ID

21081

Description

ODM form of Dr. Cohen's Scales. This form asks several questions about the places lived in during childhood. Forms derived from http://www.psy.cmu.edu/~scohen/scales.html

Link

http://www.psy.cmu.edu/~scohen/scales.html

Keywords

Versions (1)
  1. 4/8/17 4/8/17 -
Copyright Holder

Dr. Sheldon Cohen

Uploaded on

April 8, 2017

DOI

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License

Creative Commons BY-NC 3.0
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SC Cohen’s Scale

English

SC Places You’ve Lived Interview

1 forms  
Places lived in at age 5 years old (kindergarten)
Description

Places lived in at age 5 years old (kindergarten)

Alias
UMLS CUI-1
C0001779
UMLS CUI-2
C0870770
UMLS CUI-3
C0237096
1. What town or city (and state) did you primarily live in?
Description

City of residence

Data type

text

Alias
UMLS CUI [1]
C2316883
2. Was your home located in a
Description

Location residence

Data type

text

Alias
UMLS CUI [1,1]
C0450429
UMLS CUI [1,2]
C0237096
3. Was there a lot of automobile traffic on your street (i.e. a steady stream of cars passing in front of your house)?
Description

Motor Vehicles Street residence

Data type

boolean

Alias
UMLS CUI [1,1]
C0175845
UMLS CUI [1,2]
C0442658
UMLS CUI [1,3]
C0237096
4. Was the condition of the street very poor (i.e. many sizeable cracks, potholes, or broken curbs)?
Description

condition Street Crack

Data type

boolean

Alias
UMLS CUI [1,1]
C0348080
UMLS CUI [1,2]
C0442658
UMLS CUI [1,3]
C1706353
5. Was the street very noisy (i.e. difficult to hear a person talking near to you when standing in front of your house)?
Description

street noisy; Have Trouble Hearing

Data type

boolean

Alias
UMLS CUI [1,1]
C0442658
UMLS CUI [1,2]
C0563025
UMLS CUI [2]
C3829759
6. Was the street lined with trees?
Description

Trees Street

Data type

boolean

Alias
UMLS CUI [1,1]
C0040811
UMLS CUI [1,2]
C0442658
7. Was there graffiti on buildings, signs, or walls?
Description

graffiti on buildings

Data type

boolean

Alias
UMLS CUI [1]
C3261040
8. Was there often litter on the street, yard or alley (For example: garbage, broken glass, bottles, papers, cigarette packages or butts, or drug related paraphernalia).
Description

Dirt road garbage drug paraphernalia

Data type

boolean

Alias
UMLS CUI [1,1]
C1532226
UMLS CUI [1,2]
C0017095
UMLS CUI [1,3]
C0680329
9. Was your street considered safe?
Description

Safe environment Street

Data type

boolean

Alias
UMLS CUI [1,1]
C0557723
UMLS CUI [1,2]
C0442658
10. How would you rate the condition of the house or apartment you lived in?
Description

Home environment assessment

Data type

text

Alias
UMLS CUI [1]
C0579118
11. Were the other people in your neighborhood friendly?
Description

neighborhood friendly

Data type

boolean

Alias
UMLS CUI [1]
C1287155
12. How often did you observe violent acts (for example, fist fights, beatings or use of weapons such as knives or guns) on your street
Description

Unsafe road violent acts Fighting Weapons

Data type

text

Alias
UMLS CUI [1,1]
C4060954
UMLS CUI [1,2]
C1303202
UMLS CUI [1,3]
C0424324
UMLS CUI [1,4]
C0336663
13. How often did you see people using drugs or drinking alcohol on your street?
Description

Street Drugs Alcohols

Data type

text

Alias
UMLS CUI [1,1]
C0038388
UMLS CUI [1,2]
C0001975
14. How often did your parents let you play outside in your neighborhood?
Description

Safe play area neighborhood

Data type

text

Alias
UMLS CUI [1,1]
C1446395
UMLS CUI [1,2]
C0027569
Places lived in at age 10 years old (4th -5th grade)
Description

Places lived in at age 10 years old (4th -5th grade)

Alias
UMLS CUI-1
C0001779
UMLS CUI-2
C2135620
UMLS CUI-4
C0237096
1. What town or city (and state) did you primarily live in?
Description

City of residence

Data type

text

Alias
UMLS CUI [1]
C2316883
2. Was your home located in a
Description

Location residence

Data type

text

Alias
UMLS CUI [1,1]
C0450429
UMLS CUI [1,2]
C0237096
3. Was there a lot of automobile traffic on your street (i.e. a steady stream of cars passing in front of your house)?
Description

Motor Vehicles Street residence

Data type

boolean

Alias
UMLS CUI [1,1]
C0175845
UMLS CUI [1,2]
C0442658
UMLS CUI [1,3]
C0237096
4. Was the condition of the street very poor (i.e. many sizeable cracks, potholes, or broken curbs)?
Description

condition Street Crack

Data type

boolean

Alias
UMLS CUI [1,1]
C0348080
UMLS CUI [1,2]
C0442658
UMLS CUI [1,3]
C1706353
5. Was the street very noisy (i.e. difficult to hear a person talking near to you when standing in front of your house)?
Description

street noisy; Have Trouble Hearing

Data type

boolean

Alias
UMLS CUI [1,1]
C0442658
UMLS CUI [1,2]
C0563025
UMLS CUI [2]
C3829759
6. Was the street lined with trees?
Description

Trees Street

Data type

boolean

Alias
UMLS CUI [1,1]
C0040811
UMLS CUI [1,2]
C0442658
7. Was there graffiti on buildings, signs, or walls?
Description

graffiti on buildings

Data type

boolean

Alias
UMLS CUI [1]
C3261040
8. Was there often litter on the street, yard or alley (For example: garbage, broken glass, bottles, papers, cigarette packages or butts, or drug related paraphernalia).
Description

Dirt road garbage drug paraphernalia

Data type

boolean

Alias
UMLS CUI [1,1]
C1532226
UMLS CUI [1,2]
C0017095
UMLS CUI [1,3]
C0680329
9. Was your street considered safe?
Description

Safe environment Street

Data type

boolean

Alias
UMLS CUI [1,1]
C0557723
UMLS CUI [1,2]
C0442658
10. How would you rate the condition of the house or apartment you lived in?
Description

Home environment assessment

Data type

text

Alias
UMLS CUI [1]
C0579118
11. Were the other people in your neighborhood friendly?
Description

neighborhood friendly

Data type

boolean

Alias
UMLS CUI [1]
C1287155
12. How often did you observe violent acts (for example, fist fights, beatings or use of weapons such as knives or guns) on your street
Description

Unsafe road violent acts Fighting Weapons

Data type

text

Alias
UMLS CUI [1,1]
C4060954
UMLS CUI [1,2]
C1303202
UMLS CUI [1,3]
C0424324
UMLS CUI [1,4]
C0336663
13. How often did you see people using drugs or drinking alcohol on your street?
Description

Street Drugs Alcohols

Data type

text

Alias
UMLS CUI [1,1]
C0038388
UMLS CUI [1,2]
C0001975
14. How often did your parents let you play outside in your neighborhood?
Description

Safe play area neighborhood

Data type

text

Alias
UMLS CUI [1,1]
C1446395
UMLS CUI [1,2]
C0027569
Places lived in at age 15 years old (9th -10th grade)
Description

Places lived in at age 15 years old (9th -10th grade)

Alias
UMLS CUI-1
C0001779
UMLS CUI-2
C2135625
UMLS CUI-3
C0237096
1. What town or city (and state) did you primarily live in?
Description

City of residence

Data type

text

Alias
UMLS CUI [1]
C2316883
2. Was your home located in a
Description

Location residence

Data type

text

Alias
UMLS CUI [1,1]
C0450429
UMLS CUI [1,2]
C0237096
3. Was there a lot of automobile traffic on your street (i.e. a steady stream of cars passing in front of your house)?
Description

Motor Vehicles Street residence

Data type

boolean

Alias
UMLS CUI [1,1]
C0175845
UMLS CUI [1,2]
C0442658
UMLS CUI [1,3]
C0237096
4. Was the condition of the street very poor (i.e. many sizeable cracks, potholes, or broken curbs)?
Description

condition Street Crack

Data type

boolean

Alias
UMLS CUI [1,1]
C0348080
UMLS CUI [1,2]
C0442658
UMLS CUI [1,3]
C1706353
5. Was the street very noisy (i.e. difficult to hear a person talking near to you when standing in front of your house)?
Description

street noisy; Have Trouble Hearing

Data type

boolean

Alias
UMLS CUI [1,1]
C0442658
UMLS CUI [1,2]
C0563025
UMLS CUI [2]
C3829759
6. Was the street lined with trees?
Description

Trees Street

Data type

boolean

Alias
UMLS CUI [1,1]
C0040811
UMLS CUI [1,2]
C0442658
7. Was there graffiti on buildings, signs, or walls?
Description

graffiti on buildings

Data type

boolean

Alias
UMLS CUI [1]
C3261040
8. Was there often litter on the street, yard or alley (For example: garbage, broken glass, bottles, papers, cigarette packages or butts, or drug related paraphernalia).
Description

Dirt road garbage drug paraphernalia

Data type

boolean

Alias
UMLS CUI [1,1]
C1532226
UMLS CUI [1,2]
C0017095
UMLS CUI [1,3]
C0680329
9. Was your street considered safe?
Description

Safe environment Street

Data type

boolean

Alias
UMLS CUI [1,1]
C0557723
UMLS CUI [1,2]
C0442658
10. How would you rate the condition of the house or apartment you lived in?
Description

Home environment assessment

Data type

text

Alias
UMLS CUI [1]
C0579118
11. Were the other people in your neighborhood friendly?
Description

neighborhood friendly

Data type

boolean

Alias
UMLS CUI [1]
C1287155
12. How often did you observe violent acts (for example, fist fights, beatings or use of weapons such as knives or guns) on your street
Description

Unsafe road violent acts Fighting Weapons

Data type

text

Alias
UMLS CUI [1,1]
C4060954
UMLS CUI [1,2]
C1303202
UMLS CUI [1,3]
C0424324
UMLS CUI [1,4]
C0336663
13. How often did you see people using drugs or drinking alcohol on your street?
Description

Street Drugs Alcohols

Data type

text

Alias
UMLS CUI [1,1]
C0038388
UMLS CUI [1,2]
C0001975
14. How often did your parents let you play outside in your neighborhood?
Description

Safe play area neighborhood

Data type

text

Alias
UMLS CUI [1,1]
C1446395
UMLS CUI [1,2]
C0027569
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Similar models

SC Places You’ve Lived Interview

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Places lived in at age 5 years old (kindergarten)
C0001779 (UMLS CUI-1)
C0870770 (UMLS CUI-2)
C0237096 (UMLS CUI-3)
City of residence
Item
1. What town or city (and state) did you primarily live in?
text
C2316883 (UMLS CUI [1])
Item
2. Was your home located in a
text
C0450429 (UMLS CUI [1,1])
C0237096 (UMLS CUI [1,2])
undefined item
Code List
2. Was your home located in a
CL Item
City  (1)
C2316883 (UMLS CUI-1)
CL Item
Suburb (2)
C0178856 (UMLS CUI-1)
CL Item
Small town (3)
C1555315 (UMLS CUI-1)
CL Item
Rural community (4)
C0086944 (UMLS CUI-1)
Motor Vehicles Street residence
Item
3. Was there a lot of automobile traffic on your street (i.e. a steady stream of cars passing in front of your house)?
boolean
C0175845 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
C0237096 (UMLS CUI [1,3])
condition Street Crack
Item
4. Was the condition of the street very poor (i.e. many sizeable cracks, potholes, or broken curbs)?
boolean
C0348080 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
C1706353 (UMLS CUI [1,3])
street noisy; Have Trouble Hearing
Item
5. Was the street very noisy (i.e. difficult to hear a person talking near to you when standing in front of your house)?
boolean
C0442658 (UMLS CUI [1,1])
C0563025 (UMLS CUI [1,2])
C3829759 (UMLS CUI [2])
Trees Street
Item
6. Was the street lined with trees?
boolean
C0040811 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
graffiti on buildings
Item
7. Was there graffiti on buildings, signs, or walls?
boolean
C3261040 (UMLS CUI [1])
Dirt road garbage drug paraphernalia
Item
8. Was there often litter on the street, yard or alley (For example: garbage, broken glass, bottles, papers, cigarette packages or butts, or drug related paraphernalia).
boolean
C1532226 (UMLS CUI [1,1])
C0017095 (UMLS CUI [1,2])
C0680329 (UMLS CUI [1,3])
Safe environment Street
Item
9. Was your street considered safe?
boolean
C0557723 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
Item
10. How would you rate the condition of the house or apartment you lived in?
text
C0579118 (UMLS CUI [1])
undefined item
Code List
10. How would you rate the condition of the house or apartment you lived in?
CL Item
Very well kept/good condition – attractive for its type  (1)
CL Item
Moderately well kept condition  (2)
CL Item
Fair condition (peeling paint, needs repair)  (3)
CL Item
Poor/Badly deteriorated condition (4)
neighborhood friendly
Item
11. Were the other people in your neighborhood friendly?
boolean
C1287155 (UMLS CUI [1])
Item
12. How often did you observe violent acts (for example, fist fights, beatings or use of weapons such as knives or guns) on your street
text
C4060954 (UMLS CUI [1,1])
C1303202 (UMLS CUI [1,2])
C0424324 (UMLS CUI [1,3])
C0336663 (UMLS CUI [1,4])
undefined item
Code List
12. How often did you observe violent acts (for example, fist fights, beatings or use of weapons such as knives or guns) on your street
CL Item
All the time (1)
C3812891 (UMLS CUI-1)
CL Item
Often (2)
C0332183 (UMLS CUI-1)
CL Item
Occasionally (3)
C1998882 (UMLS CUI-1)
CL Item
Never (4)
C2003901 (UMLS CUI-1)
Item
13. How often did you see people using drugs or drinking alcohol on your street?
text
C0038388 (UMLS CUI [1,1])
C0001975 (UMLS CUI [1,2])
undefined item
Code List
13. How often did you see people using drugs or drinking alcohol on your street?
CL Item
All the time (1)
C3812891 (UMLS CUI-1)
CL Item
Often (2)
C0332183 (UMLS CUI-1)
CL Item
Occasionally (3)
C1998882 (UMLS CUI-1)
CL Item
Never (4)
C2003901 (UMLS CUI-1)
Item
14. How often did your parents let you play outside in your neighborhood?
text
C1446395 (UMLS CUI [1,1])
C0027569 (UMLS CUI [1,2])
undefined item
Code List
14. How often did your parents let you play outside in your neighborhood?
CL Item
All the time (1)
C3812891 (UMLS CUI-1)
CL Item
Often (2)
C0332183 (UMLS CUI-1)
CL Item
Occasionally (3)
C1998882 (UMLS CUI-1)
CL Item
Never (4)
C2003901 (UMLS CUI-1)
Item Group
Places lived in at age 10 years old (4th -5th grade)
C0001779 (UMLS CUI-1)
C2135620 (UMLS CUI-2)
C0237096 (UMLS CUI-4)
City of residence
Item
1. What town or city (and state) did you primarily live in?
text
C2316883 (UMLS CUI [1])
Item
2. Was your home located in a
text
C0450429 (UMLS CUI [1,1])
C0237096 (UMLS CUI [1,2])
undefined item
Code List
2. Was your home located in a
CL Item
City  (1)
C2316883 (UMLS CUI-1)
CL Item
Suburb (2)
C0178856 (UMLS CUI-1)
CL Item
Small town (3)
C1555315 (UMLS CUI-1)
CL Item
Rural community (4)
C0086944 (UMLS CUI-1)
Motor Vehicles Street residence
Item
3. Was there a lot of automobile traffic on your street (i.e. a steady stream of cars passing in front of your house)?
boolean
C0175845 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
C0237096 (UMLS CUI [1,3])
condition Street Crack
Item
4. Was the condition of the street very poor (i.e. many sizeable cracks, potholes, or broken curbs)?
boolean
C0348080 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
C1706353 (UMLS CUI [1,3])
street noisy; Have Trouble Hearing
Item
5. Was the street very noisy (i.e. difficult to hear a person talking near to you when standing in front of your house)?
boolean
C0442658 (UMLS CUI [1,1])
C0563025 (UMLS CUI [1,2])
C3829759 (UMLS CUI [2])
Trees Street
Item
6. Was the street lined with trees?
boolean
C0040811 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
graffiti on buildings
Item
7. Was there graffiti on buildings, signs, or walls?
boolean
C3261040 (UMLS CUI [1])
Dirt road garbage drug paraphernalia
Item
8. Was there often litter on the street, yard or alley (For example: garbage, broken glass, bottles, papers, cigarette packages or butts, or drug related paraphernalia).
boolean
C1532226 (UMLS CUI [1,1])
C0017095 (UMLS CUI [1,2])
C0680329 (UMLS CUI [1,3])
Safe environment Street
Item
9. Was your street considered safe?
boolean
C0557723 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
Item
10. How would you rate the condition of the house or apartment you lived in?
text
C0579118 (UMLS CUI [1])
undefined item
Code List
10. How would you rate the condition of the house or apartment you lived in?
CL Item
Very well kept/good condition – attractive for its type  (1)
CL Item
Moderately well kept condition  (2)
CL Item
Fair condition (peeling paint, needs repair)  (3)
CL Item
Poor/Badly deteriorated condition (4)
neighborhood friendly
Item
11. Were the other people in your neighborhood friendly?
boolean
C1287155 (UMLS CUI [1])
Item
12. How often did you observe violent acts (for example, fist fights, beatings or use of weapons such as knives or guns) on your street
text
C4060954 (UMLS CUI [1,1])
C1303202 (UMLS CUI [1,2])
C0424324 (UMLS CUI [1,3])
C0336663 (UMLS CUI [1,4])
undefined item
Code List
12. How often did you observe violent acts (for example, fist fights, beatings or use of weapons such as knives or guns) on your street
CL Item
All the time (1)
C3812891 (UMLS CUI-1)
CL Item
Often (2)
C0332183 (UMLS CUI-1)
CL Item
Occasionally (3)
C1998882 (UMLS CUI-1)
CL Item
Never (4)
C2003901 (UMLS CUI-1)
Item
13. How often did you see people using drugs or drinking alcohol on your street?
text
C0038388 (UMLS CUI [1,1])
C0001975 (UMLS CUI [1,2])
undefined item
Code List
13. How often did you see people using drugs or drinking alcohol on your street?
CL Item
All the time (1)
C3812891 (UMLS CUI-1)
CL Item
Often (2)
C0332183 (UMLS CUI-1)
CL Item
Occasionally (3)
C1998882 (UMLS CUI-1)
CL Item
Never (4)
C2003901 (UMLS CUI-1)
Item
14. How often did your parents let you play outside in your neighborhood?
text
C1446395 (UMLS CUI [1,1])
C0027569 (UMLS CUI [1,2])
undefined item
Code List
14. How often did your parents let you play outside in your neighborhood?
CL Item
All the time (1)
C3812891 (UMLS CUI-1)
CL Item
Often (2)
C0332183 (UMLS CUI-1)
CL Item
Occasionally (3)
C1998882 (UMLS CUI-1)
CL Item
Never (4)
C2003901 (UMLS CUI-1)
Item Group
Places lived in at age 15 years old (9th -10th grade)
C0001779 (UMLS CUI-1)
C2135625 (UMLS CUI-2)
C0237096 (UMLS CUI-3)
City of residence
Item
1. What town or city (and state) did you primarily live in?
text
C2316883 (UMLS CUI [1])
Item
2. Was your home located in a
text
C0450429 (UMLS CUI [1,1])
C0237096 (UMLS CUI [1,2])
undefined item
Code List
2. Was your home located in a
CL Item
City  (1)
C2316883 (UMLS CUI-1)
CL Item
Suburb (2)
C0178856 (UMLS CUI-1)
CL Item
Small town (3)
C1555315 (UMLS CUI-1)
CL Item
Rural community (4)
C0086944 (UMLS CUI-1)
Motor Vehicles Street residence
Item
3. Was there a lot of automobile traffic on your street (i.e. a steady stream of cars passing in front of your house)?
boolean
C0175845 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
C0237096 (UMLS CUI [1,3])
condition Street Crack
Item
4. Was the condition of the street very poor (i.e. many sizeable cracks, potholes, or broken curbs)?
boolean
C0348080 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
C1706353 (UMLS CUI [1,3])
street noisy; Have Trouble Hearing
Item
5. Was the street very noisy (i.e. difficult to hear a person talking near to you when standing in front of your house)?
boolean
C0442658 (UMLS CUI [1,1])
C0563025 (UMLS CUI [1,2])
C3829759 (UMLS CUI [2])
Trees Street
Item
6. Was the street lined with trees?
boolean
C0040811 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
graffiti on buildings
Item
7. Was there graffiti on buildings, signs, or walls?
boolean
C3261040 (UMLS CUI [1])
Dirt road garbage drug paraphernalia
Item
8. Was there often litter on the street, yard or alley (For example: garbage, broken glass, bottles, papers, cigarette packages or butts, or drug related paraphernalia).
boolean
C1532226 (UMLS CUI [1,1])
C0017095 (UMLS CUI [1,2])
C0680329 (UMLS CUI [1,3])
Safe environment Street
Item
9. Was your street considered safe?
boolean
C0557723 (UMLS CUI [1,1])
C0442658 (UMLS CUI [1,2])
Item
10. How would you rate the condition of the house or apartment you lived in?
text
C0579118 (UMLS CUI [1])
undefined item
Code List
10. How would you rate the condition of the house or apartment you lived in?
CL Item
Very well kept/good condition – attractive for its type  (1)
CL Item
Moderately well kept condition  (2)
CL Item
Fair condition (peeling paint, needs repair)  (3)
CL Item
Poor/Badly deteriorated condition (4)
neighborhood friendly
Item
11. Were the other people in your neighborhood friendly?
boolean
C1287155 (UMLS CUI [1])
Item
12. How often did you observe violent acts (for example, fist fights, beatings or use of weapons such as knives or guns) on your street
text
C4060954 (UMLS CUI [1,1])
C1303202 (UMLS CUI [1,2])
C0424324 (UMLS CUI [1,3])
C0336663 (UMLS CUI [1,4])
undefined item
Code List
12. How often did you observe violent acts (for example, fist fights, beatings or use of weapons such as knives or guns) on your street
CL Item
All the time (1)
C3812891 (UMLS CUI-1)
CL Item
Often (2)
C0332183 (UMLS CUI-1)
CL Item
Occasionally (3)
C1998882 (UMLS CUI-1)
CL Item
Never (4)
C2003901 (UMLS CUI-1)
Item
13. How often did you see people using drugs or drinking alcohol on your street?
text
C0038388 (UMLS CUI [1,1])
C0001975 (UMLS CUI [1,2])
undefined item
Code List
13. How often did you see people using drugs or drinking alcohol on your street?
CL Item
All the time (1)
C3812891 (UMLS CUI-1)
CL Item
Often (2)
C0332183 (UMLS CUI-1)
CL Item
Occasionally (3)
C1998882 (UMLS CUI-1)
CL Item
Never (4)
C2003901 (UMLS CUI-1)
Item
14. How often did your parents let you play outside in your neighborhood?
text
C1446395 (UMLS CUI [1,1])
C0027569 (UMLS CUI [1,2])
undefined item
Code List
14. How often did your parents let you play outside in your neighborhood?
CL Item
All the time (1)
C3812891 (UMLS CUI-1)
CL Item
Often (2)
C0332183 (UMLS CUI-1)
CL Item
Occasionally (3)
C1998882 (UMLS CUI-1)
CL Item
Never (4)
C2003901 (UMLS CUI-1)
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