{"id":59050,"date":"2026-01-09T09:40:28","date_gmt":"2026-01-09T02:40:28","guid":{"rendered":"https:\/\/hbbgroup.net\/the-gioi-da-san-sang-doi-pho-voi-lan-song-ung-thu-toan-cau-dang-gia-tang\/"},"modified":"2026-01-09T09:40:28","modified_gmt":"2026-01-09T02:40:28","slug":"the-gioi-da-san-sang-doi-pho-voi-lan-song-ung-thu-toan-cau-dang-gia-tang","status":"publish","type":"post","link":"https:\/\/hbbgroup.net\/zh\/the-gioi-da-san-sang-doi-pho-voi-lan-song-ung-thu-toan-cau-dang-gia-tang\/","title":{"rendered":"Th\u1ebf gi\u1edbi \u0111\u00e3 s\u1eb5n s\u00e0ng \u0111\u1ed1i ph\u00f3 v\u1edbi l\u00e0n s\u00f3ng ung th\u01b0 to\u00e0n c\u1ea7u \u0111ang gia t\u0103ng?"},"content":{"rendered":"<div data-role=\"content\" itemprop=\"articleBody\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\">\n<figure type=\"Photo\">\n<p><img fetchpriority=\"high\" decoding=\"async\" data-author id=\"img_199916263808192512\" w=\"1126\" h=\"652\" alt=\"ung th\u01b0 - \u1ea2nh 1.\" title rel=\"lightbox\" photoid=\"199916263808192512\" src=\"https:\/\/cdn2.tuoitre.vn\/471584752817336320\/2026\/1\/8\/ung-thu-17678586067931081155730.png\" type=\"photo\" width=\"1126\" height=\"652\"><\/p><figcaption>\n<p data-placeholder=\"Nh\u1eadp ch\u00fa th\u00edch \u1ea3nh\" class>C\u00e1c nh\u00e0 khoa h\u1ecdc c\u1ea3nh b\u00e1o n\u1ebfu kh\u00f4ng c\u00f3 h\u00e0nh \u0111\u1ed9ng ch\u00ednh s\u00e1ch kh\u1ea9n c\u1ea5p v\u00e0 c\u00f4ng b\u1eb1ng h\u01a1n, ung th\u01b0 s\u1ebd tr\u1edf th\u00e0nh m\u1ed9t trong nh\u1eefng th\u00e1ch th\u1ee9c y t\u1ebf l\u1edbn nh\u1ea5t c\u1ee7a th\u1ebf k\u1ef7 21 &#8211; \u1ea2nh: AI<\/p>\n<\/figcaption><\/figure>\n<p>Theo ph\u00e2n t\u00edch m\u1edbi c\u1ee7a Nh\u00f3m c\u1ed9ng t\u00e1c nghi\u00ean c\u1ee9u G\u00e1nh n\u1eb7ng b\u1ec7nh t\u1eadt to\u00e0n c\u1ea7u v\u1ec1 ung th\u01b0 (Global Burden of Disease Cancer Collaboration), \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean<i> The Lancet, <\/i>s\u1ed1 ca ung th\u01b0 m\u1edbi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi \u0111\u00e3 t\u0103ng t\u1eeb kho\u1ea3ng 9 tri\u1ec7u ca n\u0103m 1990 l\u00ean 18,5 tri\u1ec7u ca v\u00e0o n\u0103m 2023.\u00a0<\/p>\n<p>Trong c\u00f9ng giai \u0111o\u1ea1n, s\u1ed1 ca t\u1eed vong do ung th\u01b0 t\u0103ng 74%, t\u1eeb kho\u1ea3ng 6 tri\u1ec7u l\u00ean 10,4 tri\u1ec7u ca m\u1ed7i n\u0103m (kh\u00f4ng bao g\u1ed3m ung th\u01b0 da kh\u00f4ng ph\u1ea3i u h\u1eafc t\u1ed1).<\/p>\n<p>Nh\u00ecn v\u1ec1 t\u01b0\u01a1ng lai, c\u00e1c m\u00f4 h\u00ecnh d\u1ef1 b\u00e1o cho th\u1ea5y s\u1ed1 ca ung th\u01b0 m\u1edbi s\u1ebd t\u0103ng th\u00eam 61% trong 25 n\u0103m t\u1edbi, l\u00ean kho\u1ea3ng 30,5 tri\u1ec7u ca m\u1ed7i n\u0103m v\u00e0o n\u0103m 2050. S\u1ed1 ca t\u1eed vong do ung th\u01b0 \u0111\u01b0\u1ee3c d\u1ef1 b\u00e1o t\u0103ng g\u1ea7n 75%, l\u00ean kho\u1ea3ng 18,6 tri\u1ec7u ca m\u1ed7i n\u0103m, ch\u1ee7 y\u1ebfu do t\u0103ng tr\u01b0\u1edfng d\u00e2n s\u1ed1 v\u00e0 s\u1ef1 gi\u00e0 h\u00f3a d\u00e2n s\u1ed1 to\u00e0n c\u1ea7u.<\/p>\n<p>Ti\u1ebfn s\u0129 Lisa Force, t\u00e1c gi\u1ea3 ch\u00ednh c\u1ee7a nghi\u00ean c\u1ee9u v\u00e0 l\u00e0 nh\u00e0 khoa h\u1ecdc t\u1ea1i Vi\u1ec7n \u0110o l\u01b0\u1eddng v\u00e0 \u0110\u00e1nh gi\u00e1 s\u1ee9c kh\u1ecfe (IHME), \u0110\u1ea1i h\u1ecdc Washington, cho bi\u1ebft: &#8220;Ung th\u01b0 ti\u1ebfp t\u1ee5c l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y g\u00e1nh n\u1eb7ng b\u1ec7nh t\u1eadt tr\u00ean to\u00e0n c\u1ea7u v\u00e0 nghi\u00ean c\u1ee9u c\u1ee7a ch\u00fang t\u00f4i cho th\u1ea5y m\u1ee9c gia t\u0103ng \u0111\u00e1ng k\u1ec3 trong nh\u1eefng th\u1eadp k\u1ef7 t\u1edbi, \u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c qu\u1ed1c gia c\u00f3 ngu\u1ed3n l\u1ef1c h\u1ea1n ch\u1ebf&#8221;.<\/p>\n<h2>G\u00e1nh n\u1eb7ng ung th\u01b0 gia t\u0103ng nhanh v\u00e0 kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u<\/h2>\n<p>D\u1eef li\u1ec7u t\u1eeb 204 qu\u1ed1c gia v\u00e0 v\u00f9ng l\u00e3nh th\u1ed5 cho th\u1ea5y s\u1ef1 gia t\u0103ng ung th\u01b0 kh\u00f4ng di\u1ec5n ra \u0111\u1ed3ng \u0111\u1ec1u. H\u01a1n m\u1ed9t n\u1eeda s\u1ed1 ca m\u1eafc m\u1edbi v\u00e0 g\u1ea7n hai ph\u1ea7n ba s\u1ed1 ca t\u1eed vong do ung th\u01b0 hi\u1ec7n nay x\u1ea3y ra \u1edf c\u00e1c qu\u1ed1c gia c\u00f3 thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh.\u00a0<\/p>\n<p>Trong khi t\u1ec9 l\u1ec7 t\u1eed vong do ung th\u01b0 \u0111\u01b0\u1ee3c chu\u1ea9n h\u00f3a theo \u0111\u1ed9 tu\u1ed5i \u0111\u00e3 gi\u1ea3m 24% tr\u00ean to\u00e0n c\u1ea7u t\u1eeb n\u0103m 1990 \u0111\u1ebfn n\u0103m 2023, s\u1ef1 c\u1ea3i thi\u1ec7n n\u00e0y ch\u1ee7 y\u1ebfu di\u1ec5n ra \u1edf c\u00e1c qu\u1ed1c gia thu nh\u1eadp cao.<\/p>\n<p>Ng\u01b0\u1ee3c l\u1ea1i, t\u1ec9 l\u1ec7 m\u1eafc <a href=\"https:\/\/tuoitre.vn\/hut-thuoc-la-suot-30-nam-nguoi-dan-ong-tai-tp-hcm-tieu-ra-mau-20260105172142427.htm\" title=\"ung th\u01b0\" data-rel=\"follow\">ung th\u01b0<\/a> chu\u1ea9n h\u00f3a theo \u0111\u1ed9 tu\u1ed5i \u0111\u00e3 t\u0103ng 24% \u1edf c\u00e1c qu\u1ed1c gia thu nh\u1eadp th\u1ea5p v\u00e0 29% \u1edf c\u00e1c qu\u1ed1c gia thu nh\u1eadp trung b\u00ecnh th\u1ea5p trong c\u00f9ng giai \u0111o\u1ea1n. \u0110i\u1ec1u n\u00e0y ph\u1ea3n \u00e1nh s\u1ef1 gia t\u0103ng ti\u1ebfp x\u00fac v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f9ng v\u1edbi kh\u1ea3 n\u0103ng ph\u00f2ng ng\u1eeba, t\u1ea7m so\u00e1t v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00f2n h\u1ea1n ch\u1ebf.<\/p>\n<p>N\u0103m 2023, ung th\u01b0 v\u00fa l\u00e0 lo\u1ea1i ung th\u01b0 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean to\u00e0n c\u1ea7u, trong khi ung th\u01b0 kh\u00ed qu\u1ea3n, ph\u1ebf qu\u1ea3n v\u00e0 ph\u1ed5i v\u1eabn l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y t\u1eed vong do ung th\u01b0.<\/p>\n<p>Lebanon ghi nh\u1eadn m\u1ee9c t\u0103ng l\u1edbn nh\u1ea5t v\u1ec1 t\u1ec9 l\u1ec7 m\u1eafc v\u00e0 t\u1eed vong chu\u1ea9n h\u00f3a theo \u0111\u1ed9 tu\u1ed5i \u1edf c\u1ea3 nam v\u00e0 n\u1eef, trong khi C\u00e1c ti\u1ec3u v\u01b0\u01a1ng qu\u1ed1c \u1ea2 R\u1eadp th\u1ed1ng nh\u1ea5t c\u00f3 m\u1ee9c gi\u1ea3m m\u1ea1nh nh\u1ea5t v\u1ec1 t\u1ec9 l\u1ec7 m\u1eafc v\u00e0 Kazakhstan c\u00f3 m\u1ee9c gi\u1ea3m l\u1edbn nh\u1ea5t v\u1ec1 t\u1ec9 l\u1ec7 t\u1eed vong.<\/p>\n<p>M\u1eb7c d\u00f9 t\u1ec9 l\u1ec7 t\u1eed vong chu\u1ea9n h\u00f3a theo \u0111\u1ed9 tu\u1ed5i kh\u00f4ng \u0111\u01b0\u1ee3c d\u1ef1 b\u00e1o t\u0103ng trong t\u01b0\u01a1ng lai, t\u1ed5ng s\u1ed1 ca m\u1eafc v\u00e0 t\u1eed vong v\u1eabn s\u1ebd t\u0103ng m\u1ea1nh do nh\u00e2n kh\u1ea9u h\u1ecdc thay \u0111\u1ed5i.\u00a0<\/p>\n<p>\u0110i\u1ec1u n\u00e0y khi\u1ebfn m\u1ee5c ti\u00eau c\u1ee7a Li\u00ean h\u1ee3p qu\u1ed1c v\u1ec1 gi\u1ea3m m\u1ed9t ph\u1ea7n ba s\u1ed1 ca t\u1eed vong s\u1edbm do c\u00e1c b\u1ec7nh kh\u00f4ng l\u00e2y nhi\u1ec5m, bao g\u1ed3m ung th\u01b0, v\u00e0o n\u0103m 2030 tr\u1edf n\u00ean kh\u00f3 \u0111\u1ea1t \u0111\u01b0\u1ee3c.<\/p>\n<p>TS Theo Vos, \u0111\u1ed3ng t\u00e1c gi\u1ea3 nghi\u00ean c\u1ee9u t\u1ea1i IHME, nh\u1eadn \u0111\u1ecbnh: &#8220;V\u1edbi kho\u1ea3ng 4 tr\u00ean 10 ca t\u1eed vong do ung th\u01b0 li\u00ean quan \u0111\u1ebfn c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh, c\u00e1c qu\u1ed1c gia c\u00f3 c\u01a1 h\u1ed9i r\u1ea5t l\u1edbn \u0111\u1ec3 gi\u1ea3m g\u00e1nh n\u1eb7ng ung th\u01b0 b\u1eb1ng c\u00e1ch nh\u1eafm v\u00e0o nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0y th\u00f4ng qua ch\u00ednh s\u00e1ch v\u00e0 can thi\u1ec7p y t\u1ebf c\u00f4ng c\u1ed9ng&#8221;.<\/p>\n<figure type=\"Photo\">\n<p><img loading=\"lazy\" decoding=\"async\" data-author id=\"img_199862158488260608\" w=\"2048\" h=\"1266\" alt=\"ung th\u01b0 - \u1ea2nh 2.\" title=\"Th\u1ebf gi\u1edbi \u0111\u00e3 s\u1eb5n s\u00e0ng \u0111\u1ed1i ph\u00f3 v\u1edbi l\u00e0n s\u00f3ng ung th\u01b0 to\u00e0n c\u1ea7u \u0111ang gia t\u0103ng? - \u1ea2nh 2.\" rel=\"lightbox\" photoid=\"199862158488260608\" src=\"https:\/\/cdn2.tuoitre.vn\/471584752817336320\/2026\/1\/8\/tienliettuyen-176783290277078920440.jpg\" type=\"photo\" width=\"2048\" height=\"1266\"><\/p><figcaption>\n<p data-placeholder=\"Nh\u1eadp ch\u00fa th\u00edch \u1ea3nh\">Kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3, nh\u1eadn bi\u1ebft s\u1edbm d\u1ea5u hi\u1ec7u b\u1ec7nh c\u00f3 th\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm, \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 ung th\u01b0 &#8211; \u1ea2nh: BVCC<\/p>\n<\/figcaption><\/figure>\n<h2>Ph\u00f2ng ng\u1eeba, c\u00f4ng b\u1eb1ng y t\u1ebf v\u00e0 h\u00e0nh \u0111\u1ed9ng ch\u00ednh s\u00e1ch<\/h2>\n<p>Ph\u00e2n t\u00edch cho th\u1ea5y 42% s\u1ed1 ca t\u1eed vong do ung th\u01b0 tr\u00ean to\u00e0n c\u1ea7u n\u0103m 2023, t\u01b0\u01a1ng \u0111\u01b0\u01a1ng kho\u1ea3ng 4,3 tri\u1ec7u ca, c\u00f3 li\u00ean quan \u0111\u1ebfn 44 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh \u0111\u01b0\u1ee3c. H\u00fat thu\u1ed1c l\u00e1 l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 l\u1edbn nh\u1ea5t, chi\u1ebfm kho\u1ea3ng 21% s\u1ed1 ca t\u1eed vong do ung th\u01b0 to\u00e0n c\u1ea7u.\u00a0<\/p>\n<p>\u1ede c\u00e1c qu\u1ed1c gia thu nh\u1eadp th\u1ea5p, quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n l\u1ea1i l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 h\u00e0ng \u0111\u1ea7u, li\u00ean quan \u0111\u1ebfn kho\u1ea3ng 12,5% s\u1ed1 ca t\u1eed vong do ung th\u01b0.<\/p>\n<p>Nam gi\u1edbi c\u00f3 t\u1ec9 l\u1ec7 t\u1eed vong do ung th\u01b0 li\u00ean quan \u0111\u1ebfn c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba cao h\u01a1n n\u1eef gi\u1edbi: 46% \u1edf nam so v\u1edbi 36% \u1edf n\u1eef. C\u00e1c y\u1ebfu t\u1ed1 ch\u00ednh bao g\u1ed3m thu\u1ed1c l\u00e1, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng kh\u00f4ng l\u00e0nh m\u1ea1nh, u\u1ed1ng r\u01b0\u1ee3u nhi\u1ec1u, b\u00e9o ph\u00ec, \u0111\u01b0\u1eddng huy\u1ebft cao, r\u1ee7i ro ngh\u1ec1 nghi\u1ec7p v\u00e0 \u00f4 nhi\u1ec5m kh\u00f4ng kh\u00ed.<\/p>\n<p>TS Meghnath Dhimal, \u0111\u1ed3ng t\u00e1c gi\u1ea3 nghi\u00ean c\u1ee9u t\u1eeb H\u1ed9i \u0111\u1ed3ng Nghi\u00ean c\u1ee9u Y t\u1ebf Nepal, c\u1ea3nh b\u00e1o: &#8220;S\u1ef1 gia t\u0103ng ung th\u01b0 \u1edf c\u00e1c n\u01b0\u1edbc thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh l\u00e0 m\u1ed9t th\u1ea3m h\u1ecda \u0111ang h\u00ecnh th\u00e0nh. C\u00f3 nh\u1eefng bi\u1ec7n ph\u00e1p can thi\u1ec7p hi\u1ec7u qu\u1ea3 v\u1ec1 chi ph\u00ed, nh\u01b0ng ch\u00fang c\u1ea7n \u0111\u01b0\u1ee3c \u01b0u ti\u00ean v\u00e0 tri\u1ec3n khai \u1edf quy m\u00f4 l\u1edbn&#8221;.<\/p>\n<p>C\u00e1c chuy\u00ean gia nh\u1ea5n m\u1ea1nh r\u1eb1ng ph\u00f2ng ng\u1eeba ph\u1ea3i \u0111\u01b0\u1ee3c t\u00edch h\u1ee3p v\u00e0o ch\u00ednh s\u00e1ch y t\u1ebf qu\u1ed1c gia, t\u1eeb ki\u1ec3m so\u00e1t thu\u1ed1c l\u00e1, c\u1ea3i thi\u1ec7n dinh d\u01b0\u1ee1ng, th\u00fac \u0111\u1ea9y v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c, gi\u1ea3m \u00f4 nhi\u1ec5m, \u0111\u1ebfn ti\u00eam ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng li\u00ean quan \u0111\u1ebfn ung th\u01b0.\u00a0<\/p>\n<p>Song song v\u1edbi \u0111\u00f3 l\u00e0 m\u1edf r\u1ed9ng t\u1ea7m so\u00e1t s\u1edbm, ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 b\u1ea3o \u0111\u1ea3m ti\u1ebfp c\u1eadn \u0111i\u1ec1u tr\u1ecb ch\u1ea5t l\u01b0\u1ee3ng cho m\u1ecdi b\u1ec7nh nh\u00e2n, b\u1ea5t k\u1ec3 n\u01a1i sinh s\u1ed1ng hay m\u1ee9c thu nh\u1eadp.<\/p>\n<p>C\u00e1c t\u00e1c gi\u1ea3 c\u0169ng l\u01b0u \u00fd nh\u1eefng h\u1ea1n ch\u1ebf c\u1ee7a nghi\u00ean c\u1ee9u, bao g\u1ed3m thi\u1ebfu d\u1eef li\u1ec7u ch\u1ea5t l\u01b0\u1ee3ng cao \u1edf nhi\u1ec1u khu v\u1ef1c, ch\u01b0a t\u00ednh \u0111\u1ebfn t\u00e1c \u0111\u1ed9ng l\u00e2u d\u00e0i c\u1ee7a \u0111\u1ea1i d\u1ecbch COVID-19, xung \u0111\u1ed9t v\u0169 trang hay c\u00e1c \u0111\u1ed9t ph\u00e1 y h\u1ecdc trong t\u01b0\u01a1ng lai.\u00a0<\/p>\n<p>M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nhi\u1ec5m tr\u00f9ng l\u00e0m t\u0103ng <a href=\"https:\/\/tuoitre.vn\/giai-phap-nao-ngan-lan-song-ung-thu-20251225235823943.htm\" title=\"nguy c\u01a1 ung th\u01b0\" data-rel=\"follow\">nguy c\u01a1 ung th\u01b0<\/a>, nh\u01b0 Helicobacter pylori hay Schistosoma haematobium, c\u0169ng ch\u01b0a \u0111\u01b0\u1ee3c t\u00ednh \u0111\u1ea7y \u0111\u1ee7, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u1ec7c \u0111\u00e1nh gi\u00e1 th\u1ea5p g\u00e1nh n\u1eb7ng ung th\u01b0 \u1edf m\u1ed9t s\u1ed1 v\u00f9ng.<\/p>\n<p>C\u00e1c nh\u00e0 khoa h\u1ecdc k\u1ebft lu\u1eadn r\u1eb1ng ung th\u01b0 kh\u00f4ng ch\u1ec9 l\u00e0 th\u00e1ch th\u1ee9c y h\u1ecdc m\u00e0 c\u00f2n l\u00e0 ph\u00e9p th\u1eed \u0111\u1ed1i v\u1edbi kh\u1ea3 n\u0103ng h\u1ee3p t\u00e1c v\u00e0 c\u00f4ng b\u1eb1ng to\u00e0n c\u1ea7u. N\u1ebfu kh\u00f4ng c\u00f3 h\u00e0nh \u0111\u1ed9ng k\u1ecbp th\u1eddi v\u00e0 d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng, l\u00e0n s\u00f3ng ung th\u01b0 \u0111ang d\u00e2ng l\u00ean c\u00f3 th\u1ec3 v\u01b0\u1ee3t qu\u00e1 kh\u1ea3 n\u0103ng \u1ee9ng ph\u00f3 c\u1ee7a nhi\u1ec1u qu\u1ed1c gia trong nh\u1eefng th\u1eadp k\u1ef7 t\u1edbi.<\/p>\n<p>                      <a href=\"http:\/\/tuoitre.vn\/#\" title=\"\u0110\u1ecdc ti\u1ebfp\">                          <svg width=\"22\" height=\"17\" viewbox=\"0 0 22 17\" fill=\"none\">                              <rect width=\"22\" height=\"17\" fill=\"url(#pattern0_2234_10086)\" \/>                              <defs>                                  <pattern id=\"pattern0_2234_10086\" patterncontentunits=\"objectBoundingBox\" width=\"1\" height=\"1\">                                      <use xlink:href=\"http:\/\/tuoitre.vn\/#image0_2234_10086\" transform=\"matrix(0.0125 0 0 0.016129 -0.0625 -0.225806)\" \/>                                 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