>> 6 0 obj CIRCUMCISION PATIENT MANUAL FOR OLDER BOYS, ADOLESCENTS & ADULTS (INCLUDES FRENULECTOMY) The adult and older child circumcision manual linked above offers full detail on preparing for the procedure as well as post procedure care and follow-up. %���� Healing time for a newborn’s circumcision is about 7 to 10 days. A Circumcision is the surgical removal of the skin covering the tip of the penis. /Keywords (circumcision) Some parents choose circumcision. For infant circumcision, the baby is placed on his back and his arms and legs are strapped down to prevent movement during the procedure. /ProcSet [/PDF /ImageC /Text] /Resources << Circumcision Information Welcome to the Riley Park Maternity Clinic. Why is circumcision required? Performing male circumcision during the neonatal period has several advantages, including a … Circumcision is the removal of the foreskin from the human penis. There are, however, clear surgical indications of this procedure. This video demonstrates one method of performing a circumcision, using ring block anesthesia. Newborn male circumcision is a common elective surgical procedure for the removal of foreskin covering the glans penis. View Circumcision care Template.pdf from NURSING RN NURS 2300 at Central Wyoming College. circumcision. /Contents 17 0 R /ModDate (D:20170512090114) /Title (Circumcision procedure specific information) endobj /Font 16 0 R /Parent 2 0 R If you have not been to our clinic before, please bring your newborn’s Alberta health care number. Circumcision Procedure information Uncircumcised penis Circumcised penis About circumcision Circumcision is a procedure performed in men to completely remove the foreskin, leaving the head of the penis exposed. /R14 24 0 R Circumcision Surgery: What to Expect During a circumcision, the foreskin is … This powerpoint presentation provides an introduction to the "who, why/not, how and common problems" with the procedure. /Rotate 0 12 0 obj 1. <> /Parent 2 0 R For others, however, circumcision seems unnecessary or disfiguring. /Producer (GNU Ghostscript 7.06) A For older boys not in diapers, apply the ointment 4 times a day for 1 week. Circumcision wound site: It is normal to have some bruising and swelling around the wound site. The provider doing the circumcision procedure should know his or her limits. However, for a number of reasons, including concerns about the safety of the procedure carried out by providers without any formal training, traditional male circumcision is receiving increasing attention. PDF | Male circumcision is a controversial subject in surgical practice. << The most common risks associated with adult circumcision include: >> >> 11 0 obj endobj /R18 28 0 R procedure, your son ol or daycare. Topical or locally injected anesthesia is used to reduce pain and physiologic stress. endobj What does the foreskin do? The baby will either have a topical anesthetic applied to the surface of the penis or have numbing agents injected into the penis or around its base. Some have challenged the AAP infants in the United States (Taddio, 2001). x��}[�-Ir������=�+� I�-0X��B���ј�3�x��wE����;�*o��_��O���O����������������Ky�������:^㌏�ڽ << sǭ�W�`q[�3��*N��ẅ́��_3y���h��Σ�oaW/��}������J���q�"&OmzwޫvFo�W����`�6�s>��Ɲw��C̲Gd;�)S��c'm4ǯ;^=6Dmbc��咵����Yv�;�ae�|�96�l��{�*r���V=j��D�Z��ӿd��-�� IA�{��U�ٰ���j������p��̅��� <>/Metadata 501 0 R/ViewerPreferences 502 0 R>> How should I care for the diapers, check for e you em. /R6 22 0 R Circumcision is the removal of the foreskin, which is the sheath of skin covering the head of the penis. �%�ܻ�:�_2���e& /Type /Page The procedure becomes more complicated and riskier in older babies, children, and men. Methods of Circumcision – Devices and Procedures..... 43 The Process of Circumcision..... 54 Post-Operative Care and Complications..... 59 The Science and Studies behind Male Circumcision..... 65 Glossary ..... 76 Further Reading and Sources of Information..... 79. Some have challenged the AAP infants in the United States (Taddio, 2001). However, the use of these devices increases the recovery time (9). Circumcision after the newborn period is possible, but it's a more complex procedure.For some families, circumcision is a religious ritual. >> /Author (c.lockwood) /ExtGState 9 0 R /XObject 10 0 R 13 There has been a significant increase in US circumcision rates from 1988 to 2000, rising from 48.3% to 61.1%. Circumcision is a surgical procedure in which the foreskin (also known as the prepuce) is cut from the penis. /Contents 19 0 R >> Clean the diaper area as do. Everyone on the team should work to create an environment where those doing the circumcision are supported and encouraged to seek advice or backup at any time. si�g�6>x�}�bg�ZtL?�[���t d�V�I��1+^��cn "��Qr��V��p�i7Z���0׫�oV)�e��^{%@f!���� �` =�ᣛf���B��A�����(x�y�a~hb�r��Wmv�R4�=܎:*�,�?/ԩ�3�˴ce�� ��*Z��I �'���z^@m��ٛP�Y�[L����V�h�bTN��A�T�}� ��ٳT�����f��i`�m� v�mN�&�9ō�3�R�3��xi�ʂP|#B�& ��L(J3�+���i�y���D��9Fh�f�)y�SԜc[��L��V��K��¡r *4ra��I��50�]Z����0���u�Y\ú:m d��� In fact, according to the American Academy of Pediatrics (AAP), the benefits of the procedure outweigh the risks. 4 0 obj Newborn circumcision is reported to be the tion against transmission of human papilloma virus (HPV) most common elective surgical procedure performed on (Castellsague et al., 2002). /R13 25 0 R What do I need to know about a circumcision? << Circumcision Procedure: • This is a common procedure in which the foreskin (the skin covering the top of the penis) is removed with surgery. Your child will be restrained during the procedure. Activities . 2 0 obj Circumcision: Information for Parents Parents have different opinions about newborn circumcision based on medical, religious, cultural, and ethnic traditions and personal reasons. • Circumcision is not medically required, but studies show that it lowers certain health risks. /Rotate 0 endobj Undergoing circumcision as an infant has delayed psychological complications. I understand that circumcision is a procedure in which the foreskin (fold of skin that covers the end of the penis) is surgically removed. If you decide on circumcision, your baby’s doctor will do it in the hospital’s nursery. What does the foreskin do? /Font 11 0 R /Pages 2 0 R /Type /Page endobj 9 0 obj /Creator (PScript5.dll Version 5.2) Circumcision is a procedure to remove the foreskin from your penis. 2 0 obj >> << Your healthcare provider will tell you how to prepare for the procedure. Circumcision involves the removal of the foreskin from the male penis. /Contents 15 0 R /R15 23 0 R >> �efɭמW��P��W���W�j֯�nK^A���U �W$�)����p�}�L����K��V�eO��?tm�hV�YP�to����H5��)�N4��=3L���Fk�ܽ&��7oB�ZfP����L��^�4C��7!�1oTi�DIm�D�KB�2A8,_}��7��B��+�X�C�*μ�_��b���%�^p�^��MEF��8wo�5]�)��W��C�Z�m�˭f(L�(p7�>gYY�-��}#Z�:ʒ'�� ��&~�Q�����l|�s$*��[�=}aF�*r� He or she will tell you what medicines to take or not take before your procedure. If you decide on circumcision, your baby’s doctor will do it in the hospital’s nursery. He or she will tell you what medicines to take or not take before your procedure. This technique involves excising the preputial skin circumferentially, pre- serving the glans penis after separating the adhe-sions of the coronal sulcus. After the procedure, your baby may be fussy. So here are the most common methods used by doctors. 4 0 obj The foreskin is the fold of skin that covers the tip of the penis. �䄃�PnU"L��_ꘀ�j\��߸I�]�#:�a\�'E>e�$��f[�lyj5>��"`,L�f�&l����?o\�籲eʒ�e\�c��r��\|���[���a�WB�Ocm�)�I姦/�Rg̘�m��9��6���坃���NԆn�{:+�? Upon arrival you will check in at the front desk. >> Thousands of new, high-quality pictures added every day. However, the use of these devices increases the recovery time (9). Circumcision Procedure - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. << >> We suggest clear liquids and a very light meal the first evening. Newborn circumcision is reported to be the tion against transmission of human papilloma virus (HPV) most common elective surgical procedure performed on (Castellsague et al., 2002). The guillotine technique is a simple, quick method for circumcision. A clamp or plastic ring is placed and tightened to minimize bleeding. /MediaBox [0 0 595 842] Healing time for a newborn’s circumcision is about 7 to 10 days. One important advantage of infant male circumcision is that the procedure is simpler than that performed on older boys and men because the penis is less developed and the foreskin is thinner and less vascular. • Circumcision is not medically required, but studies show that it lowers certain health risks. endobj It exposes the head of the penis. You may return to your normal diet within 24 hours a fter your surgery. In recent years, circumcision procedures using auxiliary devices have become popular (7, 8). /Font 20 0 R >> ͕�yvy�rп����S.��0L+r��6a$y�-�r���f�lvўs�����]��M���.��4�jC�h6B�ĖwN��D��:i��%�8�G;��)C/�1ey~�S`��i�V�*��l�\����$�a�WB�Oc�[|�8I�JL!����L���F���w�K��k���8�э/���60g��3M@m�l|���̆1�L�svW�v��]_��d�W�9 Payment is required prior to the procedure. In recent years, circumcision procedures using auxiliary devices have become popular (7, 8). /Rotate 0 /Rotate 0 Circumcision is generally a safe procedure but there are risks of minor complications and some rare but serious complications. This leaflet includes advice from consensus panels, the British Association of Urological Surgeons, the Department of Health and evidence-based sources; it is, therefore, a reflection of best practice in the UK. /Parent 2 0 R Surgical procedures for adults and adolescents Summary 5-1 Surgical skills required for safe circumcision 5-1 Anatomy of the penis and choice of surgical technique 5-1 Tissue handling 5-1 Haemostasis 5-2 Diathermy 5-4 Suture material 5-5 Suturing 5-5 Tying knots 5-9 Skin preparation and draping 5-10 Skin preparation with povidone iodine 5-10 Draping 5-10 Anaesthesia 5-11 Penile nerve … f the ointment ended by the doctor to the lt around the area; do Do this at each directed. ! The procedure can also be a matter of family tradition, personal hygiene or preventive health care. << The second type is an open method in which one has to be taken into a theatre and therefore requires sterile technique, anaesthesia, antibiotics and other pre and post operative care. The foreskin is then cut below the clamp. 3 0 obj circumcision. This is shown by an international study led by researchers from Aarhus University. endobj 9nh*���^���v J�՟HSg�̋�Dl�����R`G� *�Px&;�"��P�d����[���N`&�{+T*'6�9�@��U*��8�����ښ",<>��(�l�2]��?�����≜1*�.>��|���/]�^�t�Օ��T�v�d�A��=���T�����Y�_mۑ��,J���վnV����&�Wi}������}�I&�]Gk�E�1w���t+Ϫ����F4�~�h�z�j_�[3��E�9���wĠ�y��}�5����zh:隔�Y�'�o{����{~�;�U�jϯ����r.0=��k9�?�&�H��k��r��]S�ն9v�`�=�u^�h�#�֜�-�fUQu'. Circumcision is the surgical removal of the foreskin, which is a fold of skin that covers the tip of the penis. /Rotate 0 Circumcision revision is an uncommon but sometimes necessary procedure. /R12 26 0 R It also happens to be the most common procedure performed over the last century, with roughly one sixth of the world male population having undergone circumcision. 7 0 obj Purpose: Circumcision is one of the most prevalently performed surgeries worldwide. This technique involves excising the preputial skin circumferentially, pre- serving the glans penis after separating the adhe-sions of the coronal sulcus. �잢:d��� %���� Healing is quicker and complication rates are lower. It exposes the head of the penis. The doctor or nurse will provide instructions for how to decrease any discomfort. In the newborn period (less than 2 months of age), almost all circumcisions are done by generalist physicians using one of three surgical instruments. outpatient procedures, thus, these rates of circumci-sion are even more likely to be underestimated. The doctor or nurse will provide instructions for how to decrease any discomfort. ! 5 0 obj Find circumcision stock images in HD and millions of other royalty-free stock photos, illustrations and vectors in the Shutterstock collection. endobj )�ث�k�02���נ��=�(&8ބx�x��`��p�۱EO�F%3���3`�����`@!�+��(�]��� %PDF-1.3 << Knowledge of the exact origins of the practice of circumcision has been lost but it is an important ritual as part of some religious faiths. It refers to a second surgical procedure performed due to unsatisfactory results with the original circumcision. Your attention to the following instructions during your initial recovery will contribute to the success of the procedure. << I refer to this as a "tribal marking procedure." Circumcision is an irreversible surgical procedure that a majority of baby boys in America are forced into hours after birth. Circumcision Procedure: • This is a common procedure in which the foreskin (the skin covering the top of the penis) is removed with surgery. Upon arrival you will check in at the front desk. Procedure - do not attempt without supervision. 1 0 obj /Font 18 0 R %PDF-1.7 >> �?�ҵ��NO���4žןm��mr�C��lV�E��)���~�/�;,� z�]�^��¾D�= ;@�m� endobj The Gomco circumcision procedure is the most popular technique for baby circumcision in the US. /Type /Catalog endobj Male Circumcision Male circumcision is the removal of the foreskin around the end of the penis. << Circumcision is a surgical procedure whereby the foreskin of the penis is surgically removed. endobj << The doctor will have you sign a consent form before the procedure is done. Why is circumcision required? The procedure is fairly common for newborn boys in certain parts of the world, including the United States. /Count 5 Circumcision surgical procedure in males involves either a conventional "cut and stitch" surgical procedure or use of a circumcision instrument or device. /Resources << The foreskin has two main functions. /Contents 12 0 R stream /CreationDate (7/31/2014 11:7:2) Circumcisions performed using the Gomco clamp are typically quick and easy surgical procedures which result in very little bleeding. The doctor will have you sign a consent form before the procedure is done. This will improve gradually over the following weeks. l��SP0�4�����`@i�3��̓���[��قK���X�nۂ�Q�x�� �Z�/Q'T�?C ��i�@V�:��7�j݈����M�\���@a�� �nuY�h�k�X�ˎ�a�>��H� 13 There has been a significant increase in US circumcision rates from 1988 to 2000, rising from 48.3% to 61.1%. How do I prepare for a circumcision? >> Knowledge of the exact origins of the practice of circumcision has been lost but it is an important ritual as part of some religious faiths. /Resources << 1 0 obj << �2��G�3��jt�*0Սjs����3��&��Lu�4���7o+��, t�A��yJۙ*�\�G�X�����'�5�S2�?M.caN=|�K��Lh�G%���,��Yy��#C� YN�tfl��P2`�@��NL���Q0`��KPvt΀��l��ot /ProcSet [/PDF /Text] Some parents do not choose circumcision. ]��ɾ��{����]�e�=T e�I���ԁ���U����Q3������!rF�_!@�M7h�,P�]��,��^a�R@s�䌷���[1�DF�F2���. >> Diet . endobj Undergoing circumcision as an infant has delayed psychological complications. After the procedure, your baby may be fussy. Some were circumcised for religious reasons and some were circumcised as it as a standard option given in the United States shortly after birth. In the newborn period (less than 2 months of age), almost all circumcisions are done by generalist physicians using one of three surgical instruments. This paper. The guillotine technique is a simple, quick method for circumcision. Circumcision has been performed on boys for several thousands of years. Many men are circumcised. If you have not been to our clinic before, please bring your newborn’s Alberta health care number. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 16 0 R] /MediaBox[ 0 0 595.25 842] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> <> Local anesthesia will be given to numb the region. What do I need to know about a circumcision? 1/13/2017. /ProcSet [/PDF /ImageC /Text] /Filter /FlateDecode Circumcision Information Welcome to the Riley Park Maternity Clinic. /MediaBox [0 0 595 842] Please ensure that we have your correct address and phone number on file. /Parent 2 0 R circumcision but do not universally recommend the procedure. In the most common procedure, the foreskin is opened, adhesions are removed, and the foreskin is separated from the glans.After that, a circumcision device may be placed, and then the foreskin is cut off. A short summary of this paper. You may want to use thin mini-pads in the underwear to reduce stains. Many parents are interested in having circumcision done for ethnic, cultural, religious or social reasons; but there is still some medical controversy about the need for the procedure on a routine basis. Performing male circumcision during the neonatal period has several advantages, including a … /MediaBox [0 0 595 842] stream Adult circumcision is a relatively simple procedure, but that doesn’t mean it is without risks. The second type is an open method in which one has to be taken into a theatre and therefore requires sterile technique, anaesthesia, antibiotics and other pre and post operative care. >> Circumcision: procedure-specific information What is the evidence base for this information? /Type /Page Download Full PDF Package. Topical or locally injected anesthesia is used to reduce pain and physiologic stress. Circumcision has been performed on boys for several thousands of years. /Resources << It is a bloodless procedure which does not require anaesthesia, sutures, or a sterile setting, and it can be performed well by a non-surgeon after a brief training. circumcision but do not universally recommend the procedure. Circumcision Procedure information Uncircumcised penis Circumcised penis About circumcision Circumcision is a procedure performed in men to completely remove the foreskin, leaving the head of the penis exposed. Circumcision is an irreversible surgical procedure that a majority of baby boys in America are forced into hours after birth. Circumcision Post-Procedure Instructions REV. The most common risks associated with adult circumcision include: /Length 3828 Parents who are undecided should talk with their child’s doctor before their child is born. /Resources << The foreskin is the fold of skin that covers the tip of the penis. In fact, according to the American Academy of Pediatrics (AAP), the benefits of the procedure outweigh the risks. This is shown by an international study led by researchers from Aarhus University. Circumcision surgical procedure in males involves either a conventional "cut and stitch" surgical procedure or use of a circumcision instrument or device. /Rotate 0 In the most common procedure, the foreskin is opened, adhesions are removed, and the foreskin is separated from the glans.After that, a circumcision device may be placed, and then the foreskin is cut off. The same detail is on this website but you may prefer to download a copy for yourself. >> How do I prepare for a circumcision? /R21 27 0 R If your baby is small or has any medical problems, the circumcision may need to be done later. Differences in circumcision rates related to demo-graphic variables are not well described. View Circumsion .pdf from ENG 101 at Obra D. Tompkins High School. ���_���W_���V����?�՟��ӷ��_^��Ï�������o?��_���~�ӟ~����������IH������?��_�~�7���_���1�k����kNc~|�������R����x��/_�����?������_��/]��k���X����~���x��g�_�x��?�W��#]#��ai��f�8���/�]w��=x����}��O������������KP����v��׼�[�����t��O���"���N,�,���*@�o(*x�]^�A��A��;� h5�}��q�`�w����4�mE�(ZS�hV���M/{|\R���CE�)j,<>����׊_�TrY!T��~�P�}�?&��T���QѶ��]z�ׯ_��(mO��:�u#b��q��1��w�oR����j�ﭳ~��M��T������t���x����{ e9]:P�$e�|Wjk*X�b�'sӷVi���[�=�����\� If you notice that the wound looks red, swollen, feels hot to touch or starts oozing either blood or pus this may be an indication that the wound has become infected. /Contents 21 0 R /ProcSet [/PDF /Text] 1. The procedure becomes more complicated and riskier in older babies, children, and men. Male Circumcision Male circumcision is the removal of the foreskin around the end of the penis. Circumcision is usually performed 1 to 10 days after birth. circumcision_2011.pdf: File Size: 513 kb: File Type: pdf: Download File. 8 0 obj Circumcision is the surgical incision or reduction of the foreskin of the penis, performed for medical, cultural, religious or personal preference reasons. Circumcision is the surgical removal of the foreskin, which is a fold of skin that covers the tip of the penis. << /MediaBox [0 0 595 842] x��]Y��~�_1o� O�y��>d�p���A �X��l��XI�Y�^��̲U�?r�7��e�b��*�_m�L�m������|�js�~�}r�y��3��������|�ʼn��5YSnOo�iS���j[TY��j��������ɯ�*7Y^oO������_6eV�6oG��mn�h{Y��i�����u�dܬ:���ӾWn�Z�q��&�U����-u�����N?u`g:�ք! The foreskin has two main functions. Circumcision is a procedure to remove the foreskin from your penis. However, for a number of reasons, including concerns about the safety of the procedure carried out by providers without any formal training, traditional male circumcision is receiving increasing attention. Adult circumcision is a relatively simple procedure, but that doesn’t mean it is without risks. Please ensure that we have your correct address and phone number on file. There is no standard circumcision procedure and the issue of standards has been a rallying call for years. Payment is required prior to the procedure. It also happens to be the most common procedure performed over the last century, with roughly one sixth of the world male population having undergone circumcision. z0��;w'`�@d@����+����o�J�3�jK�0��`@�gJ�8J�� ���!ڦ���b^fi�ܤ2[�u��Pg�w�lܕ�3i�Rg�E�p�s�25����������. 10 0 obj It is a common non-therapeutic procedure, which, based on the cultural and social background of people, could be performed by individuals at different levels of skill ranging from trained medical professionals to non-specialists. Circumcision is the removal of the foreskin from the human penis. /Parent 2 0 R View Circumcision care Template.pdf from NURSING RN NURS 2300 at Central Wyoming College. /MediaBox [0 0 595 842] Your healthcare provider will tell you how to prepare for the procedure. /ProcSet [/PDF /Text] ACTIVE LEARNING TEMPLATE: Basic Concept Tyler Van Heule STUDENT NAME_ Care CONCEPT_Circumcision _ REVIEW /XObject 13 0 R 3 0 obj /Type /Page Newborn male circumcision is a common elective surgical procedure for the removal of foreskin covering the glans penis. If your baby is small or has any medical problems, the circumcision may need to be done later. View Circumsion .pdf from ENG 101 at Obra D. Tompkins High School. 37 Full PDFs related to this paper . O�ԟwUt�"��͇�ʞ��Iu7>��+D7��$��>�1P�5�C��y,��Zԣh�q���ܿ�#Xd��k�@�q�د��w�������J�.��Q1�o �k�_����0A삃�������:'�ǤKn��9o���g�; ��=Q�8�L��H����rt{��ç�)տ|����n�Fb.E�@a�a�'��( e��~����?G�!A�~�="�F|�Z3�.7ǎ�*���35�괲l��A�����*5���p�x(?��K����G隙 ��@��N�'�i�dM�馢B�bv���pJ�7g�� ���C+rAXQR,H��\�[W&A�h+� �PVF�e7�����0r� � k� ,ZQoH�uO�6X�{RAp�\��KM ��.V�W%���rm HR PDF | Male circumcision is a controversial subject in surgical practice. At the Western Section American Urologic meeting in 2007 Dr Sam Kunin, who practices in Los Angeles, compared and contrasted clamps and discussed what he considered should be the minimal standards for circumcision. endobj Avoid straddling activities. /Type /Page ]G�7�s�iZ�*�1�6�ёq����}b��:��:ʰ�$]�X�L���6�26�s ;��5�F�����@Yo�l94ꙓ�H��V_6 b��[��Q��LJ�aq?j&D+6˪h�A��GPE�B�ZW�3�S���:��4����4��4`'hڨ.���:��f�ò�n��i[`���5N�@�\�x&ٷv�N�M��e��xuɠ���)z�7��ߵI�(��n:G'�����wcz_�X;*��=��D�����F#U�*bN7 !�g�� �'�D͂��"�8 ��vp� &�lc��7y�Ǵ �tiX��L��NP�)n�B�����FUA�[p�.��N��[�NU�*зt֬��`��D8��CH�\��d��v1MA�1%�l���b�)��eV���� ������S��vAaw���!�.ee���lw�v����EQ��(��. There are, however, clear surgical indications of this procedure. It is a bloodless procedure which does not require anaesthesia, sutures, or a sterile setting, and it can be performed well by a non-surgeon after a brief training. First evening the penis sign a consent form before the procedure. circumcision... 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The Shutterstock collection on boys for several thousands of years there is no standard circumcision procedure is the surgical of. Or has any medical problems, the benefits of the penis and some circumcised. To reduce stains circumcision instrument or device the `` who, why/not, how and common problems with. Of other royalty-free stock photos, illustrations and vectors in the United States ( Taddio, 2001.., however, clear surgical indications of this procedure. US circumcision rates related to demo-graphic variables are well. Include: circumcision is the removal of the foreskin is the surgical removal of penis... Study led by researchers from Aarhus University generally a safe procedure but are! Of new, high-quality pictures added every day involves the removal of the skin the... Is fairly common for newborn boys in America are forced into hours after birth some families, circumcision seems or... Popular ( 7, 8 ) in the United States ( Taddio, 2001 ) correct address and phone on! 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