragile surface, WSH Alert 26 Oct 2022 Serious Accident Incident Worker injured after falling from a roof, WSH Bulletin 27 Sep 2022 1 IPAF Resources 2 WSH Personnel Survey, 1H 2022 Workplace Injury Hotspots WSH Infographics poster. - PowerPoint PPT presentation Number of Views: 721 Avg rating:3.0/5.0 Slides: 29 Provided by: mumsAcIr6 Category: Tags: fall | height less The SlideShare family just got bigger. volume. This infographic can be used to help raise awareness about the risks of working at heights. or facility, it is important that they do not risk life and limb. rms sea height, sea height anomaly - . =, Average Height - . Activate your 30 day free trialto continue reading. hip height - . Chest, lower spine and pelvic injuries are also common. WSH Bulletins, 16 Sep 2022 Two-thirds of patients with a fracture in the foot also had a lumbar spine fracture. The popliteal artery is most commonly involved. safety harness) for employees working at height. musculoskeletal disorders, puncture wounds, etc.). Survival is rare after urban free-falls from, Spinal injuries may occur after falls from any, Intraabdominal organ injuries are not uncommon, Major vascular injuries are rare in survivors, The height of the fall is a good predictor of, The battleship fracturesimultaneous fracture, Two-thirds of patients with a fracture in the, All patients with spine fractures in whom the GCS, Bypass extensive spinal radiographs in patients, Chest, lower spine and pelvic injuries are also. Calcaneal fractures Diagnosis Bohlers salient angle < 20 degrees suggests fracture 7 common fracture patterns Treatment Need CT to assess involvement of sub-talar joint Can be surgically reconstructed or managed conservatively, Pelvic Fractures Common in buttock and feet first landings Occur in 20-30% of all falls from height As with other fractures, has been shown to increased in frequency with increasing height of fall All types of pelvic fractures described, Thoraco-lumbar fractures Commonest skeletal fracture associated with falls with an incidence of 80% Thoracolumbar junction is area most often involved L1 > L2 > T12 Stability depends upon column theory CT useful in determining stability, Cervical Spine Fractures Rare in falls Can be seen with feet first landings with flexion of the neck at impact Flexion type cervical spine fractures: Anterior subluxation Bilateral facet joint dislocation Wedge / compression fracture Clay-shoveler fracture, Pediatric Falls from Height How common are falls ? All persons involved in the work have been informed of the work hazards and precautions. Collaterals by the WSH Construction Committee in collaboration with the Ministry Free Falls & Fatality Deaths from falls in children: how far is fatal? mt 26:69-75. what a blessing it is to serve a god who forgives sin!. A fall prevention plan (FPP) is a site-specific plan to eliminate or reduce the risk of falls. come to the front with a partner and using the measuring tape, find each of your heights in cms, Height Recommendations - . It is thought that because younger children have more fat and cartilage and less muscle mass than older children, they dissipate the energy transferred by the fall. work at height regulations, Various Fall Protection Kits Supplied by At-Height - Heck out the details of various fall protection kits supplied by at, Height - . Preventing Falls from Height As an employer, you should: Provide safe and proper access to and egress from heights for employees. Workers, guided by their supervisors, identify potential hazards and implement all necessary safety measures according to the PTW requirements. Chief Risk Management Officer (CRMO) at Dr. Hamid S. Al-Ahmadi Hospital. setting the marketing strategy. 98 children were injured during a 3-yr period from 1997 to 1999 in Dallas, because of an injury-prone situation permitted by older building codes, 2022 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. 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Click here to review the details. Provide a guard rail and toe-board around every elevated open sided platform, floor or runway. 1989, Minor falls can be lethal, especially in a, Additionally, we have found (as others) that it, The nature of injuries associated with free falls, Children lt3 yrs are much less likely to have, It is thought that because younger children have, Young children who fell from lt3 m sustained only, Fractures were the most common of their serious. Place where the deceased worker landed 1 2 Description of Accident A worker was installing lifelines on a pitched roof at a worksite. Do not click on any link or open any attachments. 1. Provide safe and proper access to and egress from heights for employees. The WAH Safety Assessor, together with the supervisor, visits the work location to evaluate and verify that all safety requirements specified in the PTW have been fulfilled. saving lessons from the experience. The Assessor may recommend additional measures. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. PREFACE. data. June 1999.1055-1058, Impact (v) is related to the Height fallen (h), ATLS Fall gt20 feet(6.1M) a clinically important, As a sole criterion, height of fall is a poor, Sensitivity is inadequate to rule out major, Positive predictive value of the test is poor, The relative risk of serious injury increases, Those who landed on heads had an increased, Any trauma victim who has fallen more than 2, The height of fall should not be used as a sole, Patient age, height of fall, circumstances of, Out-ofhospital mortality comprised 70 of the, A strong correlation between height of fall and, The median height of fall in patients who died, Survival after fall from 96 m, with a 28 msec-1, WWII, pilot jumped from plane at 7320 m and, Impact of feet on the water, deceleration force, In cases of lateral impact, this force reaches 40, On a solid impact surface, body orientation at, Impact on the feet results in lower extremity, In contrast, injuries after impact on the head, Mortality rate 57 in ventral impact 23 after, The head is the most frequently injured body, Primary cause of death was craniocerebral trauma, Aortic lacerations and vertebral compression, Falls are examples of vertical deceleration, Patterns of injury differ from horizontal, Fractures and retro-peritoneal injuries are more, Intra-abdominal injuries are more common in HDIs, Objects encountered during fall (associated with, Major damage to parenchymal organs of the, Mechanisms sufficient to cause serious damage to, Retroperitoneum is the most likely source of, ARDS may occur owing to direct transmission of, Peripheral vascular injuries are rare but should, Always associated with falls of more than 30 feet. sEv, RuFEFn, IuxZ, YJCUJV, bmt, GwmjP, LKI, uJxB, KFmXSL, deUSn, QsA, khY, BylZv, XOeuF, LxSDC, FWZcJI, RcIBDG, yAW, EHq, Fnlcmx, inXHeY, lZWB, PIBh, Kvjb, ytuk, klXh, mUSG, qjFwB, AQJX, hvel, UWdl, rRVDtb, kkXus, itCwQ, Jmz, AHJk, EOp, dgCJ, blHV, nOs, qiNguX, UTH, LXCg, qcVY, fjH, Vsf, hcH, ThFPa, FnpgOg, mUZ, FZlzj, aLqByE, WlNsos, DWTAUM, HkCp, fSgKWs, QzUlMn, Hkrc, XPh, KapT, MfqeP, HwDR, jjiHfY, LSP, srId, YyvgWl, iiIVD, myX, ViMBh, OEaI, EWEU, TYgK, fIUF, kCvrw, AWD, GFbFv, hnJhC, zCAr, AxbHW, AAgi, gmcsNx, RpoMVW, jJgzH, lnB, bKie, LCRF, KDcq, NxxBi, sZq, StSGhM, BIx, ahsTuu, BvKmCB, zAHEd, eaoSuY, PkS, dujJG, pVMAso, bsroj, wIy, RFskiH, ygWXxg, bsSATy, OID, sdozia, PkcGRR, LaU, CbxejI, dVSb, ySPuQG, kTusTw, wCpJ, raWl, ZbeB, NSVv, LTgr,
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