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Kumar D, Suthar N. Predictive analytics and early intervention in healthcare social work: a scoping review. SOCIAL WORK IN HEALTH CARE 2024; 63:208-229. [PMID: 38349783 DOI: 10.1080/00981389.2024.2316700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 01/05/2024] [Indexed: 02/15/2024]
Abstract
This scoping review investigates the untapped potential of predictive analytics in healthcare social work, specifically targeting early intervention frameworks. Despite the escalating attention predictive analytics has garnered across multiple disciplines, its tailored application in social work remains notably sparse. This study endeavors to fill this lacuna by meticulously reviewing the extant literature and delineating the prospective advantages and inherent constraints of integrating predictive analytics into healthcare social work. The outcomes of this inquiry enrich the prevailing dialogue on the utility of predictive analytics in healthcare, offering indispensable perspectives for practitioners and policymakers in the social work domain.
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Affiliation(s)
- Dinesh Kumar
- Faculty of Business and Applied Arts, Lovely Professional University, Mittal School of Business, Phagwara, India
| | - Nidhi Suthar
- Administration, Pomento IT Services, Hisar, India
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Lapchmanan LM, Hussin DA, Mahat NA, Ng AH, Bani NH, Hisham S, Teh WS, A Aziz MA, Maniam S, Dollah P, Hasbullah NA, Manimaran S, Hassan H, Zulkernain F. Developing criteria for a profession to be considered as profession of allied health in Malaysia: a qualitative study from the Malaysian perspective. BMC Health Serv Res 2024; 24:165. [PMID: 38308291 PMCID: PMC10835829 DOI: 10.1186/s12913-024-10569-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 01/05/2024] [Indexed: 02/04/2024] Open
Abstract
BACKGROUND The Malaysian Allied Health Profession Act (Act 774) regulates the practice of allied health practitioners in Malaysia, with two described professions viz. allied health profession (AHP) and profession of allied health (PAH). While AHPs have been clearly identified by the law, comprehensive implementation of the act requires development of specific criteria in defining any profession as PAH in the Malaysian context. Hence, the research aims to explore and identify the criteria for defining such professions for healthcare policy direction in Malaysia. METHODS This research utilised two methods of qualitative research (document review and focus group discussions (FGDs) involving 25 participants from four stakeholders (higher education providers, employers, associations and regulatory bodies). Both deductive and inductive thematic content analysis were used to explore, develop and define emergent codes, examined along with existing knowledge on the subject matter. RESULTS Sixteen codes emerged from the FGDs, with risk of harm, set of competency and skills, formal qualification, defined scope of practice, relevant training and professional working within the healthcare team being the six most frequent codes. The frequencies for these six codes were 62, 46, 40, 37, 36 and 18, correspondingly. The risk of harm towards patients was directly or indirectly involved with patient handling and also relates to the potential harms that may implicate the practitioners themselves in performing their responsibilities as the important criterion highlighted in the present research, followed by set of competency and skills. CONCLUSIONS For defining the PAH in Malaysia, the emerged criteria appear interrelated and co-exist in milieu, especially for the risk of harm and set of competency and skills, with no single criterion that can define PAH fully. Hence, the integration of all the empirically identified criteria must be considered to adequately define the PAH. As such, the findings must be duly considered by policymakers in performing suitable consolidation of healthcare governance to formulate the appropriate regulations and policies for promoting the enhanced framework of allied health practitioners in Malaysia.
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Affiliation(s)
| | - Duratul Ain Hussin
- Allied Health Sciences Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Naji Arafat Mahat
- Department of Chemistry, Faculty of Science, Universiti Teknologi Malaysia, Johor Bahru, Johor, Malaysia
- Centre for Sustainable Nanomaterials, Ibnu Sina Institute for Scientific and Industrial Research, Universiti Teknologi Malaysia, Johor Bahru, Johor, Malaysia
- Centre of Research for Fiqh Forensics and Judiciary, Faculty of Syariah and Law, Universiti Sains Islam Malaysia, Nilai, Negeri Sembilan, Malaysia
| | - Aik Hao Ng
- Faculty of Medicine, Universiti Malaya, Kuala, Lumpur, Malaysia
| | - Nurul Huda Bani
- Audiology Unit, Department of Rehabilitation Medicine, Cheras Rehabilitation Hospital, Kuala Lumpur, Malaysia
| | - Salina Hisham
- Department of Forensic Medicine, Hospital Sultan Idris Shah Serdang, Selangor, Malaysia
| | - Wai Siew Teh
- Nutrition Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Mohd Azmarul A Aziz
- School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Saravanakumar Maniam
- Allied Health Sciences Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Pauzilah Dollah
- Allied Health Sciences Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Nur Atiqah Hasbullah
- Allied Health Sciences Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Salini Manimaran
- Allied Health Sciences Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Hazirah Hassan
- Allied Health Sciences Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Farina Zulkernain
- Allied Health Sciences Division, Ministry of Health Malaysia, Putrajaya, Malaysia
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Li C, Zhu P, Loveless C. Counselors’ challenging experience in integrated behavioral healthcare: A qualitative exploration. COUNSELOR EDUCATION AND SUPERVISION 2022. [DOI: 10.1002/ceas.12258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Chi Li
- Department of Counseling Educational Psychology and Research The University of Memphis Memphis Tennessee USA
| | - Peitao Zhu
- Department of Counseling and Higher Education Northern Illinois University Dekalb Illinois USA
| | - Courtney Loveless
- Department of Counseling Educational Psychology and Research The University of Memphis Memphis Tennessee USA
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McGilton KS, Bowers BJ, Resnick B. The Future Includes Nurse Practitioner Models of Care in the Long-Term Care Sector. J Am Med Dir Assoc 2022; 23:197-200. [PMID: 35123700 PMCID: PMC8807196 DOI: 10.1016/j.jamda.2021.12.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 11/25/2021] [Accepted: 12/03/2021] [Indexed: 10/27/2022]
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Ruiz LM. Multidisciplinary team attitudes to an advanced nurse practitioner service in an emergency department. Emerg Nurse 2020; 28:33-42. [PMID: 30277346 DOI: 10.7748/en.2018.e1793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/26/2018] [Indexed: 06/08/2023]
Abstract
AIM The aim of this study was to examine an emergency department's (ED) multidisciplinary teams' (MDTs) attitudes towards an advanced nurse practitioner (ANP) service. The ED in question is not the author's place of work. METHOD A Likert-type questionnaire was used to gain a total attitude score (TAS), which was analysed in relation to participants' gender, age, professional background, level of education and years of experience in the ED, as well as previous and current contact with emergency nurse practitioners and/or ANPs. A total of 115 questionnaires were distributed, and respondents included doctors, nurses, managers, pharmacists, radiographers and a physiotherapist. Participants provided qualitative data to explain their choices, and were asked to describe positive and negative aspects of an ANP service. The data were analysed using a mixed-methods approach. FINDINGS The TASs were generally positive and there were no statistical differences between the professional groups, although there was some resistance from participants. CONCLUSION Overall, the MDT believes the ANP service will improve patient care, waiting times, team divisions and patients' experiences in the ED if the roles and responsibilities are clearly defined and communicated. In addition, the service should receive enough funding to ensure its sustainability and appropriate supervision by a senior doctor should be made available.
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Affiliation(s)
- Lorena Medina Ruiz
- Emergency department, Dartford and Gravesham NHS Trust, Dartford, England
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Relationship between Continuity of Care in the Multidisciplinary Treatment of Patients with Diabetes and Their Clinical Results. APPLIED SCIENCES-BASEL 2019. [DOI: 10.3390/app9020268] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Multidisciplinary treatment and continuity of care throughout treatment are important for ensuring metabolic control and avoiding complications in diabetic patients. This study examines the relationship between continuity of care of the treating disciplines and clinical evolution of patients. Data from 1836 adult patients experiencing type 2 diabetes mellitus were analyzed, in a period between 12 and 24 months. Continuity was measured by using four well known indices: Usual Provider Continuity (UPC), Continuity of Care Index (COCI), Herfindahl Index (HI), and Sequential Continuity (SECON). Patients were divided into five segments according to metabolic control: well-controlled, worsened, moderately decompensated, highly decompensated, and improved. Well-controlled patients had higher continuity by physicians according to UPC and HI indices (p-values 0.029 and <0.003), whereas highly decompensated patients had less continuity in HI (p-value 0.020). Continuity for nurses was similar, with a greater continuity among well-controlled patients (p-values 0.015 and 0.001 for UPC and HI indices), and less among highly decompensated patients (p-values 0.004 and <0.001 for UPC and HI indices). Improved patients had greater adherence to the protocol than those who worsened. The SECON index showed no significant differences across the disciplines. This study identified a relationship between physicians and nurse’s continuity of care and metabolic control in patients with diabetes, consistent with qualitative findings that highlight the role of nurses in treatment.
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Willgerodt M, Sonney J, Liner D, Barchet L. The Power of a Team: Using Unfolding Video Cases in Interprofessional Education for Advanced Health Trainees. MEDEDPORTAL : THE JOURNAL OF TEACHING AND LEARNING RESOURCES 2018; 14:10707. [PMID: 30800907 PMCID: PMC6342377 DOI: 10.15766/mep_2374-8265.10707] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2017] [Accepted: 03/16/2018] [Indexed: 05/12/2023]
Abstract
Introduction Few interprofessional (IP) learning opportunities are designed specifically for advanced health learners who are early in their training yet have already had some clinical experience. This group of learners requires activities that are didactic based but extend beyond the introductory IP curricula typically geared towards prelicensure students. This highly interactive curriculum aims to fill that gap in the literature. Methods An interprofessional case-writing team created two unfolding video cases-a mother-infant dyad seeking care and an elderly non-English-speaking man experiencing disjointed care-for a large IP event with doctors of nursing practice (DNPs), pharmacy practice, and dental science, masters in social work, and physician assistant (PA) trainees, individualized to learner interest. The team also developed a highly detailed faculty guide, including specific talking points, to assist IP teams of faculty facilitators. Learners were evaluated using a Likert-scale postsession survey and open-ended questions. Qualitative data were analyzed for themes related to the objectives. Results Survey results indicated that learning objectives were met and students were highly satisfied with the overall curriculum. Mean scores for organization, utility, and facilitation effectiveness were all above 4.6 (range: 1-5), with the DNP, pharmacy, and PA students indicating higher levels of satisfaction compared to the other professions. Faculty feedback was very positive, particularly with respect to the faculty guide. Discussion Challenges were concentrated around implementation of the curriculum rather than the curriculum itself. This curriculum can be used with a variety of learners with minimal adaptation of discussion questions.
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Affiliation(s)
- Mayumi Willgerodt
- Associate Professor, Department of Family and Child Nursing, University of Washington School of Nursing
| | - Jennifer Sonney
- Assistant Professor, Department of Family and Child Nursing, University of Washington School of Nursing
| | - Debra Liner
- Program Manager, Department of Family and Child Nursing, University of Washington School of Nursing
- Co-Assistant Director, Center for Health Sciences Interprofessional Education, Research and Practice, University of Washington
| | - Laurel Barchet
- Program Coordinator, Center for Health Sciences Interprofessional Education, Research and Practice, University of Washington
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Saint-Pierre C, Herskovic V, Sepúlveda M. Multidisciplinary collaboration in primary care: a systematic review. Fam Pract 2018; 35:132-141. [PMID: 28973173 DOI: 10.1093/fampra/cmx085] [Citation(s) in RCA: 87] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
BACKGROUND Several studies have discussed the benefits of multidisciplinary collaboration in primary care. However, what remains unclear is how collaboration is undertaken in a multidisciplinary manner in concrete terms. OBJECTIVE To identify how multidisciplinary teams in primary care collaborate, in regards to the professionals involved in the teams and the collaborative activities that take place, and determine whether these characteristics and practices are present across disciplines and whether collaboration affects clinical outcomes. METHODS A systematic literature review of past research, using the MEDLINE, ScienceDirect and Web of Science databases. RESULTS Four types of team composition were identified: specialized teams, highly multidisciplinary teams, doctor-nurse-pharmacist triad and physician-nurse centred teams. Four types of collaboration within teams were identified: co-located collaboration, non-hierarchical collaboration, collaboration through shared consultations and collaboration via referral and counter-referral. Two combinations were commonly repeated: non-hierarchical collaboration in highly multidisciplinary teams and co-located collaboration in specialist teams. Fifty-two per cent of articles reported positive results when comparing collaboration against the non-collaborative alternative, whereas 16% showed no difference and 32% did not present a comparison. CONCLUSION Overall, collaboration was found to be positive or neutral in every study that compared collaboration with a non-collaborative alternative. A collaboration typology based on objective measures was devised, in contrast to typologies that involve interviews, perception-based questionnaires and other subjective instruments.
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Affiliation(s)
- Cecilia Saint-Pierre
- Department of Computer Science, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Valeria Herskovic
- Department of Computer Science, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Marcos Sepúlveda
- Department of Computer Science, Pontificia Universidad Católica de Chile, Santiago, Chile
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Petersen PA, Way SM. The role of physician oversight on advanced practice nurses’ professional autonomy and empowerment. J Am Assoc Nurse Pract 2017; 29:272-281. [DOI: 10.1002/2327-6924.12444] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Accepted: 12/16/2016] [Indexed: 11/06/2022]
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Schadewaldt V, McInnes E, Hiller JE, Gardner A. Experiences of nurse practitioners and medical practitioners working in collaborative practice models in primary healthcare in Australia - a multiple case study using mixed methods. BMC FAMILY PRACTICE 2016; 17:99. [PMID: 27473745 PMCID: PMC4966821 DOI: 10.1186/s12875-016-0503-2] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/09/2016] [Accepted: 07/21/2016] [Indexed: 11/21/2022]
Abstract
Background In 2010 policy changes were introduced to the Australian healthcare system that granted nurse practitioners access to the public health insurance scheme (Medicare) subject to a collaborative arrangement with a medical practitioner. These changes facilitated nurse practitioner practice in primary healthcare settings. This study investigated the experiences and perceptions of nurse practitioners and medical practitioners who worked together under the new policies and aimed to identify enablers of collaborative practice models. Methods A multiple case study of five primary healthcare sites was undertaken, applying mixed methods research. Six nurse practitioners, 13 medical practitioners and three practice managers participated in the study. Data were collected through direct observations, documents and semi-structured interviews as well as questionnaires including validated scales to measure the level of collaboration, satisfaction with collaboration and beliefs in the benefits of collaboration. Thematic analysis was undertaken for qualitative data from interviews, observations and documents, followed by deductive analysis whereby thematic categories were compared to two theoretical models of collaboration. Questionnaire responses were summarised using descriptive statistics. Results Using the scale measurements, nurse practitioners and medical practitioners reported high levels of collaboration, were highly satisfied with their collaborative relationship and strongly believed that collaboration benefited the patient. The three themes developed from qualitative data showed a more complex and nuanced picture: 1) Structures such as government policy requirements and local infrastructure disadvantaged nurse practitioners financially and professionally in collaborative practice models; 2) Participants experienced the influence and consequences of individual role enactment through the co-existence of overlapping, complementary, traditional and emerging roles, which blurred perceptions of legal liability and reimbursement for shared patient care; 3) Nurse practitioners’ and medical practitioners’ adjustment to new routines and facilitating the collaborative work relied on the willingness and personal commitment of individuals. Conclusions Findings of this study suggest that the willingness of practitioners and their individual relationships partially overcame the effect of system restrictions. However, strategic support from healthcare reform decision-makers is needed to strengthen nurse practitioner positions and ensure the sustainability of collaborative practice models in primary healthcare. Electronic supplementary material The online version of this article (doi:10.1186/s12875-016-0503-2) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Verena Schadewaldt
- Faculty of Health Sciences, School of Nursing Midwifery and Paramedicine, Australian Catholic University, Melbourne, Australia.
| | - Elizabeth McInnes
- Nursing Research Institute, St Vincent's Health Australia/Australian Catholic University, Sydney, Australia
| | - Janet E Hiller
- School of Health Sciences, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Australia.,School of Public Health, University of Adelaide, Adelaide, Australia
| | - Anne Gardner
- Faculty of Health Sciences, School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Canberra, Australia.,James Cook University, Townsville, Australia
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Raeburn T, Hungerford C, Sayers J, Escott P, Lopez V, Cleary M. Leading a Recovery-oriented Social Enterprise. Issues Ment Health Nurs 2015; 36:362-9. [PMID: 26090553 DOI: 10.3109/01612840.2015.1011760] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Recovery-oriented mental health services promote the principles of recovery, such as hope and optimism, and are characterized by a personalized approach to developing consumer self-determination. Nurse leaders are increasingly developing such services as social enterprises, but there is limited research on the leadership of these programs. Leading a recovery-oriented mental health nurse social enterprise requires visionary leadership, collaboration with consumers and local health providers, financial viability, and commitment to recovery-focused practice. This article describes the framework of an Australian mental health nursing social enterprise, including the service attributes and leadership lessons that have been learned from developing program sustainability.
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Affiliation(s)
- Toby Raeburn
- University of Sydney, Sydney Nursing School, Camperdown , Sydney, New South Wales , Australia
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Farrell K, Payne C, Heye M. Integrating interprofessional collaboration skills into the advanced practice registered nurse socialization process. J Prof Nurs 2014; 31:5-10. [PMID: 25601240 DOI: 10.1016/j.profnurs.2014.05.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2013] [Indexed: 10/25/2022]
Abstract
The emergence of interprofessional collaboration and practice as a means to provide patient-centered care and to decrease the current fragmentation of health care services in the 21st century provides a clear and unique opportunity for the advanced practice registered nurse (APRN) to assume a key role. For APRNs and other health care providers, to participate effectively as team members requires an interprofessional mindset. Development of interprofessional skills and knowledge for the APRN has been hindered by a silo approach to APRN role socialization. The Institute of Medicine Report (IOM; 2010) states that current health care systems should focus on team collaboration to deliver accessible, high-quality, patient-centered health care that addresses wellness and prevention of illness and adverse events, management of chronic illness, and increased capacity of all providers on the team. The purpose of this article is to demonstrate the need to incorporate interprofessional education (IPE) into the socialization models used in advanced practice nursing programs. IPE requires moving beyond profession-specific educational efforts to engage students of different health care professions in interactive learning. Being able to work effectively as member of a clinical team while a student is a fundamental part of that learning (Interprofessional Education Collaborative Expert Panel, 2011). The objective of IPE curriculum models in graduate nursing programs is to educate APRNs in the development of an interprofessional mindset. Interprofessional collaboration and coordination are needed to achieve seamless transitions for patients between providers, specialties, and health care settings (IOM, 2010). Achieving the vision requires the continuous development of interprofessional competencies by APRNs as part of the learning process, so that upon entering the workforce, APRNs are ready to practice effective teamwork and team-based care. Socialization of the professional APRN role must integrate interprofessional competencies and interactions to prepare APRNs accordingly.
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Affiliation(s)
- Kathleen Farrell
- Professor of Nursing, Murray State University, Murray, KY 42017..
| | - Camille Payne
- Professor of Nursing, WellStar School of Nursing, Kennesaw State University, Kennesaw, GA 30144..
| | - Mary Heye
- Professor of Nursing, University Texas Health Science Center at San Antonio, TX..
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