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Interventional Endoscopy in Hepatology $205.52 Diagnostic and interventional endoscopy has made rapid progress in recent years. Several methods are still under development and need to be properly evaluated. Bile duct diseases may have a negative impact on theliver, so early diagnosis and minimal invasive treatment options are important. Liver transplantation is now established for the treatment of liver failure. Hepatic surgery may lead to problems in the bile ducts which canbe treated by endoscopic intervention. A broad spectrum of indications for interventional endoscopy in hepatology exists. This book, the proceedings of Falk Symposium No. 116, held in Basel, Switzerland, October 25 1999(Part III of the Basel Liver Week 1999), describes the state of the art and new developments in endoscopy for these treatments, and contains chapters by wellknown experts from all over the world. Author: Neuhaus, H./ Riemann, J. F. Series Title: Falk Symposium Series Number: 116 Binding Type: Hardcover Number of Pages: 180 Publication Date: 2000/09/01 Language: English Dimensions: 6.14 x 9.21 x 0.44 inches

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Telemedicine Market Shares, Strategies, And Forecasts, Worldwide, 2010 To 2016-Aarkstore Enterprise

The 2010 study has 669 pages, 205 tables and figures. Worldwide markets are poised to achieve significant growth as the healthcare providers worldwide move to more cost efficient healthcare modalities leveraging telemedicine. Vendors are building out localized direct physician based services organizations, distribution partnerships, and e-commerce sites that support a telemedicine brand in every region.

Telemedicine is more cost efficient than nursing home or hospital care, every patient would rather stay at home if possible. As new telemedicine equipment and services proliferate in the U.S. and worldwide, more and more vital signs based healthcare delivery is being implemented.

Healthcare delivery systems are moving towards a quantum shift in care delivery. Technology provides a way to sense and monitor heart disease, inflammation, infection, cancer, diabetic condition, and chronic condition status using technology. This represents a quantum shift in care diagnosis. The old methods of verbal description that the physician rarely listens to and in person visual inspection are becoming less important. The monitoring technologies and blood work are being used in combination with imaging and telemetrics to provide a real time, continuous evaluation of patient condition.

This leads to care delivery by the numbers.

Few people describe themselves as old or sick—regardless of their age or health. We are moving toward care delivery by the numbers in combination with physical examination in person or over the HD TV. HD TV gives a quick, vivid image of where a person hurts and what they look like. The new sensor technology gives physicians visibility inside a person that is not available from a simple verbal description.

Telemedicine can supplement information available from a physical examination by making care delivery a available. Telemedicine is able to supplement traditional care. Telemedicine is extending monitoring into wellness tracking. The ability to visualize patient condition through blood work, monitors, sensors, imaging, and biometrics changes everything.

It is labor that is costly, not the imaging or the monitors. The automated process needs to be leveraged to reduce the labor costs by 90%, leveraging technology to provide consistent care. The systems need to be automated to the point where the patients and their families can provide accurate diagnostic information to the clinician, who by definition is the decision maker, not the care provider. The telemedicine is able to address the need to decrease labor costs.

Labor costs need to be removed from every step of the diagnostic process. The imaging machines need to be automated more. The sensing devices need to be able to take readings and send them to the automated patient record without human intervention.

New telemedicine devices do just this. Inflammation can be detected using a handheld biometric device. Cardiac symptoms can be detected automatically, just by placing a device in the proper position, no buttons to push, no screens to navigate.

In this context it has formalized a vision of the evolution of healthcare economic models. It is looking towards the transformation of the healthcare delivery systems in response to increasing responsibility of systems administrators to deliver quality care efficiently. C‐healthcare 2020® looks toward cost containment trends. These are playing out in the context of industry and professional efforts to improve the quality of care delivery:

1. Leverage automated process in the same way other industries have. Leverage cloud computing and System z mainframe computing to lower care delivery costs while improving the quality by quantum amounts.

2. Consolidate health care delivery systems in a manner that is able to achieve effective, efficient communication between caregivers.

3. Stop rewarding hospitals and physicians for over delivery of care and change. Move to care delivery systems that allow treatment of patients by the numbers combined with intelligent caring care. This is particularly true with the high cost profit center emergency room, get those costs way down.

4. Support the extended health care delivery systems that support healthy behaviors, including the acupuncture practitioners, chiropractors, and sports clubs.

5. Support Telemedicine and specialized intelligent support systems that permit leaving people in their own homes even if they cannot take care of every aspect of their life. Help old people take out the trash, sand the driveway when it snows, clean up the junk, help with the simple stuff that seems overwhelming to old people.

6. Reward families for providing care support to extended family members, these do not need to be financial rewards in every instance, maybe they are special recognition banquets and letters of commendation.

7. Implement systems that stimulate and reward patients for exercising and taking care of themselves in every way.

8. Implement computer assisted coding in a manner that allows automated transcription of physician and clinician notes into the electronic patient record; utilize the clinician notes, blood work, and diagnostic test results to provide tracking and reminding of conditions that need follow‐up after a specified length of time.

9. Use patient systems that are efficient.

10. Implement telemedicine.

Challenged with declining reimbursements, a nursing shortage and low productivity even as new agencies open, there has been significant industry consolidation. Automated process brought by Telemedicine information systems addresses management team issues. Existing providers need to improve overall operations to address these issues.

Several new studies provide large‐scale, independent, quantified proof of the value of healthcare information technology have. Users can utilize the scheduling notes to alert other staff of patient preferences or supplies needed in the home. Maestro intuitive process flow provides users with many reminders, including when a patient is out of orders, when a supervisory visit is required, or when a procedure needs to be completed during a visit.

Telemedicine Information systems are a significant part of the home care delivery systems. Software leverages the efficiency of clinical process in ways that have never become possible before. The system leverages virtually all the administrative and financial information needed to run a successful home care company. Information can be gathered right from the charts.

The significance of SOA integration and networking systems for telemedicine is not yet realized in Telemedicine information systems. However, as patients move from one care venue to another, the patient record is going to need to move with them. Thus telemedicine begins to play a significant role in care delivery. The hand-held, computer-based system guides home care clinicians through the entire patient care process. Clinicians can use structured record guides.

The systems automate reporting. The market opportunity for the Telemedicine information services providers is to enable consolidation of the 35,000 small agencies worldwide into a few large services providers. These few services providers then become customers for the Telemedicine information services systems. Telemedicine information systems will be enhanced by partnerships with IBM to leverage information analytics systems.

Without health, nothing else is very important. People with means choose to spend whatever they need to protect and promote their health. Statistics on total expenditures vs. value of those expenditures are meaningless unless they break out the impact on different population segments.

You often see statements from US analysts that say as President Obama did in In his speech to the American Medical Association:
"we are spending over $2 trillion a year on health care — almost 50 percent more per person than the next most costly nation. And yet, as I think many of you are aware, for all of this spending, more of our citizens are uninsured, the quality of our care is often lower, and we aren't any healthier. In fact, citizens in some countries that spend substantially less than we do are actually living longer than people in other countries."

What the Obama statement misses is that some portion of the population is healthier. The US healthcare delivery system is superior to any. To say that not everyone is treated is not the same as saying that the system does not treat many people very well. Telemedicine is poised to make health care delivery better and spread that superior health care delivery system to a greater proportion of the population.

Perhaps if analysts looked at that portion of the population that is spending more on healthcare, it is possible to detect that those people have better quality of life and live longer, they are spending for themselves, not for everyone. So, that portion of the population that cannot afford good health care is creating a statistical offset that misleads analysts.

In fact, the US healthcare system is the envy of the world, for those who can afford the best quality care delivery, and for those people who see a doctor, and do what their doctors recommend, the US healthcare delivery system is the best. Telemedicine is rolling out in this context, facilitating the delivery of healthcare more frequently than has been possible before and creating a move toward wellness care delivery that supplements disease treatment.

Worldwide telemedicine markets at $7 billion in 2009 are expected to reach $24 billion by 2016. The total healthcare spending worldwide is 8.4 trillion. Telemedicine has the promise of delivering care more adequately to rich and poor people. Healthcare spending is anticipated to continue to rise as a percent of total expenditures because as people become more industrialized and have more disposable income, healthcare is a central aspect of expenditures.

This is the 427th report in a series of primary market research reports that provide forecasts in communications, telecommunications, the Internet, computer, software, telephone equipment, health equipment, and energy. Automated process and significant growth potential are a priorities in topic selection. The project leaders take direct responsibility for writing and preparing each report. They have significant experience preparing industry studies. Forecasts are based on primary research and
proprietary data bases.

The primary research is conducted by talking to customers, distributors and companies. The survey data is not enough to make accurate assessment of market size, so it looks at the value of shipments and the average price to achieve market assessments. Our track record in achieving accuracy is unsurpassed in the industry. We are known for being able to develop accurate market shares and projections. This is our specialty.

The analyst process is concentrated on getting good market numbers. This process involves looking at the markets from several different perspectives, including vendor shipments. The interview process is an essential aspect as well. We do have a lot of granular analysis of the different shipments by vendor in the study and addenda prepared after the study was published if that is appropriate.

Forecasts reflect analysis of the market trends in the segment and related segments. Unit and dollar shipments are analyzed through consideration of dollar volume of each market participant in the segment. Installed base analysis and unit analysis is based on interviews and an information search. Market share analysis includes conversations with key customers of products, industry segment leaders, marketing directors, distributors, leading market participants, opinion leaders, and companies seeking to develop measurable market share.

Report Methodology

This is the 427th report in a series of primary market research reports that provide forecasts in communications, telecommunications, the Internet, computer, software, telephone equipment, health equipment, and energy. Automated process and significant growth potential are a priorities in topic selection. The project leaders take direct responsibility for writing and preparing each report. They have significant experience preparing industry studies. Forecasts are based on primary research and proprietary data bases.

The primary research is conducted by talking to customers, distributors and companies. The survey data is not enough to make accurate assessment of market size, so WinterGreen Research looks at the value of shipments and the average price to achieve market assessments. Our track record in achieving accuracy is unsurpassed in the industry. We are known for being able to develop accurate market shares and projections. This is our specialty.

The analyst process is concentrated on getting good market numbers. This process involves looking at the markets from several different perspectives, including vendor shipments. The interview process is an essential aspect as well. We do have a lot of granular analysis of the different shipments by vendor in the study and addenda prepared after the study was published if that is appropriate.

Forecasts reflect analysis of the market trends in the segment and related segments. Unit and dollar shipments are analyzed through consideration of dollar volume of each market participant in the segment. Installed base analysis and unit analysis is based on interviews and an information search. Market share analysis includes conversations with key customers of products, industry segment leaders, marketing directors, distributors, leading market participants, opinion leaders, and companies seeking to develop measurable market share.

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Table of Contents :

TELEMEDICINE EXECUTIVE SUMMARY
TELEMEDICINE SOFTWARE, EQUIPMENT, AND SERVICES
EXECUTIVE SUMMARY ES-1
Telemedicine Systems Market Driving Forces ES-1
Telemedicine Market Shares ES-3
Telemedicine Market Forecasts ES-4
Xtend / BioHarp UNI US. ES-6
Healthcare Reform Vision and Strategy ES-7

TELEMEDICINE MARKET DESCRIPTION AND MARKET DYNAMICS
1. TELEMEDICINE MARKET DESCRIPTION AND MARKET DYNAMICS 1-1
1.1 Telemedicine Definition 1-1
1.1.1 Telemedicine Benefits 1-3
1.1.2 50 Different Medical Subspecialties Have
Successfully Used Telemedicine 1-6
1.1.3 Telemedicine Reimbursement Fee Structure 1-8

1.2 Healthcare IT Support for Telemedicine in Asia 1-9
1.2.1 Healthcare IT in Australia 1-10
1.2.2 Telemedicine for the Internet 1-11
1.3 Technologies To Support Telemedicine Approaches 1-11
1.3.1 WinterGreen Research Healthcare Reform
Vision and Strategy 1-12
1.4 Home Health Care 1-16
1.4.1 Home Health Quality Care 1-19
1.4.2 Medicare 1-26
1.4.3 Medicaid 1-26
1.5 Home Care Services Payors 1-30
1.5.1 Self-pay 1-31
1.5.2 Public Third-party Payors: Medicare 1-31
1.5.3 Public Third-party Payors: Medicaid 1-32
1.5.4 Public Third-party Payors: Older Americans Act (OAA) 1-33
1.5.5 Veterans Administration 1-34
1.5.6 Social Services Block Grant Programs 1-34
1.5.7 Community Organizations 1-34
1.5.8 Private Third-party Payors 1-35
1.6 Types of Home Care Agencies 1-35
1.6.1 Nursing care 1-36
1.6.2 Physical therapy 1-37
1.6.3 Occupational therapy 1-37
1.6.4 Speech therapy 1-37
1.6.5 Social workers 1-37
1.6.6 Home Health Aides/Home Care Aides 1-38
1.6.7 Homemaker/Attendant Care 1-38
1.6.8 Volunteers 1-38
1.6.9 Others 1-38
1.7 Telemedicine Information System Software Market Shifts 1-39
1.7.1 Characteristics Particular To The Telemedicine
Information System Market 1-42
1.7.2 Implementation Depends On Documentation Of
Each Discipline Needs 1-43
1.7.3 Home Care Services Billing Issues 1-43
1.7.4 Prospective Payment System (PPS) 1-45
1.7.5 Managed Care Requirements 1-45
1.7.6 Oasis Home Health Agencies 1-48
1.8 Need For Automation Of Home Care Companies 1-48
1.9 Telemedicine Information Technology Industry 1-50
1.9.1 History Of Low Investment In Healthcare
Information Technology 1-52
1.9.2 Market Driving Forces For Worldwide
Telemedicine Information Systems 1-53
1.9.3 Treatment Trends 1-53
1.9.4 Home Healthcare Delivery Industry 1-55
1.9.5 Competition Forms Basis Of U.S. Medical
Care Services Delivery 1-55
1.9.6 Science And Medical Technology 1-56
1.10 Benefits Of Home Care 1-57
1.10.1 Home Health Saves Medicare Billions 1-59
1.11 Demographic Trends Driving Home Care 1-61
1.11.1 Mainstreaming Of People With Disabilities 1-61
1.11.2 Recovery And Active Lifestyles Of Disabled
Portion of the Population 1-62

1.12 Healthcare Equipment Industry 1-63
1.12.1 Reimbursement Drives Healthcare Equipment Industry 1-64
1.12.2 Home Medical Equipment Industry Segments 1-65
1.13 Marketing Globally 1-67
1.13.1 U.S. Healthcare Delivery Industry 1-69
1.13.2 Competition Forms Basis Of U.S. Medical
Care Services Delivery 1-70
1.13.3 European Telemedicine Market Trends 1-71
1.14 Hospital and Home Care Services Billing Issues 1-72
1.14.1 Managed Care Requirements 1-74
1.15 Market Drivers For Healthcare Cost Containment 1-77
1.15.1 Managed Care Organization Impact 1-78
1.15.2 Reasons Home Health Care Has Gained
Wide-Spread Acceptance 1-78
1.15.3 Managed Care Change In The Healthcare Industry 1-79
1.15.4 Telemedicine For People With Long Term Disabilities 1-79
1.15.5 Health Care Cost Containment Trends 1-80
1.15.6 Medicare Reimbursement Guide for Power
Wheelchair Drive Control Systems 1-80
1.15.7 Managed Care Organization Impact 1-81
1.16 Reasons Home Health Care Has Gained
Wide-Spread Acceptance 1-81
1.16.1 Managed Care Change In The Healthcare Industry 1-82
1.16.2 Telemedicine For People With Long Term Disabilities 1-82
1.17 Worldwide Telemedicine Information Systems
Market Distribution 1-83
1.17.1 Delivery Of Non-Acute Health Care 1-83
1.17.2 Leveraging Distribution Channels 1-84
1.17.3 Worldwide Telemedicine Information Systems
Market Positioning 1-84
1.18 Increased Need For Information Technology 1-86
1.18.1 Medical Error 1-87
1.19 Shortcomings Of Traditional Healthcare
Information Systems 1-88
1.19.1 Telemedicine Information Systems Market Strategy 1-89
1.19.2 Integrated Healthcare Information Technology Solutions 1-90
1.19.3 Flexible Product-Delivery Options 1-90
1.19.4 Leveraging Existing Customer Base 1-91
1.20 Telemedicine Information Systems Market Trends 1-92
1.20.1 Clinician Support For Spending Less Time At The
Desktop And More Time Taking Care Of Patients 1-94

TELEMEDICINE MARKET SHARES AND MARKET FORECASTS
2. TELEMEDICINE SOFTWARE, EQUIPMENT, AND SERVICES,
MARKET SHARES AND FORECASTS 2-1
2.1 Telemedicine Systems Market Driving Forces 2-1
2.1.1 Telemedicine Healthcare Landscape 2-3
2.1.2 Telemonitoring Systems Market Driving Forces 2-4
2.2 Telemedicine Market Shares 2-5
2.3 Telemedicine Equipment Market Shares 2-9

2.3.1 Honeywell LifeStream Web-Based
Health Information Patient Care 2-11
2.3.2 Honeywell HomMed 2-12
2.3.3 Contec Medical Group PM50 NIBP/Spo2 Patient Monitor 2-12
2.4 Telemedicine Components and Modules Market Shares 2-15
2.4.1 Intel Research 2-16
2.4.2 AMD Global Telemedicine 2-17
2.5 Medical Imaging Telemedicine Market Shares 2-18
2.5.1 GE Digital Image Archive Telemedicine Inside a Facility 2-20
2.5.2 Philips Raytel Imaging Network 2-21
2.6 Telemedicine Software and (SaaS) Worldwide 2-23
2.6.1 McKesson Telehealth Advisor 2-24
2.6.2 McKesson Telehealth Improves Patient
Communication and Self-Management 2-25
2.6.3 McKesson Telehealth Delivers Quality Care at a Lower Cost 2-26
2.6.4 Bosch Veterans Administration Success 2-26
2.6.5 Bosch Health Hero Network Health Buddy
Project Expanded by Centers for Medicare and Medicaid Services 2-27
2.6.6 GenerationOne 2-29
2.7 Mobile Telemedicine Remote Monitoring Market Shares 2-30
2.7.1 Cardiocom Telemonitoring Systems 2-31
2.7.2 Cardiocom Omnivisor™ 2-32
2.7.3 Aerotel Medical Systems 2-32
2.7.4 Aerotel Medical Systems Mobile-CliniQ™ -
Affordable Personal Mobile Health Solution 2-33
2.7.5 MedApps 2-33
2.8 Mobile Cardiac Arrhythmia Monitoring Market Shares 2-35
2.8.1 Cardionet 2-36
2.8.2 Philips-Raytel 2-37
2.8.3 Lifewatch 2-38
2.8.4 LifeWatch Services Arrhythmia Monitoring 2-38
2.8.5 LifeStar ACT Ambulatory Cardiac Telemetry 2-39
2.9 Telemedicine Networking and SOA Market Shares 2-40
2.9.1 IBM SOA Telemedicine Integration Foundation Systems 2-41
2.9.2 IBM Financing Makes the System z More Efficient 2-42
2.9.3 IBM System z 10x More Efficient Than Distributed Servers 2-42
2.9.4 Cisco HealthPresence 2-43
2.9.5 Hewlett Packard (HP) / 3Com Corporation Telemedicine 2-44
2.9.6 HP / 3Com Corporation 2-44
2.10 Telemedicine Opportunity 2-45
2.11 Telemedicine Market Segment Analysis 2-47
2.12 Telemedicine Market Forecasts 2-51
2.1 Telemedicine Equipment Market Forecasts 2-52
2.2 Telemedicine Electronic Components and
Modules Worldwide Market Forecasts 2-55
2.3 Medical Imaging Telemedicine Market Forecasts 2-56
2.4 Mobile Telemedicine Remote Monitoring Market Forecasts 2-58
2.4.1 Wireless Mobile Health Monitoring 2-58
2.5 Mobile Cardiac Arrhythmia Monitoring Market Forecasts 2-60
2.6 Telemedicine Networks Market Forecasts 2-61
2.7 Telemedicine Applications Software and
Software as a Service SaaS Worldwide Market Forecasts 2-63
2.8 Telemedicine Worldwide Market Segment Forecasts 2-65
2.9 Equipment and Software for Transmission of

Medical Imaging, Telemedicine 2-67
2.9.1 Telehealth 2-68
2.9.2 Telemedical Systems Challenged 2-68
2.10 Telemedicine Regional Segment Analysis 2-71

TELEMEDICINE PRODUCT DESCRIPTION
3. TELEMEDICINE PRODUCT, NETWORKING, AND
SERVICES DESCRIPTION 3-1
3.1 Mobile Cardiac Arrhythmia Monitoring 3-1
3.2 CardioNet 3-2
3.3 Philips-Raytel 3-3
3.4 Lifewatch 3-6
3.4.1 LifeWatch Services Arrhythmia Monitoring 3-7
3.4.2 LifeWatch Services NiteWatch Home Sleep
Testing LifeWatch Services 3-9
3.4.3 LifeWatch Services Clinical Expertise 3-10
3.4.4 LifeWatch Services Web Enrollment and Reporting Tools 3-10
3.5 Mobile Telemedicine Remote Monitoring 3-10
3.6 McKesson Telehealth Advisor 3-11
3.6.1 McKesson Telehealth Improves Patient
Communication and Self-Management 3-11
3.6.2 McKesson Telehealth Delivers Quality Care at a Lower Cost 3-12
3.7 Meditech Telemanagement Process In-Home Device 3-13
3.7.1 Meditech Telemonitoring And Telehealth For
Home Health Agencies 3-17
3.8 Bosch Healthcare Telehealth Solutions 3-20
3.8.1 Bosch Tele-Health Systems Empower Patients 3-21
3.8.2 Bosch Health Hero Network 3-21
3.8.3 Bosch ViTelNet Range Of Services 3-21
3.8.4 U.S. Telehealth: Bosch acquires ViTel Net 3-22
3.9 Aerotel Medical Systems 3-23
3.9.1 Aerotel BP-Tel™ Transtelephonic Blood Pressure Monitor 3-23
3.9.2 Aerotel Tele-CliniQ™ 3-27
3.9.3 Aerotel Medical Systems Mobile-CliniQ™ -
Affordable Personal Mobile Health Solution 3-33
3.9.4 Aerotel Medical Systems Connect-Cell™ -
Cellular-Based Telemedicine Data Hub 3-33
3.10 Cardiocom Telemonitoring Systems 3-34
3.10.1 Cardiocom Omnivisor™ 3-35
3.10.2 Cardiocom Commander 3-37
3.10.3 Cardiocom Telescale® 3-37
3.10.4 Cardiocom Thin-Link® 3-38
3.10.5 CardiocomGlucoCom 3-38
3.10.6 Cardiocom Telemonitoring Tools 3-39
3.10.7 Cardiocom Integrated System For Communication 3-40
3.10.8 Cardiocom Telemonitoring Systems 3-44
3.10.9 Cardiocom Detailed, Objective Reports 3-45
3.10.10 Cardiocom .NET Installation and Maintenance 3-47
3.10.11 Cardiocom System 3-48

3.10.13 Cardiocom Commander Data Management System 3-49
3.10.14 Cardiocom • Blood Pressure • Glucometer •
Peak Flow • Medical Scale • Pulse Oximeter 3-50
3.10.15 Cardiocom Telescale® 3-52
3.10.16 Cardiocom Cardio-Plan™ 3-54
3.10.17 Cardiocom Respiratory-Plan™ 3-57
3.11 Santrax Telemedicine Information Systems Telphony
Solutions 3-59
3.11.1 Santrax Delivered Through The Web 3-65
3.12 AHL Telemedicine Solutions 3-69
3.12.1 AHL Telemedicine services 3-71
3.12.2 AHL Telemedicine Benefits 3-74
3.12.3 AHL Cardiostation 3-75
3.12.4 AHL Heartrak Smart Products 3-76
3.12.5 AHL Heartrak - Post-Event Cardiac Monitoring 3-77
3.13 Honeywell LifeStream Web-Based Health Information
Patient Care 3-80
3.13.1 Honeywell HomMed Interface Options 3-81
3.13.2 Honeywell LifeStream View Securely Accesses And
Tracks Patient Information In Real Time 3-82
3.13.3 Honeywell LifeStream Target Markets 3-82
3.13.4 Honeywell Products, Software & Peripherals 3-83
3.13.5 Honeywell Sentry Telehealth Monitor – Total Solution 3-83
3.13.6 Honeywell Genesis Telehealth Monitor – Targeted Solution 3-85
3.13.7 Honeywell Central Station – Diagnostic
Software for Managing Patient Care 3-87
3.13.8 Honeywell Genesis Telemonitor - Targeted Solution 3-87
3.13.9 Honeywell Central Station Diagnostic Software for
Managing Patient Care 3-90
3.13.10 Honeywell Medical Devices 3-92
3.13.11 Honeywell Health Center Kiosks 3-92
3.13.12 Honeywell HomMed Promoting Healthy Environments 3-95
3.14 Sajix 3-96
3.15 GenerationOne 3-97
3.15.1 GenerationOne Mobile Health Solution 24/7 Support 3-99
3.16 Telemedicine Networks 3-99
3.17 Cisco 3-100
3.17.1 Cisco HealthPresence 3-100
3.18 Hewlett-Packard / 3Com Corporation 3-102
3.19 IBM 3-105
3.20 Bosch / Health Hero® Network Deployments with
Medicare, VA 3-108
3.20.1 Centers for Medicare and Medicaid Services
Extending And Expanding Bosch Health Hero Network
Health Buddy Project 3-109
3.21 Aruba Networks Wireless Solution: WiFi Wireless LANs 3-113
3.21.1 Aruba Networks Wireless Solution 3-116
3.21.2 Aruba Wireless Network Real-Time
Surveillance Of The Patient Bedside 3-117
3.22 Cardiopulmonary Bernoulli Enterprise
Management System 3-118
3.23 Telemedicine Equipment Worldwide 3-118
3.24 Contec Medical Group PM50 NIBP/Spo2 Patient Monitor 3-118

3.25 Mednet Healthcare Technologies Heartrak Smart 3-124
3.25.1 Mednet Healthcare Technologies Heartrak - Post-
Event Cardiac Monitoring 3-125
3.25.2 Mednet Healthcare Technologies Heartrak 1000 3-125
3.25.3 Mednet Healthcare Technologies HeartView P-12/8 3-126
3.25.4 Mednet Healthcare Technologies HeartOne™ 3-127
3.26 Cardionet 3-128
3.26.1 CardioNet MCOT 3-128
3.26.2 CardioNet Event Monitoring 3-129
3.26.3 CardioNet Looping Multi-Event Monitor 3-132
3.26.4 CardioNet Non-Looping Chest Plate Event Monitor 3-133
3.26.5 CardioNet Holter Monitor 3-135
3.27 XTend Medical Telemedicine 3-137
3.27.1 XTend Pharmacy 3-139
3.27.2 Xtend / BioHarp UNI US. 3-140
3.28 LifeStar ACT Ambulatory Cardiac Telemetry 3-141
3.28.1 LifeStar ACT Products 3-141
3.28.2 LifeStar ACT Ex 3-142
3.29 GenesisHealthTechnologies HealthPia 3-144
3.29.1 GenesisHealthTechnologies HealthPia Glucose
Meter (GlucoPack™) 3-145
3.29.2 GenesisHealthTechnologies BP Cuff 3-150
3.29.3 GenesisHealthTechnologies HealthPia Thermo Weight Scale 3-150
3.29.4 GenesisHealthTechnologies Glucose Information
And Testing Security 3-150
3.30 IgeaCare Igeacom300Systems Nurse Call Devices 3-152
3.30.1 IgeaCare Igeacom500 Systems 3-153
3.30.2 IgeaCare Igeacom700 Systems 3-156
3.31 LifeSync Wireless Lead System 3-158
3.31.1 LifeSync Wireless ECG System 3-163
3.32 SHL Telemedicine Ltd. CARDIOSEN'C™ 3-167
3.32.1 SHL Telemeidicine CARDIOBEEPER12/12™ 3-169
3.32.2 SHL Telemedicine CARDIOPOCKET™ 3-172
3.32.3 SHL Telemedicine TELEMARKER™ Transtelephonic
Cardiac Blood Testing Device 3-172
3.32.4 SHL Telemedicine TELEPRESS™ 3-175
3.33 MedApps 3-177
3.33.1 MedApps Wireless Mobile Health Monitoring 3-179
3.33.2 MedApps Wireless Health Monitoring 3-180
3.33.3 MedApps Mobile Wireless Health Monitoring System 3-184
3.33.4 MedApps HealthPAL 3-185
3.33.5 MedApps HealthCOM 3-186
3.33.6 MedApps HealthLINK – 3-190
3.33.7 MedPAL Medication Compliance 3-191
3.34 Apollo Products / Solutions 3-191
3.35 Heart Imaging Technologies 3-192
3.36 Telemedicine Electronic Components and
Modules Worldwide 3-193
3.37 Intel Telemedicine Research and Innovation 3-194
3.37.1 Intel Telemedicine Technologies And Research
Ecosystem 3-194
3.37.2 Intel Ethnographic Research In Healthcare 3-195
3.37.3 Intel Healthcare Research Global Understanding 3-196
3.37.4 Intel Healthcare Research Focus 3-197
3.37.5 Intel Research Portfolio Evidence-Based Innovation 3-199

3.37.6 Intel Acquires Wind River Systems 3-207
3.37.7 Intel Bringing Vital Information To The Point Of Care 3-208
3.37.8 Intel Innovation For Healthcare 3-209
3.37.9 Intel® Health Guide Personal Health System 3-209
3.37.10 Intel® Health Guide 3-210
3.38 AMD Global Telemedicine 3-210
3.38.1 AMD Telemedicine In The Access Model 3-212
3.38.2 AMD Primary Care Telemedicine 3-213
3.38.3 AMD Global Telemedicine 3-214
3.38.4 AMD Cutting Edge Cardiology Applications 3-216
3.39 Authentidate Holding Secure Health Information
Exchange And Workflow Management 3-223
3.40 Equipment and Software for Transmission of
Medical Imaging, Telemedicine 3-225
3.41 Philips / Raytel Imaging Network 3-226
3.42 GE Digital Image Archive Telemedicine
Inside a Facility 3-229
3.42.1 GE Centricity RIS/PACS Integrated Solutions 3-230
3.42.2 GE PACS eHealth 3-232
3.42.3 GE Central databank Supports Remote Care Delivery 3-232
3.43 Telemedicine for Public Health Agencies 3-233
3.44 Voxiva HealthConnect Suite Of Interactive
Mobile Health Information Services 3-233
3.44.1 Voxiva HealthWatch 3-234
3.44.2 Voxiva Disease Reporting 3-235
3.44.3 Voxiva HealthWatch Database Mining 3-236
3.44.4 Voxiva HealthWatch Outbreak Detection and Analysis 3-236
3.44.5 Voxiva HealthWatch Alerts on Health Events 3-236
3.44.6 Voxiva Case Investigation 3-236
3.44.7 Voxiva Outbreak Management 3-237
3.44.8 Voxiva Platform Solutions 3-237
3.45 Rivulet Communications Medical Video 3-240
3.45.1 Rivulet's Advanced Multimedia Telemedicine Solution 3-240
3.46 Pelham Sloane Mobile And Home Based Telemedicine 3-242

TELEMEDICINE TECHNOLOGY
4. TELEMEDICINE TECHNOLOGY 4-1
4.1 Telemedicine Product Lifecycle Accelerating 4-1
4.1.1 Personal Computer Based Systems Provide
Significant Advantages 4-1
4.1.2 Telemedicine Establishes Professional
Relationships, Builds Referral Patterns 4-2
4.1.3 Machine-to-Machine Sensing 4-3
4.2 Bosch Studies 600 Congestive Heart Failure (CHF) Patients – 4-4
4.2.1 Better Care For Hypertensive Patients 4-5
4.2.2 Accurate Non-Invasive Blood Pressure Measurement in the
Critically Ill patient 4-5
4.2.3 Automated Blood Pressure Device Calibration Method 4-7
4.3 Patient Assessment 4-8

4.3.1 Accurate Blood Pressure Measurement 4-8
4.3.2 Accuracy And Clinical Validation Of The SunTech 247 4-9
4.3.3 Accurate Blood Pressure Measurement 4-10
4.3.4 Evidence-Based Innovation 4-10
4.4 Intel Telemedicine Cultivating Collaborations 4-13
4.4.1 Technology Research for Independent Living 4-13
4.4.2 Behavioral Assessment and Intervention Commons 4-13
4.4.3 Center for Aging Services Technologies (CAST) 4-14
4.4.4 Everyday Technologies in Alzheimer Care (ETAC) 4-14
4.4.5 Oregon Center for Aging and Tech (ORCATECH) 4-14
4.5 People-Centered Research 4-14
4.5.1 Technology Innovation Starts With People 4-17
4.6 Disease Conditions and Medical Care Categories 4-18
4.6.1 Diabetes 4-18
4.6.2 Chronic Care 4-18
4.6.3 Cardiac Care 4-19
4.6.4 Cardiology 4-21
4.6.5 Oncology 4-22
4.6.6 Women's health 4-22
4.6.7 Regulatory Requirements 4-23
4.6.8 Atrial Fibrillation 4-23
4.6.9 Atrial Fibrillation Printout 4-25
4.6.10 Increased Risk of Stroke 4-26
4.7 Real Time Locating System (RTLS) 4-26
4.8 Technological Trends 4-28
4.8.1 Thin Film Lithium And Lithium Ion Batteries 4-28
4.8.2 Thin Film Battery Market Driving Forces 4-29
4.9 Thin Film Solid-State Battery Construction 4-30
4.10 Science And Medical Technology 4-31
4.10.1 Physical Therapy 4-32
4.10.2 Treatment Trends 4-32

5. TELEMEDICINE COMPANY PROFILES 5-1
5.1 Aerotel Medical Systems 5-1
5.1.1 Aerotel Medical Systems / Tadiran LifeCare 5-2
5.1.2 Aerotel Medical Systems Mobile-CliniQ™ -
Affordable Personal Mobile Health Solution 5-3
5.1.3 Aerotel Medical Systems Connect-Cell™ -
Cellular-Based Telemedicine Data Hub 5-3
5.2 AMD Global Telemedicine 5-4
5.2.1 AMD Global Telemedicine Director of Clinical training 5-5
5.3 American Heartcare Limited AHL 5-5
5.4 Apollo Telemedicine Networking Foundation 5-6
5.5 Authentidate Holding 5-8
5.6 Bosch Group 5-10
5.6.1 Bosch Group / Health Hero Network 5-10
5.6.2 Bosch Group / ViTel Net 5-11
5.6.3 Bosch / ViTelNet Range Of Services 5-11
5.6.4 Bosch Group Charitable Ownership 5-12

5.6.5 Bosch Group Healthcare 5-13
5.6.6 Bosch Health Hero Network 5-13
5.6.7 Bosch Group Sales Revenue 5-14
5.6.8 Bosch Automotive Technology sales 5-15
5.6.9 Bosch Industrial Technology Sales 5-16
5.6.10 Bosch Consumer Goods and Building Technology Sales 5-18
5.7 Cardiocom 5-19
5.7.1 Cardiocom Telemonitoring System 5-20
5.7.2 Cardiocom Telemonitoring Used By Major Managed Care Organizations 5-21
5.8 Cardionet 5-22
5.8.1 CardioNet Positioning 5-26
5.8.2 CardioNet Acquisition—PDSHeart, Inc. 5-30
5.9 Cincom Systems 5-30
5.10 Cisco 5-34
5.10.1 Cisco Strategy and Focus Areas 5-34
5.11 Contec 5-37
5.11.1 Contec Medical Group 5-38
5.12 EHTEL eHealth 5-44
5.12.1 EHTEL Structure 5-45
5.13 GE 5-45
5.13.1 General Electric Revenues 5-47
5.13.2 GE Healthcare 5-47
5.14 GenerationOne 5-49
5.14.1 GenerationOne Mobile Collaborative Care Solution 5-50
5.14.2 GenerationOne / FireFly Mobile 5-52
5.14.3 GenesisHealthTechnologies / HealthPia 5-53
5.15 HeartIT 5-54
5.16 Hewlett-Packard / 3Com 5-55
5.16.1 HP Full Year Fiscal 2009 5-55
5.16.2 Hewlett Packard (HP) / 3Com Corporation 5-57
5.16.3 3Com Corporation 5-58
5.16.4 3Com Healthcare Customers 5-59
5.17 Honeywell 5-60
5.18 IBM 5-62
5.18.1 IBM Business Partnering Strategy 5-63
5.18.2 IBM Strategic Priorities 5-64
5.18.3 IBM BPM Powered By Smart SOA 5-66
5.18.4 IBM Delivers Integration and Innovation to Clients 5-66
5.18.5 IBM Business Model 5-67
5.18.6 IBM Unified Communications In The Cloud Architecture 5-68
5.18.7 IBM LotusLive Cloud-Based Portfolio Of
Social Networking And Collaboration Services 5-70
5.18.8 IBM Revenue 5-71
5.18.9 IBM Q1 2009 Revenue 5-78
5.18.10 IBM Q2 2009 Revenue 5-79
5.18.11 IBM Software Capabilities 5-80
5.18.12 IBM Systems and Technology Capabilities 5-82
5.18.13 IBM Worldwide Organizations 5-83
5.18.14 IBM Integrated Supply Chain 5-83
5.18.15 IBM Security 5-84
5.18.16 Financing Makes the IBM System z More Efficient 5-87
5.19 IgeaCare Solutions 5-89
5.19.1 IgeaCare Telephony Based Communication Systems 5-90
5.20 Intel 5-91
5.20.1 Intel Operating Segments 5-92

5.20.2 Intel / Wind River 5-93
5.20.3 Intel Silicon Innovation 5-94
5.21 LifeSync Corp. 5-96
5.22 Lifewatch 5-98
5.22.1 LifeWatch Revenue 5-102
5.23 MedApps, Inc. 5-103
5.23.1 MedApps Personal Health Device 5-105
5.23.2 MedApps Receives FDA Clearance on a
New Way to Bring Cost-Effective Remote Health Monitoring 5-105
5.23.3 MedApps Innovative Solutions 5-106
5.24 Mednet Healthcare Technologies 5-107
5.25 NuPhysicia LLC 5-107
5.25.1 NuPhysicia Telemedicine Programs 5-108
5.26 OCS 5-108
5.27 Philips 5-109
5.27.1 Philips Healthcare 5-110
5.27.2 Philips Key Revenue Data 5-112
5.28 Pelham Sloane 5-113
5.29 Polycom 5-113
5.29.1 Polycom Telemedicine Products and Services: 5-114
5.29.2 Polycom And AMD Global Telemedicine Delivers
Integrated Visual And Voice Telehealth Capability To Clinicians 5-115
5.30 ProInfoNet 5-117
5.30.1 New England Telehealth Consortium 5-117
5.30.2 ProInfoNet Web development And Market Research 5-121
5.31 Rivulet 5-121
5.31.1 Rivulet Telemedicine 5-123
5.32 SHL Telemedicine Ltd. 5-124
5.33 Siemens 5-126
5.33.1 Siemens Comprehensive Healthcare 5-126
5.33.2 Siemens Computed Tomography (CT) 5-127
5.33.3 Siemens Combines Imaging Systems And Evaluation
Software And Bundle Them Into A Complete Client-
Server Solution 5-130
5.33.4 Siemens Molecular imaging meets computed tomography 5-130
5.34 Karl Storz Endoscopy-America / Global Care Quest 5-131
5.35 Suntech 5-131
5.35.1 SunTech Medical Development & Acquisition Plans 5-132
5.36 Voxiva 5-134
5.37 Wolters Kluwer Health 5-135
5.37.1 Wolters Kluwer Health 5-136
5.37.2 Wolters Kluwer Health Medi-Span® 5-136
5.37.3 Wolters Kluwer Health Facts & Comparisons® 5-137
5.38 XTend Medical Corporation 5-137
5.38.1 XTend Medical Partners 5-138
5.38.2 XTend Medical Telemedicine Solution 5-138
5.38.3 Xtend / BioHarp UNI US. 5-139
5.38.4 XTend Medical Business Model 5-139
5.38.5 XTend Revenue Model 5-141
5.38.6 XTend / BioHarp 5-143
5.38.7 XTend Medical Purchase Agreement With BioHarp, Korea 5-144
5.38.8 XTend Medical / AmeriChoice 5-145
5.39 Selected Other Telemedicine Companies 5-146
5.39.1 A&D 5-146

5.39.2 AMD 5-146
5.39.3 American TeleCare 5-147
5.39.4 Applied Medical Solutions 5-147
5.39.5 Arinc 5-147
5.39.6 AT&T 5-148
5.39.7 Canon 5-148
5.39.8 Cisco 5-148
5.39.9 Centura Health 5-149
5.39.10 Chorus Call 5-149
5.39.11 Clinidata 5-149
5.39.12 CSI 5-150
5.39.13 Delphi Medical Systems 5-150
5.39.14 e-TelMed 5-151
5.39.15 GlobalMedia 5-151
5.39.16 iMDsoft 5-151
5.39.17 iMetrikus 5-152
5.39.18 Interactive Solutions 5-152
5.39.19 Nonin® Medical 5-153
5.39.20 Polycom 5-153
5.39.21 Qualcomm 5-153
5.39.22 RSA Medical 5-154
5.39.23 SHL Telemedicine 5-154
5.39.24 Sony 5-155
5.39.25 Tandberg 5-155
5.39.26 Telemedicus 5-155
5.39.27 VBrick Systems 5-156
5.39.28 Visicu 5-156
5.39.29 Verizon 5-157
5.39.30 ViTel Net 5-157
5.39.31 Viterion TeleHealthcare 5-158
5.39.32 Wire One Communications 5-158
5.39.33 Zydacron 5-159

Table ES-1 ES-2
Telemedicine Systems Market Driving Forces
Figure ES-2 ES-3
Telemedicine Software, Equipment, and Services Worldwide
Market Shares, Dollars, 2009
Table ES-3 ES-4
Telemedicine Software, Equipment, and Services Market Forecasts, Worldwide, Dollars, 2010-2016

TELEMEDICINE MARKET DESCRIPTION AND MARKET DYNAMICS
Figure 1-1 1-2
How Telemedicine Works.
Figure 1-2 1-3
Usage of Telemedicin

Table 1-3 1-4
Benefits Of Telemedicine
Table 1-3 (Continued) 1-5
Benefits Of Telemedicine
Table 1-4 1-6
Medical Subspecialty Use of Telemedicine
Table 1-4 (Continued) 1-7
Medical Subspecialty Use of Telemedicine
Table 1-5 1-12
Telemedicine Approaches
Table 1-6 1-14
WinterGreen Research Has Formalized A Vision Of The
Evolution Of Healthcare Economic Models
Figure 1-7 1-16
Number of US Telemedicine and Hospice Agencies
Figure 1-8 1-17
US Telemedicine Payment Source
Figure 1-9 1-18
US Telemedicine Patients Receiving Help
Table 1-10 1-19
Home Health Quality of Care Measures
Table 1-10 (Continued) 1-20
Home Health Quality of Care Measures
Table 1-10 (Continued) 1-21
Home Health Quality of Care Measures
Table 1-11 1-21
Senior Telemedicine Assessment
Table 1-11 (Continued) 1-22
Senior Telemedicine Assessment
Table 1-11 (Continued) 1-23
Senior Telemedicine Assessment
Table 1-12 1-23
Medicare Program Payment Conditions
Table 1-13 1-30
Home Care Services Payors
Table 1-14 1-40
Telemedicine Information System Software Characteristics
Table 1-14 (Continued) 1-41
Telemedicine Information System Software Characteristics
Table 1-15 1-42
Market Characteristics For Evaluation of Telemedicine
Information System Software Vendors
Table 1-16 1-44
Home Care Services Billing Issues
Table 1-17 1-46
JCAHO ORYX Requirements
Table 1-17 (Continued) 1-47

Table 1-19 1-50
Home Care Specialty Services Provided
Table 1-20 1-51
Home Market Information System Software Market Segment
Table 1-21 1-54
Factors Relating To Value Of Home Health Care Over
Institutional Care
Table 1-22 1-58
Studies Illustrate Patients Choose Home Care
Table 1-23 1-60
Home Health Savings
Table 1-24 1-63
Home Healthcare Services Target Markets
Table 1-25 1-66
Home Medical Equipment Market Segments
Table 1-27 1-73
Home Care Services Billing Issues
Table 1-28 1-74
Home Care Services Billing Changes Needed
Table 1-29 1-75
JCAHO ORYX Requirements
Table 1-29 (Continued) 1-76
JCAHO ORYX Requirements
Table 1-30 1-85
Worldwide Telemedicine Information Systems
Market Positioning
Table 1-30 (Continued) 1-86
Worldwide Telemedicine Information Systems
Market Positioning
Table 1-31 1-89
Strategies For Offering Technology Solutions To The
Home Healthcare Industry
Table 1-32 1-93
JCAHO ORYX Requirements
Table 1-18 1-49
Home Care Standard Services Provided

TELEMEDICINE MARKET SHARES AND MARKET FORECASTS
Table 2-1 2-2
Telemedicine Systems Market Driving Forces
Table 2-2 2-5
Telemonitoring Systems Market Driving Forces
Figure 2-3 2-6
Telemedicine Software, Equipment, and Services Worldwide
Market Shares, Dollars, 2009
Figure 2-4 2-7
Telemedicine Software, Equipment, and Services Worldwide

Market Shares, Dollars, 2009
Table 2-5 2-8
Categories Of Telemedicine
Figure 2-6 2-9
Telemedicine Equipment Worldwide
Market Shares, Dollars, 2009
Table 2-7 2-10
Telemedicine Equipment Worldwide
Market Shares, Dollars, 2009
Table 2-8 2-12
Contec Medical Group Patient Monitors
Table 2-8 (Continued) 2-13
Contec Medical Group Patient Monitors
Table 2-9 2-14
Contec Medical Patient Monitors
Figure 2-10 2-15
Telemedicine Electronic Components and Modules Worldwide
Market Shares, 2009
Figure 2-11 2-16
Telemedicine Electronic Components and Modules Worldwide
Market Shares, 2009
Figure 2-12 2-19
Telemedicine Medical Imaging, Equipment,
Software, and Services Market Shares, Worldwide, Dollars, 2009
Table 2-13 2-20
Telemedicine Medical Imaging,
Equipment, Software, and Services Market Shares, Dollars, 2009
Table 2-14 2-23
Telemedicine Software and (SaaS) Worldwide
Market Shares, Dollars, 2009
Table 2-15 2-24
Telemedicine Software and (SaaS) Worldwide
Market Shares, Dollars, 2009
Table 2-16 2-30
Mobile Telemedicine Remote Monitoring Equipment and
Services Market Shares, Dollars, 2009
Table 2-17 2-31
Mobile Telemedicine Remote Monitoring Equipment and
Services Market Shares, Dollars, 2009
Table 2-18 2-34
MedApps Solutions Benefits
Figure 2-19 2-35
Mobile Cardiac Arrhythmia Monitoring Equipment and
Services Market Shares, Worldwide, Dollars, 2009
Table 2-20 2-36
Mobile Cardiac Arrhythmia Monitoring Equipment and
Services Market Shares, Worldwide, Dollars, 2009

Figure 2-21 2-40
Telemedicine Services Oriented Architecture
SOA and Networking Worldwide Market Shares, 2009
Figure 2-22 2-41
Telemedicine Services Oriented Architecture
SOA and Networking Worldwide Market Shares, 2009
Table 2-23 2-46
US Chronic Conditions
Table 2-24 2-46
U.S. Patients with One or More Chronic Diseases
Figure 2-25 2-47
Telemedicine Equipment and Services Worldwide
Market Segments, 2009
Table 2-26 2-48
Telemedicine Equipment and Services Worldwide
Market Segments, 2009
Figure 2-27 2-49
Telemedicine Equipment and Services Worldwide
Market Segments, 2016
Figure 2-28 2-50
Telemedicine Equipment and Services Worldwide
Market Segments, 2016
Table 2-29 2-51
Telemedicine Software, Equipment, and Services Market F
orecasts, Worldwide, Dollars, 2010-2016
Table 2-30 2-52
Telemedicine Equipment and Services Market Forecasts,
Worldwide, Dollars, 2010-2016
Figure 2-31 2-54
Telemedicine Equipment Market Forecasts,
Worldwide, Dollars, 2010-2016
Figure 2-32 2-55
Telemedicine Components and Modules Market
Forecasts, Worldwide, Dollars, 2010-2016
Figure 2-33 2-57
Medical Imaging Telemedicine Market Forecasts,
Worldwide, Dollars, 2010-2016
Figure 2-34 2-59
Mobile Telemedicine Remote Monitoring Market Forecasts,
Worldwide, Dollars, 2010-2016
Figure 2-35 2-61
Mobile Cardiac Arrhythmia Monitoring Market Forecasts,
Worldwide, Dollars, 2010-2016
Figure 2-36 2-62
Telemedicine Networking Market Forecasts, Worldwide,
Dollars, 2010-2016
Figure 2-37 2-64
Telemedicine Applications Software and Software as a
Service SaaS Market Forecasts, Worldwide, Dollars, 2010-2016
Table 2-38 2-65
Telemedicine Software, Equipment, and Services

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