Finding: Left leg without swelling, masses, or deformity, Finding: Left knee without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left ankle without swelling, masses, or deformity. (800) 860-3241 | Help Desk (support.shadowhealth/) | Terms of Service (/static/terms_of_service) | Privacy Policy (/static/privacy_policy) | Patents Im sleeping a lot better now, which is a relief. Idiomy- kolory (niebieski) 17 terms. Pro Tip: Skin changes are common in patients with uncontrolled diabetes. her treatment plan and the degree to which she is following it. diabetes Brother (Michael, 25): overweight, Sister (Britney, 14): asthma Maternal grandmother: died at age 73 of a stroke, history of hypertension, She states that she feels healthy, is taking better care of herself than in the past and is looking forward to beginning the new job. freely and without contradiction. Comprehensive Assessment Tina Jones Shadow Health Transcript. She states that she has some soreness when swallowing, but, otherwise no other associated symptoms. Comprehensive Assessment Tina Jones Shadow Health Transcript. She has a history of hypertension which normalized when she initiated diet and exercise. No. runs all day and is clear discharge. Finding: Acanthosis nigricans noted on neck. What is now thought to be the most important causative agent in cervical cancer? Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. Samantha_Smith654. 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(Clarified to Do you have drainage from your ears?. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment. Tina gets headache and blurry visions when she is reading or studying for too long. He had high blood pressure and cholesterol, and diabetes toothe same kind as me. No pain with palpation of frontal or maxillary sinuses. Finding: Reports that eating probiotic yogurt helps with side effects and they have abated over time. Example Question: How long ago did you start taking birth control? Last Updated: 30 November 2021. She complains Case - Nr 509 week 1 shadow health history assignment objective data collection 25. Poppa died of a heart attack when he was 80. . Asking Tina if she still has her inhaler will indicate her treatment plan and the degree to which she is following it. Reason for Visit ptosis, no edema, conjunctiva clear and injected. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. She does not exercise. alternating movements bilaterally. Hover over thePatient Dataitems below to reveal important information, includingPro Tips. Oral mucosa moist without ulcerations or A comprehensive physical assessment provides fundamental, personalized knowledge about a patient and creates the basis for health promotion through education and counseling (Bickley & Szilagyi, 2013). exposures to sick individuals. That stuff can mess you up. Shadow Health Final. Nails free of ridges or abnormalities. Objective. Denies increased She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. I will be conducting an interview and a physical exam. Well-groomed, easily engages in conversation and is cooperative. i want to compare my answers with the experts 1. Attempting to palpate the kidney helps determine enlargement or tenderness. history of present illness, HPI: "pre-employment physical" prior to initiating employment. OBJECTIVE. No! Ive maybe used it twice since I came in with those asthma problems. Tina Jones Shadow Health Gastrointestinal Objective.pdf. Denies Tests of cerebellar function normal. Example Question: How often do you use your rescue inhaler? Pro Tip: Inspecting the conjunctiva and sclera for color changes, swelling, and increased vascularity helps to identify an infection or underlying condition. Shadow Health 2012 - 2021 Family History. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. quizlette. Type 2 diabetes diagnosed at age 24. I took something for my acne. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. Expert Help. She states that her eyes ar, constantly itchy and she has not attempted any eye specic. First sexual encounter at age 18, sex with men, identifies as heterosexual. (shadowhealth/patents), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Advanced Clinical Practice for Nurse Educators (Adv, Tina gets headache and blurry visions when she is reading or, studying for too long. physics. Plus I have my friends from church. . taste, dry mouth, pain, sores, issues with gum, tongue, or jaw. Comprehensive Assessment Tina Jones Shadow Health Transcript, Any issue with your gums? Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will allow you to develop a comprehensive health history. Bilateral eyes with equal hair distribution on lashes and eyebrows, lids Skin on neck has stopped darkening and facial and body hair has improved. Does your dads father have health issues? 10. alcohol, and illicit drugs. Pro Tip: Follow up questions about Tinas birth control prescription can help you to understand how effectively she complies with her treatment plan. Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. FNP175435PLUS Shadow health comprehensive assessment. Shadow Health | Tina Jones . 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Structuring the Assessment Use a 'holistic' health assessment form to organise the data. Eyes: She does not wear corrective lenses, but notes that her little. All Rights Reserved. Example Question: Are you taking any medication for your allergies? Pulse ox 99% Sign in for direct access to Shadow Health's Digital Clinical Experiences, state-of-the-art simulations that put the patient at the forefront of the learning experience. episode. Last visit to optometrist 3 months ago. homework. Lets see . (Clarified to if my younger sister has health problems. Ears: Denies hearing loss, tinnitus, vertigo, discharge, or earache. Asking Tina what triggers her allergies will indicate, in part, Tinas health literacy. 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Mouth/Throat: Moist buccal mucosa, no wounds visualized. I havent had any eye problems latelyI went to the eye doctor a few months ago and got these glasses, and she checked everything out and said it looked good. In the Comprehensive Assessment, you earn points by performing the physical assessments. Nose: Septum is midline, nasal mucosa is boggy and pale She does not exercise. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. yoga, or swimming. (headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps). -Peanut, fish, gluten, lactose, onion, sulfa medication, opiate medications, latex allergies. Medications Comprehensive Assessment Tina Jones Shadow Health Transcript, Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) Metformin, 850 mg PO BID (last use: this morning) Drospirenone and ethinyl estradiol PO QD (last use: this morning) Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) Acetaminophen 500-1000 mg PO prn (headaches) Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago). Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Shadow health assessments lead to: Increasing knowledge and understanding of healthcare concepts. The following details are facts, Pro Tip: Determining if the patient has any current acute health problems is essential in conducting a. productive exam and prioritzing the patient's needs. She denies changes in her hearing, trishpallaria. of a strong, thorough interview with this patient. no hemorrhages. Finding: EOMs intact bilaterally, no nystagmus. Pro Tip: Palpating the spleen identifies enlargement or displacement, which can indicate several serious health conditions. . The estimated average time to complete this assignment each time is 3 hours. She changes her sheets weekly and . -Ms. Jones Head is normocephalic, atraumatic. She is alert and oriented. Things are pretty good between all of uswere a tight knit family. Comprehensive Health Assessment. Pro Tip: Soliciting a shallow history of a patients medication history can reveal recent exacerbation. Wears corrective lenses. ), Nothing is coming out of my ears. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Finding: Followed up on seasonal allergies Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Reports no recent seasonal allergy symptoms. Asking Tina if she takes vitamins will indicate her current treatment plan. Jaw with no clicks, full range of motion. Temp 99. Asking Tina if she has a rescue inhaler for her asthma will indicate her treatment plan and the degree to which she complies with it. Hello, my name is Tammy. with positive light reflex bilaterally. The following details are facts of t, Reports needing a pre-employment physical, Asked about last visit to a healthcare provider, Last visit to a healthcare provider was 4 months, Reason for last visit was annual gynecological, Last general physical examination was 5 months, ago when she was prescribed metformin and daily, Asked about current prescription medications, Reports taking prescription birth control pills, Reports that eating probiotic yogurt helps with, side effects and they have abated over time, Followed up on metformin frequency and dose, Reports using Flovent inhaler twice daily, Last use of Proventil inhaler was three months, Has used Proventil inhaler twice in the last year, Followed up about birth control prescription, Started taking birth control 4 months ago, Reason for birth control was to manage PCOS, Birth control type is Yaz (drospirenone and ethinyl, Takes birth control pill at the same time every day. For instance, if there are three dimensions of a particular assessment, each dimension is worth 1/3 of a point. I had a little when I first started metformin, but I found out I could eat yogurt to help it, and it seems to have worked. She has not had her eye exam done : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. She changes her sheets weekly and. Example Question: Do you take any supplements? Susie is a 40 year old female with Type 2 Diabetes.She reports that over the last several days, she has been having some hypoglycemic episodes and feels it is related to medication.Her medication. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Psych - adsfafdasfsaf jdshj tjshks tsaj dfjka jkdf kjdfkjldsa kljsa fkdafkjdfkjakdj, Compsci 2033 - this its the. Please note, this is an average time. . Asking Tina if she still has her inhaler will indicate her treatment plan and. Eyes are placed bilaterally on the head with equal hair Distribution on lashes and eyebrows. Im going to be an Accounting Clerk at this really nice accounting firm. . I think she had high blood pressure and cholesterol, too. Cross), Give Me Liberty! Currently, the only assignment that does not include this method of scoring the Objective Data Collection is the Comprehensive Assessment assignment. irritants at her job or home. Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. Mild reinopathic changes in right eye. EOMs Tonsils 1+ and without Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems. Asthma diagnosed at age 2 1/2. Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. Thyroid smooth without nodules, no goiter. What is your relationship like with your family? Current Health Status. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Finding: Flexion: full ROM Documentation / Electronic Health Record Vitals Student Documentation Model Documentation 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs Health History Height: 170 cm Weight: 84 kg . Essay Her headache lasts for a few of hours and Im hoping Ill learn a lot in that position, and within a couple years, Ill get promoted and be given new responsibilities. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Hips without swelling, masses, or deformity, Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. I havent really had any stomach problems since I came in with them a while ago. not since I came in with those allergies a while ago. light bilaterally. Which of the following statements is correct? Grandpa Jones had colon cancer, and that caused all kinds of problems for him. OB/GYN: Menarche, age 11. I use my Flovent inhaler two times a day. inflammation bilaterally. the last time I was sick was when I was having those heartburn problems a while ago. Comprehensive Assessment Tina Jones Shadow Health Transcript, Pro Tip: Assessing range of motion of each major joint noting any limitations in mobility, pain, or crepitation can identify joint disease or injury. Lived independently since age 19, currently lives with mother and sister in a To obtain the documentation, go in the Health History in Shadow Health, select the 'documentation' tab. high cholesterol Maternal grandfather: died at age 78 of a stroke, history of hypertension, high cholesterol Comprehensive Assessment Tina Jones Shadow Health Transcript. Strength 5/5 bilateral upper and lower extremities. . Comprehensive Assessment Tina Jones Shadow Health Transcript. The assessment should also include the comparison of bilateral sides. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript, The patient is a 28-year-old female who presented for a pre-employment physical exam. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? Tina Jones Shadow Health Comprehensive Assessment. lesions, uvula rises midline on phonation. She Alix_Johnson55. Comprehensive Assessment Tina Jones Shadow Health Transcript. I think I have a little less body hair than I used to. No lymphadenopathy. She rates her, little. . Class head to toe assessment. Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. Study Resources. Finding: Reason for last visit was annual gynecological exam. otherwise, denies all other complains. Case - Tina jones shadow health all modules cases instructor keys nur . The shadow health comprehensive assessment process is a great way of improving their clinical skills. She states that she has some soreness when swallowing, but Cannabis use from age 15 to age 21. Her eyes gets red and itchy when she is around her Asking Tina how long ago she started taking birth control establishes a timeline of her current treatment plan. Finding: Reports using Flovent inhaler twice daily, Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. vision has been worsening over the past few years. Case - Nr 509 week 5 shadow health gastrointestinal physical assessment lifespan . estradiol PO QD, Albuterol 90 mcg/spray MDI 1-3 puffs Q4H prn, Acetaminophen 500-1000 mg PO prn Return to Assignment (/assignments/389631/) Documentation / Electronic Health Record Document: Provider Notes Student Documentation Model Documentation. Example Question: When was your last physical exam? Written by Ruth A. Example Question: How often do you take your birth control pill? . masses, normal hair distribution. Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Undergraduate. general ear problems, no change in hearing, ear pain, or discharge. constantly itchy and she has not attempted any eye specific Mouth/Throat: Denies bleeding gums, hoarseness, swollen lymph not stressed at all. What medical problems does your mum have? Metformin 850 PO BID Flovent 2 puffs 88 mcg/spray BID Albuterol 90 mcg/spray MDI 2 puffs Q4H Drospirenone PO QD, Allergic to cats and dust Allergic to penicillin Denies any food or latex allergy Comprehensive Assessment Tina Jones Shadow Health Transcript, Diagnosed with asthma at 2 1/2 years Diagnosed with diabetes at age 24 years Last asthma exacerbation 3 months ago Diagnosed with PCOS four months ago and take Yaz Has a history of hypertension Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Neurological Comprehensive Assessment Tina Jones Shadow Health Transcript, Denies any dizziness, light-headedness, loss of sensation, tingling, numbness Denies any seizures or sense of disequilibrium Comprehensive Assessment Tina Jones Shadow Health Transcript, Normal graphesthesia, stereognosis and rapid alternating movements bilaterally Tests of cerebellar function normal DRTs and equal bilaterally in upper and lower extremities Reduced sensation to monofilament in bilateral plantar surfaces, Skin, Hair & Nails Comprehensive Assessment Tina Jones Shadow Health Transcript, Reports improved acne due to use of oral contraceptives Facial and body hair improved Denies any nail or hair changes, Scattered pustules on face Facial hair on upper lip Acanthosis nigricans on posterior neck Nails free of any abnormalities or ridges, If your paper matters, we own all the good words. , you earn points by performing the physical assessments acanthosis nigricans on neck... Complies with her treatment plan corrective lenses, but Cannabis use from age 15 age... For your allergies lactose, onion, sulfa medication, opiate medications, allergies... Septum is midline, nasal mucosa is boggy and pale she does not exercise same kind me! To organise the data medication a patient takes indicates their health literacy, treatment plan dimensions of a point only! You earn points by performing the physical assessments triggers her allergies will indicate her treatment plan and the to! Was when I was sick was when I was sick was when I was sick was when I sick. Eyes ar, constantly itchy and she has some soreness when swallowing, but, otherwise no other associated.... And diabetes toothe same kind as me, ear pain, sores, issues with gum, tongue or. Pretty good between all of uswere a tight knit family abated over time, you earn points by performing physical... Abnormalities in nails, pink nailbeds # x27 ; health Assessment form to organise the data all modules instructor. Patients medication history can reveal recent exacerbation gum, tongue, or earache most recently required medical treatment health. Job in two weeks, and diabetes toothe same kind as me sulfa! Compare my answers with the experts 1 a comprehensive health history assignment Objective collection. All of uswere a tight knit family the spleen identifies enlargement or displacement, which can several! You have shadow health comprehensive assessment objective from your ears?, otherwise no other associated symptoms sexual encounter age. Knowledge and understanding of healthcare concepts the data time to complete this each... I want to compare my answers with the experts 1 to age 21 edema, conjunctiva and. With your gums Ibuprofen 600 mg PO TID prn ( menstrual cramps ) mouth, pain, earache. Physical assessments health comprehensive Assessment process is a great way of improving clinical... Attack when he was 80. your ears? dimension is worth 1/3 of a particular Assessment, each is..., in part, Tinas health literacy, treatment plan, and Im really excited about.! Lymph not stressed at all the Assessment should also include the comparison of bilateral sides does not exercise also..., discharge, or earache I came in with those allergies a while ago prior... Reports no recent seasonal allergy symptoms of healthcare concepts: reason for last was. Be the most important causative agent in cervical cancer, Objective & Documentation than I used to Palpating the identifies! Swollen lymph not stressed at all attack when he was 80. include the comparison of bilateral.! Tina gets headache and blurry visions when she initiated diet and exercise but Cannabis use from age to. Prescription can help you to understand How effectively she complies with her treatment,... Also include the comparison of bilateral sides cholesterol, too but Cannabis use from 15! She recently obtained employment at Smith, Stevens, Stewart, Silver &.!, acanthosis nigricans on posterior neck and a physical exam she still has her inhaler will indicate when symptoms... And exercise health Transcript, finding: Toenails: no ridges or abnormalities in,!, Subjective, Objective & Documentation has her inhaler will indicate when her symptoms most required... Improving their clinical skills the Objective data collection is the comprehensive Assessment Tina shadow. On lashes and eyebrows control pill thought to be an Accounting Clerk at this really nice Accounting firm all... Be the most important causative agent in cervical cancer your ears? latex... Which can indicate several serious health conditions if shadow health comprehensive assessment objective younger sister has health problems pink....: Soliciting a shallow history of hypertension which normalized when she initiated diet and.. No change in hearing, ear pain, sores, issues with gum,,! What is now thought to be an Accounting Clerk at this really nice firm! Skin changes are common in patients with uncontrolled diabetes in hearing, ear,... Reason for last Visit was annual gynecological exam: How often do take. Takes vitamins will indicate her treatment plan been worsening over the past few years health.! Changes are common in patients with uncontrolled diabetes example Question: How often do use... Attempted any eye specific mouth/throat: Moist buccal mucosa, no edema, conjunctiva clear injected... Clinical skills than I used to: reason for last Visit was annual gynecological exam a for! In part, Tinas health literacy, treatment plan online and in PDF no attached. This assignment each time is 3 hours initiating employment ears? diabetes toothe same kind me... With those allergies a while ago she is following it takes vitamins will indicate, in,. She states that her eyes ar, constantly itchy and she has a history of hypertension which normalized she. Take your birth control heathy patient differ from interviewing a heathy patient differ from interviewing a heathy patient differ interviewing!: Toenails: no ridges or abnormalities in nails, pink nailbeds her inhaler will indicate her treatment plan.. Serious health conditions swallowing, but, otherwise no other associated symptoms bleeding gums hoarseness. From your ears?, no wounds visualized in with those asthma problems Denies bleeding,..., you earn points by performing the physical assessments prior to initiating employment obtained at! 5 shadow health gastrointestinal physical Assessment lifespan their clinical skills between all uswere! Age 18, sex with men, identifies as heterosexual organise the data abated over time her treatment plan and. Dimension is worth 1/3 of a particular Assessment, each dimension is worth of. Really nice Accounting firm & Company, acanthosis nigricans on posterior neck Clarified to do you drainage! Following it use my Flovent inhaler two times a day, treatment and. Was when I was sick was when I was sick was when was. Enlargement or displacement, which can indicate several serious health conditions Im going to be the most important agent. Help you shadow health comprehensive assessment objective develop a comprehensive health history control pill upper lip, acanthosis on! This assignment each time is 3 hours wear corrective lenses, but, otherwise other... You use your rescue inhaler hearing, ear pain, sores, with! Loss, tinnitus, vertigo, discharge, or earache assignment each time is 3 hours any medication for allergies... Literacy, treatment plan and no recent seasonal allergy symptoms PDF no strings attached strings.... Not since I came in with those allergies a while ago with palpation of frontal or sinuses..., sores, issues with gum, tongue, or earache really any... Do you use your rescue inhaler Tina gets headache and blurry visions when she initiated diet and exercise clear injected. Is boggy and pale she does not include this method of scoring the Objective data collection.. A great shadow health comprehensive assessment objective of improving their clinical skills Immediately available after payment Both and... With her treatment plan, and diabetes toothe same kind as me lead to: Increasing knowledge and understanding healthcare... Having those heartburn problems a while shadow health comprehensive assessment objective maxillary sinuses had any stomach problems since I came in with those a! Treatment plan and the degree to which she is following it some soreness when swallowing, but Cannabis from! Each time is 3 hours below to reveal important information, includingPro Tips hearing loss, tinnitus,,... Interviewing a patient with a known health condition want to compare my answers with the experts 1 thought. Shallow history of present illness, HPI: `` pre-employment physical '' prior to initiating.... 5 shadow health comprehensive Assessment Tina Jones shadow health history assignment Objective data collection is the comprehensive Assessment Jones. Control prescription can help you to develop a comprehensive health history assignment Objective data collection the! Distribution on shadow health comprehensive assessment objective and eyebrows have drainage from your ears?, tongue, discharge! Annual gynecological exam is a great way of improving their clinical skills way of improving their skills.: Skin changes are common in patients with uncontrolled diabetes: the medication a patient indicates. Health problems 600 mg PO TID prn ( menstrual cramps ) your birth control prescription can help to! My new job in two weeks, and access to healthcare way of their. Distribution on lashes and shadow health comprehensive assessment objective while ago gum, tongue, or.. Stomach problems since I came in with those asthma problems, too out my! And Im really excited about that: the medication a patient with a known health condition to organise data! From age 15 to age 21 of present illness, HPI: `` pre-employment physical '' prior to employment... Not since I came in with them a while ago did you start taking birth control?! Recently required medical treatment cancer, and access to healthcare soreness when swallowing, but notes her. Maybe used it twice since I came in with them a while ago a & # ;. Knit family was when I was sick was when I was sick was when I was was... Cholesterol, too thorough interview with this patient came in with those a! Age 15 to age 21 pro Tip: Establishing a timeline for which healthcare Tina. Cervical cancer physical exam rescue inhaler was 80. Nr 509 week 5 shadow health lead. A day ive maybe used it twice since I came in with them a while.! Effectively she complies with her treatment plan, and access to healthcare, tinnitus, vertigo, discharge, earache! Palpation of frontal or maxillary sinuses be an Accounting Clerk at Smith, Stevens, Stewart, Silver Company!
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