Propriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentes
Ano de defesa: | 2018 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Estadual da Paraíba
|
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Odontologia - PPGO
|
Departamento: |
Pró-Reitoria de Pós-Graduação e Pesquisa - PRPGP
|
País: |
Brasil
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Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede.bc.uepb.edu.br/jspui/handle/tede/3506 |
Resumo: | The objective of the study was to evaluate the psychometric properties of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) instrument in Brazil for the ages of 12 and 15 to 19 years. It was a cross-sectional comprised by 375 adolescents for each age group from public and private schools in a city in Northeastern Brazil. The parent/caregiver responded to a sociodemographic questionnaire. Two previously calibrated researchers applied the BREALD-30 and performed the clinical exams (dental caries). Kappa coefficients for the BREALD-30 word-by-word agreement between the gold standard and researchers were 0.889 and 0.884. Agreement between both researchers was 0.870 and intra-examiners were 0.898 and 0.871. Intraclass correlation coefficient (ICC) measured the BREALD-30 total score for inter-examiners (0.987; CI 95%: 0.970-0.995 and 0.874; CI 95%: 0.860-0.895) and intra- examiners (0.973; CI 95%: 0.921-0.991 and 0.994; CI95%: 0.982-0.998) agreement. For the clinical exam, dental caries was diagnosed according to the Nyvad’s classification criteria. Kappa values between the gold standard and both examiners were 0.894 and 0.936, while inter-examiner agreement was 0.890 and 0.880. Reliability was measured through internal consistency and test-retest reliability. BREALD-30 scores were classified in high, moderate and low, according to tertiles. The convergent validity was assessed through the correlation between BREALD-30 and the Functional Literacy Indicator (INAF) scores using the Spearman Correlation Coefficient (p <0.05). Divergent validity was evaluated by comparing BREALD-30 scores between sociodemographic variables, using the Chi-square and Chi- Square test with linear trend (p <0.05). For predictive validity, it was tested the association between oral health literacy (OHL) level, through BREALD-30 scores, with the presence of active and/or inactive dental cavitation through a multiple logistic regression model. It was observed that for the age of 12 years the BREALD-30 presented a mean score of 18.5 (SD = ±5.46), while for the 15-19 years-old group the mean score was 20.8 ((SD = ±4.7). For the age of 12 years and for the age group of 15 to 19 years the instrument presented good internal consistency, with Cronbach's alpha of 0.871 and 0.834, respectively. The instrument showed good test-retest reliability (CCI = 0.898 and 0.974; Kappa = 0.804 and 0.808), and item-total correlation of all items was satisfactory. The instrument had convergent validity with INAF for 12 years (rs = 0.558, p <0.001) and for 15 to 19 years (rs = 0.652, p <0.001). Participants with higher OHL levels were from private school (p <0.001), belonging to Economic Classes A and B1 (p <0.001), and had parents with higher education (p <0.001), indicating the divergent validity of the instrument. Regarding predictive validity, adolescents with low OHL were more likely to have cavitated dental caries, for both the 12 year-old (OR = 2.37, 95% CI: 1.48-3.80; p< 0,001) and for the 15 to 19 years group (OR = 1.96, 95% CI: 1.24-3.11; p=0,004). It is concluded that the BREALD-30 instrument showed satisfactory psychometric properties for the age groups analyzed, and can be applied as a fast, simple and reliable measure of oral health literacy. |
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Granville-Garcia, Ana Flávia64688070420http://lattes.cnpq.br/7659139411442846Ferreira, Fernanda de Morais02892177685http://lattes.cnpq.br/4997526164459133Castro, Ricardo Dias de03418714413http://lattes.cnpq.br/0031529469046003Costa, Edja Maria Melo de Brito85014605400http://lattes.cnpq.br/019241537021714705472005442http://lattes.cnpq.br/3778697020553859Lima, Larissa Chaves Morais de2019-10-10T14:08:42Z2018-05-17LIMA, L. C. M. de. Propriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentes. 2018. 86f. Dissertação (Programa de Pós-Graduação em Odontologia - PPGO) - Universidade Estadual da Paraíba, Campina Grande, 2018.http://tede.bc.uepb.edu.br/jspui/handle/tede/3506The objective of the study was to evaluate the psychometric properties of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) instrument in Brazil for the ages of 12 and 15 to 19 years. It was a cross-sectional comprised by 375 adolescents for each age group from public and private schools in a city in Northeastern Brazil. The parent/caregiver responded to a sociodemographic questionnaire. Two previously calibrated researchers applied the BREALD-30 and performed the clinical exams (dental caries). Kappa coefficients for the BREALD-30 word-by-word agreement between the gold standard and researchers were 0.889 and 0.884. Agreement between both researchers was 0.870 and intra-examiners were 0.898 and 0.871. Intraclass correlation coefficient (ICC) measured the BREALD-30 total score for inter-examiners (0.987; CI 95%: 0.970-0.995 and 0.874; CI 95%: 0.860-0.895) and intra- examiners (0.973; CI 95%: 0.921-0.991 and 0.994; CI95%: 0.982-0.998) agreement. For the clinical exam, dental caries was diagnosed according to the Nyvad’s classification criteria. Kappa values between the gold standard and both examiners were 0.894 and 0.936, while inter-examiner agreement was 0.890 and 0.880. Reliability was measured through internal consistency and test-retest reliability. BREALD-30 scores were classified in high, moderate and low, according to tertiles. The convergent validity was assessed through the correlation between BREALD-30 and the Functional Literacy Indicator (INAF) scores using the Spearman Correlation Coefficient (p <0.05). Divergent validity was evaluated by comparing BREALD-30 scores between sociodemographic variables, using the Chi-square and Chi- Square test with linear trend (p <0.05). For predictive validity, it was tested the association between oral health literacy (OHL) level, through BREALD-30 scores, with the presence of active and/or inactive dental cavitation through a multiple logistic regression model. It was observed that for the age of 12 years the BREALD-30 presented a mean score of 18.5 (SD = ±5.46), while for the 15-19 years-old group the mean score was 20.8 ((SD = ±4.7). For the age of 12 years and for the age group of 15 to 19 years the instrument presented good internal consistency, with Cronbach's alpha of 0.871 and 0.834, respectively. The instrument showed good test-retest reliability (CCI = 0.898 and 0.974; Kappa = 0.804 and 0.808), and item-total correlation of all items was satisfactory. The instrument had convergent validity with INAF for 12 years (rs = 0.558, p <0.001) and for 15 to 19 years (rs = 0.652, p <0.001). Participants with higher OHL levels were from private school (p <0.001), belonging to Economic Classes A and B1 (p <0.001), and had parents with higher education (p <0.001), indicating the divergent validity of the instrument. Regarding predictive validity, adolescents with low OHL were more likely to have cavitated dental caries, for both the 12 year-old (OR = 2.37, 95% CI: 1.48-3.80; p< 0,001) and for the 15 to 19 years group (OR = 1.96, 95% CI: 1.24-3.11; p=0,004). It is concluded that the BREALD-30 instrument showed satisfactory psychometric properties for the age groups analyzed, and can be applied as a fast, simple and reliable measure of oral health literacy.O objetivo do estudo foi avaliar as propriedades psicométricas da versão brasileira do instrumento Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) para as idades de 12, e 15 a 19 anos. Tratou-se de um estudo transversal, cuja amostra foi composta por 375 adolescentes para cada grupo etário (n=750), de escolas públicas e privadas de uma cidade do Nordeste Brasileiro. O pai/responsável respondeu um questionário sociodemográfico. As aplicações do BREALD-30 e do exame clínico (cárie dentária) foram realizadas por dois pesquisadores previamente calibrados. Quando a concordância do BREALD-30 foi calculada com base em cada palavra, os valores do coeficiente Kappa entre o padrão ouro e os examinadores foram de 0,889 e 0,884; para a concordância entre os dois examinadores foi 0,870, e para a concordância intra-examinadores 0,898 e 0,871. O coeficiente de correlação intraclasse (CCI) foi usado para avaliar a concordância dos escores totais do BREALD-30 inter-examinadores 0,987 (IC95%: 0,970-0,995), e 874 (IC95%: 0,860-0,895); e intra- examinadores (0,973; IC95%: 0,921-0,991) e (0,994; IC95%: 0,982-0,998). Para o exame clínico, utilizou-se o critério de classificação de cárie segundo Nyvad, cujos valores de Kappa entre o padrão ouro e os dois examinadores foram de 0,894 e 0,936, e para a concordância intra-examinadores 0,890 e 0,880. A confiabilidade foi avaliada por meio da consistência interna e da confiabilidade teste-reteste. Os escores do BREALD-30, foram classificados em alto, médio e baixo, de acordo com os tercis. A validade convergente foi avaliada a partir da correlação entre o BREALD-30 e o Indicador de alfabetismo funcional (INAF) por meio do Coeficiente de Correlação de Spearman (rs) (p<0,05). A validade divergente foi avaliada comparando os escores do BREALD-30 entre variáveis sociodemográficas, a partir dos testes de Qui Quadrado e Qui Quadrado de tendência linear (p < 0,05). Para validade preditiva foi testada a associação entre o nível de alfabetismo em saúde bucal (ASB), com a presença lesão cavitada de cárie ativa e/ou inativa por meio de um modelo múltiplo de regressão logística. Observou-se que na idade de 12 anos o BREALD-30 apresentou escore médio de 18,5 (DP=±5,4), e na faixa etária de 15 a 19 anos obteve média de 20,85 (DP=±4,7). Nas idades de 12, e 15 a 19 anos o instrumento apresentou boa consistência interna cujos valores respectivos foram de 0,871, e 0,834 para o Alfa de Cronbach. O instrumento demonstrou boa confiabilidade teste-reteste (CCI = 0,898 e 0,974; Kappa = 0,804 e 0,808) e ainda uma correlação item-total considerada satisfatória em todas as idades. O instrumento apresentou validade convergente com o INAF para 12 anos (rs=0,558, p<0,001) e para 15 a 19 anos (rs=0,652, p<0,001). Os participantes com maior nível de ASB eram de escola particular (p<0,001), pertencentes às Classes econômicas A e B1 (p<0,001), e que tinham pais com ensino superior (p<0,001), indicando validade divergente do instrumento. Em relação à validade preditiva, adolescentes com baixo ASB apresentaram mais chance de ter cavidade de cárie com valores de OR=2,37 (IC 95%: 1,48-3,80; p< 0,001) para a idade de 12 anos e OR=1,96 (IC 95%:1,24-3,11; p=0,004) para a faixa etária de 15 a 19 anos. Concluiu-se que o instrumento BREALD-30 apresentou propriedades psicométricas satisfatórias para os grupos etários analisados e pode ser aplicado como uma medida rápida, simples e confiável de alfabetismo em saúde bucal.Submitted by Jean Medeiros (jeanletras@uepb.edu.br) on 2019-09-11T14:05:16Z No. of bitstreams: 1 PDF - Larissa Chaves Morais de Lima.pdf: 1628621 bytes, checksum: fe1e92be61b1ae0792d0cfc45ae30bab (MD5)Approved for entry into archive by Secta BC (secta.csu.bc@uepb.edu.br) on 2019-10-10T14:08:42Z (GMT) No. of bitstreams: 1 PDF - Larissa Chaves Morais de Lima.pdf: 1628621 bytes, checksum: fe1e92be61b1ae0792d0cfc45ae30bab (MD5)Made available in DSpace on 2019-10-10T14:08:42Z (GMT). No. of bitstreams: 1 PDF - Larissa Chaves Morais de Lima.pdf: 1628621 bytes, checksum: fe1e92be61b1ae0792d0cfc45ae30bab (MD5) Previous issue date: 2018-05-17Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfhttp://tede.bc.uepb.edu.br/jspui/retrieve/8920/PDF%20-%20Larissa%20Chaves%20Morais%20de%20Lima.pdf.jpgporUniversidade Estadual da ParaíbaPrograma de Pós-Graduação em Odontologia - PPGOUEPBBrasilPró-Reitoria de Pós-Graduação e Pesquisa - PRPGPSaúde do adolescenteSaúde bucalAlfabetização em saúdeEstudos de validaçãoValidation studiesHealth literacyOral healthAdolescents healthCIENCIAS DA SAUDE::ODONTOLOGIAPropriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentesPsychometric evaluation of the brazilian version of the questionnaire rapid estimate of adult literacy in dentistry - BREALD-30 applied in adolescentsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis188746850794111162600600600524871450381110278-2070498469879244349info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UEPBinstname:Universidade Estadual da Paraíba (UEPB)instacron:UEPBTHUMBNAILPDF - Larissa Chaves Morais de Lima.pdf.jpgPDF - Larissa Chaves Morais de Lima.pdf.jpgimage/jpeg3529http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3506/4/PDF+-+Larissa+Chaves+Morais+de+Lima.pdf.jpgfc0ab87e997f3b44c8268ab11620faa6MD54TEXTPDF - Larissa Chaves Morais de Lima.pdf.txtPDF - Larissa Chaves Morais de Lima.pdf.txttext/plain138648http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3506/3/PDF+-+Larissa+Chaves+Morais+de+Lima.pdf.txt1affd76c7bf84d4936156ea991edcc84MD53ORIGINALPDF - Larissa Chaves Morais de Lima.pdfPDF - Larissa Chaves Morais de Lima.pdfapplication/pdf1628621http://tede.bc.uepb.edu.br/jspui/bitstream/tede/3506/2/PDF+-+Larissa+Chaves+Morais+de+Lima.pdffe1e92be61b1ae0792d0cfc45ae30babMD52LICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Propriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentes |
dc.title.alternative.eng.fl_str_mv |
Psychometric evaluation of the brazilian version of the questionnaire rapid estimate of adult literacy in dentistry - BREALD-30 applied in adolescents |
title |
Propriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentes |
spellingShingle |
Propriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentes Lima, Larissa Chaves Morais de Saúde do adolescente Saúde bucal Alfabetização em saúde Estudos de validação Validation studies Health literacy Oral health Adolescents health CIENCIAS DA SAUDE::ODONTOLOGIA |
title_short |
Propriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentes |
title_full |
Propriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentes |
title_fullStr |
Propriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentes |
title_full_unstemmed |
Propriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentes |
title_sort |
Propriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentes |
author |
Lima, Larissa Chaves Morais de |
author_facet |
Lima, Larissa Chaves Morais de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Granville-Garcia, Ana Flávia |
dc.contributor.advisor1ID.fl_str_mv |
64688070420 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7659139411442846 |
dc.contributor.advisor-co1.fl_str_mv |
Ferreira, Fernanda de Morais |
dc.contributor.advisor-co1ID.fl_str_mv |
02892177685 |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/4997526164459133 |
dc.contributor.referee1.fl_str_mv |
Castro, Ricardo Dias de |
dc.contributor.referee1ID.fl_str_mv |
03418714413 |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/0031529469046003 |
dc.contributor.referee2.fl_str_mv |
Costa, Edja Maria Melo de Brito |
dc.contributor.referee2ID.fl_str_mv |
85014605400 |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/0192415370217147 |
dc.contributor.authorID.fl_str_mv |
05472005442 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3778697020553859 |
dc.contributor.author.fl_str_mv |
Lima, Larissa Chaves Morais de |
contributor_str_mv |
Granville-Garcia, Ana Flávia Ferreira, Fernanda de Morais Castro, Ricardo Dias de Costa, Edja Maria Melo de Brito |
dc.subject.por.fl_str_mv |
Saúde do adolescente Saúde bucal Alfabetização em saúde Estudos de validação |
topic |
Saúde do adolescente Saúde bucal Alfabetização em saúde Estudos de validação Validation studies Health literacy Oral health Adolescents health CIENCIAS DA SAUDE::ODONTOLOGIA |
dc.subject.eng.fl_str_mv |
Validation studies Health literacy Oral health Adolescents health |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ODONTOLOGIA |
description |
The objective of the study was to evaluate the psychometric properties of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) instrument in Brazil for the ages of 12 and 15 to 19 years. It was a cross-sectional comprised by 375 adolescents for each age group from public and private schools in a city in Northeastern Brazil. The parent/caregiver responded to a sociodemographic questionnaire. Two previously calibrated researchers applied the BREALD-30 and performed the clinical exams (dental caries). Kappa coefficients for the BREALD-30 word-by-word agreement between the gold standard and researchers were 0.889 and 0.884. Agreement between both researchers was 0.870 and intra-examiners were 0.898 and 0.871. Intraclass correlation coefficient (ICC) measured the BREALD-30 total score for inter-examiners (0.987; CI 95%: 0.970-0.995 and 0.874; CI 95%: 0.860-0.895) and intra- examiners (0.973; CI 95%: 0.921-0.991 and 0.994; CI95%: 0.982-0.998) agreement. For the clinical exam, dental caries was diagnosed according to the Nyvad’s classification criteria. Kappa values between the gold standard and both examiners were 0.894 and 0.936, while inter-examiner agreement was 0.890 and 0.880. Reliability was measured through internal consistency and test-retest reliability. BREALD-30 scores were classified in high, moderate and low, according to tertiles. The convergent validity was assessed through the correlation between BREALD-30 and the Functional Literacy Indicator (INAF) scores using the Spearman Correlation Coefficient (p <0.05). Divergent validity was evaluated by comparing BREALD-30 scores between sociodemographic variables, using the Chi-square and Chi- Square test with linear trend (p <0.05). For predictive validity, it was tested the association between oral health literacy (OHL) level, through BREALD-30 scores, with the presence of active and/or inactive dental cavitation through a multiple logistic regression model. It was observed that for the age of 12 years the BREALD-30 presented a mean score of 18.5 (SD = ±5.46), while for the 15-19 years-old group the mean score was 20.8 ((SD = ±4.7). For the age of 12 years and for the age group of 15 to 19 years the instrument presented good internal consistency, with Cronbach's alpha of 0.871 and 0.834, respectively. The instrument showed good test-retest reliability (CCI = 0.898 and 0.974; Kappa = 0.804 and 0.808), and item-total correlation of all items was satisfactory. The instrument had convergent validity with INAF for 12 years (rs = 0.558, p <0.001) and for 15 to 19 years (rs = 0.652, p <0.001). Participants with higher OHL levels were from private school (p <0.001), belonging to Economic Classes A and B1 (p <0.001), and had parents with higher education (p <0.001), indicating the divergent validity of the instrument. Regarding predictive validity, adolescents with low OHL were more likely to have cavitated dental caries, for both the 12 year-old (OR = 2.37, 95% CI: 1.48-3.80; p< 0,001) and for the 15 to 19 years group (OR = 1.96, 95% CI: 1.24-3.11; p=0,004). It is concluded that the BREALD-30 instrument showed satisfactory psychometric properties for the age groups analyzed, and can be applied as a fast, simple and reliable measure of oral health literacy. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-05-17 |
dc.date.accessioned.fl_str_mv |
2019-10-10T14:08:42Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
LIMA, L. C. M. de. Propriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentes. 2018. 86f. Dissertação (Programa de Pós-Graduação em Odontologia - PPGO) - Universidade Estadual da Paraíba, Campina Grande, 2018. |
dc.identifier.uri.fl_str_mv |
http://tede.bc.uepb.edu.br/jspui/handle/tede/3506 |
identifier_str_mv |
LIMA, L. C. M. de. Propriedades psicométricas da versão brasileira do questionário Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) aplicado em adolescentes. 2018. 86f. Dissertação (Programa de Pós-Graduação em Odontologia - PPGO) - Universidade Estadual da Paraíba, Campina Grande, 2018. |
url |
http://tede.bc.uepb.edu.br/jspui/handle/tede/3506 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
188746850794111162 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
524871450381110278 |
dc.relation.cnpq.fl_str_mv |
-2070498469879244349 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Estadual da Paraíba |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Odontologia - PPGO |
dc.publisher.initials.fl_str_mv |
UEPB |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Pró-Reitoria de Pós-Graduação e Pesquisa - PRPGP |
publisher.none.fl_str_mv |
Universidade Estadual da Paraíba |
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UEPB |
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UEPB |
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