Methods The etiology statement is free text. cuervo bopoha ( )NAVYSTRIPE The Nutrition Assessment and Nutrition Diagnosis Etiology Matrices are also available to subscribers as downloadable PDF documents. Dysphagia is common after stroke, associated with increased death and dependency, and treatment options are limited. The definition of etiology is the cause, set of causes, or manner of causation of a disease or condition. (Oxford Dictionary). pes statement for dysphagia 2020by Brilliant Dietitians // BethanyTait,MS, RDN. Dietitian vs. Nutritionist: Whats the Difference? Academy of Nutrition and Dietetics (AND). pes statement for dysphagia The Dietitian's Easy Guide to Nutrition Assessment, A Guide to the Nutrition-Focused Physical Exam. The PES is made up of the inferior pharyngeal constrictor (IPC), the CPM, and the most proximal cervical esophagus (Figure 2). You are now ready to right your PES statement: Swallowing difficulty related to dysphagia as evidenced by constant coughing during meal times. X0I2 |NT{ STATEMENTS PES FORMAT Problem(P)-some alteration in nutritional status Etiology(E)-cause or contributing risk factors "related to" Signs/symptoms(S)-defining characteristics of the problem " As evidenced by" It consists of the problem (P), the etiology (E), and the signs or symptoms (S). For each of the PES statements that you have written, establish an ideal goal (based on the signs and symptoms) and an appropriate intervention (based on the etiology). Pharyngeal Electrical Stimulation for Treatment of Dysphagia - Stroke Address: Women Parliamentary Caucus, 1st floor, National Assembly Secretariat, Islamabad, Powered by - Westminster Foundation for Democracy, Ge Smart Dispense Washer Not Dispensing Detergent, Amigo Brothers Text Dependent Questions Answers, Media Consultation on Gender and Climate Change Parliamentary Initiatives, General Assembly Session of WPC 26th January 2021, The role of Women Parliamentarians in Ending violence against women. The problem (diagnosis) uses standardized language which can be found on eNCPT website. This domain includes knowledge and beliefs about food, attitudes toward food, physical activity and function, physical environment, access to food, and food safety. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. The Nutrition Diagnosis is not the medical diagnosis. what percentage of costco products come from china; can't find paramount plus on lg smart tv; effect of the huac appearance on his career; apartments on wayne and walnut lane Some of our partners may process your data as a part of their legitimate business interest without asking for consent. You can learn more about whether to address a CAA in a residents care plan, here. The three-part nursing diagnosis statement is also called the PES format which includes the Problem, Etiology, and Signs and Symptoms. PDF Case #9: Gastroesophageal Reflux Disease - Weebly Address these areas and document whether to develop a care plan. PES to Avoid Extubation Failure in Intubated Stroke Patients at High PDF NUTRITION DIAGNOSES Most Common - Outpatient Here you may identify nutrition problems that are related to medical and physical conditions. %%EOF
ziehen im unterleib beim husten schwangerschaftsanzeichen. Impaired ability to prepare foods/meals (NB-2.4). s2gc J!!PA\0"CZ1dP&Wf?!(QC_b`Lck~? ;#FUlD_V Evaluating Your PES Statement 22 P (Problem): Can the RDN resolve or improve the nutrition diagnosis? Pharyngeal electrical stimulation (PES) is a simple and safe treatment for neurogenic dysphagia. Module 17 - Domain II: Determine Specific Feeding Needs, Nutrition Monitoring & Evaluation After reviewing Module 17 lecture, you should be able to: Determine specific feeding needs. xSMO1\xpi;~5(bA ieBvfvv 2EahAa "BzHsRXWdu0rr{ The diagnosis is selected from a set of standardized nutrition diagnostic terms/codes. The effectiveness of PES in ICUtreated stroke patients with combined dysphagia etiology is further backed up by two clinical trials that have shown distinctly higher decannulation rates after repetitive PES compared to sham stimulation (Dziewas et al., 2018; Suntrup, Marian, et al., 2015). Excessive energy expenditure Surgical and Chronic Wounds Nutrition Diagnosis, Inadequate energy intake (NI-1.2) Inability to manage self-care (NB-2.3) An Error 522 means that the request was able to connect to your web server, but that the request didn't finish. A PES statement is needed for all nutrition assessments except those with "no nutrition diagnosis." The selected diagnosis should be something that can be addressed and resolved by the nutrition intervention(s). pes statement for dysphagia. Limited adherence to nutrition-related recommendations (NB-1.6) Swallowing difficulty RT history of esophageal stricture AEB observed coughing and choking while eating and SLP evaluation. Copyright 2023 Fdotstokes.com Powered by Customify. basis soap vs dove; pyramid state park county; eaton county accident today; cochise county over the counter tax liens 0
Dysphagia. Width, M. & Reinhard, T. (2018). PES Statements Problem, Etiology, Signs and Symptoms =Nutrition Diagnosis 1) Inadequate protein and energy intake related to increased nutrient needs as evidenced by impaired skin integrity 2) At risk for weight loss and malnutrition related to frequent COPD exacerbations as evidenced by PO intake <50% of estimated nutrient needs Often there are multiple possible nutrition diagnoses, so keep the following in mind when writing the diagnosis for your patient: The diagnosis should be identified from the data and history you collected in the nutrition assessment. The PES statement describes the (P) nutrition problem or nutrition diagnosis, (E) the etiology or root cause, (S) and the signs and symptoms of the nutrition problem. PES example: Problem: Feeding tube is necessary for nutritional needs related to dysphagia secondary to CVA as evidenced by an inability to safely and efficiently swallow. They are a crucial component of documentation that help ensure residents maintain acceptable parameters of nutritional status. Oral transit time: a critical review of . (LogOut/ Health promotion nursing diagnoses are usually written as one-part statements because related factors are always the same: motivated to achieve a higher level of wellness though related factors may be used to improve the of the chosen diagnosis. The PES statement is part of the Nutrition Care Process (NCP), a systematic approach to providing high-quality nutrition care. Sample PES Statements Flashcards | Quizlet This can lead to aspiration pneumonia, another complication. Foods and Edition: 2006 22 INTAKE NI Defined as actual problems related to intake of energy, nutrients, fluids, bioactive substances through oral diet or nutrition support This article gives you the tools you need to confidently write the perfect PES statement every time. Inadequate mineral intake (phosphorus) (NI-5.10.1) related to increased needs for carbohydrate metabolism as evidenced by no phosphorus from food or fluids for 6 days and phosphorus level of 1.6. There are four steps involved in the NCP to form a framework for the RD to create an individualized nutrition plan. ), stands for, The PES Statement links the nutrition problem (the diagnosis) to the etiology (the cause of the problem) and the signs & symptoms with the words "related to"and "as evidenced by. This section also includes interactive matrices in assisting dietitians to formulate PES statements. inadequate oral intake. Food Safety in Nursing Homes: What You Must Know, Kate Farms Standard: Benefits, Downsides, and Taste, Kate Farms Peptide: Nutrition, Uses, and Taste Review, 8 Best Lactose-Free Protein Powders and Shakes, Kate Farms Nutrition Shake Review, By a Dietitian, member of the food and nutrition services staff, other appropriate staff or health professionals. The Signs and Symptoms (the evidence that Then the dietitian works to resolve or improve the nutrition diagnosis with nutrition interventions. Physical inactivity related to perceived lack of time to exercise as evidenced by patient self-reporting less than 30 minutes per week of physical activity. If triggered, determine whether the resident is at risk of developing, or currently has a weakness or need that is associated with that CAA, and how the risk, weakness, or need affects the resident. .U@5=exWtV=|X ze
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'Bp$bsLyC$JURw^+WTL~19}\7?O^3pn}&w=hXX3@lSpes statement for dysphagia - rustaochmatcha.online Intake of types of fats inconsistent with needs (specify) (NI-5.5.3) (2016). PDF NUTRITION DIAGNOSTIC TERMINOLOGY - California State University, Northridge Inadequate mineral intake (specify) (NI-5.10.1) (LogOut/ Dysphagia is a common disorder in neurological and non-neurological intensive care unit (ICU) patients and can lead to aspiration pneumonia, prolonged ventilation, and delayed extubation. Read More Dietitian vs. Nutritionist: Whats the Difference?Continue. Primary Menu. There is no right or wrong PES statement, but some are better than others. (2016). Moreover, the Nutrition Diagnosis is not the medical diagnosis, which can be even more confusing. pes statement for dysphagia Nutrition Care Process - Qirn3 Excessive oral intake (NI-2.2) related to limited exposure to education on healthful eating as evidenced by estimated intake providing 24 oz protein and 22 carbohydrate servings daily. Vw Tiguan Interior Lights Wont Turn Off, As needs change and goals are met, care plans must be reviewed and revised by the IDT team. Michigan Academy of Nutrition and Dietetics. Read More How to Interpret Nursing Home Survey Reports for DietitiansContinue. The Nutrition Intervention, should aim to resolve or at least attempt to improve the Etiology. The PES statement describes the nutrition problem, its root cause, and evidence for the diagnosis. Read More Nutrition-Focused Physical Exam (NFPE): A Beginners GuideContinue. Inconsistent carbohydrate intake related to incorrect application of carbohydrate counting as evidenced by food and blood glucose records revealing two additional carbohydrate servings per meals. x |T?LLfB @XMH@@V@pE\qmE-C Ui}RJs~I>g{i9eoGuN?}({/Q}sDC*3|W" ?_v#6gN^w#/QEs-(\|:t'J,w.4yJX:7YBH0K7R*MX2Q: LARZn35?:|]bnC4}MaTMP~wl4tMz~~i~VSWKTo>nZW
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,eWw#o4Jj@s KK+.)},}!rerbbfiVuzPjKl-[h'tM?9x}=O0~ Pharyngeal electric stimulation (PES) is a novel treatment for poststroke dysphagia that has shown promise in 3 pilot randomized controlled trials. (E)tiology: the etiology is the underlying cause(s) and contributors of the nutrition problem. All Rights Reserved. hbspt.cta.load(6088439, 'ac85f3ba-633e-4336-84e0-87e115ab0651', {}); The Etiology (E) the cause/s of the nutrition problem (Nutrition Diagnosis). Understanding the Disease and Pathophysiology 1. PES statement practice Flashcards | Quizlet It connects to the nutrition diagnosis by the words related to. Inadequate enteral nutrition infusion (NI-2.3) This article explains how individualized nutrition interventions from a registered dietitian can improve nutritional status and health outcomes in older adults receiving home health care. *,2>ozZjJr'1r:6]SYbT6.G}#A$5[&l4Pr~Fq$k,8. *NOTE: the above PES statement includes "dysphagia" because it is officially documented in their medical history by a speech pathologist. ;2j&WMm;&y$ykkjXR2FV{l:NM;u; a?#*--mk This article explains how to become a dietitian, where they work, and how much they make, so you can determine whether becoming a dietitian is right for you. Decreased nutrient needs (specify) (NI-5.4) . 2001, Garon, Sierzant et al. Knifeworks Coupon Code 2020, oculus air link desktop black screen. The Nutrition Diagnosis is something that you as a dietitian can resolve (ideally) or improve. Lastly, these interventions are monitored to assess progress and whether the expected goals are being met. . The initial connection between Cloudflare's network and the origin web server timed out. Weight loss of one pound per week until goal weight of 80 kg (175 lbs.) Excessive enteral nutrition infusion (NI-2.4) Inadequate oral intake (NI-2.1) related to increased energy expenditure as evidenced by six-pound weight loss in one month with no change in oral intake. What does a Grade 3 heart murmur mean in cats? Sample PES Statements Term 1 / 24 iron deficiency anemia Click the card to flip Definition 1 / 24 Inadequate mineral intake (iron) (NI-5.10.1) related to dislike of iron containing foods as evidenced by history of avoiding meat and other sources of heme iron. Excessive mineral intake (sodium) (NI-5.10.7). Altered gastrointestinal function (NC-1.4) Intake of types of fats inconsistent with needs (specify) (NI-5.6.3) Excessive energy intake (NI-1.3) Writing PES Statement for New RDs - Nutrition Cheat Sheets Dv;c:f0IGKzi4[']&.9Uit =!T"OOO+
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+cX]g{-b\*zu[m}~N?Gan2~&XXEc,E-@zc=?qvT-cbD}ig)saKc;=5>AAWBh.ZNl'faem y1ak There are approximately 70 of these nutritional diagnostic terms that cover three domains: FOOD AND/OR NUTRIENT INTAKE. How to Write Nutrition Care Plans for Long-Term Care MlQfE'#cLoI%E"Kil2
NE^faEg~OaN\n>vCTV./+-). The effectiveness of PES in ICUtreated stroke patients with combined dysphagia etiology is further backed up by two clinical trials that have shown distinctly higher decannulation rates after repetitive PES compared to sham stimulation (Dziewas et al., 2018; Suntrup, Marian, et al., 2015). 2023 ICD-10-CM Diagnosis Code R13.1: Dysphagia - ICD10Data.com Step 4: Nutrition Monitoring and Evaluation. . Children with oropharyngeal dysphagia may be at risk for malnutrition, dehydration, respiratory problems, and problems when eating in social situations. Unintended weight loss (NC-3.2) ", PES, not to be mistaken for PEZ candy (yes this was my first thought when I heard the term in school! Use tab to navigate through the menu items. Edition: 2006 22 INTAKE NI Defined as "actual problems related to intake of energy, nutrients, fluids, bioactive substances through oral diet or nutrition support" -Gastric acids are produced by parietal cells in the stomach, secreting hydrochloric acid and intrinsic factor. Monster Prom Items, Save my name, email, and website in this browser for the next time I comment. Excessive parenteral nutrition infusion (NI-2.8) This article explains the key differences between a dietitian and nutritionist. Inability to manage self-care (NB-2.3) Background A significant portion of critically ill patients with coronavirus disease 2019 (COVID-19) are at high risk of developing intensive care unit (ICU)-acquired swallowing dysfunction (neurogenic dysphagia) as a consequence of requiring Increased nutrient needs (NI-5.1) (protein and energy) related to increased demand for wound healing as evidenced by the presence of a chronic, nonhealing venous stasis ulcer. Nutrition diagnoses (ex. PES example: Problem: Feeding tube necessary for nutritional needs related to dysphagia secondary to CVA as evidenced by inability to safely and efficiently swallow. 2009, Humbert, McLaren et al. Diabetic Diet: Does It Have a Place in Nursing Homes? The Nutrition Intervention should be aimed at resolving the Etiology (underlying cause of the nutrition problem). This category includes disorders of malnutrition, weight balance, biochemical status, and functional status. Continue with Recommended Cookies. Categories. Malnutrition (NI-5.2) Earlier studies, which were mostly limited by study design, patient selection, and/or limited patient numbers [1,2,3,4,5,6], reported conflicting and inconsistent results regarding the incidence of post-extubation dysphagia.In fact, incidence rates ranged from 3 to 62% []. There may be times, however, when a resident risk, weakness, or need is identified but may not cause a CAA to trigger. A Mathematician's Lament Reddit, Residents do have the right to refuse certain treatments that the IDT team believes may help them reach their highest practicable level of well-being or to keep them safe. Inadequate oral intake (NI-2.1) Be among the first to know when we post new articles and other helpful content. Manometric profile of upper esophageal sphincter. Nervous System - Multiple Sclerosis Practice Guidance Toolkit Copyright 2023 - Dietitians On Demand | Site by Key Web Concepts, Understanding The Risks Of 1099 Contract Work, Food Sustainability: How It Can Enhance Our Future, Nutrition Care for the Patient with Long COVID, Webinar: Perfecting Your PES Statement | 1 CPEU. Disordered eating pattern (NB-1.5) In cases with a very high aspiration risk, postpyloric EN or, if not possible, temporary PN during swallowing training with removed nasoenteral tube can be performed. Performance & security by Cloudflare. Physical inactivity (NB-2.1) pes statement for dysphagia "LehdMc8&NVd;@TF6v3@rnL^B(a%-`UOE3Jg _1u`owuBBAv\M|Uj]\_ @YCS %v?R1$ykoJ>W7 nu
Sample PES Statements (problem, etiology, signs and symptoms using some NCP terminology) These statements are provided as examples only and will not apply to all individuals. Read the Brilliant Dietitian Blog to learn more about Medical Nutrition Therapy! In these situations particularly those that pose a risk to the residents health or safety, such as the refusal of thickened liquids the nutrition care plan should identify the care or service being declined, the risk associated with that choice, and efforts made by the IDT to educate the resident and representative, if applicable. Also, make sure that you can treat the nutrition diagnosis or improve the signs and symptoms. Nutrition Diagnosis and PES Statements - Brilliant Dietitians What is a PES statement at the NCP? Example: "Inadequate fluid intake." Oral communication with a pes statement for managing dysphagia in a defined time to icu team as professional societies or improve the etiology is essential component in clinical assessment. Unintended weight loss (NC-3.2) You should be able to monitor the signsand symptoms and document if they are resolved orimproved. A phase II trial in multiple sclerosis showed improvements in PAS score. It has been clinically defined as a group of motor, cognitive, and perceptive impairments secondary to a non-progressive defect or lesion of the Take every detail of your nutrition assessment into consideration when you choose your nutrition diagnosis. Dysphagia may present in all critically ill patients and large-scale clinical data show that e.g. Retrieved from: https://www.andeal.org/vault/2440/web/files/EAL/NCP_EAL_201711.pdf Accessed August 9, 2019. https://eatrightmich.org/wp-content/uploads/2016/04/3.-Trepasso.pdf, https://www.andeal.org/vault/2440/web/files/EAL/NCP_EAL_201711.pdf. Frequently used nutrition diagnoses include: inadequate energy intake. Retrieved from: https://eatrightmich.org/wp-content/uploads/2016/04/3.-Trepasso.pdf Accessed August 9, 2019. Inadequate enteral nutrition infusion (NI-2.3) PES FORMAT. Nursing Diagnosis Guide for 2023: Complete List & Tutorial - Nurseslabs CLINICAL. Inadequate energy intake RT disordered eating pattern and history of anorexia nervosa AEB BMI of 16.8 and reported caloric intake at only 52% of estimated energy needs. This article gives you the tools you need to confidently write the perfect PES statement, every time. physical findings state that the pt has dry mucous membranes in this throat which could make it tough for the pt to swallow. This information helps the dietitian form the nutrition diagnosis, which is communicated as a PES statement. pes statement for dysphagia children, dysphagia can occur during any phase of the swallowing process, as well as include avoidance or severe dislike of specific foods or different food textures, tastes or temperature. Unfortunately, many dietitians or dietary managers working in long-term care may not know how to write a strong nutrition care plan or wonder what information should be included when writing one. pes statement for dysphagia Physical inactivity (NB-2.1) Document whether each area triggered needs care planning. 3 Steps to become an Expert in Medical Nutrition Therapy TODAY! The signs and symptoms are the evidence that supports your nutrition diagnosis. XxJ")`CivhLP:J#A!Gc5YU'Kki CCC7Cc;]!$B5L87#v2308po(c
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Dysphagia PES Statement Example: Swallowing difficulty RT history of esophageal stricture AEB observed coughing and choking while eating and SLP evaluation. Three substances that take an active role in production of gastric juices include: Enterochromaffin-like cells, G cells, Read More Refeeding Syndrome: Causes, Symptoms and TreatmentContinue. The Nutrition Diagnosis is the Second Step in the Nutrition Care Process! We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Manage. This category covers calorie/energy balance, fluid and nutrient intake, and intake of oral supplements, nutrition support, or bioactive substances. 1) Poor nutrition choices and intake related to dietary intake as evidenced by the dietary recall and high BMI. The etiology is the cause or contributing risk factors of the nutrition diagnosis. He specializes in nutrition for older adults and long-term care regulations as they relate to food and nutrition. Writing PES Statements Assignment- 365 Fall 2020.docx Here are a few PES statement examples using the frequently used nutrition diagnoses. coVDH{&a|SH9%UIYDNWyPJP]0cY;xy0+98j+e(@cy6`|TY0NXm{]H[_euF7=pFYq4L$
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DOC Module 1 - Domain I - UH pes statement for dysphagiamuskelsteifigkeit beinenmuskelsteifigkeit beinen Dysphagia. Updated International Dysphagia Diet Standardisation Initiative (IDDSI) information is included in the appendix. Pes Statement For Cancer Patient - Google If there is no nutrition problem, you have the option of selecting "no nutrition diagnosis at this time" [NO-1.1]. What Are the Responsibilities of the Long-Term Care Dietitian? SUMMARY . Additional troubleshooting information here. Swallowing and respiration are considered reciprocal functions. 2. 46200. Case 9 Gastroesophageal Reflux Disease I. PES and Dysphagia - CSHA Inadequate fluid intake (NI-3.1) A PES statement is needed for all nutrition assessments except those with no nutrition diagnosis.. Inadequate vitamin intake (specify) (NI-5.9.1) It connects to the nutrition diagnosis by the words related to. Increased nutrient needs (specify) (NI-5.1) This is known at the NCP: lets explore that now. ", 2020by Brilliant Dietitians // Bethany. Read More Food Safety and Sanitation Audits in Long-Term CareContinue. The pouch forms because the muscle that divides the throat from the esophagus, the cricopharyngeal (CP) muscle, fails to relax during swallowing. This article explains the basics of food safety that dietitians and dietary managers working in long-term care must know and the importance of regular food safety and sanitation audits. NCP-Nutrition Diagnosis PES format NCP- Nutrition Intervention Establish patient goals and expected outcomes Goals are related to PES statement. Practice PES Statement #3 Now for our final example. How do you write a nutrition intervention statement? 97 0 obj
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Nutrition Diagnosis is a nutrition and dietetics practitioner's identification and labeling of an existing nutrition problem(s) that the practitioner is responsible for treating. Become an Expert at Writing PES Statements! How do you write a PES statement for malnutrition? But conservative estimates suggest that this condition affects 15 percent of the elderly population. physical findings state that the pt has dry mucous membranes in this throat which could make it tough for the pt to swallow. Excessive energy intake (NI-1.3) The PES Statement is one part of the ADIME note, the formal documentation of your entire encounter with your patient or client. 9+ SAMPLE Pes Statement in PDF We and our partners use cookies to Store and/or access information on a device. The primary nutrition diagnosis should be the most urgent nutrition-related problem. hunde adoptieren dsseldorf; kochspeck kochen zeit; sommerferien baden wrttemberg 2016 20182023 Dakota Dietitians, LLC. The PES statement describes the (P) nutrition problem or nutrition diagnosis, (E) the etiology or root cause, (S) and the signs and symptoms of the nutrition problem. Access to Food Commonly used signs and symptoms may include lab values, intake history, nutrition knowledge, anthropometric data, or findings from the nutrition-focused physical exam. Blogs; Dietitian Skills; Dysphagia; End of Life; Malnutrition; MDS Care Plan; New Dietitian; Nutrition Care Plan Examples; Nutrition Care Process; PES; state surveys; Uncategorized; Weights; Wounds; Recent Posts. pes statement for dysphagia PES Statements Inadequate intake from enternal nutrition related to use of Isosource HN at 75 mL/hr as evidenced by patient care summary sheet and lab values. Excessive energy intake (NI-1.5) related to knowledge deficit of the energy content of sweetened beverages as evidenced by soda consumption in excess of recommended intake. He presented to his family physician with elevated blood pressure and heartburn. . When preparing a PES statement in situations where there are diagnoses from multiple domains which diagnosis domain should the dietetics professional prioritize? Nutrition care plans are an important component of documentation in long-term care that ensure residents maintain acceptable parameters of nutrition. . Inadequate oral intake (NI-2.1) Overweight/obesity (NC-3.3) related to excessive nutrient intake as evidenced by body mass index of 30 and nutrition history indicating consumption of energy in excess of needs. inconsistent carbohydrate intake) are different from medical diagnosis (ex. Head over to the Medical Nutrition Therapy Podcast and subscribe! Nutrition Care Process- ADIME and PES stateme, Common Acid and Base Names Chem 031 Exam 3, Psicoanlisis "Tratamiento psquico del alma", RD exam: FOOD SERVICE FLASHCARDS eatrightprep, Julie S Snyder, Linda Lilley, Shelly Collins, 01_Why working from home is good for business.
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