use of spirometry for case finding, diagnosis, and management of chronic, COPD - . About the Position: As the Area Practice Manager, you will oversee the operations of all Pulmonary and Critical Care Services (Critical Care providers only), including overseeing 40+ colleagues including: 11 physicians, 9 providers and APPs, 10 MAs/RNs, 1 Nursing Supervisor, 1 Assistant Clinical Lead, Lung Nodule Nurse Navigator, LN Program . SBAR is an effective and easy-to-use communication tool that divides patient status points to be conveyed into categories. This booklet covers many important topics, such as how bronchiectasis is diagnosed, treatment options, tips for living well and reducing exacerbations, and how to find support for living with bronchiectasis. What is hypertension? The COPD Pocket Consultant Guide (PCG) app is built to support patients with COPD and their family members in self-management and to assist health care professionals in providing optimal care. 3.) CPR - Cardiac Pulmonary Resuscitation by completion of introductory period. 28-7, Emphysema Pathophysiology Hyperinflation of alveoli Destruction of alveolar walls Destruction of alveolar capillary walls Narrowed airways Loss of lung elasticity, Emphysema Pathophysiology Two types: Centrilobular (central part of lobule) Most common Panlobular (destruction of whole lobule) Usually associated with AAT deficiency, Emphysema Pathophysiology Structural changes are: Hyperinflation of alveoli Destruction of alveolar capillary walls Narrowed, tortuous small airways Loss of lung elasticity, Emphysema Pathophysiology Small bronchioles become obstructed as a result of Mucus Smooth muscle spasm Inflammatory process Collapse of bronchiolar walls Recurrent infections production/stimulation of neutrophils and macrophages release proteolytic enzymes alveolar destruction inflammation, exudate, and edema, Emphysema Pathophysiology Elastin and collagen are destroyed Air goes into the lungs but is unable to come out on its own and remains in the lung Causes bronchioles to collapse, Emphysema Pathophysiology Trapped air hyperinflation and overdistention As more alveoli coalesce, blebs and bullae may develop Destruction of alveolar walls and capillaries reduced surface area for O2 diffusion Compensation is done by increasing respiratory rate to increase alveolar ventilation Hypoxemia usually develops late in disease, Emphysema Clinical Manifestations Dyspnea Progresses in severity Patient will first complain of dyspnea on exertion and progress to interfering with ADLs and rest, Emphysema Clinical Manifestations Minimal coughing with no to small amounts of sputum Overdistention of alveoli causes diaphragm to flatten and AP diameter to increase, Emphysema Clinical Manifestations Patient becomes chest breather, relying on accessory muscles Ribs become fixed in inspiratory position, Emphysema Clinical Manifestations Patient is underweight (despite adequate calorie intake), Chronic Bronchitis Pathophysiology Pathologic lung changes are: Hyperplasia of mucus-secreting glands in trachea and bronchi Increase in goblet cells Disappearance of cilia Chronic inflammatory changes and narrrowing of small airways Altered fxn of alveolar macrophages infections, Chronic Bronchitis Pathophysiology Chronic inflammation Primary pathologic mechanism causing changes Narrow airway lumen and reduced airflow d/t hyperplasia of mucus glands Inflammatory swelling Excess, thick mucus, Chronic Bronchitis Pathophysiology Greater resistance to airflow increases work of breathing Hypoxemia and hypercapnia develop more frequently in chronic bronchitis than emphysema, Chronic Bronchitis Pathophysiology Bronchioles are clogged with mucus and pose a physical barrier to ventilation Hypoxemia and hypercapnia d/t lack of ventilation and O2 diffusion Tendency to hypoventilate and retain CO2 Frequently patients require O2 both at rest and during exercise, Chronic Bronchitis Pathophysiology Cough is often ineffective to remove secretions because the person cannot breathe deeply enough to cause air flow distal to the secretions Bronchospasm frequently develops More common with history of smoking or asthma, Chronic Bronchitis Clinical Manifestations Earliest symptoms: Frequent, productive cough during winter Frequent respiratory infections, Chronic Bronchitis Clinical Manifestations Bronchospasm at end of paroxysms of coughing Cough Dyspnea on exertion History of smoking Normal weight or heavyset Ruddy (bluish-red) appearance d/t polycythemia (increased Hgb d/t chronic hypoxemia)) cyanosis, Chronic Bronchitis Clinical Manifestations Hypoxemia and hypercapnia Results from hypoventilation and airway resistance + problems with alveolar gas exchange, COPD Complications Pulmonary hypertension (pulmonary vessel constriction d/t alveolar hypoxia & acidosis) Cor pulmonale (Rt heart hypertrophy + RV failure) Pneumonia Acute Respiratory Failure, COPD Diagnostic Studies Chest x-rays early in the disease may not show abnormalities History and physical exam Pulmonary function studies reduced FEV1/FVC and residual volume and total lung capacity, COPD Diagnostic Studies ABGs PaO2 PaCO2 (especially in chronic bronchitis) pH (especially in chronic bronchitis) Bicarbonate level found in late stages COPD, COPD Collaborative Care Smoking cessation Most significant factor in slowing the progression of the disease, COPD Collaborative Care: Drug Therapy Bronchodilators as maintenance therapy -adrenergic agonists (e.g. Now customize the name of a clipboard to store your clips. COPD. - PowerPoint PPT presentation. For health care professionals, hard copies of the COPD Pocket Consultant Guide, including the treatment decision tree, seven COPD severity domains, the CAT, the mMRC Breathlessness Scale, and listings of brand or generic medications are available for download below. Author: Stephen Gundry is COPD nurse, Newcastle Hospitals NHS Foundation Trust. diagnosis initial investigation, COPD - . COPD- pulmonary hyperinflation- the diaphragms are at the level of the eleventh posterior ribs and appear flat. Work with a versatile nursing presentation for PowerPoint. This article has been double-blind peer reviewed Scroll down to read the article or download a print-friendly PDF here (if the PDF fails to fully . COPD. COLD exacerbation Bacterial infections Streptococcus pneumoniae Haemophilus influenzae Moraxella catarrhalis Mycoplasma pneumoniae or Chlamydia pneumoniae (510% of exacerbations) Viral infections (one-third) No specific precipitant identified (2035%), Symptoms & Signs 3 most common: Cough Sputum production Exertional dyspnea, frequently of long duration, signs and symptoms Dyspnea at rest Prolonged expiratory phase and/or expiratory wheezing on lung examination Decreased breath sounds Barrel chest Large lung volumes and poor diaphragmatic excursion, as assessed by percussion Use of accessory muscles of respiration Pursed lip breathing (predominantly emphysema) Characteristic "tripod" sitting position to facilitate the actions of the sternocleidomastoid, scalene, and intercostal muscles Cyanosis, visible in lips and nail beds. -System-wide nurse referral bonus program - earn up to $6000 per referral. Now customize the name of a clipboard to store your clips. Eneutron. Role includes: -Develop and coordinate the 4 week critical care core program and align with up to date evidence based nursing practice. Chronic Obstructive Pulmonary Disease (COPD) is a condition of chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate. Distributions of forced expiratory volume in 1 s (FEV1)values in a generalpopulation sample, stratified by pack-years of smoking. Chronic Obstructive Pulmonary Disease - COPD. Request an Appointment. management of stable copd shyam rao may 2014. objectives . GOLD Teaching Slide Set. Chronic Obstructive Pulmonary Disease (COPD) Chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema, is a long-term lung disease that makes it hard to breathe. epidemiology . EtiologyCOLD Causal relationship between cigarette smoking and development of COLD has been proven: however, the response varies considerably among individuals. Chronic obstruction of the flow of air through *ctda0&?iOcdr0&O@(L%EUxmsy]r@y9`P We've updated our privacy policy. Designed to support NPs in primary care who play a crucial role in the management of patients with PAH, a rare, complex disease this tool explains the clinical presentations of PAH, provides an overview of treatment options and identifies when patients should be referred to pulmonary hypertension (PH) centers. British Journal of Nursing 17 (21). what is copd?. Causes Most cases of COPD occur as a result . Aim: To describe for areas of improvement in the management of COPD and reduction in emergency department presentations in Queensland. c hronic o bstructive, COPD - . It appears that you have an ad-blocker running. Copyright 2023 Freepik Company S.L. Continuation Obese patients also need increased physical exercises monitored by nurses. Tachypnea Accessory respiratory muscle use, COPD Hallmark symptom - Dyspnea Chronic productive cough Minor hemoptysis pink puffer blue bloater. Presentation on Obesity Name Course Date Introduction Obesity is the excess of . You may decide to use one or two spots . Because this study aimed to explore nurse observations of COPD patients in a naturalistic setting (during home visits), eligible patients were identified and included as a third party during the data collection process. Chronic obstructive pulmonary diseases & Nursing care. Asthma patients can also develop chronic (not fully reversible) airflow obstruction. Like . Pneumothorax, or a collapsed lung, is the collection of air in the spaces around the lungs. INTRODUCTION COPD is the progressive and partially reversible disease of the airway Comprises primarily of two related disease- chronic bronchitis and Emphysema Chronic obstruction of the flow of air through the airway and out of the lungs permanent and progressive obstruction over time. Hallmark symptom - Dyspnea Chronic productive cough Minor hemoptysis pink puffer blue bloater. It is characterized by airflow limitation that is not completely reversible. MDA, Interventional Pulmonary Course 2023, 2/23/2023 7:00:00 AM - 2/24/2023 4:45:00 PM, The activity is designed to review the current concepts and recent advances in interventional pulmonology as it pertains to the cancer patient, and to introduce new technologic advances that are poised to revolutionize the diagnosis, staging, and management of lung cancer. Chronic obstructive pulmonary disease (COPD) is a long-term lung disease that involves the obstruction of airflow due to an inflammation of the lungs. It is important to keep a list of your medications and immunizations handy. Normally, the airways and air sacs in your lungs are elastic or stretchy. She is a passionate nurse, educator and researcher, with research interests in undergraduate nursing education, nursing workforce, chronic illness experience, patient education, health . 20-23 June 2023 Dublin, Ireland. This page was reviewed on January 10, 2023 by the COPD Foundation Content Review and Evaluation Committee. Presentation Transcript. A chest X-ray isn't used to diagnose COPD, but it may help rule out conditions that cause similar symptoms, such as pneumonia. Paige Chavers DNP, ACNP-BC, MSPH: Change in pH with PCO 2 is 0.08 units/10 mmHg acutely and 0.03 units/10 mmHg in the chronic state. Comment The A-a gradient calculation for patient 2 is as follows: PAO2 = 150 (1.25 x PCO2) PAO2 = 150 (1.25 x 50) PAO2 = 150 63 PAO2 = 87 Therefore, A-a = 87 50 =37 (an abnormally increased gradient). Free access to premium services like Tuneln, Mubi and more. Do not sell or share my personal information, 1. Therefore, the pulmonary (breathing) muscles in someone with COPD might require up to 10 times the calories needed by a person without COPD. California University Balance Between Formal Teams Communities of Practice Re California State University Light a Candle or Curse the Darkness.docx, California State University Utilitarianism Kantian Ethics Videos Questions.docx. If you are preparing a presentation about it you can use this Slidesgo proposal. overview of copd recap basic knowledge update, COPD - . The patient and caregiver track contains several helpful tools, including an interactive My COPD Action Plan and activity tracking calendar; inhaler, nebulizer and exercise videos; and a wallet card to track important information such as medications and immunizations. dinner was great, coffee is brewing and you are all debating, COPD - . 270 views. View (Order 4698406) Powerpoint Presentation on Obesity (2).pptx from ENG 246 at North Carolina State University. Operating Room Nurse/ Clinical Research Nurse . 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Views: 991, By: sherry Clipping is a handy way to collect important slides you want to go back to later. Lung cancer Clubbing of the digits is not a sign of COLD.In patients with COLD, development of lung cancer is the most likely explanation for newly developed clubbing. Look around. CPR - Cardiac Pulmonary Resuscitation by completion of introductory period. briefly review the gold classification of copd, COPD - . Click here to review the details. Oxygen Therapy Basics is intended to support individuals who are new to (or curious about) supplemental oxygen therapy. COPD 1 / 32. Nurses beginning clinical practice in critical care and high acuity care areas. At the end of the end of the 16th International Family Nursing Conference, attendees should be able to discuss global advancements in family nursing education for students and professionals. Nursing Times [online]; 116: 4, 27-30. . Fill out this wallet card and carry it with you. The chest x-ray film revealed that this patients overdose was complicated by aspiration pneumonitis and that the patient required treatment with antibiotics in addition to mechanical ventilation. COPD - . People with COPD use more energy while breathing than the average person. Free access to premium services like Tuneln, Mubi and more. Ameritech College of Healthcare, Draper. June 2023. Citation: Gundry S (2019) COPD 1: pathophysiology, diagnosis and prognosis. Chronic Obstructive Pulmonary Disease (COPD) is a common, preventable, and treatable disease that is characterized by persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities, usually caused by significant exposure to noxious particles or gases. Course Hero is not sponsored or endorsed by any college or university. or chronic bronchitis that was dr bruce davies. It has a simple style, with a white background and light blue waves and . Smoking is the most common cause. progressive obstruction over time. Objective data is also assessed. The tri-fold card. Youll also find a list of resources for more help managing your COPD. The app. 2023 CrystalGraphics, Inc. All rights Reserved. -System-wide nurse referral bonus program - earn up to $6000 per referral. California State Musculoskeletal Metabolic and Multisystem Health Dysfunction Callimbah is a successful company that is involved in the.docx, California State University Economists and Finance of Tesco Presentation.docx. While you should always discuss treatments with your health care provider, this poster covers currently-approved treatment options. 28-16 Positions for Postural Drainage, COPD Collaborative Care Encourage patient to remain as active as possible, COPD Collaborative Care Surgical Therapy Lung volume reduction surgery Lung transplant, COPD Collaborative Care Nutritional therapy Full stomachs press on diaphragm causing dyspnea and discomfort Difficulty eating and breathing at the same time leads to inadequate amounts being eaten, COPD Collaborative Care Nutritional therapy To decrease dyspnea and conserve energy Rest at least 30 minutes prior to eating Use bronchodilator before meals Select foods that can be prepared in advance 5-6 small meals to avoid bloating Avoid foods that require a great deal of chewing Avoid exercises and treatments 1 hour before and after eating, COPD Collaborative Care Nutritional therapy Avoid gas-forming foods High-calorie, high-protein diet is recommended Supplements Avoid high carbohydrate diet to prevent increase in CO2 load, Nursing Management Nursing Diagnoses Ineffective airway clearance Impaired gas exchange Imbalanced nutrition: less than body requirements Disturbed sleep pattern Risk for infection, Nursing Management Nursing Implementation Health Promotion STOP SMOKING!!! CrystalGraphics, Inc. 1999 S. Bascom Avenue Suite 700 Campbell, CA 95008 USA. Clipping is a handy way to collect important slides you want to go back to later. Updated November 2021. Chest X-ray. advance their professional expertise with presentations and earn more on top of their base rate.-High Reliability Organization (HRO): MedStar is an HRO. Comment Patient 2, on the other hand, had an increased A-a gradient, indicating a lung problem in addition to any central cause for hypoventilation. Acute exacerbations of chronic obstructive pulmonary disease (COPD) are a risk factor for disease deterioration, 1 and patients with frequent exacerbations have increased mortality. Nurse-driven COPD self-management programs can be influential in an ACO's strategy to decrease avoidable utilization and cost. A person with COPD may have chronic bronchitis . All our first aid presentations are free to download & use when delivering first aid training or classes. NURSE NP. COPD: CHRONIC OBSTRUCTIVE PULMONARY DISEASE Callie Cluf WHAT IS COPD: COPD is a common pulmonary disease that. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. It has a simple style, with a white background and light blue waves and lines, which convey elegance and serenity. pulmonary edema; North Carolina State University . experiencing shortness of breath at rest or with minimal activity, such as walking from one room to another. chronic bronchitis and Emphysema . By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. Expert Help. The air is therefore trapped in the lungs, making it hard for the lungs to send the right amount of oxygen to the rest of the body (McCance & Huether, 2019). COPD can lead to increased vulnerability by exclusion from participating fully in society. CT scan. NUR. The good news is COPD is often preventable and . Cigar and pipe smoking Passive (secondhand) smoking Associated with reductions in pulmonary function Its status as a risk factor for COLD remains uncertain. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. INCIDENCE COPD is the 5th leading cause of death in . COPD. In the United States alone it affects about 16 million people. Nursing Management Nursing Implementation Ambulatory and Home Care Discourage moving to places above 4000 ft. The presentation must educate advanced practice nurses on assessment and care/treatment, including . Send us a message and help improve Slidesgo. Mr. Yahye Sheikh Abdulle Msc Nursing 1st year Kle college of Nursing Chronic obstructive pulmonary diseases 2. The COPD Foundation is a nonprofit, tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code. Now customize the name of a clipboard to store your clips. MORE AMOUNT OF SPUTUM. We've updated our privacy policy. An X-ray can also rule out other lung problems or heart failure. Advanced disease: signs of cor pulmonale Elevated jugular venous distention Right ventricular heave Third heart sound Hepatic congestion Ascites Peripheral edema, Differential Diagnosis Congestive heart failure Asthma Bronchiectasis Obliterative bronchiolitis Pneumonia Tuberculosis Atelectasis Pneumothorax Pulmonary embolism. COPD (CHRONIC PULMONARY OBSTRUCTIVE DISEASE) by SUKHERA. juliana tambellini university of pittsburgh. 7pm. Inhalation of gases and particles is thought, Air-trapping (when the alveoli fill with CO2. pulmonary diseases. A focused respiratory system assessment includes collecting subjective data about the patient's history of smoking, collecting the patient's and patient's family's history of pulmonary disease, and asking the patient about any signs and symptoms of pulmonary disease, such as cough and shortness of breath. Blood gases provide additional information about alveolar ventilation and acidbase status by measuring arterial PCO 2 and pH. Change size. 1) suspect copd - prolonged or recurrent cough, dyspnea, or, COPD - . Separately COPD is more costly per case than . Ventolin) MDI or nebulizer preferred Anticholinergics (e.g. 2. Views: 355, By: DrDwayne Decreased quality of life. Contact Hours: 42.5 This nursing continuing professional development activity was approved by the American Association of Critical-Care Nurses, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Energy-conserving tips are presented. Art of Assertive Commnunication, how to be visible in social media by Shreed UiPath Automation Cloud Robots - Best Practises session 2.pptx, How To Restore Tree From Ancestry To Family Tree Maker, INVERTING BUCK-BOOST DCDC CONVERTER DESIGN CHALLENGES. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. Mr. ANILKUMAR B R , Lecturer Chronic obstructive pulmonary disease ppt, Chronic obstructive pulmonary disease by aminu arzet, CODP ( Chronic Obstructive Pulmonary Disease ), COPD - Chronic obstructive pulmonary disease - Aby, Pharmacotherapy of Chronic Obstructive Pulmonary Disease, Chronic Obstructive Pulmonary Disease (COPD). Emphysema what is, COPD - . Seventh National Doctors of Nursing Practice Conference Poster Presentations Click the title of the presentation to view the poster in PDF. When you breathe in, the airways bring air to the air sacs. . The disease affects millions of Americans and is a leading cause of disability and death in the U.S. Chronic obstructive pulmonary disease by aminu arzet, Copd(chronic obstructive pulmonary disease), Chronic Obstructive Pulmonary Disease (COPD), Chronic obstructive pulmonary disease ppt, chronic obstructive pulmonary disease in equine. Do not sell or share my personal information, 1. alison boland str respiratory medicine. Chronic bronchitis without chronic airflow obstruction is not COLD. Electrocardiography may detect signs of ventricular hypertroph, Classification GOLD stage Classification based on pathologic type, 2023 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. COPD COMPLETE POWER POINT AS PER GOLD. chronic obstructive pulmonary disease in equine, COPD (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslam, Chronic obstructive pulmonary disease (copd) power point, Nursing care plans, concept map bronhial asthma, Introduction & investigations to respiratory diseases, L'Docile - Respiratory diseases & nebulization Report, J. Parker Emphysema Presentation Powerpoint, COPD - Chronic Obstructive Pulmonary Disease |medico X| Pathology. 2003. definition. COPD - . Retrieved February 07, 2009 from Health Source: Nursing and Academic Edition Database. Weakness. by Anna Curran. feeling excessively sleepy or confused. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Chronic obstructive pulmonary disorders COPD is a [preventable and treatable disease with some significant extra pulmonary effects that may contribute to the severity in individual clients. Hypertensionor high blood pressurecan happen steadily over long periods of time and have no clear cause, called primary hypertension,. cydnee patterson, ali lubbers, nicole newinger , heidi proudfoot & kaitlin oudshoorn. Uploaded on Sep 27, 2014. Chronic obstructive pulmonary disease, also known as COPD, encompasses a group of diseases that cause problems with breathing. These include: Average cost of hospital stay for ten days = $10,000. Number of Views: 87. If you have COPD, using less energy with daily tasks can help you have more energy to do more activities during the day. The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. COPD further branches into three specific lung conditions: emphysema, chronic bronchitis, and refractory asthma. COPD - . Serum level of 1AT should be measured in some patients. Chronic obstructive pulmonary disease (COPD)is a disease state characterized by airflow limitation that is not fully reversible. Takeaway. Asthma Reduced forced expiratory volume in 1 second (FEV1) in COLD seldom shows large responses (>30%) to inhaled bronchodilators, although improvements up to 15% are common. Many in this series of 12- to 20 . Considerations COLD is present only if chronic airflow obstruction occurs. Activate your 30 day free trialto unlock unlimited reading. Download GOLD Teaching Slide Set. Considerations Problems other than COLD should be suspected when hypoxemia is difficult to correct with modest levels of supplemental oxygen. If you would like to sign up for our eNewsletter please click the button below. Copd 1. COPD - Physical Findings Tachypnea Accessory respiratory muscle use Pursed lip exhalation Weight loss due to poor dietary intake and excessive caloric expenditure for work of breathing, Dominant Clinical Forms of COPD Pulmonary emphysema Chronic bronchitis Most patients exhibit a mixture of symptoms and signs, COPD - Advanced Dx secondary polycythemia cyanosis tremor somnolence and confusion due to hypercarbia Secondary pulmonary HTN w or w/o cor pulmonale, COPD Treatment Strategy Elimination of extrinsic irritants bronchodilator & glucocorticoid therapy Antibiotics Mobilization of secretions respiratory vaccines Oxygen therapy - if oxygen saturation <90% at rest on room air, A-a gradient A-a gradient = predicted pO2 observed PO2 PAO2 = (FIO2 X 713) (PaCO2/0.8) at sealevel PAO2 = 150-(PaCO2/0.8) at sealevel on room air Normal range 10-15mm > 30 years of age Normal range 8mm < 30 years of age Increased A-aDO2=diffusion defect Right to left shunt V/Q mismatch, Examples A doubel overdose brings two 30 yr old patients to the ED. Appointments & Locations. It can be very helpful to have an action plan to follow when managing your COPD. This booklet may also be beneficial to caregivers as well. "A key piece of learning for us was to create different presentations for different audiences so you can really target your . Chronic obstructive pulmonary disease (copd) power point. Activate your 30 day free trialto continue reading. Ambient air pollution The relationship of air pollution to COLD remains unproven. COPD: Conserving Your Energy. within 30 Days Required ; In review, COPD causes the flow of air out of the lungs to be blocked. Chronic obstructive pulmonary disorders COPD. michele ritter, m.d. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data.
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