CN108542337B - Auxiliary observation device for pediatrics department - Google Patents
Auxiliary observation device for pediatrics department Download PDFInfo
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- CN108542337B CN108542337B CN201810357756.XA CN201810357756A CN108542337B CN 108542337 B CN108542337 B CN 108542337B CN 201810357756 A CN201810357756 A CN 201810357756A CN 108542337 B CN108542337 B CN 108542337B
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/24—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2503/00—Evaluating a particular growth phase or type of persons or animals
- A61B2503/06—Children, e.g. for attention deficit diagnosis
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Abstract
The invention discloses a paediatrics auxiliary observation device, which relates to the field of clinical medical treatment and comprises: an upper snap body which is engaged with the upper dental alveolus of the patient; the lower supporting body is used for pressing the front part of the tongue of the patient and supporting the upper part of the tongue; a supporting device is further arranged between the upper clamping body and the lower supporting body, the top end of the supporting device is connected with the upper clamping body, and the bottom end of the supporting device is connected with the lower supporting body; the supporting device is used for opening the upper clamping body and the lower supporting body. The oral cavity auxiliary observation device can be used for pediatrics, especially infants below two years old, is inconvenient in oral cavity auxiliary observation and is not matched with the oral cavity auxiliary observation when the thrush disease occurs, and the technical effect of injury to the infants is reduced.
Description
Technical Field
The invention relates to the field of clinical medical treatment, in particular to an auxiliary observation device for pediatrics.
Background
Thrush, also known as thrush and candida albicans, is infected by fungi and is a common disease of children's oral cavity. A white spot film is formed on the surface of oral mucosa and is often seen in infants. The disease is caused by Candida albicans infection. This fungus is also sometimes found in the mouth and can develop when an infant is malnourished or physically weakened.
As the baby descends, some bacterial colonies appear in the oral cavity slowly, and various bacterial colonies are restricted with each other to maintain relative balance. Candida oralis is also a member of the normal flora and is generally not pathogenic. The newborn baby is favorable for the growth of candida albicans due to low oral pH. In addition, when the baby has poor oral hygiene or malnutrition and reduced immunity, the original balance of oral flora is destroyed, and candida occupies the wind, so that candida infection can occur. Extrinsic infection: contact with food, toys, clothing, nipples, etc. infected with candida. All can cause thrush of babies.
After the baby suffers from thrush, the mucous membrane of the oral cavity appears as a milky white film, and the skin around the white film is normal and looks like a milk block. The macula is punctiform, or fused into pieces, and can appear on the tongue surface, two cheeks, palate and intra-labial mucosa. There is generally no pain or other discomfort, but some babies have developed watery mouth and pain due to stomatitis and angular cheilitis. Serious babies can see that most or all of oral mucosa is covered by the macula membrane, and even can spread to pharynx, larynx, esophagus, trachea, lung and the like. Thrush spreading in the throat may affect swallowing, breathing, etc., and may even be life threatening. If the thrush is serious, the lower respiratory tract is affected except the oral cavity, and fever can occur at the moment, but the symptoms such as dyspnea, cough and the like are usually accompanied. This is very rare. Thrush is sometimes accompanied by respiratory or gastrointestinal infections such as fever, cough, diarrhea, etc., or thrush per se occurs due to respiratory or gastrointestinal infections that reduce the immunity of the baby, and thus fever and other symptoms of respiratory or gastrointestinal infections may occur.
Therefore, if the infants and babies suffer from diseases, particularly repeated attacks, the infants and babies often bring huge burden to families of the infants and usually, the treatment of the thrush has two methods: (1) cleaning with weak alkaline solution such as 2% sodium bicarbonate, and if it can be used by baby over 3 years old, gargling directly to change oral pH and inhibit Candida albicans growth. It is recommended to clean the oral cavity before and after lactation. (2) Nystatin is a drug for treating fungi, has the strongest effect on candida albicans, and can destroy the normal metabolism of the candida albicans so as to play a role in sterilization. The traditional Chinese medicine composition is generally ground into a suspension agent in clinic and is applied to affected parts for 2-3 times in 1 day. The effect is better. Therefore, the treatment at the present stage mainly comprises wiping the outside in the oral cavity, and can be persuaded to be matched by means of convincing and supervising for children with a slightly large age, while infants, especially children under the age of two years, can not be matched, even easily cry and scream, so that the medicine feeding is difficult, and the illness state is delayed.
In the prior art, mouth openers made of common stainless steel are used in stomatology departments or other departments, such as a domestic utility model medical mouth opener, with the publication number of CN 204654871U. The mouth gag comprises a mouth gag body, a working part of the mouth gag body is sleeved with a protective sleeve, the protective sleeve is provided with at least one indentation tearing line, and the protective sleeve is broken by tearing the indentation tearing line to be taken down from the mouth gag body. The medical mouth gag has the remarkable effects that the protective sleeve is arranged on the working part of the mouth gag, so that the mouth gag made of stainless steel is prevented from directly contacting with teeth, the protective function is achieved, and the medical mouth gag is convenient to install; after the protective sleeve is used, the indentation tearing line on the protective sleeve is convenient to tear, so that the protective sleeve is damaged to be taken down from the mouth gag, and the disassembly is convenient. The mouth gag has stable and stable opening mode and good effect. The mouth gag is often designed for adults and is not suitable for infants, so that the auxiliary observation device for pediatrics is particularly important.
Disclosure of Invention
The invention aims to provide an auxiliary observation device for pediatrics, which can be used for pediatrics, particularly for infants under two years old, solves the problems of inconvenience and non-cooperation of oral auxiliary observation when thrush occurs, and reduces the damage to the infants.
In order to solve the above problems, the present invention discloses an auxiliary observation device for pediatrics, which is characterized by comprising:
an upper snap body which is engaged with the upper dental alveolus of the patient;
the lower supporting body is used for pressing the front part of the tongue of the patient and supporting the upper part of the tongue;
a supporting device is further arranged between the upper clamping body and the lower supporting body, the top end of the supporting device is connected with the upper clamping body, and the bottom end of the supporting device is connected with the lower supporting body; the supporting device is used for opening the upper clamping body and the lower supporting body.
Furthermore, the upper clamping body is of a V-shaped structure integrally and comprises a flexible layer arranged inside, a flexible layer arranged outside the flexible layer and wrapping the flexible layer, and an elastomer silicone rubber layer arranged at the top end of the upper clamping body.
Further, the length of the upper clamping body is 2-6 cm, and the distance from the bottom to the top edge of the V-shaped structure is not more than 3 cm.
Further, the elastomer silicone rubber layer is a hydrophilic putty type silicone rubber impression material and is composed of A, B two components, wherein the component A is a platinum catalyst component, the component B is a hydrogen-containing polysiloxane component, and the mixing ratio of the component A, B is 1: (1-5).
Furthermore, the lower support body comprises a support sheet and a protection strip (22) arranged at the front end of the support sheet, and a diversion trench and a liquid seepage hole are arranged on the bottom surface of the support sheet.
Further wherein the lower support has a forward portion wider than a rearward portion; the protective strip is a cavernous body, and a mixture of 0.001-0.01% of acetylcholine and menthol is impregnated in the protective strip.
Further, the supporting device comprises an inner tube and an outer sleeve, the outer sleeve is sleeved outside the inner tube, and the inner tube is in clearance fit with the outer sleeve; the top end of the inner tube is movably connected with the upper clamping body, the bottom end of the outer sleeve is movably connected with the lower supporting body, and the top end of the outer sleeve is provided with a rotary locking device.
Further, the number of the supporting devices is one or two.
The invention also discloses a using method of the auxiliary observation device for the department of pediatrics, which is characterized in that: the method comprises the following steps:
(1) the patient lies on the bed to make the small patient not cry;
(2) according to the size of the oral cavity of the patient, the upper clamping body is bent forcibly, so that the bending angle of the upper clamping body is similar to the bending degree of the upper dental socket of the oral cavity of the patient;
(3) preparing a silicon rubber impression material on site, mixing an AB component, wherein the A, B component is prepared from the following components in a weight ratio of 1: (1-5) fully kneading and mixing the two components for 40-60 seconds, and pressing the mixture into an upper clamping body to form an elastomer silicone rubber layer;
(4) opening the mouth of the patient, clamping the upper clamping body with the upper dental socket, placing the lower supporting body on the tongue of the patient, adjusting the lengths of the inner tube and the outer sleeve, and rotating, locking and rotating the locking device to fix the positions of the upper clamping body and the lower supporting body;
(5) observing the oral condition of a patient, and carrying out appropriate diagnosis and treatment;
(6) and opening the rotary locking device, and taking down the auxiliary observation device to finish observation.
The auxiliary observation device for the pediatrics is simple in structure and can effectively open and fix the oral cavity of a pediatric juvenile patient.
The invention has the beneficial effects that:
(1) the structure is simple, and the material is convenient to obtain;
(2) the upper part of the flexible material is clamped with the inner layer design, and the length is shorter than 6cm, so that the flexible material can be effectively bent manually to realize the bending fit of the alveolus on the oral cavity, and the short-length design only fixes the front end of the alveolus and does not influence the observation and inspection of the depth of the oral cavity;
(3) the instantly prepared silicone rubber elastomer can adjust the amount of the component A and the component B according to the time required to be observed so as to ensure the stability after curing, and the invention is mainly characterized in that the teeth of the infant are in a just erupted state, the tooth eruption rate is different at the same age, the upper dental alveolus fixation can not be carried out through a common mould, and the health of the teeth of the infant is protected by curing the silicone rubber elastomer subjected to post-vulcanization molding to form a support body;
(4) the lower support body is provided with a diversion trench and a liquid seepage hole, so that the slipping of the lower support body caused by saliva is reduced, and medicines can be added to reduce the secretion of saliva;
(5) the supporting device is in front, and does not influence the sight of internal observation.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. It is obvious that the drawings in the following description are some embodiments of the invention, and that for a person skilled in the art, other drawings can be derived from them without inventive effort.
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic diagram of the structure of the upper fastener layer of the present invention;
FIG. 3 is a schematic structural diagram of a third embodiment of the present invention;
fig. 4 is a cross-sectional view of the support sheet of the present invention.
In the figure, 1, an upper clamping body 2, a lower supporting body 3, a supporting device 11, a flexible layer 12, a flexible layer 13, an elastomer silicon rubber layer 21, a supporting sheet 22, a protective strip 23, a diversion trench 24, a liquid seepage hole 31, an inner pipe 32, an outer sleeve 33 and a rotary locking device are arranged.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention. It is to be understood that the embodiments described are only a few embodiments of the present invention, and not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
The first embodiment is as follows:
a paediatrics auxiliary viewing device suitable for use by infants less than one year old comprises:
an upper engaging body 1 engaged with an upper dental socket of a patient;
the lower supporting body 2 is used for pressing the front part of the tongue of the patient and supporting the upper part of the tongue;
a supporting device 3 is further arranged between the upper clamping body and the lower supporting body, the top end of the supporting device is connected with the upper clamping body, and the bottom end of the supporting device is connected with the lower supporting body; the supporting device is used for opening the upper clamping body and the lower supporting body. The upper engaging body has a V-shaped structure as a whole, and includes a flexible layer 11 provided inside, a flexible layer 12 provided outside the flexible layer and wrapping the flexible layer, and an elastomer silicone rubber layer 13 provided on the tip of the upper engaging body. The length of the upper clamping body is 3cm, and the distance from the bottom of the V-shaped structure to the edge of the top is 2 cm. The elastomer silicone rubber layer is a hydrophilic putty type silicone rubber impression material and is composed of A, B two components, wherein the component A is a platinum catalyst component, the component B is a hydrogen-containing polysiloxane component, and the mixing ratio of the component A, B is 1: 4. the lower support body comprises a support sheet 21 and a protection strip 22 arranged at the front end of the support sheet, and a diversion trench 23 and a liquid seepage hole 24 are arranged on the bottom surface of the support sheet. The front part of the supporting sheet of the lower supporting body is wider than the tail part; the protective strip is a cavernous body, and a mixture of 0.002% concentration of acetylcholine and menthol is impregnated in the protective strip. The supporting device comprises an inner tube 31 and an outer sleeve 32, the outer sleeve is sleeved outside the inner tube, and the inner tube is in clearance fit with the outer sleeve; the top end of the inner tube is movably connected with the upper clamping body, the bottom end of the outer sleeve is movably connected with the lower supporting body, and the top end of the outer sleeve is provided with a rotary locking device 33. The number of the supporting devices is one.
The use method comprises the following steps:
(1) the patient lies on the bed to make the small patient not cry;
(2) according to the size of the oral cavity of the patient, the upper clamping body is bent forcibly, so that the bending angle of the upper clamping body is similar to the bending degree of the upper dental socket of the oral cavity of the patient;
(3) preparing a silicon rubber impression material on site, mixing an AB component, wherein the A, B component is prepared from the following components in a weight ratio of 1: 4, fully kneading and mixing the two components for 45 seconds, and pressing the two components into an upper clamping body to form an elastomer silicone rubber layer;
(4) opening the mouth of the patient, clamping the upper clamping body with the upper dental socket, placing the lower supporting body on the tongue of the patient, adjusting the lengths of the inner tube and the outer sleeve, and rotating, locking and rotating the locking device to fix the positions of the upper clamping body and the lower supporting body;
(5) observing the oral condition of a patient, and carrying out appropriate diagnosis and treatment;
(6) and opening the rotary locking device, and taking down the auxiliary observation device to finish observation.
Example two:
a paediatrics auxiliary observation device suitable for eighteen months babies comprises:
an upper engaging body 1 engaged with an upper dental socket of a patient;
the lower supporting body 2 is used for pressing the front part of the tongue of the patient and supporting the upper part of the tongue;
a supporting device 3 is further arranged between the upper clamping body and the lower supporting body, the top end of the supporting device is connected with the upper clamping body, and the bottom end of the supporting device is connected with the lower supporting body; the supporting device is used for opening the upper clamping body and the lower supporting body. The upper engaging body has a V-shaped structure as a whole, and includes a flexible layer 11 provided inside, a flexible layer 12 provided outside the flexible layer and wrapping the flexible layer, and an elastomer silicone rubber layer 13 provided on the tip of the upper engaging body. The length of the upper clamping body is 4cm, and the distance from the bottom of the V-shaped structure to the edge of the top is 2 cm. The elastomer silicone rubber layer is a hydrophilic putty type silicone rubber impression material and is composed of A, B two components, wherein the component A is a platinum catalyst component, the component B is a hydrogen-containing polysiloxane component, and the mixing ratio of the component A, B is 1: 3. the lower support body comprises a support sheet 21 and a protection strip 22 arranged at the front end of the support sheet, and a diversion trench 23 and a liquid seepage hole 24 are arranged on the bottom surface of the support sheet. The front part of the supporting sheet of the lower supporting body is wider than the tail part; the protective strip is a cavernous body, and a mixture of 0.002% concentration of acetylcholine and menthol is impregnated in the protective strip. The supporting device comprises an inner tube 31 and an outer sleeve 32, the outer sleeve is sleeved outside the inner tube, and the inner tube is in clearance fit with the outer sleeve; the top end of the inner tube is movably connected with the upper clamping body, the bottom end of the outer sleeve is movably connected with the lower supporting body, and the top end of the outer sleeve is provided with a rotary locking device 33. The number of the supporting devices is one.
The use method comprises the following steps:
(1) the patient lies on the bed to make the small patient not cry;
(2) according to the size of the oral cavity of the patient, the upper clamping body is bent forcibly, so that the bending angle of the upper clamping body is similar to the bending degree of the upper dental socket of the oral cavity of the patient;
(3) preparing a silicon rubber impression material on site, mixing an AB component, wherein the A, B component is prepared from the following components in a weight ratio of 1: 3, fully kneading and mixing the two components for 50 seconds, and pressing the two components into an upper clamping body to form an elastomer silicone rubber layer;
(4) opening the mouth of the patient, clamping the upper clamping body with the upper dental socket, placing the lower supporting body on the tongue of the patient, adjusting the lengths of the inner tube and the outer sleeve, and rotating, locking and rotating the locking device to fix the positions of the upper clamping body and the lower supporting body;
(5) observing the oral condition of a patient, and carrying out appropriate diagnosis and treatment;
(6) and opening the rotary locking device, and taking down the auxiliary observation device to finish observation.
Example three:
an auxiliary observation device for pediatrics, which is suitable for children of about 24 months, comprises:
an upper engaging body 1 engaged with an upper dental socket of a patient;
the lower supporting body 2 is used for pressing the front part of the tongue of the patient and supporting the upper part of the tongue;
a supporting device 3 is further arranged between the upper clamping body and the lower supporting body, the top end of the supporting device is connected with the upper clamping body, and the bottom end of the supporting device is connected with the lower supporting body; the supporting device is used for opening the upper clamping body and the lower supporting body. The upper engaging body has a V-shaped structure as a whole, and includes a flexible layer 11 provided inside, a flexible layer 12 provided outside the flexible layer and wrapping the flexible layer, and an elastomer silicone rubber layer 13 provided on the tip of the upper engaging body. The length of the upper clamping body is 5cm, and the distance from the bottom of the V-shaped structure to the top edge is 2.5 cm. The elastomer silicone rubber layer is a hydrophilic putty type silicone rubber impression material and is composed of A, B two components, wherein the component A is a platinum catalyst component, the component B is a hydrogen-containing polysiloxane component, and the mixing ratio of the component A, B is 1: 4. the lower support body comprises a support sheet 21 and a protection strip 22 arranged at the front end of the support sheet, and a diversion trench 23 and a liquid seepage hole 24 are arranged on the bottom surface of the support sheet. The front part of the supporting sheet of the lower supporting body is wider than the tail part; the protective strip is a cavernous body, and a mixture of 0.002% concentration of acetylcholine and menthol is impregnated in the protective strip. The supporting device comprises an inner tube 31 and an outer sleeve 32, the outer sleeve is sleeved outside the inner tube, and the inner tube is in clearance fit with the outer sleeve; the top end of the inner tube is movably connected with the upper clamping body, the bottom end of the outer sleeve is movably connected with the lower supporting body, and the top end of the outer sleeve is provided with a rotary locking device 33. The number of the supporting devices is two.
The use method comprises the following steps:
(1) the patient lies on the bed to make the small patient not cry;
(2) according to the size of the oral cavity of the patient, the upper clamping body is bent forcibly, so that the bending angle of the upper clamping body is similar to the bending degree of the upper dental socket of the oral cavity of the patient;
(3) preparing a silicon rubber impression material on site, mixing an AB component, wherein the A, B component is prepared from the following components in a weight ratio of 1: 4, fully kneading and mixing the two components for 50 seconds, and pressing the two components into an upper clamping body to form an elastomer silicone rubber layer;
(4) opening the mouth of the patient, clamping the upper clamping body with the upper dental socket, placing the lower supporting body on the tongue of the patient, adjusting the lengths of the inner tube and the outer sleeve, and rotating, locking and rotating the locking device to fix the positions of the upper clamping body and the lower supporting body;
(5) observing the oral condition of a patient, and carrying out appropriate diagnosis and treatment;
(6) and opening the rotary locking device, and taking down the auxiliary observation device to finish observation.
Claims (4)
1. An auxiliary observation device for pediatrics, comprising:
an upper engaging body (1) which engages with the upper dental socket of the patient;
the lower supporting body (2) is used for pressing the front part of the tongue of the patient and supporting the upper part of the tongue;
a supporting device (3) is further arranged between the upper clamping body and the lower supporting body, the top end of the supporting device is connected with the upper clamping body, and the bottom end of the supporting device is connected with the lower supporting body; the supporting device is used for strutting the upper clamping body and the lower supporting body;
the upper clamping body is of a V-shaped structure integrally and comprises a flexible layer (11) arranged inside, a flexible layer (12) arranged outside the flexible layer and wrapping the flexible layer, and an elastic body silicone rubber layer (13) arranged at the top end of the upper clamping body; the elastomer silicone rubber layer is a hydrophilic putty type silicone rubber impression material and is composed of A, B two components, wherein the component A is a platinum catalyst component, the component B is a hydrogen-containing polysiloxane component, and the mixing ratio of the component A, B is 1: (1-5); adjusting the amount of the A and B components according to the time required to observe;
the lower support body comprises a support sheet (21) and a protection strip (22) arranged at the front end of the support sheet, and the bottom surface of the support sheet is provided with a diversion trench (23) and a liquid seepage hole (24); the front part of the supporting sheet of the lower supporting body is wider than the tail part; the protective strip is a cavernous body, and a mixture of 0.001-0.01% of acetylcholine and menthol is impregnated in the protective strip.
2. The auxiliary observation device for pediatrics as claimed in claim 1, wherein: the length of the upper clamping body is 2-6 cm, and the distance from the bottom of the V-shaped structure to the edge of the top is not more than 3 cm.
3. The auxiliary observation device for pediatrics as claimed in claim 1, wherein: the supporting device comprises an inner tube (31) and an outer sleeve (32), the outer sleeve is sleeved outside the inner tube, and the inner tube is in clearance fit with the outer sleeve; the top end of the inner tube is movably connected with the upper clamping body, the bottom end of the outer sleeve is movably connected with the lower supporting body, and the top end of the outer sleeve is provided with a rotary locking device (33).
4. The auxiliary observation device for pediatrics as claimed in claim 3, wherein: the number of the supporting devices is one or two.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810357756.XA CN108542337B (en) | 2018-04-20 | 2018-04-20 | Auxiliary observation device for pediatrics department |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810357756.XA CN108542337B (en) | 2018-04-20 | 2018-04-20 | Auxiliary observation device for pediatrics department |
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| CN108542337A CN108542337A (en) | 2018-09-18 |
| CN108542337B true CN108542337B (en) | 2020-11-17 |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201551297U (en) * | 2009-12-05 | 2010-08-18 | 北华大学 | Tongue and buccal protector |
| CN201775619U (en) * | 2010-08-12 | 2011-03-30 | 林晓玮 | Mouth opening bracket |
| CN203493608U (en) * | 2013-10-23 | 2014-03-26 | 官培英 | Oral cavity expander used for pediatric examination |
| CN204169811U (en) * | 2014-09-10 | 2015-02-25 | 姜晓红 | A kind of department of pediatrics oral cavity check device |
| CN204427993U (en) * | 2015-01-20 | 2015-07-01 | 魏继梅 | A kind of child's mouth dilator |
| CN205197948U (en) * | 2015-11-21 | 2016-05-04 | 中国人民解放军第四军医大学 | Gastrocopy of preventing lower jaw dislocation is with a mouthful pad |
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