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  "notes": "Includes specific mention of Russia exit and disposable respirator decline as major headwinds.",
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      "text": "Adjusted operating margin -2.4 ppts YoY: Decline driven by lower sales volume; manufacturing/supply chain headwinds; carryover raw material/logistics/energy cost inflation; investments; and China COVID-related challenges; Headwinds partially offset by benefits from pricing, aggressive spending discipline, and productivity actions",
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