2023 Ca For this weeks discussion I chose to discuss Diabetes The goal of Healthy People 2020 is to

Nursing 2023 nursing illness and disease/wk3/dicussion

Ca For this weeks discussion I chose to discuss Diabetes The goal of Healthy People 2020 is to 2023 Assignment

 Ca

For this weeks discussion I chose to discuss Diabetes.  The goal of Healthy People 2020 is to reduce the risk of burden for those with Diabetes and to improve the quality of life for those with diabetes.  Diabetes occurs when the body cannot produce enough insulin and/or cannot respond appropriately to insulin. Insulin is a hormone that the body needs to absorb and use sugar as fuel for the body’s cells. Without a properly functioning insulin signaling system, blood glucose levels become elevated and other metabolic abnormalities occur, leading to the development of serious, disabling complications (Healthy People, 2018).  One of the directives from the CDC was to design wellness programs at work to prevent diabetes and other workplace illnesses.  This could also prevent complications associated with diabetes (CDC, 2017).

The role of the caregiver is a big part in patient success.  If the patient has a caregiver who is actively involved in the disease process, the outcome for the patient will be much greater.  However, the strain of taking care of a chronically ill patient, can be excruciating.  Taking care of a patient who is chronically ill and sometimes non compliant can be very exhausting, both physically and mentally.  When a patient will not comply with their treatment plan, it can make the caregiver question their role.  Non-compliance on the part of the patient is the greatest cause of caregiver strain.  In order to prevent this strain, caregivers must be able to remove themselves from the situations at times.  They can only do what they can do.  Pushing the patient will not necessarily make them comply with treatment.  

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2023 Learning Materials Melnyk B M Fineout Overholt E 2015 Evidence based practice in nursing healthcare

Nursing 2023 power point

Learning Materials Melnyk B M Fineout Overholt E 2015 Evidence based practice in nursing healthcare 2023 Assignment

Learning Materials

  • Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health. ISBN: 978-1-4511-9094-6. Read Chapters 13 and 14.

Assignment:

Evidence-Based Practice Model and Change Model

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least three (3) sources using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Identify an evidence based practice model and change model that has been defined in Chapters 13 and 14 of the textbook (Melnyk and Fineout-Overholt, 2015). Describe in detail how you would utilize the practice model and change model to implement an evidence-based practice change in your clinical practice environment, related to your research topic.

1.  Title Slide (1 slide)

2.  Objective Slide (1 slide)

3.  Identify an evidence-based practice model and change model that has been defined in Chapters 13 and 14 of the textbook (Melnyk and Fineout-Overholt, 2015). (2-3 slides).

4.  Describe in detail how you would utilize the practice model and change model to implement an evidence-based practice change in your clinical practice environment, related to your research topic. (6-8 slides)

5.  References (1 slide)

Assignment Expectations: 

Length: 8-14 slides
Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.

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2023 1 There are many areas in nursing where evidence based practice has improved care processes and patient outcomes including the bundles

Nursing 2023 2-Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

1 There are many areas in nursing where evidence based practice has improved care processes and patient outcomes including the bundles 2023 Assignment

  

1-There are many areas in nursing where evidence-based practice has improved care processes and patient outcomes including the bundles of checklist to prevent pneumonia related to mechanical ventilation and central line-associated blood stream infection or CLABSI.

To prevent healthcare-associated infection such as the ventilator-associated pneumonia (VAP) for patient who had been intubated for more than 48 hours, the VAP bundles of care are often used. Recommended bundle of interventions for the prevention of VAP includes elevation of the head of the bed at a 30° to 45° angle to prevent aspiration of gastric content, reducing the duration of mechanical ventilation by daily sedation interruption (DSI) and daily spontaneous breathing trials (SBT), peptic ulcer disease (PUD) prophylaxis, and deep-vein thrombosis (DVT) prophylaxis. Moreover, performing oral care every two hours and as needed, maintaining ET tube cuff pressure above 20 cm H20, and managing ventilator circuits and changing only when visibly soiled showed improvements in VAP in critically ill patients.

Another area where evidence-based practice has improved patient outcome is through the use of bundles or interventions to prevent or decreased central line-associated blood stream infections. Those recommended bundle of interventions for the prevention of CLABSI includes proper hand hygiene, skin preparation using chlorhexidine solution greater than 0.5%, adhering to aseptic technique and use of sterile gloves, regular assessment and inspection of site, and daily evaluation whether the use of central line is still necessary.

According to the ANA (2018), when patient received the optimal intervention bundle, the expected time for any ventilator-associated pneumonia to occur takes almost 3.5 times longer that those who did not. At the hospital I work for, when we chart our lines/drains/airways one of the question we are asked is if the patient still meets the criteria for continuing the line. When no longer necessary, it prompts immediate consideration for removal. The bundles/checklist does not only act as a learning tool but also serves as a guideline. By knowing the bundles of interventions we can better care for our patients and avoid unnecessary and preventable infections.

References:

Stevens, K.  (2013, May 31). “The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas”  OJIN: The Online Journal of Issues in Nursing  Vol. 18, No. 2, Manuscript 4. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html

American Nurse Today. (2018). Preventing ventilator-associated pneumonia: A nursing-intervention bundle. Retrieved from https://www.americannursetoday.com/preventing-ventilator-associated-pneumonia-a-nursing-intervention-bundle/

Perin, D. C., Erdmann, A. L., Higashi, G. D., & Sasso, G. T. (2016). Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review. Revista latino-americana de enfermagem, 24, e2787. doi:10.1590/1518-8345.1233.2787

 

 
 

2-In wound care it seems like new products are becoming available everyday and current products are continually evolving to improve patient outcomes. Thankfully, the clinic that I work in is smaller and there are only three nurses on staff, so our continuous education is typically done as a group. We usually meet with the product representative face to face and receive instant feedback regarding any questions and concerns we may have about the product. When information needs to be disseminated throughout the facility and to all nursing staff, the education happens is various forms. Least common is face to face in servicing as it is often difficult to get multiple staff members in the same location at the same time (due to staffing shortages). The most utilized form of education is online via an electronic learning forum (E-Learning) staff members can access the “assignments” 24 hours a day 7 days a week from most computers within the facility. Assignments are assigned with a due date and typically have a test following the educational portion in which the staff members must pass to receive credit and meet the educational requirement.

 

3-The implementation phase of any change can be difficult. In the nursing profession, evidence-based practices have been observed as the best and safest practices as there is proof in the research. However, there will always be those who question, or doubt said proof because some people are afraid of change, even if the change benefits them or others. To implement change, I would begin by addressing the following key factors: why, what, and how. First, the why- what is the issue that lead to the change. Next, the what- the research, the facts, the failures and successes that became the change. Lastly, the how- the demonstration or explanation of the change. Depending on the change and the aspects of our practice that would be affected determines the length of time the implementation phase would take. In my experience (when allowable) taking time to incorporate change over a period has proven least likely to create resistance from others.

 Reply  |  Quote & Reply 

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2023 the first step of the EBP process is to develop a question from the nursing practice problem of interest

Nursing 2023 week1/3 virg

the first step of the EBP process is to develop a question from the nursing practice problem of interest 2023 Assignment

 

the first step of the EBP process is to develop a question from the nursing practice problem of interest.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

Suggestions for locating qualitative and quantitative research articles from credible sources:

  1. Use a library database such as CINAHL Complete for your search.
  2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.
  3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

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2023 Critical Evaluation of Qualitative or Quantitative Research Study Read Stevens K 2013 The impact of evidence based practice in nursing

Nursing 2023 Critical Evaluation of Qualitative or Quantitative Research Study

Critical Evaluation of Qualitative or Quantitative Research Study Read Stevens K 2013 The impact of evidence based practice in nursing 2023 Assignment

 

Critical Evaluation of Qualitative or Quantitative Research Study 

Read:  Stevens, K., (2013) The impact of evidence-based practice in nursing and the next big ideasOJIN: The Online Journal of Issues in Nursing18,(2), Manuscript 4. doi: 10.3912/OJIN.Vol18No02Man04 

Critically evaluate either Study 3 or Study 4.  Evaluate the credibility of professional citation, research design, and procedures in a research article.  Include a discussion on how this study contributes to evidence-based practice. 

Suggested Reading

  • Schreiber, M. L. (2016). Evidence-Based Practice. Negative Pressure Wound TherapyMEDSURG Nursing, 25(6), 425-428. 
  • Stevens, K., (2013) The impact of evidence-based practice in nursing and the next big ideasOJIN: The Online Journal of Issues in Nursing18,(2), Manuscript 4. doi: 10.3912/OJIN.Vol18No02Man04 
  • Wakefield, A. (2014). Searching and critiquing the research literature. Nursing Standard28(39), 49-57. doi:10.7748/ns.28.39.49.e8867
  • Chapter 6 (pp. 131-153), Chapter 7 (pp. 157-185), Chapter 8 (pp. 189-226) Chapter 12 (pp.323-350)& Chapter 13 (pp. 351-380) In Houser, J. (2018).  Nursing research:  Readings, using & creating evidence (4th ed.).  Burlington, MA:  Jones & Bartlett Learning

Qualitative Specific Resources

  • Houser, J. (2018).  Nursing research:  Readings, using & creating evidence (4th ed.).  Burlington, MA:  Jones & Bartlett Learning.
    • Chapter 9, p. 229-252
    • Chapter 14, p. 385-416
    • Chapter 15, p. 419-442

Additional Instructions:

  • All submissions should have a title page and reference page.
  • Utilize a minimum of two scholarly resources.
  • Adhere to grammar, spelling and punctuation criteria.
  • Adhere to APA compliance guidelines.
  • Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Options:

Choose One:

Instructions:

Paper

  • 4 to 6-page paper. Include title and reference pages.

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2023 Locate an article that discusses the importance of collaboration within the healthcare team

Nursing 2023 Collaboration with Healthcare team

Locate an article that discusses the importance of collaboration within the healthcare team 2023 Assignment

 

Locate an article that discusses the importance of collaboration within the healthcare team. Summarize the article and then discuss how collaboration within a multidisciplinary or interprofessional team has helped you grow as a nurse and helped your patients.

Your initial posting should be 400 words in length and utilize at least one scholarly source other than the textbook

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2023 Release of Information Unfortunately there is still much misunderstanding when a patient wants to get information from their medical

Nursing 2023 Lab Assignment: Release of Information

Release of Information Unfortunately there is still much misunderstanding when a patient wants to get information from their medical 2023 Assignment

Release of Information

Unfortunately, there is still much misunderstanding when a patient wants to get information from their medical file. Many patients don’t realize there are standard regulations that are set by governing bodies. Patients have rights under law to access their personal health information, and medical providers are not allowed to deny them those rights as long as certain conditions are upheld. However, this does not mean that medical providers are free to provide that information whenever and however patients desire. For example, a release of information should be signed before a patient is granted access to medical information.

HIM Professionals need to be aware of patient’s rights to access. Read Your Rights Under HIPAA: Your Medical Records (Links to an external site.)Links to an external site. to learn more.

Here is a Right-To-Access MemoPreview the document PDF that discusses patient’s rights to access their information. (Optional)

Patient Access to Personal Health Information: Regulation vs. Reality

Read Patient Access to PHIPreview the document to learn the differences between what is allowed by law and what commonly goes on sharing medical information with patients. (Optional)

Information Governance

Read the Information Governance Offers a Strategic Approach for HealthcarePreview the document article about the emerging field of “Information Governance.”

Here is a video that explores the subject:

Electronic Health Records: Privacy and Security (1:55) https://youtu.be/SMUFa5amPKs

Assigment:

In the Release of Information WorksheetPreview the document there are several scenarios where patients have asked for access to health information. Are HIM professionals authorized to provide it? And why/why not? 

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2023 Minimum of 350 words words with at least 2 peer review reference in

Nursing 2023 NUR-D11-Q2

Minimum of 350 words words with at least 2 peer review reference in 2023 Assignment

Minimum of 350 words words with at least 2 peer review reference in 6th edition apa style.

 

  1. cuss the differences between respiratory acidosis and respiratory alkalosis. Provide a case study or presentation associated with respiratory acidosis or respiratory alkalosis.
  2. Clinicians have developed an appreciation for obstructive sleep apnea. Explain the pathophysiological problems a patient could experience associated with obstructed sleep apnea (OSA).

Please answer each question separate and completely.

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2023 Please use AHRQ an organizational evidence based standard and applicable Best Practice to guide your topic development 1

Nursing 2023 CLINICAL EVIDENCED BASED PRACTICE PAPER 3 PAGES APA

Please use AHRQ an organizational evidence based standard and applicable Best Practice to guide your topic development 1 2023 Assignment

  

  • Please use AHRQ , an organizational evidence-based standard and applicable Best Practice to guide your      topic development.
  • 1. The introduction gives some history of the topic, the reason it is important to nursing practice 
  • 2. This assignment requires proper APA format.
  • 3. This includes a title page, reference page, and proper headings.
  • 4. Write a 3-page paper (not including title page and reference page) addressing the following:
  • Background of a Narcolepsy with Cataplexy related to your practice.  
  • The PICO(T) format is used to organize research evidence to address clinical problems. You will use the PICO(T) question to identify relevant studies needed to develop evidenced based practice or best practices in nursing education.  

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2023 hi dear I just need to response to this assignment responses should

Nursing 2023 Drug Use & Abuse

hi dear I just need to response to this assignment responses should 2023 Assignment

hi dear,

I just need to response to this assignment,

 responses should be complete paragraph  and should further the conversation using personal experience, information from the textbook or other outside sources, asking questions, and more.  Think about how your classmates answered differently or similarly to you. What did you learn from their post?  What was most surprising or interesting?  What do you agree with or disagree with? Your responses might spark some comments and feedback for one another. 

 

Substance: Hallucinogens

2.  Time Period: 1960s

3.  Attitudes

The use of psychedelic and hallucinogenic drugs during the 1960s in America was sparked by the culmination of various major world events, political attitudes, and a populous with a desire to break social norms. Characterized as the “drug renaissance” (Wesson, 2011) this movement is most notably recognized as building its foundations in the city of San Francisco, CA during the mid-sixties when thousands of people were moving to the Bay Area in search of change and new ideologies. Historically referred to as the “hippie movement”, the world saw the advent and boom of the creation and widespread recreational use of psychedelics. Although this movement evoked a massive change in social attitudes toward psychedelics, the establishment as it were, of American society and authority was openly in opposition of this psychedelic drug counterculture. The mainstream media popularized hippies as rebellious youth, anti-Vietnam activists, and psychedelically crazed advocates of free love and rock and roll. America’s youth (in opposition of the mainstream media and society) flocked by the tens of thousands from all over the country to the San Francisco Bay Area to partake in the hippie movement (Wesson, 2011).

4.  Availability

During the 1960s specifically, there was a far higher rate of availability and use of psychedelics as legal and political enforcement had yet to ramp up and regulate these drugs. Today, most hallucinogens are still classified by the DEA as scheduled drugs and are therefore illegal and meticulously controlled and regulated. According to the National Institute on Drug Abuse (2016), roughly 15.4% of people ages 12 and older reported using some form of hallucinogenic drug, a small number when compared to the production and use during the 1960s (NIH, 2016).

5.  Widespread Use

Psychedelics during their height in the 1960s were most readily available as little was known about them in present-day society and therefore drug enforcement laws were scarce. First synthesized by Albert Hoffman in 1943, lysergic acid diethylamide would be the fuel that would ignite the hippie movement of the 1960s. The drug itself was manufactured by the company Hoffman worked for, Sandoz Pharmaceuticals of Switzerland. Although Sandoz let their patent expire in 1966, the drug itself was manufactured until that point and flowed into the United States (Levinthal, 2016, p.113-118). Perhaps two of the biggest key players in the domestic synthesis of LSD during the 1960s were underground chemists Tim Scully and Owsley Stanley. The two with the later inclusion of Nicholas Sand, had several underground labs in the San Francisco Bay Area and Denver, Colorado. In 1964, Owsley was given 400 micrograms of pure LSD that had been manufactured by Sandoz Pharmaceuticals. With this prized batch of pure LSD, Owsley and chemistry undergrad Melissa Cargill set out to synthesize an even purer form of the drug by the end of that year. Their combined efforts would of course be the stepping stone that would lead to the grandeur of the LSD production during the 1960s (Greenfield, 2007). Although the number of individual doses of LSD produced during this timeline is incalculable, combined estimates purport that the combined efforts of LSD producers in the United States (underground chemists, pharmaceutical companies, the CIA) alone may have produced anywhere from many hundreds of millions to potentially a billion doses of LSD (NSDUH, 2002).

6.  Groups Affected

There is little data regarding racial/group demographics of hallucinogen use during this time period seeing as a majority of the drugs themselves were in their infancy stage of social use and introduction and it was not until 1972 that the National Household Survey on Drug Abuse was formed. However, some percentages and estimates do exist. In a survey conducted by the National Household Survey on Drug Abuse (1997) it is estimated that approximately 17% of all Americans reported taking some form of hallucinogenic drug between 1960 and 1970. By the time of the first NHSDA survey conducted in 1972, at least 5% of Americans under the age of 18 had reported trying some sort of psychedelic. In terms of race, the same survey also purports that Whites used hallucinogens at the highest rates, followed by Hispanics, and then Blacks (Hunt, 1997).

7.  Regulations/Laws

Almost all known natural and synthetic hallucinogens are presently considered ‘Scheduled’ drugs by the Drug Enforcement Agency (DEA) in the United States currently (DEA, 2018). On October 24, 1968, Congress amended the Federal Food, Drug, and Cosmetic Act to include banning the use and possession of specifically lysergic acid diethylamide and any other drug (OLRC, 1968). Presently, administering and consuming psychedelics is illegal, however, the Food and Drug Administration has granted use of clinical trial psychedelic testing to a select few physicians. Dr. Michael C. Mithoefer, a psychiatrist in the department of psychiatry and behavioral sciences at the Medical University of South Carolina is one of those few physicians. Dr. Mithoefer has been researching the effects of 3,4-methylenedioxymethamphetamine (MDMA), a Schedule I class hallucinogen since 2001. In his study, Dr. Mithoefer and his team were approved and conducted a randomized, double-blind, dose-response, phase 2 clinical trial that shows promising results of MDMA’s effectiveness in the treatment of post-traumatic stress disorder and other psychotherapies (Mithoefer, 2011).

8.  What Has/Hasn’t Improved

The query of if American society as a whole improved or deteriorated in regard to the use of hallucinogenic drugs is most definitely a complex qualm. After the hippie movement, Americans moved into the age of disco in the 1970s and with disco came cocaine. Although psychedelics were still somewhat popularized, the era of the “Summer of ‘69” had surely passed. In 1971 after President Richard Nixon had declared a “war on drugs” in light of the widespread use of LSD, harsher penalties were enforced on recreational drugs as a whole and deterred such activities to a certain extent (DPA, 2018). It would seem that since the widespread use of psychedelics in the 1960s, the focus has moved to other far more harmful drugs, such as highly addictive pharmaceutical drugs and opiates/opioids. I have read many books from authors such as Michael Pollan, Dr. Richard Strassman, and Timothy Leary and truly believe that psychedelics hold much more than just a “trip”. However, I do not believe it has ever been in the interest of any government in the history of mankind to expand the consciousness of the general populous. Therefore, these drugs remain regulated, restricted, and punishable upon use. My hope is that the archaic mindset of the previous generations of man will come to an end and further use and research (such as Dr. Mithoefer’s) of psychedelics will continue and become more mainstream.

9.  What surprised me most

The most surprising finding in my research is most definitely that some psychedelics (despite being federally illegal) are today being used in clinical research to treat a variety of mental disorders. This is proof that psychedelics still may yet have a chance to reveal some secrets of the human brain and humanity as a whole. I also had a personal realization that I was surprised I had not thought about previously. If the 1960s counter-culture had perhaps operated with a bit more discretion, LSD and other psychedelics may have had a chance to gain social acceptance and even further medical use. Another surprising fact is that our own government admittedly used psychedelics on unsuspecting victims to observe their effects and in fact had their own scientists synthesize LSD and disperse it amongst the American public. This, of course, means that a percentage of the LSD produced during the 1960s, was produced by the United States government.

10.  Harm Reduction vs. Zero Tolerance Laws

Zero Tolerance laws are another perfect example of the archaic mindsets of our American politicians still in office. The only thing that these laws have proven to do are increase the number of Americans currently incarcerated, which in turn costs our entire country more money in prison related costs. Drug addictions, abuse, and mental illness are just a few of the most overlooked issues in the United States presently. Instead of tackling these issues head-on, we have instead tried to find a “quick fix” for these problems with overprescribing and incarceration. At this point, America and her citizens know full well that our government’s tactics in rectifying these issues has and are currently failing at an embarrassing rate. I believe we need to focus more energy on drug abuse/addiction and mental rehabilitation via psychopharmacology and psychiatry. Also, adopting legislation similar to that enacted in 2001 in Portugal with decriminalization of all drugs (to a certain degree) may benefit those in serious need of help (Ferreira, 2017). The key to solving our current drug epidemic does not lie with punishment; it simply lies with helping one another overcome and combat addiction.

thanks,

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