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Teknologiske hjælpemidler til ordblindhed i Danmark: En komplet guide

1. Introduction:

Defining dyslexia and its impact on individuals in Denmark. Highlighting the importance of technological solutions.

Dyslexia, a neurodevelopmental condition, presents as a persistent functional impairment that primarily affects an individual’s ability to read, spell, and formulate written language 1. At its core, this condition involves difficulties in connecting letters and sequences of letters with their corresponding sounds, thereby making the processes of reading and spelling considerably more challenging than they are for individuals without dyslexia 2. It is crucial to understand that dyslexia is not indicative of a person’s intelligence; individuals with dyslexia possess the same range of intellectual abilities as the general population 3. In Denmark, dyslexia is a prevalent learning difficulty, with estimates suggesting that over 400,000 people in the country are affected by it 1. This significant number underscores the importance of identifying and implementing effective solutions to support individuals with dyslexia in various aspects of their lives.

The impact of dyslexia in Denmark manifests in numerous challenges related to reading and spelling for children, adolescents, and adults alike 2. These difficulties in academic settings and societal expectations around literacy can also lead to psychological and social consequences 1. Therefore, early identification and intervention are vital to strengthen the reading, spelling, and writing skills of individuals with dyslexia, as well as to enhance their opportunities for participation in educational, professional, and social spheres 2. Recognizing these widespread challenges highlights the necessity for comprehensive strategies that address the diverse needs of individuals with dyslexia throughout their lifespan.

Information technology has emerged as a crucial component in providing solutions for individuals with dyslexia. IT-based reading and writing technologies offer tools and functionalities that can significantly aid in managing the difficulties associated with this condition 1. These technologies, when appropriately adapted to individual needs and accompanied by thorough training, can compensate for some of the core challenges of dyslexia, providing substantial support in daily life 9. It is important to note that technology is not a singular remedy but rather a powerful enabler when integrated with suitable educational approaches and personalized support strategies 3. The combined use of technology and targeted instruction is key to fostering the development of reading and writing competencies for individuals with dyslexia, ultimately contributing to their academic and personal success.

2. Understanding the Core Challenges of Dyslexia:

A detailed exploration of the cognitive and linguistic difficulties faced by individuals with dyslexia, drawing from the provided snippets.

A primary challenge for individuals with dyslexia lies in phonological processing deficits. This core difficulty involves the struggle to accurately connect letters and sequences of letters with their corresponding sounds 2. Consequently, individuals may experience difficulty when attempting to read and spell words that are rare or unfamiliar 2. Their reading pace may be slow and lack precision, and they often encounter significant challenges with spelling 2. Research indicates that dyslexia has a neurological basis, stemming from a deficit within the phonological system located in the brain’s language center 3. Understanding this fundamental issue in the brain’s processing of language sounds is crucial for developing targeted interventions that address the foundational building blocks of reading and spelling.

Beyond decoding individual words, individuals with dyslexia often face challenges with reading comprehension and fluency. Slow reading speeds can impede the ability to understand the meaning of a text, as a significant amount of cognitive energy is expended on the act of decoding the words themselves 7. There is also a noted tendency for individuals with dyslexia to guess or even invent words while reading, often choosing words that fit the overall context of the text 11. Furthermore, they may experience difficulty in summarizing the main points of a text or in providing comprehensive answers to open-ended questions about what they have read 1. This suggests that reading for individuals with dyslexia is not solely about recognizing words; fluency and the ability to grasp the meaning are equally affected, potentially leading to a cycle of avoidance and reduced exposure to reading material, which in turn can hinder vocabulary development.

Spelling and writing present multifaceted challenges for individuals with dyslexia. They often exhibit significant difficulties with spelling, including the inconsistent spelling of the same word within a single piece of writing 1. Additionally, they may struggle with structuring and organizing their thoughts into a coherent written text 7. The process of translating thoughts and ideas into written form can also be particularly challenging 13. These difficulties highlight that writing involves more than just accurate spelling; it encompasses organization, expression, and the ability to effectively convey ideas in a written format.

In addition to the core challenges in phonological processing, reading, and writing, individuals with dyslexia may also experience associated difficulties. These can include challenges with spoken language, such as delays in speech development and difficulties with pronunciation, particularly of words with multiple consonants 1. Learning foreign languages can also pose a greater challenge for individuals with dyslexia 1. Furthermore, some individuals may experience issues with short-term memory, which can impact their ability to recall information encountered during reading or instruction 1. These associated challenges indicate that dyslexia can manifest in various ways beyond the traditional understanding of reading and writing difficulties, impacting other language-related skills and cognitive processes.

3. Overview of Assistive Technologies for Dyslexia:

Introducing the main categories of technologies used to support individuals with dyslexia, such as text-to-speech, speech-to-text, word prediction, and OCR.

Assistive technologies play a pivotal role in supporting individuals with dyslexia, offering tools to mitigate the challenges they face with reading and writing. Several key categories of these technologies have proven particularly beneficial.

Text-to-speech (oplæsning) functionality provides the capability to have digital text read aloud. This includes various formats such as web pages, PDF documents, and word processing files 14. Many text-to-speech tools offer adjustable reading speeds, allowing users to find a pace that suits their comprehension, and a selection of different voices, which can enhance the listening experience 14. Features like text highlighting during the reading process can also be invaluable, enabling users to follow along with the audio and reinforce the connection between the written and spoken word 14. By bypassing the decoding challenges inherent in dyslexia, text-to-speech enables individuals to access information through auditory means, leading to improved comprehension and reduced reading fatigue.

Speech-to-text (tale til tekst) technology offers the inverse functionality, converting spoken words into written text 9. This can be particularly useful for individuals who struggle with spelling and the physical act of writing 14. Speech-to-text capabilities are now commonly integrated into various digital platforms, including smartphones, tablets, and computers, making them readily accessible 15. This technology allows individuals to express their thoughts in written form more easily, effectively bypassing barriers related to spelling accuracy and handwriting.

Word prediction (ordforslag) is another valuable assistive technology that aids individuals with dyslexia during the writing process. This feature suggests words as the user types, providing assistance with spelling and vocabulary usage 16. Many word prediction tools offer intelligent suggestions based on the context of the writing and allow users to add custom word lists, which can be particularly helpful for academic or professional vocabulary 19. Some advanced word prediction features also include the use of wildcard characters, enabling users to find the correct spelling of a word even when they are unsure of certain letters 20. By reducing the cognitive load associated with spelling, word prediction empowers individuals to write more fluently and with greater confidence, while also potentially expanding their vocabulary.

Optical Character Recognition (OCR) technology serves as a crucial bridge between physical and digital text. OCR converts images of text, such as those found in scanned documents or photographs, into editable and readable digital text 15. This is particularly important for making non-digital learning materials and other printed resources accessible to individuals who rely on assistive technologies 15. OCR functionality is often integrated into various apps and software, including those specifically designed for individuals with dyslexia 15. By enabling the conversion of printed text into a format that can be used with text-to-speech and other digital tools, OCR significantly expands the range of accessible resources.

4. The Synergistic Effect: Combining Technologies for Optimal Support:

Examining how different technologies can be used in conjunction to create a more comprehensive and effective solution. Providing examples of how these tools can complement each other in various tasks like reading, writing, and studying.

The true power of assistive technology for individuals with dyslexia often lies in the synergistic effect achieved by combining different tools and functionalities. When used in conjunction, these technologies can create a more comprehensive and effective solution that addresses the multifaceted challenges of dyslexia.

Many læse- og skriveteknologi (LST) tools commonly used in Denmark integrate both text-to-speech and word prediction within the same program 24. Examples of such integrated tools include AppWriter, IntoWords, and CD-ORD 15. During the writing process, word prediction can provide real-time assistance with spelling and vocabulary, while text-to-speech can be employed to review what has been written. This allows users to listen back to their text, catching errors in spelling, grammar, and sentence structure, ultimately improving the overall flow and clarity of their writing 14. The ability to hear suggested words before inserting them into the text can also be beneficial in reinforcing correct spelling and word choice 29. This combination of writing support and review tools fosters a more effective and self-correcting writing experience.

Optical Character Recognition (OCR) technology, when combined with text-to-speech, significantly enhances accessibility to printed materials. OCR enables the conversion of physical text into a digital format, which can then be read aloud by text-to-speech software 16. This integration is particularly valuable as it makes a vast amount of traditionally inaccessible printed resources available to individuals with dyslexia. Scanner pens and smartphone applications equipped with OCR functionality further streamline this process, allowing users to quickly convert and listen to text from books, worksheets, and other physical documents 15. The ability to OCR and read PDF documents is also a key feature in many LST tools 24, ensuring access to a wide range of digital resources regardless of their initial format.

For individuals who find it easier to express their thoughts verbally, the combination of speech-to-text and text-to-speech can be particularly powerful. Speech-to-text can be used to rapidly draft ideas and get initial content down without the barrier of spelling difficulties. Subsequently, text-to-speech can be utilized to listen back to the drafted text, allowing for editing and refinement in terms of clarity, grammar, and overall accuracy 14. This approach can save significant cognitive energy and may enable the use of more complex sentence structures 20. However, it is important to note that effective use of speech-to-text often requires training to ensure clear dictation and minimize errors 20.

Ultimately, the “perfect” combination of technologies for an individual with dyslexia is likely to be highly personalized and may vary depending on their specific needs, the nature of the task at hand, and their personal preferences 24. An individual might find text-to-speech most helpful for reading lengthy articles or academic papers, while speech-to-text could be their preferred method for composing quick notes or emails. This highlights the importance of a flexible and individualized approach to technology use to maximize its effectiveness in supporting individuals with dyslexia.

5. The Role of Læse- og Skriveteknologi (LST) in Denmark:

Discussing the prevalent LST tools used in Denmark (e.g., AppWriter, IntoWords, CD-ORD) and their specific features relevant to addressing the challenges of dyslexia.

Denmark boasts a well-established ecosystem of læse- og skriveteknologi (LST) tools specifically designed to support individuals with dyslexia. These tools offer a range of features and functionalities tailored to address the core challenges associated with the condition. Among the most commonly used LST tools in Denmark are AppWriter, IntoWords, and CD-ORD.

AppWriter is recognized as a widely adopted LST tool in Denmark, with recommendations from over 100 schools across more than 60 municipalities 31. This tool offers a comprehensive suite of features, including text-to-speech for reading digital text aloud, word prediction to assist with writing, and Optical Character Recognition (OCR) to convert images of text into readable formats 14. AppWriter’s cross-platform availability ensures that users can access its support across various devices, including computers, tablets, and smartphones.

IntoWords is another prevalent LST tool that provides robust support for individuals with dyslexia. Its functionalities include text-to-speech capabilities, word prediction features, and support for multiple languages 9. Similar to AppWriter, IntoWords is designed to be accessible across different platforms, offering a consistent user experience regardless of the device being used.

CD-ORD is a well-established reading and writing program specifically developed for individuals with dyslexia, primarily for Windows-based computers 9. It offers text-to-speech functionality, allowing users to have digital text read aloud, and word prediction to aid in writing. CD-ORD is known for its extensive customization options, enabling users to tailor the program to their specific needs and preferences. Notably, CD-ORD often includes SkanRead, a tool that provides Optical Character Recognition (OCR) capabilities, allowing users to convert scanned or image-based text into a readable digital format 19.

In addition to these widely used tools, ViTal is another LST program available for Windows, offering text-to-speech and writing support functionalities 14. These prevalent LST tools in Denmark collectively demonstrate a strong commitment to providing technological support for individuals with dyslexia, offering a diverse range of features and compatibility across various platforms.

These LST tools are equipped with key features and functionalities that directly address the core challenges of dyslexia. Text-to-speech capabilities in these programs often include features such as highlighting the text as it is read aloud, adjustable reading speeds to accommodate different comprehension levels, and a variety of voice options to enhance the listening experience 14. Word prediction features are designed to assist with spelling by suggesting words as the user types. Many of these tools offer context-based suggestions, meaning the word suggestions are relevant to the surrounding text, and also allow for the use of wildcard characters to help users find the correct spelling even when they are unsure of certain letters 19. Optical Character Recognition (OCR) is another critical functionality, enabling the conversion of text from images, such as scanned documents or photographs, into a digital format that can be read aloud 19. Furthermore, these LST tools often include built-in dictionaries that allow users to quickly look up the meaning of unfamiliar words, and the ability to create custom word lists that can be particularly useful for specific subjects or professional fields 15.

Accessibility and seamless integration are key aspects of the LST landscape in Denmark. Many of the core functionalities of these specialized tools are now increasingly being integrated into mainstream software applications and operating systems 15. For instance, both macOS and iOS operating systems offer built-in text-to-speech and dictation features, providing fundamental assistive capabilities without the need for additional software 42. Browser extensions and cloud-based versions of LST tools, such as cloud-based versions of AppWriter and IntoWords, offer flexibility and accessibility across different devices 14. Moreover, the availability of dedicated mobile applications for smartphones and tablets for tools like AppWriter and IntoWords further enhances accessibility and allows individuals with dyslexia to utilize these supportive technologies in various contexts 15. This growing trend of integrating LST features into everyday technology not only makes these tools more readily available but also helps to reduce the stigma sometimes associated with using specialized assistive software.

6. Emerging Technologies and the Future of Dyslexia Support:

Exploring the potential of Artificial Intelligence (AI) and machine learning to revolutionize assistive technologies for dyslexia, including intelligent spell checking, personalized learning, and enhanced text processing.

The field of assistive technology for dyslexia is on the cusp of a significant transformation with the rapid advancements in Artificial Intelligence (AI) and machine learning. AI is increasingly recognized as a powerful tool that holds immense potential for supporting individuals with dyslexia in innovative and more effective ways 44. One of the key promises of AI lies in its ability to offer personalized learning experiences and provide tailored feedback to users 44. Furthermore, AI is being increasingly integrated into existing læse- og skriveteknologi (LST) tools, enhancing their functionality and offering new possibilities for support 45. This integration signifies a move towards more intelligent and adaptive assistive technologies that can better cater to the diverse needs of individuals with dyslexia.

AI-powered text processing represents a significant step forward in writing assistance for individuals with dyslexia. Unlike traditional spell checkers that often operate on a word-by-word basis, AI-driven tools offer intelligent spell checking and grammar correction that can analyze the context of the writing 23. Examples of such emerging tools in Denmark include SkrivSikkert and 46. These AI-powered platforms can go beyond simply identifying misspelled words; they can provide suggestions for improving grammar, word choice, and overall writing style. Moreover, AI can assist with tasks such as summarizing lengthy texts and adapting the difficulty level of reading materials to match an individual’s proficiency 45. The potential for AI to provide feedback on the coherence, structure, and overall quality of written work offers a level of support that surpasses the capabilities of conventional assistive technologies 45.

The advent of AI has also paved the way for personalized learning experiences designed specifically for individuals with dyslexia. AI-powered learning applications, such as Lexy and Dysolve, offer tailored learning profiles and interactive games aimed at improving reading and language skills in an engaging and adaptive manner 44. These platforms can dynamically adjust to an individual’s learning style, pacing, and specific areas of difficulty 44. By incorporating gamification and personalized feedback, AI has the potential to make learning more motivating and effective for individuals with dyslexia 44. This shift towards adaptive and individualized learning experiences marks a significant innovation in the field of dyslexia support.

Furthermore, AI is showing great promise in enhancing reading comprehension for individuals with dyslexia. AI-powered tools can be used to explain complex texts using simpler language, making challenging material more accessible 52. Users can interact with AI by asking questions about a text and receiving personalized explanations tailored to their understanding 45. AI also has the capability to extract key information from texts and provide concise summaries, saving time and cognitive effort for individuals who may struggle with lengthy reading assignments 45. This ability of AI to act as a personalized tutor, providing on-demand explanations and simplifying complex information, can be a game-changer for individuals with dyslexia seeking to improve their reading comprehension skills.

7. Personalization and Tailoring Solutions to Individual Needs:

Emphasizing the importance of customizing technology and support strategies to meet the diverse needs of individuals with dyslexia. Discussing adjustable settings, user preferences, and the role of professional guidance.

A fundamental aspect of effectively supporting individuals with dyslexia through technology lies in recognizing the inherent variability of the condition. Dyslexia manifests uniquely in each person, with varying degrees of difficulty across different areas of reading and writing 5. Consequently, the specific needs and challenges faced by individuals with dyslexia in their academic, professional, and personal lives can differ significantly 5. This underscores the importance of moving beyond a one-size-fits-all approach and embracing personalized solutions that cater to the distinct profiles of each individual.

Assistive technologies offer a range of adjustable settings and preferences that allow for a greater degree of personalization. In text-to-speech tools, for example, users can often adjust the reading speed to match their comprehension abilities, select from various voice options to find one that is clear and easy to listen to, and customize text highlighting to improve focus 14. Word prediction features can also be tailored to individual needs, with options to adjust the level of prediction, prioritize certain types of words, and even add personal word lists containing frequently used or subject-specific vocabulary 19. Furthermore, the visual presentation of text can be customized through adjustable font types and sizes. Dyslexia-friendly fonts like Lexend and Dyslexie, which are designed with specific characteristics to improve readability for individuals with dyslexia, are increasingly available 60. For some individuals, the use of colored overlays or specific screen color themes can also enhance reading comfort and reduce visual stress 64. These customization options empower individuals with dyslexia to adapt technology to their unique sensory and cognitive preferences, ultimately making these tools more comfortable and effective to use.

While technology offers powerful tools for personalization, the guidance of professionals and thorough assessment play a crucial role in ensuring that individuals with dyslexia receive the most appropriate support. Professional assessments, such as the Ordblindetesten (Dyslexia Test) in Denmark, are essential for accurately identifying dyslexia and gaining a comprehensive understanding of an individual’s specific challenges and strengths 10. Reading specialists and educational psychologists possess the expertise to provide valuable guidance on selecting the most suitable technologies and learning strategies tailored to an individual’s profile 69. Additionally, organizations like Ordblindeforeningen (The Danish Dyslexia Association) offer IT guidance and support to individuals with dyslexia and their families 9. This professional expertise ensures that individuals are not only equipped with the right tools but also have the knowledge and strategies to use them effectively.

Ultimately, involving individuals with dyslexia in the selection of their assistive technologies and respecting their preferences are key to successful adoption and long-term use 76. Finding tools that align with an individual’s learning style, personal preferences, and specific needs is more likely to lead to consistent and beneficial use 14. This user-centered approach recognizes that ownership and personal choice play a significant role in the successful integration of assistive technologies into the lives of individuals with dyslexia.

8. Effectiveness and Research Insights:

Reviewing the evidence from the research material regarding the effectiveness of different technologies and combined approaches in improving outcomes for individuals with dyslexia.

Research consistently highlights the positive impact of læse- og skriveteknologi (LST) on improving outcomes for individuals with dyslexia. Studies indicate that individuals with dyslexia often experience higher levels of text comprehension when they listen to text being read aloud via text-to-speech technology compared to reading it themselves 24. Furthermore, research has shown that the use of LST can strengthen written performance, lead to a reduction in spelling errors, and even improve decoding speed for individuals with dyslexia 41. Longitudinal studies have also found that young people with dyslexia who consistently use LST over time develop effective technology-based reading and writing strategies that become integrated into their learning processes 24. These findings provide strong evidence for the effectiveness of LST as a valuable support tool for individuals with dyslexia across various aspects of literacy.

The effectiveness of word prediction as an assistive technology has also been supported by research. Studies have shown that individuals with dyslexia tend to make fewer spelling errors when they utilize word prediction features during writing 24. Beyond reducing errors, word prediction can also contribute to more fluent writing by minimizing the cognitive effort required for spelling and allowing individuals to focus on expressing their ideas 20. This suggests that word prediction is a proven tool for enhancing both the accuracy and fluency of written communication for individuals with dyslexia.

However, research also emphasizes that the mere provision of technology is not sufficient to guarantee positive outcomes. Effective use of LST necessitates proper training for individuals with dyslexia and its thoughtful integration into teaching strategies by educators 1. Studies have indicated that simply providing technology without adequate instruction and support often leads to underutilization and limited benefit 77. This highlights the crucial role of the human element in assistive technology implementation. Individuals with dyslexia need to learn how to effectively utilize the various features of LST tools, and educators need to understand how to integrate these technologies into their teaching practices to maximize their impact on learning.

Emerging research is also beginning to shed light on the effectiveness of Artificial Intelligence (AI) powered tools for supporting individuals with dyslexia. Initial studies have shown promising results for AI-powered learning platforms, such as Dysolve, in improving reading and language skills for users 46. Furthermore, AI has demonstrated the potential to contribute to more accurate and earlier diagnosis of dyslexia, which could lead to more timely and effective interventions 46. While this area of research is still developing, these early findings suggest that AI tools hold significant promise for further enhancing learning outcomes and providing more personalized support for individuals with dyslexia in the future.

9. Challenges, Limitations, and Future Innovations:

Identifying the current limitations of existing technologies and support systems, and discussing potential areas for future innovation and improvement.

Despite the significant benefits offered by assistive technologies for individuals with dyslexia, there are still challenges and limitations associated with their use and the broader support systems. Research indicates that a notable proportion of individuals with dyslexia may not use their assistive technologies consistently 81. This underutilization can stem from various factors, including technical difficulties, cognitive load associated with learning new tools, and psychological barriers or a lack of motivation 82. Furthermore, the effective use of certain technologies, such as speech-to-text, may be hindered by the need for quiet environments to ensure accuracy 26. Recognizing these challenges is crucial for developing more user-friendly and effective solutions.

Existing læse- og skriveteknologi (LST) tools, while powerful, also have certain limitations. Word prediction features may not always accurately guess the desired word, particularly when dealing with less common or more specialized vocabulary 83. Speech-to-text functionality, while helpful for drafting, can sometimes struggle with longer texts and often requires practice to achieve a high level of accuracy 78. Similarly, the accuracy of Optical Character Recognition (OCR) can be affected by the quality of the original scanned text, potentially leading to errors in conversion 25. These limitations highlight areas where further innovation and refinement are needed to enhance the capabilities and usability of assistive technologies for dyslexia.

The emergence of Artificial Intelligence (AI) offers a promising avenue for overcoming some of these existing limitations. AI-powered tools have the potential to provide more context-aware and intelligent word suggestions during writing, going beyond the capabilities of traditional word prediction 45. AI can also offer more comprehensive feedback on writing, analyzing not just spelling and grammar but also overall quality and coherence 45. Furthermore, AI’s ability to learn and adapt to individual needs opens up possibilities for highly personalized learning experiences tailored to the specific challenges and strengths of each individual with dyslexia 44. This suggests that AI holds the key to developing more sophisticated and user-friendly assistive technologies.

Looking towards the future, the field of dyslexia support is likely to be shaped by several key trends and innovations. There is a growing convergence between assistive and mainstream technologies, with features like text-to-speech and dictation becoming increasingly integrated into everyday devices and software 40. The ongoing development of AI-powered tools and their increasing integration into LST platforms promise to further revolutionize support for individuals with dyslexia 45. AI also holds potential for improving the early identification and diagnosis of dyslexia, allowing for earlier interventions 46. Future innovations may also focus on creating more seamless and personalized learning platforms that integrate various assistive features and adapt to the evolving needs of individuals with dyslexia throughout their lives 76. These advancements suggest a future where technology plays an even more integral and empowering role in supporting individuals with dyslexia.

10. Conclusion:

Summarizing the key findings and offering a perspective on the “perfect solution” as a dynamic and evolving combination of technologies tailored to individual needs, with a look towards future advancements.

In summary, dyslexia presents significant challenges in reading, spelling, and writing for a substantial portion of the Danish population. Assistive technologies, encompassing text-to-speech, speech-to-text, word prediction, and OCR, offer crucial support in addressing these difficulties. The most effective approach often involves a synergistic combination of these tools, tailored to individual needs and the specific demands of various tasks. Denmark has a well-established landscape of LST tools like AppWriter, IntoWords, and CD-ORD, which provide a range of features and accessibility across different platforms. The future of dyslexia support is increasingly intertwined with the advancements in Artificial Intelligence, promising more intelligent text processing, personalized learning experiences, and enhanced reading comprehension support.

The “perfect solution” for individuals with dyslexia is not a static entity but rather a dynamic and evolving combination of technologies and strategies. This ideal solution is highly personalized, adapting to the unique challenges and strengths of each individual. While technology offers powerful tools, its effectiveness is maximized when combined with proper training, ongoing educational support, and personalized guidance from professionals.

As we look towards the future, continued advancements in AI are poised to further revolutionize support for individuals with dyslexia. These innovations hold the potential to overcome some of the limitations of current technologies, leading to even greater independence, academic success, and overall well-being. It is crucial to encourage continued research, development, and thoughtful implementation of these technologies, alongside robust training and support systems, to ensure that individuals with dyslexia can fully participate and thrive in all aspects of society.

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