Department of RED UNIT NEURO-TRAUMA · - Cephal hematoma - Osteoma - Spinal SOL - CTS - EVD -...

104

06 Year Book - Nins 2068 1

Department of

NEURO-TRAUMA

GROUP PHOTO OF FACULTY

RED UNIT

Introduction

• Mirror of a Neurosurgical Hospital

• Reflects the efficiency of the hospital

• Round the clock emergency

• Maximum workload

• Patients come in grievous condition with maximum hope of recovery

• Party remains in anxious and agitated condition.

• Expects immediate attention

Photo Not Available

105


Name of the Faculty

1. Professor-1 (Dr Md Zahed Hossain, Associate Prof. Neurosurgery working against the post.

2. Associate Professor & Head - 1 Dr M A Salam

3. Assistant Professor- 2

a. Dr Md Mahfuzur Rahman

b. Dr Forhad Hossain Chy Asstt. Prof. Neurosurgery working against the post

c. Dr Md Moazzem Hossain Talukder Asstt. Prof. Neurosurgery working against the post

4. Dr Md Asraful Hoq Asstt. Prof. Neurosurgery OSD, DGHS Attachment NINS

5. Dr Md Rafiqul Islam Asst. Prof. Neurosurgery OSD, DGHS, Consultant (Emergency)- 06

6. Dr Jalal uddin Rumi Working in NS OPDRegistrar- 1 (a). Dr Kalim Uddin

Assistant Registrar- 1 Consultant Emergency, (b). Dr Manzurul Hoq

7. Medical officer- 3

(a). Dr Gazi Mahfuza

(b). Dr ShahanaVacant

(c). Dr Mostafa Newaz

Supporting Staffs

• Nursing staff- 17 (13+ 04)

• MLSS- 13

• Cleaner- 03

Activities of the department

Units of the Department

Unit-I

1. Dr Md Zahed Hossain, Associate Professor & Head of the Department of Neurotrauma.

2. Dr Md Asraful Hoq, Assistant professor

3. Dr Md Moazzem Hossain Talukder, Assistant professor (Partially work in NS OPD)

4. Dr Forhad Hossain Chy, Assistant professor (Partially work in Clinical NS)

5. Dr Monzurul Haque, Asst. registrar

6. Dr Gazi Mahfuza, Medical officer

Unit-II

1. Dr M A Salam, Associate Professor

2. Dr Md Mahfuzur Rahman, Assistant professor

3. Dr Md Rafiqul Islam Asst. Prof. Neurosurgery OSD, DGHS

4. Dr Kalim Uddin, Registrar

5. Dr Shahana, Medical officer

6. Dr Mostafa Newaj

Capacity of the Department

• Total bed- 24

• Unit-I 12

• Unit-II 12

• 24 hours X 7 days Admission

• Unit-I Saturday, Monday, Wednesday and alternate Friday

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• Unit-II Sunday, Tuesday, Thursday and alternate Friday

• Operation theatre- 01

• Mini OT- 01

Patient profile/Total Patient turn over

• Neurotrauma In patient Department: Admitted patients, 2016

• At a glance

- Total Admission- - 1141

- Total discharge - 1016

- Total death - 72

- Transfer out - 36

• Average hospital stay- - 7.68 days

• Operations performed in Neurotrauma unit- 2016

Disease pattern

• Chronic Subdural hematoma - 210

• Acute Extradural hematoma - 56

• Acute subdural hematoma - 3

• Depressed Fracture - 24

• Traumatic ICH - 18

• Stabilization- cervical - 31

• ACDF, Post Lat mass screw fixation

• Stabilization- Dorso-lumba - 25

• Cauda equina syndrome - 17

• Others - 32

- V-P shunt

- Subdural empyema

- Scalp laceration

- Cephal hematoma

- Osteoma

- Spinal SOL

- CTS

- EVD

- Cephal abscess

- Cranioplasty

- Nerve repair

- Implant removal

- Foreign body

- Muscle biopsy

- Lipoma

- S. cyst

- Corn

- Re-exploration

• CSDH

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- Complication following evacuation of CSDH

- Pneumocephalus

- Recurrence- 03+

- ICH- 02

- Infarction in opposing hemisphere- 01

- Acute Subdural hage- 01

- Pmeumocephalus

- Recurrence following Evacuation of CSDH

- ICH following Evacuation of CSDH

- Infarction following Evacuation of CSDH

• EDH

EDH with SDH with contusion

• ASD

Operations performed in 2016 in Routine OT

TOTAL- 44

Meningioma- 06(01 pt needed re-exploration for tumor bed bleeding, 01 pt. histology was secondary)

Scwannoma- 05(04 vestibular, 01 Trigeminal schwannoma)

Glioma- 04(01 pt in histology showed infarct)

Pituitary- 03 (Endoscopic endonasal trans-sphenoidal)

Aneurysm- 03( 02 A-com 01 MCA)

AVM- 01

Pineal region tumor- 01

Operations performed in 2016 in Routine OT contd.

AAD- 07(02 with BI, 01 with odontoid #)

Cervical stabilization- 03

Spinal SOL- 03(01 CV junction, 01 intramedullary, 01 intra-extradural)

Pott’s- 02

PLID- 03

Spodylolisthesis- 01

Chiari with BI- 01

Nerve injury repair- Ulnar N in forearm- 01

Death report

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Death- 05

• Pineal region tumor,

• Secondary(clinically- ant. clinoid meningioma),

• Vestibular schwannoma- Tumor bed bleeding- raised ICP

• AAD- Preop resp. distress- Postop resp. failure

• Occipital Infarct (clinically GBM)

Future Plan&Recommendation: Some recommendation to run emergency/trauma department more

efficiently

24 hr standby neurosurgical operating team headed by a consultant

Each team should comprised of-

One consultant

One medical officer

One scrub nurse

04(Four) such team should be available.

Separate emergency OT In-charge

OT sister

OT boy

Cleaner

Adequate instrumental support and supply-

Craniotome

Drill

C- Arm/ Portable X-ray machine

Cervical traction set

Microscope

Stabilization set

Departmental facility

109+110


Department of

GAMA KNIFE SURGERY

GROUP PHOTO

Dr. Md. Shafiul Alam

Assistant Professor

Department of Gama Knife Surgery

National Institute of Neurosciences & Hospital

111


DEPARTMENTS

OF

LABORATORY SCIENCE

112


No. Name of faculty members Designation

1. Prof. Dr. Md. Nowfel Islam Professor & Head

MBBS, MCPS, M.Phil, FCPS (Histo)

2. Dr. Naila Huq Assistant Professor

MBBS, MD (Pathology)

3. Dr. Shamim Ara Nipa Medical Officer

MBBS, DCP

Name of the Faculty

Department of

NEUROPATHOLOGY

THE FACULTY

113


Name of Post Number of post Present Qualifications Comment

Status

Medical technologist Not specified 3 Diploma in health As distributed by office

technology

Medical technician Not specified 3 Diploma in health technology As distributed by office

/ Trade curse

Computer operator Not specified 1 Not specified As distributed by office

Record Keeper Not specified 1 Not specified As distributed by office

MLSS Not specified 3 Not specified As distributed by office

Cleaner Not specified 1 Not specified As distributed by office

Description of Work output

Facilities Available

Name of section Facilities Available No. test/ year

Clinical pathology Manual devices including regular Urine R/E = 10267

centrifuge machine, supply of all devices Stool R/E = 38

reagent and accessories, olympus, OBT =-10

binocular, Microscope, CSF= 868

Hematology Celldyne Ruby, Erba elite 50, Common CBC=21910,

Lab. accessories, Binocular Microscope PBF-1749, BT CT-2355

ESR-47, HB%-214,

HCT-64, Platelet-66

Acanthocyte-22

Histopathology Binocular Microscope with Photographic Histopath.= 558

facilities Frozen = 1

(Leica ICC50 HD), Multi-Head Microscope

with photographic facilities, Microtome

(Leica), Hot air woven, Incubator, Slide

storage cabinet, Standard slide tray,

Frozen section machine, Tissue flotation

bath, Hot air oven

Cytopathology cytocentrifuge machine, Total FNAC= 181

standard slide and accessories Unguided = 115

CT Guided FNAC=57

USG FNAC= 05

Fluid Cytology= 04

CSF for MC = 01

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Lacking

Supply of Neuber counting chamber

Quality controlling graded chemicals and reagents

Automatic Urine analyzer, Water bath

Good Quality Binocular microscope, Quality control reagent, Automatic coagulometer

Automatic ERS machine, Ph meter, Distilled water plant, Colorimeter, Spectrophotometer Cooling

centrifuge machine, vortex machine

Immunostain, Tissue autoprocessor, Paraffin dispenser, Autostainer, Autoimmunostainer

Metallic mold, Plastic cassette for block, Coplin Jar Horizontal, Trained Histo-technician

Centrifuge machine (24 hole), Cytocentrifuge Slide, Trained Cyto-technician

Activity Spectrum Topic

Academic activity Lecture class for residency program Paraneoplastic syndrome and

3 hour pathology of CNS tumor

Research work Continuing Association topography of CNS

tumor and its molecular spectrum

with survival

Others Training class for technologists Quality control rate program

organized by DGHS

Description of Human resource

Other activities

Spectrum

Academic activity Lecture class for residency program

3 hour pathology of CNS tumor

Continuing

tumor and its molecular spectrum

with survival

Training class for technologists

organized by DGHS

115


Activities of the department:

01 January 2016 to 31 December 2016

01. Service of Activities

• Total Culture: 1752

• Total Serological Tests: 3559

• Total Staining: 1156

• Total Skin Test: 291


1. Dr. Associate Professor

2. Dr. Assistant Professor

Name of the Faculty

Department of

MICROBIOLOGY


116


Patient profile/Total Patient turn over

Sl no Name of the Tests Total Works

1. Total Culture 1752

2. Gram staining 556

3. AFB Staining 590

4. Indian Ink Preparation for fungus 07

5. Latex agglutination Test of CSF (5 common Bacteria Detection) NA

6. Anti-Streptolysin- O (ASO) Titre. 66

7. C-Reactive Protein (CRP) 1727

8. Rheumatoid Factors (RF) 750

9. TPHA from Blood & CSF 03

10. Widal test 188

11. Roose-Waaler test 03

12. RPR 06

13. Triple Antigen Test /Febrile Antigen Test 33

14. Anti-nuclear Antibody (ANA) 241

15. Anti-nuclear Factor (ANF) NA

16. Perinuclear Anti-neutrophil cytoplasmic Antibodies (pANCA) 81

17. Cytoplasmic Anti-neutrophil cytoplasmic Antibodies (cANCA) 83

18. Anti-ds DNA Antibody 27

19. RV Ig M (Rubella virus) 17

Patient profile/Total Patient turn over (Cont’d.)

Sl no Name of the Tests Total Works

20. RV Ig G(Rubella virus) 17

21. Anti- Herpes Simplex Virus 1 Antibody (HSV-1) IgG 42

22. Anti- Herpes Simplex Virus 1 Antibody (HSV-1) IgM 42

23. Anti- Herpes Simplex Virus 2 Antibody (HSV-2) IgG 34

24. Anti- Herpes Simplex Virus 2 Antibody (HSV-2) IgM 34

25. Anti- Cytomegalovirus Antibody (CMV) IgG 24

26. Anti- Cytomegalovirus Antibody (CMV) IgM 24

27. IgM antibodies against Toxoplasma gondii 19

28. IgG antibodies against Toxoplasma gondii 19

29. Infectious Mononucleosis Antibody Test -

30. Malarial Parasite Test (ICT) 13

31. Dengue NS1 07

32. ICT for Dengue (IgM & IgG) 58

33. Tuberculin Test/Mantoux Test 291

34. Malarial Parasite Test (MP) Thick & Thin Film. 03

35. Anti HIV antibody (ELISA) 12

36. Anti HCV antibody (ELISA) 15

37. Anti HBSAg antibody (ELISA) 32

117


Instrument

Sl no Name of Instrument Quantity

1. Auto-clave Machine 01

2. Vortex Mixture 02

3. Digital Electric Machine 01

4. Laboratory Rotator 02

5. Dry heat Stilizer 01

6. ELISA Reader 01

7. ELISA Shaker 01

8. ELISA Washer 01

9. Hot air Oven 02

10. Dehumidifier 02

11. Refrigerator 02

12. Anaerobic jar 01

13. Disc dispenser machine 01

14. Photo electric Machine 01

15. Bio-Safety Cabinet 01

16. Automated Culture Machine 01

17. Microscope 03

18. Computer 02

19. PCR Machine 01

20. Refrigerated branchtop Centrifuge 01

21. Gel Documentation system 01

22. Horizontal gel Electrophoresis with power supply 01

23. Minicentrifuze Banchtop 01

24. Microcentrifuze 00

25. Voltage stabilizer 01

26. Scanner Machine 01

27. UV Filter 02

28. Water Distiller 02

29. Incubator 02

30. Centrifuge Machine 01

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No. Manpower Designation

1. Associate Professor Total Post - 01

2. Assistant Professor Total Post - 01

(Two person01-Regular, 01- OSD)

3. Medical Technologist Working 01 person.

4. Lab Technician Working 04 person.

5. Technician Working 01 person.

5. MLSS Working 02 person.

Name of the Faculty

Resource (Manpower)

119


Department of

BIOCHEMISTRY

GROUP PHOTO

No. Name Designation

1. Professor Dr. Akhteruzzaman Professor and Head (OSD)

2. Professor Dr. Shaheen Akhter Professor (OSD)

3. Dr. Waseka Akhter Jahan Associate Professor

Other Members

. Medical Technologist Three (3)

. Medical Technician Six (6)

. Computer Oparator One (1)

. MLSS Two (2)

Name of the faculty Members

Duration: 1 January 2016 to 31 December 2016

120


Activities of the department:

Biochemistry Laboratory provide 24 hrs laboratory services for emergency investigations . Sample

Collection is done through a Common Collection system. Following investigations are

Perfomed in the period of 1 January 2016 to 31 December 2016.

Sl no Name of Investigations Total Works

1. S. Glucose ( Fasting + 2hABF) with Corresponding 20,861

Urine glucose OGTT.

2. HbA1c 4030

3. S. Creatinine 22,092

4. S. Bilirubin 1011

5. S. ALanine aminotransferase (ALT) 3157

6. S. Aspartate aminotransferase (AST) 280

7. S. Alkaline Phosphatase 216

8. S. Phosphorus 103

9. S. Tri-acylglycerol 5408

10. S. Total Cholestrol 5408

11. S. HDL (Cholestrol ) 5408

12. S. DLDL (Cholestrol ) 562

13. S. Electrolytes 14,633

14. S. Cardiac Troponin I 529

15. S. Urea 1111

16. S. Uric Acid 1195

17. S. CPK 613

18. S. CKMB 12

19. S. Total protein 193

20. S. Albumin 737

21. S. Total Calcium 968

22. S. Magnesium 331

23. S. Iron 118

24. S. Ferritin 324

25. S. TIBC 72

26. S. Lactic Acid 50

27. S. Ammonia 48

28. S. Ceruloplasmin 216

29. S. Free T3 986

30. S. Free T4 4153

121


Sl no Name of Investigations Total Works

31. S. TSH 6169

32. S. HBSAg 509

33. S. Anti HIV 536

34. S. Anti HCV 451

35. S. Anti HBS 03

36. S.Syphilis 533

37. S. Cortisol 425

38. S. Prolactin 256

39. S. Amylase 26

40. S. Lipase 24

41. S. Testosterone 70

42. S. Anti TG 10

43. S. Anti TPO 130

44. S. Anti CCP 158

45. S. PSA 96

46. S. CEA 44

47. S. PTH 49

48. S. FSH 154

49. S. LH 136

50. S. AFP 42

51. S. Folic Acid 30

52. S. Vitamin-B12 285

53. S. 25-OH Vitamin-D 105

54. CSF (Glucose) 696

CSF (Protein) 696

55. S. Valproic Acid 95

56. S. Carbamazepine 56

57. Urine glucose , Ketone body 215

58. Urine Micro Albumin 59

59. Urine Creatinine 46

60. Urine ACR(Spot) 46

61. Plasma Homocysteine 26

122


List of Instrument

Academic Activities / Research Activities

Deficit:

1. As a Post graduate Referral Speciallized Hospital Professor of Biochemistry Post should be created.

2. As Biochemistry Laboratary Provide 24 hrs service Medical officer post Should be created.

3. For further better Laboratary performance Lab technologist Post should be created .

4. Biochemistry Laboratary should have much wider space in future.

Sl no Name of Instrument Quantity

1. Auto Analyzer ARCHITECT ci 4100 01 (One)

(Chemistry & Immunoassay) Abbott, USA.

2. UPS (Apollo) for ARCHITECT Auto Analyzer Capacity 3KVA 02 (Two)

3. Chemistry Auto Analyzer Printer(HP) 01 (One)

4. HbA1C Analyzer (ARKRAY , Japan ) 01 (One)

5. Electrolyte Analyzer (Erbalyte ) 01 (One)

6. ELISA ( Reader, Washer, Incubator) 01 (One)

7. Rotator 01 (One)

8. Centrifuge Machine 02 (Two)

9. Shaking Water Bath 01 (One)

10. De-lonized Water Plant 01 (One)

11. Distilled Water Plant 01 (One)

12. Dry-Heat-Sterilizer 01 (One)

13. Freezer ( Laboratory) 05 (five)

14. Colorimeter 01 (One)

15. Computer , UPS & Printer 01 (One)

123


Department of

TRANSFUSION MEDICINE


No. Name Designation

01 Dr.Ferdous Ara Associate Professor

02 Dr.Aminul Islam Assistant Registrar

03 Dr. Zubaida Nasreen Medical Officer

Manpower & Designation

124


01. Manpower Shortage.

Assistant professor 01

Medical officer 02

Medical Technologist 03

Computer operator 01

Nurse (According to gadget) 01

Assistant staff 01

M.L.S.S 01

02. Instrument Shortage

Blood collection monitor 02

Tube sealer 02

VDRL shaker 02

Online UPS 01

Pharmaceutical Refrigerator 01

Plasma thawing Machine- 01

Plasma extractor 01

Micro Pipette with ejector 06

Table top centrifuge Machine 02

Computer with Printer 01

03. Space Shortage

Post donation care room for donor.

Day care centre for blood transfusion of patient

Room for medical officer

04. Reagent & other shortage

05. Notice board-02

Service Activities

01. Donor selection and counselling:

• Help donor to fill up donor selection form

• Physical examination of donor by doctor

• Proper counselling of donor for donation of blood

• Pre and post donation care of donor

02. Whole blood collection from donor

03. Sample collection

04. Blood Grouping

05. Cross-Matching

06. Screening of donor`s blood- (HBsAg, Anti HCV, Anti HIV,VDRL,MP)

07. Screening of patient`s blood for

• HBsAg

• Anti HCV

• Anti HIV

• VDRL

• Malerial Parasite

125


08. Day care service for OPD Patient:

• Whole blood, Packed cell, FFP, Fresh plasma , Platelet concentrate etc are transfused to

patient according to need

09. Component preparation :

• RCC

• FFP

• Platelet conc.Others

10. Platelet collection from single donor by Apheresis machine

11. Therapeutic plasma exchange of patient by apheresis machine :

• GBS, MG, CIDP, AIDP etc.

12. Coomb`s test: Direct, Indirect

From 01.01.2016 to 31.12.2016 following test are done :

• Blood Grouping: 2491

• Cross Matching: 1431

• Donor counselling & physical exam: 1500

• Screening of donor`s blood: 1500

• Whole Blood collection: 1400

• Component Preparation:

RCC-559 unit

FFP-555 unit

PRP-04 unit

PC -04 unit

Month HbsAg Anti HCV Anti HIV VDRL

January 81 83 44 13

February 65 64 35 11

March 142 82 30 11

April 220 210 40 20

May 249 232 90 35

June 203 192 92 29

July 251 220 78 10

August 324 282 166 61

September 210 183 123 58

October 305 265 179 72

November 330 310 225 100

December 265 235 185 90

Screening of Patient`s blood:

126


• Day care services:

Following number of patients were transfused with Red cell concentrate or Whole blood for

correction of severe anaemia due to Thalassemia, Myelodysplastic syndrome( MDS), Iron

deficiency anemia,Carcinoma, Chronic kidney disease(CKD),Hemorrhoids etc.

• Therapeutic Plasma Exchange:In public sector of Bangladesh Therapeutic Plasma exchange was first

introduced at National Institute of Neurosciences and Hospital (NINS) from February 2014. Continuous

cell separator machine Comtec, Fresenious Kabi(Germany) and Cobe Spectra (USA) instruments were

used for TPE. Patients from different Neurology ward were sent to Transfusion Transfusion Medicine

department and after each session of TPE they were transferred back to respective ward.

From 01/01/2016 to 31/12/2016 total thirty eight (38) neurological patients were treated by TPE

from this department with one thirty eight sessions.Beside these neurological patients one Throm-

botic Thrombocytopenic Purpuric (TTP) patient was treated succesfully with three sessions.

Total case of TPE– 39

Total Sessions of TPE -141

No. of GBS patients-27

No. of MG patients-08

No. of CIDP patients-02

No. of MMN patient-01

No. of TTP patient-01

Academic Activities/Research Activities:

01. Frequency of Transfusion Transmitted Infection Among Blood donor`s at Tertiary Care Hospital

In Bangladesh. Published at JNINB January 2015 Vol-01, No-01

02. Data collection on Theraputic Plasma Exchange.

03. Data collection on Blood Group of donor, Patient&employee of NINS.

04. Data collection on Transfusion Transmitted infection.

Month Number of Patient

January 04

February 02

March 02

April 02

May 02

June 02

July 15

August 13

September 05

October 08

November 11

December 07

127


Recommendation

01. Give back those Medical officers of transfusion Medicine to their own department.

02. Provide adequate instruments accordings to the need.

03. Permanent solution of space scarcity.

04. Provide internet connection.

05. Provide adequate man power.

06. Need a PABX connection for room no-209.

07. A shoe rack for lab.

08. Close circuit camera coverage for whole department.

09. Reagent indentation.

10. Provide a notice board.

11. Emergency requirement of a online UPS.

12. Creation of post for an associate professor and a professor in this department.

Available Instrument

SL no Name of Instrument Quantity

01. Blood bank Refrigarater 02

02. Cell Separator/Refrigarated Centrifuge Machine 01

03. Table Top Centrifuge Machine 01

04. Apheresis system 02 (1 PVT.)

05. Hot air oven 01

06. Tube Sealer 01

07. Plasma extractor 01

08. Patient Monitor 01

09. Blood collection monitor 01

10. Online UPS (Private) 01

11. Deep Freezer-40C 01

12. Infusion Pump 01

13. Microscope 03

14. Weight machine 02

15. VDRL shaker 02

16. Domestic Refrigerator 01

17. Micropipitte with Ejector 07

18. Computer 01

19. Printer 01

20. Water bath 02

128


129


SUPPORTIVE

DEPARTMENTS

130


Department of

CARDIOLOGY

GROUP PHOTO


1. Dr. Amanullah Bin Siddiq Jr. Consultant

Name of the Faculty

131


Month Total Echo Echo -2D Echo -CD

January -2016 226 184 42

February -2016 206 161 45

March -2016 258 203 55

April -2016 232 202 30

May -2016 235 203 32

June -2016 177 145 32

July -2016 189 159 30

August -2016 262 217 45

September -2016 197 175 22

October -2016 254 211 43

November -2016 288 252 36

December -2016 223 197 26

Grand Total 2954 2493 461

Sl. No. Month Total

1. January -2016 654

2. February -2016 712

3. March -2016 710

4. April -2016 666

5. May -2016 691

6. June -2016 494

7. July -2016 512

8. August -2016 696

9. September -2016 582

10. October -2016 744

11. November -2016 626

12. December -2016 660

Grand Total 7747

Echocardiogram

From 01 January 2016 to 31 December 2016

ECG


132


Sl. No. Month Total

1. January -2016 120

2. February -2016 115

3. March -2016 130

4. April -2016 125

5. May -2016 130

6. June -2016 107

7. July -2016 105

8. August -2016 135

9. September -2016 115

10. October -2016 130

11. November -2016 135

12. December -2016 113

Grand Total 1460

Consultation


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Department of RED UNIT NEURO-TRAUMA · - Cephal hematoma - Osteoma - Spinal SOL - CTS - EVD -...

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