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From Interruption to Interaction

   Using New Media and Your
  Website to Win (and Win Over)
          New Patients




                                   1
Workshop Leaders

John Olson                  Sandra Mackey
School of Business and      Executive Director of Marketing
Nonprofit Management        Emory Healthcare
North Park University       Atlanta, GA
Chicago, IL


Elizabeth Scott             Dan Greenberger
Associate VP of Marketing   Chief Innovation Officer
And e-Business              GPS Creative Services
Norton Healthcare           Chicago. IL
Louisville, KY
                                                        2
Learning Objectives

2.   Develop a working understanding of the major new
     media types that have been developed and are gaining
     acceptance.

4.   Understand the fundamental differences between new
     media and old media.

3.   Learn ideas for using the hospital website for two-way
     communication and engagement with your patients

                                                              3
Today’s Agenda
• Review of Marketing Communication Models
  – How does new media change them?
• Review of New Media Types
• A Case Study in Engagement - Emory
  Healthcare
• A Case Study in Interaction - Norton Healthcare
• Workshop in Generating New Media Ideas



                                                    4
A New Media Model of
    Advertising
         John Olson
      Adjunct Professor
   School of Business and
   Nonprofit Management
North Park University, Chicago



                                 5
The Consumer’s Journey
                           Attraction

                          Consideration

                          Conversion

                            Retention




Source: MeMetrics, Inc.                   6
The Consumer’s Journey
 Attraction     Awareness, interest
Consideration

Conversion

  Retention




                                 7
The Consumer’s Journey
 Attraction

Consideration   Gather & process info

Conversion

  Retention




                                        8
The Consumer’s Journey
 Attraction

Consideration

Conversion      Buy the product or service

  Retention




                                        9
The Consumer’s Journey
 Attraction

Consideration

Conversion

  Retention     Repeat purchase




                                  10
Interruption
•   Advertising interrupts program or print
    content with unsolicited messages
    – Audience is attracted by program and
      editorial content, not advertising
      •   With some exceptions – mostly in print
•   Messages typically are short and one-
    way from advertiser to consumer.



                                                   11
Is Interruption Bad?
•   It’s most annoying to the audience when
    the message is irrelevant or old news
    – Receiver is not in the target
    – Receiver has seen the ad/commercial
      before
•   Interruptive is frequently necessary to
    begin the process of attracting patients
    or to provide reminder messages

                                               12
Interruption & Interaction
•   Intrusive Media (TV, radio, outdoor, print)
    – Top-of Mind Awareness Building
      •   Build over time
      •   Bring a brand into the consumer circle of
          consideration for future needs.
    – Recency
      •   Schedule messages so they will speak to an
          immediate need and spark an immediate
          response.


                                                       13
Interruption & Interaction
•   Interactive (Online/Digital)
    – Two-way discussion
    – Frequently initiated by consumers seeking
      information to help make a major purchase
      or decision.
    – Messages can be of any length.
    – Usually designed to answer an immediate
      need and to stimulate an immediate
      response.

                                                  14
Relevance to Hospital
           Advertising
• Two types of hospital consumers
  – Those who resist receiving hospital
    communications
    • Healthy people who don’t anticipate problems or
      needs
  – Those actively seeking information for specific
    health concerns
    • Interest or need is frequently caused by an event –
      diagnosis or injury


                                                        15
Relevance to Hospital
           Advertising
• Resisters
  – Interruptive and intrusive media may be useful to get
    their attention
  – Message content should focus on emotional
    connections rather than rational arguments
• Seekers
  – Desire in-depth information.
  – Interactive media allow the consumer to ask
    questions and drill down for more information
  – Challenge is to get seekers to come to you

                                                            16
Overview of new media types
•   New interruptive media. Media in new
    and unexpected places.
    – Ambient (place-based) media.
      •   Ads on ATMs, gas station pumps, prescription
          envelopes, baby strollers
      •   Video networks. Aired on monitors in places like
          doctor’s offices, retail stores, bars/restaurants,
          taxicabs, elevators, airports, other public places
      •   Digital media (exterior signs, in-store)


                                                               17
Examples of ambient media




Coffee cups and sleeves,   Baby strollers
    Prescription bags                       18
Examples of ambient media




Physicians’ offices:                Dog jacket advertising
Exam table paper,
tissue boxes, brochures, sampling
                                                        19
Example of video networks




                            20
Ambient media: advantages
• More precise targeting:
  – Geographic
     • Place-based advertising focused on service area
  – Product or service usage
     • Reaches consumers with a particular need, such a
       physician’s office for a specialty
  – Timeliness
     • Message received when consumer is considering
       a purchase or decision


                                                         21
New interruptive media:
           advantages
•   Attention
    – The unexpected nature of the medium may
      help to draw attention to the message.
      •   Examples – baby stroller or dog jacket
          advertising




                                                   22
Online is 3rd Largest Medium
           Minutes/Adult Spent Yesterday With Media

     300      265
     250
     200
     150                125
                                          85
     100
      50                         29
                                                  16
       0
              TV      Radio     News.   Online   Mags.


SOURCE: 2006 Media
Comparison Study, Nielsen/TVB                            23
Internet/Online Advertising
           • Women and men nearly equally
              70%




                                               67%
              65%




              60%
                    All Adults   Women   Men



SOURCE: Pew Internet & American Life
Project                                              24
Internet/Online Advertising
     • 67% of persons age 13+ use the web
              84%

              70%                                          67%
              56%

              42%

              28%

              14%

               0%
                    P13+   13-17 18-29 30-49 50-64   65+


SOURCE: Pew Internet & American Life
Project                                                          25
Internet/Online Advertising
           • HH income skews higher
               98%
               84%
               70%
                                                      67%
               56%
               42%
               28%
               14%
                0%
                     All   <$30K $30-   $50- $75K +
                                 50K    75K


SOURCE: Pew Internet & American Life
Project                                                     26
Internet/Online Advertising
           • Higher educational levels
             98%

             84%

             70%                                                67%
             56%

             42%

             28%

             14%

              0%
                    All   < HS    HS   Some Coll.   College +




SOURCE: Pew Internet & American Life
Project                                                               27
New Interactive Media: Online
•   Types of Online Advertising
    – Content targeting
      •   Sites with content related to your advertised
          service
    – Behavioral targeting
      •   Sites visited by readers whose web behavior
          shows an interest in your type of service (they
          visit sites with content related to your advertised
          service
    – Contextual targeting
      •   Links within editorial content related to your
          advertised service
                                                                28
Content Targeting




                    29
Sponsored Content




                    30
Sponsored Content




                    31
Contextual Targeting
• Like sponsored content, ads and links that
  appear in content related to your
  advertising message
• Difference is that proprietary technology
  finds the content based on keywords – it is
  not chosen in advance by the advertiser
• Content is constantly updated and
  changing



                                            32
Contextual targeting




                       33
Contextual targeting




                       34
Long-form Communications
•    Video on demand distributed over
     websites or cable TV
•    Audio or video podcasting
      •   Provide detailed information on a particular
          service lines or procedures for consumers
          desiring it.




                                                         35
Websites
•   Consumers can drill down for more
    information
•   Via email, discussion boards or online
    chat, consumers can ask questions,
    initiate a discussion
•   Particularly applicable to healthcare
    – Desire for info on major procedures
    – Desire to gather information privately

                                               36
Discussion Boards




                                            37
http://www.meriter.com/living/discussion/
Discussion Boards




                    38
Discussion Boards




                    39
Consumer-generated Media
•   Types
    –   Discussion boards: reader submissions remain
        posted on a site for a time
    –   Listservs: emails shared among members of a
        group
    –   Blogs (“web-logs”)
        •   Running commentary content posted by an individual
            (blogger), readers can typically post responses and ask
            questions
    –   Video (You-tube)
    –   Wikis

                                                                      40
Listservs




            41
Blogs




                                    42
http://www.thehealthcareblog.com/
Blogs




        43
List of Medical Wikis




http://davidrothman.net/list-of-medical-wikis/   44
User-generated video




                       45
Wikis




                                               46
http://diabetes.wikia.com/wiki/Diabetes_Wiki
Consumer-generated Media:
          Advantages
•    The marketer can hear what customers
     and prospects are saying and join in the
     conversation
    – Important to identify the organization –
      flacks or shills are quickly recognized and
      discredited
    – Factual information, especially in response
      to questions, is generally welcomed


                                                    47
Search Engine Marketing
• Internet searches are an established part
  of our routines
  – 213,000,000 searches performed each day
     • (March, 2006, Source: Comscore)
• Searches can account for 25-50% of a
  web site’s traffic
• Two major ways to increase your website
  visits

                                              48
Search Engine Marketing
• Search engine optimization
  – Managing the content of your website for
    higher rankings in natural and paid search
    results
  – Variables that affect search rankings include:
    •   Presence of key words in text (not pictures)
    •   Title pages
    •   Incoming links from other relevant sites
    •   Outbound links


                                                       49
Organic and Paid Search




                          50
Organic and Paid Search




                          51
Website Content Influences
 Organic Search Results




                             52
Search Engine Marketing
• Paid search advertising
  – Inexpensive, targeted way to reach
    consumers actively looking for information on
    services you offer
  – Pay-per-click based on search terms,
    advertiser “bids” an amount. Higher bidders
    get listed higher in search results




                                                53
Paid Search




              54
Mobile Telephone Advertising
•   Permission-based campaigns
    – Can give consumers requested reminders
      by text message.
    – Could support classes or events.




                                               55
Roles of Media Types in the
   Consumer’s Journey

                    Mass media, ambient, direct
       Attraction
                    mail, PR, search & web, online

    Consideration

      Conversion

        Retention
                                               56
Roles of Media Types in the
   Consumer’s Journey


       Attraction
                    Mass, direct mail, web, cons.-
    Consideration   generated, brochures, online,,
                    PR, long-form, e-mail
      Conversion

        Retention
                                               57
Roles of Media Types in the
   Consumer’s Journey


       Attraction

    Consideration
                    Cons.-generated, brochures,
      Conversion    long-form, recommendations

        Retention
                                              58
Roles of Media Types in the
   Consumer’s Journey


       Attraction

    Consideration

      Conversion

                    Mass, website, direct, email,
        Retention   mobile phone
                                                59
Roles of Media Types in the
   Consumer’s Journey
                    Interruptive   Interactive

       Attraction     More           Less


    Consideration

      Conversion

        Retention    Less           More

                                            60
Planning Your Mix
• What are your goals? Match the tactics to
  your goals:
  – The farther in the journey from attraction to
    retention, interactive is likely to be more
    important
• At any point in time, you have prospects at
  different stages of the journey and you’ll
  need a mix of interruptive and interactive
  tactics
                                                    61
Planning Your Mix
• How “mass” is your target?
  – The more mass the target, the more efficient
    is mass media
    • Mass media may not be efficient even for attraction
      of small segments – specialized
      services/procedures




                                                       62
Discussion
• What media might we use for a
  – Branding campaign?
  – Service line?
  – Health club?
  – Wellness programs?




                                  63
Case History
• Swedish Covenant Hospital, Chicago




• Independent, nonprofit hospital serving
  Chicago’s north and northwest sides

                                            64
Swedish Covenant Hospital
• Academic and community hospital

• Comprehensive range of medical
  programs, including cancer, cardiac,
  surgical, women's health and emergency
  services

• Need to position itself in relation to other
  academic & community hospitals in
  Chicago area
                                                 65
Swedish Covenant Hospital
• Chicago's only member of Planetree, an
  organization that develops and
  implements guidelines for patient-centered
  care.

• Out of the 5,000 US hospitals, only 125
  have committed fully to the Planetree
  philosophy of treating the whole patient—
  body, mind and spirit.


                                              66
“What Makes You Feel Better?”
• Branding campaign that focuses on
  Swedish’s holistic approach to patient care
• Point of difference vs. other hospitals in
  area
• Appeals to resisters and seekers
  – Largely emotional appeal
  – Focuses on everyday health in a unique way



                                                 67
“What Makes You Feel Better?”
• Campaign used a wide range of media –
  both old and new
• Mass media to attract
• Interactive media to engage consumers
  and move them to consideration




                                          68
“What Makes You Feel Better?”
• Media used to attract:
  – Mass transit trains and buses on the routes
    serving Swedish’s service area
     • Painted/wrapped cars
     • Interior cards – each car had 4-5 different ads,
       each suggesting a different thing that makes you
       feel better (pets, exercise, play)
     • An ad on the ceiling created a mock skylight with a
       sunny, blue sky



                                                         69
“What Makes You Feel Better?”
• Mass transit ads
  – Interior ads also invited readers to text message with
    their favorite healing thing
  – A text message reply invited consumer to visit a
    campaign web site
• Newspaper
  – Insert with “healing” idea stickers attached by elastic
    band around Chicago Tribune (targeted to service
    area)
• Out-of-home ads
  – Ads on train platforms and bus shelters along lines
    serving hospital’s service area

                                                              70
71
72
73
“What Makes You Feel Better?”
• Campaign Website
  – Offers more information on things that make people
    feel better, and ways they use that approach in
    healing at Swedish Covenant
  – Viewers can submit a photo of something that makes
    them feel better, I wanted to get their e-newsletter
    and where I heard about the campaign
  – Viewers can opt-in to an e-newsletter and answer
    survey on where they saw the campaign



                                                       74
75
76
77
78
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From Interruption to Interaction

  • 1. From Interruption to Interaction Using New Media and Your Website to Win (and Win Over) New Patients 1
  • 2. Workshop Leaders John Olson Sandra Mackey School of Business and Executive Director of Marketing Nonprofit Management Emory Healthcare North Park University Atlanta, GA Chicago, IL Elizabeth Scott Dan Greenberger Associate VP of Marketing Chief Innovation Officer And e-Business GPS Creative Services Norton Healthcare Chicago. IL Louisville, KY 2
  • 3. Learning Objectives 2. Develop a working understanding of the major new media types that have been developed and are gaining acceptance. 4. Understand the fundamental differences between new media and old media. 3. Learn ideas for using the hospital website for two-way communication and engagement with your patients 3
  • 4. Today’s Agenda • Review of Marketing Communication Models – How does new media change them? • Review of New Media Types • A Case Study in Engagement - Emory Healthcare • A Case Study in Interaction - Norton Healthcare • Workshop in Generating New Media Ideas 4
  • 5. A New Media Model of Advertising John Olson Adjunct Professor School of Business and Nonprofit Management North Park University, Chicago 5
  • 6. The Consumer’s Journey Attraction Consideration Conversion Retention Source: MeMetrics, Inc. 6
  • 7. The Consumer’s Journey Attraction Awareness, interest Consideration Conversion Retention 7
  • 8. The Consumer’s Journey Attraction Consideration Gather & process info Conversion Retention 8
  • 9. The Consumer’s Journey Attraction Consideration Conversion Buy the product or service Retention 9
  • 10. The Consumer’s Journey Attraction Consideration Conversion Retention Repeat purchase 10
  • 11. Interruption • Advertising interrupts program or print content with unsolicited messages – Audience is attracted by program and editorial content, not advertising • With some exceptions – mostly in print • Messages typically are short and one- way from advertiser to consumer. 11
  • 12. Is Interruption Bad? • It’s most annoying to the audience when the message is irrelevant or old news – Receiver is not in the target – Receiver has seen the ad/commercial before • Interruptive is frequently necessary to begin the process of attracting patients or to provide reminder messages 12
  • 13. Interruption & Interaction • Intrusive Media (TV, radio, outdoor, print) – Top-of Mind Awareness Building • Build over time • Bring a brand into the consumer circle of consideration for future needs. – Recency • Schedule messages so they will speak to an immediate need and spark an immediate response. 13
  • 14. Interruption & Interaction • Interactive (Online/Digital) – Two-way discussion – Frequently initiated by consumers seeking information to help make a major purchase or decision. – Messages can be of any length. – Usually designed to answer an immediate need and to stimulate an immediate response. 14
  • 15. Relevance to Hospital Advertising • Two types of hospital consumers – Those who resist receiving hospital communications • Healthy people who don’t anticipate problems or needs – Those actively seeking information for specific health concerns • Interest or need is frequently caused by an event – diagnosis or injury 15
  • 16. Relevance to Hospital Advertising • Resisters – Interruptive and intrusive media may be useful to get their attention – Message content should focus on emotional connections rather than rational arguments • Seekers – Desire in-depth information. – Interactive media allow the consumer to ask questions and drill down for more information – Challenge is to get seekers to come to you 16
  • 17. Overview of new media types • New interruptive media. Media in new and unexpected places. – Ambient (place-based) media. • Ads on ATMs, gas station pumps, prescription envelopes, baby strollers • Video networks. Aired on monitors in places like doctor’s offices, retail stores, bars/restaurants, taxicabs, elevators, airports, other public places • Digital media (exterior signs, in-store) 17
  • 18. Examples of ambient media Coffee cups and sleeves, Baby strollers Prescription bags 18
  • 19. Examples of ambient media Physicians’ offices: Dog jacket advertising Exam table paper, tissue boxes, brochures, sampling 19
  • 20. Example of video networks 20
  • 21. Ambient media: advantages • More precise targeting: – Geographic • Place-based advertising focused on service area – Product or service usage • Reaches consumers with a particular need, such a physician’s office for a specialty – Timeliness • Message received when consumer is considering a purchase or decision 21
  • 22. New interruptive media: advantages • Attention – The unexpected nature of the medium may help to draw attention to the message. • Examples – baby stroller or dog jacket advertising 22
  • 23. Online is 3rd Largest Medium Minutes/Adult Spent Yesterday With Media 300 265 250 200 150 125 85 100 50 29 16 0 TV Radio News. Online Mags. SOURCE: 2006 Media Comparison Study, Nielsen/TVB 23
  • 24. Internet/Online Advertising • Women and men nearly equally 70% 67% 65% 60% All Adults Women Men SOURCE: Pew Internet & American Life Project 24
  • 25. Internet/Online Advertising • 67% of persons age 13+ use the web 84% 70% 67% 56% 42% 28% 14% 0% P13+ 13-17 18-29 30-49 50-64 65+ SOURCE: Pew Internet & American Life Project 25
  • 26. Internet/Online Advertising • HH income skews higher 98% 84% 70% 67% 56% 42% 28% 14% 0% All <$30K $30- $50- $75K + 50K 75K SOURCE: Pew Internet & American Life Project 26
  • 27. Internet/Online Advertising • Higher educational levels 98% 84% 70% 67% 56% 42% 28% 14% 0% All < HS HS Some Coll. College + SOURCE: Pew Internet & American Life Project 27
  • 28. New Interactive Media: Online • Types of Online Advertising – Content targeting • Sites with content related to your advertised service – Behavioral targeting • Sites visited by readers whose web behavior shows an interest in your type of service (they visit sites with content related to your advertised service – Contextual targeting • Links within editorial content related to your advertised service 28
  • 32. Contextual Targeting • Like sponsored content, ads and links that appear in content related to your advertising message • Difference is that proprietary technology finds the content based on keywords – it is not chosen in advance by the advertiser • Content is constantly updated and changing 32
  • 35. Long-form Communications • Video on demand distributed over websites or cable TV • Audio or video podcasting • Provide detailed information on a particular service lines or procedures for consumers desiring it. 35
  • 36. Websites • Consumers can drill down for more information • Via email, discussion boards or online chat, consumers can ask questions, initiate a discussion • Particularly applicable to healthcare – Desire for info on major procedures – Desire to gather information privately 36
  • 37. Discussion Boards 37 http://www.meriter.com/living/discussion/
  • 40. Consumer-generated Media • Types – Discussion boards: reader submissions remain posted on a site for a time – Listservs: emails shared among members of a group – Blogs (“web-logs”) • Running commentary content posted by an individual (blogger), readers can typically post responses and ask questions – Video (You-tube) – Wikis 40
  • 41. Listservs 41
  • 42. Blogs 42 http://www.thehealthcareblog.com/
  • 43. Blogs 43
  • 44. List of Medical Wikis http://davidrothman.net/list-of-medical-wikis/ 44
  • 46. Wikis 46 http://diabetes.wikia.com/wiki/Diabetes_Wiki
  • 47. Consumer-generated Media: Advantages • The marketer can hear what customers and prospects are saying and join in the conversation – Important to identify the organization – flacks or shills are quickly recognized and discredited – Factual information, especially in response to questions, is generally welcomed 47
  • 48. Search Engine Marketing • Internet searches are an established part of our routines – 213,000,000 searches performed each day • (March, 2006, Source: Comscore) • Searches can account for 25-50% of a web site’s traffic • Two major ways to increase your website visits 48
  • 49. Search Engine Marketing • Search engine optimization – Managing the content of your website for higher rankings in natural and paid search results – Variables that affect search rankings include: • Presence of key words in text (not pictures) • Title pages • Incoming links from other relevant sites • Outbound links 49
  • 50. Organic and Paid Search 50
  • 51. Organic and Paid Search 51
  • 52. Website Content Influences Organic Search Results 52
  • 53. Search Engine Marketing • Paid search advertising – Inexpensive, targeted way to reach consumers actively looking for information on services you offer – Pay-per-click based on search terms, advertiser “bids” an amount. Higher bidders get listed higher in search results 53
  • 55. Mobile Telephone Advertising • Permission-based campaigns – Can give consumers requested reminders by text message. – Could support classes or events. 55
  • 56. Roles of Media Types in the Consumer’s Journey Mass media, ambient, direct Attraction mail, PR, search & web, online Consideration Conversion Retention 56
  • 57. Roles of Media Types in the Consumer’s Journey Attraction Mass, direct mail, web, cons.- Consideration generated, brochures, online,, PR, long-form, e-mail Conversion Retention 57
  • 58. Roles of Media Types in the Consumer’s Journey Attraction Consideration Cons.-generated, brochures, Conversion long-form, recommendations Retention 58
  • 59. Roles of Media Types in the Consumer’s Journey Attraction Consideration Conversion Mass, website, direct, email, Retention mobile phone 59
  • 60. Roles of Media Types in the Consumer’s Journey Interruptive Interactive Attraction More Less Consideration Conversion Retention Less More 60
  • 61. Planning Your Mix • What are your goals? Match the tactics to your goals: – The farther in the journey from attraction to retention, interactive is likely to be more important • At any point in time, you have prospects at different stages of the journey and you’ll need a mix of interruptive and interactive tactics 61
  • 62. Planning Your Mix • How “mass” is your target? – The more mass the target, the more efficient is mass media • Mass media may not be efficient even for attraction of small segments – specialized services/procedures 62
  • 63. Discussion • What media might we use for a – Branding campaign? – Service line? – Health club? – Wellness programs? 63
  • 64. Case History • Swedish Covenant Hospital, Chicago • Independent, nonprofit hospital serving Chicago’s north and northwest sides 64
  • 65. Swedish Covenant Hospital • Academic and community hospital • Comprehensive range of medical programs, including cancer, cardiac, surgical, women's health and emergency services • Need to position itself in relation to other academic & community hospitals in Chicago area 65
  • 66. Swedish Covenant Hospital • Chicago's only member of Planetree, an organization that develops and implements guidelines for patient-centered care. • Out of the 5,000 US hospitals, only 125 have committed fully to the Planetree philosophy of treating the whole patient— body, mind and spirit. 66
  • 67. “What Makes You Feel Better?” • Branding campaign that focuses on Swedish’s holistic approach to patient care • Point of difference vs. other hospitals in area • Appeals to resisters and seekers – Largely emotional appeal – Focuses on everyday health in a unique way 67
  • 68. “What Makes You Feel Better?” • Campaign used a wide range of media – both old and new • Mass media to attract • Interactive media to engage consumers and move them to consideration 68
  • 69. “What Makes You Feel Better?” • Media used to attract: – Mass transit trains and buses on the routes serving Swedish’s service area • Painted/wrapped cars • Interior cards – each car had 4-5 different ads, each suggesting a different thing that makes you feel better (pets, exercise, play) • An ad on the ceiling created a mock skylight with a sunny, blue sky 69
  • 70. “What Makes You Feel Better?” • Mass transit ads – Interior ads also invited readers to text message with their favorite healing thing – A text message reply invited consumer to visit a campaign web site • Newspaper – Insert with “healing” idea stickers attached by elastic band around Chicago Tribune (targeted to service area) • Out-of-home ads – Ads on train platforms and bus shelters along lines serving hospital’s service area 70
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  • 74. “What Makes You Feel Better?” • Campaign Website – Offers more information on things that make people feel better, and ways they use that approach in healing at Swedish Covenant – Viewers can submit a photo of something that makes them feel better, I wanted to get their e-newsletter and where I heard about the campaign – Viewers can opt-in to an e-newsletter and answer survey on where they saw the campaign 74
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